Traditional Chinese medicine categorizes azoospermia as follows: no offspring, no offspring, no offspring. It belongs to the same category as oligozoospermia and asthenozoospermia, with the following subtypes:
Kidney yang deficiency, deficiency of essence and qi type: Clinical manifestations: low sperm volume, clear and cold semen, or mixed with sticky and frozen like lumps; Low libido; Fear of cold limbs, and soreness in the waist and knees; His face turned pale and his spirit drooped. The tongue is pale with white fur, and the veins are thin and weak. Treatment method: tonifying the kidney and supporting yang, supplementing qi and filling essence. Some doctors also classify it as kidney essence deficiency: symptoms include thin semen, weakened or normal libido, dull complexion, fatigue and fatigue, dizziness and tinnitus, frequent urination, pale tongue with thin coating, and weak pulse. Treatment is suitable for tonifying the kidney and filling the essence, and can be used with the following formula: ginseng, ophiopogon japonicus, cistanche deserticola, yam, cornus officinalis, cooked glutinous rice, mulberry, deer antler, goji berry, turtle shell glue, dodder seed, angelica sinensis, purple river cart, and fish prostitution.
Kidney Yin Deficiency, Deficiency of Essence and Qi: Clinical manifestations: Low sperm volume, thick or non liquefied semen; Normal or hyperactive libido, prone to sexual arousal or premature ejaculation; Dizziness, insomnia, and forgetfulness; Five heart restlessness, dry mouth and dry throat; Hair loss and tooth loss. The tongue has less red coating and thin veins. Treatment: Nourishing yin and filling essence, tonifying kidney and qi, this type is suitable for continuous use of high-dose "Shengjing Dan".
Spleen and stomach weakness, insufficient source of transformation type: clinical manifestations: small amount of sperm, sperm density<20 million/m, small or increased amount of semen, poor sperm motility; God is tired and weak, with short breath and lazy speech; Lack of appetite and physical emaciation; Loose stool. The tongue has a pale, smooth or plump coating, and the pulse is heavy and weak. Treatment: Strengthening the spleen and nourishing the stomach, nourishing blood and generating essence. This type is suitable for continuous use of high-dose "Shengjing Dan" or the addition of "Hanbao" capsules.
Damp heat infusion, burning semen type: clinical manifestations: low sperm volume, density below 20 million/m, more dead sperm, pus cells, red blood cells, white blood cells, etc. in the semen, or low yellow and non liquefied semen; Pain and discomfort in the testicles and perineum; Pain or burning sensation during ejaculation; Bitter and sticky taste, thirsty and unwilling to drink; Red face and red ears, irritable and irritable. The tongue is red and the fur is yellow and greasy, with smooth veins. Treatment: Clear and promote dampness and heat, and nourish the essence spring. Some doctors also classify it as obstruction of the seminal tract: it is characterized by abundant qi and blood, young and strong body, normal testicular size and texture, less abdominal distension and pain, or no sensation, or yellow and drenched tongue, dark and yellow fur, and a few pulse strings. It can be used to clear heat, eliminate stasis, and unblock collaterals, and can be used as follows: (Radix Paeoniae Rubra, Angelica Sinensis, Peach Kernel, Safflower, Chuan Niu Xi, Wang Buliu Xing, Lu Lu Tong, Silver Flower, Dandelion). If medication causes azoospermia (such as Tripterygium wilfordii), appropriate treatment should be given after discontinuing the medication. This type is suitable for continuous administration of high-dose "Shengjing Dan", with the addition of "Prostate" capsules.
Phlegm turbidity and stagnation, difficult to produce astringent semen type: Clinical manifestations: sperm volume less than 20 million/m, visible semen volume less viscous or non liquefied; Phlegm and saliva are thick and sticky; Low abdominal pain, or testicular swelling and hardness pain; Phlegm rich constitution and obesity; Cough and phlegm; His face turned pale and he felt tired and drowsy. The tongue is red and the coating is white and greasy, and the pulse is heavy and smooth or slow. Treatment: Strengthening the spleen to dissipate phlegm, supplementing qi and promoting essence. This type is suitable for continuous administration of high-dose "Shengjing Dan", with the addition of "Huoxiang Zhengqi Wan".
Blood stasis obstruction and obstructed semen path type: Clinical manifestations: low sperm volume and obstructed ejaculation; During ejaculation, there will be swelling and pain in the perineum and urethra; Irritable and irritable, accompanied by swelling and pain; Falling pain on both sides of the lower abdomen; Dark or purple lips; Varicocele. The tongue is dark red or has ecchymosis, and the veins are stringy or astringent. Treatment: Activating blood circulation and resolving blood stasis, dredging the meridians, and tonifying the kidney to fill the essence. This type is suitable for continuous administration of high-dose "Shengjing Dan".