从“开源头、促动力、畅通道”三法论治少弱精子症及益寿衍嗣膏组方思路  

Discussing the Treatment of Oligoasthenozoospermia and the Formulation of Yishou Yansi Ointment from the Three Methods of"Opening the Source,Promoting the Power and Clearing the Passageway"

作　　者：张烈 黄鑫 谢雨宏 杨扬 赵祥 林群芳[2] 周青[2] ZHANG Lie;HUANG Xin;XIE Yuhong;YANG Yang;ZHAO Xiang;LIN Qunfang;ZHOU Qing(The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,China;First Traditional Chinese Medicine Clinical College,Hunan University of Chinese Medicine,Changsha 410007,China)

机构地区：[1]湖南中医药大学第一中医临床学院,湖南长沙410007 [2]湖南中医药大学第一附属医院男性病外科杂病一科,湖南长沙410007

出　　处：《云南中医药大学学报》2025年第1期5-9,共5页Journal of Yunnan University of Chinese Medicine

基　　金：国家中医优势专科(外科)(国中医药医政函〔2024〕90号);湖南省教育厅科学研究(优秀青年)项目(22B0368);湖南省一类中医重点专科(中医男科)(湘中医药函〔2023〕4号);湖南中医药大学“一方”研究生创新课题(2024YF05)。

摘　　要：少弱精子症是男性不育最为常见的病因之一,课题组基于中医理论及临床实际,提出本病以肾精亏虚、肾气不足、精窍不通为核心病机,可并用“开源头、促动力、畅通道”三法进行论治,主方选用益精填髓、补肾助元、温通精窍之益寿衍嗣膏,临床随证加减治疗取得良好疗效。Oligoasthenozoospermia is one of the most common causes of male infertility.Based on the theory and clinical practice of Chinese medicine,the group proposed that this disease is caused by insufficiency of kidney essence,kidney Qi deficiency,and impassability of essence orifices as the core mechanism of the disease,which can be treated by the three methods of"opening the source,promoting the power,and clearing the passageway",and used the main formula of Yishou Yansi Ointment,which is used to benefit the kidney essence,tonify the kidney Qi and the original Qi,and warm and pass the essence orifices.The treatment with additions and subtractions according to the clinical evidence has achieved good therapeutic effects.

关 键 词：少弱精子症 男性不育症 益寿衍嗣膏 

分 类 号：R256.59[医药卫生—中医内科学]