《妙一斋医学正印编·种子编》对男科学的贡献

岳甫嘉，字仲仁，号心翼，又号妙一斋主人，幼习举子业，屡试于乡不售，遂一意攻医，全治颇众，著《妙一斋医学正印编》16种，现有《种子编》及《女科证治全编》存世。     

101届AUA有关男科学和性医学的某些进展

101届美国泌尿外科学术年会(AUA)于2006年5月20～26日在美国佐治亚州亚特兰大市佐治亚世界会议中心召开。参会学者、专家、医师上万人,收到论文近万篇,论文摘要选刊了1725篇。AUA大会前还举行了14个各种相关学会及专委会的学术大会和华语、日语、印度语、意大利语、法语及西班牙语的6个泌尿外科学术会。全球华人学术大会是第一次举行。开幕式首日美国性医学会(Sexual medicine Society)举行了为期一天的性医学学术会议。会议形式多样,有大会(Plenary)、专题讲座(The artlecture)、专家讨论(Panel discussion)、辩论(Point-Coun-terpoi…     

论中医男科学的学科地位和范畴与学科发展的关系

The traditional Chinese and andrology can be traced back to the ancient Chinese medical literature over 3000 years ago describing the diseases of male set,but it is only since mid 1980s of century whtn it was differentiated from traditional Chinese clinical medicine into an independent discipline that it has a great boom.The exact concept of this discipline was first presented and published in the literature in 1986.With concerted efforts of traditional Chinese andrologists,the discipline has been systematically established,enriched in content,properly categorized and progressively developed.However,judging from its present theoretical and clinical studies,the traditional Chinese andrology has not a uniform and definite positon in the entire system of traditional Chinese medicine and clinical disciplines,a due position in medical teaching and a far from uniform position in academic organizations.Seeing from the published literature and monographs,the discipline category of traditional Chinese andrology is also not uniform.All of this hinders the further development of the discipline.Therefore,in this paper the positioning and categorization of traditional Chinese andrology and their relationship with the development of the discipline are discussed.     

Microbiological analysis of the ejaculate in andrology

Microbiological analysis of semen in andrology is mainly performed in cases of infertility and artificial insemination. In order to localize the suggested infection and to detect urethral (asymptomatic) colonization, we recommend to analyse additional specimens of the patient, i.e. urethral swabs and first portion of urine. As a rule, quantitative microbiological analysis is necessary in cases of bacteria belonging to the group of potentially pathogenic flora. In isolating pathogenic ("specific") bacteria, the detection of a few microorganisms indicates an infectious process. We recommend the careful microscopical examination of the ejaculate to detect phagocytes, abnormal spermatozoa, trichomonads, yeasts and other cells. As a rapid microscopical examination we employ the DAPI-fluorochrome-technique. Microbiological cultures should take into consideration the isolation and identification of ureaplasmas and chlamydia trachomatis. In order to achieve a comparison of microbiological results with those of other laboratories, it is essential to define the terms "significant bacteriospermia" and "significant leukocytospermia". In other words, it is necessary to introduce a borderline between contamination and infection concerning the "nonspecific" potentially pathogenic flora.     

经方四逆散在男科临床上的运用

四逆散被誉为疏肝剂之祖方,具有疏气机、理肝脾之效,主治肝胆气机阻滞、脾胃升降受阻、阳热内郁等证。男科临床上,肝失疏泄、阳气郁遏之证颇为常见,多为四逆散治疗的适应症。笔者运用四逆散治疗男科疾病,取得较好疗效。     

显微外科技术在男科中的应用研究进展

显微外科作为一项能达到细微操作和精细缝合的外科技术,在近年来逐渐发展完善,其应用于男性生殖系统疾病的范畴得到了极大的扩展,同时也大大增加了男科疾病手术的成功率和患者满意率。本文拟对显微外科技术在男科手术中的相关应用研究进展进行综述,以促进显微外科技术在男科手术中的应用。     

网络环境下男科进修医师教学模式的探索

本研究总结了新型冠状病毒肺炎(COVID-19)疫情期间北京大学第三医院男科教学团队依托线上资源开展网络教学的经验,与传统线下教学对比,探究了线上教学模式的优势与局限.同时总结了疫情期间试行的虚拟现实(VR)手术直播教学、合作组云查房、男科进修医师教学共同体的经验,为未来医学教学模式提供了可参照的样本,为建立更为完善的...     

活血化瘀法在男科中的应用体会

活血化瘀法在中医治疗中起到了很重要的作用,尤其在慢性疾病的治疗中具有明显的优势,这也是中医常说的“病久则瘀”的道理。临床证明活血化瘀能够加快血液流速,改善组织供氧,加速病灶水肿的消退,加速炎症的吸收,抑制异常组织的增生。男科疾病的发病特点,一般病情进程缓慢,痛苦症状不显著,容易被忽视或拖延,直到认为该治的时候,已经成为慢性疾病。本人在临床中运用活血化瘀法治疗男科疾病效果满意,现将临床体会报告如下。1慢性前列腺炎慢性前列腺炎是男科常见病,其特点是病因症状复杂,病情迁延难愈,易于反复发作,相当于祖国医学的“精浊”、…     

《妙一斋医学正印编·种子编》对男科学的贡献

岳甫嘉,字仲仁,号心翼,又号妙一斋主人,幼习举子业,屡试于乡不售,遂一意攻医,全治颇众,著《妙一斋医学正印编》16种,现有《种子编》及《女科证治全编》存世。前贤探究房屋养生每注重男子,艰嗣不育则多从女性入手。岳甫嘉则不然,所著《种子编》,分上下卷,从男女科分科论述。是编首列先天灵气,次以交合至理,交合有时,养精有道,炼精有诀,胎始从乾,父精母血,阴精阳精,服药要领等层层阐发,为男科病特别是不育症的调治提供了理论与实践的依据。岳氏否定“转女为男”,“采阴补阳”,“以小产责之于母,不育专付之女”等谬说。终编以理法方药完备的《…     

论包皮粘连及包皮口狭窄在现代男科学中的地位

胚胎9周时阴茎头已发育并完全裸露,而包皮迟至12周时才形成并逐渐向阴茎头远端方向生长,至14周时才覆盖整个阴茎头并与阴茎头粘连。这种生理性粘连一直持续至出生时,伴或不伴有包皮口狭窄,随着阴茎发育多在17岁前自然消失,如不消失,就变为病理性;因炎症等因素成人原本已翻动自如的包皮可以再次发生包皮口狭窄及包皮粘连,此属于病理性。作为一门正在蓬勃发展中的学科,现代男科学应在前所未有的高度上重视包皮粘连及包皮口狭窄的诊断及处理,以期阴茎的结构及功能得到良好的保障。本文对包皮粘连及包皮口狭窄加以分析,对有关研究进展加以综述,认为这两者在现代男科学中具有重要的地位。