现代中医临床2024,Vol.31Issue(1) :90-93.DOI:10.3969/j.issn.2095-6606.2024.01.018

基于伏邪理论探讨弱精子症的辨治思路

Discussion on the syndrome differentiation and treatment of asthenospermia based on the theory of latent pathogens

杨振霄 孙樱菲 荣光财 刘绍明
现代中医临床2024,Vol.31Issue(1) :90-93.DOI:10.3969/j.issn.2095-6606.2024.01.018

基于伏邪理论探讨弱精子症的辨治思路

Discussion on the syndrome differentiation and treatment of asthenospermia based on the theory of latent pathogens

杨振霄 1孙樱菲 1荣光财 1刘绍明2
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作者信息

  • 1. 北京中医药大学 北京 100029
  • 2. 北京中医药大学东方医院泌尿男科
  • 折叠

摘要

中医学将"弱精子症"归于"精冷""精清""精少"的范畴,其发病原因的隐匿性和发病过程渐进性与伏邪致病有诸多相似之处.正虚为弱精子症发病基础,邪伏为弱精子症病机关键,由虚、痰、瘀、毒虫导致的精子活动力下降,发为不育,符合伏邪致病渐进性的特点.扶正祛邪为弱精子症基本原则,具体治法有:培本固元、祛除伏痰、益肾活血、解毒杀虫、未病先防.本文结合临床验案对基于伏邪理论辨治弱精子症进行介绍.

Abstract

Asthenospermia,a condition termed as jingleng(cold sperm),jingqing(clear sperm)and jingshao(low sperm)in Chinese medicine,shares numerous similarities in its pathogenesis with the concept of latent pathogens.The covert nature of its causative factors and the gradual progression of its onset mirror the manifestation of diseases caused by latent pathogens.Deficiency of healthy qi is the fundamental basis for the development of asthenospermia,while the lurking malevolent factors constitute its critical pathogenic mechanism.A decline in sperm motility caused by deficiency,phlegm,stasis,and toxins leads to infertility,which is in line with the characteristics of the gradual progression of ailments caused by latent pathogens.The fundamental principle in treating asthenospermia involves reinforcing healthy qi while dispelling the malevolent factors.Specific treatment approaches encompass nurturing the root and consolidating the vital essence,dispelling phlegm,boosting the kidneys and activating the blood,eradicating toxins and harmful parasites,and preemptively averting the onset of the disease.This study,using proven clinical cases,elaborates on the treatment of asthenospermia based on the theory of latent pathogens.

关键词

伏邪理论/弱精子症/扶正祛邪/中医治疗

Key words

theory of latent pathogens/asthenospermia/reinforcing healthy qi and dispelling evil factors/TCM treatment

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基金项目

国家自然科学基金面上项目(81473527)

出版年

2024
现代中医临床
北京中医药大学

现代中医临床

CSTPCD
影响因子:0.816
ISSN:2095-6606
参考文献量23
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