• 2235 •中华中医药杂志 (原中国医药学报 )2016年6月第31卷第6期 CJTCMP, June 2016,Vol. 31, No. 6
·标准与规范 ·
《基于脾肾两虚夹瘀论治无症状性弱精子不育症》
专家共识
秦国政
1,2
，李 曰 庆
2
，裴 晓 华
2
，张 春 和
1,2
（
1
中华中医药学会男科分会，昆明 650021；
2
中华中医药学会外科分会，北京 100029）
摘要：鉴于弱精子不育症发病机制复杂，症状、体征表现不明显或无症状、体征，难以做到精准分证论
治，该共识根据中医脾肾相生和精血互化学说理论，以及临床实践结局，提出“脾肾两虚夹瘀”应为无症状性弱
精子不育症基本病理变化的理论观点。该共识认为脾肾不足为本是发病基础、瘀滞不畅为标是发病趋势，“脾
虚”“肾虚”“血瘀”构成了无症状性弱精子不育症发病的三大关键环节。治疗当以健脾益肾、活血养精为基本
原则，临床可选用健脾剂、补肾剂、活血剂加减化裁治疗，也可选用健脾药、补肾药、活血药组方治疗，具体可
选补中益气丸合五子衍宗丸加活血剂、或十全大补丸合五子衍宗丸加活血剂、或聚精助育汤等方剂加减。
关键词： 弱精子症；不育症；脾肾两虚；血瘀；健脾益肾；活血养精
基金资助： 国家自然科学基金项目（No.81260540，No.81360548），云南省科技计划项目（No.2012FB208，
No.2014FB198），云南省卫生科技计划项目（No.2012WS0060）
Expert consensus of the Treatment for Asymptomatic Asthenospermia Infertility Based
on Dual Deficiency of Spleen and Kidney with Blood Stasis
QIN Guo-zheng
1,2
, LI Yue-qing
2
, PEI Xiao-hua
2
, ZHANG Chun-he
1,2
(
1
The Andrology Branch of China Association of Chinese Medicine, Yunnan 650021,China;
2
The Surgery Branch of
China Association of Chinese Medicine, Beijing 100029,China )
Abstract: As the cause of asthenospermia is very complicated and there is no obvious signs or symptoms, the precise
diffterentiation and treatmemt is harolly carried out. This expert consensus presents the theoretical viewpoint that dual deficiency
of spleen and kidney with blood stasis is the basic pathogenesis of asymptomatic asthenospermia according to the theory of mutual
promotion of spleen and kidney, mutual transformation of essence and blood as well as the clinical practice results. It is believed
that d
《基于脾肾两虚夹瘀论治无症状性弱精子不育症》专家共识.pdf