A brief analysis and summary of clinically used remedies for semen abnormalities: Huang Jing, Shou Wu; Cornu Cervi Pantotrichum, Oyster; Chuan Jian Zi, Mulberry; Che Qian Zi, Wu Wei Zi; Wu Mei, Sheng Gan Cao; Angelica Sinensis, Chuan Jian; Hawthorn, Wheat Bud; Jin Yin Hua, Dandelion; Bi Yao Qian, Bi Yu San; Chicken Blood Vine, Xian He Cao, etc.
Key words: Semen abnormalities, pair of medicines, selection and analysis
Pairs of drugs, also known as drug pairs, are the empirical combination of two drugs that can play a synergistic role to enhance the effectiveness of the drug; or eliminate toxic side effects, suppress their shortcomings, specialize in their strengths; or interact to produce special effects. It is the crystallization of the laws and methods of combining Chinese medicines, which is between single medicine and prescription. The previous sages have written “Leigong medicine pair”, “new wide medicine pair”, “Shi Jinmo medicine pair”, etc., have studied in depth the experience of medicine pairing and medication. The author is engaged in the basic and clinical work of Chinese medicine and male medicine, for a long time collated male medicine effective pair of nearly a hundred pairs, so without trying to be shallow, on which the treatment of semen abnormalities (including oligozoospermia, deformed sperm, dead sperm, semen is not liquefied, immune infertility, etc.) clinically used pair of medicine for a brief analysis and summary.
1, yellow essence – shouwu
Huang Jing, sweet, flat, belongs to the spleen, lung and kidney meridian. Functions of nourishing Yin, spleen, lung, kidney. The “Compendium of Materia Medica” says it can “fill the essence”. Prepared from Shou Wu, bitter, sweet, astringent, slightly warm, and belongs to the liver and kidney meridians. It is used to nourish the essence and blood. It is an effective remedy for the treatment of sperm deficiency, weak spermatozoa and azoospermia. Common dosage: 10-15g of Radix et Rhizoma Polygonati, 10-15g of Radix et Rhizoma Polygonati.
2, Cornu Cervi Pantotrichum – oyster
Cornus officinalis, sour, astringent, slightly warm, enters the liver and kidney meridian, warm but not dry, can nourish the yin of the liver and kidney, but also warm the kidney yang, is a flat tonic yin and yang of the important medicine. The treatise on medicinal properties says that it can “nourish kidney qi, invigorate the yang path, and add essence”. Oyster, salty, slightly cold, to the liver, gall bladder, kidney meridian. The salty cold quality is heavy, so it can submerge Yang and replenish Yin. Modern pharmacological research has concluded that oyster is rich in zinc and other trace elements and a variety of amino acids, which are necessary for testicular sperm production. The combination of Cornu Cervi Pork and Oyster can promote each other and enhance the effect, which is used in clinical treatment of spermatozoa. Regular dosage: 10-15g of Cornu Cervi Pantotrichum, 30g of Oyster.
3.Chuan Broken – Mulberry
Chuan Jian, bitter, pungent, slightly warm. It belongs to the liver and kidney meridians. Functions: Tonifying the liver and kidney, strengthening the tendons and bones. Modern medicine believes that vitamin E is closely related to the reproductive system and has a variety of effects such as preventing the aging of sexual organs and enhancing sperm vitality, and Chuan Break is rich in vitamin E, so it is used in prescriptions for semen abnormalities. Mulberry seeds, sweet, sour, cold. It belongs to the liver and kidney meridians. It nourishes the Yin, replenishes the blood, generates fluid and moistens dryness. It is said in Dian Nan Ben Cao that mulberry “benefits the kidneys and consolidates the sperm” and in Ben Cao Jing Shu that it “cools the blood, tonifies the blood and benefits the yin”. It is often used clinically for symptoms of liver and kidney yin deficiency. The combination of Chuan Hao and Mulberry seeds is a combination of cold and warm, with both yin and yang tonic, not dry and strong, neutral and calm. It is effective in treating abnormal semen and sexual dysfunction caused by deficiency of liver and kidney. The usual dosage: Chuan Jian 15-30g, Mulberry 10-15g.
4.Cassia seeds – Wu Wei Zi
Plantago ovata, sweet, slightly cold, to the liver, kidney, lung, small intestine meridian. Sweet cold and beneficial, can facilitate the water, clear the turbidity, and can clear liver heat and brighten the eyes. The famous doctor’s book says that this product can “nourish the lung, strengthen the yin and benefit the essence, and make people have children”. Wu Wei Zi, sour, sweet, warm, belongs to the lung, heart and kidney meridian. This product has all five flavors, but the acid, sweet, into the kidney can nourish the kidneys and benefit the qi and fluids, “to make up for deficiencies, strengthen the yin, benefit the man essence” (“Shen Nong Ben Cao Jing”). Che Qian Zi and Wu Wei Zi used together, a diarrhea and a tonic, both complement and diarrhea, used to treat the infertility of the kidney deficiency sperm, combined in a large team to fill the essence of the kidney formula tonic but not greasy. Representative formula such as Wu Zi Yan Zong Wan. Regular dosage: 10g of Plantago ovata, 10g of Schisandra chinensis.
5.Ume plum – raw licorice
Ume plum, sour, astringent, flat, belongs to liver, spleen, lung and large intestine meridians. Its taste is most acidic, acid can astringent deficiency fire and save fluid. Glycyrrhiza glabra, sweet, flat, belongs to the heart, lung, spleen and stomach meridians. It is sweet in taste and cool in nature when used raw. Sweet benefits the spleen and generates fluid, while cool slightly drains fire and saves fluid. The two drugs in combination, one sour and one sweet, sour and sweet to transform the yin, have a strong function of generating fluid and quenching thirst. The Chinese medicine identifies yin deficiency and fire and dampness and heat as more; yin deficiency and fire, the semen is burned and concentrated, resulting in stickiness and non-dissolution. The treatment of semen non-liquefaction in modern medicine mostly adopts oral vitamin C and other acidic activators, and the combination of umeboshi and licorice to sour and sweeten yin coincides with it. Professor Xu Fusong, a famous male physician, has created experimental prescriptions for acid-glycolic yin soup and umeboshi licorice soup, both of which are used as the main medicine for the treatment of seminal fluid non-liquefaction and often have immediate effect. The usual dosage: Ume plum 10 to 15g, raw licorice 5g.
6, angelica – Chuan break
Angelica sinensis, sweet, pungent, warm, belongs to the liver, heart and spleen meridian. Sweet, warm and moist, long in the blood, for the blood of the sacred medicine; pungent and warm, and for the blood to move the vital energy of the medicine. Chuan Jian, bitter, pungent and slightly warm, belongs to the liver and kidney meridians. It is a tonic for the liver and kidney, and because its pungent properties can disperse blood stasis, it also has the function of promoting blood circulation. The combination of Angelica Sinensis and Chuan Gui enhances the function of invigorating the blood, benefiting the kidney and filling the sperm, which can improve the sperm survival environment and facilitate sperm survival and movement. Modern research has shown that vitamin A and E deficiency has a great impact on sperm activity, while angelica and sequestra have good effects on vitamin E deficiency. Professors Jin Weixin and Li Guangwen are accustomed to adding Angelica sinensis and Radix et Rhizoma in their prescriptions for the treatment of dead spermatozoa, and the dosage is appropriately increased. The usual dosage: Angelica sinensis 10 to 15g, Chuan Gui 10 to 15g.
7, hawthorn – malt
Hawthorn, sour, sweet, slightly warm, refers to the spleen, stomach and liver meridian. It can eliminate food stagnation, move Qi and disperse blood stasis. Malt, sweet, flat, attributed to spleen, stomach and liver meridians. It is used to eliminate food and strengthen the spleen, return milk and eliminate distention. The combination of hawthorn and malt is originally a pair of medicine to strengthen the spleen and appetite, eliminate food and stagnation, but it can be used in male medicine to treat semen non-liquefaction, taking the meaning of acidity and sweetness to transform yin, so as to lower the pH of semen by acidifying the blood, which is similar to the treatment of this disease with vitamin C in western medicine. In addition, modern research suggests that semen liquefaction is related to protease deficiency, and Hawthorn and Malt are rich in protease, so their use is beneficial to semen liquefaction. Common dosage: Hawthorn 10g, malt 15g.
8.Jin Yin Hua–Dandelion
Honeysuckle, sweet, cold, belongs to the lung, heart and stomach meridians. Functions: Clearing heat and detoxifying, dispersing wind-heat. Dandelion, bitter, sweet, cold, refers to the liver and stomach meridian. Clearing heat and detoxicating, dispersing swellings and nodules, and promoting dampness and laxative. Jinyinhua and dandelion are used in combination, which is sweet and cold without harming yin, clearing heat mainly, and also relieving dampness. Semen is not liquefied, dead sperm, immune infertility, etc. mostly related to prostatitis and seminal vesiculitis, Yin deficiency and damp heat is an important etiology of the disease, treatment to nourish Yin and clear heat, and at the same time to benefit dampness, the use of medicine should be selected sweet cold and caution with bitter cold, is why there is a choice of honeysuckle, dandelion. Regular dosage: honeysuckle 15-30g, dandelion 15g.
9, dried peach – jasmine
Dried pittosporum, sour, bitter, flat, belongs to the lung and liver meridians. Functions: Astringing sweat and astringent, activating blood circulation and stopping bleeding, relieving pain. According to “New Ginseng on Drinking Pieces”, this product “generates body fluid, stops sweating. Cures strained cough, nourishes the stomach and relieves irritability. Biyusan is derived from “Typhoid Fever Straight Frame”, that is, Liu Yi San plus Qing Dai, so that it is like a light turquoise color, so it is called. It is mainly used to treat summer dampness with liver and gall bladder heat. Dried peach and jasmine are used in combination from Xu Fusong’s “Compendium of Male Medicine”, one nourishes yin, generates fluid and blood, and the other clears damp-heat in the liver and kidney. Regular dosage: 10g of dried pittosporum, 20g of jasmine (packet).
10.Cock’s blood vine – Xianhecao
Chicken Blood Vine, bitter, slightly sweet, warm, belongs to Liver and Kidney meridian. Bitter but not dry, warm but not strong, functions to move the blood and nourish the blood, soothe the tendons and activate the collaterals. According to “New Ginseng on Drinking Pieces”, it can “remove blood stasis, produce new blood, and fluence the meridians”; “The Compendium of Materia Medica” states that this product can treat “men’s deficiency, inability to have children and spermatorrhea and leucorrhea”. Xianhecao, bitter, astringent, flat, belongs to the heart and liver meridians. The medicine is calm, astringent and astringent, with the function of astringent and stopping bleeding, and also has the effect of tonic deficiency and strengthening, and also can detoxify. The combination of chicken blood vine and cynomorium, both of which enter the blood branch, invigorates the blood and nourishes it, and enhances the power of supporting the righteous and dispelling evil. In modern medicine, when studying the mechanism of infertility, it is believed that both serum and seminal plasma can produce sperm immunity. According to the theory of “essence and blood” in Chinese medicine, the treatment of immune infertility in men on the basis of the identification of the use of drugs to go to the blood of drugs such as chicken blood vine, Xianhecao to invigorate blood detoxification, often improve the effectiveness. The usual dosage: 10-15g of chicken blood vine, 10-15g of Xianhecao.