从脾论治男性不育症合并代谢综合征  

Treating Male Infertility Complicated with Metabolic Syndrome from Spleen

作　　者：徐新宇 崔云 XU Xinyu;CUI Yun

机构地区：[1]浙江中医药大学第三临床医学院,浙江杭州310053 [2]浙江中医药大学附属宁波中医院,浙江宁波315010

出　　处：《新中医》2023年第12期195-199,共5页New Chinese Medicine

基　　金：浙江省自然科学基金项目(LY21H270015);崔云全国名老中医药专家传承工作室建设项目(国中医药人教函[2022] 75号);浙江省中医药科学研究基金项目(2022ZB337,2022ZB311);宁波市医疗卫生品牌学科资助项目(PPXK2018-07)。

摘　　要：以脾的生理、病理功能为切入点进行分析,认为男性不育症、代谢综合征均与脾胃运化失常紧密相关,脾虚不生精微致精室不荣引发不育,脾虚不运饮食水谷致痰浊膏脂堆积引发代谢综合征。男性不育症合并代谢综合征不是两类疾病的简单拼凑,而是基于类似病因、相同病机、病理上互相影响且论治策略相近的有机联合。因此将脾虚湿瘀作为男性不育症合并代谢综合征的病机核心,健脾祛邪作为男性不育症合并代谢综合征的治疗总则,进而从脾论治男性不育症合并代谢综合征。Taking the physiological and pathological functions of the spleen as the entry point for analysis,the authors believe that male infertility and metabolic syndrome are both closely related to the abnormal transportation and transformation of the spleen and stomach,and that spleen deficiency cannot engender the essence and thus the essence chamber is not nourished,which further leads to infertility.The failure of the spleen to transport food and drinks results in the accumulation of turbid phlegm and fat and grease,which causes metabolic syndrome.Male infertility complicated with metabolic syndrome is not a simple combination of two types of diseases,but an organic combination based on similar etiology,the same pathogenesis,pathological interactions and similar treatment methods.Therefore the authors regard dampness and stasis due to spleen deficiency as the core of pathogenesis of male infertility complicated with metabolic syndrome,and fortify the spleen and eliminate the pathogenic factors as the general rule of treatment,then treat male infertility complicated with metabolic syndrome from the spleen.

关 键 词：男性不育症 代谢综合征 中虚精变 脾虚湿瘀 脾胃 

分 类 号：R698.2[医药卫生—泌尿科学]