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少弱畸形精子症“因痹致痿”新论

Discussion on wilting resulting from impediment in oligoasthenozoospermia
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摘要 本文首先阐述痹痿属病机,不通是痹的本质,痿是功能下降。强调痹和痿的相关性,阐释痹可致痿,凝练提出“因痹致痿”病机及通痹治痿法。少弱畸形精子症是男性不育症的常见原因之一,据《素问·上古天真论》所载“气脉常通,而肾气有余”年老有子的论述,指出气脉通、肾气足、五脏盛是生殖健康的根本。反之,气脉痹阻则影响男性生殖健康。注重理论研究的实践价值,深入探析“气脉”内涵,强调“气脉”与膜原(三焦)从内涵上相通,与人体津液运行密切相关,气脉痹阻本质为膜原(三焦)痹阻,主要表现为气痹和湿痹,两者互相影响,进而引发少弱畸形精子症等生殖功能下降(痿)。以此为指导,运用通气脉痹强精法治疗少弱畸形精子症等生殖功能下降病症获得满意疗效。 This article first explains that Bi and Wei belongs to the pathogenesis,and the essence of Bi lies in the lack of circulation,while Wei is a decline in function.Emphasize the correlation between Bi and Wei,explain that Bi can cause Wei,and succinctly propose the pathogenesis of“Wilting due to Bi”and the method of treating wilting by Tong Bi.Oligoasthenozoospermia is one of the common causes of male infertility.According to the discussion in“Su Wen·Shang Gu Tian Zhen Lun”:“Qi Channels are always circulated,while kidney qi is surplus.”As elderly people giving birth to children,it is pointed out that Qi Channels are circulated,kidney qi is sufficient,and the five organs are prosperous,which are the foundation of reproductive health.On the contrary,Qi Channels obstruction affects male reproductive health.Emphasis is placed on the practical value of theoretical research,in-depth exploration of the connotation of“Qi Channels”,emphasizing the connection between“Qi Channels”and Moyuan(tri-jiao)in terms of connotation,and its close correlation with the operation of human body fluids,The essence of Qi Channels obstruction is Moyuan(tri-jiao)obstruction,mainly manifested as Qi Bi and Dampness Bi,which affect each other and lead to reproductive function decline(wilting)such as oligoasthenozoospermia and teratozoospermia.Guided by this,satisfactory therapeutic effects were achieved by using the method of circulating Qi Channels obstruction,and strong essence to treat reproductive function decline diseases such as oligoasthenozoospermia and teratozoospermia.
作者 张颖 赵家有 Zhang Ying;Zhao Jiayou(Beijing Hepingli Hospital,Beijing 100013,China;Graduate School of China Academy of Chinese Medicine Sciences,Beijing 100700,China)
出处 《中国男科学杂志》 CAS CSCD 2024年第4期124-127,共4页 Chinese Journal of Andrology
基金 中国中医科学院科技创新工程(No.CI2023C018YL,No.CI2021A02207) 首都卫生发展科研专项(首发2022-2-4271) 国家自然科学基金(82274337) 中华中医药学会青年求实项目(2022-QNQSDEP-20)。
关键词 少精子症 弱精子症 男性不育 因痹致痿 oligospermia asthenozoospermia male infertility wilting resulting from impediment
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