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Research ArticleOriginal Article
Open Access

Effectiveness of Peng’s Shengjing recipe on male asthenospermia caused by kidney yang deficiency

A randomized pilot study

Guangyao Xu, Yu Peng and Chunyan Chen
Saudi Medical Journal March 2023, 44 (3) 253-259; DOI: https://doi.org/10.15537/smj.2023.44.3.20220676
Guangyao Xu
From the Eighth Department of Surgery (Xu), The Shanghai Municipal Hospital of Traditional Chinese Medicine; from Urology Surgery (Peng), Yueyang Hospital of Integrated Traditional Chinese and Western Medicine; and from the Shanghai Research Institute of Qigong (Chen), Taiji Health Center, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
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Yu Peng
From the Eighth Department of Surgery (Xu), The Shanghai Municipal Hospital of Traditional Chinese Medicine; from Urology Surgery (Peng), Yueyang Hospital of Integrated Traditional Chinese and Western Medicine; and from the Shanghai Research Institute of Qigong (Chen), Taiji Health Center, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
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Chunyan Chen
From the Eighth Department of Surgery (Xu), The Shanghai Municipal Hospital of Traditional Chinese Medicine; from Urology Surgery (Peng), Yueyang Hospital of Integrated Traditional Chinese and Western Medicine; and from the Shanghai Research Institute of Qigong (Chen), Taiji Health Center, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
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  • For correspondence: [email protected]
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    - Patient flow chart.

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    Table 1

    - Characteristics of the patients (N=123).

    CharacteristicShengjing recipe (n=50)Xuanju capsule (n=49)P-value
    Age (years), mean±SD35.31±3.1834.52±4.200.920
    Body mass index (BMI, kg/m2), mean±SD21.51±1.4721.39±1.230.775
    Smoking, n (%)14 (28.0)14(28.5)0.963
    Alcohol drinking, n (%)11 (22.0)10 (20.4)0.805
    Duration of asthenospermia (years), mean±SD3.77±1.263.81±1.440.658
    Sperm motility class, %, median [range]
    A8.49 (6.0), [10.81]8.3 (3.4), [14.88]0.883
    A+B21.28 (16.3), [28.6]28.85 (18.5), [40.67]0.006
    A+B+C50.76 (31.3), [71.98]48.65 (35.7), [70.98]0.475
    Semen volume, ml, mean±SD3.24±1.332.98±1.730.313
    Gonadotropins, mean±SD
    FSH, mIU/mL4.46±1.903.73±2.470.103
    LH, mIU/mL4.09 (2.6), [5.65]5.5 (3.2), [7.46]0.038
    Testosterone, nmol/L15.5 (13.9), [17.43]14.8 (13.2), [16.06]0.168
    Liver and kidney function
    Creatinine, µmol/L64.6 (53.8), [78.28]73.5 (55.5), [84.34]0.155
    ALT, IU/L21.1 (14.1), [27.5]32.1 (26.1), [38.4]<0.001
    AST, IU/L35.1 (29.6), [38.6]36.3 (26.1), [42.9]0.834
    P<0.05 was considered statistically significant. Grade A sperms are fast progressive sperms that swim quickly in a straightforward direction. Grade B sperms are slow progressive sperms that move forward but in a haphazard line or maybe a little slower. FSH: follicular-stimulating hormone; LH: luteinizing hormone, ALT: alanine transaminase, AST: aspartate transaminase, SD: standard deviation
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    Table 2

    - Effectiveness and safety assessments (N=123).

    IndexesShengjing recipe (n=50)PtimeXuanju capsule (n=49)PtimePgroupPtime×group
    BaselineAfter interventionBaselineAfter intervention
    Sperm motility class, %, median (range)
    A8.5 (6.0), [10.81]18.9 (9.8), [26.30]<0.0018.3 (3.4), [14.88]13.9 (7.7), [19.42]0.0010.030/
    A+B21.3 (16.3) [28.60]42.9 (34.8), [50.26]<0.00128.9 (18.5), [40.67]32.7 (25.9), [40.14]0.047<0.001/
    A+B+C50.8 (31.3), [71.98]66.2 (48.5), [80.22]0.03748.7 (35.7), [70.98]70.1 (38.8), [86.78]0.0220.758/
    Effectiveness measurement
    Markedly effective, n/19//10/0.128/
    Effective, n/15//16//
    Invalid, n/16//23//
    Clinical effective rate, %/68.0//53.1//
    Semen volume, ml, mean±SD3.24±1.333.44±1.790.3982.98±1.733.21±1.560.3210.645/
    FSH, mIU/Ml4.46±1.906.42±2.07/3.73±2.475.50±2.39<0.0010.0150.752
    LH, mIU/mL4.21±2.365.65±2.4/5.29±2.435.23±2.140.0310.3470.019
    Testosterone, nmol/L15.33±2.3820.22±2.14/14.81±2.2415.93±2.06<0.001<0.001<0.001
    Creatinine, µmol/L65.27±15.3766.27±25.51/69.66±18.4671.18±20.440.6720.0990.931
    ALT, IU/L21.73±9.625.11±11.47/31.79±9.7528.46±16.430.987<0.0010.066
    AST, IU/L34.46±10.0129.64±11.55/34.21±10.4936.84±11.150.4810.0250.018
    FSH: follicular-stimulating hormone, LH: luteinizing hormone; ALT: alanine transaminase, AST: aspartate transaminase. P<0.05 was considered statistically significant.
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Effectiveness of Peng’s Shengjing recipe on male asthenospermia caused by kidney yang deficiency
Guangyao Xu, Yu Peng, Chunyan Chen
Saudi Medical Journal Mar 2023, 44 (3) 253-259; DOI: 10.15537/smj.2023.44.3.20220676

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Effectiveness of Peng’s Shengjing recipe on male asthenospermia caused by kidney yang deficiency
Guangyao Xu, Yu Peng, Chunyan Chen
Saudi Medical Journal Mar 2023, 44 (3) 253-259; DOI: 10.15537/smj.2023.44.3.20220676
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Keywords

  • asthenospermia
  • deficiency of kidney yang
  • Peng’s Shengjing recipe
  • traditional Chinese medicine

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