Treatment ideas for common male diseases

  It is one of the predominant diseases treated with a combination of Chinese and Western medicine, and at this stage it is more important to remove or relieve its symptoms when its etiology is not well understood. Recent studies suggest that autoimmune T-cell proliferation and differentiation are involved in the pathogenesis of CAP/chronic pelvic pain syndrome (CPPS). Therefore, regulation of autoimmune T-cell differentiation abnormalities has become one of the effective methods for the treatment of CAP/CPPS. Some Chinese herbal medicines, such as Phellodendron, Angelica, Poria, Amaranthus, and Verbena, can increase the CD8+, T-lymphocyte to Th1/Th2 ratio in peripheral blood of rats. At the same time, it decreases the ratio of Th2 cells to CD4+/CD8+ and normalizes the imbalance of T-cell differentiation to play a therapeutic role.  For prostate pain. Guibai Tong Yu Capsules, Huang Bai, Angelica Sinensis, Yuan Hu, Bai Shao, Licorice, can directly relieve the spasm of bladder smooth muscle and pelvic floor muscle to achieve the purpose of antispasmodic and pain relief.  In conclusion, for chronic pelvic pain syndrome, symptom relief is the goal, pain relief is the key, and recurrence prevention is the focus. In the early stages of the disease, the main focus is to eliminate edema and relieve the pressure in the prostate. In the middle of the disease, it is important to unblock the small prostate ducts, promote prostate secretion and discharge prostate fluid regularly to pass for use.  In the recovery period, the main focus is on strengthening the body and changing lifestyle habits to prevent recurrence.  The development and use of inhibitors has opened a new era in the treatment of erectile dysfunction. However, ED is not an isolated disease, but a common symptom of multiple diseases that have developed to a certain stage. Patients have a wide variety of conditions, and single treatments often make it difficult for patients to adhere to them. Studies have reported that only 17% of patients are able to adhere to treatment with PDE5 inhibitors. Patients with anxiety, nervousness, fatigue, insomnia and other symptoms can not be solved by PED5 inhibitors alone. Therefore, the combination of Chinese and Western medicine to benefit the qi and kidney, strengthen the spleen and tranquilize the mind and other treatment rules combined with it, to play a synergistic effect of coffee and coffee mate. To cure the disease and the effect of treatment, so that the overall quality of life improved. Psychological factors, metabolic syndrome, etc. are treated together.  The Chinese herb Epimedium has a therapeutic effect on impotence, and its extract Epimedium glycosides have the effect of PDE5 inhibitors. In addition a variety of kidney tonic herbs have androgen-like effects. Foreign experts have also extracted components with PDE5 inhibitory effects from red ginseng. This shows that the long-term use of kidney tonic herbs is expected to achieve the effect of small doses of PED5 inhibitors. Chinese herbs such as Huang Lian and Huang Bai have vasodilating effects. It is beneficial to improve the functional status of deep penile arteries, improve the function of vascular endothelial system, increase the concentration of local eNOS and nNOS, and improve the function of penile erectile tissue.  Male infertility has become the third most common human disease after tumor and cardiovascular disease. The prevalence of infertility among couples of childbearing age in China is about 12.5% and reaches more than 40 million.  The combination of Chinese and Western medicine has proven to be effective in treating infertility, especially idiopathic oligospermia and weak spermatozoa. Although the application of assisted reproductive technology has enabled many infertile people to reach the goal of fertility. However, recent studies have found that the embryonic developmental potential decreases after ICSI, the risk of spontaneous abortion increases by 20-34%, the risk of preterm birth in singleton pregnancies is twice that of normal pregnancies, and the risk of low and very low birth weight in the offspring increases by 1.7-1.77 and 2.7-3.9 times, respectively. disease incidence was significantly higher. Overuse (ICSI), will have adverse effects on population quality.  Chinese medicine can improve sperm concentration, viability in idiopathic infertility. Related mechanistic studies have found to improve the spermatogenic environment, scavenge oxygen free radicals, and improve blood inhibitor B, seminal plasma carnitine and a-glycosidase concentrations. Chinese medicine treatment can also be used in conjunction with assisted reproduction techniques to improve its success rate.  Benign prostatic hyperplasia is a common disease in older men and belongs to the category of retention of urine in Chinese medicine. The TCM theory is that the retention of urine is caused by a deficiency of the kidney and bladder qi, while the Western medical theory is the 5a-reductase causing dihydrotestosterone accumulation theory and apoptosis imbalance theory, etc. From the combined theory of Chinese and Western medicine, this disease is an aging phenomenon in the urinary function of the aging process. The aging and hyperplasia of the prostate tissue and the aging of the bladder smooth muscle diastolic (urine retention) and contraction (urination) functions are the combined manifestations. Therefore, it is more practical to improve the overall conditioning of the body to slow down the aging and functional degeneration. It is more effective to benefit the Qi, tonify the kidneys, strengthen the spleen and invigorate the blood than to simply reduce the size of the prostate.  The study of Huang Curcuma capsule found that it not only has 5-a reductase inhibiting effect, pro-prostate tissue apoptosis effect, bFGF growth factor inhibiting effect, but also has a receptor blocking effect. The synergistic treatment of BPH urinary difficulties is achieved.  Prostatic hyperplasia, local neuromuscular lesions, inflammatory stimulation, etc. can cause OAB. Currently commonly used phytopharmacological treatment: receptor inhibitors, anticholinergics: tolterodine M2, oxybutynin U2, propiverine, trasylolamine inhibit smooth muscle contraction, inhibit acetylcholine kinase: propiverine, solifenacin M3, midazolam M3, β-agonists: Minabegron (ym-178) Solabegron (solabegron, a-receptor blocker: tamsulosin) Chinese herbal medicine to activate blood circulation and remove blood stasis, dredge the liver and relieve spasm, Shanjia, Curcuma longa, Guiweiwei, Bai Shao, Yuanhu, Wu Yao, etc. also have the effect of treatment to relieve OAB, if the patient’s specific condition, the effect of adding discretionary drugs to clear heat or tranquilize the mind is more ideal. Reduce urinary urgency and the number of nocturnal urination according to the patient’s condition discretionary addition of warm kidney drugs better effect on LOH kidney tonic drugs with androgen-like effects. At the same time, the addition of beneficial qi, liver and tranquilizing drugs to improve the patient’s menopausal symptoms more effective. It is also beneficial for white-collar workers to relieve fatigue, relieve emotional tension, and part of androgen deficiency symptoms.  Although there are not many reports on Chinese medicine for prostate cancer, but related studies are not uncommon. Tea polyphenols is a general term for the phenolic compounds in the tea leachate that have a comprehensive reaction with ferrous ions. Previous related studies have reported that green tea can reduce the incidence of breast cancer and delay the survival of ovarian cancer. Similarly in prostate cancer studies it has been reported to inhibit the growth of prostate cancer DU145 cells, with a quantitative-effect relationship. Mechanistic studies have found that tea polyphenols can reduce the expression of SURVIVIN in prostate cancer tissues thereby promoting apoptosis and affecting the proliferation of prostate cancer cells.  In addition, studies on the anti-prostate cancer effects of turmeric, duckweed, and colchicine have shown the effectiveness of the anti-cancer effects of Chinese herbal medicines and their multi-targeted and comprehensive therapeutic effects.  There are many ways to combine Chinese and Western medicine, and there are many paths to explore. However, the more recognized one is the combination of disease identification and evidence identification. Western medicine identifies the disease, Chinese medicine identifies the evidence, and two kinds of medicine identify the medicinal properties. To improve the efficacy of the starting point, to come out of a road welcomed by patients.  The key to the combination of Chinese and Western medicine is the combination of the knowledge level of medical personnel. With the knowledge of both Western medicine and Chinese medicine theory, the understanding of the disease will be more comprehensive. The means of treatment will be more comprehensive, and the path of scientific research will be more extensive. The Society for the Integration of Chinese and Western Medicine in Men will be a successful path in the integration of Chinese and Western medicine.  Western medicine focuses on “tangible” and “materialistic”. Chinese medicine is based on the functional changes and external manifestations of the human body, these two different social and cultural foundations of the medical observation and treatment of human pathology, the entry point is different. But since both can treat human diseases, why can’t they complement each other’s strengths and develop their respective advantages to combine them for the prevention, treatment and longevity of human health?