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治未病思想在男性不育症中的应用与思考

Application and Reflections of the“Preventive Treatment of Disease”Concept in Male Infertility
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摘要 治未病思想通过未病先防、既病防变、瘥后防复3个方面防治疾病,体现了中医学的独特智慧。治未病思想提供了全新视角去理解以及预防男性不育症。但治未病思想在男性不育症中的应用存在主观症状不明显、实验室检测滞后、发病机制复杂和健康宣教难度大等难点。从中医经典中汲取智慧并结合西医学的检查手段来探索男性不育症的“未病表征”则是解决以上难题的突破点。文章首次提出将“年龄、精液常规、性激素、运动能力以及常见共病”作为线索去探索男性不育症的未病表征。从“知七损八益以明未病宣教之理、法阴阳和术数知未病防治之法以及积精全神使材力不衰作为有子摄生之要”三个方面全方位将“治未病”思想应用于男性不育症的预防中。以期通过治未病思想在男性不育症中的应用为男性生殖健康的全面管理提供新思路。 The concept of"preventive treatment of disease"in traditional Chinese medieine(TCM)enbodies u nique wisdom by focusing a preventing disease in three aspects:preventing disease befone it occurs,prevent ing disease progression once it has ouned,and preventing relapse after reovery.This concept ofers a new perspective on under-standing and preventing male infertility.However,applying this concept to male infertility pesents challenges such as the lack of conpicuous subjective symptoms,delayed labonatory detection,complex pathogenesis,and ifculties in health edu-cation.Drawing wisdom from TCM classics and combining it with modem medical diagnostic methods to explore the"pre-morbid indicators"of male infertility is a key breakthrough in addressing these challenges.This article is the first to pro-pose using"age,semen routine,sex hormones,physical fitness,and common comorbidities"as clues to explore the premor-bid indicatos of male infertility.It applies the"preventive treatment of disease"concept to male infertility prevention from three comprehensive aspects:understanding the principles df health education through the theory of"knowing the seven damages and eight benefits","employing methods of prevention by balancing Yin and Yang and emphasizing the impor-tance of preserving essence and vitality to prevent the decline in reproductive capability".By integrating the"preventive teatment of disease"concet into the prevention of male infertility,this approach aims to provide new insights for the com-prehensive management of male reproductive bhealth.
作者 郭俊 晏斌 刘胜京 赵子维 王福 郭军 GUO Jum;YAN Bin;LIU Sheng-jing;ZHAO Zi-wei;WANG Fu;GUJum(Xiyuan Hoepital of China Academy of Chinese Medical Sciences,Beijing 100091)
出处 《世界中西医结合杂志》 2024年第7期1273-1277,共5页 World Journal of Integrated Traditional and Western Medicine
基金 国家中医药管理局中医药传承与创新“百千万”人才工程岐黄学者资助项目(国中医药人教函[2022]6号) 国家自然科学基金青年基金项目(82104674) 中国中医科学院科技创新工程项目资助(CI2021A02209)。
关键词 治未病 男性不育症 未病表征 生殖健康 Preventive Treatment df Disease Male Infertility Premorbid Indicators Reproductive Health
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