Erecticle Dysfunction
Etiology and Pathogenesis
Impotence. is generally due to indulgence in sex or excessive masturbation,
which makes Mingmen fire decline and exhausts the kidney essence. It may
also be due to fear, fright or worry, which damages the qi of the heart,
spleen and kidney. Just as said in Treatment of Internal Disorders: The
inability of penis to erect is due to the injury of the internal organs,
which is mainly caused by the exhaustion of kidney essence from indulgent
sexual activity, or by worry damaging the mind, or by fright leading to
dysfunction of the kidney.
Greasy
food and wine may damage the function of the spleen and stomach in
transportation and transformation, causing dampness to turn into heat. The
damp heat drives downward to make the penis unable to erect, resulting in
impotence. However, impotence of the damp heat type is not very common.
Zhang Jingyue said, Seven to eight out often impotent patients are caused by
the decline of Fire. Only a few of them are due to excess of fire.
Manifestations: Failure of the penis in erection, or weak erection, pallor,
cold Main extremities, dizziness, listlessness, soreness and weakness of the
loins and knees, frequent urination, pale tongue with white coating, deep
thready pulse. If the heart and spleen qi is damaged, palpitations and
insomnia may be present.
Analysis: The kidney dominates reproduction and opens into the urethra,
spermatic duct and the anus. Insufficiency of the kidney yang and the
decline of Mingmen fire wither up the reproductive ability, leading to
impotence. Owing to yang deficiency, the body cannot be warmed, resulting in
pallor, cold extremities, dizziness, and listlessness. As the lumbar region
is the house of the kidney, kidney deficiency gives rise to soreness and
weakness of the loins and knees. Only with the help of the activity of the
kidney, can normal urination be performed. If the kidney yang fails in
controlling urination, there appears frequent urination. Pale tongue with
white coating, and deep, thready pulse are the signs of yang insufficiency.
If the heart and spleen qi is damaged, there is poor production ofqi and
blood. If blood is inadequate for nourishing the heart, palpitations and
insomnia occur.
Acupuncture
Method:
Points of the Ren and Kidney Meridians are selected as the principal points.
Reinforcing method with moxibus tion is applied to invigorate the kidney
yang.
Prescription:
- [RN4 - DU4 - BL23 -
KI3], or
- [RN3 - RN4 - SP6 -
BL23 - DU4]
Supplementary points:
- damage of the qi of
the heart and spleen: [BL15 - HT7 - SP6].
- seminal emission:
DU3
- dizziness: DU20,
GB20
- post heaven Qi:
ST36
Explanation: RN4 is the meeting point of the Ren Meridian and the three foot
yin meridians. Reinforcing is used to promote the primary qi and invigorate
the kidney function. DU4, BL23 and KI3 are used to strengthen the kidney
yang. BL15, HT7 and SP6 are good for activating the qi of the heart and
spleen.
shock
during sex, or chronic Kidney Qi deficiency inducing fear, poor sleep
Acupuncture
Notes:
Si shen cong calms the spirit, and MH5 is a ghost point.
Main
manifestations: Inability of the penis to erect, complicated with bitter
taste in the mouth, thirst, hot and dark red urine, soreness and weakness of
the lower extremities, yellow, sticky tongue coating, soft, rapid pulse.
Analysis: The penis consists of two cylindrical bodies. As said in Internal
Classic: If the damp heat stagnates in the penis, the major body becomes
soft and short, and the small body gets loose and long. The former is known
as contracture, while the latter known as atrophy and weak. The downward
flowing of the damp heat makes the cylindrical bodies loose and weak,
resulting in inability of the penis to erect. If the damp heat ascends,
there will be bitter taste in the mouth or thirst. If the damp heat is
transmitted to the small intestine, and then to the bladder, hot and dark
red urine occurs. Soreness and weakness of the lower extremities, yellow,
sticky tongue coating, and soft, rapid pulse indicate the presence of damp
heat.
Acupuncture
Method:
Points of the Ren and Spleen Meridians are selected as the principal points.
Reducing method is apphed to eliminate the damp heat.
Prescription:
- [RN3 - SP6 - SP9 -
ST36]. Or,
- [LR3 - GB43 - SP6 -
RN3 - KI10]
Supplementary points:
- Water metabolism:
SP9
- Upper thigh Liver
points: [LR10, 11, 12]
Explanation: This condition is caused by the downward flowing of damp heat
from the Spleen Meridian, RN3, SP6 and SP9 are therefore selected to soothe
and regulate the qi of SpIsen Meridian to eliminate the damp heat. ST36 is
the he-sea point of the Stomach Meridian of Foot Yangming. Because of the
interior - exterior relationship between the Spleen and Stomach Meridians,
ST36 is chosen to dispel dampness by improving the function of the spleen in
transportation and transformation. Heat will disappear when dampness is
dispelled. The above points combined together are suitable for the treatment
of impotence caused by damp heat.
In
addition, [LR3 - GB43] purges LR GB Damp/Heat, and KI10 is used for purging
and diuresis.
Fatigue,
overwork, overstressed, palpitations, poor digestion, pale face
Acupuncture
- auricular: internal
(Nei Sheng Zhi Qi) and external (Wai Sheng Zhi Qi) reproductive points,
subcortex, endocrine, shenmen, *KI, LR, HT, SP
- electrical: BL23 &
BL32, RN3, RN4, alternating frequency
