Article 65: Western Medical Treatment and Traditional Chinese Medicine Differentiation for Semen Non-liquefaction

◇A Guide to Caring for Your Husband's Health as a Good Wife◇

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Treatment and recuperation of common diseases

How does Western medicine treat this?

1. Antibacterial treatment: If prostatitis, seminal vesiculitis, etc. are present, sensitive antibiotics should be selected for treatment, such as compound sulfamethoxazole, norfloxacin, minocycline, etc.

2. α-Amylase treatment: α-Amylase can promote semen liquefaction. 5 mg of α-Amylase can be injected into the vagina before intercourse, or α-Amylase suppositories can be inserted into the vagina.

3. Add normal human seminal plasma to the semen to promote liquefaction. However, it is necessary to first confirm that the seminal plasma does not contain antisperm antibodies, is free from infection, and has been subjected to high-speed centrifugation to remove sediment and freeze-thaw three times beforehand.

4. Ejaculate the semen into a container filled with culture medium, and repeatedly aspirate with a syringe with an 18 or 19 gauge needle until the semen is thin. After centrifugation and washing twice, the sperm is resuspended in a certain amount of culture medium for artificial insemination.

5. If the semen is too viscous, the fractional ejaculation method can be used. Leave the first three ejaculations inside the vagina, then immediately withdraw the penis, expelling the remaining semen outside. This is because the latter part of the semen mainly contains seminal vesicle secretions, resulting in a higher viscosity.

How does Traditional Chinese Medicine differentiate syndromes and treat diseases?

1. Kidney Yin Deficiency Type: Symptoms include thick, non-liquefied semen, seminal emission and premature ejaculation, hot flashes in the palms, soles, and chest, dry mouth and night sweats, dizziness and tinnitus, soreness and weakness in the lower back and knees, decreased libido, vivid dreams at night, red tongue with little coating, and thready and rapid pulse.

Treatment principle: Nourish Yin and generate essence.

Prescription: 10-15g of Phellodendron bark, 10-15g of Anemarrhena rhizome, 10g of Ophiopogon root, 10g of Red peony root, 10g of Trichosanthes root, 10-15g of Scrophularia root, 30g of Salvia miltiorrhiza root, 12g of Rehmannia root, 15g of Lycium fruit, and 15g of Plantago herb.

2. Kidney Yang Deficiency Type: Symptoms include thin and cold semen, thick and non-liquefied semen, impotence and premature ejaculation, aversion to cold and cold limbs, soreness and weakness of the lower back and knees, frequent urination at night, clear and copious urine, decreased libido, pale tongue, thin white coating, and weak pulse.

Treatment principle: Warm the Yang and tonify the kidneys.

Prescription: Codonopsis pilosula 15g, Astragalus membranaceus 15g, Angelica sinensis 9g, Rehmannia glutinosa 12g, Dipsacus asper 15g, Polygonum multiflorum 15g, Evodia rutaecarpa 9g, Aconitum carmichaelii (decocted first) 3-6g, Foeniculum vulgare 6g, Lindera strychnifolia 6g, Epimedium brevicornu 15g, Morinda officinalis 9g, Lycium barbarum 15g, Morus alba 15g, Rubus idaeus 9g, Schisandra chinensis 9g, Cuscuta chinensis 9g, Plantago asiatica (wrapped) 9g.

3. Damp-heat retention type: Symptoms include semen that does not liquefy, is thick and yellow in color, has a bitter and sticky taste in the mouth, poor appetite, fatigue and drowsiness, hot and frequent urination, dampness in the genital area, red tongue, yellow and greasy tongue coating, and slippery and rapid pulse.

Treatment principle: Clear away damp heat and eliminate dampness, separate clear from turbid fluids.

Prescription: 12g Phellodendron bark, 10g Atractylodes rhizome, 10g Achyranthes root, 15g Coix seed, 15g Plantago seed (wrapped), 12g Alisma rhizome, 12g Poria cocos, 10g Salvia miltiorrhiza root, 10g Peach kernel, 10g Safflower.

4. Blood stasis and obstruction of collaterals type: Symptoms include semen non-liquefaction, long course of disease, distending pain in the lower abdomen, testicles or perineum, or visible blue veins in the scrotum, dark red tongue or ecchymosis, and choppy pulse.

Treatment principle: Promote blood circulation, remove blood stasis, and unblock the seminal ducts.

Prescription: Astragalus membranaceus 15g, Bupleurum chinense 10g, Angelica sinensis 10g, Achyranthes bidentata 15g, Sparganium stoloniferum 10g, Curcuma zedoaria 10g, Ostrea gigas 30g, Vaccaria segetalis 10g, Salvia miltiorrhiza 15g, Prunus persica 10g, Carthamus tinctorius 5g.

Traditional Chinese medicine prescriptions for treating semen non-liquefaction

1. Take 30g of raw coix seed, 10g of raw rehmannia root, 15g of ophiopogon root, 10g of privet fruit, 20-30g of talc (wrapped), 10g of poria cocos, and 12g of polygonum cuspidatum. Decocted in water and taken once a day.

2. Prepared aconite root 10g, cinnamon 10g, fennel 15g, evodia fruit 10g, dried ginger 10g, lindera root 15g. Add water and decoct until the liquid reaches about 2000ml. Use the hot liquid to fumigate and wash the vulva 1-2 times a day. 10 days is one course of treatment.

3. Take 10g of Morinda officinalis, 10g of Curculigo orchioides, 10g of Epimedium brevicornu, 20g of Rehmannia glutinosa, 10g of Vaccaria segetalis, 1 centipede, 10g of Cinnamomum cassia, and 10g of Glycyrrhiza uralensis. Decocted in water and taken once a day.

4. Take 30g of wolfberry, 30g of dodder seed, 30g of raspberry, 30g of schisandra fruit, 30g of plantain seed, 24g of akebia stem, 6g of immature bitter orange peel, and 6g of rhubarb. Dry them, grind them into a very fine powder, take 6g each time, twice a day, with warm water. One course of treatment is two weeks.

5. Smilax glabra 30g, Acorus tatarinowii 10g, Phellodendron chinense 20g, Rheum palmatum 50g, Lonicera japonica vine 50g. Add water to the above herbs and decoct to make 2000ml of liquid. While it is still hot, use it to fumigate and wash the vulva for 20-30 minutes each time, 1-2 times a day. 10 days is one course of treatment.

6. Take 6 grams of lotus seed heart, 10 grams of Scutellaria baicalensis, 15 grams of Phellodendron chinense, 15 grams of Salvia miltiorrhiza, 30 grams of Imperata cylindrica root, 10 grams of Acorus tatarinowii, and 25 grams of Dioscorea hypoglauca. Decocted in water and taken once a day.

7. Prepare a decoction of 15g Rehmannia glutinosa, 12g Phellodendron chinense, 20g Dioscorea hypoglauca, 12g Alisma plantago-aquatica, 20g Plantago asiatica, 20g Cuscuta chinensis, and 12g Acorus tatarinowii. Take one dose daily.