[1]杨 勇,李海松,王 彬,等.名中医李海松运用“五辨”模式治疗男性不育症临床经验[J].陕西中医,2024,(5):683-686.[doi:DOI:10.3969/j.issn.1000-7369.2024.05.025]
 YANG Yong,LI Haisong,WANG Bin,et al.Clinical experience of famous traditional Chinese medicine LI Haisong in treating male infertility using the “five differentiation” model[J].,2024,(5):683-686.[doi:DOI:10.3969/j.issn.1000-7369.2024.05.025]
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名中医李海松运用“五辨”模式治疗男性不育症临床经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年5期
页码:
683-686
栏目:
名中医经验
出版日期:
2024-05-05

文章信息/Info

Title:
Clinical experience of famous traditional Chinese medicine LI Haisong in treating male infertility using the “five differentiation” model
作者:
杨 勇李海松王 彬王继升黄念文
(北京中医药大学东直门医院,北京100007)
Author(s):
YANG YongLI HaisongWANG BinWANG JishengHUANG Nianwen
(Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100007,China)
关键词:
男性不育症 辨病论治 辨证论治 辨精论治 辨体论治 无症可辨
Keywords:
Male infertility Diagnosis and treatment based on disease differentiation Diagnosis and treatment based on syndrome differentiation Distinguishing essence and treating Differentiate body and treat Asymptomatic and distinguishable
分类号:
R 698.2
DOI:
DOI:10.3969/j.issn.1000-7369.2024.05.025
文献标志码:
A
摘要:
男性不育症是中医学的优势病种之一,中医药在改善男性生殖功能方面具有独特优势。然随着自然环境及人们生活习惯的改变,男性不育症的病因病机趋于复杂化及多样化,目前单一的辨证论治模式已无法满足临床的需求,因此亟需探索一种新的中医辨治模式。李海松教授经过长期的临床实践,以及结合现代医学相关研究,针对男性不育症形成了“五辨”的诊治模式,即辨病论治、辨证论治、辨精论治、辨体论治、无症可辨。以辨证论治为核心,辨病论治为前提,重视辨精论治,同时兼顾体质因素,而无症可辨者从肾虚血瘀论治,在以上多种辨治方法的协同下,能够有效提高男性不育症的整体临床疗效。
Abstract:
Male infertility is one of the advantageous diseases in traditional Chinese medicine,which has unique advantages in improving male reproductive function.However,with the changes in natural environment and people's living habits,the etiology and pathogenesis of male infertility have become more complex and diverse.Currently,a single diagnosis and treatment model can no longer meet clinical needs.Therefore,it is urgent to explore a new traditional Chinese medicine diagnosis and treatment model.Professor LI Haisong has developed a “five differentiation” diagnosis and treatment model for male infertility through long-term clinical practice and modern medical research,which includes disease differentiation,syndrome differentiation,essence differentiation,body differentiation,and asymptomatic differentiation.Taking syndrome differentiation and treatment as the core,disease differentiation and treatment as the premise,emphasizing the differentiation of essence and treatment,while taking into account physical factors,and treating asymptomatic cases from the perspective of kidney deficiency and blood stasis can effectively improve the overall clinical efficacy of male infertility through the coordination of multiple diagnosis and treatment methods.

参考文献/References:

[1] 刘贞辉,张琳,王红燕,等.精子DNA碎片指数和高可染性指数对男性不育患者生育能力的诊断效能[J].陕西医学杂志,2023,52(9):1159-1162.
[2] DEL GIUDICE F,KASMAN A M,FERRO M,et al.Clinical correlation among male infertility and overall male health:A systematic review of the literature[J].Investig Clin Urol,2020,61(4):355-371.
[3] 李中泰,李彦锋.特发性男性不育症相关基因研究进展[J].中国男科学杂志,2020,34(5):75-79.
[4] BHAMBHVANI H P,GREENBERG D R,EISENBERG M L.The quality of systematic reviews and meta-analyses assessing the treatment and management of male infertility[J].Andrology,2021,9(3):801-809.
[5] 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(5):223-228.
[6] 李海松,赵琦,马健雄,等.中医男科研究现状与思考[J].北京中医药,2022,41(12):1332-1334.
[7] MANN J M,WEI C,CHEN C.How genetic defects in piRNA trimming contribute to male infertility[J].Andrology,2023,11(5):911-917.
[8] 李宏军,洪锴,李铮,等.男性不育诊疗指南[J].中华男科学杂志,2022,28(1):66-76.
[9] 宋诗博,安二匣,樊西倩,等.中医四诊合参客观化研究思考[J].中华中医药杂志,2021,36(11):6560-6562.
[10] 孙建华,周梁,季兴哲,等.纵向双针套叠显微输精管附睾吻合术治疗梗阻性无精子症疗效研究[J].陕西医学杂志,2019,48(11):1439-1442.
[11] 李波.基于《黄帝内经》探讨精子发生原理及少弱精子症辨证规律[J].中国男科学杂志,2023,37(1):108-112.
[12] 冯隽龙,代恒恒,王继升,等.基于五脏气化论治不育症探析[J].现代中医临床,2022,29(3):69-72.
[13] 张倩,王梓仪,黄淑敏,等.微观辨证对中医辨证保健理论的启示[J].中华中医药杂志,2023,38(2):754-756.
[14] 代恒恒,李海松,王继升,等.基于微调阴阳论治男性不育症[J].世界中西医结合杂志,2020,15(12):2329-2331.
[15] 韩亮,厉将斌,李海松.基于“阳化气,阴成形”理论探讨精液异常男性不育症辨治思路[J].环球中医药,2022,15(1):46-48.
[16] 邓昶,胡胜利,谢维,等.中医体质与膝骨关节炎相关性研究系统评价与Meta分析[J].陕西中医,2022,43(8):1135-1139.
[17] 唐志岚,牛志军.“辨病-辨体-辨证”方法在新型冠状病毒肺炎防治过程中的应用[J].陕西中医,2020,41(4):419-421.
[18] 李嘉诚,方跃坤,方腾铎,等.免疫性不育与中医体质的相关性研究[J].浙江中西医结合杂志,2021,31(5):439-442.
[19] 方腾铎,崔云,吴骏,等.144例少弱精子症致不育患者的中医体质研究[J].浙江中医药大学学报,2023,47(7):778-783.
[20] 孙龙吉,李海松,王彬,等.基于“土壤学说”探讨少精子症的论治思路及经验[J].云南中医药大学学报,2023,46(6):43-46.
[21] 董伟航,金保方,孙大林,等.补肾活血方通过VEGF/VEGFR2相关通路促进生精障碍模型小鼠睾丸微循环的研究[J].中国男科学杂志,2018,32(2):30-35.
[22] 赵凡,李海松,张春和,等.基于肾虚血瘀理论探讨补肾活血法在男科疾病中的运用及展望[J].中华中医药杂志,2022,37(2):605-611.
[23] LIU K,ZHANG Y,MARTIN C,et al.Translational bioinformatics for human reproductive biology research:Examples,opportunities and challenges for a future reproductive medicine[J].Int J Mol Sci,2022,24(1):4.
[24] 刘丹,梁新新.育龄期子宫内膜异位症合并不孕症患者临床特征及腹腔镜术后辅助生殖妊娠结局影响因素分析[J].陕西医学杂志,2021,50(4):409-412,420.
[25] LUKE B,BROWN M B,WANTMAN E,et al.The risks of birth defects and childhood cancer with conception by assisted reproductive technology[J].Hum Reprod,2022,37(11):2672-2689.
[26] 王磊,高明,刘项,等.不同来源精子治疗完全性弱精子症妊娠结局研究[J].陕西医学杂志,2020,49(2):148-150,161.
[27] 何军琴,牛建昭.牛建昭教授中医调周序贯疗法在IVF-ET技术中的临床应用[J].陕西中医,2022,43(1):104-107.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(82174385); 中华中医药学会青年求实项目(2021-QNQS-03); 国家中医药管理局全国名中医传承工作室建设项目[国中医药人教函(2022)75号]
更新日期/Last Update: 2024-05-09