Impotence

　　Impotence, also known as erectile dysfunction, refers to the inability to achieve or maintain an erection during sexual desire, or although there is an erection with a certain degree of rigidity, it cannot be maintained for a sufficient time during sexual intercourse, thereby hindering sexual intercourse or not being able to complete sexual intercourse. Impotence is divided into congenital and pathological types, the former is not common and is difficult to cure, while the latter is more common and has a high cure rate. The causes of impotence are complex, and the following introduces the causes of impotence:

　　1. Organic diseases

　　(1) Vascular causes

　　Involves any diseases that can lead to a decrease in penile cavernosal arterial blood flow, such as atherosclerosis, arterial injury, arterial stenosis, pudendal artery shunting, and abnormal cardiac function, or penile cavernosal leakage caused by the penis white membrane that hinders venous return and the closure mechanism, and a decrease in smooth muscle in the cavernous sinus of the penis.

　　(2) Neurological causes

　　Central and peripheral nerve diseases or injuries can also cause impotence.

　　(3) Surgery and trauma

　　Major vascular surgery, radical prostatectomy for prostate cancer, radical abdominal, perineal, rectal cancer surgery, and pelvic fractures, lumbar compression fractures, or equestrian injuries can cause damage to the blood vessels and nerves related to penile erection, leading to impotence.

　　(4) Endocrine diseases

　　Many cases of impotence are caused by endocrine diseases, mainly seen in diabetes, hypothalamic-pituitary abnormalities, and primary hypogonadism. According to foreign reports, 23% to 60% of male diabetic patients experience impotence to varying degrees. The pathogenesis is mainly related to pathological changes in the autonomic nerve fibers of the corpora cavernosa, narrowing of the penile blood vessels, endocrine abnormalities, and psychological factors.

　　2. Diseases of the penis itself

　　Such as Peyronie's disease, penile curvature deformity, severe phimosis, and balanoposthitis.

　　3. Urinary and reproductive system deformities

　　Impotence can occur due to congenital penile curvature, biphallia, microphallia, penoscrotal transposition, posterior bladder inversion, urethral cleft, congenital absence or maldevelopment of the testes, fibrosis of the corpora cavernosa, varicocele, and other conditions that prevent an erection.

　　4. Urinary and reproductive system diseases

　　Chronic inflammation of the urinary and reproductive organs, such as orchitis, epididymitis, urethritis, cystitis, and prostatitis, is more common in patients with impotence. Urinary and reproductive system surgery and certain injuries, such as benign prostatic hyperplasia, prostatectomy, urethral rupture, and injuries to the penis and testicles, can also cause impotence. Patients with chronic renal failure often experience impotence due to testicular atrophy and a decrease in testosterone.

　　5. Other factors

　　Radiation exposure, heavy metal poisoning, and chronic diseases, as well as long-term use of certain drugs, can also cause impotence.

　　6. Psychological etiology

　　It refers to impotence caused by psychological and psychological factors such as tension, stress, depression, anxiety, and disharmony in marital relationships.

　　7. Mixed etiology

　　It refers to impotence caused by a combination of psychological and physical factors. In addition, due to the failure to receive timely treatment for organic impotence, the patient's psychological pressure increases, fearing sexual failure, which makes the treatment of impotence more complex.

　　The main manifestation of impotence is that men cannot achieve or maintain an erection during sexual activity, or the erection is not firm enough to complete normal sexual activity. The incidence of impotence accounts for about 50% of adult males. Then, what are the complications of impotence? What are the hazards of impotence? Below, we will introduce the complications and hazards of impotence.

　　1. Impact on male fertility

　　The majority of impotent patients find it difficult to achieve a normal erection, which prevents them from engaging in normal sexual activity and from delivering sperm to the cervix of the female, making it impossible to conceive a child. For patients with mild symptoms, the common symptom is a weak erection, which can still allow them to complete sexual intercourse. However, at this time, the patient's physiological function is in an unhealthy state, and the sperm quality is poor, which cannot guarantee the birth of a healthy child. It is evident that ED can severely affect the patient's fertility. Fertility is a major issue for men, so this problem is quite serious, and patients must take it seriously.

　　2. Triggering related mental diseases

　　A large number of clinical cases show that male impotence is prone to lead to the occurrence of depression. Many patients suffer from anxiety, inferiority complex, and disharmony between couples due to impotence, which are all prone to depression. In addition, depression and many therapeutic drugs can cause impotence. Impotence and depression have become two common diseases in modern men, and they are interrelated and cause and effect, forming a vicious cycle. Depression affects the normal life and work of patients and can be life-threatening in severe cases.

　　3. Affecting psychology

　　After suffering from impotence, men are under excessive psychological pressure, which seriously affects their normal work and life and is long overshadowed by the shadow of the disease. Men should pay attention to their own health, develop positive and healthy living habits, and prevent diseases in advance.

　　4. Affecting self-health

　　Chronic diseases often accompany impotence. According to clinical research, in addition to psychological impotence, most impotence is a direct result of decreased body function. From the etiology, diseases such as diabetes and hypertension may cause impotence.

　　5. Leading to family breakdown

　　In sexual life, the wife often does not feel sexual pleasure, and long-term inability to achieve sexual satisfaction will lead to losing interest in sexual life, and finally result in indifference to sex, which will eventually lead to the breakdown of the family.

　　Although impotence is a common male sexual dysfunction disease, timely treatment can restore health. If impotence is not cured for a long time, it can easily lead to serious complications such as infertility. It is hoped that male patients must actively cooperate with doctors for treatment.

　　In recent years, due to increased life pressure, the incidence of impotence is gradually rising, seriously affecting the physical and mental health of men. Understanding some symptoms of impotence, especially early symptoms, can help in timely detection and treatment, leading to better recovery. Therefore, it is very necessary to understand the symptoms of impotence. So, what are the typical symptoms of impotence?

　　In traditional Chinese medicine, impotence is believed to be caused by factors such as fatigue, fear, and sadness, leading to the accumulation of damp-heat within the body that cannot be dispersed. Patients with weakened bodies and depleted qi need to regulate the balance of yin and yang, replenish the kidney, and restore health. The symptoms of impotence are mainly divided into the following aspects:

　　1. Lethargy and depression

　　Patients with impotence usually suffer from heart and spleen damage, unscientific and irregular diet, lack of nutrition. Prolonged illness leads to disharmony of the spleen and stomach, deficiency of kidney and spleen, and weakened physique. The quality of sleep also decreases accordingly, resulting in poor sleep and pale complexion. Patients may show symptoms of low spirits and poor mood. If these symptoms are not well relieved, they will exacerbate the condition of impotence, causing more negative effects on the patient's physical and mental health.

　　2、腰酸腿软，四肢无力

　　阳痿患者通常表现出腰酸腿痛，四肢乏力的症状。其他的还有比如头脑不清醒，身体不适，经常性头晕眼花，脸色不好看，严重者腿和胳膊时常感到冰冷。这主要是体虚导致的内冷，即使在温暖的地方，也不会有所缓解。引起这些症状的原因主要是，阳痿患者的肾脏消耗过度，导致阴气聚集无法散播出来，长期以来让身体转为寒性。

　　3、没有食欲，面色枯黄

　　食欲不振，什么感觉都不想吃，面色枯黄，脸色暗淡无光，让人看来就是一种病态。阳痿患者的这种并发症状虽然不是主要的，但是也是此病常常伴随的症状。要缓解这种症状，首先要从饮食着手，做到科学合理饮食，劳逸结合，从而弥补气血不足，养护脾胃。

　　4、房事不振，力不从心

　　阳痿的最重要的、最直接的一个表现就是夫妻生活不好，房事不振。比如，阴囊潮湿、瘙痒臭味，阴茎疲乏不振，勃起困难。主要原因是，阳痿导致气血不足，肾气损伤，脾胃功能缺失。其他的还有心悸心慌、容易做梦，睡眠不好等症状。

　　对于阳痿的诸如精神不振、睡眠不好，脸色不佳等并发伴随症状，患者平日除了饮食之外，还可以采取按摩法环节和治疗。患者可以按时揉搓肚脐附近，还有自己点按气海穴，会阴穴，中级穴等也可以适当地环节症状。

　　阳痿又称勃起功能障碍(国际上简称ED)，是说在有性欲要求时，患者阴茎不能勃起或勃起不坚，或者有勃起且有一定程度的硬度，但不能保持性交的足够时间，因此妨碍性交或不能完成性交。阳痿分先天性和病理性两种，前者不多见，不易治愈，后者多见，而且治愈率高。疾病的预防胜于治疗，下面介绍阳痿的预防方法。

　　1、消除心理因素

　　要对性知识有充分的了解，充分认识精神因素对性功能的影响，要正确对待“性欲”，不能看作是见不得人的事而厌恶和恐惧，不能因为一两次性交失败而沮丧担忧，缺乏信心，夫妻双方要增加感情交流，消除不和谐因素，默契配合，女方应关怀，爱抚，鼓励丈夫，尽量避免不满情绪流露，避免给丈夫造成精神压力，性交时思想要集中，特别是在达到性快感高峰，即将射精时，更要思想集中。

　　2、节房事

　　长期房事过度，沉浸于色情，自慰用力过度导致精神疲乏，是导致阳痿的原因之一，实践证明，夫妻分床，停止性生活一段时间，避免各种类型的性刺激，让中枢神经和性器官得到充分休息，是防治阳痿的有效措施。

　　3. Diet adjustment

　　(1) Eat more invigorating foods: Invigorating foods mainly include dog meat, mutton, sparrow, walnuts, bull penis, sheep kidney, and other animal organs. They contain a large amount of sex hormones and adrenal cortical hormones, which can enhance sperm vitality, increase libido, and also belong to invigorating foods. In addition, zinc-containing foods such as abalone, beef, chicken liver, eggs, peanuts, pork, and chicken meat, and arginine-containing foods such as yam, ginkgo, frozen tofu, mullet, sea cucumber, cuttlefish, and octopus, are all conducive to improving sexual function.

　　(2) No need to avoid certain foods: Some folk sayings, such as eating loofah will cause impotence, etc., are not based on scientific evidence. To prevent impotence and premature ejaculation, there is no need to avoid certain foods, avoid being overly cautious, increase psychological burden, and also avoid malnutrition and physical weakness.

　　4. Improve physical fitness

　　Physical weakness, overwork, insufficient sleep, persistent mental labor, and other factors are conducive to the onset of the disease. It is necessary to actively engage in physical exercise, enhance physical fitness, and pay attention to rest, prevent overwork, and adjust the imbalance of the function of the central nervous system.

　　5. Be cautious with medication

　　There are many benefits of exercise, in addition to helping people have a good figure, it also helps a lot with cardiovascular health. For men, exercise has an incredible benefit: it can enhance sexual ability. According to a large-scale study conducted by Dr. Gordon Stein of Boston University of Medicine, a man who burns at least 2000 calories through exercise every day has a much lower chance of suffering from impotence than those who do not exercise. Many middle-aged men, after stepping into middle age, both work and family are stable, and they are prone to indulge in comfort, gradually losing interest in exercise; or they think that only those who have problems like headaches, fever, lumbago, and leg pain need to exercise, but they do not know that regular exercise is closely related to the strength of sexual ability. There are many types of exercise that help to invigorate the Yang, such as playing ball games, taking walks, swimming, and fitness. The only exercise that is 'wrong' is riding a bicycle, which can actually increase the chance of suffering from impotence.

　　Impotence refers to the inability of a man to achieve or maintain an erection during sexual activity, or an erection that is not firm enough or does not last long enough, making it impossible to complete normal sexual activity, or the penis cannot be inserted into the vagina for sexual intercourse. Impotence is also known as 'not being able to perform' and other names, and is the most common male sexual dysfunction disease. Occasional 1 to 2 times of sexual failure cannot be considered as impotence. Only when the failure rate of sexual intercourse exceeds 25% can it be diagnosed as impotence. According to statistics from relevant foreign data, about 37% to 42% of all male sexual dysfunction patients are impotent. A survey in China shows that about 10% of adult men experience impotence. The incidence of impotence increases with age. After the age of 50, many men will suffer from impotence, and the incidence of impotence reaches a peak between the ages of 65 to 70. However, it varies from person to person and is not absolute. The diagnosis of impotence requires examination, and the following introduces the examination of impotence.

　　First, physical examination

　　1, Secondary sexual development

　　Pay attention to the patient's skin, physique, skeletal and muscle development, whether there is a Adam's apple, whiskers, and the distribution and density of body hair, and whether there is male breast development, etc.

　　2, Peripheral vascular examination

　　Pay attention to the touch of the femoral artery, dorsal foot artery, and dorsal penile artery, which are relatively thin and need to be carefully touched. The patient assumes a supine position, and the artery pulse can be felt by gently placing the fingers on the root of the dorsal side of the penis. The pulse is weakened or disappears in arteriosclerosis, trauma, and elderly men.

　　3, Reproductive system examination

　　Pay attention to the size of the penis, whether there is deformation and hard nodules, and whether the testicles are normal.

　　4, Neurological examination

　　Examine perineal sensation, abdominal wall reflex, cremaster muscle reflex, patellar reflex, and bulbocavernosus muscle reflex, etc. The method of checking bulbocavernosus muscle reflex: the patient assumes a knee-chest position, the examiner inserts the index finger of the right hand into the anus to understand the anal sphincter tone. When the patient's anal sphincter relaxes, the examiner quickly compresses the glans penis with the left two fingers. The index finger in the anus can feel the reflexive contraction of the sphincter. If the reflex is weak or absent, it indicates a neuroreflex disorder.

　　Second, Laboratory examination

　　1, Complete blood count.

　　2, Urinalysis.

　　3, Blood biochemistry: including blood glucose, liver and kidney function, and blood lipids.

　　4, Hypothalamus-pituitary-testicular axis function test: mainly detect serum total testosterone (tT), free testosterone (fT), prolactin (PRL), follicle-stimulating hormone (FSH), and luteinizing hormone (LH) levels.

　　For male friends suffering from premature ejaculation, if they do not want to suffer from the pain caused by premature ejaculation, they must pay attention to their own health care, especially in diet. Which foods can help male friends get rid of premature ejaculation and impotence as soon as possible? The following introduces the dietetic recipes for impotence patients:

　　1, Chive Stir-fried Goat Liver

　　Take 90g of chive, wash and cut it into segments, slice 120g of goat liver, stir-fry it in a wok over high heat, and eat it with vinegar. It is used to treat kidney fire deficiency and impotence.

　　2, Cistanche deserticola Stewed Goat Kidney

　　Take 5g to 10g of Cistanche deserticola, one pair of goat kidneys, boil and season, and eat it to treat kidney fire deficiency and impotence.

　　3, Chicken Turtle Soup

　　Take one chicken weighing about 1000g that has not laid eggs, remove its feathers and internal organs. Take another turtle weighing about 500g, remove its shell, add 9g of white pepper, 500g of brown sugar, and stuff it into the chicken's abdomen. Place it in a sand pot, add 1000ml of white wine, cover it, seal it with mud, and simmer over low heat until the meat is tender. Eat the soup and meat, and finish it within 2 to 3 days. Take the medicine in the same way after 15 days. This recipe tonifies the kidney and nourishes yin, and is used for kidney yin deficiency and impotence.

　　4、药虾酱

　　取韭菜子30g，枸杞子、蛇床子各15g，菟丝子10g，以水煎服，每日1剂。另将大鲜虾40g煎去头尾，略捣烂，加醋适量成30g虾酱，1次服完。用于肾阳亏虚之阳痿，该方温而不燥。

　　5、蒸羊睾

　　取葱管数根，内装虾仁，以填满葱管为度，文火焙干，研细未，每日早晨冲服6g。另用羊睾丸1对，加陈酒少许蒸熟，每天早晨服下。1个月为1疗程。温肾壮阳，用于命门火衰阳痿。

　　6、穿山甲佛手堡鸡蛋

　　穿山甲12g，佛手20g、鸡蛋两只加水同煮，蛋熟后去壳，取蛋再煎15分钟，吃蛋饮汤，隔日1次，连用半月。三物合用，能散郁结，补精气，鼓阳道，治疗肝气郁结阳痿。

　　7、东坡羊肉

　　羊肉240g，土豆、胡萝卜各45g，酱油60g，料酒6g，糖4.5g，大葱9g，生姜3g，大料0.5g，花椒0.75g，植物油120g。将羊肉切成小块，土豆、胡萝卜刮皮洗净，切成菱形的块。把大炒勺放在旺火上，倒入植物油，烧到油见烟时，把羊肉块放入，约炒5分钟，肉变金黄色时即可捞出，再把土豆、胡萝卜块放入油勺内，亦炸到金黄色捞出，倒去余油。把炒锅放在微火上，倒入炒好的羊肉块，加入清水，然后把上述调料一并放入，一直煨到肉烂，再放入炸过的土豆、胡萝卜块，一起再煨5分钟后倒入汤盘内即成。佐餐服食。可补精血，助元阳，用于肾阳亏损所致的阳事不举。

　　8、冬虫夏草鸭

　　雄鸭1只，冬虫夏草10g，食盐、姜、葱少许。洗净放砂锅中，加冬虫夏草及上述调料，水适量，用文火煨熟烂。佐餐食用。补虚助阳，用于治疗肾阳虚寒、命门火衰所致的阳痿、遗精、是长期调养的理想滋补食品。

　　9、狗鞭散

　　狗鞭1具。锅内放砂加热，入狗鞭于锅内炒至松炮后，取出研未，每服3g，每日2次，温开水送下。用于肾阳虚阳痿、精冷。

　　10、炖狗肉

　　黄狗肉500g～1000g，洗净切块，加入八角、小茴、桂皮、草果、生姜和盐各适量，于锅内炖熟，食肉喝汤。用于脾肾阳虚阳痿。

　　阳痿又称勃起功能障碍(国际上简称ED)，是指在有性欲要求时，阴茎不能勃起或勃起不坚，或者虽然有勃起且有一定程度的硬度，但不能保持性交的足够时间，因而妨碍性交或不能完成性交。阳痿分先天性和病理性两种，前者不多见，不易治愈，后者多见，而且治愈率高。其治疗方法很多，应根据不同的病因病机而确定治则。

　　(One) Liver Qi stagnation syndrome

　　The treatment method is to relieve liver Qi stagnation. For those with liver Qi stagnation transforming into fire, it is advisable to relieve liver Qi stagnation and clear heat. The medicine is the combination of Xiaoyao Powder and Sini Powder added with Baijie li, Zishao flower, Chuanlianzi, and acetic Yuanhu. In this formula, Chaihu, Zhishi, and Bohe relieve liver Qi stagnation, and Danggui and Baishao nourish the liver and Yin. Prepared Gancao slows down the liver's urgency, Baiyilü enters the liver meridian to unblock Qi. Zishao flower enters the liver meridian, specifically used to treat impotence. Chuanlianzi and acetic Yuanhu enter the Qi and blood, respectively, to relieve liver Qi stagnation and pain. The combination of all the herbs collectively achieves the effect of relieving liver Qi and regulating Qi to treat impotence. If liver Qi stagnation is not treated for a long time, it is easy to transform into fire, manifested as pain in the chest and ribs, red eyes, dry mouth, red tongue with thin yellow fur, and wiry pulse. Treatment should be with the modified Danzhi Xiaoyao Powder to relieve liver Qi stagnation and clear liver heat.

　　(Two) Liver Qi reversal syndrome

　　The treatment method is to calm the liver and reverse. The medicine is the Xiaoyao Powder added with Longgu, Muli, Shijueming, Baijie li, and Lingyangjiao powder. These five herbs all enter the liver meridian, calm the liver and descend Qi, and when the liver Qi is relaxed, impotence can be cured.

　　(Three) Liver meridian damp-heat syndrome

　　The treatment method is to clear heat and promote diuresis. The medicine is the Longdan Xiegan Decoction added with cnidium. In this formula, Longdancao clears the actual fire of the liver meridian, with Chaihu as the messenger for the liver, and Gancao slows down the liver's urgency.辅以茯苓、栀子、木通、泽泻、车前子清热利湿，使湿热从小便排出，蛇床子燥湿以助阳。加当归、生地以养肝。This formula is excellent in using a liver-cleansing agent while adding liver-nourishing herbs, as the liver is the organ that stores blood, and nourishing blood is therefore beneficial to the liver. Cnidium is bitter and dry, and is specifically used to treat impotence.

　　(Four) Blood stasis blocking the meridians syndrome

　　The treatment method is to activate blood circulation, remove blood stasis, and unblock the meridians. The medicine is the Wugong Daluo Decoction. In this formula, the centipede is the principal herb, which unblocks blood stasis and meridians with the strongest power. Chuanxiong, Danshen, Chishao, water toad, nine fragrant insects, and white silkworm are the subordinate herbs, which assist the centipede in unblocking meridians. Chaihu regulates Qi, Huangqi tonifies Qi, and Zishao flower regulates Qi and strengthens Yang, which are the adjuvant herbs. Niuxi guides the medicine to descend as the messenger herb. The combination of all the herbs collectively achieves the effect of regulating Qi, activating blood circulation, removing blood stasis, and unblocking meridians to treat impotence. It can also be used with the Xuefu Zhuyu Decoction added with leeches, dilong, and luliutong. In this formula, leeches, dilong, and luliutong activate blood circulation into the meridians and collaterals, while angelica, niuxi, safflower, peach seeds, Chishao, and Chuanxiong nourish blood and activate blood circulation to remove blood stasis. Prepared rehmannia nourishes Yin, and Chaihu regulates the liver and Qi. Zhishizi and Jiegeng promote the circulation of lung Qi, and Gancao benefits the Qi. Overall, the formula achieves the effects of benefiting Qi, harmonizing blood, and unblocking meridians.

　　(Five) Deficiency of Mingmen fire syndrome

　　The treatment method is to warm and replenish the fire of the Mingmen. The formula uses the Dan Gu Chun Sheng Dan. This formula was originally designed in the 'Xianfang Heji' to treat 'deficiency and coldness in the elderly, impotence, seminal decline without offspring'. The formula uses deer antler, epimedium, morinda, cistanche, sesamum indicum, eucommia, cimicifuga, cnidium, aconite, cinnamon, prepared rehmannia, angelica,枸杞子, shanyao, to nourish yin and benefit kidney and liver, and to achieve the meaning of 'those who want to replenish Yang must seek Yang in Yin'. Ginseng and astragalus tonify the spleen and benefit the Qi, to assist the source of transformation and production. The combination of all the herbs, warms Yang, benefits kidney, fills essence and nourishes blood, and collectively plays the role of strengthening the original Yang in the kidney to treat impotence.

　　(Six) Kidney Yin Deficiency Syndrome

　　Treatment method: nourishing Yin and replenishing the kidney. In cases with Yin deficiency and fire excess, it is advisable to nourish Yin and replenish the kidney, and clear the虚 heat. Prescription: Zuogui Wan. In this prescription, Shengdihuang is used in large quantities to nourish the kidney to fill the true Yin, Gouqizi benefits the essence and improves eyesight, Shanyao is used to涩精 and consolidate the essence. Guil鹿 two jiaos are blood and flesh products, Lujiao is good for replenishing Yang, and Gujiao is good for nourishing Yin. The two jiaos work together to communicate the Ren and Du meridians, benefit the essence and fill the marrow, seeking Yin from Yang. Dousizi is paired with Niuxi to strengthen the waist and knees, and strengthen the tendons and bones. Shanyao benefits the spleen and nourishes the kidney. The combined use of all herbs has the effect of nourishing the kidney, filling Yin, and nourishing Yang to treat impotence. In cases with Yin deficiency and fire excess, it is advisable to add Shengdihuang, Mudanpi, Niuzhenzi, Hanliancao, and other herbs that clear虚 heat to nourish Yin and reduce fire.

　　(Seven) Cold Stagnation in the Liver Meridian Syndrome

　　Treatment method: warming the meridians, warming the liver, and dispelling cold. Prescription: Warm Liver Decoction plus Shanyao, Jiuxiangchong, Xianmao, Xianlingpi, and Baizhi. In this prescription, Xiaomuxiang and Rougui warm the meridians and dispel cold to relieve pain, Wu Yao and Chenxiang warm the kidney and dispel cold to promote Qi, Gouqizi and Danggui tonify the liver and kidney, Fuling strengthens the spleen and benefits the middle burner to reinforce the body, adding Shanyao, Jiuxiangchong, Xianmao, Xianlingpi, and Rougui to strengthen the kidney and invigorate Yang, and dispel the cold evil of the liver meridian. The combined use of all herbs has the effect of warming the meridians and dispelling cold to treat impotence.

　　(Eight) Deficiency of Gallbladder Qi and Fear Injurying the Kidney Syndrome

　　Treatment method: benefiting the kidney and nourishing the liver, strengthening the gallbladder and calming the mind. Prescription: Qiyang Yuixin Pill. The Qiyang Yuixin Pill was originally formulated in the 'Dianbing Lu' to treat impotence caused by 'insufficient will, insufficient Yang Qi, depression of heart fire without opening, and kidney fire although strong but not responding'. In this prescription, Renshen, Susong, Danggui, Baishao benefit the kidney, nourish the liver, and strengthen the gallbladder, Yuanzhi, Huoshen, Shigepi, and Shengzaoren calm the mind and treat fear, Shaoyao, Baizhu, Shanyao, and Gancao strengthen the spleen and harmonize the stomach to benefit the postnatal stage, Chaihu and Juhong regulate the Qi, to alleviate the Qi stagnation caused by fear. The combined use of all herbs has the effect of benefiting the kidney, strengthening the gallbladder, and calming the mind to treat impotence.

　　(Nine) Deficiency of Liver Blood Syndrome

　　Treatment method: nourishing the blood and benefiting the liver. Prescription: Spleen-tonifying Decoction. In this prescription, Dangshen, Huangqi, Baizhu, and Gancao are used to invigorate the spleen and benefit the Qi to generate blood, Danggui and Shengdi nourish the blood and benefit the Yin, Fushen and Zaoren nourish the heart and calm the mind, a little Muxiang is used to regulate the Qi and invigorate the spleen, so that the nourishment does not stagnate. The combined use of all herbs has the effect of nourishing the blood and tendons to treat impotence.