1. Impotence Etiology,Differentiation and Treatment

2. Etiology and pathogenesis Decline of the Mingmen fire, lack of copulative power Fright damaging the kidney, failure of sexual ability Downflow of damp heat softness of penis Failure of the penis in erectionImpotence

3. differentiation Kidney Deficiency Syndrome Main manifestation: Failure in erection sometimes, accompanied with spermatorrhea sometimes, thin “cold” essence(sperm) Accompanying symptoms and signs:Dizziness, tinnitus, palpitation,shortness of breath,pale complexion, lassitude, soreness and weakness of the waist and knees,aversion to cold and cold limbs Tongue and pulse :a pale tongue with white coating, a thready and rapid pulse

4. Damp Heat Syndrome Main manifestations : short-time erection and premature ejaculation,wet scrotum with foul smell Accompanying symptoms and signs:soreness and heaviness of the lower limbs,yellowish urine, fullness in the chest and diaphragm, poor appetite Tongue and pulse: a yellow and greasy tongue coating, a soft and rapid pulse

5. Treatment

6. Kidney deficiency syndrome Principle: warming the kidney and replenishing essence,supplemen-ting Mingmen fire and strengthen-ing Yang Acupoint: Shenshu(BL23), Zhishi(BL52), Guanyuan(RN4), Sanyinjiao(SP6) Method: apply the reinforcing method with moxibustion

7. Damp Heat Syndrome Principle: clearing away heat and removing dampness, nourishing the kidney and controlling essence Acupoint: Zhongji(RN3), Huiyin(RN1),Taichong(LR3), Taixi(LI3), Sanyinjiao(SP6) Method: apply even method

8. Other Therapies Ear acupuncture: Uterus, External Genitalia, Testis,Endocrine.Apply filiform needles with moderate stimulation,rotate the needles once evety ten minutes and retain the needles for 30 minutes

9. Dysmenorrhea Etiology,differentiation, and treatment

10. Etiology and pathogenesis Cold dampness obstruction in the uterus,liver qi stagna -tion,impairment of the Chong and Ren meridians Liver and kidney Yin defi- ciency,depletion of essence and deficiency of bood Stasis of menstrual blood in the uterus Under nourishment of the uterus Dysmenorrhea

11. Differentiation Cold Dampness Obstruction Main manifestations: cold pain occurs in the lower abdomen before or during menstruation,the pain is aggravated when pressure is applied,and may radiate to the back,but it may be alleviated when heat is applied, in acute cases,the pain radiates to the lower back Accompanying symptoms and signs:santy menstruation with dark menses, often with clots Tongue and pulse: A thin and white tongue coating, a deep and tense pulse

12. Liver Qi Stagnation Main manifestations:distending pain in the lower abdomen before or during menstruation,the feeling of distention being predominant to the pain, obstructed menstrual flow Accompanying symptoms and signs:Scanty periods often with clotted blood, accompanied by distending pain in the chest, hypochondrium and breasts Tongue and pulse: A dark tongue with ecchymosis, a thin and white coating, a deep and wiry pulse

13. Liver and kidney yin deficiency Main manifestions:Dull pain in the lower abdomen during or after menstruation,alleviated by pressure Accompanying symptoms:pink,clear and thin menstrual blood, soreness of the lower back, dizziness,tinnitus, pale complexion, mental fatigue Tongue and pulse:A pale tongue,a deep and thready pulse

14. treatment

15. Cold Dampness obstruction Principle: Dispersing cold and dampness, inducing menstruation to relieve pain, mainly selecting points from the Ren and the Foot Taiyin meridians Acupoint :Zhongji(RN3),Shuidao (ST28), Diji(SP8). In case of acute pain,Ciliao (BL32) and Guilai (ST29) may be added.For abdominal pain radiating to the lower back, Ming-men (DU4) and Shenshu (BL23) may be added

16. Liver Qi Stagnation Principle: Dispersing the stagnated liver qi for regulating the circlation of qi to promote menstrual flow Acupoint: Qihai(RN6), Taichong (LR3), Sanyinjiao(SP6) Method: Use reducing or even method.

17. Liver and Kidney Yin Deficiency Principle: Nourishing the liver and kidney Yin, regulating and reinforcing the Chong and Ren meridians Acupoint: Ganshu(BL18), Shenshu (BL23), Guanyuan(RN4), Zusanli (ST36), Zhaohai (KL6) Method: Reinforcing and moxibustion can be used