Post Date December, 02 2023
There are many reasons for male infertility, with abnormal semen being the most direct cause. Director Zheng of Shanghai Marriott Hospital said: There are many diseases and factors that cause abnormal semen, and they are extremely complex. The abnormality of a certain semen indicator can be caused by one or more diseases or factors, and the same disease or factor can lead to changes in multiple semen indicators. Therefore, when treating male infertility caused by abnormal semen, it is necessary to adjust the mechanical status and sperm quality as a whole. Only by treating sperm quality based on syndrome differentiation can significant therapeutic effects be achieved.
1. The amount of first identified sperm. That is, whether the sperm density is greater than 20 million/ml. If it is less than this standard, it indicates that the patient has oligospermia. If it is close to 20 million/ml, treatment is not difficult, and if the density is very low, treatment is more troublesome. "If azoospermia is caused by congenital testicular hypoplasia or obstruction of the vas deferens, it is difficult for traditional Chinese medicine to treat azoospermia by distinguishing the essence.". The main symptom of oligospermia lies in deficiency of both spleen and kidney. The essence referred to in traditional Chinese medicine originates from the congenital kidney and depends on the acquired spleen for nourishment. Deficiency of kidney yang results in a lack of motivation for the division of testicular spermatogenic cells, deficiency of kidney yin results in a lack of essence, a lack of source of spermatogenesis, and deficiency of spleen results in an acquired biochemical weakness. It is difficult for the essence of water and grain to supplement the essence of congenital reproduction, and it is necessary to treat both spleen and kidney yin and yang. The author uses the self-made series of formulas for nourishing essence and qi to add and subtract, such as medicinal Ziheche and Qizi, to nourish the kidney and replenish essence, Xianmao and Xianling spleen to replenish kidney yang, Codonopsis pilosula, roasted astragalus, etc., to nourish the spleen and qi, and Cuscuta chinensis to promote spermatogenesis. In addition, use the self formulated "Bujing Pill" to promote kidney tonifying and essence filling.
2. Secondary identification of sperm quality. When sperm is ≥ 20 million/ml, compared to the quantity of sperm, the quality of sperm is more important. Although the quantity (density) is sufficient, if most of the sperm is "old, weak, sick, or disabled", the so-called "asthenospermia (grade a+grade b sperm<50% or grade a<25%=", "spermatozoosis (sperm motility<40%=", "sperm malformation (sperm malformation>30%)" also makes it difficult for the woman to conceive. Therefore, treatment should focus on strengthening the essence and correcting weakness.
The main causes of asthenospermia are mostly related to inflammation of the reproductive tract, low levels of sexual hormones, autoimmune disease, or varicocele. Therefore, it is essential to conduct necessary examinations of the reproductive tract, including the prostate gland. If there are signs of prostatitis, orchitis, epididymitis, etc., it is necessary to adopt the treatment of eliminating inflammation first, then strengthening the essence. The self-made formula for clearing essence and eliminating inflammation should be added or subtracted, with the use of red vine, Patrinia villosa, and other heat clearing and dampness promoting herbs, salvia miltiorrhiza, raw oysters to promote blood circulation, soften hardness, and disperse nodules, and the use of Qianzi, etc., to benefit the essence. If the level of attribute hormones is low, it is advisable to replenish the kidney qi. Use the self developed method of strengthening the essence and nourishing yin to add or subtract, use Ziheche, Cistanche, and other yin and yang supplements, use salvia miltiorrhiza to activate blood circulation, Codonopsis pilosula, Astragalus membranaceus, and semen cuscutae, wolfberry, and other essence tonifying methods. If anti sperm antibodies are positive in the blood or seminal plasma, use the anti immunity No. 1 tablet prepared by yourself. If the varicocele is caused by varicocele, it is necessary to distinguish its severity. If the varicocele is severe, high ligation surgery should be considered. After surgery, traditional Chinese medicine should still be used for treatment. If the varicocele is mild to moderate, traditional Chinese medicine such as salvia miltiorrhiza, angelica, peach kernel, and safflower can be used for conservative treatment to dredge the blood vessels of the testis and epididymis, activate microcirculation, and improve the blood and oxygen supply conditions of sperm.
If spermatozoosis is caused by inflammation of the reproductive tract, the above methods for clearing sperm and eliminating inflammation should be used, with the addition of a blood stasis removing product from the Tongjing Huoxue recipe to improve the microcirculation of the testis and epididymis, to provide more nutrients for sperm and promote its maturation.
The rise in sperm deformity rates in people with sperm malformations is due to "rough manufacturing" of the testicles, or infections of the reproductive tract in areas such as the epididymis. If the infection is caused by genital tract infection, the above Qingjing Xiaoyan Formula can be used for addition or subtraction. If the infection is not obvious, products such as Yangyin Shengdi, Shudi, Danggui, etc. can be added on the basis of Bujing Qifang to promote the maturation and division of testicular spermatogenic cells.
(Intern Editor: Cai Junyi)
