Early one morning in early summer, a sad-looking young man came to the clinic, he confided in me the distress of 3 years of marriage without children, his wife went to the hospital a few days ago to check no abnormalities, after giving the young man a detailed examination, the results showed that it is severe oligospermia (sperm count 0-2 / Hp). ”Doctor, what is oligospermia? How come I can’t understand this lab report?” The young man holding the semen test report sheet was confused. This is the first time that I explained to the young man that men generally need to abstain from sex for 3-7 days before having a routine semen test, and our view is to synchronize with sex, that is, to take semen tests on the day when you should have intercourse, so as to better reflect the true situation of male reproductive level. So, what does normal semen look like? Please see the following data. Semen volume: 2-6 ml each time. More than 8 ml is called excessive semen volume, and less than 1.5 ml is called too little semen volume. Semen pH: 7.2-8.6, average 7.8. Semen liquefaction: 30 minutes for complete liquefaction. Those who do not liquefy for more than 1 hour are called poor semen liquefaction. Sperm density: 20-150 million per milliliter. Less than 20 million per ml is called oligospermia, and less than 5 million is called severe oligospermia. Sperm motility: class a (fast forward motion) > 25% or class a + class b (slow forward motion) > 50%. Sperm viability: no more than 40% of dead sperm Sperm morphology: no less than 80% of sperm in normal form. After understanding the above data, and looking at the test report sheet of this young man, the number of sperm per high magnification field of view is only 0-2, which obviously belongs to severe oligospermia. ”How should this oligospermia be treated?” The young man had an eager face. “At present, we mainly use traditional Chinese medicine to treat seminal diseases, and traditional Chinese medicine has unique advantages in treating this type of disease.” I explained, “According to Chinese medicine, the kidney harbors sperm, which contains yin and yang, and is the master of reproduction. Insufficient kidney energy results in low sperm-producing function, and the wife is not easily conceived. According to your usual symptoms such as soreness and weakness of the waist and knees, lack of food and abdominal distension, dampness of the scrotum, and a fat tongue with teeth marks, we will first use a prescription for you to clear heat and detoxify the toxin. It is worth noting that the male spermatogenic cycle is 75 ± 16 days, so treatment of oligospermia, generally takes 3-6 months to have significant results.” After ten months, the young man’s semen returned to normal (sperm density of 24 million/ml) and he was instructed to abstain from sex and have intercourse during his wife’s ovulation period. A year and a half later, his wife became pregnant and later delivered a male child at full term. In recent years, according to the theories of traditional Chinese medicine, such as “kidney is the essence of the first day, spleen is the essence of the second day” and “yang transforms qi, yin forms”, as well as the research results of modern medicine, our infertility department adopts the “treatment by sperm identification”. “For example, the treatment of oligospermia focuses on nourishing yin, the treatment of weak sperm focuses on tonifying fire and helping yang, and the treatment of seminal fluid non-liquidity focuses on clearing dampness and heat, invigorating blood and promoting circulation, all of which have achieved good treatment results, and many seminal fluid patients have recovered here.