电离辐射致男性生殖损伤的中医病机
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摘要
男性生殖系统对射线高度敏感,射线可导致睾丸结构、功能损伤,引发男性生精功能与性功能障碍,进而导致男性暂时或永久性不育。近年来,人们发现有些中药及方剂对电离辐射所导致的生殖系统损伤有一定的防护作用,但缺乏对其背后中医机制的探讨。本文结合电离辐射的中医病因学特点,运用中医理论探讨辐射导致生殖系统损伤的中医病机,认为基病机为:肾气亏虚、生精乏源,脾失健运、生精乏源,毒邪炽盛、耗气伤阴,以期为中医药的临床及科研提供参考。
Male reproductive system is highly sensitive to ionizing radiation,which causes damage to testicular structure and function,therefore leads to male spermatogenic function and sexual dysfunction,and then results in temporary or permanent male infertility. In recent years,it has been found that some Chinese herbal medicines and prescriptions have certain protective effects on the injured reproductive system by ionizing radiation. Based on the theory of Chinese medicine,we analyze the pathogenesis of this problem,combining with the etiological characteristics of ionizing radiation in Chinese medicine. We hope this paper could be a reference to the clinical and scientific research.
Male reproductive system is highly sensitive to ionizing radiation,which causes damage to testicular structure and function,therefore leads to male spermatogenic function and sexual dysfunction,and then results in temporary or permanent male infertility. In recent years,it has been found that some Chinese herbal medicines and prescriptions have certain protective effects on the injured reproductive system by ionizing radiation. Based on the theory of Chinese medicine,we analyze the pathogenesis of this problem,combining with the etiological characteristics of ionizing radiation in Chinese medicine. We hope this paper could be a reference to the clinical and scientific research.
引文
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[12]黄帝内经素问[M].北京:人民卫生出版社,2012:43.
[13]叶天士.临证指南医案[M].北京:人民卫生出版社,2006:114.
[14]袁卓珺,秦国政.关于精子活力低下症肾虚血瘀病机要素的思考[J].中医杂志,2013,54(16):1365-1367.
[2]苏端玉,吴君心,侯如蓉.不同放疗技术对直肠癌长期存活患者的生活质量影响分析[J].中国现代医生,2012,50(3):16-18.
[3]王磊,王安,胡素敏.试论急性辐射损伤的中医学病因---电离毒[J].北京中医药大学学报,2017,40(1):27-30.
[4]谢轶哲.男子生殖精、气刍议[J].中医研究,2005,18(8):2-3.
[5]郑东利,王永全.肾藏精与男子生殖之精析义[J].辽宁中医药大学学报,2006,8(6):30-32.
[6]贾玉森.浅论男性中医生殖轴与生殖环节[J].中医杂志,2008,49(2):187-188.
[7]黄帝内经素问[M].田代华,整理.北京:人民卫生出版社,2005:2.
[8]王厚照,马芳芳.放射科医生职业与男性精液参数的相关性研究[J].中国优生与遗传杂志,2016,24(3):116-117.
[9]高士宗.黄帝素问直解[M].北京:人民卫生出版社,1982:70.
[10]孙一奎.赤水玄珠[M].北京:中国医药科技出版社,2011:424.
[11]朱丹溪.格致余论[M].北京:中国医药科技出版社,2011:12.
[12]黄帝内经素问[M].北京:人民卫生出版社,2012:43.
[13]叶天士.临证指南医案[M].北京:人民卫生出版社,2006:114.
[14]袁卓珺,秦国政.关于精子活力低下症肾虚血瘀病机要素的思考[J].中医杂志,2013,54(16):1365-1367.