ABSTRACT
Thirty-three patients with complaints of idiopathic oligo-asthenozoospermia were treated with traditional Chinese medicine. Their symptom complexes were diagnosed from the states of qi and blood, the conditions of body fluid, and pathological changes of zan-fu organs by means of four traditional methods in Chinese medicine, i. e., inspection, auscultation and olfaction, inquiry, and pulse-feeling and palpation. The patients were classified into Stagnation of the Liver-Qi (Kankiutsu-sho, 11 cases), Deficiency of Kidney (Jinkyosho, 5 cases), Deficiency of the Spleen-Qi (Hikikyo-sho, 9 cases), Phlegm-Dampness (Tanshitsu-sho, 5 cases), Damp-Heat (Shitsunetsu-sho, 3 cases).<br>The changes in target symptoms and signs, semen qualities, and serum hormones were compared before and after six months of treatment with the corresponding prescriptions. Seven successful pregnancies have been accomplished, with a pregnancy rate of 21.2%. Although no significant increases in sperm concentration and motility were recorded, most target symptoms and signs were improved, and the serum testosterone and estradiol were significantly decreased after treatment.