Penile sclerosis, also known as penile cavernosal fibrous sclerosis, is a disease in which a fibrous sclerosis occurs between the cavernous membrane of the penis and the penile fascia. The etiology is unknown, and it mostly occurs in men aged 40 to 60. A. Etiology The cause of penile sclerosis is still unclear and may be related to venereal disease, chronic urethritis, repeated minor injuries during sexual intercourse and genetic factors. According to Chinese medicine, the liver is the main tendon in Chinese medicine, and the penis is the meeting of the zong tendon. If the mood is not satisfied, liver depression and qi stagnation, qi stagnation is not smooth blood flow; if the diet is not disciplined, like to eat sweet and fat, alcohol inordinate, hurt the spleen and hinder the stomach, it is phlegm and damp; if indulgence in room labor, loss of essence and kidney, “liver and kidney homologation”, the liver and kidney meridians are empty, phlegm and dampness flow injection; liver depression and qi stagnation is the meridians blocked, over time, blood stasis with phlegm clotted into a block, issued in the Yin device is the cost of disease. If the blood stasis is accompanied by phlegm clots, the disease will develop in the Yin organ. Clinical manifestations Initially, it is not easy to be detected, and later it grows faster and tends to develop slowly after a few months. Patients appear to have curvature of the penis during erection, which may be accompanied by slight pain, but no rupture. On examination, single or multiple hard nodules of different sizes with clear borders and insignificant tenderness can be palpated in the cavernous body of the penis. Generally, it does not affect sexual life in mild cases, but in severe cases, painful penile erection, insecure erection and penile erectile bending triad symptoms may occur, thus leading to impotence, and affecting sexual life. At the same time, the patient’s mood anxiety caused by penile sclerosis, which in turn aggravates sexual dysfunction. Third, treatment 【Western medicine treatment】 At present, there is no satisfactory treatment for this disorder in Western medicine, but 50% of patients can be relieved naturally, and paracetamol and vitamin E can be given orally for several months, but the effect of medication is limited. Surgery may be considered for those with significant pain or whose penis is completely and severely affected by sexual intercourse. The main goal of surgical treatment is to keep the penis from bending during erection and to strip away the hard nodes. Currently, the commonly used surgical methods include surgical sclerotomy and prosthesis implantation, but the surgical effect is not ideal and easy to recur after surgery. Chinese medicine treatment] This disease is affected by phlegm and stagnation, the lesion is in the liver, the general treatment should be to soothe the liver and Qi, dissolve phlegm and disperse the knots. In the case of liver stagnation and phlegm stagnation, penile nodules and liver stagnation and qi stagnation are the characteristics, and the lesion is mainly in the liver. The treatment is to soothe the liver and Qi, resolve phlegm and disperse the knots. It is often treated with Chai Hu and Liver Dispersion with Glycyrrhiza glabra and Seaweed and Kun Bu. Spleen deficiency and phlegm coagulation is characterized by spleen deficiency and phlegm in the penis, and the lesions are in the spleen and liver. The treatment is to strengthen the spleen and remove dampness, dissolve phlegm and disperse the knots, commonly used to add and reduce Wu Ling San and Er Chen Tang. Prevention and care 1. First of all, we should eliminate the fear, understand that this disease is a disease, so far, there is no report of cancer caused by sclerosis; 2. We should clearly understand that the disease is slow, through a long period of treatment, the sclerosis can mostly shrink, or soften or even disappear, we should have firm confidence, do not interrupt the treatment; 3. Keep a relaxed mood, avoid depression and anger injury to the liver; 5, eat less fat, sweet and thick taste, to avoid phlegm and dampness; 6, pay attention to abstain from sexual intercourse, to avoid room labor injury to the kidneys.