Erectile Dysfunction

ERECTILE DYSFUNCTION IN CHINESE MEDICINE
马
万
里
Copyright Giovanni Maciocia
ERECTILE DYSFUNCTION - IMPOTENCE
Repeated inability to get or keep an erection firm enough for sexual

intercourse.
Erectile dysfunction, or ED can be:
a total inability to achieve erection
an inconsistent ability to do so
or a tendency to sustain only brief
erections.
• Therefore definition of ED and estimation of its incidence is difficult.
• Estimates range from 15 million to 30 million men (in the USA).
• According to the National Ambulatory Medical Care Survey (NAMCS), for

every 1,000 men in the United States, 7.7 physician office visits were made
for ED in 1985. By 1999, that rate had nearly tripled to 22.3.
• In older men, ED usually has a physical cause, such as disease, injury, or
side effects of drugs.
• Any disorder that injures the nerves or impairs blood flow in the penis has
the potential to cause ED.
• The incidence of erectile dysfunction increases with age: about 5 percent of

40-year-old men and between 15 and 25 percent of 65-year-old men
experience ED.
• However, ED is not an inevitable part of aging.

• Two chambers called the corpora cavernosa run the length of the organ.
• The corpora cavernosa are surrounded by the tunica albuginea.
• A spongy tissue fills the chambers and contains smooth muscles, fibrous
tissues, spaces, veins, and arteries.
• The urethra, which is the channel for urine and ejaculate, runs along the
underside of the corpora cavernosa and is surrounded by the corpus
spongiosum.
Corpus
cavernosum Blood vessels =
Chong Mai
Huang
Membranes =
Chong Mai
Corpus
spongiosum
Huang
Membranes =
Chong Mai
Urethra = Kidneys/Bladder
The corpora cavernosa, which can be likened to hydraulic
cylinders, create structural rigidity.
The corpora cavernosa are cigar-shaped tubes of strong

connective tissue, filled with spongy muscle-lined
cavities.
Relaxation of vascular muscle causes inflow of blood and

expansion of the corpora’s inner sponge during erection.
As a result its wall, the tunica albuginea, is stretched

tightly enough to produce rigidity. In addition to defining
the shape of the erect penis, the tunica also has a key role
in limiting blood outflow during erection.
The corpus spongiosum contains the urethra, or excretory

channel.
Erection begins with sensory or mental stimulation, or both.
Impulses from the brain and local nerves cause the muscles of the corpora
cavernosa to relax, allowing blood to flow in and fill the spaces. The blood
creates pressure in the corpora cavernosa, making the penis expand. The
tunica albuginea helps trap the blood in the corpora cavernosa, thereby
sustaining erection. When muscles in the penis contract to stop the inflow of
blood and open outflow channels, erection is reversed.
An erection requires a precise sequence of events:

nerve impulses in the brain, spinal column, and area around the penis,
response in muscles, fibrous tissues, veins, and arteries in and near the
corpora cavernosa.
Damage to nerves, arteries, smooth muscles, and fibrous tissues is the most
common cause of ED.
Diseases—such as diabetes, kidney disease, chronic alcoholism, multiple

sclerosis, atherosclerosis, vascular disease, and neurologic disease—account
for about 70% of ED cases. Between 35 and 50 percent of men with diabetes
experience ED.
The same life habits that contribute to heart disease and vascular problems
also raise the risk of erectile dysfunction. Smoking, being overweight, and
avoiding exercise are possible causes of ED.
Surgery (especially radical prostate and bladder surgery for cancer) can injure
nerves and arteries near the penis, causing ED.
Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to ED
by harming nerves, smooth muscles, arteries, and fibrous tissues of the
corpora cavernosa.
Many common medicines - blood pressure drugs, antihistamines,

antidepressants, tranquillizers, appetite suppressants, and cimetidine—can
produce ED as a side effect.
Psychological factors such as stress, anxiety, guilt, depression, low self-

esteem, and fear of sexual failure may cause 10 to 20 percent of ED cases.
Other possible causes are smoking, which affects blood flow in veins and
arteries, and hormonal abnormalities, such as not enough testosterone.
ERECTILE DYSFUNCTION IN CHINESE MEDICINE
Erectile dysfunction is called Yang Wei [阳痿] in Chinese medicine.
Yang [阳] means “Yang”

[疒] is the radical indicating a “disease”
Wei [委] means “listless” or “withering”
Therefore, the term Yang Wei indicates a disease characterized by

“listlessness of Yang”. Interestingly, the ancient term for erectile
dysfunction was actually Yin Wei in which Yin refers to “Yin” as in “Yin-
Yang”. This difference in terminology is probably due to the fact that Yin in
Yin Wei refers to the penis that is called Yin Jing [阴茎] in Chinese,
which literally means “Yin Stem”.
In some passages, erectile dysfunction is also called Jin Wei 筋痿

literally “withering of Jin” in which “Jin” stands for Zong Jin 宗筋,
i.e. the “Ancestral Muscle” (penis).
In ancient times, erectile dysfunction was also sometimes called Jin
Wei [筋痿] which means “listlessness of the sinews”. This name is
probably related to the term Zong Jin [宗筋] (Ancestral Muscle or
Sinew) which was another term for the penis.
Su Wen chapter 44: “Avarice, disappointment, excessive desire and

excessive sexual activity cause weakness of the sinews leading to Jin
Wei.”
Chapter 70 of the “Su Wen” mentions erectile dysfunction (calling it

Yin Wei): “When the energy of Tai Yin predominates... … there is
erectile dysfunction from great decline of Qi with inability to rise.”
Chapter 44 of the “Su Wen”:
“When one is affected by desire without satisfaction and pursues outside
excessive goals, or when one engages in excessive sexual activity, the penis
[Zong Jin, Ancestral Muscle] will become slack causing erectile dysfunction
[Jin Wei] and seminal emissions.”
Chapter 5 of the “Su Wen”:

“At 60, there is impotence, a great deficiency of Qi and the orifices are
obstructed.”
Chapter 13 of the “Ling Shu” (on the Muscle channels):

“When the Muscle channel of the Jue Yin of the Leg [Liver] is diseased...the
sexual organ cannot be used.”
The “Complete Book of Jing Yue” (Jing Yue Quan Shu, 1624) relates the
aetiology of erectile dysfunction to emotional stress:
“Worry and pensiveness deplete [Qi], excessive worry leads to impotence.”

The “Complete Book of Jing Yue” (Jing Yue Quan Shu, 1624) relates the
aetiology of erectile dysfunction to emotional stress:
“Impotence in men is due to decline of Ming Men and Jing deficiency. Or it
may be due to overtaxing by the seven emotions and decline of Yang Qi.
Damp-Heat may infuse downwards so that the Ancestral Muscle [Zong Jin]
becomes slack and withers.”
The “Secret Formulae of the Border Official” (Wai Tai Mi Yao, 752 AD)
clearly relates erectile dysfunction to the Kidneys:
“The Kidneys control the lower orifices, overexertion injures the Kidneys, the
deficient Kidneys cannot control the lower orifices and erectile dysfunction
results.”
The Discussion of the Origin of Symptoms in Diseases (Zhu Bing

Yuan Hou Lun. AD 610) clearly related erectile dysfunction to the
Kidneys:
“The genitals are an orifice of the Kidneys, when these are injured by
overwork, the deficient Kidneys cannot nourish the genitals and erectile
dysfunction results.”
The Treatment according to Pattern Categories (Lei Zheng Zhi Cai) by
Lin Pei Qin (1839) says:
“Impotence [Yang Wei] is due loss of Jing from excessive [sexual]
desire, worry and pensiveness injuring the Shen, Damp-Heat infusing
downwards, the Ancestral Muscle becomes slack and impotence
results.”
The Ming Yi Za Zhu (1549):

“Impotence is due to decline of Ming Men and Jing Qi deficiency.”
The Mirror of Medicine Yi Jing (1641):

“In impotence, old men experience decline of Jing, young men loss of
will power [shi zhi 失志]. Impotence in young men is due to
mental-emotional dissatisfaction [zhi yi bu sui 志意不遂]
leading to depression so that Yang Qi withers.”
The Guide to Clinical Syndromes (Lin Zheng Zhi Nan, 1766)
says:
“When Yang Ming is deficient the Ancestral Muscle becomes
slack. The Stomach is the Sea of Food, if food intake is not
optimal Jing Qi becomes deficient. Men’s genitals are also
called ‘power’ [shi 势]. When Gu Qi is deficient, ‘power’
cannot harden and be raised.”
The Record of Pattern Identification (Bian Zhen Lu,1687):

“” Impotence is due to decline of Ming Men, how can it be due to
Heart-Qi deficiency? The Heart is Emperor Fire and the Minister
Fire follows it. Therefore in treating impotence one must tonify
both the Heart and Kidneys, when the Heart is calm the Kidneys
move.
The “Secret Record of the Brocade Bag” (Jin Nang Mi Lu Qing
dynasty),
“Impotence in young men is due to loss of will power [shi zhi 失
志], this causes stagnation so that it cannot tonify Yang. If there is
mental-emotional dissatisfaction [zhi yi bu sui 志意不遂],
Yang Qi cannot flow freely and depression ensues so that it causes
impotence.”
“Worry, pensiveness, fear and fright injure Spleen and Kidneys,

Central Qi [Zhong Qi] is weakened and impotence results.”
FACTORS AFFECTING ERECTION
Du Mai – Kidney-Yang – Minister Fire – Fire of Ming Men
Blood – Heart-Blood
Liver channel (Main, Luo, Muscle and Divergent) wraps around penis
Pathogenic factors such as Dampness, Blood stasis, stasis of Jing.
The Chong Mai influences erection in seven ways:
1) As the Sea of Blood
2) It is connected to the Post-Natal Qi
3) It is connected to the Pre-Natal Qi
4) It controls the Membranes (Huang)
5) It controls the Ancestral Muscle (Zong Jin)
6) It controls the Luo Mai in the penis
7) It allows communication between Heart and Kidneys

Erection Qi is needed for the penis to come up
depends on both
Qi and Blood. Blood because the corpus cavernosum needs
to fill with blood
Therefore, the Chong Mai can be used to treat erectile dysfunction.
For disharmony between Heart and Kidneys with Heart-Qi and

Heart-Blood not descending to the penis, I use:
opening and coupled points of the Chong Mai (SP-4 Gongsun on

the left and P-6 Neiguan on the right) and KI-12 Dahe, Ren-4
Guanyuan, Ren-15 Jiuwei, Ren-6 Qihai, BL-15 Xinshu and BL-23
Shenshu.
BL-15 tonifies and invigorates Blood (as the Heart governs Blood)
and promotes the descending of Heart-Blood down to the penis.
Ren-15 Jiuwei HEART BL-15 Xinshu
Heart-Qi and Blood

descend to Kidneys
and penis
ERECTION
Kidney-Qi ascends
to Heart and penis
Ren-4 Guanyuan BL-23 Shenshu

KIDNEYS
Du Mai – Kidney-Yang – Minister Fire – Fire of Ming Men
• Erection needs movement and action, which are Yang characteristics.

• Erection therefore needs Yang Qi deriving from Kidney-Yang the Fire of the
Gate of Life.
• A deficiency of Kidney-Yang and of the Minister Fire is a common cause of
erectile dysfunction in both young and old men.
Blood – Heart-Blood
The penis needs the action of the Heart for erection in two ways:
1) Heart-Qi must descend to the penis to promote erection in the same way
as Heart-Qi descends to the Uterus to promote menstruation.
2) The Heart governs Blood and the penis needs to fill with blood to achieve
an erection.
Liver channel (Main, Luo, Muscle and Divergent) wraps around penis
• It has an important influence on the penis as all its channels (Main, Luo,
Muscle and Divergent) wrap around the penis.
• Therefore, the Liver channel plays a role in the pathology of erection, for
example when it suffers from Qi stagnation or Dampness.
The Chong Mai influences erection in seven ways:
1) As the Sea of Blood it provides Blood to the penis (in this sense this
function of the Chong Mai occurs in synergy with that of the Heart).
2) It is the Sea of Channels and is closely connected to Post-Natal Qi of the

Stomach through ST-30 Qichong. Therefore the Chong Mai also provides the
Qi necessary for erection to occur.
3) It is also connected to the Pre-Natal Qi of the Kidneys. For erection to

occur, both Post-Natal Qi and Pre-Natal Qi are needed.
4) It controls the Membranes (Huang), most of the penis is part of the

Membranes.
5) It influences the Zong Jin (Ancestral Muscle) which is the penis.
6) It controls the Luo Mai in the penis which allow it to be filled with blood
when erect.
7) It assists the communication between Heart and Kidneys and therefore the
descending of Heart-Blood to the penis.
AETIOLOGY OF ERECTILE DYSFUNCTION IN CHINESE
MEDICINE
Chinese books generally discuss the following aetiological factors for

impotence:
a) Old age
b) Excessive sexual activity
c) Irregular diet
d) Emotional stress
e) Excessive physical activity
f) Overwork
a) OLD AGE
As a man gets older, the Kidney-Jing naturally declines and the Ming Men
gradually diminishes. It is in particular the decline of the Ming Men that
causes erectile dysfunction in the elderly.
b) EXCESSIVE SEXUAL ACTIVITY
It causes a decline of both the Kidney-Jing and of the Ming Men: the decline
of the latter may cause impotence.
Modern Chinese books always make a point of mentioning that excessive

masturbation also constitutes excessive sexual activity.
Whether or not sexual activity is “excessive” depends on the man’s age. A

very rough guideline is provided by dividing a man’s age by 5 to indicate the
frequency of sexual activity. For example, for a 40-year-old man the ideal
frequency would be once every 8 days (40 : 5 = 8). This is only if the man is
in good health: if he suffers from a Kidney deficiency, frequency should be
reduced.
Excessive frequency of ejaculation weakens the Kidneys; sexual activity

without ejaculation does not.
c) IRREGULAR DIET
Excessive consumption of greasy, fried food and of dairy foods may lead to
Dampness or Phlegm, both of which may affect the genital system and give
rise to impotence.
d) EMOTIONAL STRESS
Emotional stress is an important cause of erectile dysfunction in the patients

we see in Western countries.
All emotions may lead to Qi stagnation, starting a pathological process that
later involves some Heat and frequently Dampness or Phlegm.
Worry, grief and sadness particularly affect the Spleen and Heart and may
lead to erectile dysfunction from Heart-Blood deficiency.
Fear and anxiety affect the Kidneys and may lead to erectile dysfunction from
Kidney deficiency.
e) EXCESSIVE PHYSICAL ACTIVITY
Excessive physical activity (which may include excessive running or weight-

lifting in gym work) weakens Spleen- and Kidney-Yang and may lead to
erectile dysfunction from Kidney deficiency.
f) OVERWORK
Overwork is another very important cause of erectile dysfunction in

Western patients.
“Overwork” means working long hours without any rest for many years,
usually also under conditions of stress.
This weakens the Kidneys and particularly Kidney-Yin and is an important

cause of erectile dysfunction in middle-aged men.
PATHOLOGY OF ERECTILE DYSFUNCTION IN CHINESE
MEDICINE
It is important to differentiate Full from Empty conditions and the main

pathogenic factors involved.
Full Empty
Dampness Heart-Blood deficiency

Phlegm Heart- and Gall-Bladder-Qi deficiency
Blood stasis Kidney-Yang deficiency
Stasis of Jing Liver-Blood deficiency
Kidney-Yin deficiency
Most common pathologies of erectile dysfunction
according to age
Age Dampness Phlegm Blood Jing Heart- Kidney- Kidney-Yin Liver-

Stasis Stasis Blood Yang deficiency blood
deficiency deficiency deficiency
20-
30
31-
40
41-
50
51-
60
61-
70
71-
80
In China, primary importance is always given to a Kidney deficiency (and
particularly Kidney-Yang) as a cause of impotence.
In young and middle-aged men, a Heart pathology is a more common cause
of impotence.
This is due to emotional stress causing Heart-Qi stagnation or Heart-Blood
deficiency so that Heart-Qi and Heart-Blood fail to descend to the penis and
Heart-Blood fails to fill the penis with blood for erection to occur.
The main organs involved are:
Kidneys Liver Heart

Store the Jing and the • its channels all wrap • Heart-Qi must descend to
Fire of Ming Men. around the penis; communicate with the Kidneys.
• stores Blood and • Heart-Blood must descend to
provides the Blood to the coordinate with the Kidneys.
penis • Heart-Blood provides Blood to
the penis.
Pathogenic factors: Dampness, Blood stasis, stasis of Jing, Phlegm
In Full conditions pathogenic factors obstructing the process that

leads to an erection.
Dampness and Phlegm (usually deriving from irregular diet)

obstruct the Luo Mai of the penis and prevent erection.
Blood and Jing stasis (usually deriving from emotional stress and
overwork) also obstruct the Luo Mai of the penis and in particular
the Blood (Deep) Luo Mai, making erection difficult.
Dampness affecting the penis usually stems from the Spleen, Kidney
and Liver channels.
In men stasis of Jing is the equivalent of Blood stasis in women. The clinical
manifestations are:
Stabbing pain in the lumbar region

Pain in perineum
Hypogastric pain
Pain in testis and/or penis
Impotence
Premature ejaculation
Priapism
Prostatic hypertrophy
Premature greying of hair
Itching or pain in the pubic region
Abnormal sperm
Peyronie’s disease
Purple tongue
Choppy or Firm pulse.
Phlegm is a common pathology of men’s genital system in the same way that
it is for the Uterus. In men, the main genital conditions manifesting with
Phlegm are as follows:
Priapism
Sweaty genitals
Prostatic hypertrophy
Impotence
Peyronie’s disease
Slippery pulse
Swollen tongue
IDENTIFICATION OF PATTERNS AND TREATMENT
Kidney-Yang deficiency
Kidney-Yin deficiency
Liver-Blood deficiency
Heart-Blood deficiency
Heart and Gall-Bladder Qi deficient
Heart and Kidneys not Communicating (Qi)
Heart and Kidneys not Communicating (Yin)
Liver-Qi stagnation
Damp-Heat in the Lower Burner
Damp-Heat in Liver channel
Stasis of Jing and Phlegm
a) KIDNEY-YANG DEFICIENCY
Clinical manifestations
Impotence, low libido, premature ejaculation, lower backache, dizziness,
tinnitus, frequent-pale urination, nocturia, feeling cold, cold lower back
and knees.
Tongue: Pale
Pulse: Deep-Weak.
Treatment principle
Tonify and warm Kidney-Yang, strengthen the Du Mai.
Acupuncture
BL-23 Shenshu, BL-20 Pishu, S.I.-3 Houxi with BL-62 Shenmai,
Du-20 Baihui, Ren-6 Qihai, Ren-4 Guanyuan, Ren-3 Zhongji, KI-3
Taixi. All with reinforcing method.
Herbal therapy
GUI LU BU SHEN TANG
Plastrum Testudinis-Cornu Cervi Tonifying the Kidneys Decoction
Explanation
This formula tonifies and warms Kidney-Yang. The presence of animal
ingredients directs this formula to the genital system and the
extraordinary vessels. Lu Jiao Jiao nourishes the Du Mai and Gui Ban
Jiao the Ren and Chong Mai.
GUI LU BU SHEN TANG
Plastrium Testudinis-Cornu Cervi Tonifying the Kidneys Decoction
Lu Jiao Jiao Gelatinum Cornu Cervi 9 g

Gui Ban Jiao Colla Plastri Testudinis 9 g
Gou Qi Zi Fructus Lycii chinensis 6 g
Rou Cong Rong Herba Cistanches 6 g
Huang Qi Radix Astragali 9 g
Shu Di Huang Radix Rehmanniae preparata 6 g
Yin Yang Huo Herba Epimidii 6 g
Yi Zhi Ren Fructus Alpiniae oxypyllae 6 g
Ba Ji Tian Radix Morindae officinalis 6 g
Prescription
YOU GUI WAN
Restoring the Right [Kidney] Pill
Explanation
This formula tonifies Kidney-Yang and strengthens the Governing
Vessel.
Prescription
FU MING SHENG HUO DAN
Assisting the Ming Men and Generating Fire Pill
Explanation
This formula tonifies and strongly warms Kidney-
Yang. It is much hotter in energy than the previous
two formulae. Please note that it contains Fu Zi
Radix Aconiti lateralis preparata the use of which is
not allowed in countries of the European Union.
FU MING SHENG HUO DAN
Assisting the Ming Men and Generating Fire Pill
Ren Shen Radix Ginseng 6 g

Shan Zhu Yu Fructus Corni 6 g
Fu Zi Radix Aconiti lateralis preparata 3 g
Rou Gui Cortex Cinnamomi 3 g
Huang Qi Radix Astragali 6 g
Lu Rong Cornu Cervi pantotrichum 6 g
Long Gu Mastodi Ossis fossilia 9 g
Suan Zao Ren Semen Ziziphi spinosae 6 g
Bai Zhu Rhizoma Atractylodis macrocephalae 6 g
Wu Wei Zi Fructus Schisandrae 6 g
Du Zhong Cortex Eucommiae ulmoidis 6 g
Prescription
ZAN YU TANG
Supporting Fertility Decoction
Explanation
This formula tonifies and warms Kidney-Yang and nourishes Liver-
Blood: it is specific for the genital system.
Prescription
WU ZI YAN ZONG WAN
Five-Seed Developing Ancestors Pill
Explanation
This formula tonifies the Kidneys and benefits the Jing: it is balanced
between Kidney-Yin and Kidney-Yang. It is also astringent and it is
therefore suitable to treat premature ejaculation as well as impotence.
Prescription
ZHUANG HUO DAN
Strengthening Fire Pill
Explanation
This formula tonifies and warms Kidney-Yang, strengthens the Ming
Men and calms the Mind.
ZAN YU TANG WU ZI YAN ZONG WAN
Supporting Fertility Decoction Five-Seed Developing Ancestors Pill
Shu Di Huang Radix Rehmanniae preparata 9 g Tu Si Zi Semen Cuscutae 12 g

Bai Zhu Rhizoma Atractylodis macrocephalae 6 g Wu Wei Zi Fructus Schisandrae 3 g
Dang Gui Radix Angelicae sinensis 6 g Gou Qi Zi Fructus Lycii chinensis 6 g
Gou Qi Zi Fructus Lycii chinensis 6 g Fu Pen Zi Fructus Rubi 6 g
Du Zhong Cortex Eucommiae ulmoidis 6 g Che Qian Zi Semen Plantaginis 3 g
Xian Mao Rhizoma Curculiginis 6 g
Xian Ling Pi Herba Epimidii 6 g
She Chuang Zi Fructus Cnidii 4.5 g
Jiu Cai Zi Semen Allii tuberosi 6 g
ZHUANG HUO DAN
Strengthening Fire Pill

Fu Zi Radix Aconiti lateralis preparata 3 g
Fu Ling Poria 6 g
Wu Wei Zi Fructus Schisandrae 6 g
Bai Zi Ren Semen Platycladi 6 g
Shan Yao Rhizoma Dioscoreae 6 g
Huang Bo Cortex Phellodendri 6 g
Long Gu Mastodi Ossis fossilia 9 g
b) KIDNEY-YIN DEFICIENCY
Erectile dysfunction in the elderly, lower backache, dizziness,
tinnitus, scanty-dark urine, night-sweating, insomnia.
Tongue: without coating; also Red if there is Empty Heat.
Pulse: Floating-Empty.
Treatment principle
Nourish Kidney-Yin, strengthen the Ren and Chong Mai.
Acupuncture
BL-23 Shenshu, BL-18 Ganshu, S.I.-3 Houxi with BL-62 Shenmai,
Du-20 Baihui, Ren-6 Qihai, Ren-4 Guanyuan, Ren-3 Zhongji, KI-3
Taixi, LU-7 Lieque with KI-6 Zhaohai. All with reinforcing method.
Herbal therapy
DI LONG TANG
Pheretima Decoction
Explanation
This formula nourishes Kidney-Yin and the Ren and
Chong Mai. Di Long treats erectile dysfunctionand it is
particularly indicated in the elderly.
Prescription
ZUO GUI WAN
Restoring the Left [Kidney] Pill
Explanation
This formula nourishes Kidney- and Liver-Yin.
Three Treasures remedy

Nourish the Root or Growing Jade (Women’s Treasure).
Both Nourish the Root and Growing Jade nourish Kidney-
Yin: the latter also nourishes the Ren and Chong Mai.
DI LONG TANG
Pheretima Decoction
Di Long Pheretima 6 g
Tu Si Zi Semen Cuscutae 6 g
Tian Men Dong Radix Asparagi 6 g
Gui Ban Jiao Colla Plastri Testudinis 6 g
Mu Li Concha Ostreae 12 g
Mu Dan Pi Cortex Moutan 6 g
c) LIVER-BLOOD DEFICIENCY
Impotence, premature ejaculation, dizziness, blurred vision,
depression, insomnia, numbness of limbs.
Tongue: Pale and Thin.
Pulse: Choppy or Fine.
Treatment principle
Nourish Liver-Blood.
Acupuncture
LU-7 Lieque with KI-6 Zhaohai, BL-18 Ganshu, Ren-4
Guanyuan, LIV-8 Ququan, ST-36 Zusanli, SP-6 Sanyinjiao,
Ren-3 Zhongji, BL-34 Xialiao. All with reinforcing
method.
Herbal therapy
SHAO YAO GAN CAO TANG JIA WEI
Augmented Dioscorea-Glycyrrhiza Decoction
Explanation
This formula nourishes Liver-Blood.
SHAO YAO GAN CAO TANG JIA WEI
Augmented Paeonia-Glycyrrhiza Decoction
Bai Shao Radix Paeoniae alba 9 g

Zhi Gan Cao Radix Glycyrrhizae uralensis preparata 6 g
Dang Gui Radix Angelicae sinensis 9 g
Huang Jing Rhizoma Polygonati 6 g
Wu Wei Zi Fructus Schisandrae 4.5 g

Precious Sea
Precious Sea nourishes Liver-Blood and tonifies Qi and Blood in
general.
d) HEART-BLOOD AND SPLEEN-QI DEFICIENCY
Impotence, premature ejaculation, palpitations, dizziness,
depression, insomnia, Pale tongue, Choppy pulse.
Treatment principle
Nourish Heart-Blood, calm the Mind.
Acupuncture
HE-7 Shenmen, HE-5 Tongli, BL-15 Xinshu, S.I.-3 Houxi
with BL-62 Shenmai, Du-24 Shenting, Ren-15 Jiuwei, Ren-
4 Guanyuan, Ren-6 Qihai, Ren-3 Zhongji, BL-34 Xialiao.
All with reinforcing method.
Herbal therapy
GUI PI TANG
Tonifying the Spleen Decoction
Explanation
This formula nourishes Heart-Blood and calms the Mind.
Prescription
QI FU YIN
Seven Happiness Decoction
Explanation
This formula tonifies Heart-Qi and Heart-Blood and calms the Mind.

Calm the Shen
Calm the Shen nourishes Heart-Blood and calms the Mind:
it is a variation of Gui Pi Tang Tonifying the Spleen
Decoction.
QI FU YIN
Seven Happiness Decoction

Yuan Zhi Radix Polygalae 6 g
e) HEART AND GALL-BLADDER QI DEFICIENCY
Impotence, premature ejaculation, depression, timidity, sighing, insomnia,
palpitations, easily startled.
Tongue: Pale
Pulse: Weak.
Treatment principle
Tonify the Heart and Gall Bladder, lift mood, calm the Mind.
Acupuncture
HE-7 Shenmen, HE-5 Tongli, BL-15 Xinshu, G.B.-40 Qiuxu, Ren-6 Qihai,
Du-20 Baihui, ST-36 Zusanli, SP-6 Sanyinjiao, S.I.-3 Houxi with BL-62
Shenmai, Ren-3 Zhongji, BL-34 Xialiao. All with reinforcing method
Herbal therapy
DA BU YUAN JIAN
Great Tonifying the Original [Qi] Decoction
Explanation
This formula strengthens the Yuan Qi and tonifies the Heart, Liver and Kidneys.
Three Treasure remedy

Breaking Clouds
Breaking Clouds tonifies and lifts Qi and lifts mood.
DA BU YUAN JIAN
Great Tonifying the Original [Qi] Decoction

Du Zhong Cortex Eucommiae ulmoidis 9 g
f) HEART AND KIDNEYS NOT COMMUNICATING (Heart-
and Kidney-Qi Deficiency)
Impotence, premature ejaculation, dizziness, tinnitus, palpitations,
lower backache, depression, pale face.
Tongue: Pale.
Pulse: Deep-Weak.
Treatment principle
Tonify Kidney- and Heart-Qi, calm the Mind.
Acupuncture
HE-7 Shenmen, HE-5 Tongli, BL-15 Xinshu, KI-7 Fuliu,
KI-3 Taixi, BL-23 Shenshu, Ren-4 Guanyuan, Ren-15
Jiuwei, Du-24 Shenting, Du-20 Baihui, S.I.-3 with BL-62.
All with reinforcing method.
Herbal therapy
GUI PI TANG plus JIN SUO GU JING WAN
Tonifying the Spleen Decoction plus Metal Lock
Consolidating the Jing Pill
Explanation
The first formula tonifies the Heart while the latter one
tonifies the Kidneys and stabilizes the Jing.
Prescription
XUAN ZHI TANG
Diffusing the Zhi Decoction
Explanation
This formula tonifies the Kidneys, makes Heart-Qi
descend, establishes the communication between Heart and
Kidneys and calms the Mind.
XUAN ZHI TANG
Diffusing the Will-Power Decoction
Fu Ling Poria 6 g
Shi Chang Pu Rhizoma Acori tatarinowii 6 g
Gan Cao Radix Glycyrrhizae uralensis 6 g
Chai Hu Radix Bupleuri 4.5 g
Prescription
QI YANG YU XIN DAN
Opening Yang and Pleasing the Heart Pill
Explanation
This formula tonifies the Kidneys, makes Heart-Qi descend
and calms the Mind.

Calm the Shen plus Strengthen the Root.
Calm the Shen, a variation of Gui Pi Tang, tonifies the
Heart and calms the Mind. Strengthen the Root tonifies
Kidney-Yang.
QI YANG YU XIN DAN
Opening Yang and Pleasing the Heart Pill

Fu Shen Sclerotium Poriae pararadicis 6 g
Shi Chang Pu Rhizoma Acori tatarinowii 6 g
Chen Pi Pericarpium Citri reticulatae 4.5 g
Sha Ren Fructus Amomi 4.5 g
Chai Hu Radix Bupleuri 4.5 g
Tu Si Zi Semen Cuscutae 6 g
Shen Qu Massa medicata fermentata
g) HEART AND KIDNEYS NOT COMMUNICATING (Heart- and
Kidney-Yin Deficiency)
erectile dysfunction in the elderly, 5-palm heat, dizziness,
tinnitus, night-sweating, palpitations, lower backache,
depression, palpitations, insomnia, poor memory.
Tongue: without coating, also Red if there is Empty Heat.
Pulse: Floating-Empty.
Treatment principle
Nourish Heart- and Kidney-Yin, calm the Mind.
Acupuncture
HE-7 Shenmen, Ren-15 Jiuwei, S.I.-3 Houxi with BL-62
Shenmai, BL-23 Shenshu, Ren-4 Guanyuan, KI-3 Taixi,
SP-6 Sanyinjiao. All with reinforcing method.
Herbal therapy
ZHI BO DI HUANG WAN plus JIN SUO GU JING WAN
Anemarrhena-Rehmannia Pill plus Metal Lock
Consolidating the Jing Pill
Explanation
The first formula nourishes Kidney-Yin and clears Empty
Heat; the second one firms and stabilizes the Jing.

Heavenly Empress (Women’s Treasure).
Heavenly Empress nourishes Kidney- and Heart-Yin and
calms the Mind.
h) LIVER-QI STAGNATION
erectile dysfunction in the young that fluctuates according to the
emotional state, premature ejaculation, abdominal distension,
irritability, moodiness, depression.
Tongue: normal-coloured or slightly Red on the sides.
Pulse: Wiry.
Treatment principle
Pacify the Liver, move Qi, eliminate stagnation.
Acupuncture
LIV-3 Taichong, G.B.-34 Yanglingquan, P-6 Neiguan, Ren-6 Qihai,
Ren-3 Zhongji, LIV-5 Ligou, G.B.-13 Benshen, Du-24 Shenting. All
with reducing or even method.
Herbal therapy
XIAO YAO SAN Variation
Free and Easy Wanderer Powder Variation
Explanation
This variation of Xiao Yao San pacifies the Liver, moves Qi and eliminates
stagnation. It has been modified to deal with Liver-Qi stagnation in the
Lower Burner.
XIAO YAO SAN Variation
Free and Easy Wanderer Powder Variation
Chai Hu Radix Bupleuri 9 g

Fu Ling Poria 15 g
Zhi Ke Fructus Aurantii 6 g
Yu Jin Radix Curcumae 6 g
Qing Pi Pericarpium Citri reticulatae viride 4.5 g
Chen Pi Pericarpium Citri reticulatae 6 g
Xiang Fu Rhizoma Cyperi 6 g
Chuan Lian Zi Fructus Toosendan 3 g
Sheng Jiang Rhizoma Zingiberis recens 3 slices

Release Constraint
Release Constraint pacifies the Liver, moves Qi, eliminates
stagnation, calms the Mind and settles the Hun.
i) DAMP-HEAT IN LOWER BURNER
Impotence, difficult-painful urination, turbid urine, itching of
genitals, urethral discharge
Tongue: sticky-yellow coating with red spots on root
Pulse: Slippery.
Treatment principle
Resolve Dampness and clear Heat from the Lower Burner.
Acupuncture
SP-4 Gongsun with P-6 Neiguan, LU-7 Lieque with KI-6 Zhaohai,
LIV-5 Ligou, LIV-3 Taichong, LIV-1 Dadun, SP-9 Yinlingquan,
SP-6 Sanyinjiao, Ren-9 Shuifen, BL-22 Sanjiaoshu, Ren-2 Qugu,
Ren-3 Zhongji, BL-34 Xialiao. All with even method.
Herbal therapy
BI XIE FEN QING YIN
Dioscorea Separating the Clear Decoction
Explanation
This formula resolves Dampness in the Lower Burner and in the
genital system.
Prescription
ZHI BO DI HUANG WAN
Anemarrhena-Phellodendron-Rehmannia Pill
Explanation
This formula resolves Damp-Heat from the Lower Burner and
tonifies the Kidneys. It is therefore indicated in chronic cases when
Dampness is associated with a background of Kidney deficiency.

Separate Clear and Turbid
Separate Clear and Turbid is a variation of Bi Xie Fen Qing Yin
that resolves Dampness from the Lower Burner and the genital
system.
j) DAMP-HEAT IN LIVER CHANNEL
Impotence, difficult-painful urination, rash external genitalia, irritability.
Tongue: Red sides and sticky-yellow coating with red spots on the root
Pulse: Wiry.
Treatment principle
Resolve Dampness and clear Heat from the Lower Burner, clear the Liver.
Acupuncture
SP-4 Gongsun with P-6 Neiguan, LU-7 Lieque with KI-6 Zhaohai, SP-9
Yinlingquan, SP-6 Sanyinjiao, Ren-9 Shuifen, BL-22 Sanjiaoshu, Ren-2
Qugu, Ren-3 Zhongji, BL-34 Xialiao, LIV-5 Ligou, LIV-1 Dadun, LIV-3
Taichong. All with reducing or even method.
Herbal therapy
QING GAN LI SHI TANG
Clearing the Liver and Eliminating Dampness Decoction
Explanation
This formula eliminates Damp-Heat from the Lower
Burner and specifically from the Liver channel.
LONG DAN XIE GAN TANG

Gentiana Draining the Liver Decoction
Explanation
This formula resolves Damp-Heat from the Liver channel in
the Lower Burner.
Drain Fire
Drain Fire resolves Damp-Heat from the Liver channel in the Lower
Burner.
QING GAN LI SHI TANG
Clearing the Liver and Eliminating Dampness Decoction
Huang Bo Cortex Phellodendri 9 g

Huang Qin Radix Scutellariae 6 g
Qu Mai Herba Dianthi 6 g
Bian Xu Herba Polygoni avicularis 6 g
Hua Shi Talcum 6 g
Shan Zhi Zi Fructus Gardeniae 6 g
Che Qian Zi Semen Plantaginis 6 g
Mu Tong Caulis Akebiae trifoliatae 3 g
Chai Hu Radix Bupleuri 6 g
Yin Chen Hao Herba Artemisiae scopariae 6 g
She Chuang Zi Fructus Cnidii 6 g
Wang Bu Liu Xing Semen Vaccariae 6 g
Jin Qian Cao Herba Lysimachiae/Desmodii 6 g
NOTE: We cannot use Mu Tong

k) STASIS OF JING AND PHLEGM
Impotence, pain in the testis and perineum, hypogastric pain,
premature greying of hair, abnormal sperm (motility, shape, etc.),
feeling of oppression of the chest, urethral discharge. Tongue:
Purple and Swollen with a sticky coating.
Pulse: Firm-Slippery.
Treatment principle
Invigorate Blood and the Jing, eliminate stasis, resolve Phlegm.
Acupuncture
SP-4 Gongsun with P-6 Neiguan, KI-14 Siman, ST-28 Shuidao,
Ren-3 Zhongji, BL-34 Xialiao, LIV-5 Ligou, LIV-3 Taichong, SP-
10 Xuehai, ST-40 Fenglong, SP-9 Yinlingquan, Ren-9 Shuifen, BL-
22 Sanjiaoshu. All with reducing or even method.
Herbal therapy
HUO XUE TONG JING TANG
Invigorating Blood and Penetrating the Jing Decoction
Explanation
This formula invigorates Blood and the Jing.

Clear the Root
Clear the Root resolves Phlegm, drains Fire and invigorates
Blood in the genital system.
HUO XUE TONG JING TANG
Invigorate Blood and Penetrate the Jing Decoction

He Shou Wu Radix Polygoni multiflori preparata 6 g
Yi Mu Cao Herba Leonuri 6 g
Ji Xue Teng Caulis Spatholobi 6 g
Chuan Niu Xi Radix Cyathulae 6 g
Xue Jie Resina Demonoropis 6 g
Pu Huang Pollen Typhae 6 g
Tao Ren Semen Persicae 6 g
Wang Bu Liu Xing Semen Vaccariae 6 g
l) STOMACH AND SPLEEN DEFICIENCY
Impotence, tiredness, poor appetite, feeling of bearing down, loose
stools, desire to lie down
Tongue: Pale.
Pulse: Weak.
Treatment principle
Tonify Stomach and Spleen, raise Qi.
Acupuncture
Du-20 Baihui, Ren-12 Zhongwan, Ren-6 Qihai, Ren-4 Guanyuan,
BL-20 Pishu, BL-21 Weishu. SI-3 Houxi with BL-62 Shenmai.
Herbal therapy
BU ZHONG YI QI TANG
Explanation
This formula tonifies Stomach and Spleen and raises Qi.

Breaking Clouds
Breaking Clouds is a variation of Bu Zhong Yi Qi Tang and

it treats mental depression.
m) BLOOD STASIS
Impotence, pain in the lumbar region, pain in perineum,
hypogastric pain, pain in testis and/or penis.
Tongue: Purple
Pulse: Choppy or Firm.
Treatment principle
Invigorate Blood, eliminate stasis.
Acupuncture
SP-4 Gongsun with P-6 Neiguan, KI-14 Siman, LIV-3 Taichong,
SP-10 Xuehai, Ren-6 Qihai.
Herbal therapy
GE XIA ZHU YU TANG
Eliminating Stasis below the Diaphragm Decoction
Explanation
This formula eliminates Blood stasis in the Lower Burner.

Stir Field of Elixir
Stir Field of Elixir is a variation of Ge Xia Zhu Yu
Tang.
EXERNAL TREATMENT
This is an external treatment for erectile dysfunction from a modern

Chinese book. The treatment is based on ointments to be rubbed into
the penis once a day.
EXTERNAL TREATMENT FORMULAE
a) Wu Wei Zi 6g, Huang Qi 6g, Liu Huang 3g, Chuan Shan Jia
2g, Fu Zi 3g, She Xiang 0.3g.
b) Fu Zi 45g, Chuan Shan Jia 3g, Liu Huang 6g, E Jiao 1.5g,
She Xiang 0.3g.
c) Gu Jing Zi 9g, Tian Men Dong 9g, Yuan Zhi 9g, Sheng Di
Huang 9g, Shu Di Huang 9g, Chuan Niu Xi 9g, She Chuang Zi
9g, Tu Si Zi 9g, Lu Rong 9g, Rou Cong Rong 9g, Xu Duan
9g, Xing Ren 9g.
THE 6 EXTRA FU AND ERECTILE DYSFUNCTION. Dr Zhang
Xiao Chu
The 6 Extra Fu are related to the Ming Men and therefore erectile
dysfunction.
The Gall Bladder controls the ascending of Qi and it influences

erection. The Blood Vessels influence the genitals because they
blood vessels wrap and bind around the male genitals. The Brain,
Marrow and Bones are all derived from Kidney-Essence and they
all influence the sexual function.
SEA OF MARROW
Excess: Full of vigour, great physical strength.

Deficiency: Dizziness, tinnitus, weak legs, blurred vision, desire to lie down.
Points: DU-20 (upper), DU-16 (lower).
The “vigour” or fullness of the Sea of Marrow includes sexual vigour;

therefore deficiency of the Sea of Marrow also includes erectile dysfunction.
The Qi of the 5 Zang and 6 Fu ascends to and nourishes the Brain. Therefore
a deficiency of the Zangfu (from emotional stress and overwork) weakens the
Marrow and Brain and this affects the sexual function.
Sea of Marrow
The Du Mai starts in between the

kidneys where the Dong Qi throbs,
it goes to the uterus and the pubic
bone.
In women, it flows around the

vagina, passes to the perineum, then
the buttocks to meet the Kidney and
Bladder channels in the thighs.
In men, it flows around the penis

and goes to the perineum.
The Marrow and Brain have a Yin and Yang aspect and a
deficiency of either may cause erectile dysfunction.
Prescription for erectile dysfunction from Yin Xu of Marrow and

Brain
Walnuts (because they have the shape of a brain) 10g

Egg yolk (because they have the colour of a brain) 1 egg
Shu Di Huang 15g
Bei Sha Shen 15g
Gou Qi Zi 12g
Sha Ren 2g
Ze Xie 10g
Can Yong (silkworm chrysalis) 10g (warms and nourishes Marrow
and boosts sexual function)
Foods: monkey brain (!), venison, royal jelly, sea cucumber
(Oloturia), eel.
Prescription for erectile dysfunction from Yang Xu of Marrow and
Brain
When the Marrow and Brain suffer from Yang Xu, the Ming Men
declines, the Du Mai is weak, the genitals are not warmed and they
fail.
Zi He Che 4g
Lu Rong 1g
Sheng and Shu Di Huang 15g (each)
Shan Zhu Yu 10g
Gou Qi Zi 10g
Tu Si Zi 30g
Shan Yao 15g
Fu Ling 10g
Fu Zi 10g
Feng Fang 3g
FOODS: seal penis, deer kidney, gecko, dog’s kidney.
ACUPUNCTURE: Du-20 and Du-4 each 7-15 moxa cones.
Prescription for erectile dysfunction from Xu of Marrow and Blood stasis
In chronic cases, there is Qi stagnation and Blood stasis. Treatment principle
is to eliminate stagnation, invigorate Blood, open obstructions, tonify Yang of
Marrow.
Shi Chang Pu 6g
Chuan Xiong 10g
Yu Jin 10g
Yuan Zhi 10g
Chi Shao 10g
Dang Gui 10g
Huang Qi 20g
Tu Si Zi 20g
Yin Yang Huo 15g
Ci Shi 15g
THE TRIPLE BURNER AND ERECTILE
DYSFUNCTION
Nan Jing, chapter 66: “Below the umbilicus the Motive Force (Dong Qi)
throbs: this is the source of life.”
It is the root of the 12 channels and that is why it is called the Yuan.
The Triple Burner allows the Yuan Qi to separate into its different
manifestations [roles], it controls the movement of the three Qi [Yuan,
Ying and Wei] and it spreads to the 5 Zang and 6 Fu.”
The Food Essences of the Stomach and Spleen enter the Internal
Organs and they enter the Brain upwards and irrigate the Ancestral
Muscle (Zong Jin) downwards.
ST-SP
Therefore, if the Triple Burners Qi transformation is normal, the
Food Essences are spread normally, the Water Passages are open,
the Yuan Qi spreads to the 12 channels normally, the Essence of the
Zangfu is abundant, the Sea of Marrow is full, the Ancestral Muscle
is irrigated and the sexual function is normal.
If the Upper Burner is obstructed, Lung-Qi cannot

descend and the Ancestral Muscle cannot function
properly.
If the Middle Burner is obstructed, Dampness
accumulates and the Ancestral Muscle is too relaxed
(flaccid).
If the Lower Burner is obstructed, Liver-Qi stagnates,
Kidney-Qi is deficient, the urinary and genital orifices are
not open, the Ancestral Muscle cannot extend and the
sexual function is compromised.
When the Triple Burner is obstructed, the tongue coating is thick.

The treatment principle is to dissolve accumulation, eliminate
stagnation, regulate the Qi Mechanism, so that the Three Burners are
free, the Ancestral Muscle is functional and the sexual function is
normal.
Prescription for obstruction of the Three Burners and Yang Xu of
Marrow
Zi Su Ye 3g
Su Zi 10g
Xing Ren 10g
Yi Yi Ren 12g
Ban Xia 10g
Chen Pi 6g
Zhi Shi 10g
Shi Chang Pu 6g
Jiu Xiang Chong 九香虫 6g
Yin Yang Huo 15g
Qi Cao 虫齐螬2g
Luo Shi Teng 10g
DO NOT OVEREMPHASIZE YANG XU IN ERECTILE DYSFUNCTION AND
PREMATURE EJACULATION. OFTEN YIN XU. Dr Fang Yao Zhong.
Premature ejaculation may be due to:
1) excessive sexual desire
2) emotional stress agitating Heart-Fire (when Heart-Fire is agitated,

the Minister Fire is agitated and premature ejaculation results)
3) excessive consumption of greasy foods leading to Dampness, then

Damp-Heat and Heat injuring Yin.
Dr Fang says that erectile dysfunction and premature ejaculation are

due to Yin Xu more than Yang Xu. He also says that:
in young men it is
more due to Yin Xu in old men, more to
with excessive sexual Yang Xu with
desire deficient sexual desire.
Dr Fang uses variation of Zhi Bo Di Huang Wan to treat erectile dysfunction

and premature ejaculation from Yin Xu.
DAMP-HEAT AND ERECTILE DYSFUNCTION by Dr Zhao Jin Ze
Most doctors attribute erectile dysfunction to a Kidney deficiency but Damp-

Heat plays an important and frequent part in it. Chapter 3 Sheng Qi Tong
Tian Lun 生气通天论 of the “Su Wen” says:
“When Damp-Heat accumulates, the large

sinews are shortened resulting in
“restriction” and the small sinews are
slackened resulting in impotence.”
The penis is influenced by the Liver channel and it is the place where the
Ancestral Muscle gathers: when Damp-Heat affects it, the Ancestral Muscle
becomes flaccid and erectile dysfunction results. Sinews and blood vessels
are involved in the pathology of erectile dysfunction as the Liver controls the
sinews and blood vessels wrap around the genitals.
The treatment principle is to move Liver-Qi, resolve Dampness and clear

Heat.
Use variations of Long Dan Xie Gan Tang plus Da Huang.
12 METHODS OF TREATING JING FOR ERECTILE
DYSFUNCTION
1. Tonify Qi and nourish Jing. Used for erectile dysfunction or premature

ejaculation against a background of Qi-Blood Xu. Under such
conditions, premature ejaculation is called “Liu Jing”, i.e, slippery Jing.
Decreased sexual desire, frequent urination, cold genitals, cold sweating
after sexual intercourse, dilute sperm. Ren Shen, Huang Qi, Dang Shen,
Tai Zi Shen, Shan Yao, Bai Zhu, Fu Zi, Lu Jiao Shuang, Sang Piao Xiao,
Ba Ji Tian.
2. Nourish Blood and Jing. Dang Gui, Shu Di Huang, He Shou Wu, Bai Shao,
E Jiao, Lu Jiao Jiao, Gou Qi Zi, Zi He Che, Ji Xue Teng.
3. Tonify the Kidneys and nourish Jing. Fu Zi, Rou Gui, Lu Rong, Ba Ji
Tian, Xian Mao, Yin Yang Huo, Sha Yuan Zi, Lai Fu Zi, Zi He Che, Hai
Ma, Suo Yang, Rou Cong Rong.
4. Restrain Qi (lift) and astringe Jing. Used when Yuan Qi is weak and there is
leakage of sperm such as nocturnal emissions or premature ejaculation.
Huang Qi, Ren Shen, Qian Shi, Lian Xu, Jin Ying Zi, Yi Yi Ren, Shan Yao,
Shan Zhu Yu, Bai Shao, Wu Wei Zi, Wu Bei Zi, Long Gu, Mu Li, Bu Gu
Zhi.
5. Tonify the Heart and supplement Jing. Used when there is Heart-Blood
Xu. Nocturnal emissions, premature ejaculation, impotence. Zhang Jing Yue:
“Jing is stored in the Kidneys but it is governed by the Heart; when Jing is
discharged pathologically, it is due to the Heart.” Wu Wei Zi, Li Zhi Rou,
Long Yan Rou, Suan Zao Ren, Ren Shen, Huang Qi, Hu Po, Dang Gui, Zi He
Che.
6. Move Liver-Qi and supplement Jing. Used for Liver-Qi stagnation

affecting the penis. Chai Hu, Bai Shao (in large quantity 30-60 g), Chuan
Lian Zi, Li Zhi He, Ju He, Wu Yao, Xiang Fu, Qing Pi, Yu Jin, Ju Hua, Gou
Qi Zi, Shan Zhu Yu.
7. Resolve Phlegm, eliminate stagnation and nourish Jing. Used for Phlegm
and Qi stagnation in the genital system. Used for penis and prostate problems
such as Peyronie’s disease and benign prostatic hypertrophy. Bai Bu, Bai Ji,
Bai Wei, Shan Ci Gu, Jiang Can, Mu Dan Pi, Di Gu Pi, Mu Li, Bie Jia, Gui
Ban, Di Long, Bai Jie Zi, Ze Lan, Pei Lan, Bai Dou Kou, Shan Zha.
8. Eliminate Toxin and nourish Jing. Damp-Heat and Toxic Heat in the genital
system. Prostatitis, epididimytis, swollen scrotum. Bian Xu, Qu Mai, Pu
Gong Ying, Bai Hua She She Cao, Dong Kui Zi, Bi Xie, Yi Yi Ren, Jin Yin
Hua,
9. Invigorate Blood and penetrate Jing. For Blood stasis in the genital system.
Prostatic hypertrophy, carcinoma of prostate, Peyronie’s disease, Ejaculation
problems such a premature or absence of it. Dang Gui, Ji Xue Teng, Yi Mu
Cao, Chuan Niu Xi, Chong Wei Zi, He Shou Wu, Gou Ji, Bu Gu Zhi, Xu
Duan, Tao Ren, Hong Hua, Dan Shen, Xue Jie.
10. Stop bleeding and nourish Jing.
11. Make Qi descend and return Jing. Used in rebellious Qi of the Chong
Mai. Problems of ejaculation, absence of ejaculation, hypogastric distension.
Chen Xiang, Li Zhi He, Ci Shi, Huang Qi, Wu Yao, Dong Gua Zi, She
Chuang Zi, Su Zi.
12. Subdue Yang and nourish Yin. Used for Liver-Yang rising with Liver-Yin
deficiency.
5. MODERN CHINESE LITERATURE
a) “New Chinese Medicine” (Xin Zhong Yi) Vol. 36, No. 2, 1989).
156 cases of erectile dysfunction were treated with the formula Zhuang Yang
Qi Wei Wan (“Strengthening Yang and Arousing erectile dysfunction Pill”):
Dang Shen, Bai Zhu, Gou Qi Zi, Dong Chong Xia Cao, Shu Di Huang
Yang Qi Shi, Jiu Cai Zi, Bie Jia, Gui Ban, Du Zhong, Suo Yang, Yin Yang
Huo, Dang Gui, Xu Duan, Rou Cong Rong, Bu Gu Zhi, Zi He Che
The results were as follows: 96 were cured (61%), 36 experienced an

improvement (23%) and 18 experienced no improvement (16%).
b) Journal of Chinese Medicine (Zhong Yi Za Zhi), Vol. 43, No. 6, 2002, p.

446.
Li Jin Kun et al “Clinical Observations on the Treatment of 180 Cases of

Erectile Dysfunction from Psychological Problems with the Formula Sheng
Jing Zhu Yu Tang”.
180 men suffering from erectile dysfunction deriving from
psychological problems were treated with the formula Sheng Jing
Zhu Yu Tang (Generating Essence and Assisting Fertility
Decoction):
Ren Shen 10g Yin Yang Huo 12g Gui Ban 6g

Huang Qi 12g Shan Yao 15g Mu Dan Pi 12g
E Jiao 9g Sheng Di Huang 20g Nu Zhen Zi 12g
Xian Mao 12g Fu Ling 12g Fu Pen Zi 10g
Dan Shen 12g
The cases of erectile dysfunction fell into these patterns:

- Kidney-Qi deficiency: 84 cases (46.66%)
- Deficiency of the Ming Men: 78 cases (43.33%)
- Heart and Spleen deficiency: 11 cases (6.11%)
- Kidney deficiency from fear and anxiety: 7 cases (3.88%)
Cured Improved No results
Kidney-Qi deficiency (84) 35 38 11
Deficiency of the Fire of the Gate of Life (78) 30 37 11
Heart and Spleen deficiency (11) 2 5 4
Kidney deficiency from fear 0 2 5

c) Journal of Chinese Medicine (Zhong Yi Za Zhi), Vol. 29, No. 3, 1988, p. 54.
Wu Fang Chun et al “The Treatment of 100 cases of Erectile Dysfunction

with Acupuncture”.
100 cases of erectile dysfunction were treated with acupuncture. The age of
the patients ranged from 24 to 53.
The patients were treated once every 2-3 days for a course of 10 treatments.
After a rest of 5-7 days, a second course was given, up to 5 courses.
The main points used were: BL-32 Ciliao, Ren-2 Qugu, LIV-11 Yinlian, LIV-
1 Dadun. Additional points according to symptom were:
- Insomnia: Du-20 Baihui, P-6 Neiguan.
- Tiredness: ST-36 Zusanli.
- Cure: 63 cases - Mild improvement; 14 cases.

- Improved: 10 cases. - No results: 13 cases.
d) Journal of Chinese Medicine (Zhong Yi Za Zhi), Vol. 35, No. 6, 1994, p.
375.
Chinese Medicine Research Institute “A Discussion on Impotence”.

Erectile dysfunction due to injury of the penis is distinguished from that due
to functional imbalance. “Structure depends on the sinews, function depends
on Qi and Blood”. “Sinews” are mentioned because in ancient times erectile
dysfunction was also called Jin Wei, i.e. “Flaccidity of the Sinews”.
Functional erectile dysfunction depends primarily on the Kidneys and Liver

and specifically Kidney deficiency or Liver stagnation. “Liver stagnation” is
used in a broad sense to include Dampness, Phlegm and stasis of Essence (all
of which involve the Liver channels in the penis).
There are herbs that direct Qi and Blood to the penis to promote its
nourishment:
Chuan Niu Xi, Wu Gong, Lu Lu Tong, Chuan Shan Jia, Cong Jing
The prescription used is Tong Jing San Penetrating the Penis
Powder:
Chuan Niu Xi Radix Cyathulae 15g

Wu Gong Scolopendra 1 piece
Bai Shao Radix Paeoniae alba 15g
Yin Yang Huo Herba Epimidii 15g
She Chuang Zi Fructus Cnidii 10g
e) Journal of Chinese Medicine (Zhong Yi Za Zhi), Vol. 42, No. 10,
2001, p. 632.
Liu Xin Hong and Shi Zong Qiang “The Treatment of 100 Cases of erectile
dysfunction with Bu Shen Qi Wei Jiao Nang”.
100 men suffering from erectile dysfunction were treated with the formula
Bu Shen Qi Wei Jiao Nang Capsules to Tonify the Kidneys and Arouse
erectile dysfunction and a control group of 50 patients were given a placebo.
Treatment group Control group
Kidney-Yang deficiency: 50 Kidney-Yang deficiency: 25

cases cases
Kidney-Yin deficiency: 20 Kidney-Yin deficiency: 10

cases cases
Spleen and Heart Spleen and Heart deficiency:

deficiency:20 cases 10 cases
Liver-Qi stagnation: 3 cases Liver-Qi stagnation: 2 cases

Damp-Heat: 7 cases Damp-Heat: 3 cases
Therefore the treatment and the control groups were well matched in terms of
patterns. The formula used was Bu Shen Qi Wei Jiao Nang Capsules to Tonify
the Kidneys and Arouse Impotence:
Yin Yang Huo, Shu Di Huang, He Shou Wu, Shan Zhu Yu, Tu Si Zi
Gou Qi Zi, Rou Cong Rong, Lu Jiao Jiao, Gui Ban, Chai Hu, Chi Shao
Bai Shao, Huang Bo
Cure Good Moderate No

improvement improvement results
Treatment group 53 (53%) 16 (16%) 10 (10%) 20

(20%)
Control group 11 (22%) 3 (6%) 9 (18%) 27

(54%)
f) Journal of Chinese Medicine (Zhong Yi Za Zhi), Vol. 45, No. 11, 2004, p.
841.
Xie Pin Qi “Clinical Research on 40 Cases of Erectile Dysfunction with the

Method of Tonifying the Kidneys and Moving Liver-Qi”.
40 cases were treated with the method of tonifying the Kidneys and moving
Liver-Qi. Age ranged from 32 to 68, and from 32 to 65 in the control group.
The treatment group was treated with Bu Shen Shu Gan Wan Tonifying the
Kidneys and Soothing the Liver Pill as follows:
Sheng Di Huang 30g Chai Hu 10g

Shan Yao 30g Dang Gui 10g
Shan Zhu Yu 15g Bai Shao 10g
Ze Xie 10g Bai Zhu 10g
Fu Ling 10g Zhi Gan Cao 6g
Mu Dan Pi 10g Bo He 6g
Rou Gui 10g Ren Shen 10g
Fu Zi 10g Chuan Shan Jia 10g
Hai Ma 10g
The control group were treated with a patent remedy Jin Gui Shen Qi Wan Golden
Chest Kidney-Qi Pill.
All patients were treated for 3 months and The International Index of
Erection Function (IIEF) was determined at the beginning of the treatment
and at the end of each month for 3 months. Results:
Treatment group Control group

clear improvement: 14 cases (35%) clear improvement: 8 cases (20%)
some improvement: 17 cases(42.5%) some improvement: 13 cases (32.5%)
no improvement: 9 cases (22.5%) no improvement: 19 cases (47.5%)
This study shows that the method of tonifying the Kidneys, soothing the
Liver, and moving Qi in the treatment of erectile dysfunction yields better
results than that of tonifying Kidney-Yang.
g) Journal of Chinese Medicine (Zhong Yi Za Zhi), Vol. 24, No. 9, 1983, p. 55.
Henan Province Kaifeng City Hospital of Chinese Medicine “A Case of

Erectile Dysfunction treated with moxibustion”.
A 40-year-old man suffering from erectile dysfunction was treated with

moxibustion. He had tried several herbal treatments without success. His
clinical manifestations were: impotence, tiredness, lower backache, feeling
cold, dizziness, tinnitus, Pale tongue.
He was treated with moxibustion on Ren-6 Qihai, Ren-4 Guanyuan and SP-6
Sanyinjiao. Moxibustion was applied with a moxa stick for 10 minutes per
treatment, once a day for 3 months. After 3 months, he was completely
cured.
h) Journal of Chinese Medicine (Zhong Yi Za Zhi), Vol. 28, No. 7, 1987, p. 17.
Liu Ye Yi “Experience in the Treatment of Erectile Dysfunction by

Regulating the Liver”.
Dr Liu Ye Yi gives four clinical examples of the treatment of erectile

dysfunction which are treated by regulating the Liver.
The first case is Liver-Qi stagnation with Heat for whom Dr Liu uses a
variation of Xiao Chai Hu Tang Small Bupleurum Decoction::
Chai Hu 10g Zhi Gan Cao 5g Xiang Fu 10g

Huang Qin 10g Bai Hao 12g Chen Pi 7g
Ban Xia 10g Zhi Ke 7g Sheng Jiang 5g
Dang Shen 10g Chuan Xiong 7g Da Zao 10g
The second case is Damp-Heat in the Liver channel, using a variation of
Long Dan Xie Gan Tang Gentiana Draining the Liver Decoction:
Sheng Ma 9g Huang Bo 9g Wu Wei Zi 5g
Chai Hu 6g Long Dan Cao 6g Wu Jia Pi 10g
Qiang Huo 6g Dang Gui 6g Yin Yang Huo 10g
Ze Xie 9g (Han) Fang Ji 10g Gou Ji 10g
Sheng Gan Fu Ling 10g
Cao 6g
The third case is Liver-Qi stagnation with Liver-Blood deficiency for whom
Dr Liu uses Xiao Yao San Free and Easy Wanderer Powder:
Dang Gui 10g Bai Zhu 10g Huang Jing 10g

Bai Shao 10g Zhi Gan Cao 6g Dang Shen 10g
Chai Hu 10g Gou Qi Zi 10g Shan Yao 10g
Fu Ling 10g Yu Jin 10g Shan Yao 10g
Wu Wei Zi 6g
The fourth case is stagnation of Cold in the Liver channel and the formula is
a variation of Nuan Gan Jian Warming the Liver Decoction:
Dang Gui 10g Rou Gui 5g Chai Hu 6g

Gou Qi Zi 10g Wu Yao 6g Yin Yang Huo 10g
Xiao Hui Xiang 5g Fu Ling 10g Xiang Fu 10g
i) Journal of Chinese Medicine (Zhong Yi Za Zhi), Vol. 42, No. 1, 2001, p. 18.
Tao Huan “The Experience of Dr Liu Yong Nian in the Treatment of Erectile
Dysfunction by Soothing the Liver and Eliminating Stagnation”.
Dr Tao Huan reports the experience of Dr Liu Yong Nian in the treatment of
erectile dysfunction. Dr Liu believes that the main cause of erectile
dysfunction in young men is not a Kidney deficiency but Liver-Qi stagnation
deriving from emotional stress. He uses a formula called Jiu Xiang Shu Gan
Tang Aspongopus Soothing the Liver Decoction. Its emperor ingredient is an
insect called Jiu Xiang Chong Aspongopus.
Jiu Xiang Chong

Chai Hu
Yu Jin
Long Gu
Mu Li
Bai Shao
Dang Gui
Gan Cao
PREMATURE EJACULATION
The definition of premature ejaculation is highly subjective and there is

indeed no recognized standard definition of it.
Masters and Johnson define premature ejaculation (PE) as the condition in

which a man ejaculates before his sex partner achieves orgasm, in more
than fifty percent of their sexual encounters. If we accepted this
definition, then the majority of men would probably suffer from PE: so
this definition is probably too broad.
Others have defined premature ejaculation as occurring if the
man ejaculates within two minutes of penetration. Self
reported surveys report up to 75% of men ejaculate within 10
minutes of penetration. Today, most sex therapists understand
premature ejaculation as occurring when a lack of ejaculatory
control interferes with sexual or emotional well-being in one
or both partners.
Most men experience premature ejaculation at least once in

their lives. PE affects 25%-40% of men in the United States.
There is great variability in both how long it takes men to
ejaculate and how long both partners want sex to last.
The primary sign of premature ejaculation is ejaculation that
occurs before both partners wish, causing concern or distress.
However, the problem may occur in all sexual situations, even
including during masturbation.
Premature ejaculation is usually classified as either lifelong

(primary) or acquired (secondary).
According to the International Society for Sexual Medicine,

lifelong premature ejaculation is characterized by:
- Ejaculation that always or nearly always occurs within
one minute or less of vaginal penetration
- The inability to delay ejaculation on all or nearly all vaginal
penetrations
- Negative personal consequences, such as distress, frustration
or the avoidance of sexual intimacy
The International Society for Sexual Medicine has concluded that there
are not yet enough published data about acquired (secondary)
premature ejaculation to publish an evidence-based definition of this
condition.
According to the definition in the Diagnostic and Statistical Manual of

Mental Disorders (DSM), published by the American Psychiatric
Association, secondary premature ejaculation:
- Is marked by persistent or recurrent ejaculation with minimal

stimulation before, on, or shortly after penetration, and before
one wishes it
- Causes personal distress or relationship problems
- Develops after one had previous, satisfying sexual relationships
without ejaculatory problems
PREMATURE EJCULATION IN CHINESE MEDICINE
In Chinese medicine, premature ejaculation is seen as a deficiency
of the Kidneys not holding onto sperm: it is therefore seen as a
“leaking” pathology like, for example, uterine bleeding from Qi
deficiency, sweating from Lung-Qi deficiency or nocturnal
sweating from Yin deficiency. It follows therefore, that most cases
of premature ejaculation are due to some form of Kidney
deficiency.
However, the Heart also plays a role in that Heart-Qi and Heart-
Blood need to descend to the penis to promote normal erection and
ejaculation. Thus, premature ejaculation may be due to Heart-Heat
causing Heart-Qi and Heart-Blood to descend too early, thus
causing premature ejaculation.
HEART AND KIDNEYS NOT COMMUNICATING (QI XU)
pale face
depression
tinnitus
dizziness
palpitations
lower backache
GUI PI TANG plus JIN SUO GU JING WAN
Acupuncture: HE-7, KI-3, Du-20, SI-3 and BL-62, BL-

15, BL-23, BL-32, Ren-15, Ren-4, KI-16.
HEART AND KIDNEYS NOT COMMUNICATING (YIN XU)
dizziness
depression
tinnitus
night-sweating
palpitations
5-palm heat
lower backache
ZHI BAI DI HUANG WAN plus JIN SUO GU JING WAN
ACUPUNCTURE: SI-3 and BL-62 (Du Mai), HE-7, KI-3,

Ren-15, Ren-4, Du-20, BL-23, BL-32.
KIDNEY-YANG DEFICIENCY
tinnitus
depression
dizziness
palpitations
exhaustion
lower backache
cold limbs
pale-frequent urination
Pale tongue
Deep-Weak pulse.
GUI FU DU JIN ZAN YU DAN

Rou Gui, Fu Zi, Du Zhong, Jin Ying Zi, Shu Di Huang, Yin Yang Huo,
Bai Zhu, Gou Qi Zi, Dang Gui, Shan Zhu Yu, Qian Shi, Xian Mao,
She Chuang Zi, Jin Cai Zi, Rou Cong Rong, Ba Ji Tian.
Three Treasures: Strengthen the Root
Acupuncture: SI-3 and BL-62 (Du Mai), Du-20, HE-7, HE-5, Ren-15,
BL-23, BL-20, Du-4, Ren-4 (moxa cones).
EXTERNAL TREATMENT (FOR ANY PATTERN)

Decoct equal amounts of She Chuang Zi (Semen Cnidii
monnieri) and Di Gu Pi (Cortex Radicis Lycii) and use as a
wash prior to intercourse.
HEART- AND SPLEEN-BLOOD DEFICIENCY
pale face
depression
Loose stools
dizziness
palpitations
tiredness
GUI PI TANG Variation (adding astringent herbs such as

Long Gu, Wu Wei Zi or Mu Li).
Acupuncture: SI-3 and BL-62 (Du Mai), HE-7, ST-36, Ren-15, Ren-
4, Du-20, BL-15, BL-20.
LOW SPERM COUNT
Low sperm count means that the semen during an orgasm

contains fewer sperm than normal. Low sperm count is also
called oligospermia. The sperm count is considered lower than
normal if there are fewer than 20 million sperm per milliliter of
semen.
A low sperm count decreases the odds that one sperm will
fertilize the woman's egg, resulting in pregnancy. Nonetheless,
many men who have a low sperm count are still able to father a
child.
A low sperm count is the leading cause of male infertility.

Others may be low sperm motility, bad quality sperm, lack of
semen. In general, most cases of male infertility are due to low
sperm count. There are many biologic and environmental factors
that can lead to low sperm count. Here is a list if conditions that
may cause low sperm count.
a) Age
b) Temporary and lifestyle causes (stress, lubricants, spermicides)
c) Testicular exposure to overheating
d) Substance abuse
e) Smoking
f) Nutritional deficiency
g) Obesity
h) Bicycling for long periods
i) Genetic factors
j) Environmental factors (toxins, chemicals, DDT, pesticides, phthalates, PCPs, dioxin,
ehtylbenzene, benzene, etc.)
k) Heavy metals
l) Radiation
LOW SPERM COUNT - TREATMENT
Low sperm count, dizziness, tinnitus, lower backache, cold back and knees, frequent-pale
urination, etc. Pale tongue, Weak-Deep pulse.
WU ZI HENG ZHONG WAN Variation Gou Qi Zi, Tu Si Zi, Wu Wei Zi, Fu Pen Zi, Che
Qian Zi, Sang Shen Zi (Fructus Mori albi), Fu Zi, Jiu Cai Zi (Semen Allii tuberosi), Lu Ba
Zi (Semen Trigonellae Foeni-graeci), She Chuang Zi, Dang Gui, Xu Duan, Dang Shen, Ba
Ji Tian, Lu Jiao Jiao
Three Treasures: Strengthen the Root
Acupuncture: SI-3 and BL-62 (Du Mai), BL-23, Ren-4, KI-13, KI-12, BL-32.
KIDNEY-YIN DEFICIENCY
YE HA SHENG JING TANG
Mu Dan Pi, Di Gu Pi, Chi Shao, Bai Shao, Shan Zhu Yu, Lian Qiao, Xia Ku Cao, Chai
Hu, Zhu Ye, Fu Ling, Sheng Di Huang, Xuan Shen, Mai Men Dong, Zhe Bei Mu, Dan
Shen, Gou Qi Zi, Yin Yang Huo, Mu Li.
Three Treasures: Nourish the Root
Acupuncture: Ren-4, LU-7 and KI-6, Ren-7, KI-13, KI-12, BL-23.

KIDNEY-YIN DEFICIENCY WITH EMPTY HEAT
Low sperm motility, backache, dizziness, tinnitus, night-sweating, 5-
palm heat, malar flush, nocturnal emissions with dreams, Red tongue
without coating, Floating-Empty and Rapid pulse.
ER XIAN TANG
Xian Mao, Yin Yang Huo, Ba Ji Tian, Dang Gui, Zhi Mu, Huang Bo.
Three Treasures: Nourish the Root or Ease the Journey - Yin
Acupuncture: LU-7 and KI-6, Ren-4, KI-12, HE-6, KI-3, Ren-7.

LIVER-QI STAGNATION WITH KIDNEY DEFICIENCY
ZHI BAI DI HUANG WAN Variation: Shu Di, Gou Qi Zi, Tu Si Zi, Shan Zhu Yu, Lu
Jiao Jiao, Shan Yao, Fu Ling, Huang Bo, Zhi Mu, Suan Zao Ren, Chai Hu, Huai Niu Xi.
Three Treasures: Release Constraint plus Strengthen the Root (Unicorn Pearl) or Nourish
the Root (Growing Jade)
Acupuncture: LU-7 and KI-6, Ren-4, KI-13, KI-12, BL-23, LIV-3.
DAMP-PHLEGM IN THE GENITAL SYSTEM

Low sperm count, obesity, prostatic hypertrophy, feeling of oppression of the chest,
feeling of heaviness, Swollen tongue with sticky coating, Slippery pulse.
FANG JI HUANG QI TANG Variation: Huang Qi, Han Fang Ji (Radix Stephaniae
tetrandae), Bai Zhu, Zhi Gan Cao, Sheng Jiang, Da Zao, Dan Shen, Yin Chen Hao, Ze
Xie, Fu Ling, Yin Yang Huo, Gou Qi Zi, He Shou Wu. Note: remove Fang Ji.
Acupuncture: LU-7 and KI-6, Ren-9, ST-28, KI-14, Ren-4, ST-40, SP-9, BL-22, BL-23.
Three Treasures: Separate Clear and Turbid plus Limpid Sea

DAMP-HEAT IN THE GENITAL SYSTEM
Low sperm count, low motility, difficult urination, turbid urine,
dark urine, painful urination, tongue with sticky-yellow coating
and red spots on the root, Slippery pulse.
LONG DAN XIE GAN TANG

Three Treasures: Drain Fire or Separate Clear and Turbid
Acupuncture: LU-7 and KI-6, Ren-9, ST-28, KI-12, Ren-3,

BL-22, SP-9.
QI STAGNATION AND BLOOD STASIS
Low sperm count, poor motility, distension and discomfort
of testis, pain in perineum, hypogastric pain, prostatic
hypertrophy, Purple tongue.
GE XIA ZHU YU TANG

Eliminating Stasis below the Diaphragm Decoction
Three Treasures: Stir Field of Elixir
Acupuncture: LIV-3, SP-4 and P-6, SP-10, BL-17, KI-

14, ST-30.
NOURISH KIDNEY-YIN FOR LOW SPERM COUNT; TONIFY KIDNEY-YANG FOR LOW
SPERM MOTILITY Dr Luo Yuan Ji
No matter what sexual symptoms there are (e.g. impotence, premature

ejaculation, etc.), sperm count or motility problems are always due to the
Kidneys. Must distinguish Yin from Yang Xu; however, when tonifying
Kidney-Yang one must also remember Kidney-Yin and when nourishing
Kidney-Yin one must remember Kidney-Yang.
For low sperm count, nourish Kidney-Yin with Zuo Gui Wan or Zuo
Gui Yin; if there is Empty Heat, use Zhi Bo Di Huang Wan.
For low sperm motility, tonify Kidney-Yang with

You Gui Wan or You Gui Yin plus Ren Shen and
Huang Qi.
TO TREAT MALE INFERTILITY ONE MUST TONIFY THE
KIDNEYS AND NOURISH JING; HOWEVER, ONE MUST NOT
FORGET BLOOD STASIS AND DAMP-HEAT IN THE GENITAL
SYSTEM by Dr Xie Hai Zhou
Although to treat male infertility one must tonify the Kidneys and
nourish Jing, it is sometimes necessary also to invigorate Blood and
resolve Dampness in the genital system. May be a Xu-Shi
combined condition.
Example of formula for Xu-Shi condition:

Dog’s kidney (one), Ju Cai Zi, She Chuang Zi, Wu Wei Zi, Tu Si
Zi, Bu Gu Zhi, Sang Piao Xiao, Fu Pen Zi, Shan Yao, Che Qian Zi,
Zhi Mu (treated with salt), Huang Bo (treated with salt), Dang Gui.
THE TREATMENT OF SPERM ABNORMALITIES by Dr Li Guang Wen
LOW SPERM COUNT

Sheng Jing Zhong Yu Tang Nourishing Jing and Cultivating Fertility
Decoction
Huang Qi 30g, Yin Yang Huo 15g, Xu Duan 15g, He Shou Wu 12g,
Dang Sui 12g, Gou Qi Zi 9g, Tu Si Zi 9g, Wu Wei Zi 9g, Fu Pen Zi 9g,
Che Qian Zi 9g.
ABNORMAL MORPHOLOGY OF SPERM

Ye Hua Tang Transforming Sperm Decoction
Yin Yang Huo 9g, Xu Duan 12g, Dang Gui 9g, Gou Qi Zi 9g,
Tu Si Zi 9g, Wu Wei Zi 9g, Fu Pen Zi 9g, Che Qian Zi 9g,
Dang Shen 15g, Bai Zhu 9g, Fu Ling 9g, Chen Pi 9g, Gan
Cao 9g.
NO SPERM FROM PROSTATITIS

Nourish Yin, clear Heat, invigorate Blood, eliminate stasis.
Jin Yin Hua 30g, Qu Mai 30g, Pu Gong Ying 15g, Sheng Di
Huang 15g, Xu Duan 15g, Dang Gui 12g, Zhi Mu 9g, Huang Bo
9g, Chi Shao 9g, Bai Shao 9g, Gan Cao 9g.
THE TREATMENT OF MALE INFERTILITY by Dr Gu Heng
Fang.
Dr Gu uses a decoction for male infertility containing chicken.
Chicken 200g, Yin Yang Huo 100g, Ye Jiao Teng 100g, Xian
Mao 100g, Lu Lu Tong 100g, Rou Gui 100g, rice wine 2500 ml
THE TREATMENT OF MALE INFERTILITY FROM HIGH SPERM DENSITY
(AGGLUTINATION) by Dr Hua Liang Cai
1. RESTRAIN YANG AND NOURISH YIN: Nu Zhe Zi 20g, Gui Ban 20g,
Sheng Di Huang 20g, Shu Di Huang 20g, Han Lian Cao 15g, Zhi Mu 15g.
Di Gu Pi 15g, Huang Bo 15g, Mu Dan Pi 10g.
2. TONIFY YANG AND NOURISH YIN: Huang Lian 10g, Shan Zhi Zi 10g,
E Jiao 10g, Han Lian Cao 10g, Shui Niu Jiao 15g, Nu Zhen Zi 15g, Du
Zhong 15g, Ji Xue Teng 15g, Yi Mu Cao 15g, Sheng Di Huang 15g, Shu
Di Huang 15g, He Shou Wu 20, Bie Jia 20g.
3. STASIS OF JING: Dang Gui 10g, Pu Huang 10g, Wang Bu Liu Xing 10g,
He Shou Wu 20g, Gui Ban 20g, Ji Xue Teng 15g, Yi Mu Cao 15g, Huai
Niu Xi 15g, Nu Zhen Zi 15g, Shu Di Huang 15g, Wu Ling Zhi 15g, Xue
Jie 5g,

Erectile Dysfunction

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Erectile Dysfunction

Uploaded by

Copyright:

Available Formats

ERECTILE DYSFUNCTION IN CHINESE MEDICINE

Repeated inability to get or keep an erection firm enough for sexual

• Therefore definition of ED and estimation of its incidence is difficult.

• Estimates range from 15 million to 30 million men (in the USA).

• According to the National Ambulatory Medical Care Survey (NAMCS), for

• The incidence of erectile dysfunction increases with age: about 5 percent of

• However, ED is not an inevitable part of aging.

• The corpora cavernosa are surrounded by the tunica albuginea.

The corpora cavernosa are cigar-shaped tubes of strong

Relaxation of vascular muscle causes inflow of blood and

As a result its wall, the tunica albuginea, is stretched

The corpus spongiosum contains the urethra, or excretory

An erection requires a precise sequence of events:

Diseases—such as diabetes, kidney disease, chronic alcoholism, multiple

Many common medicines - blood pressure drugs, antihistamines,

Psychological factors such as stress, anxiety, guilt, depression, low self-

Erectile dysfunction is called Yang Wei [阳 痿] in Chinese medicine.

Yang [阳] means “Yang”

Therefore, the term Yang Wei indicates a disease characterized by

In some passages, erectile dysfunction is also called Jin Wei 筋 痿

Su Wen chapter 44: “Avarice, disappointment, excessive desire and

Chapter 70 of the “Su Wen” mentions erectile dysfunction (calling it

Chapter 5 of the “Su Wen”:

Chapter 13 of the “Ling Shu” (on the Muscle channels):

“Worry and pensiveness deplete [Qi], excessive worry leads to impotence.”

The Discussion of the Origin of Symptoms in Diseases (Zhu Bing

The Ming Yi Za Zhu (1549):

The Mirror of Medicine Yi Jing (1641):

The Record of Pattern Identification (Bian Zhen Lu,1687):

“Worry, pensiveness, fear and fright injure Spleen and Kidneys,

Du Mai – Kidney-Yang – Minister Fire – Fire of Ming Men

Pathogenic factors such as Dampness, Blood stasis, stasis of Jing.

The Chong Mai influences erection in seven ways:

1) As the Sea of Blood

2) It is connected to the Post-Natal Qi

3) It is connected to the Pre-Natal Qi

4) It controls the Membranes (Huang)

5) It controls the Ancestral Muscle (Zong Jin)

6) It controls the Luo Mai in the penis

7) It allows communication between Heart and Kidneys

Therefore, the Chong Mai can be used to treat erectile dysfunction.

For disharmony between Heart and Kidneys with Heart-Qi and

opening and coupled points of the Chong Mai (SP-4 Gongsun on

Heart-Qi and Blood

Ren-4 Guanyuan BL-23 Shenshu

• Erection needs movement and action, which are Yang characteristics.

2) It is the Sea of Channels and is closely connected to Post-Natal Qi of the

3) It is also connected to the Pre-Natal Qi of the Kidneys. For erection to

4) It controls the Membranes (Huang), most of the penis is part of the

5) It influences the Zong Jin (Ancestral Muscle) which is the penis.

Chinese books generally discuss the following aetiological factors for

b) Excessive sexual activity

e) Excessive physical activity

b) EXCESSIVE SEXUAL ACTIVITY

Modern Chinese books always make a point of mentioning that excessive

Whether or not sexual activity is “excessive” depends on the man’s age. A

Excessive frequency of ejaculation weakens the Kidneys; sexual activity

Emotional stress is an important cause of erectile dysfunction in the patients

e) EXCESSIVE PHYSICAL ACTIVITY

Excessive physical activity (which may include excessive running or weight-

Overwork is another very important cause of erectile dysfunction in

This weakens the Kidneys and particularly Kidney-Yin and is an important

It is important to differentiate Full from Empty conditions and the main

Erectile dysfunction is called Yang Wei [阳痿] in Chinese medicine.

In some passages, erectile dysfunction is also called Jin Wei 筋痿