What Is an Androgen Deficiency?

Partial androgen deficiency syndrome (PADAM) in middle-aged and older males is a group of clinical syndromes that appear in children with dysregulated male hormones due to gradual aging, endocrine function (especially gonad function), and the gradual decline of endocrine function. ; Also known as male menopause syndrome, menopausal depression, male pre-senile syndromes.

Partial androgen deficiency syndrome in older men

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Partial androgen deficiency syndrome (PADAM) in middle-aged and older males is a group of clinical syndromes that appear in children with dysregulated male hormones due to gradual aging, endocrine function (especially gonad function), and the gradual decline of endocrine function. ; Also known as male menopause syndrome, menopausal depression, male pre-senile syndromes.

nickname

Menopause syndrome

TCM disease name

Partial androgen deficiency syndrome in older men

English name

PADAM

The Austrian Urology Association proposed the "androgen partial deficiency in middle-aged and elderly men", referred to as PADAM, at the European Men's Symposium in 1994. It objectively reflects the changes in testosterone levels in middle-aged and elderly men, and the resulting multiple functional insufficiency. It more closely reflects the nature of things, and the incidence of PAMAM still lacks a systematic

First, [ Western medicine]

According to clinical manifestations, symptomatic treatment is the main.

(A) low-dose growth hormone supplementation

Growth hormone (rhGH) 0.04U / kg each time, subcutaneously injected 3 times a week for 6 months.

(Two) symptomatic treatment

1. Sedatives, antidepressants (such as imipramine, amitriptyline, etc.), painkillers, vitamins, etc., selected according to the condition.

2. Sildenafil citrate (Viaco) 50mg, taken orally 1 hour before intercourse to improve patients' erectile function and increase confidence in treatment.

[Chinese Medicine]

1. Kidney Yin Deficiency Syndrome should be used for nourishing yin and tonifying kidney, clearing heat and reducing fire, and only used in the same way (zhimu, cork, mature land, yam, dogwood, peony, azalea Poria, barberry, schisandra, ginseng). If night sweats, you can add ground skin and Huang Jing; impotence and premature ejaculation, add Morinda officinalis, Jin Yingzi, Cuscuta seeds to solidify kidney qi. In addition, it can still nourish yin and kidney to regulate the balance of yin and yang.

2. Kidney-yang deficiency syndrome should be treated by warming kidney-yang, prescriptions (Mature Land, Yam, Dogwood, Duzhong, Cuscuta, Aconite, Cinnamon, Angelica, Antler Gum). If you urinate and clear the elderly, add gold cherry blossoms and urn to solidify the kidneys and urinate; if you have thin stools, add atractylodes, psoralen, nutmeg, to warm the spleen and kidneys to invigorate the spleen and yang; Sakurako solidifies the kidney with impotence.

3 , kidney yin and yang deficiency syndrome should be nourishing kidney yin, warming kidney yang, prescription (xianmao, epimedium, Morinda officinalis, angelica, Zhimu, cork). For example, diarrhea in stool, add stir-fried Atractylodes, psoralen, Poria to relieve spleen and astringent intestines to relieve diarrhea; low back pain is obvious, add Eucommia ulmoides and dog ridges to fill the waist with kidney-shaped kidneys. Bushen Yangxin, Huatan Kaiqiao.

4 , spleen and kidney yang deficiency syndrome should be warmed to nourish the spleen and kidney, spleen and dampness, prescription (xianmao, epimedium, aconite, cinnamon, codonopsis, atractylodes root, dried ginger charcoal, tangerine charcoal, moxibustion licorice, schisandra, Heshouwu) Can also be used to warm the kidney and spleen, warm the spleen to remove dampness, can be used with the addition and subtraction of the card.

5. Treatment of liver and kidney yin deficiency syndrome should nourish liver and kidney, invigorate yin and bury the sun, prescription (beishan ginseng, Ophiopogon japonicum, angelica, habitat, mature land, medlar, chuanxiongzi, dogwood, yam, paeonia, azalea , Poria). If you have insomnia and have more dreams, add jujube kernel, Baiziren, Schisandra chinensis; those who are easy to excite, add lily, floating wheat; those who are weak in waist and knee, add achyranthes, papaya; those who have insufficient liver blood, add Heshouwu, Baiji, chicken blood rattan, Bai Xianpi is used to nourish blood, moisten dryness and expelling wind; it can also add raw keel, raw oyster, raw turtle plate, etc. to nourish yin and yang.

6 , heart and kidney does not hand over the card, should be trafficked heart and kidney, (Chuanhuanglian, cinnamon, ginseng, Yanhusuo, Danshen, Poria, Schisandra, Polygala, Campanulaceae, Angelica, Asparagus, Ophiopogon, Bai Ziren, Jujube kernel, birthplace, cinnabar ). For those with nocturnal emission and premature ejaculation, add Jin Yingzi, Zhishi, Zhizhi Jiejing to stop bleeding; night sweats, spontaneous sweating, add tortoise shell, oyster keel nourish Yin and gather sweat.

Healing: Serum testosterone levels are raised before treatment and return to normal levels; PADAM symptom scores are higher than before treatment and return to above normal scores.

Effective : Serum testosterone levels are higher than before treatment, but have not yet returned to normal levels; PADAM symptom scores are higher than before treatment, but have not recovered to above normal scores.

Ineffective : Serum testosterone levels were unchanged or decreased compared to before treatment; PADAM symptom scores were unchanged or decreased compared to before treatment.