1, Chinese medicine on the basic understanding of male infertility More than two thousand years ago, Chinese medicine on male infertility has been recorded. Zhou Yi” recorded the name “infertility”, “Shan Hai Jing” recorded a number of drugs to improve male fertility, such as “goose, eaten by the appropriate grandchildren”; “deer Shu Pei of the appropriate grandchildren”; “garden leaves and white attached eaten by the appropriate grandchildren. “Garden leaves and white attached …… eating it is suitable for the offspring” and so on. The Yellow Emperor’s Classic of Internal Medicine first systematically discussed the process of male growth and development aging as well as the occurrence of enhanced fertility decline, “Su Wen? The first time that the process of male growth and aging as well as fertility enhancement decline, “Suwen? The second eight, the kidney energy is strong, the heavenly sap to, the essence overflow diarrhea, Yin and Yang and, therefore, can have children. The third eight, the average kidney energy, tendons and bones strong, so the real teeth are born and long pole. Four eight, tendons and bones are strong, muscles are strong and full. Five eight, kidney failure, hair fallen teeth haggard. Sixth eight, Yang Qi failure on the upper, face scorched, hair and temples gray. Seven or eight, liver failure, tendons can not move, the sky is exhausted, less essence, kidney failure, the shape of the body are extremely. Eight or eight, the teeth and hair go. The kidney is the main water, by the five viscera and six bowels of the essence and hide it, so the five viscera, is able to diarrhea. Now the five organs are weakened, the tendons and bones are depleted, and the heavenly sap is exhausted, so the hair and temples are white, the body is heavy, the walk is not correct, and there is no child ear”; but “the Taoist can but old and the whole shape”, good at health and monasticism people in the age of the elderly but can preserve the essence of the whole shape, still have the possibility of having children. The Chinese medicine believes that the kidney energy, the heavenly sap, the function of the internal organs are coordinated with each other, determine the strength of male fertility or not, and need both men and women “Yin and Yang”, in order to breed children. 2, kidney deficiency is the basic pathogenesis of male infertility Chinese medicine theory that “the kidney collects essence, the main reproduction”, essence by the kidney, the kidney is the closest relationship with the organs of fertility. Kidney essence mainly consists of two parts: the innate essence and the acquired essence. The congenital essence is inherited from the parents and is related to heredity; the acquired essence comes from diet and water and grain and is mainly produced by the spleen and stomach and dispersed to other internal organs. The relationship between the two is mutually reinforcing, as the abundance of the innate essence can promote the continuous production of the acquired essence, and the production of the acquired essence can in turn supplement and nourish the innate essence, maintaining normal male fertility. The interaction of the first and second heavenly sperm produces the reproductive sperm, which is of great significance to the reproduction of human offspring. The maturation of the reproductive essence depends on the continuous nourishment of the essence in the kidneys. Only when the kidneys are strong, when the heavenly sperm arrives, and when the “yin and yang” are in harmony, and when it is excreted at the right time, can we have offspring. At present, it is believed that the essence of male reproduction mainly refers to sperm. The balance and coordination of essence, qi, yin and yang in the kidneys is necessary to fully produce the sperm for reproduction. Sperm DNA is the material carrier of the parents’ reproductive genetic information and can be considered the “recipient parent”. Abnormalities in the genetic material can cause damage to sperm DNA, and interference by certain external factors during sperm production and maturation can also cause damage to sperm DNA. According to the theory of Chinese medicine, when there is a deficiency of positive energy, the sperm of reproduction stored in the kidney may decline or become abnormal when it is invaded by external evil energy during the generation process. From the pathological point of view, infertility and spontaneous abortion caused by sperm DNA damage are similar to spermlessness, fetal leakage, fetal movement and slippery fetus caused by kidney deficiency. The ancient saying is that “the essence is the main factor for men”, so the main pathogenesis of male infertility should be the deficiency of essence in the kidney; Zhu Danxi believes that the deficiency of essence will affect conception; Chen Shiduo believes that male infertility is caused by “empty essence” and “little essence”. Therefore, he formulated the treatment principle of “adding sperm to those who have little sperm”, that is, helping them to produce sperm. If there is a congenital deficiency, or if there is excessive sperm damage, or if there is a deficiency of vital energy and kidney essence after a serious illness, this will have a serious impact on sperm quantity and sperm vitality, and a decrease in sperm quality may lead to male infertility. In Chinese medicine, it is believed that sperm deficiency and weak spermatozoa are mainly classified as deficiency of kidney essence, deficiency of kidney yang, deficiency of heart and spleen, non-interaction of heart and kidney, liver qi stagnation, liver fire, damp heat, phlegm blocking the tendons and tendons, and sperm-blood blockage, etc. The results of statistical analysis show that kidney deficiency is the most common type of male infertility in clinical treatment. Therefore, kidney deficiency is the most common type of male infertility in clinical practice. Kidney deficiency mainly includes deficiency of essence, qi, yin and yang, and reduced reproductive function is the main clinical manifestation of kidney deficiency, such as low semen, cold semen, etc. Long-term kidney deficiency may also lead to deficiency of the liver, spleen and even the whole body organs. Modern society’s intense pace of life, heavy work pressure, complex interpersonal relationships, poor lifestyle habits, and taboo eating habits, etc., are likely to lead to a deficiency of the male kidney essence. In today’s society, young people work under great pressure, more and more survival pressure leads to deficiency of the body’s positive energy, excessive consumption of Yin, the internal organs can not get effective rest, sperm production capacity continues to decline, the prostate gland and other accessory gonadal secretion function decline, as well as changes in the expression level of certain factors, resulting in obvious changes in the peripheral environment of sperm survival, causing a decline in sperm motility; due to the accelerated pace of work, now People’s living habits are no longer regular, a survey shows that the quality of sleep of young people is declining, day and night seems to have become a work norm, seriously affecting the normal function of the internal organs, men with the kidneys as the foundation of the innate, the function of the internal organs decline can not fill the innate, resulting in a deficiency of kidney essence, sperm quality declined sharply; blind change in dietary habits, now people too much intake of spicy food, dryness hurts sperm, long-term changes in the peripheral environment of sperm survival. Although the long-term spicy diet satisfies the appetite, it unknowingly and deeply affects the reproduction of sperm, leading to a continuous decline in sperm quality; the reduction of exercise, due to the increasing pressure of survival, people have greatly reduced the normal sports, although our country has made very proud achievements in sports, but a survey of the nation’s people shows that our national physical quality The incidence of various diseases is increasing, and the occurrence of various diseases will have an important impact on the innate essence of men; the gradual prevalence of air conditioning in the living environment, long-term in or sweat into the lower temperature environment, cold is very easy to attack the body, resulting in the deficiency of kidney yang, leading to “thin”, “cold”, “cold”, “cold”. This can lead to the deficiency of kidney yang, which can lead to “thin essence”, “cold essence”, “little essence”, “condensation of essence” and other symptoms. Therefore, many factors lead to the continuous deficiency of essence in the kidney, which causes the continuous decline of male fertility, and it is only natural that the method of kidney tonification in clinical treatment is very much in line with the principles of diagnosis and treatment in Chinese medicine, and the clinical experience of medical practitioners over the generations has also proved the effectiveness of the method of kidney tonification in improving sperm quality. Therefore, we believe that the kidney tonic method can be used as the main treatment for male infertility. For patients with infertility due to kidney deficiency, the use of kidney tonics is a priority, but there are many ways to tonify the kidneys: the liver and kidneys are of the same origin, essence and blood are of the same origin, if the essence and blood of the liver are sufficient, the kidney essence can be sufficient; the kidneys and the spleen are closely related to each other, tonifying the spleen means tonifying the kidneys; lung and kidney gold and water are related to each other, if lung gold is clear and purified downward, it can produce kidney water, these are all indirect methods to tonify the kidneys. In this regard, Chinese medicine has a rich and valuable experience after thousands of years of summary accumulation. The treatment of male hypospermia and weak spermatozoa can be summarized in the following three aspects: (1) identification and treatment, treatment methods tend to nourish the kidneys; (2) overall regulation, nourishing the kidneys while focusing on regulating the functions of other internal organs; (3) a variety of methods combined with each other, clinical herbal treatment, acupuncture treatment, psychological treatment, combined Chinese and Western medicine treatment, etc.