首页|基于虚、瘀理论探讨精索静脉曲张性不育的辨治思路

基于虚、瘀理论探讨精索静脉曲张性不育的辨治思路

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精索静脉曲张性不育的发病机制错综复杂,目前,临床尚无针对本病的特效药物,中医药在改善患者临床症状、提高精子质量方面有一定优势。本文基于中医学虚、瘀理论,结合现代相关研究,认为瘀血阻络是本病的始动因素,肾精亏虚为本病的内在趋势,并将其病机及治法类比"土壤学说"。龟鹿通曲汤是本团队基于"土壤学说"治疗精索静脉曲张性不育的协定方,由经典方剂左归丸加减化裁而成,具有补肾益精、活血化瘀之功效,临床疗效较好。结合本团队长期临床实践,提出精索静脉曲张性不育三大治疗策略,即整体与局部相结合、治本与治标相结合、中医药与外科手术相结合,多法合用,可有效提高整体疗效,亦为中医药治疗精索静脉曲张性不育提供参考。
Exploring the differentiation and treatment of varicocele infertility based on the theory of deficiency and stasis
The pathogenesis of varicocele infertility is complex, and currently, there is no specific drug for clinical treatment, traditional Chinese medicine (TCM) has certain advantages in improving clinical symptoms of patients and improving sperm quality. Based on the theory of deficiency and stasis in TCM and modern related research, we believe that static blood blocking collaterals is the initiating factor of this disease, and kidney essence deficiency is the immanent trend of this disease. The pathogenesis and treatment method of this disease are studied on the basis of "soil theory". Guilu Tongqu Decoction is a formula developed by our team based on "soil theory" for the treatment of varicocele infertility. It is a modified version of the classic formula Zuogui Pill , which has the effects of tonifying the kidney, nourishing essence, and promoting blood circulation for removing blood stasis. Its clinical efficacy is good. At the same time, based on our team's extensive clinical practice, we propose three treatment strategies for varicocele infertility, namely, the combination of systemic and local treatment, the combination of radial and symptomatic treatment, and the combination of TCM and surgical procedures. These methods can effectively improve the overall therapeutic effect and provide a reference for the treatment of varicocele infertility with TCM.

varicocelemale infertilitykidney deficiency and blood stasisGuilu Tongqu Decoctionsoil theory

黄念文、李海松、王彬、王继升、王浩浩、杨勇

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北京中医药大学东直门医院 北京 100700

精索静脉曲张 男性不育症 肾虚血瘀 龟鹿通曲汤 土壤学说

国家自然科学基金中华中医药学会青年求实项目北京中医药大学东直门医院横向合作项目

821743852021-QNQS-03HX-DZM-202302

2024

北京中医药大学学报
北京中医药大学

北京中医药大学学报

CSTPCD北大核心
影响因子:1.568
ISSN:1006-2157
年,卷(期):2024.47(3)
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