从"精血同源"探讨青年男性冠心病与弱精症共病的中医病机及治疗思路OA

The comorbidity rate of coronary heart disease and asthenozoospermia in young men aged≤45 years old has increased significantly.Western medicine mostly treats the two separately as cardiovascular and reproductive systems,while the"holistic concept"of traditional Chinese medicine provides a unique idea for such cross-system diseases.This article analyzes the mechanisms underlying comorbidity,centered on the concept"homology of essence and blood",namely,kidney essence deficiency undermining the foundation of essence and blood,spleen dysfunction leading to insufficient production of essence and blood and generating phlegm turbidity,and liver stagnation causing qi stagnation and essence-blood stasis.The imbalance of kidney,spleen and liver function eventually leads to"disharmony between heart and kidney,imbalancce between water and fire",forming a pattern of"deficiency of essence and blood as the root cause,and phlegm and blood stasis intemingling as the manifestation".Based on this,the general treatment principle of"consolidating kidney and replenishing essence,nourishing essence and blood as the foundation,while also focusing on resolving phlegm and removing blood stasis,harmonizing zang-fu organs as the standard"is proposed.For the relevant syndrome patterns,treatment based on syndrome differentiation is implemented.