温针灸联合西药治疗肾阳不足型少弱畸形精子症的临床疗效及对精浆IL-6、IL-10含量的影响

邱硕; 梁尚杰; 沈楚楚; 纪腾燕; 李浩; 张宏如

doi:10.13703/j.0255-2930.20250124-k0001

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温针灸联合西药治疗肾阳不足型少弱畸形精子症的临床疗效及对精浆IL-6、IL-10含量的影响

临床研究 | 更新时间：2025-08-14

- 温针灸联合西药治疗肾阳不足型少弱畸形精子症的临床疗效及对精浆IL-6、IL-10含量的影响
- Clinical efficacy of warming acupuncture combined with western medication for oligoasthenoteratozoospermia of kidney-yang insufficiency and its effects on IL-6 and IL-10 levels in seminal plasma
- 中国针灸 2025年45卷第8期页码：1092-1098
- 作者机构：
  
  南京中医药大学针灸推拿学院，江苏南京　210023
  南京中医药大学扬州附属医院/扬州市中医院，江苏扬州　225000
  南京中医药大学针药结合实验室，江苏南京　210023
  南京中医药大学第二附属医院/江苏省第二中医院
  南京中医药大学淡安书院，江苏南京　210023
- 作者简介：
  
  ✉张宏如，副教授。E-mail：170947@njucm.edu.cn
- 基金信息：
  
  江苏省基础研究计划专项基金（自然科学基金）项目(BK20231305);江苏省中医药科技发展计划项目(MS2023133);江苏省研究生实践创新计划项目(SJCX24_0931);江苏省流派研究院开放课题项目(JSZYLP2024037);扬州市科学技术局项目(YZ2023087);扬州市基础研究计划（联合专项）卫生健康类项目(2024-2-10)
- DOI：10.13703/j.0255-2930.20250124-k0001
  中图分类号：
- 收稿：2025-01-24，
  
  网络首发：2025-06-10，
  
  纸质出版：2025-08-12
- 稿件说明：
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邱硕, 梁尚杰, 沈楚楚, 等. 温针灸联合西药治疗肾阳不足型少弱畸形精子症的临床疗效及对精浆IL-6、IL-10含量的影响[J]. 中国针灸, 2025,45(8):1092-1098.

QIU Shuo, LIANG Shangjie, SHEN Chuchu, et al. Clinical efficacy of warming acupuncture combined with western medication for oligoasthenoteratozoospermia of kidney-yang insufficiency and its effects on IL-6 and IL-10 levels in seminal plasma[J]. Chinese Acupuncture & Moxibustion, 2025, 45(8): 1092-1098. DOI: 10.13703/j.0255-2930.20250124-k0001.
邱硕, 梁尚杰, 沈楚楚, 等. 温针灸联合西药治疗肾阳不足型少弱畸形精子症的临床疗效及对精浆IL-6、IL-10含量的影响[J]. 中国针灸, 2025,45(8):1092-1098. DOI： 10.13703/j.0255-2930.20250124-k0001.

QIU Shuo, LIANG Shangjie, SHEN Chuchu, et al. Clinical efficacy of warming acupuncture combined with western medication for oligoasthenoteratozoospermia of kidney-yang insufficiency and its effects on IL-6 and IL-10 levels in seminal plasma[J]. Chinese Acupuncture & Moxibustion, 2025, 45(8): 1092-1098. DOI: 10.13703/j.0255-2930.20250124-k0001. DOI：

摘要

目的：

观察温针灸联合西药治疗肾阳不足型少弱畸形精子症的临床疗效及对精浆白细胞介素（IL）-6、IL-10含量的影响。

方法：

将60例肾阳不足型少弱畸形精子症患者随机分为针药组和西药组，每组30例。西药组予口服左卡尼汀口服溶液治疗，每次10 mL，每日3次；针药组在西药组基础上联合温针灸治疗，穴取百会、关元、命门，隔日1次，每周3次。两组均治疗12周。分别于治疗前后观察两组患者中医证候积分，检测精液常规指标[精子浓度、前向运动（PR）精子活力、PR+非前向运动（NP）精子活力、精子畸形率

]

、血清性激素指标[卵泡刺激素（FSH）、黄体生成素（LH）、睾酮（T）、雌二醇（E

）

]

及精浆IL-6、IL-10含量，并于治疗后评定临床疗效。

结果：

治疗后，除西药组性欲减退积分外，两组患者各项中医证候积分及总分较治疗前降低（

0.01，

0.05），精子畸形率、血清FSH和LH含量、精浆IL-6含量较治疗前降低（

0.01，

0.05），PR精子活力和PR+NP精子活力、血清T含量、精浆IL-10含量较治疗前升高（

0.01，

0.05）；针药组患者精子浓度较治疗前升高（

0.01）。治疗后，除性欲减退和夜尿频数积分外，针药组患者各项中医证候积分及总分低于西药组（

0.01，

0.05）；精子浓度、PR精子活力和PR+NP精子活力、血清T含量、精浆IL-10含量高于西药组（

0.01，

0.05）；精子畸形率、血清FSH和LH含量、精浆IL-6含量低于西药组（

0.01，

0.05）。针药组总有效率为83.3%（25/30），高于西药组60.0%（18/30，

0.05）。

结论：

温针灸联合西药可有效治疗肾阳不足型少弱畸形精子症，平衡性激素水平，其机制可能与降低精浆IL-6含量、提高精浆IL-10含量有关。

Abstract

Objective

To observe the clinical efficacy of warming acupuncture combined with western medication for oligoasthenoteratozoospermia of kidney-

yang

insufficiency and

its effects on the levels of interleukin (IL)-6 and IL-10 in seminal plasma.

Methods

A total of 60 patients with oligoasthenoteratozoospermia of kidney-

yang

insufficiency were randomly divided into a combination group and a medication group

with 30 cases in each group. The medication group was treated with levocarnitine oral solution orally

10 mL once

3 times a day. On the basis of the treatment in the medication group

warming acupuncture was applied at Baihui (GV20)

Guanyuan (CV4) and Mingmen (GV4) in the combination group

once every other day

3 times a week. Both groups were treated for 12 weeks. Before and after treatment

the TCM syndrome score was observed

the semen routine indexes (the sperm concentration

progressive [PR

]

sperm motility

PR + non-progressive [NP

]

sperm motility and sperm malformation rate)

the serum sex hormones indexes (follicle-stimulating hormone [FSH

]

luteinizing hormone [LH

]

testosterone [T

]

and estradiol [E

]

)

as well as the IL-6 and IL-10 levels in seminal plasma were detected

and the clinical efficacy was evaluated after treatment in the two groups.

Results

After treatment

except for the hyposexuality score in the medication group

the each item scores and total scores of TCM syndrome were decreased compared with those before treatment (

0.01

0.05)

the sperm malformation rates

serum FSH and LH levels

IL-6 levels in the seminal plasma were decreased compared with those before treatment (

0.01

0.05)

the PR sperm motility

PR + NP sperm motility

serum T levels

IL-10 levels in the seminal plasma were increased compared with those before treatment (

0.01

0.05) in the two groups; the sperm concentration was increased compared with that before treatment in the combination group (

0.01). After treatment

compared with the medicatio

n group

except for the hyposexuality and frequent nocturia scores

the each item scores and total score of TCM syndrome were lower (

0.01

0.05); the sperm concentration

PR sperm motility and PR + NP sperm motility

serum T level

IL-10 level in the seminal plasma were higher (

0.01

0.05); sperm malformation rate

serum FSH and LH levels

IL-6 level in the seminal plasma were lower (

0.01

0.05) in the combination group. The total effective rate was 83.8% (25/30) in the combination group

which was superior to 60.0% (18/30) in the medication group (

0.05).

Conclusion

Warming acupuncture combined with western medication can effectively treat oligoasthenoteratozoospermia of kidney-

yang

insufficiency

regulate the levels of sex hormones

and its mechanism may be related to the down-regulation of IL-6 level and the up-regulation of IL-10 level in seminal plasma.

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