Xia Qing-Chang, Song Jing-Yan, Zhou Yue, Ma Yu-Xia
College of Acupuncture-Moxibustion and Tuina, Shandong University of TCM, Jinan 250355, China.
Zhongguo Zhen Jiu. 2021 Dec 12;41(12):1321-4. doi: 10.13703/j.0255-2930.20201229-k0007.
To compare the clinical therapeutic effect between herb-separated moxibustion on navel combined with capsule and simple capsule for non-liquefaction semen with dampness and heat diffusing downward.
A total of 66 patients with non-liquefaction semen of dampness and heat diffusing downward were randomized into an observation group (33 cases, 2 cases dropped off) and a control group (33 cases, 2 cases dropped off). In the control group, capsule was given orally 3 times a day. On the basis of the control group, herb-separated moxibustion on navel was applied in the observation group, 5 moxa-cones each time, once a week. The 4-time treatment was as one course and totally 3 courses were required in the both groups. Before and after treatment, the semen quality indexes (time of semen liquefaction, sperm viability, total sperm motility, number of progressive motility sperms, sperm concentration and semen volume) and TCM syndrome score were observed, the clinical therapeutic efficacy and spouse pregnancy rate were evaluated in the two groups.
After treatment, the time of semen liquefaction was shortened (<0.05), the sperm viability, total sperm motility, number of progressive motility sperms, sperm concentration and semen volume were increased in the both groups (<0.05); the time of semen liquefaction in the observation group was shorter than the control group (<0.05), the sperm viability, total sperm motility and number of progressive motility sperms in the observation group were superior to the control group (<0.05). After treatment, the TCM syndrome score was decreased compared before treatment in the observation group (<0.05), and that in the observation group was lower than the control group (<0.05). The total therapeutic effect rate and spouse pregnancy rate were 93.5% (29/31) and 67.7% (21/31) in the observation group, which were higher than 71.0% (22/31) and 41.9% (13/31) in the control group respectively (<0.05).
Herb-separated moxibustion on navel combined with capsule can effectively treat non-liquefaction semen with dampness and heat diffusing downward, improve the clinical symptoms, semen quality and spouse pregnancy rate, the therapeutic effect is superior to simple oral capsule.
比较隔药灸脐联合某胶囊与单纯某胶囊治疗湿热下注型精液不液化症的临床疗效。
将66例湿热下注型精液不液化症患者随机分为观察组（33例，脱落2例）和对照组（33例，脱落2例）。对照组口服某胶囊，每日3次。观察组在对照组基础上加用隔药灸脐，每次5壮，每周1次。4次治疗为1个疗程，两组均共需治疗3个疗程。观察治疗前后精液质量指标（精液液化时间、精子活力、精子总活动率、前向运动精子数、精子浓度及精液量）及中医证候积分，评价两组临床疗效及配偶妊娠率。
治疗后，两组精液液化时间缩短（P<0.05），精子活力、精子总活动率、前向运动精子数、精子浓度及精液量均升高（P<0.05）；观察组精液液化时间短于对照组（P<0.05），精子活力、精子总活动率及前向运动精子数优于对照组（P<0.05）。治疗后，观察组中医证候积分较治疗前降低（P<0.05），且低于对照组（P<0.05）。观察组总有效率和配偶妊娠率分别为93.5%（29/31）和67.7%（21/31），分别高于对照组的71.0%（22/31）和41.9%（13/31）（P<0.05）。
隔药灸脐联合某胶囊能有效治疗湿热下注型精液不液化症，改善临床症状、精液质量及配偶妊娠率，疗效优于单纯口服某胶囊。
