宾彬教授从本虚标实论治少弱精子症经验举隅

Professor BIN Bin's Experience in Treating Oligoasthenospermia Based on the Pathogenesis of"Deficient Root and Excessive Superficial"

少弱精子症是男性不育症的常见原因,提高精子浓度和活力是提高男性生育力的关键。宾彬教授认为少弱精子症“本虚标实”,病机上以“脾肾两虚为本,湿热瘀毒虫为标”,治疗上提出“精少重子”及“精弱重气”的观点,以“脾肾并补,清热利湿”为大法,随症配合“化瘀通精,解毒杀虫”之法,以强精煎(党参、菟丝子、枸杞子、黄芪、续断、当归、五味子、六神曲、生牡蛎、益母草等)为专病主方,根据疾病不同阶段“清、补、通、利”之法各有偏重,用药上灵活化裁增损药物,可明显增加精子数量、改善精子活力,提高男性生育力。

Oligoasthenospermia is a common cause of male infertility.Improving sperm concentration and vitality is the key to improving male fertility.Professor BIN Bin believes that oligoasthenospermia is"deficient root and excessive superficial".The pathogenesis is"rooted in deficiency of the spleen and kidney,and superficial of damp,heat,stasis,toxin and insects".For the treatment,the point of view of"sperm focused for oligozoospermia",and"Qi focused for asthenospermia"is proposed.The primary principle of"tonifying the spleen and kidney,clearing heat and promoting diuresis"is used,with the method of"removing blood stasis,clearing essence,detoxification and killing insects"according to the symptoms.Qiangjing Decoction(Radix Codonopsis,Semen Cuscutae,Radix Astragali seu Hedysari,Radix Dipsaci,Radix Angelicae Sinensis,Fructus Schisandrae Chinensis,Massa Medicata Fermentata,Concha Ostreae,Herba Leonuri,etc.)is the main prescriptions for specific diseases.According to the different stages of the disease,the methods of"clearing,tonifying,unblocking,and benefiting"are biased.The medication is flexibly modified,which can significantly increase sperm quantity,improve sperm vitality and increase male fertility.