The causes of male infertility are numerous and the clinical symptoms are diverse. According to the identification of the internal organs, qi and blood and the eight syndromes of Chinese medicine, they can be divided into eight types of evidence: kidney yang deficiency, kidney yin deficiency, spleen and kidney yang deficiency, qi and blood deficiency, liver qi stagnation, phlegm and dampness obstruction, damp heat injection, and blood stasis obstruction.
I. Kidney Yang deficiency
1, etiology and pathogenesis: congenital deficiency, weak endowment, or loss of nourishment, or overwork, or prolonged illness, resulting in deficiency of kidney yang, deficiency of cold in the lower jiao, insufficient warmth, and loss of sperm nourishment, resulting in abnormal semen quality.
2. Clinical symptoms: infertility after marriage, thin and cold semen, dizziness and tinnitus, pale complexion, fatigue, soreness and weakness of the waist and knees, coldness in the extremities, loose stools, erectile dysfunction, indifference to sexual desire, light red tongue, thin white moss, sunken and weak pulse.
3.Treatment rule: warm the kidney and strengthen the Yang, fill in the marrow.
4.Prescription: Zanyudan plus or minus, Right Return Drink plus or minus, Jin Kui Kidney Qi Pill plus or minus.
5.Commonly used drugs: gunpowder, cinnamon, Xianmao, bacopa monniera, Epimedium, Cistanches, leek, cuscuta, snake bed seeds, etc.
Second, deficiency of kidney yin
1, etiology and pathogenesis: deficiency of Yin and blood or overwork, or addiction to warm, dry and Yin-robbing products, or prolonged illness and kidney, depletion of Kidney Yin, Kidney Yin deficiency is Yin deficiency and fire, tormenting the semen chamber resulting in abnormal semen quality.
2. Clinical symptoms: infertility after marriage, failure to raise one’s virility, or failure to raise one’s virility, lumbar soreness and fatigue, dizziness and tinnitus, hot flashes in the afternoon, five heartburn, dry mouth without desire to drink. The tongue is red with little coating or flaking, and the pulse is fine.
3.Treatment principle: nourishing kidney yin, lowering fire and submerging yang.
4.Prescription: Zhi Bai Di Huang Tang with addition and subtraction, Da Teng Yin Wan with addition and subtraction, Da Teng Yin Wan with addition and subtraction.
5. Commonly used drugs: Radix Rehmanniae, Radix Rehmanniae, Phellodendron, Radix et Rhizoma, Cornu Cervi Pantotrichum, Mudanpi, Poria Cocos, Radix Zedoaria, Fructus Lycii, Radix et Rhizoma Ligustici, etc.
Third, the spleen and kidney Yang deficiency
1, etiology and pathogenesis: weak endowment, loss of nourishment, chronic disease, damage to the spleen and kidney, or excessive sexual desire, loss of the lower yuan, insufficient biochemical source, unable to produce warmth and sperm.
Clinical symptoms: Infertility after marriage, scarcity of sperm, clear and cold semen, soreness and weakness of the waist and knees, coldness in the extremities, lack of color, sweating and loose stools, clear and long urine, frequent nocturnal urination, erectile dysfunction and premature ejaculation, pale and fat tongue, sunken and weak pulse.
3.Treatment rule: strengthen the spleen, tonify the fire, warm the kidneys and produce essence.
4, prescription formula: right-return pills combined with Bao Yuan Tang plus reduction.
5. Commonly used drugs: Astragalus, Radix Codonopsis, Cinnamon, Bacopa monniera, Semen Cuscutae, Cistanches, Xian Ling Spleen, Xian Mao, Radix Angelicae Sinensis, Radix et Rhizoma Polygoni, Poria, Atractylodes Macrocephala, Licorice, etc.
Fourth, the two deficiencies of qi and blood
1, etiology and pathogenesis: poor diet, damage to the spleen and stomach, or long-standing illness and physical weakness, the spleen is not healthy, can not produce water and grain essence, biochemical lack of sources of qi and blood, the kidneys do not help nourish, resulting in low quality of semen.
2. Clinical symptoms: dizziness, dizziness, lack of glory, fatigue, weakness, laziness, lack of sleep at night, pale claw and nail color, or weakness of the body with little food, palpitations and palpitations, forgetfulness, loss of libido, impotence, premature ejaculation, thin white tongue coating, light tongue texture, and weak pulse.
3.Treatment rule: strengthen the spleen and benefit the qi, nourish the blood and fill the essence.
4. Prescriptions: Ten whole tonic soup or yu lin zhu plus or minus, tonifying and benefiting qi soup plus or minus, guei spleen pill plus or minus.
5. Commonly used drugs: ginseng, angelica, astragalus, huai yam, atractylodes, chenpi, shouwu, poria, zidangshen, codonopsis, roasted licorice, etc.
Five, liver qi stagnation
1, etiology and pathogenesis: poor emotion and will, or unsuccessful attempts, or anger injury to the liver, liver loss of drainage, liver qi stagnation, dysfunctional drainage, qi flow is not smooth, qi transformation failure and affect sperm quality.
2. Clinical symptoms: depression, dead spermatozoa, infertility, distension and fullness in the chest, distension in the lower abdomen and perineum, indifference to sexual desire, dull tongue, thin moss and string pulse.
3.Treatment principle: dredging the liver and relieving depression, moving Qi and dispersing knots.
4.Prescription: Chai Hu Dredging Liver with addition and subtraction, Kai Yu Seed Tang with addition and subtraction, and Forgetfulness with addition and subtraction.
5. Commonly used drugs: Radix Aromaticus, Radix Paeoniae Alba, Radix Angelicae Sinensis, Citrus Aurantium, Rhizoma Ligustici Chuanxiong, Mudanpi, Orange Kernel, Poria, etc.
Sixth, phlegm and dampness blockage
1. Etiology and pathogenesis: obesity or spleen is not healthy, phlegm and dampness are internally generated, blocking the lower orifices, resulting in an increase in the number of dead sperm.
2. Clinical symptoms: head swelling and dizziness, palpitation and less sleep, body fat, numbness or heavy limbs, weakness of the limbs, stuffiness and inappetence, chest tightness and distension, light tongue with white greasy coating and smooth pulse.
3.Treatment method: dispel phlegm, resolve dampness, and promote yang through the ligaments Dispel phlegm, resolve dampness, and promote the flow of essence.
4.Prescription: Er Chen Tang with addition and subtraction, Guiding Phlegm Tang with addition and subtraction, and Pure One Pill with modification of soup.
5.Commonly used drugs: Semen, Atractylodes, Pericarpium Citri Reticulatae, Rhizoma Atractylodis Macrocephalae, Mucuna Pruriens, Poria, Citrus Aurantium, Radix et Rhizoma Dulcis, Plantago ovata, Radix et Rhizoma Glycyrrhizae.
Seven, damp heat injection
1, the etiology of the disease: over-eating sorghum thick taste, tobacco, alcohol and spicy products, internal damp heat, or because of the external attack of damp heat evil, stagnation of the lower jiao, contained in the seminal chamber, frying semen and resulting in low semen quality.
2. Clinical symptoms: Infertility after marriage, stuffy wrist and abdomen, heavy body, bitter or thirsty mouth, wet and itchy scrotum, hot and red urine, or astringent and stagnant, disturbed heart and little sleep, red tongue with yellowish coating, string or slippery pulse.
3.Treatment principle: clear heat and dampness, clearing and clearing orifices.
4.Prescription: Dioscorea Z Fenqing Drink with addition and subtraction, Gentian Diarrhea Liver Soup with addition and subtraction, Water and Fire Two-Pass Dan with addition and subtraction, and Bazheng San.
5.Commonly used drugs: gentian herb, Che Qian Zi, Chai Hu, Chuan Dioscorea Z, Shi Calamus, q Cunningham, Huang Bai, Gardenia, Coix Seed, Poria, Huai Niu Kne, Ze Lan Deng.
Eight, blood stasis blockage
1, etiology and pathogenesis: fall and fall injury, sperm channel stasis, or due to damp-heat evil long-loved stasis, contains blocked sperm channel, or due to sperm withholding, defeated sperm, or due to emotional disorders, qi stagnation and blood stasis, blocked sperm channel and sperm quality.
2.Clinical symptoms: distension and pain in the abdomen, pain with a fixed location, anxious temperament, chest tightness, dull complexion, scrotal swelling and pain or falling sensation, local bruises, anxious temperament, chest tightness, often aggravated by changes in mood, dark purple tongue or petechiae, astringent or stringy pulse.
3.Treatment method: activating blood circulation and resolving blood stasis, regulating qi and promoting blood circulation, resolving blood stasis and promoting essence.
4. Prescriptions: Peach Red Four Objects Soup with Loss of Smile, Tonic Yang Returning Five Soup with Addition and Reduction, Blood Mansions and Stasis Soup with Addition and Reduction, Shao Abdominal and Stasis Soup with Addition and Reduction.
5. Commonly used drugs: Radix Angelicae Sinensis, Momordicae Sinensis, Safflower, Radix Paeoniae Alba, Citrus Aurantium, Rhizoma Ligustici Chuanxiong, Rhizoma Pentaphyllum, Phellodendron, Rhizoma Ligustici, Rhizoma Ligustici Chuanxiong, Rhizoma Niubizi, Radix Bupleurum, Rhizoma Yujin, etc.