北京中医药大学学报2025，Vol.48Issue(3)：418-423,6.DOI:10.3969/j.issn.1006-2157.2025.03.016
基于"形神一体"理论从"四维一体"论治早泄合并焦虑、抑郁状态
Treating premature ejaculation combined with anxiety and depression based on the"four-dimensional integration"of the"holism of body and spirit"theory
摘要
Abstract
Premature ejaculation refers to a sexual dysfunction in which men experience a short intravaginal ejaculation latency and a lack of control over ejaculation during sexual activity.The onset of this condition is often accompanied by anxiety and depression,which can seriously affect the quality of the patient's sexual life and the relationship between partners.Based on the"integration of body and spirit"theory in traditional Chinese medicine,our team believes that this condition is a comorbidity of physical and spiritual factors.We propose that the core pathogenesis of this disease lies in the"loss of form and essence,impairment of spirit,and depression of the mind,"while the primary treatment principle involves"nourishing form and regulating spirit."As a result,a new diagnosis and treatment approach of"four-dimensional integration"is summarized in this study.The disease is treated through the four dimensions of shape,body,spirit,and emotion.Traditional Chinese medicine is used to adjust the shape in cases where the physical form is damaged.For individuals with depression of heart and liver qi,the treatment focuses on soothing the heart and smoothing liver qi,and the modified Wangyou Powder and Xuanzhi Decoction is used.In cases where the heart and kidney function are compromised,the treatment involves nourishing both the heart and kidney while restoring interaction between the heart and the kidney,and modified Jihuo Yansi Elixir is used.To reduce the sensitivity of the glans penis,the patient's body is washed with a traditional Chinese medicine formula,and a delicate fumigation formula is decocted for external washing.For those who are not in tune with their god,psychological counseling can be used to regulate their spirit and advocate"self-partner"and psychotherapy.If there are issues with intimacy,partners should focus on cooperating during foreplay,sexual intercourse,and post-coital interactions.Overall,the treatment aims to harmonize the body and spirit,addressing both physical and psychological factors through a comprehensive,multi-dimensional approach.This method provides new perspectives and ideas for the clinical diagnosis and treatment of this condition.关键词
早泄/焦虑状态/抑郁状态/养形调神/四维一体/形神一体Key words
premature ejaculation/anxiety/depression/nourishing shape and regulating spirit/four-dimensional integration/holism of body and spirit分类
医药卫生引用本文复制引用
韦一,洪志明,邱俊峰,陈子龙,邝浩,曾杨玲,王全,周文彬..基于"形神一体"理论从"四维一体"论治早泄合并焦虑、抑郁状态[J].北京中医药大学学报,2025,48(3):418-423,6.基金项目
国家自然科学基金青年科学基金项目(No.82305229) （No.82305229）
深圳市科技计划项目(No.JCYJ20230807094759010) National Natural Science Foundation of China(No.82305229) （No.JCYJ20230807094759010）
