精索静脉曲张(VC)是常见的男性生殖系统疾病,也是导致男性不育的主要原因之一。目前西医对于VC性不育症的治疗方式依然以手术为主,虽然手术的方式在不断完善,但是仍然存在术后出现并发症、复发率高等问题。中医药治疗该疾病从整体出发,...精索静脉曲张(VC)是常见的男性生殖系统疾病,也是导致男性不育的主要原因之一。目前西医对于VC性不育症的治疗方式依然以手术为主,虽然手术的方式在不断完善,但是仍然存在术后出现并发症、复发率高等问题。中医药治疗该疾病从整体出发,以病因病机为切入点,选择相应治法及方药,具有针对性强、安全性高、治疗操作简便等优点。不仅可以单独治疗,也可联合手术治疗,弥补其缺陷。本文旨在对近年来中医药治疗VC性不育症的研究现状进行综述和分析,以期为该病的治疗和研究提供新的思路和方法。Varicocele (VC) is a common male reproductive system disease and one of the main causes of male infertility. At present, the treatment of VC infertility in Western medicine is still mainly based on surgery, and although the surgical approach is improving, there are still problems, such as postoperative complications and high recurrence rate. Chinese medicine treatment of this disease from the overall perspective, to the etiology of the disease as the entry point, selects the appropriate treatment and prescription, with strong targeting, high safety, easy to operate and other advantages. Not only can it be treated alone, but it can also be combined with surgical treatment to make up for its defects. The purpose of this paper is to review and analyze the current status of research on the treatment of VC infertility with Chinese medicine in recent years, with a view to providing new ideas and methods for the treatment and research of this disease.展开更多
目的 使用数据挖掘探索中医药治疗精索静脉曲张(VC)的临床用药规律。方法搜寻中国知网(CNKI)、万方数据知识服务平台(Wanfang Data Knowledge Service Platform)、维普(CQVIP)自建库起至2023年8月的中医药治疗VC的文献,通过挑选并运用Ex...目的 使用数据挖掘探索中医药治疗精索静脉曲张(VC)的临床用药规律。方法搜寻中国知网(CNKI)、万方数据知识服务平台(Wanfang Data Knowledge Service Platform)、维普(CQVIP)自建库起至2023年8月的中医药治疗VC的文献,通过挑选并运用Excel规范后的药方材料输入“中医传承辅助平台(V2.5)”后予统算剖析,对中医证候、用药频次、性味归经、组方规律和新处方进行统算剖析,总结并研究中医药治疗VC的用药规律。结果共纳入60篇文献中的80首合格处方,包括147味中药,出现频次较高的中医证候依次是肾虚血瘀证、瘀血阻络证、气虚血瘀证、气滞血瘀证;频次≥20的中药共有11味;性味多为温、甘,归经多是肝、肾、脾;频次较高的药对是“菟丝子-枸杞子”“丹参-当归”,置信度最高药物为淫羊藿、枸杞子与菟丝子;最后重组13个新药方。结论 目前中医药治疗VC以活血祛瘀为主,同时兼顾补肾、疏肝、健脾、理气、补气等治法。展开更多
文摘精索静脉曲张(VC)是常见的男性生殖系统疾病,也是导致男性不育的主要原因之一。目前西医对于VC性不育症的治疗方式依然以手术为主,虽然手术的方式在不断完善,但是仍然存在术后出现并发症、复发率高等问题。中医药治疗该疾病从整体出发,以病因病机为切入点,选择相应治法及方药,具有针对性强、安全性高、治疗操作简便等优点。不仅可以单独治疗,也可联合手术治疗,弥补其缺陷。本文旨在对近年来中医药治疗VC性不育症的研究现状进行综述和分析,以期为该病的治疗和研究提供新的思路和方法。Varicocele (VC) is a common male reproductive system disease and one of the main causes of male infertility. At present, the treatment of VC infertility in Western medicine is still mainly based on surgery, and although the surgical approach is improving, there are still problems, such as postoperative complications and high recurrence rate. Chinese medicine treatment of this disease from the overall perspective, to the etiology of the disease as the entry point, selects the appropriate treatment and prescription, with strong targeting, high safety, easy to operate and other advantages. Not only can it be treated alone, but it can also be combined with surgical treatment to make up for its defects. The purpose of this paper is to review and analyze the current status of research on the treatment of VC infertility with Chinese medicine in recent years, with a view to providing new ideas and methods for the treatment and research of this disease.
文摘目的 使用数据挖掘探索中医药治疗精索静脉曲张(VC)的临床用药规律。方法搜寻中国知网(CNKI)、万方数据知识服务平台(Wanfang Data Knowledge Service Platform)、维普(CQVIP)自建库起至2023年8月的中医药治疗VC的文献,通过挑选并运用Excel规范后的药方材料输入“中医传承辅助平台(V2.5)”后予统算剖析,对中医证候、用药频次、性味归经、组方规律和新处方进行统算剖析,总结并研究中医药治疗VC的用药规律。结果共纳入60篇文献中的80首合格处方,包括147味中药,出现频次较高的中医证候依次是肾虚血瘀证、瘀血阻络证、气虚血瘀证、气滞血瘀证;频次≥20的中药共有11味;性味多为温、甘,归经多是肝、肾、脾;频次较高的药对是“菟丝子-枸杞子”“丹参-当归”,置信度最高药物为淫羊藿、枸杞子与菟丝子;最后重组13个新药方。结论 目前中医药治疗VC以活血祛瘀为主,同时兼顾补肾、疏肝、健脾、理气、补气等治法。
