Ancient and modern male and modern 丨 Early veins must do surgery?

Author:Guangdong Provincial Hospital Time:2022.06.21

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[Ancient and Men's and Men] It is a science popularization issue organized by the male department of the Traditional Chinese Medicine Hospital of Guangdong Province. Protection.

Wu, male, 24 years old, unmarried. There are backache and scrotal swelling discomfort for more than half a year. In the past, there were more masturbation, chronic prostatitis and chronic gastrointestinal history. The urology system and scrotal color ultrasound reported bilateral sperm veins 2 degrees.

I have been diagnosed with a number of large hospitals. Take medicines include antibiotics and Chinese medicines and Chinese medicines, but the symptoms have not improved significantly. Some doctors recommend surgery to treat varicose veins. Patients transferred to the outpatient clinic of Professor Chen Zhiqiang, who was not healed for a long time and worried about surgical trauma, and changed to Chinese medicine treatment. During the first diagnosis, the backache and scrotal swelling were uncomfortable, fatigue, and the main symptoms were young.

After the syndromes of Professor Chen, the Chinese medicine was used to strengthen the spleen and kidney, and the treatment of the cold and the cold. After the patient took 7 doses, the conscious symptoms were significantly improved during the second consultation. The renewal of the diagnosis is still abide by the previous method, and then served 7 doses to consolidate the efficacy, and instructed the patient to abstain from the bad habits of too much masturbation after stopping the medicine, and pay attention to life conditioning.

Diagnosis and treatment analysis

Patients have been treated according to prostatitis before, and most of them are used to damage righteousness. The Chinese medicines used in the review are mostly promoted blood heats. It is difficult to accurately identify the symptoms of Chinese medicine and cause long -term cure.

From the analysis of western medicine "treatment as the treatment", this patient's backache is not a characteristic symptom of the sperm veins. From the analysis of the history and symptoms, it is not the symptoms of prostatitis caused by specific infections. As for the varicose veins, the local discomfort symptoms of general mild and moderate patients are not obvious. Unless some severe chanting patients may have a local swelling, there are rarely those with backache as the main symptoms. Moreover, most varicose veins are caused by congenital. The patient had discomfort in the past six months. The reasons for the reasons caused by the discomfort of the backache and scrotal discomfort as the dexterous veins are far -fetched.

Traditional Chinese medicine takes symptoms as "disease" and symptoms (syndrome). The patient is mainly symptomic, which is not cured for a long time, and the pulse is slow. Before retrial, antibiotics and attacks of attacks are more qi. Determine the deficiency of the spleen and kidney, and the invasion of cold and dampness. Use the spleen to nourish the kidneys, get rid of cold and dehumidify, and the square syndrome corresponds, so it can be effective.

The diagnosis and treatment of this case is a concrete application and manifestation of the "symptoms and pathology theory" with the same concepts of symptoms and efficacy as the core concept. The key to defending Chinese medicine is "using symptoms as diseases, symptoms (syndrome) as treatment, and symptoms", not diagnosis of diagnosis of western medicine.

Must be surgery with varicocele?

the answer is negative.

Male spermatic veins are mostly mild, and only a few are severe patients. Moreover, most patients with vein are not obvious, and many of the patients with local discomfort are caused by combined prostatitis.

New research reports have suggested that surgical treatment is mainly targeted at patients with infertility of the medium -weight sperm veins with poor sperm quality, or observing patients with less sperm volume and large age, instead of abuse of surgery. Therefore, it is not an operation as soon as the sperm is found.

精 精 精 = male infertility?

no.

According to statistics, 10%to 15%of men have iconic veins, and most of them are congenital mild moderate patients, and most of them can have normal fertility.

Therefore, the iconic veins are not the same as male infertility.

I found out if I needed surgery before adolescence?

No need.

The key issue of the iconic veins is whether it affects the quality of sperm and semen, and has no significant effect on the quality of human life. There are sperm veins and bad sperm quality and do not have to rush to perform surgery, because it is not necessarily a single factor that causes sperm quality problems, but may be a comprehensive factor.

Clinically, doctors of patients will be "differently treated", and in principle, preventive surgery is not advocated before adolescence. Even if the age of marriage and childcare detects the varicose veins, it can also improve the quality of sperm through traditional Chinese medicine treatment and improve lifestyle.

After inspection and observation, if it is confirmed that it has an impact on the quality of the sperm, or the testicular slightly softened and smaller, it is advocated, but it is often only a small number of people who need surgery.

summary:

1. Not all sperm varicose veins need surgery.

2. Sacrifice varicose veins do not mean male infertility.

3. Child and adolescence discovery varicocele without preventive surgery.

For more professional issues, please pay attention to the WeChat public account of "Guangdong Provincial Hospital of Traditional Chinese Medicine", or inquire the consultation through the "Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital".

Male academic leader

Professor Chen Zhiqiang

Professor, chief Chinese doctor, doctoral supervisor. The academic experience inheritance of the academic experience of old Chinese medicine experts across the country, a famous Chinese medicine medicine in Guangdong Province. Former Deputy Dean and Director of Grand Surgery Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, surgery academic leader. The Vice President of the Chinese and Western Medicine Association of the Chinese Medical Association, and the honorary chairman of the professional committee of the Society of Traditional Chinese and Western Medicine Society.

Good at:

Traditional Chinese medicine and traditional Chinese and Western medicine diagnosis and treatment of urology and orrology. Including prostate diseases, infertility, urogenital tumors and infections, sexual function abnormalities, organs related to reproductive systems and adrenal lesions, urethrosis and other diseases.

Disposal time:

Monday morning: The prostate special specialty of Ersha Island Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine needs outpatient clinics on Thursday afternoon: Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital, Dade Road General Hospital of the Hospital of Traditional Chinese Medicine

Friday morning: Outpatient clinic for male science in the University of Traditional Chinese Medicine Hospital

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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