Article(id=1305171216592032184, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, articleNumber=null, orderNo=null, doi=10.19664/j.cnki.1002-2392.260176, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1741536000000, receivedDateStr=2025-03-10, revisedDate=1760457600000, revisedDateStr=2025-10-15, acceptedDate=null, acceptedDateStr=null, onlineDate=1789106666944, onlineDateStr=2026-09-11, pubDate=1789833600000, pubDateStr=2026-09-20, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1789106666944, onlineIssueDateStr=2026-09-11, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1789106666944, creator=13701087609, updateTime=1789106666944, updator=13701087609, issue=Issue{id=1305171206701871960, tenantId=1146029695717560320, journalId=1302318977290174537, year='2026', volume='54', issue='9', pageStart='1', pageEnd='133', issueExtLink='null', onlineDate='null', pubDate='1789833600000', pubDateStr='2026-09-20', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1789106664586, creator='13701087609', updateTime=1789106805687, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1305171798593663109, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1305171798593663110, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=34, endPage=38, ext={EN=ArticleExt(id=1305171216763998649, articleId=1305171216592032184, tenantId=1146029695717560320, journalId=1302318977290174537, language=EN, title=Exploration on the Pathogenesis, Syndrome Differentiation and Treatment of Diabetes Mellitus Erectile Dysfunction Based on the Theory of "Dryness-Heat and Stagnation", columnId=null, journalTitle=Acta Chinese Medicine and Pharmacology, columnName=null, runingTitle=null, highlight=null, articleAbstract=

Diabetes mellitus erectile dysfunction (DMED) , as a common complication of diabetes mellitus, has become a non-negligible health problem for male diabetic patients due to its complex pathogenesis and protracted, refractory course. Based on the "dryness-heat and stagnation" theory, this paper holds that the core pathogenesis of this disease is "damage to yin caused by drynessheat, failure of qi and body fluid to disperse, and loss of function of zongjin (penile erectile tissues)", and the disease can be divided into three stages: firstly, yin deficiency with dryness-heat injures zongjin internally, which mediates the onset of the disease; secondly, blockage of Xuanfu and stagnation of collaterals lead to the failure of qi and body fluid to disperse, accelerating the progression of the disease; thirdly, deficiency of healthy qi and lingering pathogens, along with the intermingling of deficiency and stasis, affect the prognosis of the disease. In treatment, the pathogenesis must be strictly adhered to: for the early stage of DMED, the treatment focuses on clearing heat and moistening dryness, nourishing yin and moistening zongjin to address the root cause, and the modified Baihu decoction combined with Zengye decoction is selected; for the middle stage of DMED, the therapy aims at opening Xuanfu and dredging collaterals, dispersing qi and body fluid to restore the function of zongjin, and the modified Liuwei Dihuang decoction combined with Shengjiang powder is used; for the late stage of DMED, the treatment emphasizes benefiting qi and activating blood circulation, and adopts the combination of unblocking and tonifying to consolidate the root, with the modified self-formulated Fuyuan Qiwei decoction. Throughout the entire treatment process, the core therapeutic principles of "clearing, dispersing, dredging, and tonifying" are implemented, and this study is expected to provide a new perspective and reference for the syndrome differentiation and treatment of DMED with traditional Chinese medicine.

, authors=Yi WEI¹, Zilong CHEN^{2, *}, Zhiming HONG², Junfeng QIU², Quan WANG², Jinjun YUAN², Shengjie WANG², Wenshuo CHEN¹, Lianqin ZHANG¹, Chunxiu CHEN¹, authorsList=Yi WEI, Zilong CHEN, Zhiming HONG, Junfeng QIU, Quan WANG, Jinjun YUAN, Shengjie WANG, Wenshuo CHEN, Lianqin ZHANG, Chunxiu CHEN, authorCompany=null, correspAuthors=Zilong CHEN, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1305171217204400570, articleId=1305171216592032184, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=基于“燥热怫郁”理论探讨糖尿病性勃起功能障碍的病机及辨治, columnId=1303760928365892493, journalTitle=中医药学报, columnName=临证体会, runingTitle=null, highlight=null, articleAbstract=

糖尿病性勃起功能障碍（DMED）作为糖尿病的常见并发症，因其病机复杂、病势缠绵难愈，其已成为当前男性糖尿病患者不可忽视的健康问题。本文基于“燥热怫郁”理论，认为“燥热阴伤，气液失宣，宗筋失用”为本病核心病机，将本病分为三个阶段，其中阴虚燥热，内伤宗筋，介导本病发生；玄闭络郁，气液失宣，加速疾病进展；正虚邪恋，虚瘀交阻，影响疾病预后。治疗时应谨守病机，针对DMED早期，清热润燥，养阴濡筋以安其源，方选白虎汤合增液汤化裁；DMED中期，开玄通络，宣散气液以复其用，方选六味地黄丸合升降散化裁；DMED后期，益气活血，通补结合以固其本，方选自拟复元起痿汤化裁。治疗时以“清，宣，通，补”为核心治法贯彻始终，以期为中医药辨治本病提供新视角与借鉴。

, authors=韦一¹, 陈子龙^{2, *}, 洪志明², 邱俊峰², 王全², 袁金筠², 王胜杰², 陈文铄¹, 张廉勤¹, 陈春秀¹, authorsList=韦一, 陈子龙, 洪志明, 邱俊峰, 王全, 袁金筠, 王胜杰, 陈文铄, 张廉勤, 陈春秀, authorCompany=null, correspAuthors=陈子龙, authorNote=, correspAuthorsNote=, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=+KSO/tiJst0iAjZkmiKTTA==, magXml=3gNIhMvgAg6NQLdIw60FLg==, pdfUrl=null, pdf=Jmsruci60uKPVxpqyciPgQ==, pdfFileSize=1246194, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=w4t7CBzEwK+vFe4SFVA3Ew==, mapNumber=null, fund=null)}, authors=[Author(id=1305171219167334850, tenantId=1146029695717560320, journalId=1302318977290174537, articleId=1305171216592032184, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1305171219242832324, tenantId=1146029695717560320, journalId=1302318977290174537, articleId=1305171216592032184, authorId=1305171219167334850, language=EN, stringName=Yi WEI, firstName=Yi, middleName=null, lastName=WEI, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=¹, address=^1.The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen 518033, China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1305171219314135493, tenantId=1146029695717560320, journalId=1302318977290174537, articleId=1305171216592032184, authorId=1305171219167334850, language=CN, stringName=韦一, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=¹, address=^1．广州中医药大学第四临床医学院，广东 深圳 518033, bio={"content":"

韦一（1999-），男，硕士研究生，研究方向：中医药防治男科疾病。

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韦一（1999-），男，硕士研究生，研究方向：中医药防治男科疾病。

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