Chinese medicine believes that impotence is a disease of male genitalia, which refers to the penis part of male external genitalia, belonging to the kidney, so it is also called external kidney, also known as Yin Qian. The yin and yang meridians of the human body meet in the front yin, so it is called Zongjin. Yin Qian (Yin organ) passes through the liver, Du meridian and any meridian. Due to the deficiency and dysfunction of meridians, Yin Qian's physiological function is directly affected, leading to "impotence of yin" and "disuse of yin". Kidney governs essence, as well as yin before and after, which is the innate foundation and fertility of human beings. If the kidney yang is secret, the yin essence is full and the yang is full, you can have children. If kidney essence is insufficient and yang is not nourished by yin essence, impotence will be seen. In addition, the kidney is really yang deficiency, so it can't be strong (strong penis erection and its sexual intercourse ability), or panic injury to the kidney can also lead to impotence. Spleen is the foundation of heaven, the source of qi and blood, transporting essence to kidney, and kidney is nourishing. Yangming (stomach) pulse "joins tendons", and the spleen and stomach are vigorous and the yin essence is full, and the yang potential can only shake men (that is, penis). On the contrary, "Yang Ming deficiency is longitudinal reinforcement". So the trend is declining, waste utilization. The liver strip is the main reinforcement, and the main reinforcement is concentrated in the vulva. If the liver loses its function of dispersing and discharging, it will also make it exhausted. In addition, damp-heat pours into the liver and kidney, leading to fatigue and yang failure; If you think too much, your spleen will be sad, and it will also lead to paralysis.

Modern Chinese medicine divides impotence into the following types for syndrome differentiation.

(1) Deficiency of kidney yang. Due to the deficiency of yang in the body, or kidney injury due to long-term illness, or sexual indulgence, excessive sexual intercourse, or uncontrolled masturbation, kidney-yang deficiency and yuan-yang deficiency can not promote sexual function for a long time, so sexual desire decreases and impotence is not lifted. What about the patient's face? Pale face, listlessness, cold limbs, weak waist and knees, chills in the back, accompanied by nocturnal emission, cold semen, frequent urination, dizziness and tinnitus. The tongue is light, fat and tender, with teeth marks, heavy pulse and weakness. Treatment should be warming kidney and strengthening yang. Commonly used Gui You pills are: Radix Rehmanniae Preparata 15g, Fructus Corni 10g, Fructus Lycii 15g, shredded rabbit 15g, Rhizoma Dioscoreae 15g, Cortex Cinnamomi 6 g, Radix Aconiti Lateralis Preparata 10g, and Radix Morindae/kloc. Decoct with water. Chinese patent medicines can choose Jinkui Shenqi Pill, Quanlu Pill, Wuzi Yanzong Pill, Gui You Pill and Zanyu Pill.

(2) Deficiency of both heart and spleen. Excessive thinking, heart and spleen injury, passive qi and blood biochemistry, or weakness of middle qi and failure to recover blood gas after a long illness can all lead to relaxation of tendons and veins (that is, the penis can not be lifted up due to malnutrition, or it can not be lifted firmly). The patient suffers from palpitation, forgetfulness, insomnia and dreaminess, emaciation, loss of appetite, weakness, abdominal distension, loose stool, sallow or pale complexion, pale tongue, thin and weak pulse, and the treatment should benefit the heart and spleen. Commonly used Guipi decoction is modified: Codonopsis pilosula 12g (or ginseng 3g), Atractylodes macrocephala 10g, Poria cocos 10g, Astragalus membranaceus 15g, Longan 15g, Ziziphus jujuba seeds 10g, and Angelica sinensis/kloc. Decoct with water. Chinese patent medicine can be Guipi Pill, Shiquan Dabu Pill and Liujunzi Pill.

(3) Liver depression. Long-term depression, anxiety and anger, or long-term marital disharmony, or disharmony in sexual life, make the liver lose its function of dispersing qi, leading to incompetence and impotence caused by muscle accumulation. Patients are usually irritable, uneasy, irritable, hypochondriac or miserable. Sleep is dreamy, food is tasteless, loose stool is unhappy, and the fur is white and the pulse is string. Treatment should soothe the liver and relieve depression. Commonly used Xiaoyao powder is modified: Bupleurum root 9g, Angelica sinensis 10g, Paeonia lactiflora 15g, Atractylodes macrocephala 12g, Poria cocos 10g, Radix Glycyrrhizae Preparata 6g, Rhizoma Cyperi 6g, Radix Curcumae 10g, Aspongopus 6g and Fructus Lycii/kloc. Decoct with water. Chinese patent medicines can be Jiawei Xiaoyao Pill, Shugan Pill and Shugan Zhitong Pill.

(4) Hot and humid betting. Eating too much fat, sweet, sorghum and thick taste will hurt the spleen and stomach, transport too much, accumulate dampness and generate heat, and accumulate damp and heat, leading to relaxation of tendons and veins, leading to yang deficiency. Patients often have nocturnal emission, swollen scrotum due to wet itching, even swelling and pain, swelling and pain of lower abdomen and penis root, burning pain in urine, soreness of waist and knees, bitter taste and dry mouth, red tongue with yellow greasy coating and slippery pulse. Treatment should clear away heat and promote diuresis. Longdan Xiegan Decoction is often used for addition and subtraction: Longdan 10g, Scutellaria baicalensis Georgi 10g, Gardenia 6g, Plantago asiatica 10g, Alisma orientalis 10g, Akebia Akebia 6g, Fructus Cnidii 10g, Jin Lingzi 10g, etc. Chinese patent medicines can choose Sanmiao Pill, Longdan Xiegan Pill and Danggui Longhui Pill.

It is worth noting that patients with damp-heat should not drink alcohol, let alone drink alcohol. Because wine is hot, it is easy to help damp heat. Impotence caused by damp-heat is not uncommon in clinic. As early as the Ming Dynasty, Li Shizhen once pointed out: "Drinking less will promote blood circulation and remove blood stasis, strengthen the spirit to keep out the cold, relieve worries and revitalize the legacy, while drinking more will make you sad and consume blood, hurt your stomach and kill sperm, and cause phlegm fire." . Shakespeare, a great British dramatist, once said, "Wine arouses desire, but it also makes behavior a bubble." It is enough to show that excessive drinking can lead to impotence.

The traditional oral therapy in ancient Chinese medicine, briefly recorded one or two, originated from Han and Tang dynasties, and there are prescriptions in the monographs handed down. For example, the prescriptions for treating male impotence contained in the Secret Recipe of Yufu and the Guide to Yufu, or making the yin grow generous, and the "bald chicken powder" and "deer melt" recorded in Zi Xuan caves, etc. The Sutra of the Plain Woman also introduced some prescriptions for treating impotence, such as treating impotence. Male impotence can't afford it, but it is not strong, heartless, with less yang and weak kidney source. The prescription is Cistanche deserticola and Schisandra chinensis 65438 0 g, Fructus Cnidii, Semen Rabbit and Fructus Aurantii Immaturus 65438 00 g, three times a day, with wine as the prescription. You can also use male moth 12g (dry, unmated), Asari 12g, Fructus Cnidii 12g, mash and sieve to make the bird's eggs as clear as the size of a plane tree. Taking 1 pill during mating can strengthen the penis. If the yang is strong, it can be washed away to make impotence. In addition, to make the penis strong, pepper, asarum and cistanche deserticola can be equally divided, mashed and sieved, put into the gallbladder of dogs and hung indoors for 30 days. When in use, the penis can be rubbed to make it firm. To make the penis grow up, another oral medicine can be used, and its composition and dosage are: 2 g of Semen Platycladi, 5 g of Radix Ampelopsis 1 g, 3 g of Atractylodis Macrocephalae, 0 g of Cinnamomum cassia 1 g of Radix Aconiti Lateralis Preparata1g. Take 1 cubic inch bi twice a day after meals for 10 ~ 20 days. It can strengthen the yang every day.

Yu Fang Zhi Yao also recorded a prescription to make men strong and have strong sexual desire. Its composition and weight are: Fructus Cnidii, Herba Cistanches, Radix Polygalae, Radix Dipsaci, etc., and ground into powder, three times a day, each time 65438 0 cubic inches. All the parties listed above, whether for oral administration or external use, mostly used kidney-tonifying and yang-strengthening drugs by the ancients to enhance sexual function. It has certain curative effect on treating secondary impotence.