MEN’S SEXUAL AND GENITAL SYMPTOMS

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Chapter 75

MEN’S SEXUAL AND GENITAL SYMPTOMS

Chapter contents

IMPOTENCE

Interrogation, Chapter 45

‘Impotence’ should be differentiated from ‘lack of libido’: the former indicates an inability to sustain or obtain an erection while the sexual desire is normal; the latter indicates lack of sexual desire while the erection is normal.

LACK OF LIBIDO

Interrogation, Chapter 45

In Chinese medicine, libido depends on the state of the Fire of the Gate of Life (Ming Men), which represents the Fire within the Kidneys and is also called the Minister Fire. A deficiency of this Fire may cause lack of libido in both men and women (and also infertility), whereas an excess of this Fire may cause excessive sexual desire.

Kidney-Yang deficiency

Lack of libido, lower backache, cold knees, a feeling of cold, bright-white complexion, weak knees, tiredness, lassitude, abundant clear urination, urination at night, Pale and wet tongue, Deep-Weak pulse.

Heart-Yang deficiency

Lack of libido, premature ejaculation, palpitations, shortness of breath on exertion, spontaneous sweating, a slight feeling of discomfort or stuffiness in the heart region, Pale and wet tongue, Deep-Weak pulse.

Heart-Blood deficiency

Lack of libido, palpitations, dizziness, insomnia, dream- disturbed sleep, poor memory, anxiety, tendency to be easily startled, dull-pale complexion, pale lips, Pale and Thin tongue, Choppy or Fine pulse.

Heart- and Spleen-Blood deficiency

Lack of libido, palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, tendency to be easily startled, dull-pale complexion, pale lips, poor appetite, loose stools, tiredness, Pale and Thin tongue, Choppy or Fine pulse.

Liver-Qi stagnation

Lack of libido, hypochondrial or epigastric distension, irritability, moodiness, a feeling of a lump in the throat, Wiry pulse.

Clinical note

• In my experience, lack of libido in men is often caused by a Heart deficiency, whereas in women a Kidney deficiency is more common.

EJACULATION

Premature ejaculation

Interrogation, Chapter 45

Kidney-Qi not firm

Premature ejaculation, dribbling of urine which is worse after sex, frequent clear urination, weak-stream urination, incontinence of urine, soreness and weakness of the lower back, weak knees, tiredness, a dragging-down feeling in the lower abdomen, a feeling of cold, cold limbs, Pale tongue, Deep-Weak pulse.

Damp-Heat in the Liver channel

Premature ejaculation, burning on urination, urinary difficulty, dark urine, genital papular or vesicular skin rashes and itching, fullness of the hypochondrium, abdomen or hypogastrium, bitter taste, nausea, a feeling of heaviness of the body, Red tongue with redder sides and sticky yellow coating, Slippery-Wiry-Rapid pulse.

Spleen- and Heart-Yang deficiency

Premature ejaculation, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, a feeling of cold, cold limbs, oedema, palpitations, shortness of breath on exertion, spontaneous sweating, a slight feeling of discomfort or stuffiness in the heart region, Pale and wet tongue, Deep-Weak pulse.

Clinical note

• Heart-Qi descending plays a role in ejaculation. Therefore premature ejaculation may be due to Heart-Qi deficiency. For this reason, I treat the Heart and Kidneys.

Nocturnal emissions

Interrogation, Chapter 45

‘Nocturnal emissions’ indicates ejaculation during sleep. This symptom always has ‘pride of place’ among Kidney-deficiency symptoms in Chinese books. In the West, this symptom is relatively rare and it is not even considered a ‘symptom’ unless it occurs very frequently (e.g. once a week or more). There are cultural reasons why this symptom always has a prominent place among Kidney-deficiency symptoms in Chinese books because in ancient times ejaculation during sleep, especially if with sexual dreams, was considered to be due to the man having intercourse with female ghosts at night; such ghosts were considered very dangerous because they robbed men of their vital Essence.

Heart-Fire

Nocturnal emissions with dreams, premature ejaculation, palpitations, thirst, mouth and tongue ulcers, mental restlessness, a feeling of agitation, insomnia, dream-disturbed sleep, a feeling of heat, red face, bitter taste, Red tongue with redder tip and yellow coating, Overflowing-Rapid pulse.

Spleen-Qi and Heart-Blood deficiency

Nocturnal emissions without dreams, poor appetite, slight abdominal distension after eating, tiredness, weakness of the limbs, loose stools, palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, tendency to be easily startled, dull-pale complexion, pale lips, Pale and Thin tongue, Choppy or Fine pulse.

Heart- and Kidney-Yin deficiency with Empty-Heat

Nocturnal emissions with dreams, premature ejaculation, excessive sexual desire, palpitations, mental restlessness, insomnia, dream-disturbed sleep, anxiety, poor memory, dizziness, tinnitus, hardness of hearing, lower backache, nocturnal emissions with dreams, a feeling of heat in the evening, night sweating, five-palm heat, scanty dark urine, dry stools, Red tongue with redder tip and a Heart crack, Floating-Empty and Rapid pulse.

Minister Fire blazing upwards

Nocturnal emissions with dreams, premature ejaculation, excessive sexual desire, thirst, a feeling of agitation, a feeling of heat, red face, Red tongue with yellow coating, Overflowing-Rapid pulse.

Kidney-Qi not firm

Nocturnal emissions without dreams, premature ejaculation, dribbling of urine which is worse after sex, frequent clear urination, weak-stream urination, incontinence of urine, soreness and weakness of the lower back, weak knees, tiredness, a dragging-down feeling in the lower abdomen, a feeling of cold, cold limbs, Pale tongue, Deep-Weak pulse.

Damp-Heat in the Lower Burner

Nocturnal emissions with dreams, burning on urination, dark and turbid urine, itchy scrotum, sticky yellow tongue coating, Slippery-Rapid pulse.

Kidney-Essence deficiency

Nocturnal emissions without dreams, lack of libido, impotence, softening of bones in adults, deafness, weakness of knees and legs, poor memory, loose teeth, falling hair or premature greying of the hair, weakness of sexual activity, lower backache, infertility, sterility, dizziness, tinnitus, normal-coloured tongue and Floating-Empty or Leather pulse if Kidney-Essence deficiency occurs against a background of Kidney-Yin deficiency, or Pale tongue and Deep-Weak pulse if against a background of Kidney-Yang deficiency.

Inability to ejaculate

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MEN’S SEXUAL AND GENITAL SYMPTOMS

MEN’S SEXUAL AND GENITAL SYMPTOMS

IMPOTENCE

Kidney-Yang deficiency

Spleen- and Heart-Yang deficiency

Damp-Heat in the Lower Burner

Liver- and Kidney-Yin deficiency

Kidney-Essence deficiency

LACK OF LIBIDO

Kidney-Yang deficiency

Heart-Yang deficiency

Heart-Blood deficiency

Heart- and Spleen-Blood deficiency

Liver-Qi stagnation

EJACULATION

Premature ejaculation

Kidney-Qi not firm

Damp-Heat in the Liver channel

Spleen- and Heart-Yang deficiency

Nocturnal emissions

Heart-Fire

Spleen-Qi and Heart-Blood deficiency

Heart- and Kidney-Yin deficiency with Empty-Heat

Minister Fire blazing upwards

Kidney-Qi not firm

Damp-Heat in the Lower Burner

Kidney-Essence deficiency

Inability to ejaculate

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