崔云教授治疗少弱精子症学术特色探析

Research on Academic Characteristics of Professor CUI Yun in the Treatment of Oligoasthenospermia

[目的]探析崔云教授治疗少弱精子症的学术特色。[方法]通过跟随崔师门诊学习,整理并分析医案,从崔师治疗少弱精子症的"肝肾同源"理论、"女方男用"心得、"风药"运用经验和常用药对等方面,系统总结其治疗少弱精子症的学术特色,并举隅医案加以佐证。[结果]崔师治疗少弱精子症首分虚实,强调肝肾同治,并从风药"如风之性"出发,重视风药在男科疾病中的运用,且善援用妇科经典方剂,将温清饮、当归芍药散、佛手散等应用在男科疾病治疗领域中。崔师常用药对中,黄芩、大枣清补为用,生麦芽、生谷芽健脾疏肝,女贞子、墨旱莲平补肝肾,防风、蝉衣泻湿土而达木郁,当归、川芎养血活血、祛瘀生新,均体现出其鲜明的学术特色。所附医案,崔师辨为肝肾不足、精血亏损,法当肝肾同治,治疗用三合饮配以风药加减,取得良好效果。[结论]崔师重视肝肾同治,善以风药增效,多用妇科方剂治疗少弱精子症,学术特色鲜明,为现代中医男科提供了新的治疗思路,其经验值得学习和借鉴。

[Objective] To explore the academic characteristics of Professor CUI Yun in the treatment of oligoasthenospermia. [Methods] Through following Professor CUI’s outpatient work, sorting out and analyzing the medical cases, this paper systematically summarized the academic characteristics of Professor CUI’s treatment of oligoasthenospermia from the aspects of his theory of "homology of the liver and kidney", his experience in "use the prescription for gynecology in male diseases" and the application of "wind drug" and commonly used drug pair, and cited typical medical case as evidence. [Results] Professor CUI first divides deficiency and excess in the treatment of oligoasthenospermia, according to the characteristics of pathogenesis, he emphasizes treating the liver and kidney together, and from the characteristics of wind drug, he pays attention to the application of wind drug in male diseases. He is good at using classic prescriptions of gynecology, and has applied Wenqing Drink, Danggui Shaoyao Powder and Foshou Powder in the treatment of male diseases. Professor CUI often used drug pair, such as Scutellaria baicalensis and Fructus Ziziphi Jujubae to clear heat while nourishing, Fructus Hordei Germinatus and Oryzae fructus germinatus to soothe the liver and strengthen the spleen, Fructus ligustri lucidi and Herba ecliptae to nourish the liver and kidney, Saposhnikovia divaricata and Periostracum Cicadae to clear damp and soothe the liver, Angelica sinensis and Ligusticum wallichii to nourish and promote blood circulation, remove blood stasis and create new blood, all of which showed the distinctive academic characteristics. In the attached medical case, Professor CUI thought the syndrome type was deficiency of liver and kidney, and it was necessary to take tonifying the liver and kidney as the main method and used Sanhe Drink and wind drug for treatment, which achieved a good therapeutic effect.[Conclusion] Professor CUI attaches great importance to the simultaneous treatment of the liver and kidney, is very good at improving the curative effect of wind drug and gynecological prescription, and has distinctive academic characteristics in the treatment of oligosthenospermia, which provides a new treatment idea for modern andrology of traditional Chinese medicine. His experience is worth learning and reference.