摘要
男性不育症是男科的常见病和多发病,属中医学“无子”范畴。近年来,随着人们生活水平的提高,饮食不节、房事无度等导致男性不育症的患病率逐年增长。基于叶天士“甘守津还”理论,认为男性精室赖一身之阴津滋养,精室得阴津濡润则生殖之精生化有源,故津液亏耗、阴精亏虚为男性不育症的基本病机。甘味药物可滋阴荣精,补益男性生殖之精,且无滋腻助痰生湿之弊。因此,在治疗男性不育症时重视甘味药物的使用,谨遵“津液盛满则肾阴得养、肾阴充沛则精液生化有源”的原则,泻火保津,方用增液汤化裁;滋阴荣精,方用龟鹿二仙胶化裁;益气生津,方用补中益气汤化裁;温阳行津,方用仙附摄子方化裁,并结合具体病因、病机及相关症状调整药物及用量,以提高男性精子质量,增加受孕率。
Male infertility,a common condition in andrology,falls under the category of "no son" in traditional Chinese medicine(TCM).Unhealthy eating habits and excessive sexual activity,prevalent due to improved living standards,have contributed to the increasing incidence of male infertility.YE Tianshi proposed the theory of "maintaining with the sweet and restoring the body fluids",which emphasizes the importance of ample body fluid for the nourishment of the male essence chamber.Sufficient body fluid is crucial for normal sperm generation.In TCM,the primary pathogenesis of male infertility involves the loss of body fluids and insufficiency of yin essence.Sweet Chinese herbal medicinal is recommended as it nourishes yin,enriches essence,and replenishes male reproductive essence without producing phlegm and dampness.Therefore,when treating male infertility,attention should be given to the use of sweet Chinese herbal medicinal,adhering to the principle of "abundant body fluids nourish kidney yin,and abundant kidney yin supports semen production".Therapies such as purging fire to preserve body fluids with Zengye Decoction,nourishing yin to enrich essence with Guilu Erxian Decoction,benefiting qi to promote fluid production with Buzhong Yiqi Decoction,and warming yang and transporting fluids with Xianfu Shezi Decoction should be considered.Medication and dosage adjustments should be made based on the specific etiology,pathology,and related symptoms to improve the quality of male sperm and enhance the chances of conception.
作者
常洪源
王浩
王安民
马东岳
赵子维
骆第铖
郭军
王福
CHANG Hongyuan;WANG Hao;WANG Anmin;MA Dongyue;ZHAO Ziwei;LUO Dicheng;GUO Jun;WANG Fu(Department of Andrology,Xiyuan Hospital,China Academy of Chinese Medical Sciences,,Beijing 100091,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2024年第7期948-952,共5页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家自然科学基金项目(No.82174217,No.81703929)
国家中医药管理局高水平中医药重点学科建设项目(No.zyyzdxk-2023238)
中央公益性科研院所基本科研业务费专项(No.ZZ15-XY-CT-02)。
关键词
男性不育症
甘味药物
津液
养阴
生津
male infertility
sweet Chinese herbal medicinal
body fluids
nourishing yin
promoting fluid production
