Potencial antagonista de las BAL en placa de agar

some spleen qi vacuity along with blood vacuity. Other issues helped through supplementing the kidneys may include non-ejaculation, autoimmunity, low sperm count, low quality sperm, and impaired movement or motility.

1. Kidney yang vacuity

Signs and symptoms of kidney yang vacuity in men with fertility issues include tinnitus, dizziness, low back and knee soreness and limpness, cold lower extremities, long, clear urination, nocturia, a pale tongue with thin, white fur, and a deep, slow pulse. In this case, the treatment principles are to supplement the kidneys and warm the essence using Bu Jing Zhong Zi Fang (Supplement the Essence & Plant the Seed Formula):

Huang Qi (Radix Astragali Membranacei) Dang Gui (Radix Angelicae Sinensis) Tu Si Zi (Semen Cuscutae Chinensis)

Shu Di Huang (cooked Radix Rehmanniae Glutinosae) Shan Zhu Yu (Fructus Corni Officinalis)

Ba Ji Tian (Radix Morindae Officinalis)

Bai Zhu (Rhizoma Atractylodis Macrocephalae) Bai Shao (Radix Albus Paeoniae Lactiflorae)

Formula rationale:

This formula supplements the spleen and kidneys as well as the qi, blood, yang, and essence. It mostly improves the quality of the semen and sperm, but there is also some benefit to the quantity of the sperm.

Huang Qi supplements the qi, while Dang Gui nourishes and quickens the blood. Tu Si Zi supplements the kidneys, invigorates yang, and boosts the essence. Shu Di Huang and Shan Zhu Yu supplement the kidneys, nourish yin, and foster the essence. Ba Ji Tian likewise sup-plements the kidneys, invigorates yang, and boosts the essence. Bai Zhu fortifies the spleen and boosts the qi. Bai Shao nourishes the blood and harmonizes the liver.

Modifications:

For concomitant spleen qi vacuity and weakness, add Ren Shen (Radix

Panacis Ginseng) or Dang Shen (Radix Codonopsitis Pilosulae). For more marked kidney yang vacuity, add Yin Yang Huo (Herba Epimedii), Bu Gu Zhi (Fructus Psoraleae Corylifoliae), and Lu Jiao (Cornu Cervi) or Lu Rong (Cornu Parvum Cervi). For concomitant qi stagnation, add Zhi Ke (Fructus Citri Aurantii) and Yu Jin (Tuber Curcumae). For blood stasis, add Dan Shen (Radix Salviae Miltiorrhizae). For blood vacuity, add He Shou Wu (Radix Polygoni Multiflori), Gou Qi Zi (Fructus Lycii Chinensis), and Huang Jing (Rhizoma Polygonati). For impotence, add Sha Yuan Zi (Semen Astragali Complanati) and Yang Qi Shi (Actinolitum). For seminal emission, add Qian Shi (Semen Euryales Ferocis), Wu Wei Zi (Fructus Schisandrae Chinensis), Sang Piao Xiao (Ootheca Mantidis), Yi Zhi Ren (Fructus Alpiniae Oxyphyllae), Jin Ying Zi (Fructus Rosae Laevigatae), and/or Hai Piao Xiao (Os Sepiae Seu Sepiellae).

2. Kidney yin vacuity

The signs and symptoms of kidney yin vacuity include low back sore-ness and limpsore-ness, frequent, scanty, yellow urination, nocturia, rest-lessness, insomnia, impaired memory, malar flushing in the afternoon and early evening, tinnitus, dizziness, a red tongue with scanty fur, and a fine, rapid pulse. The treatment principles for kidney yin vacuity are to supplement the kidneys and enrich yin with Yang Jing Zhong Zi Fang (Nourish the Essence & Plant the Seed Formula):

Huang Jing (Rhizoma Polygonati)

Shu Di Huang (cooked Radix Rehmanniae Glutinosae) Shan Zhu Yu (Fructus Corni Officinalis)

Tu Si Zi (Semen Cuscutae Chinensis) Gou Qi Zi (Fructus Lycii Chinensis) Shan Yao (Radix Dioscoreae Oppositae) Dan Shen (Radix Salviae Miltiorrhizae) Bai Shao (Radix Albus Paeoniae Lactiflorae)

Formula rationale:

Yang Jing Zhong Zi Fang mostly improves the quantity of the sperm while still improving some of the quality. Within this formula, Huang Jing nourishes yin and fosters essence at the same time it fortifies the

spleen and supplements the qi. Shu Di Huang and Shan Zhu Yu sup-plement the kidneys, nourish yin, and foster essence. Tu Si Zi supple-ments and invigorates kidney yang. Gou Qi Zi nourishes liver blood, enriches kidney yin, and fills the essence. Shan Yao supplements the spleen and kidneys and engenders fluids. Dan Shen quickens the blood and, therefore, improves blood circulation in the testicles to produce well-formed sperm. It also helps quiet the spirit. Bai Shao nourishes the blood and harmonizes the liver.

Modifications:

For qi vacuity, add Dang Shen (Radix Codonopsitis Pilosulae) and Huang Qi (Radix Astragali Membranacei). For spleen vacuity, add Fu Ling (Sclerotium Poriae Cocos) and Bai Zhu (Rhizoma Atractylodis Macrocephalae). For qi stagnation, add Chen Pi (Pericarpium Citri Reticulatae) or Sha Ren (Fructus Amomi). For blood vacuity, add He Shou Wu (Radix Polygoni Multiflori). For more severe yin vacuity, add Nu Zhen Zi (Fructus Ligustri Lucidi) and Han Lian Cao (Herba Ecliptae Prostratae).

3. Qi stagnation & blood stasis

If the patient’s diagnosis is seminal duct blockage or varicoceles, the treatment is to course the liver and rectify the qi, quicken the blood and dispel stasis with Huo Jing Zhong Zi Fang (Quicken the Essence &

Plant the Seed Formula):

Chai Hu (Radix Bupleuri)

Dang Gui (Radix Angelicae Sinensis) Bai Shao (Radix Albus Paeoniae Lactiflorae) Bai Zhu (Rhizoma Atractylodis Macrocephalae) Fu Ling (Sclerotium Poriae Cocos)

Gan Cao (Radix Glycyrrhizae Uralanesis) Zhi Ke (Fructus Citri Aurantii)

Dan Shen (Radix Salviae Miltiorrhizae)

Formula rationale:

Within this formula, Dang Gui nourishes and invigorates the blood.

Bai Shao nourishes the blood and harmonizes the liver. Chai Hu

cours-es the liver and rectificours-es the qi. Fu Ling fortificours-es the spleen and quiets the spirit. Bai Zhu fortifies the spleen and supplements the qi. Dan Shen quickens the blood, while Zhi Ke moves the qi. Thus these two medicinals work together to disperse the blockage of the blood vessels.

Gan Cao harmonizes all the other ingredients in the formula.

Modifications:

For more qi stagnation, add Xiang Fu (Rhizoma Cyperi Rotundi) and Yu Jin (Tuber Curcumae). For more blood stasis, add Mu Dan Pi (Cortex Radicis Moutan) and San Qi (Radix Notoginseng). For depressive heat, add Zhi Zi (Fructus Gardeniae Jasminoidis) and Jin Yin Hua (Flos Lonicerae Japonicae). For seminal duct blockage, add Wang Bu Liu Xing (Semen Vaccariae Segetalis), Lu Lu Tong (Fructus Liquidambaris Taiwaniae), and Chuan Shan Jia (Squama Manitis Pentadactylis).

Additional points:

Xue Hai (Sp 10) and Qu Quan (Liv 8) to quicken the blood 4. Damp heat blocking & obstructing the lower burner If the Western medical diagnosis is prostatitis, the accompanying signs and symptoms usually include yellow, burning, difficult urination, painful urination, frequent, urgent but inhibited urination, thick, slimy, yellow fur at the base of the tongue, and a bowstring, slippery, possi-bly rapid pulse. In that case, the treatment principles are to clear heat and eliminate dampness, and the formula to use is Qing Re Li Yao Fang (Clearing Heat & Rectifying Medicinal Formula):

Jin Yin Hua (Flos Lonicerae Japonicae) Huang Bai (Cortex Phellodendri) Zhi Ke (Fructus Citri Aurantii) Che Qian Zi (Semen Plantaginis) Mu Tong (Caulis Akebiae)

Ze Xie (Rhizoma Alismatis Orientalis) Zhu Ling (Sclerotium Polypori Umbellati)

Sheng Di Huang (uncooked Radix Rehmanniae Glutinosae)

Formula rationale:

Within this formula, Jin Yin Hua clears heat and resolves toxins.

Huang Bai clears heat and dries dampness. Zhi Ke moves the qi and clears and disinhibits damp heat. Che Qian Zi percolates dampness and supplements the kidneys. Mu Tong slightly clears heat and perco-lates damp through promoting urination. Ze Xie clears heat and drains dampness. Zhu Ling is very cold and drains dampness through urina-tion. Sheng Di Huang nourishes yin and clears heat. It also prevents attacking and draining from damaging righteous yin.

Modifications:

For accompanying qi vacuity, add Huang Qi (Radix Astragali Membranacei). For concomitant qi stagnation, add Zhi Ke (Fructus Citri Aurantii) or Chen Pi (Pericarpium Citri Reticulatae) and possibly Hou Po (Cortex Magnoliae Officinalis). For enduring heat damaging the fluids resulting in yin vacuity, add Mai Men Dong (Tuber Ophiopogonis Japonici) and Xuan Shen (Radix Scrophulariae Ningpoensis). For more marked heat toxins, add Bai Hua She She Cao (Herba Hedyotidis Diffusae) and Zhi Hua Di Ding (Herba Violae Yedoensitis Cum Radice).

Additional points:

Yin Ling Quan (Sp 9) to drain dampness, Feng Long (St 40) to trans-form phlegm, Wai Guan (TB 5) to regulate the water passageways, and Qu Chi (LI 11) to clear heat.