崔云教授治疗少弱精子症对药与角药探颐

Professor Cui Yun’s experience of paired drugs and the three drugs pairing in treating oligoasthenospermia

目的总结崔云教授治疗少弱精子症常用对药与角药理法方药经验。方法通过采集与分析崔云教授治疗少弱精子症的临床病例,在充分认识病因病机的基础上,对崔云教授诊治少弱精子症常用对药与角药进行归纳,总结崔云教授诊治少弱精子症常用对药与角药经验,对其用药思路及用药理论进行深入探讨,并举案例予以佐证。结果崔云教授认为少弱精子症的病因与肾、肝、心、脾、肺等脏腑以及气血和湿热浊毒关系密切。治疗上针对其病机特点,选取"肝肾同治""悦心安神""疏肝(补肾)和胃""金水相生""调和气血""解毒祛浊"等对药与角药来改善精子质量。常用对药与角药有"女贞子-旱莲草""柴胡-续断""生地黄-山药-山茱萸""五味子-茯苓""远志-石菖蒲""大枣-黄芩""生谷芽-生麦芽""山楂-五味子""麦冬-五味子""黄芪-党参-丹参""当归-川芎""地榆-虎杖""贯众-升麻-豨莶草"等。崔云教授治疗少弱精子症理论上善于创新,以肝肾为中心进行脏腑辨治,临证运用对药与角药谨守病机,扶正祛邪,通补相济,涩利兼施,用药温而不燥,滋而不腻,于平凡中寓深意,理、法、方、药经验独到。结论崔云教授治疗少弱精子症的常用对药与角药理法方药学术经验深刻、独到,值得学习与借鉴。

Objective To summarize Professor Cui Yun’s experience of paired drugs and the three drugs pairing in treating oligoasthenospermia.Methods The clinical cases of oligoasthenospermia treated by Professor Cui Yun were collected.Professor Cui Yun’s experience of paired drugs and the three drugs pairing in treating oligoasthenospermia were comprehensively analyzed on the basis of fully understanding the etiology and pathogenesis.The medication thinking and theory of Cui Yun’s experience in treating oligoasthenospermia were discussed,and a case was given to prove it.Results Professor Cui Yun thought that the cause of oligozoospermia was closely related to kidney,liver,heart,spleen,lung organs,qi and blood,damp-heat and turbidity toxin.In view of the characteristics of pathogenesis,we taken paired drugs and the three drugs pairing such as"treatment of liver and kidney""pleasant the heart and tranquilizing the mind""smoothing the liver and regulating the stomach""generation between the metal and water""regulation of qi and blood",and"detoxification and dispel turbidity"."Nvzhenzi-Hanliancao""Chaihu-Xuduan""Shengdihuang-shanyao-Shanzhuyu""Wuweizi-Fuling""Yuanzhi-Shichangpu""Dazao-Huangqin""Shengguya-Shengmaiya""Shanzha-Wuweizi""Maidong-Wuweizi""Huangqi-Dangshen-Danshen""Danggui-Chuangxiong""Diyu-Huzhang""Guanzhong-Shengma-Xixiancao"were the most common used herb pairs and the three drugs pairing in practice.Professor Cui Yun was good at theoretical innovation in treating oligoasthenospermia based on syndrome differentiation according to the theory of liver and kidney.The treatment methods included that strengthening the body resistance to eliminate pathogenic factors,therapy of supplementation and draining and therapy of reinforcement and elimination in combination.The drugs for oligoasthenospermia therapy was warm but not dry,nourishing but not greasy.The experience of paired drugs and the three drugs pairing in treating oligoasthenospermia was not only profound but also the mechanism,method,prescription and drug of discriminating was unique.Conclusion The thought of Professor Cui Yun about mechanism and treatment of oligoasthenospermia is profound.It is worth learning and using for reference.