男性不育症传统中医诊断的困境与现代中医诊断的思考  

Dilemma of TCM diagnosis in male infertility

作　　者：毕焕洲[1] 

机构地区：[1]大连大学附属中山医院中医男科,辽宁大连116001

出　　处：《中国性科学》2012年第8期61-63,66,共4页Chinese Journal of Human Sexuality

基　　金：国家自然科学基金资助(81072807)

摘　　要：在没有现代医学精液检查的年代,传统中医对男性不育症或从多个配偶的生育状况,或从配偶的月经状况,或从男性本身的临床症状来诊断,缺乏准确性。传统中医对男性不育症的诊治经验十分丰富,但因诊断不准确而使这些经验受到质疑。男性不育症的诊断及辨证论治与现代医学结合势在必行。笔者主张男性不育症的现代中医诊断应在现代医学精液检查基础上,结合临床证候进行辨证,即男性不育"从精论治"。In an age without modem medical examination on semen, Traditional Chinese Medicine （TCM） diagnosed male infertility by examining multiple spouses＇ fertility status, spouses＂ menstrual status and the clinical symptoms of patients them- selves. The diagnosis lacked accuracy. There was many experiences in the diagnosis and treatment for male infertility in TCM, but the experiences were subjected to question due to the inaccurate diagnosis. It was imperative to combine the differentiated di- agnosis and treatment of TCM with modem medieine. The author advocated that the modem TCM diagnosis of male infertility should be combined with modern medical semen examination for differentiated treatment.

关 键 词：男性不育症 中医诊断 辨证论治 从精论治 

分 类 号：R698.2[医药卫生—泌尿科学]