Zheng Yan-Fei, Bai Xue, Tang Yi-Bo, Liu Gui-Min, Liu Dan, Fan Xiao-Lei, Chen Ya-Fei, Ma Ru, Li Bo-Yi, Liu Zhen-Quan
National Institute of Traditional Chinese Medicine Constitution and Preventive Medicine.
School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing 100029, China.
Zhonghua Nan Ke Xue. 2020 Jun;26(6):532-542.
To analyze the medication rules for oligoasthenozoospermia (OAZ) observed by Wang Qi, an academician, master of Traditional Chinese Medicine (TCM) and initiator of andrology in TCM.
We collected the outpatient cases of OAZ treated by Wang Qi and established a database of clinical medical records using the TCM Inheritance Auxiliary Platform. Employing the integrated rule-based system for analysis of the software, we modified the mutual information method, complex system entropy clustering analysis and other data mining methods, and summarized the medication rules Wang Qi followed in the treatment of OAZ.
A total of 134 prescriptions made by Wang Qi for the treatment of OAZ were collected, involving 110 TCM drugs, which are mainly neutral and warm in nature and taste sweet and mostly act through the liver and kidney meridians. The core formula ingredients of the prescriptions included Morinda officinalis, Cuscuta chinensis, Lycium barbarum, Mulberry, Angelica sinensis, Astragalus mongholicus and Fish Maw, and most frequently Morinda officinalis, Cuscuta chinensis, Lycium barbarum and Mulberry.
Wang Qi holds that kidney deficiency, dampness-heat, blood stasis and toxin are the main pathogenic factors for OAZ. The basic treatment of OAZ is to invigorate the kidney and replenish the essence, and meanwhile activate blood circulation, dissipate stasis and eliminate dampness-heat.
分析国医大师、中医男科学创始人王琦教授治疗少弱精子症的用药规律。
收集王琦教授治疗少弱精子症的门诊病例,运用中医传承辅助平台建立临床医案数据库。利用该软件的规则集成分析系统,改良互信息法、复杂系统熵聚类分析等数据挖掘方法,总结王琦教授治疗少弱精子症的用药规律。
共收集王琦教授治疗少弱精子症的方剂134首,涉及中药110味,药性以平性、温性为主,药味以甘味为主,归经以肝经、肾经为主。方剂的核心方药物有巴戟天、菟丝子、枸杞子、桑椹、当归、黄芪、鱼鳔,其中巴戟天、菟丝子、枸杞子、桑椹最为常用。
王琦教授认为肾虚、湿热、血瘀、毒邪是少弱精子症的主要致病因素,治疗少弱精子症的基本治法为补肾填精,兼以活血化瘀、清利湿热。