Hypertension and its target organ damage have become a major
public health problem. Sexual dysfunction is a new problem in the
treatment of modern
hypertension. Modern pathophysiological studies have shown that
hypertension can
lead to sexual dysfunction. In addition, three major hypotensive
drugs represented by
diuretics can also
lead to sexual dysfunction. In
traditional Chinese medicine(TCM),
hypertension belongs to "
vertigo" "
headache" "
head wind", etc. In the past, the
understanding of the TCM pathogenesis of
hypertension was mainly from the perspectives of "
liver wind" and "Yang hyperactivity". However, based on the in-depth
research on ancient and
modern literature and
medical records and many years of clinical practice, it has been identified that
kidney deficiency was the key pathogenesis.
Hypertension complicated with sexual dysfunction belongs to the category of
kidney deficiency syndrome in TCM, especially the
deficiency of
kidney Yin. Previous studies by other
research groups showed that Yin-enriching and
kidney-tonifying
method could effectively reduce
blood pressure, improve sexual dysfunction, reverse
risk factors, and protect
target organs. This article systematically discussed the TCM
understanding, modern pathophysiological mechanism, and the clinical
treatment strategy of
kidney-tonifying
drugs(single
drugs and compounds) in the
treatment of
hypertension complicated with sexual dysfunction in order to provide a scientific basis for
kidney-tonifying
method in the
treatment of
hypertension complicated with sexual dysfunction.