摘要
目的 统计男性不育的中医证型的分布频率。明确男性不育的证候学分布规律，为临床中医辨证论治提供参考。方法采集800例符合入选标准的男性不育患者进行临床流行病学的临床调查，建立数据库，统计分析。结果单一证型的出现频率是肾阳虚衰证（74．9％），肾阴不足证（81．1％），肝郁气滞证（24．1％），湿热下注证（55．6％）和气血两虚证（6．0％），且多合并兼夹出现，对于多证相兼的证型中，分布最多的是：肾阳虚衰证＋肾阴不足证＋湿热下注证。结论男性不育症体现了肾虚为本、湿热为标的同时，兼有肝郁气滞和气血两虚。男性不育的中医症候十分复杂，多为二种或二种以上的证型组合。
Objective To investigate the distribution frequency of different Chinese medicine syndromes in male infertilityand clarify the distribution chracteristics of male infertility for improving the syndrome differentiation in clinical Chinese medicine. Methods Total of 800 male patients with infertility were enrolled for clinical epidemiology study. All results were included in a database for statistic analysis. Results The frequency of single syndrome was as follows： the syndrome of kidney yang deficiency （74.9%）, the syndrome of kidney yin insufficiency （81.8%）, the syndrome of liver depression and qi stagnation （24.1%）, the syndrome of dampness-heat pouring downward （55.6%）, the syndrome of dual deficiency of qi and blood （6.0%）. And most of time these diseases merge to appear. Among the type of multiple syndromes, the highest frequency distribution was the combination of the kidney yang deficiency syndrome, the kidney yin insufficiency syndrome and the dampness-heat pouring downward syndrome. Conclusion The male infertility pattern reflects the root of kidney deficiency and the branch of dampness-heat, and accompanying with the liver depression and qi stagnation and dual deficiency ofqi and blood. The Chinese medicine syndrome of male infertility is complicated with the combination of two or more than two types of syndrome mostly.
出处
《中国男科学杂志》
CAS
CSCD
北大核心
2013年第6期38-41,48,共5页
Chinese Journal of Andrology
基金
丰台区卫生系统科学研究项目：男性不育症中医证候学规律研究
973课题“基于〈肾藏精〉的脏象理论基础研究”课题编号（2010CB530400）
关键词
不育
男性
证候
流行病学
infertility, male
symptom complex/epidemiology
