阳强

　　阳强多由于情志不舒，肝郁化火，火灼宗筋，致使筋体拘急；或湿热闭阻宗筋脉道，脉络郁阻，而致茎体强硬不衰；或因房事过度，精液久泄，耗损真阴，阴虚阳亢，而致茎体脉络瘀阻而坚硬不倒。和本身的性刺激比较多，遗传的肾脾阳亢，精力过度不能很好的消化引起的。

　　由于阴经的持续勃起，可造成前列腺组织明显充血，故容易引起前列腺炎，部分患者试图以性交射精后使生殖器疲软，但效果并不假，容易造成生殖器损伤、泌尿系统感染等，而且伴侣的耐受达到一定程度就会集中爆发，这也不利于和谐的性生活。长此以往还可能影响学习、工作等。

　　凡是阴茎异常勃起，经久不衰，持续时间过长，不受性欲影响或受影响较小，排精之后尚不松软，多发生在性交之后者，可诊断为阳强。本病须与性欲亢进相鉴别。性欲亢进是阴茎勃起受性欲影响较大，得到性的满足，精液排出之后，则立即松软下来。

　　本病病因尚不明确，可能和环境因素、遗传因素、饮食因素、药物因素、营养等具有一定的相关性。对于使用某些药物造成的阳强（常见药物主要指的是伟哥以及一些壮阳的中成药），一般停用此类药物即可恢复，必要时可以口服黄体酮以中和有利于血液中的高雄激素。

　　对于阳强的问题检查一下内分泌，男性激素，中医脉诊，舌苔，掌诊。过度的阳强是一种肝郁化火，损耗阴气的现象，注意合理的观察性生活的情况。查一下血常规。

　　阴茎形态检查

　　应注意阴茎有无畸形、包皮是否过长、能否上翻(不能上翻者为包茎，一般需手术治疗)；尿道口位置是否正常，有无狭窄，尿道口位置在龟头或阴茎背侧者男性病为尿道上裂，在其腹侧者为尿道下裂。

　　Yang Qi is the original driving force of human material metabolism and physiological function, and is the decisive factor for human reproduction, growth, development, aging, and death. Human normal survival needs the support of Yang Qi, as the saying goes, 'He who has Yang Qi lives, and he who loses Yang Qi dies.' The more abundant the 'Yang Qi', the stronger the human body. When Yang Qi is insufficient, people will get sick. When Yang Qi is completely exhausted, people will die. Preserve Yang Qi and benefit Yin essence. Preserving Yang Qi and benefiting Yin essence is an important principle of traditional Chinese medicine health preservation and rehabilitation. The growth of all things comes from Yang, and the death of all things also comes from Yang. The growth, strength, aging, and death of humans all depend on Yang Qi as the main factor; the generation of essence, blood, and body fluid all depend on the transformation of Yang Qi. Therefore, 'Yang Qi is strong, and longevity is ensured; Yang Qi is weak, and death is imminent.' Health preservation must nourish Yang.

　　1. Acupuncture Treatment for Impotence

　　Acupoints: Dadian, Xingjian, Taiyang, Zhongfeng, Ligou, Weiyang, Zusanli, Shangjuxu, Xiaguxu (both sides need to be pierced), Guanyuan, Shuifen. Technique: Use heavy purgation technique, once a day, until the penis becomes flaccid.

　　2. External Treatment for Impotence

　　Potassium Nitrate Hold Method: Take 60 grams of potassium nitrate, divide and hold in the palms of both hands, hold for 30 minutes, let it melt naturally, twice a day.

　　Niter Hot Compress Method: Take 50-100 grams of niter, roast and wrap it in white cotton cloth, place it on the Guanyuan and Zhongji acupoints for hot compress, 30 minutes each time, 1.2 times a day.

　　Safflower Liquid Warm Rinse: 50 grams of safflower. Decoct and take the liquid to warm rinse the penis. Before rinsing, use sterile three-edged needles to pierce the corpora cavernosa of the penis directly, 3 needles on each side. Or you can also use heparin saline gauze to moisten the safflower liquid.

　　External Application Method: Fresh loofah juice (or mashed loofah leaves to extract juice), mix with 30 grams of fine Manna powder, 120 grams of musk mallow powder to form a paste, apply to the penis, scrotum and perineum, wrap with gauze, twice a day.

　　3. Diet Therapy for Impotence

　　Black Bean and Licorice Drink: 15 grams of black beans, 6 grams of licorice, decoct the soup and take frequently. Suitable for impotence due to Yin deficiency and fire excess.

　　Persimmon Kernel Braised Cuttlefish Soup: 10 grams of persimmon kernel, 1 cuttlefish (about 250 grams). Clean the cuttlefish, cut into pieces, cook with bones, season and drink the soup, eat the fish. Suitable for impotence due to败精阻窍.

　　Motherwort and Black Bean Syrup: 30 grams of motherwort, 60 grams of black beans, add water to 3 bowls and boil to 1 bowl, adjust with appropriate amount of brown sugar and take.