How Traditional Chinese Medicine Treats Azoospermia
Azoospermia is divided into true azoospermia and false azoospermia. In patients with true azoospermia, some have no subjective symptoms, normal sexual function, and remain infertile after years of marriage; diagnosis via semen analysis or testicular biopsy reveals no sperm. This condition cannot be cured and requires assisted reproduction via artificial insemination for pregnancy. However, cases due to long-term debility and kidney deficiency unable to generate sperm, or obstructed seminal ducts preventing sperm release, may respond to medication with certain efficacy. Testicular tuberculosis and testicular atrophy are difficult to cure.
(1) Kidney essence deficiency: Symptoms include thin, scant semen, reduced libido or normal libido, pale complexion, fatigue, dizziness, tinnitus, frequent urination, pale tongue with thin coating, weak deep pulse. Treatment should nourish the kidneys and replenish essence; use Sheng Sui Yu Dan (ginseng, ophiopogon tuber, cistanche cactus, Chinese yam, cornus fruit, processed rehmannia root, mulberry fruit, deer antler, goji berries, tortoise shell glue, dodder seed, angelica root, purple river crane, fish milt).
(2) Obstruction of seminal passage by blood stasis: Symptoms include robust constitution, young age, normal testicle size and texture, lower abdominal distension pain or no sensation, yellowish discharge resembling dysuria, dark tongue with yellow coating, string-like rapid pulse. Treatment should clear heat, resolve stasis, and unblock meridians; use Tong Qiao Huo Xue Tang with modifications (red peony root, angelica root, peach kernel, safflower, Sichuan achyranthes root, unblocking herb, lu-lu-tong, honeysuckle, dandelion). External application may also be used. Cases caused by drugs (e.g., Tripterygium wilfordii) may recover after discontinuation and proper treatment.
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