北京中医药大学学报2024，Vol.47Issue(3)：297-301,5.DOI:10.3969/j.issn.1006-2157.2024.03.001
基于虚、瘀理论探讨精索静脉曲张性不育的辨治思路
Exploring the differentiation and treatment of varicocele infertility based on the theory of deficiency and stasis
摘要
Abstract
The pathogenesis of varicocele infertility is complex, and currently, there is no specific drug for clinical treatment, traditional Chinese medicine (TCM) has certain advantages in improving clinical symptoms of patients and improving sperm quality. Based on the theory of deficiency and stasis in TCM and modern related research, we believe that static blood blocking collaterals is the initiating factor of this disease, and kidney essence deficiency is the immanent trend of this disease. The pathogenesis and treatment method of this disease are studied on the basis of "soil theory". Guilu Tongqu Decoction is a formula developed by our team based on "soil theory" for the treatment of varicocele infertility. It is a modified version of the classic formula Zuogui Pill , which has the effects of tonifying the kidney, nourishing essence, and promoting blood circulation for removing blood stasis. Its clinical efficacy is good. At the same time, based on our team's extensive clinical practice, we propose three treatment strategies for varicocele infertility, namely, the combination of systemic and local treatment, the combination of radial and symptomatic treatment, and the combination of TCM and surgical procedures. These methods can effectively improve the overall therapeutic effect and provide a reference for the treatment of varicocele infertility with TCM.关键词
精索静脉曲张/男性不育症/肾虚血瘀/龟鹿通曲汤/土壤学说Key words
varicocele/male infertility/kidney deficiency and blood stasis/Guilu Tongqu Decoction/soil theory分类
医药卫生引用本文复制引用
黄念文,李海松,王彬,王继升,王浩浩,杨勇..基于虚、瘀理论探讨精索静脉曲张性不育的辨治思路[J].北京中医药大学学报,2024,47(3):297-301,5.基金项目
国家自然科学基金项目(No.82174385) （No.82174385）
中华中医药学会青年求实项目(No.2021-QNQS-03) （No.2021-QNQS-03）
北京中医药大学东直门医院横向合作项目(No.HX-DZM-202302) National Natural Science Foundation of China(No.82174385) （No.HX-DZM-202302）
