1. Acupuncture Treatment of Diseases Urology 2: Impotence 阳痿

2. Definition: 1.Refers to the lack of copulative power I males results from a deficiency in kidney, downward attack of damp heat. 2.It can present in a excess or a deficiency pattern in TCM. 3.It is a sexual dysfunction found in some chronic ailments in western medicine.

3. Causes and Pathogenesis : Mainly caused by: 1.Exhaustion of kidney essence and a decline of the life gate fire due to overindulgence in sex or frequent masturbation.. 2.Deficiency of qi and blood leading to malnutrition of the penis due to injury of heart and spleen by anxiety. 3.Impairment of kidney by fear or fright.

4. Clinical Manifestations: Chief symptoms: i.Failure or weakness to produce an erection which affects sexual activity. General excess pattern symptoms: i.Weak erection of short duration. ii.Premature emission. iii.Yellow urine. iv.Reddish tongue. v.Yellow tongue coating. vi.Rapid pulse.

5. Clinical Manifestations: General deficiency pattern symptoms: i.Occasional spontaneous emission. ii.Dizziness and tinnitus. iii.SOB and palpitation. iv.Pale complexion. v.Soreness and weakness of loins. vi.Cold extremities. vii.Pale tongue. viii.Thin white tongue coating. ix.Thready, weak pulse.

6. Treatment : General principle Improve original qi. Restore function of the kidney in sexual activity. Invigorating liver and kidney. Principle Channels: 1.Bladder channel. 2.Spleen channel. 3.Conception Vessel.

7. Principle acupoints and explanation : 1.BL 23 Shenshu 肾俞： Tonify kidney. 2.SP 6 Sanyinjiao 三阴交 : Invigorating liver, kidney and strengthen spleen. 3.CV 4 Guanyuan 关元： Improves original qi and restores function of kidney in sexual activity.

8. Principle of treatment ： 1.Deficiency of kidney yang Improve original qi. Restore function of the kidney in sexual activity. Invigorating liver and kidney. Principle acupoints: as stated Supplementary acupoints: i.GV 4 Mingmen 命门.

9. Principle of treatment ： Excess pattern 2.Deficiency of kidney yin Improve original qi. Restore function of the kidney in sexual activity. Invigorating liver and kidney. Principle acupoints: as stated Supplementary acupoints: i.KI 3 Taixi 太溪.

10. Principle of treatment ： 3.Deficiency of heart and spleen Improve original qi. Restore function of the kidney in sexual activity. Invigorating liver and kidney. Principle acupoints: as stated Supplementary acupoints: i.BL 15 Xinshu 心俞. ii.BL 20 Pishu 脾俞. iii.ST 36 Zusanli 足三里.

11. Principle of treatment ： 4.Impairment of kidney due to fear or fright Improve original qi. Restore function of the kidney in sexual activity. Invigorating liver and kidney. Principle acupoints: as stated Supplementary acupoints: i.BL 52 Zhishi 志室. ii.BL 19 Danshu 胆俞. iii.PC 6 Neiguan 内关.

12. Principle of treatment ： 5. Downward attack of damp-heat Improve original qi. Restore function of the kidney in sexual activity. Invigorating liver and kidney. Disperse damp and heat. Principle acupoints: as stated Supplementary acupoints: i.SP 9 Yinlingquan 阴陵泉. ii.LI 11 Quchi 曲池.

13. TCM medical advises: 1.Avoid cold and raw food and spicy food. 2.Avoid invasion by pathogenic cold, heat and damp. 3.Must exclude nerve injuries..