2017年1月4日星期三

Typical infertility case analysis

He treated idiopathic male infertility due to oligospermia with acupuncture in coordination with medicine and got the ideal effect. Therapeutic method: Take Clomiphene 25 mg every day for 25 days, then withdraw it for 5 days, and take again. Three months made up one course. Simultaneously, the points located on the abdomen selected were Qihai (CV 6), Zhongji (CV3), Guanyuan (CV 4) (with moxibustion), Jinggong, Sanyinjiao (SP6)Zusanli (ST 36), Shenting (GV 24), Baihui (GV 20); the points located on the back selected were Shenshu (BL23), Mingmen (GV 4) (with moxibustion), Qihaishu (BL 24), Ciliao (BL32), Yaoyangguan (GV 3), Sanyinjiao (SP6)Zusanli (ST 36), Shenting (GV 24), Baihui (GV 20). After evacuating the bladder, the points located on the abdomen were needled with the 75 mm long filiform needles till the acuesthesia transmitted to the root of the urethra.

The acuesthesia of the points located on the back should be better to spread to the buttocks or to the thighs, or to the heels. The needles were manipulated with the reinforcing method achieved by swirling-rotating, and were retained for 30 minutes after the acuesthesia was felt. During the retention, the needles were manipulated once every 15 minutes. The two groups were needled alternately. Give the treatment for 25 days continuously, then stop to rest 3 - 5 days, and puncture again. Consequently, of 54 cases, 30 were cured, 10 were significantly effective, 10 effective, and 4 ineffective. The total effective rate was 92.5 %. After contrasting this group with the medicine group, the significant difference showed between them.
Ban et al reported the treatment of 260 cases of infertility due to abnormal sperm with acupuncture in coordination with Chinese medicine granula. The points selected were as follows:① Mingmen (GV 4), Shenshu (BL23)Ganshu (BL 18), Pishu (BL 20), Yaoyangguan (GV 3), Zhishi (BL52), Baliao points, Taixi (KI3); ② Guanyuan (CV 4), Oihai (CV 6), Zhongji (CV 3), Qugu (CV2), Sanyinjiao (SP6)Zusanli (ST 36)Taichong (LR 3). Six points of each group were selected each time. The points of the two groups were selected alternately. The needles were manipulated with the mild reinforcing-reducing method. Every point was lifted-inserted and swirled-rotated for 30 seconds. The acuesthesia of Guanyuan (CV 4) and Baliao points spread downward, that of Sanyinjiao (SP6) spread upward, and that of all acupoints transmitted to the perineum. The needles were retained for 30 minutes.

The treatment was given at the beginning of the month, once a day, for 15 days, then rested for 15 days. The treatment was given again at the beginning of the next month. Three months made up one course. Composition of Chinese medicine granula, male Bombyx 120 g, Cornu Cervi 100 g, Epimedii Herba 180 g, Penis Callorhini seu Phocae 30 g, Rhizoma RehmanniaePraeparatum 100 g, Semen Cuscutae 110 g, Rhizoma Rolygonati 100 g, Fructus Lycii 90 g, Radix Paeoniae Rubra 60 g, Nidus Vespae 50 g, Semen Impatientis 30 g, frying Squama Manitis 20 g, Radix Bulpleuri 10 g. Grind the above medicinal herbs into fine powder, then divide the powder into 90 shares. Take one share after mixing it with water in the morning and one in the evening. Three months made up one course. Consequently, of 260 cases, 165 were cured, 71 were significantly effective, 8 were improved, and 16 were ineffective. The total effective rate was 93.8%.

Typical case: Guo, a male of 31. The patient suffered from infertility for 6 years since marriage. He always had the symptoms of lumbago, weakness of limbs, poor appetite, sigh, eczema of scrotum. Two times of semen routine examination showed that the sperm count was zero, WBC was. The diagnosis was azoospermia due to spermatogenic dysfunction. Adopt the above points to treat him. Add Radix Codonopsitis 30 g, Rhizoma Atractylodis Macrocephalae 30 g, Semen Litchi 30 g, Radix Salviae Miltiorrhizae 30 g, Herba Patriniae 30 g on the above prescription. Grind all medicinal herbs into fine powder and take after mixing them with water. After one course of treatment, the sperm count rose to 2.9 X 107/ ml; after two courses of treatment, the all symptoms eliminated, the sperm count was 6.3 X 107/ml, and the motility of sperm was above 60%. Then adopt Xiaoyao Bolus to consolidate the effect. Ten months later, his wife was pregnant: The next August, his wife gave birth to a boy after a spontaneous labor.

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