Thoughts and diagnostic strategies of traditional Chinese medicine in diagnosing and treating male infertility

HUANG Nianwen; WANG Bin; WANG Jisheng; YANG Yong; FENG Juanlong; SUN Longji; GAO Zixiang; LIN Zhechao; LI Haisong

doi:10.3969/j.issn.1006-2157.2024.11.002

您当前的位置：

首页 >

文章列表页 >

Thoughts and diagnostic strategies of traditional Chinese medicine in diagnosing and treating male infertility

Special Theme: TCM Prevention and Treatment of Male Diseases | 更新时间：2024-12-02

- Thoughts and diagnostic strategies of traditional Chinese medicine in diagnosing and treating male infertility
  增强出版
- Journal of Beijing University of Traditional Chinese Medicine Vol. 47, Issue 11, Pages: 1490-1494(2024)
- 作者机构：
  
  北京中医药大学东直门医院男科　北京　100700
- 作者简介：
  
  Prof.LI Haisong, Ph.D., Chief Physician, Doctoral Supervisor. Department of Andrology, Dongzhimen Hospital, Beijing University of Chinese Medicine, No.5, Haiyuncang Road, Dongcheng District, Beijing 100700.E-mail: lihs396@sina.com
- 基金信息：
  
  National Natural Science Foundation of China(82174385)
- DOI：10.3969/j.issn.1006-2157.2024.11.002
  CLC： R277.5
- Received：24 May 2024，
  
  Published Online：14 September 2024，
  
  Published：30 November 2024
- 稿件说明：
移动端阅览
HUANG Nianwen, WANG Bin, WANG Jisheng, et al. Thoughts and diagnostic strategies of traditional Chinese medicine in diagnosing and treating male infertility[J]. Journal of beijing university of traditional chinese medicine, 2024, 47(11): 1490-1494.
DOI：

HUANG Nianwen, WANG Bin, WANG Jisheng, et al. Thoughts and diagnostic strategies of traditional Chinese medicine in diagnosing and treating male infertility[J]. Journal of beijing university of traditional chinese medicine, 2024, 47(11): 1490-1494. DOI： 10.3969/j.issn.1006-2157.2024.11.002.

摘要

男性不育症的发病机制错综复杂，目前，西医多以经验性药物治疗为主。男性不育症为中医优势病种之一，中医药在改善男性生殖功能方面效果明显，是临床治疗该病的重要手段之一。基于经典古籍及现代相关研究，在传统补肾的基础上，创新性提出以“肾精亏虚为本、补肾益精为法、微调阴阳为则”的理念治疗男性不育症，取得了良好的临床疗效。同时，结合本团队长期临床实践，提出男性不育症五大诊疗策略，即辨病与辨证相结合、宏观与微观相结合、整体与局部相结合、中药与手术相结合、治病与治人相结合。此外，总结目前中医药治疗男性不育症存在的一些问题，并提出相应建议，以期推动中医药治疗男性不育症的发展及应用。

Abstract

The pathogenesis of male infertility is intricate and complex

and now

Western medicine is primarily based on empirical drug treatment. Male infertility is one of the advantageous diseases of traditional Chinese medicine

and traditional Chinese medicine has obvious effect in improving male reproductive function

which is one of the important means of clinical treatment of this disease. Based on the classical ancient books and modern research

and based on the traditional tonifying kidney method

we have innovatively put forward the concept of treating male infertility with the principle of " deficiency of kidney essence as the root

tonifying kidney and benefiting essence as the method

and regulating yin and yang mildly as the rule"

which has achieved good clinical efficacy. At the same time

combined with the long-term clinical practice of our team

we have proposed five major diagnosis and treatment strategies for male infertility

i. e.

combining disease identification with syndrome identification

combining macroscopic with microscopic approaches

combining holistic with localized treatments

combining traditional Chinese medicine with surgery

and combining treatment of the disease and treatment of the person. In addition

we have summarized some of the current problems in the treatment of male infertility with traditional Chinese medicine and put forward corresponding suggestions

with a view to promoting the development and application of traditional Chinese medicine in the treatment of male infertility.

关键词

Keywords

references

中国中医药信息学会男科分会 . 男性不育症中西医结合多学科诊疗指南(2023版) [J ] . 中国男科学杂志， 2023 , 37 ( 2 ): 13 － 19 .

YANG W , HUA R , CAO YX , et al . A metabolomic perspective on the mechanisms by which environmental pollutants and lifestyle lead to male infertility [J ] . Andrology , 2024 , 12 ( 4 ): 719 － 739 .

何佳，孙虹 . 辅助生殖技术与子代认知发育 [J ] . 中国计划生育和妇产科， 2024 , 16 ( 7 ): 10 － 13 .

祝雨田，王彬，李卫，等 . 中医药治疗男性不育症临床优势病种的探讨 [J ] . 中国实验方剂学杂志， 2023 , 29 ( 5 ): 223 － 228 .

刘春英，王浩浩，王传航 . 对《黄帝内经》肾藏精的再认识及男性不育临证心悟 [J ] . 北京中医药大学学报， 2019 , 42 ( 8 ): 633 － 636 .

冯隽龙，代恒恒，王继升，等 . 基于五脏气化论治不育症探析 [J ] . 现代中医临床， 2022 , 29 ( 3 ): 69 － 72 .

陈文治 . 广嗣全诀 [M ] . 陈丽斌，校注 . 北京：中国中医药出版社， 2015 : 56 .

张景岳 . 景岳全书 [M ] . 上海：上海科技出版社， 1984 .

黄念文，李香斌，毕焕洲，等 . 国家中药复方专利治疗男性不育症的用药规律分析 [J ] . 湖南中医药大学学报， 2022 , 42 ( 2 ): 285 － 290 .

代恒恒，李海松，王继升，等 . 基于微调阴阳论治男性不育症 [J ] . 世界中西医结合杂志， 2020 , 15 ( 12 ): 2329 － 2331 .

韩亮，厉将斌，李海松 . 基于“阳化气，阴成形”理论探讨精液异常男性不育症辨治思路 [J ] . 环球中医药， 2022 , 15 ( 1 ): 46 － 48 .

党进，代恒恒，王继升，等 . 李曰庆教授基于微调阴阳论治男性不育症的临证经验 [J ] . 现代中医临床， 2018 , 25 ( 3 ): 18 － 20 .

中华医学会男科学分会，男性不育诊疗指南编写组 . 男性不育诊疗指南 [J ] . 中华男科学杂志， 2022 , 28 ( 1 ): 66 － 76 .

潘伯臣，孙莹璞，孙海翔，等 . 弱精子症病因及临床诊疗专家共识 [J ] . 生殖医学杂志， 2023 , 32 ( 2 ): 157 － 169 .

孔令旗，孔军辉，王静，等 . 基于中医整体观探讨“心胃同治”理论 [J ] . 中国中医基础医学杂志， 2023 , 29 ( 8 ): 1376 － 1379 .

乔世杰，王章林，付超，等 . 中医诊断基本原理中的象思维运用 [J ] . 中医学报， 2022 , 37 ( 11 ): 2261 － 2264 .

刘正华，秦国政 . 中医药规范化治疗男性不育症165例的临床疗效观察 [J ] . 中华中医药杂志， 2022 , 37 ( 2 ): 882 － 886 .

SZYMAN＇SKI M , DOMARACKI P , SZYMAN＇SKA A , et al . The role and place of antioxidants in the treatment of male infertility caused by varicocele [J ] . J Clin Med , 2022 , 11 ( 21 ): 6391 .

SYARIEF AN , RAHMAN IA , SETIAWAN MR , et al . The influence of number of ligated veins in varicocele patients undergoing microsurgical varicocelectomy in postoperative pain and sperm parameters outcome [J ] . Med Arch , 2023 , 77 ( 4 ): 299 － 305 .

何超拔，袁少英，覃湛，等 . 挑治法联合中药对精索静脉曲张性不育症患者精子质量和精浆活性氧/miR－210的影响 [J ] . 中国性科学， 2024 , 33 ( 1 ): 135 － 140 .

张凯，王宁宁，马楠，等 . 显微镜下精索静脉结扎术联合中医药治疗精索静脉曲张性不育的临床观察 [J ] . 云南中医药大学学报， 2023 , 46 ( 6 ): 61 － 65 .

EASDALE-CHEELE T , PARLATINI V , CORTESE S , et al . A narrative review of the efficacy of interventions for emotional dysregulation, and underlying bio-psycho-social factors [J ] . Brain Sci , 2024 , 14 ( 5 ): 453 .

王继升，李海松，王璐，等 . 李海松教授治未病理念在治疗男性不育症中的应用 [J ] . 陕西中医， 2021 , 42 ( 10 ): 1445 － 1447 .

BIGGS SN , HALLIDAY J , HAMMARBERG K . Psychological consequences of a diagnosis of infertility in men: a systematic analysis [J ] . Asian J Androl , 2024 , 26 ( 1 ): 10 － 19 .

刘纪成，李国信，马跃海，等 . 男性不育症中医辨证存在的问题与对策 [J ] . 中华中医药杂志， 2023 , 38 ( 7 ): 3012 － 3015 .

雷翔，商洪才，高春升，等 . 基于临床定位构建中药疗效评价体系的思考 [J ] . 中华中医药杂志， 2024 , 39 ( 2 ): 626 － 630 .

曹雪，于长禾，孟祥然，等 . 中医药治疗早发性卵巢功能不全核心指标集的构建 [J ] . 中医杂志， 2024 , 65 ( 13 ): 1334 － 1339 .

WILLIAMSON PR , ALTMAN DG , BAGLEY H , et al . The COMET Handbook: version 1.0 [J ] . Trials , 2017 , 18 ( Suppl 3 ): 280 .

张明妍，张俊华，张伯礼，等 . 中医药临床试验核心指标集研制技术规范 [J ] . 中华中医药杂志， 2021 , 36 ( 2 ): 924 － 928 .

王继升，孟繁超，李海松，等 . 补肾法治疗男性不育症相关动物实验 [J ] . 中国实验方剂学杂志， 2023 , 29 ( 5 ): 229 － 235 .

Views

217

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Exploring the traditional Chinese medicine differentiation and treatment of male infertility based on the theory of " maintaining with the sweet and restoring the body fluids"

Exploring the differentiation and treatment of varicocele infertility based on the theory of deficiency and stasis

Hailong Huangjing San for treating male infertility in patients in occupation exposed to microwave radiation

Related Author

WANG Fu

GUO Jun

LUO Dicheng

ZHAO Ziwei

MA Dongyue

WANG Anmin

WANG Hao

CHANG Hongyuan

Related Institution

Department of Andrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences

Dongzhimen Hospital, Beijing University of Chinese Medicine

1 Department of TCM Andrology,Zhongshan Hospital Affiliated to Dalian University,Lioaning

2 Department of Andrology,Dalian Jianguo Hospital

AI问答

Postal code：100029
Tel：(010)53911857 Email：jbutcm@bucm.edu.cn
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010802024621
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰