通讯作者: 葛平玉, g13618508591@163.com

DOI：10.12201/bmr.202602.00081

Based on the theory that “Yang transforms Qi, and Yin gives form,” treating oligoasthenospermia from the perspective of the lung#

• 摘要：少弱精症作为男性不育症的主要病因之一，其发病机制与“阳化气，阴成形”功能失调密切相关。根据“阳化气，阴成形”理论，肺通过“主气、司呼吸”主导宗气生成与气机升降，是“阳化气”动力调控的关键；同时，肺借“通调水道、朝百脉”之功，参与津液输布与精微物质运化，为“阴成形”提供物质基础，从而构建了肺-肾-生殖轴的理论桥梁。肺肾相生，金水互化，共同促进生殖之精的生成与运行。因此，本文提出少弱精症治疗应重视“提壶揭盖”与“金水互化”，通过调控肺气的宣降与肺阴的濡润，实现肺肾同调，为临床诊疗提供新的辨证思路。

  关键词： 少弱精症; 阳化气，阴成形; 金水相生; 肺

   

  Abstract: As one of the primary causes of male infertility, oligoasthenospermia is closely related to the dysfunction of “Yang transforming qi, Yin giving form.” While most practitioners focus on treating the kidneys, liver, and spleen—and have achieved certain therapeutic outcomes—the crucial role of the lungs is often overlooked. According to the theory of “Yang transforming qi, Yin giving form,” the lungs govern the qi of the entire body. Through the warming and propelling functions of Yang qi, they direct the process of “Yang transforming qi.” Simultaneously, via their dispersing and descending actions, the lungs coordinate the process of “Yin giving form,” ensuring the smooth formation of Yin essence. The kidneys, as Yin organs, facilitate the condensation, formation, and storage of kidney essence under the nourishment of kidney Yin, resulting in mature semen with specific morphology, quantity, and quality—embodying the function of “Yin giving form.” The lungs and kidneys mutually promote and transform each other, with metal (lungs) and water (kidneys) nourishing one another, jointly supporting the generation and movement of reproductive essence. Furthermore, the lungs regulate the rhythm and connect with all vessels, moistening the external genitalia to ensure the unobstructed flow of reproductive essence. Therefore, the treatment of oligoasthenospermia should emphasize the simultaneous regulation of the lungs and kidneys. By adjusting the transformative and propelling functions of lung qi, as well as the forming and storing mechanisms of kidney essence, a balance between Yin and Yang can be achieved. This approach offers new perspectives for the clinical diagnosis and treatment of oligoasthenospermia. Hence, oligoasthenospermia can also be treated from the perspective of the lungs.

  Key words: Oligoasthenospermia; Yang Transforms Qi, Yin Shapes Form; Metal-Water Mutual Generation; Treatment Based on the Lung

  提交时间：2026-02-16

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2026-01-13	10.12201/bmr.202602.00081V1	下载

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