精液不液化症的中医药治疗进展
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摘要
精液不液化是导致男性不育症的一个很重要原因,据不完全统计,不育患者中近70%者精液不能正常液化。对于这一部分患者目前的确没有特别有效的方法治疗,中医可以在这一领域加以探索。临床总体可以分为外感毒邪、肾气亏虚、湿热下注、痰瘀互阻、阴虚火旺等证型。中医治疗核心思想仍然应该遵循辨证论治的基本原则,辨证往往较辨病更有疗效,大量临床观察表明根据这5型进行辨证论治可以取得满意的疗效。
Semen non-liquefaction is an important reason that leads to infertility. Incomplete statistics shows that 70% of infertility patients have problem with abnormal semen liquefaction. There is not a particularly method to solve the problem currently,but TCM can explore the problem deeper. Semen non-liquefaction can be divided into syndrome of external pathogenic qi,syndrome of deficiency of kidney qi,syndrome of dampness-heat diffused downward,syndrome of intermingled phlegm and blood stasis,and syndrome of hyperactivity of fire due to yin deficiency during clinic observation. Basing the treatment on the basic principal of syndrome differentiation,TCM can be quite effective in disease differentiation. Numerous clinical observations suggest that it can achieve satisfactory results according to these five types of syndrome differentiation.
Semen non-liquefaction is an important reason that leads to infertility. Incomplete statistics shows that 70% of infertility patients have problem with abnormal semen liquefaction. There is not a particularly method to solve the problem currently,but TCM can explore the problem deeper. Semen non-liquefaction can be divided into syndrome of external pathogenic qi,syndrome of deficiency of kidney qi,syndrome of dampness-heat diffused downward,syndrome of intermingled phlegm and blood stasis,and syndrome of hyperactivity of fire due to yin deficiency during clinic observation. Basing the treatment on the basic principal of syndrome differentiation,TCM can be quite effective in disease differentiation. Numerous clinical observations suggest that it can achieve satisfactory results according to these five types of syndrome differentiation.
引文
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[3]刘方.“精液不液化症”的中医药治疗分析[J].中国当代医药,2010,17(2):82-83.
[4]王琰,王旭初,杜海胜,等.精液不液化对精液质量的影响[J].实用临床医学,2013,14(1):71-72.
[5]王鹏,王增军.精液液化的分子机制研究进展[J].中国男科学杂志,2010,24(3):68-70.
[6]陈宗平,邱兆雨,杨丽,等.糜蛋白酶对改善精液不液化的体外实验及恢复生育的临床观察[J].重庆医学,2012,41(34):3612-3613,3616.
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[8]王琦.王琦男科学[M].郑州:河南科学技术出版社,1997:385-884.
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[10]苏隆文,李文峰.解毒液化方联合抗生素治疗精液不液化96例[J].中外医学研究,2011,9(30):105.
[11]李锡主,徐泽杰,郑文华.前列解毒胶囊治疗精液不液化的临床观察[J].中国医学工程,2013,21(2)52-53.
[12]郜亮,阮衍泰.精液液化异常与生殖道溶脲脲原体、沙眼衣原体感染相关性研究[J].中国妇幼保健,2011,26(35):5561-5563.
[13]李国起,陈霞,李聪华,等.生精片治疗精液不液化[J].中国药物经济学,2012(2):21-22.
[14]杨险峰,郭良慧,安丽红,等.生精片治疗精液不液化100例临床研究[J].中华男科学杂志,2012,18(6):568-570.
[15]杨其仁.自拟“生精育麟汤”治疗精液异常男性不育症[J].光明中医,2010,25(8):1494-1495.
[16]熊国保,姚文亮,吴飞华.参附强精汤对肾阳虚型非炎性精液不液化的临床研究[J].中华男科学杂志,2009,15(12):1138-1141.
[17]李日杰.萆薢分清饮治疗精液不液化38例[J].海南医学,2012,23(3):66-67.
[18]蓝广和,王中,陆海旺,等.程氏萆薢分清饮加减治疗精液不液化症52例[J].广西中医药,2014,37(1):42-43.
[19]王旭初,郑加涛.除湿液化汤联合前列安栓治疗精液液化异常的临床观察[J].世界中西医结合杂志,2013,8(5):479-481.
[20]许建平.从痰热瘀论治精液不液化症体会[J].甘肃中医,2010,23(2):42-43.
[21]柯桂任.加味二陈汤治疗精液不液化82例[J].内蒙古中医药,2012(12):9.
[22]吴建淮,赵雪.桂枝茯苓胶囊治疗精液不液化症的临床观察[J].中国现代医学杂志,2011,21(10):1253-1254,1257.
[23]蔡洁武,洪壁芬,郑武定,等.活血化痰饮治疗精液不液化症42例临床分析[J].中医药临床杂志,2013,25(6):508-509.
[24]田玉和,田乔.少腹逐瘀汤治疗精液不液化症的临床观察[J].中国当代医药,2010,17(2):81-82.
[25]刘焕军,邓鲲,曾新福.助化通瘀汤治疗精液不液化症59例[J].陕西中医,2012,33(3):322-323.
[26]邵耀宁,李文,余沛扬.水蛭治疗精液不化65例疗效观察[J].新中医,2014,46(8):57-58.
[27]王传玺.知柏地黄汤加减治疗精液不液化348例[J].河南中医,2011,30(6):548.
[28]李锦杰.滋阴利湿方治疗精液不液化随机平行对照研究[J].实用中医内科杂志,2013(7):37-39.
[29]郑毅春,潘明沃,朱照平.滋阴清热法促进精液液化作用的临床观察[J].中华中医药学刊,2012,30(2):387-388.
[30]腰向颖,钱彦方.滋阴汤加味治疗精液不化症42例临床观察[J].河北中医药学报,2011,26(4):33-34.
[31]杨湖珍,戈承民,蒋富香,等.湖南省怀化地区育龄妇女不育症患病率流行病学调查[J].中国计划生育学杂志,2014,22(7):475-477.
[32]王军,吕红蕾.430例原发性男性不育症的精液质量分析[J].中国医药科学学,2014,4(10):203-205.
[33]GONZALES GF,KORTEBANI G,MAZZOLLI AB.Hyperviscosityand hypofunction of the seminal vesicles[J].Arch Androl,1993,30(1):63-68.
[2]饶利强,廖锦先,麦惠洪,等.643例男性不育患者精液液化状况分析[J].中国当代医药,2011,18(26):78-79.
[3]刘方.“精液不液化症”的中医药治疗分析[J].中国当代医药,2010,17(2):82-83.
[4]王琰,王旭初,杜海胜,等.精液不液化对精液质量的影响[J].实用临床医学,2013,14(1):71-72.
[5]王鹏,王增军.精液液化的分子机制研究进展[J].中国男科学杂志,2010,24(3):68-70.
[6]陈宗平,邱兆雨,杨丽,等.糜蛋白酶对改善精液不液化的体外实验及恢复生育的临床观察[J].重庆医学,2012,41(34):3612-3613,3616.
[7]Wilson VB,Bunge RG.Infertility and semen non-liquefaction[J].J Urol,1975,113(4):509.
[8]王琦.王琦男科学[M].郑州:河南科学技术出版社,1997:385-884.
[9]王大进.解毒液化方治疗精液延迟液化症的临床观察[J].湖南中医药大学学报,2010,30(1):60-62.
[10]苏隆文,李文峰.解毒液化方联合抗生素治疗精液不液化96例[J].中外医学研究,2011,9(30):105.
[11]李锡主,徐泽杰,郑文华.前列解毒胶囊治疗精液不液化的临床观察[J].中国医学工程,2013,21(2)52-53.
[12]郜亮,阮衍泰.精液液化异常与生殖道溶脲脲原体、沙眼衣原体感染相关性研究[J].中国妇幼保健,2011,26(35):5561-5563.
[13]李国起,陈霞,李聪华,等.生精片治疗精液不液化[J].中国药物经济学,2012(2):21-22.
[14]杨险峰,郭良慧,安丽红,等.生精片治疗精液不液化100例临床研究[J].中华男科学杂志,2012,18(6):568-570.
[15]杨其仁.自拟“生精育麟汤”治疗精液异常男性不育症[J].光明中医,2010,25(8):1494-1495.
[16]熊国保,姚文亮,吴飞华.参附强精汤对肾阳虚型非炎性精液不液化的临床研究[J].中华男科学杂志,2009,15(12):1138-1141.
[17]李日杰.萆薢分清饮治疗精液不液化38例[J].海南医学,2012,23(3):66-67.
[18]蓝广和,王中,陆海旺,等.程氏萆薢分清饮加减治疗精液不液化症52例[J].广西中医药,2014,37(1):42-43.
[19]王旭初,郑加涛.除湿液化汤联合前列安栓治疗精液液化异常的临床观察[J].世界中西医结合杂志,2013,8(5):479-481.
[20]许建平.从痰热瘀论治精液不液化症体会[J].甘肃中医,2010,23(2):42-43.
[21]柯桂任.加味二陈汤治疗精液不液化82例[J].内蒙古中医药,2012(12):9.
[22]吴建淮,赵雪.桂枝茯苓胶囊治疗精液不液化症的临床观察[J].中国现代医学杂志,2011,21(10):1253-1254,1257.
[23]蔡洁武,洪壁芬,郑武定,等.活血化痰饮治疗精液不液化症42例临床分析[J].中医药临床杂志,2013,25(6):508-509.
[24]田玉和,田乔.少腹逐瘀汤治疗精液不液化症的临床观察[J].中国当代医药,2010,17(2):81-82.
[25]刘焕军,邓鲲,曾新福.助化通瘀汤治疗精液不液化症59例[J].陕西中医,2012,33(3):322-323.
[26]邵耀宁,李文,余沛扬.水蛭治疗精液不化65例疗效观察[J].新中医,2014,46(8):57-58.
[27]王传玺.知柏地黄汤加减治疗精液不液化348例[J].河南中医,2011,30(6):548.
[28]李锦杰.滋阴利湿方治疗精液不液化随机平行对照研究[J].实用中医内科杂志,2013(7):37-39.
[29]郑毅春,潘明沃,朱照平.滋阴清热法促进精液液化作用的临床观察[J].中华中医药学刊,2012,30(2):387-388.
[30]腰向颖,钱彦方.滋阴汤加味治疗精液不化症42例临床观察[J].河北中医药学报,2011,26(4):33-34.
[31]杨湖珍,戈承民,蒋富香,等.湖南省怀化地区育龄妇女不育症患病率流行病学调查[J].中国计划生育学杂志,2014,22(7):475-477.
[32]王军,吕红蕾.430例原发性男性不育症的精液质量分析[J].中国医药科学学,2014,4(10):203-205.
[33]GONZALES GF,KORTEBANI G,MAZZOLLI AB.Hyperviscosityand hypofunction of the seminal vesicles[J].Arch Androl,1993,30(1):63-68.