男性更年期之中西醫文獻回顧

Review of Male Climacteric in the Traditional Chinese Medicine and Western Medicine

李瓊(Qiong Li) ； 呂萬安(Wan-An Lu)

《北市醫學雜誌》 6卷4期 (2009/08) Pp. 245-257

https://doi.org/10.6200/TCMJ.2009.6.4.01

摘要

目前為止，國內針對男性更年期的相關文獻及論文研究，一向乏善可陳，並且缺乏多面向的研究調查報告，隨著二十一世紀男性醫學的發展，男性更年期逐漸被人們認識和重視，如何使男性順利度過更年期是男性學的一大研究課題。古代中醫典籍黃帝內經所云：「丈夫五八腎氣衰，髮墜齒槁。六八陽氣衰竭于上，面焦髮鬢斑白。七八肝氣衰筋不所動，天癸竭、精少腎臟衰，筋骨節墜，天癸盡故髮鬢白、身體重、行步不正而無子耳。」雖然現代醫學與傳統醫學對於男性更年期發生的時間有一些年齡上的差異，但是進一步了解男性更年期的內涵之後，我們支持傳統醫學的看法，並且希望藉由本研究能夠提醒專家、學者重視男性更年期。

關鍵字

男性更年期 ； 老化男性雄性素部分不足症 ； 荷爾蒙 ； 黃帝內經

並列摘要

So far, the domestic response to literature on the male climacteric (changes in the male with age) has been good, but there is still a lack of recent research in Taiwan. As the twenty-first century progresses, the development of medicine of menin response to male androgen deficiency among aging males, has gradually been recognized and valued. How to make a smooth male climacteric transition reamins a major research topic. The Yellow Emperor’s Canon of Internal Medicine indicates that hair and teeth began to be lost due to a weaker kidney-chi when the male reaches forty years. Then the face begins to wrinkle and hair becomes grey owing to weaker yang-chi in the upper body when the male reaches forty-eight years. In addition, white hair, a weaker physique, increased body inertia, unstable walking and weaker reproductive urges are caysed by weaker liver-chi. Overall, the whole body becomes weaker with a loss of tendon strength, tiangui exhaust, there is a loss of vitality and kidney/viscera weaken after the male reaches fifty-six years old. We agree with the ideas of the male climacteric put forward by traditional Chinese medicine; there is an overall agreement in terms of the male climacteric between western medicine and traditional Chinese medicine in spite of some age disagreements. We hope that this study will remind experts and scholars that great importance needs to be placed on the problem of th male climacteric.

並列關鍵字

male climacteric ； partial androgen deficiency of the aging male ； hormone ； The Yellow Emperor's Canon of Internal Medicine