Teratozoospermia refers to a condition in which the number of abnormal spermatozoa in the semen exceeds 20%, which is a pathology of abnormal sperm quality and is one of the main causes of infertility. It is one of the main causes of infertility. It belongs to the category of “cold sperm” and “clear sperm” in Chinese medicine, and the onset of teratozoospermia is mostly blamed on the kidneys, or deficiency of kidney yang, or deficiency of kidney yin, yin deficiency and fire, and also due to dampness and heat stasis. The treatment should be divided into deficiency and reality, tonifying the kidney to dispel evil.
Etiology and pathogenesis
1, kidney yang deficiency: congenital deficiency, weak endowment, or room old excessive, or long-term disease, resulting in kidney yang deficiency, lower jiao deficiency cold, warming deficiency, sperm loss of nourishment, sperm dysplasia, increased malformation rate.
2, Yin deficiency and fire: fever and Yin injury or excessive indulgence, depletion of Yin essence, deficiency of kidney Yin, Yin deficiency and fire, decoction of semen, burning sperm, resulting in increased malformation.
3, damp heat injection: poor diet, addiction to tobacco, alcohol, spicy products, damage to the spleen and stomach, endogenous damp heat, contain the sperm chamber, injuring the sperm.
4.Qi stagnation and blood stasis: poor emotion, liver loss of drainage, resulting in liver qi stagnation; or anger injury to the liver, qi disorder, qi stagnation for a long time must have blood stasis, or damp-heat evil long-term unresolved, depressed and not go, or phase fire for a long time not to drain, stagnation of the sperm channel, meridians closed, damp-heat stasis of sperm, blocking the sperm chamber and become
Western medicine believes that testicular abnormalities and varicocele are common causes, and mental stress, endocrine, vascular and nervous system diseases may cause abnormal sperm. In addition, tobacco, alcohol, high temperature and chronic poisoning are also important causes of sperm malformation.
Clinical diagnosis
I. Diagnostic points
1.Clinical manifestations
Diagnosis: If semen examination reveals an increase in abnormal morphology of more than 20%, the disease can be diagnosed.
The clinical manifestations of this disease vary, some without any uncomfortable symptoms, some with symptoms such as post-mumps orchitis, prostatitis, vesiculitis, varicocele and sexual dysfunction. It may manifest as pain or discomfort in one or more parts of the scrotum, perineum, lesser abdomen and lumbosacral region; or hematospermia; or frequent urination, painful urination, incomplete urination; or impotence, premature ejaculation and other symptoms.
2.Laboratory and other auxiliary examinations
If necessary, routine urination, routine examination of prostatic fluid, determination of sex hormone level, examination of endocrine and vascular nervous system diseases, and color ultrasound examination can be done.
Treatment]
I. Treatment principles
The basic pathological change of teratospermia is kidney deficiency and damp heat, the general treatment principle is to nourish yin, tonify kidney, clear heat and dampness. The deficiency evidence or mixed evidence of deficiency and reality accounts for the majority of this disease, the treatment is mainly to nourish the deficiency, and at the same time to dispel damp-heat. Especially for those who have dampness in the kidney and yin, pay attention to clearing heat without hurting yin and nourishing yin without hindering dampness.
Second, the division of evidence treatment
1, deficiency of kidney yang evidence
Symptoms: cold semen, deformed sperm and infertility, cold body and limbs, fatigue, or dizziness, less color, soreness of the waist and knees, frequent nocturnal urination, or impotence and premature ejaculation, pale fat tongue, sunken pulse.
Treatment: Warming the kidney and strengthening yang to help sperm.
Formula: Jin Kui Kidney Qi Pill plus or minus.
2.Yin deficiency and fire evidence
Main symptoms: low semen, high sperm deformities, infertility after marriage, or frequent yellow and red urination, or irritable heat in the five hearts, hot flashes and night sweats, dry mouth and throat, tinnitus and blurred eyes, reddish tongue, little coating, fine pulse.
Formula: Zhi Bai Di Huang Wan plus or minus.
3. Damp-heat infusion evidence
Symptoms: thick yellow semen, non-liquefaction, sperm malformation, infertility, distension and pain in the abdomen and perineum, itchy scrotum, burning and astringent pain in urine, frequent yellow and red urine, or dry stools, distress and bitterness in the mouth, foul-smelling and foul-tempered, red tongue with yellow and greasy coating, and stringed pulse.
Treatment: Clearing heat, relieving dampness and promoting spermatorrhea.
Recipe: Gentian and liver diarrhea soup with addition and subtraction.
4. Qi stagnation and blood stasis
Symptoms: Infertility after marriage, scrotal swelling and pain or a feeling of falling, local bruising, chest tightness, impatience, depression, or perineal swelling, or abdominal cramps, rough skin without moistening, or impotence and premature ejaculation, dull tongue with petechiae on the side, sunken and astringent pulse.
Treatment: Regulating Qi and activating Blood circulation, resolving blood stasis and clearing channels.
Formula: Blood Mansions and Blood Stasis Soup with Addition and Reduction.
【Other therapies
I. Prepared Chinese medicines
1. Wu Zi Yan Zong Wan is used for spermatorrhea with kidney deficiency, premature ejaculation with aberrant spermatozoa, infertility, and unclear residual draining after urination.
2.Daiyin Pill is used for deficiency of liver and kidney yin in deformed spermatozoa.
3.Gentian and Liver Pill is used for deformed spermatozoa caused by dampness and heat in the liver.
4.Hematopoeia Capsules are used for deformed spermatozoa caused by Qi stagnation and blood stasis.
Western medicine treatment
Clomiphene, vitamin C, vitamin E, etc. are commonly used to promote the spermatogenic function of the testes by acting on different parts, and can also be tried in patients with varicocele infertility. If you have prostatitis or vesiculitis, you can give anti-inflammatory and anti-infection treatment.
Third, surgery treatment
If varicose spermatocele is treated surgically.
Prevention and care]
I. Prevention
1, diet is moderate, can not wine as a pulp, over-eating fat and sweet.
2, diligent exercise, enhance physical fitness, improve the ability to resist disease.
3, sexual intercourse is moderate, avoid wanton indulgence.
4. Avoid consuming drugs and foods that affect sperm form and function.
5.Actively treat systemic diseases and urogenital diseases.
Second, the regulation of care
1, smooth emotions, adjust diet, moderate room labor, appropriate labor and leisure. Stay away from radiation.
2, avoid smoking and alcohol, so as not to aggravate the disease.
3, pay attention to sexual hygiene, to prevent genital infections.