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.