Male Infertility Responding Specifically to Traditional Chinese Medicine

ZHU Yutian; WANG Bin; LI Wei; LIN Sheng; WANG Jingshang; WANG Fu; KE Minghui; SUN Dalin; WANG Hai; ZHAO Yong; LIU Hongming; TANG Yuan; WANG Sheng; ZHU Yong; LI Haisong; ZHANG Xiaoxiao

doi:10.13422/j.cnki.syfjx.20230592

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Male Infertility Responding Specifically to Traditional Chinese Medicine

更新时间：2023-02-07

- Male Infertility Responding Specifically to Traditional Chinese Medicine
- Chinese Journal of Experimental Traditional Medical Formulae Vol. 29, Issue 5, Pages: 223-228(2023)
- 作者机构：
  
  1.北京大学第三医院，北京 100191
  2.北京中医药大学东直门医院，北京 100700
  3.中国科学院动物研究所，北京 100101
  4.首都医科大学附属北京妇产医院，北京 100026
  5.中国中医科学院西苑医院，北京 100091
  6.中日友好医院，北京 100029
  7.东南大学附属中大医院，南京 210009
  8.北京协和医院，北京 100730
  9.中国人民解放军海军总医院，北京 100048
  10.中国人民解放军空军总医院，北京 100142
  11.北京大学第一医院，北京 100034
  12.中华中医药学会，北京 100029
- 作者简介：
- 基金信息：
- DOI：10.13422/j.cnki.syfjx.20230592
  CLC： R242;R2-0;R2-031;R256.56;R699
- Published：05 March 2023，
  
  Published Online：17 August 2022，
  
  Received：05 May 2022，
- 稿件说明：
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祝雨田,王彬,李卫等.中医药治疗男性不育症临床优势病种的探讨[J].中国实验方剂学杂志,2023,29(05):223-228.

ZHU Yutian,WANG Bin,LI Wei,et al.Male Infertility Responding Specifically to Traditional Chinese Medicine[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(05):223-228.
祝雨田,王彬,李卫等.中医药治疗男性不育症临床优势病种的探讨[J].中国实验方剂学杂志,2023,29(05):223-228. DOI： 10.13422/j.cnki.syfjx.20230592.

ZHU Yutian,WANG Bin,LI Wei,et al.Male Infertility Responding Specifically to Traditional Chinese Medicine[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(05):223-228. DOI： 10.13422/j.cnki.syfjx.20230592.

摘要

随着生活和社会环境的改变及生活工作压力的增加，我国男性生育能力显著下降，男性不育症发病率逐年增高，给男科医生带来了前所未有的挑战和治疗难题。中医药治疗男性不育症具有明确疗效，临床上应用广泛，为了明确中医药在男性不育症的不同种类及不同阶段做起的作用，中华中医药学会组织邀请了男科临床一线的西医与中医青年优秀专家，围绕特发性少、弱、畸形精子症、精液液化异常、精索静脉曲张、免疫性不育、提高辅助生殖技术成功率、改善抑郁焦虑状态等6个方面进行了讨论。就中医治疗的优点、特色、短板及优势病种、优势环节进行了深入探讨，针对男性不育症的各种病因及相关环节的治疗进行了梳理与归纳。男性不育症由于病因不完全明确及发病机制复杂等原因，单纯西医治疗不能达到较好的疗效，而中医药以整体观为核心，改善功能性疾病是学科优势，同时可以对应多靶点、多病因，并且有内治外治等综合性疗法，因此中医治疗及中西医医结合治疗男性不育症，在临床上应用广泛。该文总结了纯中医治疗及中西医结合治疗的优势病种和优势环节，罗列了相关病种的中西医治疗建议，以期让更多男科医生了解中医的治疗效应及优势能够实现中西借鉴、沟通融合，在临床实际诊疗中给患者提供优效、个性化的治疗方案，从而提高男性不育症的疗效。

Abstract

In recent years，with the change in lifestyle and social environment and the increase in pressure in both life and work，male fertility has decreased significantly in China，and the incidence of male infertility has increased year by year，which has brought great challenges to andrologists. Traditional Chinese medicine （TCM） has a definite curative effect in the treatment of male infertility and is widely applied in clinical practice. In order to clarify the role of TCM in different types and each stage of male infertility，the China Association of Chinese Medicine （CACM） invited outstanding young andrologists in the clinic of TCM and western medicine to discuss topics such as idiopathic oligospermia and teratospermia，abnormal semen liquefaction，varicocele，immune infertility，improving success ratio of assisted reproductive technology，and ameliorating depression or anxiety. They conducted in-depth discussions on the advantages，characteristics，disadvantages，diseases responding specifically，and advantageous aspects of TCM treatment. The causes of male infertility and related links of treatment were summarized. Due to the unclear etiology and complex pathogenesis of male infertility，western medicine cannot achieve a good curative effect，while TCM，taking the holistic view as the core，specializes in improving functional diseases and can correspond to multiple targets and factors，with comprehensive treatments such as internal treatment and external treatment. This study summarized the advantageous diseases and advantageous stages of TCM treatment alone and integrated TCM and western medicine treatment and put forward suggestions for the treatment of the diseases by TCM and western medicine in order to promote the therapeutic effects and advantages of TCM among andrologists，increase mutual learning and communication between TCM and western physicians，provide patients with excellent and personalized treatment plans in clinical practice，and improve the curative effect of male infertility and fertility of males in China.

关键词

男性不育症中医药优势病种专家指导建议

Keywords

male infertilitydiseases responding specifically to traditional Chinese medicine（TCM）expert consensus

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