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Dr. Dong pathological causes of azoospermia treatment prescriptions and Case |
Oligospermia semen is discharged significantly lower than normal sperm count. Normal sperm count 60 million sperm / ml or so, if after three or more times in semen, sperm density of less than 20 million / ml, is known as azoospermia, which is among the most common male infertility One of the reasons.
Caused by many reasons for azoospermia. The more common are varicoceles, reproductive system infections, immune suppression, endocrine disorders, some of the impact on sperm production of drugs, radiation, as well as smoking, alcohol consumption, etc., can inhibit sperm production. And partly by a variety of checks could not find any reasons for the reduction of sperm, called idiopathic oligospermia. In semen tests at the same time, plasma pituitary follicle-stimulating hormone (fsh). If the plasma was significantly higher fsh oligozoospermia are essential, if the plasma fsh and luteinizing hormone (lh) lower than normal, then part of secondary azoospermia.
Western medicine treatment in this regard according to different reasons, choose a different treatment methods, in general treatment options, such as: a right endocrine dysfunction resulting from the treatment of azoospermia can be oral clomiphene citrate or tamoxifen, you can also use human chorionic gonadotropin (hcg) intramuscular injection, and oral administration of vitamin E, can also try testosterone propionate injections. As a result of the complete treatment of hormone composition, the first relatively large side effects, and the second course of treatment length and results are not satisfactory; b can be done with varicocele varicocele ligation, so that there are certain risks of surgery, but also After the patient's sperm can not reach the normal;c chronic orchitis, epididymitis, prostatitis, Vesiculitis such as inflammation of the reproductive system, treatment, anti-inflammatory drug treatment can be used Western medicine. The concentration of absorption of its anti-inflammatory drug efficacy is not enough, it is difficult to completely kill the reproductive tract of the bacteria, the formation of inflammatory repeatedly, the number of sperm good times and bad, and some bacteria metabolites affect their sperm discharge channel, so that the sperm discharged blocked, so little effect after treatment; d deficient in zinc and arginine. Trace elements such treatment, recover the sperm is relatively long process.
Dong doctor that oligozoospermia on by the lack of kidney qi, qi and blood two losses, hot and humid place bets, such as caused by Qi stagnation blood stasis. A result of kidney essence the main essence. Solely on the reproduction of the essence, because of inadequate and intercourse is not Congenital Festival, masturbation Haoshang Kidney essence and chronic illness of renal injury, ha yuen Without a solid foundation; or less kidney-yang, fire declining life can not be very inviting; or spleen and kidney yang need not be transport of microscopic Mizutani; sperm lack of water loss, precise blood loss was less blood loss varies from fine; or Su-addicted Feigan spicy, hot and humid rooms, etc. can lead to intrinsic sperm oligospermia; or not Shu qi, qi stagnation of blood stasis, resulting in precise sequence of unreasonable Room,Impede the discharge of sperm, resulting in less precision. Weak treatment of azoospermia proprietary low in the turtle board, Colla Cornus Cervi, heterophylla, Rhodiola, male silkworm moth, pangolins, saffron, cork, Plantago as the main component of a major role in the recipe as follows: Ziyin kidney, blood circulation, clean hot and humid. In response to these different causes with a mixture of conditioning five internal organs, the development of spermatogenic turtle soup deer Series 12 different prescriptions for various causes azoospermia.
Medical records: medical record number 07863, Mr. Ling Male 35 years old Huiyang District, Huizhou City, Guangdong Province, married five years staff at the local provincial hospital many times ineffective, specifically the Internet and found this treatment of male infertility, and then contacted us, 2007 November 19 their detailed medical records by fax here. The analysis of semen test results and medical records data: semen volume of 2.5ml Sperm Density 5.4 million / ml sperm survival rate of 25% a Grade + b-level "15% of the other no abnormal test results.Clinical manifestations: scrotum wet, and sometimes itching hands and feet hearts heat during the day and easy to sweating, poor quality of sleep, back pain, sexual dysfunction, mental fatigue, greater work pressure, character, cheerful, light red tongue, thin white fur . TCM is a hot and humid place bets on a loss of kidney essence, and the five internal organs did not lead to the formation and survival of sperm suffer, according to Western medicine stresses are less severe weak azoospermia to be deer, turtle soup on the 9th of spermatogenic prescription treatment, clean hot and humid,Kidney fill essence, to reconcile the five internal organs. After a course of treatment after the semen: sperm density of 14.9 million / ml sperm motility rate of 50%, activity in general. Once again with the second prescription efficacy of treatment and the consolidation of a course of treatment, will urge medication during the same room, the wife of ovulation to increase the frequency of intercourse increased pregnancy rate. January 2008 wife phoned to say 10 days pregnant, and said that the motherland of Chinese medicine is indeed profound, heartfelt admiration for Dong doctor of medicine.
Cases: medical record number 05390: Liuhaitaonan 33-year-old Baotu Spring Road Primary School in Jinan City, Shandong vocational teachers six years of marriage May 28, 2005 newly diagnosed. Height of 1.5 meters. Semen density of 3.56 * 10 ^ 6/ml, more than normal. Masturbate frequently, the left testicle pain, scrotum hot and humid, varicocele moderate lower back pain, white thick fur. Veins coarse, fear cold with cold limbs, hair, insomnia, multiple dreams, sleep of poor quality, easy to wake up at night sleep in, thirst-hi drink, depression, often worried, often tense, often thought-too much, irritability, often stressed, easily irritable, tired, often feel lazy ocean, no listless, extreme fatigue, headache,Ears ringing in the ears, the mouth has a bitter taste, chest tightness, short-winded, chest tightness, and multi-sigh, mild palpitation, lumbar acid back pain. Kidney yin syndrome are lack of Qi stagnation blood stasis, damp, caused by betting less refined. Etiology and Pathogenesis Based on the above treatment plan to develop turtle soup on the 6th of spermatogenic deer prescription treatment, the prescription primary role is to Ziyin kidney, promoting blood circulation, clearing damp heat and so on. Day 1 and continued for a course of treatment. June 25 2 clinic the previous day (24), laboratory sperm density of 12.38 * 10 ^ 6/ml, the rest of the normal. Out of its own performance: the scrotum dry,And there is no pain, and mainly, or insomnia, more than dream, sleep, tired of poor quality, and often feel lazy ocean, lumbar acid back pain. This shows that Qi stagnation blood stasis, and the hot and humid condition bet a significant improvement in kidney yin less remain. Change on the 6th prescription side to 7, first after Tom Lee replenishing, and ultimately achieving righteousness Sheng evil can not be dry. July 31 three clinics, July 30 inspection, the sperm density of 39.93 million / ml, the symptoms completely disappeared in basic, sleep quality, good, energetic. Will urge withdrawal to be pregnant. Both husband and wife to-door in the 10.1 day visit, told his wife had been pregnant two more than a month.
Medical Record Analysis: kidney yin inadequate (insomnia, more dreams, sleep of poor quality, easy to wake up at night sleep in, drink thirst-hi) of the sex fluid caused by reduction in kidney yin part of the material itself, the kidney-yang belongs to activities, if the kidney yin Deficit lack can lead to reduced sperm count, severe cases can cause azoospermia, so that frequent masturbation cause a great relationship with, so to exercise restraint after not too frequent masturbation and sexual intercourse. The second is hot and humid place bets (scrotum hot and humid white thick fur) can cause poisoning attack under hot and humid coke, refined disturbance caused by hot and humid room,Barriers result in the generation of sperm, causing azoospermia. Third, not Shu qi (the side of testicle pain, bilateral testicular pain, varicocele, low back pain, depression, frequent anxiety, often tense, often thought-too much, irritability, often stressed, easy irritability, fatigue, and often feel lazy ocean, no listless, extreme tiredness, headache.), while the lack of qi can cause liver yang qi and blood stasis caused by ears ringing in the ears, the mouth has a bitter taste, chest tightness, short-winded, chest tightness, and multi-sigh, mildly flustered and other symptoms. The patient treatment plan is to first clean room was hot and humid refined drugs, mainly silt and then try to fill in essence kidney mainly Qingyuan fine room, made active sperm, fertility is expected. |
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