Sperm Abnormality

General

Clinical Manifestations	Total volume of seminal fluid is less than 2ml Sperm count is less than 20 million/ml Sperm deformity rate is greater than 30% Sperm survival rate is less than 60% Sperm activity is less tan 50% Absence of liquification of sperm within one hour after ejaculation
Treatment Principle
Herb Formulas
Points

Kidney Yang Deficiency

Clinical Manifestations	Cold in the scrotum Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	You Gui Wan modified
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 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Kidney Yin Deficiency

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 Emaciation Irritability T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Zuo Gui Wan modified
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23

Qi And Blood Stagnation

Clinical Manifestations	Distended scrotum Falling and painful testicles Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots or Dark C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate the Blood Regulate Qi Break up Stagnation
Herb Formulas	Sperm Abnormality #1
Points	GB-40, GB-41, LIV-3, LIV-14, PC-6, SJ-6, SP-6, SP-10, ST-36, UB-17, UB-18, UB-40

Damp-Heat

Clinical Manifestations	Frequent urination Swollen and painful lower abdomen 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 Ear discharge Yellow urine Chest pain Constipation Turbid urine Dry throat Hematuria Pain in the armpits Sweating in the groin T: Red or Red edges C: Yellow or Yellow and greasy P: Wiry, Excess and rapid
Treatment Principle	Clear and Drain Damp-Heat from the Lower Jiao
Herb Formulas	Long Dan Xie Gan Tang modified
Points