Impotence – Yang Wei

Impotence (inability to achieve full erection) and premature ejaculation during ages of regular sexual practices (16-64 +/-).

This is usually due to Kidney disorders but can also be caused by external factors, chronic illness, stress, and depression.  Depression seems to be a very common cause of impotence.

Western Medicine causes of Impotence:

Three Causes: Psychological (function impotence), Faulty Genitals (anatomic impotence), Neuromuscular dysfunction (atonic impotence)

Etiology (causes) in Traditional Chinese Medicine:

1. Ming Men Fire(Qi and essence) Deficiency

2. Heart and Spleen Deficiency

3. Kidney Qi Deficiency due to shock

4. Damp Heat in Low Jiao

Chinese Medicine Differentiation and Treatment of Impotence 

Ming Men Fire Deficiency Infertility, thin clear looking sperm, Kidney Yang deficient symptoms, lower back weakness, coldness, fatigue Tongue - pale, puffy Pulse - deep, weak  

Principle of Treatment: Warm ming men fire to tonify Kidney essence

Acupuncture points – tonify, Ren, Du, Moxa and needle, Ren 3, 4, Spleen 6, Bladder 23, Du 4 - seminal emission- Du 3 - dizziness- Du 20, Gall bladder 20 - post heaven Qi- Stomach 36

Herbal Medicine Treatment: You Gui Wan

Heart and Spleen Deficiency Insomnia, palpitations, poor appetite, fatigue, soft stools Tongue - Pale Pulse - thin

Principle of Treatment: Nourish Heart and Spleen

Acupuncture points – Bladder 15, 20, Liver 13, Stomach 36 and Spleen 6, Ren 4 palpitations- Heart 7, Pericardium 6, 7

Herbal Medicine Treatment: Gui Pi Tang + Qi Fu Yin

Kidney Qi Deficiency Due To Shock Long term fears, sudden shock, timid person, insomnia with excess dreams, palpitations Tongue - red, greasy coat Pulse - thin, wiry

Principle of Treatment: Nourish Kidney and calm spirit

Acupuncture points – Du 20, Si Shen Cong (calm spirit), Heart 7, Bladder 23, Du 4, Ren 4, Spleen 6, Pericardium 5 (ghost), Gall bladder 20

Herbal Medicine Treatment: Da Yu Tang + Kidney tonics

Damp Heat In Lower Jiao Skin disorders around genitals (wet/soft types), dark scanty yellow hot urine, possible odor, possible constipation Tongue - red, greasy yellow coat Pulse - slippery, rapid

Principle of Treatment: induce diuresis to clear heat and transform dampness

Acupuncture points – Ren, foot Jueyin, Liver 3 and Gall bladder 43 (purge Liver Gall bladder Damp/Heat), Spleen 6, Ren 3, Kidney 10 (purge, diuresis) - water metabolism- Spleen 9 - upper thigh Liver points- Liver 10, 11, 12

Herbal Medicine Treatment: Long Dan Xie Gan Tang

Alternative Treatment Methods for Impotence 

Ear Acupuncture- internal (Nei Sheng Zhi Qi) and external (Wai Sheng Zhi Qi) reproductive points, subcortex, endocrine, shenmen, *KI, LR, HT, Spleen

electrical Acupuncture- Bladder 23 and 32, Ren 3, 4, alternating frequency