What are the characteristics and advantages of TCM in treating infertility?

  I. What is male infertility?  According to the World Health Organization (WHO), male infertility is defined as infertility in which the female partner is infertile due to male causes after the couple has lived together for more than one year without any contraceptive measures, and 20% of infertility is caused by the male partner, 38% by the female partner, 27% by both partners, and 15% by unexplained infertility (idiopathic infertility). ). Therefore, it can be assumed that male factor causes not less than 50% of infertility.  The World Health Organization predicts that in the 21st century, infertility will become the third most common disease after tumors and cardiovascular diseases. Chinese herbal medicine is a quintessential part of our traditional civilization, and it has a significant and effective role in the treatment of male infertility, which has been confirmed by medical practitioners for generations. The effectiveness of Chinese medicine prescriptions in the treatment of oligospermia and spermatorrhea is related to the fact that traditional Chinese medicine has been honed for more than 2,000 years and has formed a complete set of theories of Chinese medicine in the rich practice of identifying evidence and diseases and treating them according to the disease and the person.  Second, the characteristics and advantages of Chinese medicine in the treatment of infertility China’s traditional Chinese medicine has a unique advantage in the treatment of infertility. As early as the Qin and Han dynasties, the Yellow Emperor’s Classic of Internal Medicine discussed incisively the relationship between human kidney energy on growth and development and reproduction, and the famous formula “Wu Zi Yan Zong Tang” of the Tang dynasty has been handed down through the ages, giving rise to many clinical prescriptions for the treatment of infertility.  For the treatment of spermatozoospermia, modern TCM practitioners carry forward the ancient concept, emphasizing that the pathogenesis is “kidney deficiency with dampness, heat, stasis and toxicity”, with kidney deficiency, blood stasis and dampness-heat forming the core of the pathology, and that the pathology is characterized by “evil real mostly, positive deficiency less”, focusing on the kidney, liver and spleen. Therefore, Chinese medicine uses “tonifying the kidney and filling the essence, invigorating blood and resolving blood stasis, and clearing dampness and heat” to harmonize the yin and yang, and to improve the cure rate effectively. Modern medicine has also confirmed the rationality of the TCM theory in terms of pathogenesis and pharmacology. The “damp-heat and stasis toxicity” in TCM as an important factor affecting male infertility is reflected in Western medicine as prostatitis, seminal vesicle adenitis, epididymitis and other common diseases that affect fertility. Modern medicine has confirmed that when men suffer from inflammation of the reproductive system, it will lead to a significant increase in white blood cells in the reproductive tract and the production of anti-seminal antibodies, too many white blood cells themselves have the effect of phagocytosis of sperm, and also release peroxides, which destroy the lipid membrane of sperm through oxidation in the reproductive tract and eventually lead to a decrease in sperm vitality; therefore, Chinese medicine treatment for “damp-heat and stasis toxins” will effectively improve the fertility of men. Therefore, the treatment of Chinese medicine for “damp-heat and stagnant toxins” will effectively improve the spermatogenic environment, remove anti-sperm antibodies, and improve sperm viability, while avoiding the side effects brought by the abuse of antibiotics.  Modern medicine also confirms the therapeutic efficacy of herbs for activating blood stasis and tonifying the kidneys. For example, Danshen and Angelicae are the best herbs in Chinese medicine to activate blood circulation and remove blood stasis. Modern medicine has confirmed that they have the effect of expanding microcirculation, which is conducive to the discharge of metabolic toxins from the testes and epididymis and the inflow of nutrients, creating a favorable environment for sperm production in the testes. The application of Chinese medicine “kidney tonic” can better reflect the research results of modern medicine in male infertility, the level of fructose, zinc and selenium in the seminal plasma of male infertility patients is significantly lower than normal people, Cuscuta, Lycium and Epimedium contain high levels of zinc, selenium and fructose, and are often used in combination; at the same time Epimedium can excite sexual function, increase the quality of gonads and increase seminal secretion for sperm. The company’s main goal is to increase the production of semen and create a good internal environment for the sperm to be able to improve male fertility.  The modern Chinese medicine male medicine adopts the diagnosis and treatment model of “identifying the disease and its causes first, and then treating it with evidence”, so the diagnosis is clear and the efficacy is precise, and the clinical treatment of oligozoospermia is effective. For those who really need to perform assisted reproduction technology, Chinese medicine treatment can also significantly improve sperm quality and increase the success rate. Especially for some male diseases with unknown causes in Western medicine (such as idiopathic infertility) and no specific treatment method, it can also effectively treat the evidence.  The bi-directional endocrine regulation function of the Chinese medicine formula, which is higher than the level of estrogen and androgen, reflects the essence of Chinese medicine “holistic treatment and seeking the root of the disease”. The efficacy of combining Chinese and Western medicine in treating infertility is much higher than that of a single drug, which is the advantage of Chinese masculology.