Impotence

General

Clinical Manifestations	An abnormal physical or psychological state of a male characterized by inability to engage in sexual intercourse because of failure to have or maintain an erection.
Treatment Principle
Herb Formulas	Due to fright with insomnia, dream-disturbed sleep, depression and weakness: Impotence #2
Points	Moxa or moxa-needle DU-4, DU-14, LIV-8, SP-6, SP-10, ST-30, ST-36 For lack of sperm: + moxa KI-12 Alternate: DU-4, HT-7 with LIV-5, REN-4, SP-6 DU-4, KI-2, KI-3, KI-10, KI-12, LIV-1, LIV-4, LU-7, REN-2, REN-6, SP-6, ST-30 DU-3, DU-4, DU-20, REN-1, REN-4, UB-17, UB-21, UB-23 REN-4, SP-6, ST-36, UB-23 Moxa or moxa-needle DU-3, DU-4, DU-20, REN-3, REN-4, UB-17, UB-21, UB-23 Moxa or moxa-needle DU-4, KI-2, REN-6, SI-5, UB-23 KI-11, REN-3, SP-9 REN-4 through to REN-2, SP-6, ST-36 REN-4, SP-6 Moxa needle KI-3, REN-3, REN-4, moxa REN-1 Electroacupuncture KI-2, REN-4, SP-6, UB-31, UB-32, UB-33, UB-34 Ear: 1. External Genitalia, Testicles, Internal Secretion, Endocrine, Subcortex, Shenmen 2. Kidney, Subcortex, External Genitalia Due to fright with insomnia, dream-disturbed sleep, depression and weakness: 1. DU-4, HT-7, KI-3, LIV-5, REN-3, REN-4, REN-6, UB-15, UB-23, Ear Shenmen 2. HT-7, LIV-1, LIV-12, REN-6, tonify UB-15, UB-20, reduce UB-18, UB-19 3. HT-7, SP-6, UB-15 4. Ear: Seminal Vesicle, External Genitalia, Testicles, Endocrine Due to excess sexual desire: GB-34, LIV-3, REN-3, REN-4, SP-6, ST-36, UB-18, UB-23, UB-43 For erectile dysfunction: Moxa or moxa-needle DU-4, KI-2, REN-6, UB-23 For premature ejaculation: A. KI-11, REN-3, SP-9 B. REN-4, SP-6

Shao Yang Fu With Congested Fluids

Clinical Manifestations	Alternating chills and fever (chills predominate) or Chills without fever Sensation of irritability in the chest Sweating from the head Fatigue Gastrointestinal weakness Heavy head Neuralgia Epigastric distension Lower abdominal pain Tension around pubic bone Periumbilical pain Urinary difficulty T: Moist C: White and slippery P: Superficial and wiry
Treatment Principle	Disperse Clumping Harmonize the Shao Yang Warm the Interior Dispel Cold
Herb Formulas	Chai Hu Gui Zhi Gan Jiang Tang
Points	GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

Wind-Damp-Heat

Clinical Manifestations	Impotence or Persistent erection Heavy sensations in the body Stuffy chest Lower abdominal distention Dampness of the external genitalia Difficult urination T: Normal C: Thick and white or Slimy and yellow P: Soft, rapid and floating
Treatment Principle	Dispel wind Resolve Dampness Clear Heat
Herb Formulas	San Ren Tang Qiang Huo Shen Shi Tang Si Miao Wan
Points

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Bai He Gu Jin Tang Yang Yin Qing Fei Tang Liu Wei Di Huang Wan Zhi Bai Di Huang Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Lung Qi And Yin Deficiency

Clinical Manifestations	Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath Spontaneous perspiration Dry mouth and tongue Palpitations with a stifling sensation in chest Fatigue Irritability Thirst Dry throat Insomnia Listless speech T: Red and dry or Pink and dry C: Thin and dry P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle	Augment Qi Generate Fluids Clear Heat Preserve Yin Stop Excess perspiration
Herb Formulas	Sheng Mai Yin Wan
Points

Cold -Damp Distresses The Spleen

Clinical Manifestations	Penis cannot become erect Shen disturbance Distention and fullness of chest, epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled Impotence T: Pink C: Thick, white and greasy or sticky P: Deep and slow or Weak, floating and slippery
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Ping Wei San modified
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 REN-3, UB-20, UB-23, moxa or moxa needle SP-9, ST-28, ST-36 Cold-Damp Dysentery: Moxa or moxa needle LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Cold-Damp Diarrhea: Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25 Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, REN-4, REN-6, SP-6, ST-36, UB-30 Cold-Damp Jaundice (Yin Jaundice): Moxa or moxa needle DU-9, GB-24, LIV-13, SP-9, ST-36, UB-19, UB-20 , UB-48

Spleen And Stomach Qi Deficiency

Clinical Manifestations	Impotence Sallow complexion Fatigue Anorexia Weakness Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or Diarrhea Shortness of breath Dizziness T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Bu Zhong Yi Qi Tang Ren Shen Yang Rong Tang Huang Qi Jian Zhong Tang
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen Qi Deficiency With Liver Qi Stagnation And Dampness In The Lower Jiao

Clinical Manifestations	Fatigue Lethargy A shiny, pale complexion Loose stools Diarrhea T: Pale C: White P: Soggy and frail or Moderate or Slow or Soft and floating
Treatment Principle	Strengthen the Spleen Drain Dampness Dredge the Liver
Herb Formulas	Wan Dai Tang Bu Zhong Yi Qi Tang  modified
Points

Heart Fire With Qi And Yin Deficiency And Damp-Heat In The Lower Jiao

Clinical Manifestations	Restlessness Irritability Thirst Nocturnal emission Insomnia Dream disturbed sleep Lack of spirit Fatigue Low back pain Tinnitus Dysuria Depression Turbid urine Abnormal uterine bleeding Polyuria Enuresis Seminal emission Leukorrhea Blood tinged leukorrhea Anorexia Dry mouth Dry Tongue Five Sole Heat Fever Physical and mental overexertion T: Red C: Little or None P: Deep and rapid
Treatment Principle	Clear Heart Fire Disperse Damp-Heat Benefit Qi and Yin Promote urination
Herb Formulas	Qing Xin Lian Zi Yin modified
Points

Heart Blood Deficiency

Clinical Manifestations	Palpitations Irritability Anxiety Easily startled Insomnia Much dreaming Poor memory Dizziness Pale face and lips T: Pale P: Thready and weak
Treatment Principle	Nourish Heart Blood Calm the Heart and Shen
Herb Formulas	Suan Zao Ren Tang Gui Pi Tang
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Inability to get or maintain an erection Performance anxiety The impotence may be worse with fatigue The patient may be able to get erections during sleep or masturbation A pale, lusterless complexion Fatigue A low sperm count Palpitations May be anxiety Panic attacks Nervousness Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Clammy palms Loss of appetite Distention and fullness of the epigastrium and abdomen Weak limbs Loose stools Sallow complexion T: Pale C: Thin and white P: Thready and weak or Weak and slow or Deep and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen Support Yang
Herb Formulas	Xin Pi Shen An Tang  modified Gui Pi Tang modified Qi Fu Yin Chinese Patent Medicines: Gui Pi Wan Bai Zi Yang Xin Wan Ding Xin Wan Bu Nao Wan Yang Xin Ning Shen Wan Wu Zi Yan Zang Wan
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20 DU-19, DU-24, HT-7, REN-4, REN-6, ST-36, UB-15, UB-20, UB-23 With significant anxiety: + Yintang With insomnia: + Anmian With abdominal distention: + ST-25 LI-10, REN-4, UB-20, UB-21, UB-43 HT-7, LIV-5, REN-4, SP-6 DU-14, PC-6, REN-4, SP-6, ST-36, UB-15, UB-23, Yintang

Heart And Gall Bladder Qi Deficiency

Clinical Manifestations	Impotence Inability to get or maintain an erection Spermatorrhea Premature ejaculation Fear of sexual intercourse Palpitations Anxiety Apprehension Constant worry Poor concentration Timidity Shyness Easily startled Nervousness Irritability Restless sleep Insomnia Dizziness Emaciation Shortness of breath Constipation Dry mouth and throat Numbness Dry cough Cough with little or no sputum Cough with blood streaked sputum Spontaneous perspiration Night sweats Five Sole Heat due to stress Early menses Restlessness Dry tongue Pale copious menstrual flow Weakness Memory loss Excess dreams Fright Physical and mental fatigue Dry, hard stool Coarse skin Dry throat Weakness A skinny appearance A pale complexion T: Pale and shiny or Red C: Thin and white or None or Thin and greasy P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid or Wiry and thready
Treatment Principle	Augment Qi Restore the Pulse Calm the Shen Support Yang Nourish Jing
Herb Formulas	Qi Yang Yu Xin Dan Miao Xiang San Gui Zhi Jia Long Gu Mu Li Tang Da Bu Yuan Jian Ren Re San Chinese Patent Medicines: Ding Xin Wan Bu Nao Wan Jian Nao Wan Yang Xin Ning Shen Wan
Points	HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 DU-19, DU-24, HT-7, PC-5, PC-6, REN-14, ST-36, UB-15, Yintang DU-19, DU-20, DU-24, GB-40, HT-5, HT-7, HT-9, PC-6, REN-14, UB-7, UB-15 For spontaneous sweating: + UB-43 DU-19, DU-24, GB-34, KI-4, LIV-3, LIV-12, PC-5, REN-4, REN-6, UB-18, UB-19, Yintang Anmian, DU-20, GB-40, HT-7, PC-7, ST-36, UB-7, UB-23, UB-47, UB-52, Yintang Ear: Shenmen, Heart, Subcortex, Sympathetic

Heart And Kidney Yin Deficiency

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red Impotence T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make Heart and Kidney communicate
Herb Formulas	Liu Wei Di Huang Wan modified Tian Wang Bu Xin Dan Mai Wei Di Huang Wan Ba Xian Chang Shou Wan Gui Zhi Jia Long Gu Mu Li Tang
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

Lack Of Communication Between The Heart And Kidneys

Clinical Manifestations	Palpitations Anxiety Insomnia Dream disturbed sleep Nightmares Hair loss Spontaneous perspiration Amnesia Infantile night crying Dreams of sexual intercourse in women A cold sensation on the tip of the penis Loss of appetite Dizziness Depression Lack of motivation Night sweats Spermatorrhea Nocturnal emissions Lower abdominal contraction and pain Occasional watery diarrhea T: Slightly pale P: Hollow and slow or Hollow and slightly tight
Treatment Principle	Tonify Yin and Yang Harmonize the Ying and Wei Restrain the Jing Suppress rebellion
Herb Formulas	Gui Zhi Jian Long Gu Mu Li Tang
Points

Liver Qi Stagnation

Clinical Manifestations	Impotence Inability to get or sustain an erection Loss of libido Distention and pain in the sides or flanks Suffocating sensation in the chest Hypochondriac tightness or distention Vague aches and pains Dizziness Occasional fatigue, better with exercise Abdominal distention Flatulence Tendency to sigh Melancholy Depression Irritability Inappropriate anger Alternating constipation and diarrhea T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation Support Yang
Herb Formulas	Xiao Yao San modified Chai Hu Jia Long Gu Mu Li Tang Xiao Chai Hu Tang Kai Yu Zhong Yu Tang Si Ni San Gan Mai Da Zao Tang Chai Hu Shu Gan Tang Li Qi Tong Tang Chinese Patent medicines: Chen Xiang Huo Qi Wan Shu Gan Wan Mu Xiang Shen Qi Wan Xiao Yao Wan Kang Wa Ling
Points	LIV-4, LIV-3, LIV-5, LIV-8, LIV-14, PC-6, REN-6, SP-6 GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18 LIV-3, LIV-5, LIV-13, PC-6, REN-3, REN-11, UB-18

Liver Qi Stagnation With Liver Blood Deficiency

Clinical Manifestations	Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Xiao Yao Sanmodified
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

Liver Qi Stagnation Invading The Spleen

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Impotence T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Si Ni San modified
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Cold Stagnation In The Liver Channel

Clinical Manifestations	Impotence Swelling and pain in scrotum as if the testicles were being pulled downward or Contractions and Cold sensations of scrotum and testicles which are alleviated by warmth Cold feeling in the lower body in general Stuffiness in the chest and abdomen Pale face Pain, distention, fullness and Cold sensation in lower abdomen Cold limbs Dislike of Cold and a preference for warmth T: Pale C: White and greasy P: Deep and wiry or Slow or Deep and Excess or Deep and tight
Treatment Principle	Warm the Liver Dispel Cold
Herb Formulas	Nuan Gan Jian Nuan Gan Wen Jing Tang
Points	Moxa needle LIV-1, REN-4, SP-6

Damp-Heat In The Liver Channel

Clinical Manifestations	Impotence Vexation Irascibility Easily angered Pain and fullness in the chest, ribs and flanks Maybe pain in the right hypochondrium Bitter taste in mouth Nausea Vomiting sour and bitter fluids Anorexia Maybe alternating chills and fever Concentrated, dark urine Loose stools Abdominal distention and fullness Lack of strength Excessive dreams Dizziness Tinnitus Numb extremities Edema T: Slightly swollen with teethmarks C: Yellow and greasy or sticky P: Wiry and rapid or Slippery and rapid
Treatment Principle	Spread Liver Qi Clear Dampness Purge Heat from Liver and Gall Bladder
Herb Formulas	Long Dan Xie Gan Tang Qing Gan Li Shi Tang Shu Gan Qing Li Tang Impotence #3
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

Liver Yin And Blood Deficiency

Clinical Manifestations	Impotence Emotional upset Anger Depression Frequent sighing Dizziness Blurred vision Fatigue T: Red C: Little or None P: Thready and wiry
Treatment Principle	Nourish Yin Soften the Liver
Herb Formulas	Shao Yao Gan Cao Tang modified Rou Gan Chi Wei Tang
Points

Liver And Kidney Yin Deficiency

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus Deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Spermatorrhea T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Liu Wei Di Huang Wan modified Mai Wei Di Huang Wan With Fire Flaring: Zhi Bai Di Huang Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Liver And Kidney Deficiency

Clinical Manifestations	Blurred vision Dizziness Tinnitus Profuse dreaming Low back and knee pain and weakness Impotence Seminal emissions Dribbling urination T: Pale C: White P: Thready and weak
Treatment Principle	Enrich and supplement the Liver and Kidneys Tonify Jing Brighten the eyes
Herb Formulas	Bu Shen Ci Shi Wan Jia Wei
Points

Kidney Yang Deficiency

Clinical Manifestations	Impotence Low libido An inability to get or sustain an erection Lack of erection upon waking Infertility Low sperm motility Low sperm count Watery ejaculate Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Intolerance of cold Cold limbs General debility Pale face Blurred vision Poor memory Urinary frequency with abundant, clear urine or Oliguria with edema or Urinary incontinence Maybe nocturia Edema of the lower limbs with scanty urination Lassitude Listlessness Fatigue Withdrawn, subdued behavior Knees feel cold and aching Cold feet Dizziness Tinnitus Deafness Impotence Spermatorrhea Premature ejaculation Maybe anorexia Maybe loose stools Lower abdominal distention Constipation or Loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow or Small and weak
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) You Gui Wan Zan Yu Dan modified Gui Lu Bu Shen Tang Jie Rong San She Chi Tang Xin Yang San Yang Chuan Yao Impotence #1 Zhuang Yang Chi Wei Wan She Chi Tang Ban Liu Wan With Internal Cold-Dampness: Fu Zi Tang Chinese Patent Medicines: Jin Kai Shen Qi Wan Hai Leng Bu Wan Hai Ma Bu Shen Wan Shuang Long Wan Ren Shen Lu Rong Wan Zhi Bao San Bian Wan Quan Lu Wan Wu Zi Yan Zang Wan Zhuang Yang Wan
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 DU-4, DU-20, KI-7, LU-7, REN-4, SP-6, UB-23 DU-4, DU-20, KI-3, LIV-5, REN-3, REN-4, REN-6, SP-6 DU-2, DU-4, REN-3, REN-4, SP-6, ST-36 Moxa or moxa needle DU-4, REN-3, REN-4, UB-23 DU-4, DU-20, KI-3, REN-4, UB-23 DU-4, LIV-5, REN-4, SP-6 DU-4, REN-3, REN-4, REN-6, UB-23 DU-4, DU-14, DU-20, REN-4, REN-6, REN-12, SP-6, UB-23, Yintang For paraphinosis: moxa REN-4, ST-29 Ear: 1. Seminal Vesicle, External Genitalia, Testicles, Endocrine 2. Kidneys, Subcortex, External Genitalia

Kidney Yang Deficiency With Wind-Cold

Clinical Manifestations	Impotence Sensation of extreme Cold Severe chills Chills are not relieved by clothing or covers Slight fever Anhidrosis Exhaustion Almost constant desire to sleep Pale face Cold extremities Cold feet Severe aversion to Cold Headache Shortness of breath Fatigue Edema Cough Pain penetrating to the back Toothache Sore throat Raspy voice Edema due to Wei Qi Stagnation Weak extremities Chronic wheezing Severe pain and obstructed feeling over the throat T: Pale and swollen C: White and slippery P: Deep and weak
Treatment Principle	Disperse Wind-Cold Replenish Yang
Herb Formulas	Ma Huang Xi Xin Fu Zi Tang
Points

Kidney Yang Deficiency With Water Flooding

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready With Water Flooding the Lungs: Cough with copious, thin watery phlegm Asthma with phlegmy sound (wheezing) Dyspnea Facial edema Edema of limbs Dysuria T: Pale and swollen C: White and moist or White and greasy P: Superficial and tight
Treatment Principle	Warm Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang Ji Sheng Shen Qi Wan
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

Kidney Yang Deficiency: Kidney Qi Not Consolidated

Clinical Manifestations	Low back and knees aching and weak Hearing deficit Jing Gate Not Consolidated: Spermatorrhea Premature ejaculation Infertility Urinary disorder: Frequent, clear, abundant urination Dribbling after urination Incontinence of urine T: Pale and swollen with teethmarks C: Thin white P: Deep and thready
Treatment Principle	Consolidate the Kidneys Conserve Qi
Herb Formulas	Jin Suo Gu Jing Wan Suo Quan Wan Gui Fu Du Jin Zan Yu Dan
Points	KI-3, KI-12, REN-4, ST-36, UB-23 For spermatorrhea due to Kidney Qi Not Consolidated: 1. Jinggong, KI-3, KI-12, REN-4, REN-6, SP-6, UB-23, UB-52 2. REN-4, SP-6, UB-23 3. Jinggong, KI-3, KI-12, REN-4, ST-36 4. KI-12, REN-4, REN-6, SP-6, UB-23 For urinary incontinence and enuresis: 1. REN-3, SP-6, UB-22, UB-23, UB-28, UB-39 2. REN-3, SP-6, UB-22, UB-23, UB-28

Kidney Yang Deficiency With Waning Of Ming Men Fire

Clinical Manifestations	Impotence Infertility Listlessness Lack of Spirit Weakness and aching of the low back A pale, shiny complexion T: Pale C: White P: Deep and thready
Treatment Principle	Warm and tonify the Kidneys
Herb Formulas	Zan Yu Dan Shi Bu Wan
Points	Moxa or moxa needle DU-4, REN-1, REN-2, REN-4 For Cold pain in the lower abdomen: + moxa or moxa needle REN-3 For a poor appetite: + moxa or moxa needle ST-36 For clear diarrhea: + moxa REN-8

Kidney Yin Deficiency

Clinical Manifestations	Impotence or Premature ejaculation The symptoms are worse when the patient is stressed or fatigued Maybe a frequent desire for sex but an inability to initiate or maintain an erection Maybe erotic dreams with spontaneous emission Maybe increased numbers of abnormal sperm Maybe a low sperm count Scanty ejaculate Dizziness more noticeable after sex Tinnitus or deafness more noticeable after sex Poor memory Aching, soreness or weakness of low back and knees which is exacerbated with sex A dry mouth and throat Insomnia Excess dreams Restlessness Facial flushing Malar flush Night sweats Five Sole Heat Spermatorrhea Aching in bones Aching in leg and heel A tendency to dry stools or constipation T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Liu Wei Di Huang Wan modified Mai Wei Di Huang Wan Di Long Tang Zi Yin Chi Wei Tang Chinese Patent Medicines: Liu Wei Di Huang Wan Tian Wang Bu Xin Dan Zhi Bai Ba wei Wan Da Bu Yin Wan Wu Zi Yan Zang Wan
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23 HT-6, KI-6, REN-4, REN-7, SP-6, UB-23 With night sweats: + SI-3 With Heat: + DU-4, HT-8, KI-2 DU-4, REN-3, REN-4, REN-6, UB-23 DU-4, DU-14, DU-20, REN-4, REN-6, REN-12, SP-6, UB-23, Yintang Ear: Kidneys, Subcortex, External Genitalia

Kidney Yin Deficiency With Empty Fire Rising

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in bones Aching in leg and heel T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Liu Wei Di Huang Wan Zhi Bai Di Huang Wan Huang Lian E Jiao Tang
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23

Kidney Yin And Yang Deficiency

Clinical Manifestations	Impotence Failure to maintain an erection Dizziness Tinnitus Weak legs Lower back ache Low-grade fever in the afternoon Cold hands and feet Fatigue Red cheeks Hot flushed face Spermatorrhea due to Deficient Yin Nocturnal emissions Fever with thirst Burning soles of feet Hot flashes Night sweating Spontaneous sweat Dry cough Headache Restlessness Early periods Pale dilute menstrual Blood Nocturia General feeling of being Cold Restless insomnia Vertigo, T: Pale and swollen or Red or a Red tip C: Thin and white or Little or None P: Deep and weak or Thready and rapid
Treatment Principle	Tonify Kidney Yang Nourish the Liver and Kidneys Nourish Yin Relieve Empty Fire due to Deficiency of Yin
Herb Formulas	He Che Da Zao Wan Yi Jing Zhuang Yang Tang Chinese Patent Medicines: Zhuang Yang Yi Jing Tang
Points	DU-4, REN-3, REN-4, REN-6, UB-23 DU-4, DU-14, DU-20, REN-4, REN-6, REN-12, SP-6, UB-23, Yintang Ear: Kidneys, Subcortex, External Genitalia

Kidney Yin And Yang Deficiency With Insufficiency Of Jing In The Du, Chong And Ren Channels

Clinical Manifestations	Emaciation Weakness Spermatorrhea Blurred vision Aching and weak low back and knees Daybreak diarrhea Weight loss Dizziness Nocturnal emissions T: Pink or Pale C: White or None P: Thready and frail or Deep, slow and weak
Treatment Principle	Nourish and replenish Yin Tonify Jing Augment Qi Tonify and strengthen Yang Nourish the Blood
Herb Formulas	Gui Lu Er Xian Jiao
Points

Milky Lin Due To Kidney Yang Deficiency

Clinical Manifestations	Frequent cloudy, milky urination Maybe greasy urine Thick, white vaginal discharge T: Pale C: White P: Sinking, slow and weak
Treatment Principle	Warm the Kidneys Drain Dampness Separate the turbid from the clear
Herb Formulas	Bei Xie Fen Qing Yin
Points

Kidney Qi, Yang And Jing Deficiency

Clinical Manifestations	General weakness Sexual dysfunction Impotence Premature ejaculation Male infertility Frequent urination Dribbling of urine Lumbar pain or weakness Depression Fatigue and poor memory following ejaculation Weak bladder Low sperm count
Treatment Principle	Tonify the Kidneys Nourish and astringe Jing Benefit the eyes Tonify Kidney Yang Tonify the Blood
Herb Formulas	Wu Zi Yan Zong Wan
Points

Kidney Jing Deficiency

Clinical Manifestations	Dizziness Tinnitus Low back and knees weak and aching In adults: Hair loss Graying or whitening of the hair Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of the hearing In children: Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of the fontanel Poor bone development Brittle bones
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	Zuo Gui Wan You Gui Wan Huan Shao Dan Zuo Gui Yin Wu Zi Yang Zong Wan
Points	GB-34, KI-3, REN-4, ST-36, UB-11, UB-23 DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

Kidney Jing Deficiency With Kidney Yin And Yang Deficiency

Clinical Manifestations	Light-headedness Vertigo Tinnitus Soreness and weakness in low back and legs Spontaneous and nocturnal emissions Night sweats Dry mouth and throat Thirst with a desire to drink Dizziness Forgetfulness Deafness Rhinitis Dribbling of urine Malar flush Five Sole Heat Insomnia Hair loss Loss of teeth Infertility Impotence Spontaneous perspiration Spermatorrhea Poor vision T: Red and shiny C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin and Yang Tonify the Kidneys Supplement Jing Benefit the Marrow
Herb Formulas	Zuo Gui Wan
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

Kidney Jing Deficiency With Deficiency Of Ming Men Fire

Clinical Manifestations	Dizziness Tinnitus Low back and knees weak and aching Exhaustion from long-term illness Low energy Lethargy Aversion to Cold Coolness of the extremities Impotence Spermatorrhea Aching and weakness of the lower back and knees Infertility Premature ejaculation Hair loss Graying or whitening of the hair Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of the hearing Loose stools (sometimes with undigested food) Incontinence of urine Edema of the lower extremities Pale face Spontaneous perspiration Enuresis T: Pale P: Deep, slow and weak
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	You Gui Wan
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

Kidney Jing Deficiency With Liver Blood Deficiency

Clinical Manifestations	Premature graying of the hair Hair loss Loose teeth Spontaneous emissions Nocturnal emissions Weak and sore low back and knees T: Pale C: White P: Thready and weak
Treatment Principle	Enrich Kidney Jing Nourish Liver Blood
Herb Formulas	Qi Bao Mei Ran Dan
Points

Qi, Yang And Blood Deficiency

Clinical Manifestations	Amnesia Palpitations Feverishness Anorexia Emaciation Pale face Insomnia Dyspnea on mild exertion Fatigue Shortness of breath. Weight loss Dry skin Dry mouth Dry throat Dry lips Uterine bleeding Irregular menstruation May suddenly lose consciousness Slack jaw Restless at night Lassitude Tendency toward being frightened easily Weakness Sallow complexion Dizziness Tremors in the limbs Spontaneous perspiration Fever and severe chills General debility Mental instability Coughing and gasping. Night sweats Amnesia. Diarrhea Turbid urine Nocturnal emission Impotence Constipation Feeble breathing. Tired limbs T: Pale C:White P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle	Tonify Qi Nourish the Blood Strengthen the Spleen and Lungs Nourish the Heart Calm the Shen
Herb Formulas	Ren Shen Yang Rong Tang
Points

Jing And Blood Deficiency Due To Kidney Heart And Spleen Deficiency

Clinical Manifestations	Fatigue Heavy and painful lower back Dream-disturbed sleep General weakness Lack of interest in food or drink Fever Night sweats Seminal emission Forgetfulness Toothache Dizziness Gum swelling General pitted edema which is worse in the lower body Discharge of rice-water like urination without dysuria Aversion to Cold Impotence Decreased libido Emaciation Loose teeth Signs of premature aging Abdominal Cold Easily frightened T: Pale or Pale and thick C: Smooth and white P: Moderate and weak or Deep and weak
Treatment Principle	Tonify the Spleen and Kidneys Nourish the Heart Enrich Yin Nourish the Blood and Yang Augment Qi
Herb Formulas	Huan Shao Dan
Points

Jing Stagnation

Clinical Manifestations	Stabbing pain in the low back, feet, testes, penis and lower abdomen Occasional swelling of penis and testes aggravated by resting and sleeping and better with movement Maybe impotence Maybe premature ejaculation Maybe erection without stimulation Maybe ejaculation without stimulation Maybe partial erection during copulation Incomplete ejaculation Maybe ejaculation after copulation Incontinence of urine Dripping urine Premature graying of the hair Itch or pain of hairy areas Tinnitus Stuffy head Chest oppression Retardation of response to stimulation Difficulty concentrating Forgetfulness Insomnia High viscosity sperm with a high number of deformed sperm and abnormal sperm count T: Purple spots C: Normal P: Grating and astringent
Treatment Principle	Invigorate the Blood Free the flow of Jing
Herb Formulas	Huo Xue Tong Jing Tang
Points

Blood Stagnation Due To Cold With Deficiency Cold Of The Chong And Ren

Clinical Manifestations	Lower abdominal distention Lower abdominal Cold Lower abdominal pain Infertility Dry lips Dry mouth Spermatorrhea Pale complexion Leukorrhea Amenorrhea Bleeding between periods Low grade fever at dusk Irritability Five Sole Heat No desire to drink Distending breast pain Low back coldness and pain Loose stools Cold limbs Aversion to Cold T: Purple with petechiae P: Thready and choppy
Treatment Principle	Warm the menses Regulate menstruation Dispel Cold Warm the channels Nourish the Blood Dispel Blood Stasis
Herb Formulas	Wen Jing Tang
Points	LIV-3, REN-4, SP-6, SP-10, ST-30, UB-25, UB-34

Blood Stagnation In The Lower Jiao

Clinical Manifestations	Palpable masses that may or may not be painful Lower abdominal pain without palpable masses Lower abdominal distention Lower back pain Aversion to Cold Depression Cold extremities White vaginal discharge T: Pale C: White P: Choppy
Treatment Principle	Activate the Blood Promote the movement of Qi Dispel Blood Stasis Unblock the collaterals Unblock painful obstruction Alleviate pain
Herb Formulas	Shao Fu Zhu Yu Tang Xue Fu Zhu Yu Tang
Points

Cold And Blood Stagnation In The Channels

Clinical Manifestations	Abdominal pain with icy cold hands and feet Extremities are cyanotic and difficult to warm up P: Thready or Imperceptible
Treatment Principle	Warm the channels Disperse Cold Nourish the Blood Unblock the channels
Herb Formulas	Dang Gui Si Ni Tang
Points

Cold-Dampness In The Lower Jiao

Clinical Manifestations	Cold pain in the lower back and body Sciatica Copious urination Extreme heavy sensation in the lower back Absence of thirst T: Pale C: White P: Deep, thready and moderate
Treatment Principle	Warm Yang Strengthen the Spleen Dispel Cold Eliminate Dampness
Herb Formulas	Gan Cao Gan Jiang Fu Ling Bai Zhu Tang
Points

Damp-Heat

Clinical Manifestations	Impotence Inability to get or maintain a full erection Erection may be painful Maybe excessive sweating around the scrotum and groin Testicles cold Itching or pain in the genitals Maybe mucopurulent discharge from the urethra Maybe a history of genital herpes Lethargy Heaviness or aching in the lower limbs Maybe poor sperm count or Low sperm motility and anti-sperm antibodies Thick or congealed ejaculate with retarded liquification Afternoon fatigue Hypochondriac pain Headache Dizziness Red sore eyes Hearing loss Swelling in the ears Bitter taste in the mouth Irritability Short temper Difficult and painful urination with a heat sensation in the urethra Swollen and itchy genitalia Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness Indeterminate gnawing hunger Seizures accompanied by copious sputum Flushing up Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty and painful urination Irritability Depression Slight thirst Anorexia after serious illness Ear discharge Yellow urine Chest pain Loose stools or Alternating constipation and diarrhea Turbid, foul-smelling urine Dry throat Hematuria Pain in the armpits Sweating in the groin T: Pink or Red tip or Red or Red edges C: Yellow or Yellow and greasy, especially at the root P: Deep and slippery or Soft, slippery and rapid or Slippery and rapid or Wiry and rapid or Wiry, Excess and rapid
Treatment Principle	Clear and Drain Damp-Heat from the Lower Jiao Clear Damp-Heat from the San Jiao
Herb Formulas	Er Miao San modified Wen Dan Tang modified Long Dan Xie Gan Tang Qing Xin Lian Zi Tang San Ren Tang Wu Ling San Bei Xie Fen Qing Yin Si Miao Wan Zhi Bai Di Huang Wan Bei Xie Tang Chinese Patent Medicines: Long Dan Xie Gan Wan Qian Lie Shen Wan Chuan Xin Lian Kang Yan Pian Kang Wei Ling
Points	GB-34, LIV-3, LIV-5, REN-4, SP-6, UB-18, UB-19, UB-23 GB-26, GB-41, KI-10, LIV-5, REN-3, SJ-6, ST-30, UB-32 KI-7, KI-12, LIV-2, REN-3, SP-9, ST-28

Phlegm-Damp

Clinical Manifestations	Impotence Premature ejaculation Failure to ejaculate Cough with copious, dilute, white frothy or lumpy sputum Chest and epigastric congestion Obesity Palpitations Headache Pain and full feeling in chest Dyspnea - worse lying down Asthma Throat rattle Maybe anorexia Lassitude Nausea/vomiting Dizziness/vertigo Shortness of breath Wheezing Acute attack of panting with high pitched sound and rapid exhalation Facial edema Weak extremities Heavy sensations in the body Difficult urination T: Pale, flabby and moist C: Thick, white and greasy or sticky P: Slippery or Soft
Treatment Principle	Strengthen the Spleen Tonify Qi Transform Phlegm Eliminate Damp
Herb Formulas	Er Chen Tang
Points

Phlegm Stagnation

Clinical Manifestations	Impotence Difficult ejaculation Rapid breathing with a harsh voice Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess) The sputum is difficult to expectorate Maybe chills and fever Dyspnea Fullness and distention in the chest and diaphragm Nausea Asthma Epigastric fullness and distention Chest pain Pain in the ribs Dry mouth Constipation Scanty, dark urine T: Normal C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid or Rapid and smooth or Slippery and rapid
Treatment Principle	Transform Phlegm Dispel Stasis
Herb Formulas	Qing Qi Hua Tan Wan
Points