Thoughts and Approaches of Integrated Chinese and Western Medicine for the Treatment of Oligo-astheno-teratozoospermia
Thoughts and Approaches of Integrated Chinese and Western Medicine for the Treatment of Oligo-astheno-teratozoospermia
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中西医结合治疗少弱畸精子症的思路与方法
DOI：
10.1007/s11655-018-2555-8
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发表时间：
2018-07-01
影响因子：
2.9
通讯作者：
Guo Jun
中科院分区：
文献类型：
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作者：
Guo Jun
少弱畸形精子症(OAT)是精液异常的三种病理状态的总称，其病因复杂、症状不典型、临床疗效差，一直困扰着医生和患者。燕麦是男性不育的主要因素。这也是目前研究的热点和难点。经验性药物是现代医学治疗本病最常用的药物。中医药是治疗本病的主要方法之一，具有一定的临床疗效。笔者认为，运用现代医学技术使诊断尽可能明确是治疗燕麦片的关键。辨证结合是治疗燕麦的主要模式。微观辨证和宏观辨证体现了“四外怀内”的基本原理，拓宽了中医辨证的视野。分类治疗是治疗燕麦片的基本方法。治疗不应局限于肾，而应侧重于全身情况。在治疗的不同阶段，还应注意健脾、养肝、活血。中西医互补，突出中医辨证论治的特点和优势，对燕麦的治疗具有较大的指导价值。
Oligo-astheno-teratozoospermia (OAT) which perplexes doctors and patients due to its complicated etiology, atypical symptoms and poor clinical efficacy, is a general term for the three pathological states of abnormal semen. OAT is the main factor of male infertility. It is also a hot and difficult point in present studies. Empiric drug is the most popular treatment of this disease in the modern medicine. Chinese medicine (CM) is one of the main methods for the treatment of this disease, and it has certain clinical effect. The author believes that the use of modern medical technology to make the diagnosis as clear as possible is the key to treat OAT. The combination of syndrome and disease differentiation is the main mode in the treatment of OAT. Microscopic syndrome differentiation and macroscopic evidence embodies the basic principle of "Si Wai Chuai Nei" and broadens the perspective of CM syndrome differentiation. Classification and treatment are basic methods for the treatment of OAT. The treatment should not be limited to the Shen (Kidney), instead it should focus on the whole body condition. At different stages, the treatment should also pay attention to strengthening the Pi (Spleen), nourishing the Gan (Liver) and promoting blood circulation. Complementing Chinese and Western medicine, and highlighting the characteristics and advantages of CM treatment, have a great guiding value for the treatment of OAT.