【摘要】 目的:基于“取象比类”思维，观察运用子类中药治疗少弱精症(肾虚精亏型)的临床疗效，探讨中医“取象比类”思维在现代中医临床诊疗中的价值，传承中医经典思维方法以指导临床。方法:选取本院就诊的60例少弱精症(肾虚精亏型)患者，随机分为A组(子类中药组)和B组(西药组)，A组采用基于“取象比类”思维选取的子类中药治疗，B组采用西药左卡尼汀口服溶液治疗，观察治疗前后精子密度、a级精子百分比、a+b级精子百分比、中医证候评分变化。结果:两组治疗后精子密度、a级精子百分比、a+b级精子百分比、中医证候评分均优于治疗前(P<0.05);且治疗后A组各项指标及中医证候评分均优于B组(P<0.05);临床疗效比较，A组总有效率为80.00%，高于B组的63.33%(P<0.05);中医证候疗效比较，A组总有效率为86.67%，高于B组的63.33%(P<0.05)。结论:基于“取象比类”思维运用子类中药治疗少弱精症(肾虚精亏型)疗效显著，为中医经典思维在临床中的传承和应用提供了科学依据。更多还原

【Abstract】 Objective: Based on the thinking of "drawing analogies from images",observe the clinical efficacy of using Chinese herbal medicines of the " seed" category in the treatment of oligoasthenospermia( Kidney deficiency and essence deficiency type),and explore the value of the core thinking of traditional Chinese medicine, " drawing analogies from images",in modern clinical diagnosis and treatment of traditional Chinese medicine,with a view to better inheriting the classic thinking methods of traditional Chinese medicine to guide clinical practice. Methods: Sixty patients with oligoasthenospermia( Kidney deficiency and essence deficiency type) who visited our hospital were selected and randomly divided into group A( Chinese herbal medicines of the " seed" category group) and group B( western medicine group). Group A was treated with Chinese herbal medicines of the "seed" category selected based on the thinking of " drawing analogies from images",and group B was treated with the western medicine Levocarnitine Oral Solution. Observe the changes in sperm density,the percentage of grade a sperm,the percentage of grade a + b sperm,and the scores of traditional Chinese medicine syndromes before and after treatment. Results: In both groups,the sperm density,the percentage of grade a sperm,the percentage of grade a + b sperm,and the scores of traditional Chinese medicine syndromes after treatment were better than those before treatment( P < 0. 05); and after treatment,all indicators and the scores of traditional Chinese medicine syndromes in group A were better than those in group B( P < 0. 05); In the clinical efficacy comparison,the total effective rate of group A was 80. 00%,which was higher than that of group B( 63. 33%)( P < 0. 05); In the comparison of TCM syndrome efficacy,the total effective rate of group A was 86. 67%,which was higher than 63. 33% of group B( P < 0. 05). Conclusion: Using Chinese herbal medicines of the " seed" category based on the thinking of " drawing analogies from images" in the treatment of oligoasthenospermia( Kidney deficiency and essence deficiency type) has a curative effect,providing a scientific basis for the inheritance and application of the classic thinking of traditional Chinese medicine in clinical practice.更多还原