Effects of the Combined Therapy of Acupuncture with Herbal Drugs on Male Immune Infertility——A Clinical Report of 50 Cases

To study the clinical effects of the combined therapy of acupuncture with herbal drugs on male immune infertility and on antisperm antibody （AsAb）, 100 male cases of infertility with positive AsAb were divided randomly into two groups, each consisting of 50 cases. The acupuncture-drug group was treated with acupuncture on Ganshu （BL 18）, Shenshu （BL 23）, Taichong （LR 3）, Taixi （KI 3）, Xinshu （BL 15）, Geshu （BL 17）, Shenmen （HT 7）, and Xuehai （SP 10）, combined with oral medication of Liuwei Dihuang Wan （六味地黄丸 Bolus of the Six Drugs Including Rehmanniae）. The control group was treated with oral prednisone. The clinical therapeutic effects and the impact on AsAb were observed in the two groups. The results showed that the total effective rate in the acupuncture-drug group was 90%; while that of the control group was 64%, the comparison showing a statistically significant difference （P〈0.05）. The positive rate of blood serum and/or AsAb in both the two groups decreased in varying degrees, but the negative-turning rate of AsAb in the acupuncture-drug group was more obvious, the comparison showing also a significant difference （P〈0.05）. Conclusion： The combined therapy of acupuncture with herbal drugs has definite therapeutic effects on male immune infertility, which can regulate AsAb and raise the immunity of the patients.     

Effect of Semen Quality on the Embryo Development

To investigate the influences of sperm quality on the zygotes and embryos development, as the role of the paternal factor in early human embryogenesis is gaining more attention because of the application of techniques such as intracytoplasmic sperm injection （ICSI） ior the treatment of men infertility. 136 infertility couples with men factors （Group Ⅰ） were included from May 2002 to January 2004. One hundred and seventy-two infertility couples with tube factors （Group Ⅱ） served as controls. The sperm parameters, geminates and embryos quality, implantation rate and pregnant rate in both groups were analyzed. It was found that there was no significant differences in the number of oocytes retrieved, the fertilization rate and number of embryos transferred between two groups. Sperm concentration, percentage of motile sperm and percentage of sperm with normal morphology were significantly lower in group Ⅰ than in group Ⅱ （P〈0.01）. The proportion of good quality zygotes and good quality embryos were significantly lower in,（he male infertility group than in the tubal disease group （P（0.05）. Implantation rate and pregnancy rate were similar in two groups. It was concluded that spermatozoa is involved in the embryo quality, even in the early stages of development, which limited the treatment potency of IVF procedure.     

Clinical Observation on Effect of Combination of Zhuanyindan (转阴丹) and Hormone in Treating MaleInfertility with Positive Antisperm Antibody

Objective:To explore the therapeutic effect of combination of Zhuanyindan (ZYD, 转阴丹, a self-made Chinese herbal preparation) and hormone in treating male infertility with positive antisperm antibody and its influence on nitric oxide (NO) level. Methods:Eighty-two patients were randomly divided (according to the digital list) into the WM group (n = 20, treated with prednisone), the TCM group (n=28, treated with ZYD) and the ICWM group (n=34, treated with prednisone plus ZYD). The clinical effect, negative converting rate of antisperm antibody, changes of NO level in semen and various parameters of sperm motion before and after treatment were observed. Results: The total effective rate in the ICWM group was 88.2%, that in theTCM group 75. 0% and in the WM group 65. 0%. Significant difference was seen in the ICWM and TCM group before and after treatment in NO level, sperm motion parameters, including linear motion speed, linearity, propulsion, whip frequency, sperm vitality and mean moving angle, and qu     

Seventy-two Cases of Antidiabetic-Induced Hepatopathy Treated by Huatan Yigan Decoction

In order to observe the therapeutic effects of Huatan Yigan Decoction (化痰益肝汤 Decoction for resolvingphlegm and replenishing the liver) on antidiabetic-induced hepatopathy,129 cases were divided into twogroups,72 cases in the treatment group were administrated with Huatan Yigan Decoction and 57 cases inthe control group with the liver-protecting drugs.Their liver function,plasma prothrombin time (PT),bloodurea nitrogen and symptoms of the patients before and after treatment were observed during the threetherapeutic courses.Results:The total effective rate and cured rate of the treatment group manifested anobvious difference in comparison with those of the control group (P<0.05 or P<0.01).Even though the liverfunction,blood urea nitrogen (BUN) and symptoms in both groups were improved markedly,theseindicators in the treatment group were improved more markedly than those in control group (P<0.01).Noadverse effect was found during the treatment.Conclusion:Huatan Yigan Decoction shows a repair actionon hepatic injury.     

Clinical Observation of Shuanghuang Shengbai Granule(双黄升白颗粒) on Prevention and Treatment of Myelosuppression Caused by Chemotherapy in Cancer Patients

Objective: To study the efficacy and safety of Shuanghuang Shengbai Granule(双黄升白颗粒, SSG), a traditional Chinese herbal medicine, on myelosuppression of cancer patients caused by chemotherapy. Methods: A total of 330 patients were randomly assigned to the treatment group(220 cases, analysed 209 cases) and the control group(110 cases, analysed 102 cases) with a 2:1 ratio by envelope method. The patients in the treatment group at the first day of chemotherapy started to take SSG for 14 days, while the patients in the control group took Leucogon Tablets. The changes of the blood routine, clinical symptoms and immune function in both groups were observed for safety and efficacy evaluation. Results: At the 7th day of chemotherapy, the white blood cells(WBCs) level in the treatment group was significantly higher than that in the control group(P0.05). After treatment, the WBCs rate in the normal range accounted for 50.2% in the treatment group, the myelosuppression of WBCs and neutrophil were mainly grade Ⅰ, while 8.1% and 5.7% of patients emerged grade Ⅲ and grade Ⅳ myelosuppression, respectively. The incidence of myelosuppression of the treatment group was significantly lower than that of the control group(P0.05). The total effective rate of Chinese medicine syndrome in the treatment group was significantly higher than that in the control group(84.2% vs. 72.5%, P0.05). The immune cell levels in both groups were maintained in the normal range. Compared with that before treatment, the levels of CD3~+ and CD4~+ cells were significantly increased in the treatment group after treatment(P0.05). The discrepancy of CD3~+ and CD4~+ cell activity before and after treatment in both groups were significantly different(P0.05). No obvious adverse event occurred in both groups. Conclusion: SSG had a protection effect on bone marrow suppression, and alleviated the clinical symptoms together with clinical safety.     

Seventy-two Cases of Antidiabetic-Induced Hepatopathy Treated by Huatan Yigan Decoction

In order to observe the therapeutic effects of Huatan Yigan Decoction (化痰益肝汤 Decoction for resolving phlegm and replenishing the liver) on antidiabetic-induced hepatopathy, 129 cases were divided into two groups, 72 cases in the treatment group were administrated with Huatan Yigan Decoction and 57 cases in the control group with the liver-protecting drugs. Their liver function, plasma prothrombin time (PT), blood urea nitrogen and symptoms of the patients before and after treatment were observed during the three therapeutic courses. Results: The total effective rate and cured rate of the treatment group manifested an obvious difference in comparison with those of the control group (P＜0.05 or P＜0.01). Even though the liver function, blood urea nitrogen (BUN) and symptoms in both groups were improved markedly, these indicators in the treatment group were improved more markedly than those in control group (P＜0.01). No adverse effect was found during the treatment. Conclusion: Huatan Yigan Decoction shows a repair action on hepatic injury.     

The Therapeutic Effects of Rehmannia Oral Liquid for the Syndrome of Heat Accumulation with Yin Consumption in Esophagus Cancer Patients Undergoing Radiotherapy——A Report of 60 Cases

Objective: To observe the clinical therapeutic effects of Rehmannia Oral Liquid on the syndrome of heat accumulation with Yin consumption in intermediate or late esophagus cancer patients undergoing radiotherapy. Methods: The IFN-α, TNF-α, IL-1β and TGF-β1 levels in sera were determined by the method of ABC-WLISA before and after the treatment with Rehmannia Oral Liquid. At the same time, the observation was carried out on the patient's general condition, symptoms and signs, barium meal or CT examinations, and biopsy. Another 30 cases of esophagus cancer were treated singly with radiotherapy as the control group. Results: Rehmannia Oral Liquid could obviously improve the patient's general condition, and the symptoms and signs after radiotherapy. Based on the X-ray examination and biopsy, the short-term local control rate of the treatment group and the control group was 70.0% and 40.0% respectively, showing a significant difference (P<0.05). Before the treatment, the level of serum IFN-α of both cancer groups was lower and the levels of TNF-α, IL-1β and TGF-β1 were higher than that of normal group. After treatment, the level of IFN-α in both treatment group and control group increased significantly (P<0.01), and the treatment group improved more obviously than the control group (P<0.05). The level of TNF-α of both groups decreased significantly (P<0.01) after treatment, and the level of IL-1β decreased in treatment group and increased in control group without the significant difference as compared with that before treatment. The level of TGF-β1 was significantly increased in control group (P<0.05) and decreased in treatment group (P>0.05) after treatment. The difference between groups was significant (P<0.05). Conclusion: Rehmannia Oral Liquid can obviously reduce the radiotherapy reaction, improve the quality of life, and raise the therapeutic effects. The action mechanism of the Liquid may lie in balancing the cytokine network and regulating the disordered signal transmission.     

Clinical Efficacy and Safety of Bathing with Chinese Medicine Taohong Siwu Decoction (桃红四物汤) for Treatment of Diffuse Cutaneous Systemic Sclerosis: A Randomized Placebo-Controlled Trial

Objective:To examine the efficacy and safety of bathing therapy with Taohong Siwu Decoction(桃红四物汤,TSD) in the treatment of early-stage,mild-moderate diffuse cutaneous systemic sclerosis(dc SSc).Methods:This randomized,placebo-controlled trial enrolled 148 men and women(18–60 years) with dc SSc(disease duration 12 months) and baseline modified Rodnan skin score(MRSS) 10.Patients were randomized into a TSD group(71 cases bathing with TSD plus oral prednisone) or control group(71 cases bathing with placebo plus oral prednisone).Bathing(40 ℃,30 min) of the upper and lower limbs was carried out once daily for 12 consecutive weeks.The primary outcome measure was MRSS;secondary outcomes were Raynaud's phenomenon(RP) score,quality of life(QOL),physician visual analogue scale(VAS),patient VAS,percent predicted diffusing capacity for carbon monoxide(DLCO),percent predicted forced vital capacity(FVC),erythrocyte sedimentation rate(ESR),C-reactive protein(CRP) level and overall treatment effect.Results:The final analysis included 135 patients(control group,68 cases;TSD group,67 cases).Primary and secondary outcome measures after 2 weeks of treatment showed no improvement(versus baseline) in both groups,with no differences between groups.At 12 weeks,QOL,physician VAS,patient VAS,ESR and CRP were improved in both groups,but MRSS and RP score were improved only in the TSD group(all P0.05).MRSS,RP score,QOL,physician VAS,patient VAS,ESR and CRP differed significantly between groups(all P0.05).Meanwhile,the overall treatment effect was significantly higher in the TSD group than in the control group(P0.05).Adverse events in the two groups were similar(P0.05).Conclusions:Bathing with TSD plus oral prednisone achieves better outcomes than oral prednisone alone in patients with dcS Sc and is not associated with serious adverse events.     

Effectiveness of Testosterone Undecanoate Treatment in Men with Asthenospermia

Objective To assess the effectiveness of testosterone undecanoate on sperm motility and pregnancy incidence in men with asthenospermia.Methods A clinical trial was performed.Fifty men with asthenospermia were included to receive placebo(control group,n=9) or T undecanoate 80 mg/d(study group,n=41).Pregnancy incidence and sperm characteristics after 1,2 and 3 months of medication and 3 months after the end of the trial were measured.Results Compared with the placebo,T undecanoate treatment produced a satisfactory improvement of seminal motility(F=55.904,P=0.000).In study group,the incidence of pregnancy was 28.2% while the incidence of pregnancy in control group was 11.1%.In study group,26 patients took T undecanoate for more than 3 months.In the 3 months,semen volume showed no statistical difference(F=1.206,P=0.312) before and after treatment,sperm concentration(F=0.023,P=0.000) and motility a,b,a+b(P=0.000) showed statistical differences.Motility grade a showed significantly higher increment in 2 and 3 months after treatment than 1 month and there was no statistical difference between 2 and 3 months.So did grade b.Conclusion The results indicate that T undecanoate increases seminal motility,leading to a higher incidence of pregnancy in couples with infertility related to asthenoaspermia.     

Intervention Effect of Jianxin Decoction（健心汤） on Serum Cytokine Level of Congestive Heart Failure Patients

Objective: To investigate the intervention effect of Jianxin Decoction (健心汤, JXD) on the cytokine level in serum of patients with congestive heart failure (CHF). Methods: Sixty-six patients with CHF were randomly divided into the control group (n=33) and the trial group (n=33). The control group received conventional treatment, and the trial group was treated with conventional therapy plus JXD for 4weeks. Before and after treatment, tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and nitrogen monoxide (NO) in serum and cardiac function were determined. Results: After treatment, the levels of TNF-α,IL-6 and NO were significantly lower than those before treatment (P＜0.05, or P＜0. 01) in the two groups,and the lowering degree of the indices in the trial group was more significantly reduced than that in the control group (P＜0. 05). And cardiac functions in both groups were improved significantly (P ＜ 0.05, or P ＜0.01). Conclusion: JXD could prevent and reverse ventricular remodeling so as to ameliorate cardiac function through regulating the levels of cytokines.     

精浆抗精子抗体与精液主要参数相关性分析

目的:了解男性不育症患者精浆抗精子抗体(AsAb)对精子主要参数的影响。方法:对126例男性不育症患者的精液标本进行精子质量分析,同时用金标免疫斑点法进行精浆抗精子检测,然后对检测抗精子抗体阳性和抗精子抗体阴性患者分组进行精子质量参数的统计学分析。结果:126例男性不育患者中,精浆抗精子抗体阳性44例,阳性率为34.9%;阴性82例,阴性率为65.1%。抗精子抗体阴性组精子密度、活动率、活动力等主要参数明显高于阳性组,两组比较,差异具统计学意义(P<0.01)。结论:抗精子抗体对精子有凝集和制动作用,对精子密度、活动率等主要参数有明显的影响,是导致男性免疫性不育的重要因素之一。     

弓形体、解脲支原体感染与男性不育的关系

目的　探讨男性不育患者弓形体、解脲支原体感染情况和抗精子抗体在男性不育中的作用。方法　应用多聚酶链反应 (PCR)技术分别对 112例男性不育病人和 6 2例正常生育的精液进行精浆弓形体DNA、解脲支原体DNA的检测 ,用金标免疫斑点试验检测精浆抗精子抗体 (AsAb)。结果　男性不育组弓形体阳性 2 0例 ( 17.86 % ) ,解脲支原体阳性 35例 ( 31.2 5 % ) ,抗精子抗体阳性 33例 ( 2 9.4 6 % )。 2种病原体感染率与抗精子抗体的阳性率均明显高于正常对照组 ( P <0 .0 1)且 2种病原体感染患者抗精子抗体的阳性率明显高于单项感染者。结论　男性不育与病原体感染和抗精子抗体的产生有关     

精索静脉曲张不育患者抗精子抗体检测的意义

目的:探讨精索静脉曲张不育患者血清、精浆以及精子表面抗精子抗体(Antisperm Antibody,AsAb)的表达及其意义。方法:收集精索静脉曲张(Varcocele,VC)不育患者60例和非精索静脉曲张正常生育者220例,采用间接酶联免疫法(ELISA法)测定血清和精浆中AsAb,混合抗球蛋白反应试验(Mixed Agglutination Reaction Test,MARTest)检测精子表面AsAb;用计算机辅助精子分析仪测定VC组精子密度、活动精子和畸形精子百分率,并计算生育力指数。结果:①VC组血清AsAb阳性率(10%)较对照组(8.18%)相比有所增加,但差异无显著性(P>0.05);精浆AsAb阳性率16.7%、精子表面AsAb阳性率15%,较对照组(分别为7.27%和6.81%)相比,差异有统计学意义(P<0.05)。②VC不育组AsAb阳性者较AsAb阴性者相比,精液量、活动精子百分率有所下降,而畸形精子百分率增加,但差异无统计学意义(P>0.05);精子密度和生育力指数也随之降低,差异具有显著性(P<0.05)。结论:精索静脉曲张可导致AsAb阳性率增加,使生育力下降;精浆和精子表面AsAb的测定较血清AsAb更有临床价值     

血清抗精子抗体与精液主要参数的关系分析

目的:探讨抗精子抗体(AsAb)与精液主要参数的关系。方法:采用ELISA检测血清抗精子抗体,按WHO标准分析精液各参数。结果:507例男性不育患者共检出AsAb阳性127例,阳性率25.05%,经与精液主要参数相关分析,AsAb阳性组精子活力(a+b)、活率及密度较阴性组低,且两组比较有显著性差异(P值均<0.05)。精液液化时间、畸形率较阴性组高,且两组比较有显著性差异(P值均<0.05)。结论:AsAb能够影响精液的主要参数,导致男性生育力低下或不育。     

金水宝胶囊治疗免疫性不育患者临床观察

目的观察金水宝胶囊治疗免疫性不育症的临床疗效。方法符合纳入标准的100例免疫性不育患者随机均分为对照组(醋酸泼尼松片治疗)、治疗组(金水宝胶囊治疗)共2组。观察AsAb阳性转阴有效率,同时比较组内组间治疗前后精液质量各项参数指标变化。结果治疗后,治疗组AsAb阳性转阴有效率明显优于对照组(P<0.05);对照组精子活率和A级精子活力,较治疗前有所提高(P<0.05),但精液量、精子密度无统计学意义(P>0.05);治疗组治疗后精液量、精子密度、精子活率和A级精子活力较治疗前均明显提高(P<0.01),且明显优于对照组治疗后(精子活率P<0.05;余P<0.01)。结论金水宝胶囊治疗免疫性不育疗效明显优于醋酸泼尼松片。     

助孕方对免疫性不孕雌性大鼠的疗效观察

[目的]观察助孕方对免疫性不孕大鼠的疗效影响。[方法]设立生理盐水组、模型组、助孕方组、强的松组,各组分别以精子、福氏佐剂等混悬液腹股沟皮下注射免疫雌性SD大鼠造模,生理盐水(NS)组皮下注射NS。造模4周后,生理盐水组、模型组服用NS,助孕方组、强的松组分别服用助孕方药和强的松,2周后与雄鼠合笼。在首次免疫前、各次加强免疫后1周取血ELISA法测定AsAb,SABC法检测子宫内膜IgG、IgA免疫积分,同时比较各组大鼠受孕数及孕鼠平均着床点数。[结果]助孕方组着床点数及受孕数明显高于其他各组,助孕方能降低子宫内膜IgG、IgA积分。[结论]助孕方对免疫性不孕大鼠具有一定的疗效,其机制可能与其降低子宫内膜IgG、IgA免疫积分的免疫调节有关。     

男性不育患者精子质量和血清抗精子抗体分析

目的分析男性不育患者精子质量（密度、活率及活力）及其血清抗精子抗体的影响。方法采用ELISA法检测患者血清中抗精子抗体,用伟力彩色精子质量检测系统动态观察精子的密度、活率及活力。结果男性不育患者精子密度、活率、a级精子及a＋b级精子均明显低于正常生育组（57.66±11.88）×10^6/ml,（71.24±10.45）%,（39.47±8.24）%,（66.22±10.38）%v（s12.28±9.09）×10^6/ml,（34.46±10.02）%,（7.46±6.48）%,（21.03±11.21）%,P〈0.01。不育男性AsAb阳性组上述各指标也低于AsAb阴性组（P〈0.01）。结论男性不育患者精子密度、活率及活力均下降,同时血清抗精子抗体（AsAb）也可影响这些指标。     

抑清汤治疗免疫性不孕症的疗效观察

目的：运用具有益肾养阴，化瘀利湿作用的抑清汤治疗免疫性不孕症的临床疗效观察。方法：观察ＡｓＡｂ阳性的不孕症患者，分Ａ组（单纯免疫性不孕症）和Ｂ组（兼症免疫性不孕症），分别从ＡｓＡｂ、ＡｓＡ滴度的转阴及妊娠情况进行总结。结果：Ａ组ＡｓＡｂ转阴率１００．０％，妊娠率达７６．７％；Ｂ组ＡｓＡｂ转阴率为６０．９％，妊娠率为３３．９％。结论：抑清汤具有抑制和清除异常抗体，促进受孕的作用，对单纯免疫性不孕症疗效较好。     

免疫因素与男性不育的相关性

目的: 观察不育男性血清抗精子抗体(AsAb),抗心磷脂抗体(ACA),抗弓形虫抗体与精液各指标之间的关系,揭示免疫因素与不育症的相关性及致病机制. 方法: 用ELISA(nzyme-linked immunosorbent assay)法测定286例男性不育患者及198例正常生育者血清的AsAb, ACA,抗弓形虫抗体并常规检测精液的各项指标. 结果:　不育者血清中的AsAb, ACA, 抗弓形虫抗体阳性率(29.4％, 18.2％, 17.1％)明显高于正常生育组(9.0％, 7.0％, 9.0％),P＜0.01;不育患者血清AsAb水平变化能导致精子的活动力明显下降,呈显著性正相关, P＜0.01. 结论: AsAb与男性不育有密切关系,可引起精子活率、活力明显下降,但对精子密度及液化无明显影响.