基于阴阳平衡理论探讨精液异常的中医诊治  

Discussion on TCM Diagnosis and Treatment of Semen Abnormality based on Yin-Yang Balance Theory

作　　者：王松 郑向龙 王雨欢 赵燕灵 叶军 崔玉锦 宫再兴 王万春[3] WANG Song;ZHENG Xianglong;WANG Yuhuan;ZHAO Yanling;YE Jun;CUI Yujin;GONG Zaixing;WANG Wanchun(Jiangxi University of Chinese Medicine,Nanchang 330004,China;Deqing Hospital of Traditional Chinese Medicine,Deqing 313200,China;The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China)

机构地区：[1]江西中医药大学,江西南昌330004 [2]浙江省德清县中医院,浙江德清313200 [3]江西中医药大学附属医院,江西南昌330006

出　　处：《中国民族民间医药》2023年第10期16-18,共3页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：通过阐发《黄帝内经》阴阳平衡理论,探讨“阳化气、阴成形”具体内涵,结合精液异常的现代医学研究,提出该病的中医诊治思路。认为常见的特发性少、弱精子症,精液不液化,亦或二者合病是阳虚化气不足,阴异成浊,留滞生殖之处为病变过程,病因与机体肾气亏虚有关,提出男子以肾为要,治疗上补养肾气、清利浊邪,以协调肾中阴阳,恢复“阳化气、阴成形”功能。“阳化气、阴成形”理论在中医治疗精液异常具有良好的指导意义,在处方时要审证求因,辨清虚实,提高疗效。By expounding the theory of Yin-Yang balance in Huangdi Neijing,based on the specific connotation of“yang transforming qi and yin forming”,combined with the modern medical research of clinical semen abnormality,the TCM diagnosis and treatment ideas of this disease are put forward.It is considered that the common oligospermia,asthenospermia,non-liquefaction of semen,or both diseases are kidney-qi deficiency,insufficient yang-qi metaplasia leading to sperm vitality weakening,abnormal formation of yin fluid,and turbid pathogen leading to sperm quantity reduction and poor semen liquefaction.Treatment pays attention to nourishing kidney qi,clearing away dampness and turbidity.The theory of“yang transforming qi and yin shaping”has a good guiding significance in the treatment of semen abnormality in traditional Chinese medicine.In the prescription,we should examine the syndrome and seek the cause,identify the deficiency and excess,and improve the curative effect.

关 键 词：不育 精液异常 阴阳失调 典型案例 

分 类 号：R228[医药卫生—中医基础理论]