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

Kidney-Yin deficiency with Empty-Heat

Inability to ejaculate, dizziness, tinnitus, hardness of hearing, night sweating, dry mouth at night, five-palm heat, a feeling of heat in the evening, malar flush, thirst with a desire to drink in small sips, lower backache, scanty dark urine, insomnia, Red tongue without coating, Floating-Empty and Rapid pulse.

Blood stasis in the Lower Burner

Inability to ejaculate, abdominal pain, mental restlessness, pain in the testis, Purple tongue, Wiry pulse.

Blood in the sperm

Kidney-Yin deficiency with Empty-Heat

Blood in the sperm, dizziness, tinnitus, hardness of hearing, night sweating, dry mouth at night, five-palm heat, a feeling of heat in the evening, malar flush, thirst with a desire to drink in small sips, lower backache, scanty dark urine, insomnia, Red tongue without coating, Floating-Empty and Rapid pulse.

Damp-Heat in the Lower Burner

Blood in the sperm, turbid sperm, burning on urination, hypogastric fullness and pain, pain and swelling of the scrotum, dark urine, sticky yellow tongue coating, Slippery-Rapid pulse.

Toxic Heat in the Lower Burner

Blood in the sperm, a feeling of heaviness and pain of the perineum, urethral discharge, abdominal pain, Red tongue with sticky, thick yellow coating and red points, Slippery-Overflowing-Rapid pulse.

Blood stasis in the Lower Burner

Blood in the sperm, pain in the perineum, difficulty in urination, abdominal pain, purple complexion, Purple tongue, Firm pulse.

Cold-watery sperm

Kidney-Qi not firm

Cold-watery sperm, premature ejaculation, impotence, 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.

Cold in the Lower Burner

Cold-watery sperm, impotence, lack of libido, abdominal pain, a feeling of cold in the scrotum, cold limbs, a feeling of cold, lower backache, pale face, abundant pale urination, white tongue coating, Deep-Weak-Slow pulse.

Tiredness and dizziness after ejaculation

Interrogation, Chapter 45

Kidney-Yang deficiency

Tiredness and dizziness after ejaculation, impotence, decreased libido, tinnitus, 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.

Kidney-Yin deficiency

Tiredness and dizziness after ejaculation, impotence, decreased libido, nocturnal emissions, tinnitus, hardness of hearing, poor memory, night sweating, dry mouth and throat at night, lower backache, constipation, scanty dark urine, tiredness, normal-coloured tongue without coating, Floating-Empty pulse.

Spleen-Blood and Heart-Blood deficiency

Tiredness and dizziness after ejaculation, palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, tendency to be easily startled, dull-pale complexion, pale lips, poor appetite, slight abdominal distension after eating, weakness of the limbs, loose stools, Pale tongue, Choppy pulse.

PRIAPISM

Observation, Chapter 17

‘Priapism’ indicates persistent abnormal erection of the penis accompanied by pain and tenderness.

Damp-Heat in the Liver channel

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

Kidney-Yin deficiency with Empty-Heat

Persistent erection, dizziness, tinnitus, hardness of hearing, night sweating, dry mouth at night, five-palm heat, a feeling of heat in the evening, malar flush, thirst with a desire to drink in small sips, lower backache, scanty dark urine, insomnia, Red tongue without coating, Floating-Empty and Rapid pulse.

COLD GENITALS

Deficiency of Minister Fire

Cold genitals, backache, lack of libido, impotence, a feeling of cold, dizziness, depression, pale-abundant urination, Pale tongue, Deep-Weak pulse.

Stagnation of Cold in the Liver channel

Cold genitals, contracted scrotum, fullness and distension of the hypogastrium, with pain which refers downwards to the scrotum and testis and upwards to the hypochondrium, alleviation of the pain by warmth, straining of the testis or contraction of the scrotum, vertical headache, a feeling of cold, cold hands and feet, vomiting of clear watery fluids or dry vomiting, Pale and wet tongue with white coating, Deep-Wiry-slow pulse.

Cold-Dampness in the Lower Burner

Cold genitals, abdominal fullness, turbid urine, abdominal pain, a feeling of heaviness, a feeling of cold, cold limbs, sticky white tongue coating, Slippery-Slow pulse.

SCROTUM

Contraction of the scrotum

Observation, Chapter 17

Stagnation of Cold in the Liver channel

Contraction of the scrotum, fullness and distension of the hypogastrium with pain, which refers downwards to the scrotum and testis and upwards to the hypochondrium, alleviation of the pain by warmth, straining of the testis or contraction of the scrotum, vertical headache, a feeling of cold, cold hands and feet, vomiting of clear watery fluids, or dry vomiting, Pale and wet tongue with white coating, Deep-Wiry-slow pulse.

Deficiency of Qi and Blood

Contraction of the scrotum, poor appetite, loose stools, weak voice, tiredness, blurred vision, dizziness, numbness/tingling of the limbs, palpitations, dull-pale complexion, Pale tongue, Weak or Choppy pulse.

Chinese books explain that this condition is due to overexertion after an acute disease.

Collapse of Yang

Contraction of the scrotum, chilliness, cold limbs, weak breathing, profuse sweating with sweat-like pearls, absence of thirst, profuse pale urination or incontinence of urine, loose stools, incontinence of faeces, mental confusion or unconsciousness, Pale-Wet-Short tongue, Deep-Minute pulse.

Collapse of Yin

Contraction of the scrotum, abundant perspiration, skin hot to the touch, hot limbs, dry mouth, retention of urine, constipation, Red, Short tongue without coating, Floating-Empty-Rapid pulse.

Loose scrotum

Observation, Chapter 17

Kidney-Yang deficiency

Loose scrotum, lower backache, cold knees, a feeling of cold, bright-white complexion, weak knees, tired-ness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse.

Spleen-Qi sinking

Loose scrotum, a feeling of bearing down, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, Pale tongue, Empty pulse.

Scrotum drooping to one side

Observation, Chapter 17

Empty-Cold in the Lower Burner

Scrotum drooping on side, a feeling of cold in the abdomen, abundant clear urination, lack of libido, Pale tongue, Deep-Weak-Slow pulse.

Damp-Phlegm in the Lower Burner

Scrotum drooping on side, a feeling of heaviness in the abdomen, obesity, urethral discharge, Swollen tongue, Slippery pulse.

Swollen scrotum

Observation, Chapter 17

Spleen- and Kidney-Yang deficiency

Swollen scrotum, lower backache, cold and weak knees, a feeling of cold, bright-white complexion, impotence, decreased libido, tiredness, lassitude, abundant clear urination, urination at night, loose stools, poor appetite, slight abdominal distension, a desire to lie down, early-morning diarrhoea, Pale and wet tongue, Deep-Weak pulse.

Heart-Yang deficiency

Swollen scrotum, palpitations, shortness of breath on exertion, tiredness, listlessness, depression, spontaneous sweating, a slight feeling of discomfort or stuffiness in the heart region, a feeling of cold, cold hands, bright-pale face, Pale tongue, Deep-Weak pulse.

Liver-Blood deficiency with Empty internal Wind

Swollen scrotum, dizziness, blurred vision, floaters, numbness or tingling of limbs, scanty menstruation, dull-pale complexion, tremors, tic, Pale tongue, Choppy or Fine pulse.

Swollen and oozing scrotum

Observation, Chapter 17

Damp-Heat in the Liver channel

Red and swollen scrotum oozing a sticky fluid, pain in the testicles, genital, papular or vesicular skin rashes and itching, urinary difficulty, burning on urination, dark urine, fullness of the hypochondrium, abdomen or hypogastrium, bitter taste, poor appetite, nausea, a feeling of heaviness of the body, Red tongue with redder sides and a sticky yellow coating, Slippery-Wiry-Rapid pulse.

Toxic Heat in the Liver channel

Red, swollen and painful scrotum oozing a sticky fluid, ulcers on the penis, pain in the testicles and perineum, genital papular skin rash and itching, burning on urination, dark urine, Red tongue with thick, sticky yellow coating and red spots on the root and sides, Slippery-Overflowing-Rapid pulse.

Pale scrotum

Observation, Chapter 17

Spleen- and Kidney-Yang deficiency

Pale scrotum, lower backache, cold and weak knees, a feeling of cold, bright-white complexion, impotence, decreased libido, tiredness, lassitude, abundant clear urination, urination at night, loose stools, poor appetite, slight abdominal distension, a desire to lie down, early-morning diarrhoea, Pale and wet tongue, Deep-Weak pulse.

Red scrotum

Observation, Chapter 17

Damp-Heat in the Liver channel

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

Toxic Heat in the Liver channel

Red scrotum, pain, swelling, redness and itching of the testis, dark urine, burning on urination, hypogastric fullness and distension, painful penis, thick, sticky yellow tongue coating, Overflowing-Slippery-Rapid pulse.

Purple scrotum

Observation, Chapter 17

Liver-Blood stasis

Purple scrotum, hypochondrial/abdominal pain, masses in the abdomen, purple nails and lips, purple or dark complexion, Purple tongue, Wiry or Firm pulse.

Damp-Heat with Blood stasis in the Liver channel

Purple scrotum, persistent erection, pain in the testis, tenderness and pain of penis, genital papular or vesicular skin rashes and itching, urinary difficulty, burning on urination, dark urine, fullness of the hypochondrium,abdomen or hypogastrium, bitter taste, nausea, a feeling of heaviness of the body, hypochondrial/abdominal pain, masses in the abdomen, purple nails and lips, purple or dark complexion, Red tongue with purplish sides and sticky yellow coating, Wiry-Slippery-Rapid pulse.

Dark scrotum

Observation, Chapter 17

Stagnation of Cold in the Liver channel

Dark scrotum, straining of the testis or contraction of the scrotum, fullness and distension of the hypogastrium with pain, which refers downwards to the scrotum and testis and upwards to the hypochondrium, alleviation of the pain by warmth, vertical headache, a feeling of cold, cold hands and feet, vomiting of clear watery fluids or dry vomiting, Pale and wet tongue with white coating, Deep-Wiry-Slow pulse.

Kidney-Yang deficiency

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

Itchy scrotum

Damp-Heat in the Lower Burner

Itchy and burning of the scrotum, sweaty scrotum, burning on urination, dark urine, sticky yellow tongue coating, Slippery-Rapid pulse.

Kidney-Yin deficiency with Empty-Heat

Itchy scrotum, dry skin, bleeding on scratching, dizziness, tinnitus, hardness of hearing, night sweating, dry mouth at night, five-palm heat, a feeling of heat in the evening, malar flush, thirst with a desire to drink in small sips, lower backache, scanty dark urine, insomnia, Red tongue without coating, Floating-Empty and Rapid pulse.

Cold-Dampness in the Lower Burner

Itchy and sweaty scrotum, a feeling of heaviness of the scrotum, turbid urine, sticky white tongue coating, Slippery-Slow pulse.

PENIS

Pain and itching of the penis

Damp-Heat in the Lower Burner

Pain and itching of the penis, dark urine, burning on urination, turbid urine, irritability, sticky yellow tongue coating, Slippery-Rapid pulse.

Blood stasis in the Lower Burner

Pain in the penis, hypogastric pain, blood in the urine, abdominal pain, Purple tongue, Wiry pulse.

Kidney-Yin deficiency with Empty-Heat

Pain and itching of the penis, dizziness, tinnitus, hardness of hearing, night sweating, dry mouth at night, five-palm heat, a feeling of heat in the evening, malar flush, thirst with a desire to drink in small sips, lower backache, scanty-dark urine, insomnia, Red tongue without coating, Floating-Empty and Rapid pulse.

Heart-Fire

Pain and itching of the penis, dark urine, burning on urination, premature ejaculation, palpitations, thirst, mouth and tongue ulcers, mental restlessness, feeling agitated, insomnia, dream-disturbed sleep, a feeling of heat, red face, bitter taste, Red tongue with redder tip and yellow coating, Overflowing-Rapid pulse.

Soft and withered penis

Observation, Chapter 17

Liver-Qi deficiency

Soft and withered penis, timidity, tendency to being easily startled, difficulty in making decisions, sighing, depression, inability to make plans, nervousness, lack of courage and initiative, restless dreams, dizziness, blurred vision, floaters, mild hypochondrial discomfort, Pale tongue, pulse Empty on the left.

Kidney-Yin deficiency

Soft and withered penis, dizziness, tinnitus, night sweating, dry mouth with a desire to sip water, lower backache, poor memory, scanty dark urine, tongue without coating, Floating-Empty pulse.

Kidney-Yang deficiency

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

Phlegm and Blood stasis in the Lower Burner

Soft and withered penis, inability to ejaculate, abdominal pain, a feeling of heaviness in the abdomen, mental restlessness, pain in the testis, Swollen and Purple tongue, Wiry-Slippery pulse.

Redness and swelling of the glans penis

Observation, Chapter 17

Toxic Heat in the Liver channel

Redness and swelling of the glans penis, painful urination, thick urethral discharge, hypogastric pain, Red tongue with red points on the side and thick, sticky yellow coating, Overflowing-Slippery-Rapid pulse.

Damp-Heat in the Liver channel

Redness and swelling of the glans penis, persistent erection, pain in the testis, tenderness and pain of penis, genital papular or vesicular skin rashes and itching, urinary difficulty, burning on urination, dark urine, 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.

Peyronie’s disease

Observation, Chapter 17

Peyronie’s disease is an unnatural curvature of the penis, which is noticeable during an erection. It may prevent a complete erection, owing to plaque or scar tissue inside the penis. The curvature may also cause a painful erection which may be so severe as to make intercourse impossible.

Blood stasis in the Liver channel

Peyronie’s disease, painful curvature of the penis, painful erection, hypogastric pain, painful urination, hypochondrial/abdominal pain, purple nails and lips, purple or dark complexion, Purple tongue, Wiry or Firm pulse.

Dampness in the Lower Burner with Blood stasis in the Liver channel

Peyronie’s disease, painful curvature of the penis, painful erection, swelling and hardening under the skin of the penis, a feeling of heaviness and fullness of the lower abdomen, urethral discharge, hypogastric pain, painful urination, hypochondrial/abdominal pain, purple nails and lips, purple or dark complexion, Purple tongue with sticky coating, Wiry-Slippery or Firm-Slippery pulse.

Blood stasis in the Liver channel with Kidney-Yang deficiency

Peyronie’s disease, curvature of the penis, soft erection, hypogastric pain, painful urination, hypochondrial/abdominal pain, purple nails and lips, purple or dark complexion, lower backache, cold knees, a feeling of cold, bright-white complexion, weak knees, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue with purplish sides, Deep-Weak pulse.

Cold in the Liver channel with Blood stasis

Peyronie’s disease, painful curvature of the penis, painful erection, straining of the testis or contraction of the scrotum, fullness and distension of the hypogastrium, with pain which refers downwards to the scrotum and testis and upwards to the hypochondrium, alleviation of the pain by warmth, vertical headache, a feeling of cold, cold hands and feet, vomiting of clear watery fluids or dry vomiting, hypochondrial/abdominal pain, purple nails and lips, purple or dark complexion, Bluish-Purple tongue, white coating, Deep-Wiry-Slow pulse.

Ulcers

Observation, Chapter 17

Damp-Heat in the Liver channel

Red ulcers on the penis, oozing of fluid, swelling and pain of the penis, genital papular or vesicular skin rashes and itching, urinary difficulty, burning on urination, dark urine, 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.

Liver-Fire

Painful, red ulcers on the penis oozing a sticky yellow fluid, swelling and redness of the penis, headache, red face, dizziness, tinnitus, irritability, propensity to outbursts of anger, thirst, bitter taste, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse.

Kidney deficiency with Dampness

Ulcers on the penis, itching and oozing a sticky fluid, lower backache, dizziness, tinnitus, a feeling of fullness and heaviness of the lower abdomen, sticky yellow tongue coating, Deep-Weak and slightly Slippery pulse.

Liver- and Kidney-Yin deficiency with Empty-Heat

Ulcers on the penis, edges of the ulcers not raised, not painful, dizziness, tinnitus, dull occipital or vertical headache, insomnia, numbness/tingling of the limbs, malar flush, dry eyes, blurred vision, lower backache, dry throat, dry hair and skin, brittle nails, dry vagina, night sweating, dry stools, scanty dark urine, scanty menstruation, five-palm heat, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

Toxic Heat

Ulcers on the penis, with itching, heat and pain, thirst, a feeling of heat, skin rashes, Red tongue with thick, sticky yellow coating, Overflowing-Slippery-Rapid pulse.

SWELLING AND PAIN OF THE TESTICLES

Cold in the Lower Burner

Swelling and pain of the testicles, abdominal pain, pale urine, a feeling of cold, white tongue coating, Deep-Tight pulse.

Cold-Dampness in the Lower Burner

Swelling of the testicles with slight pain, abdominal fullness and pain, a feeling of heaviness, turbid urine, sticky white tongue coating, Slippery-Slow pulse.

Damp-Heat in the Lower Burner

Swelling and pain of the testicles, abdominal fullness and pain, a feeling of heaviness, dark and turbid urine, burning on urination, sticky yellow tongue coating, Slippery-Rapid pulse.

Stagnation of Qi in the Lower Burner

Swelling and pain of the testicles that come and go, abdominal distension, irritability, Wiry pulse.

Toxic Heat in the Lower Burner

Swelling, pain and hardness of the testicles, hypogastric pain, burning on urination, swelling of scrotum, fever, thirst, Red tongue with thick, sticky yellow coating and red spots on the root, Slippery-Overflowing-Rapid pulse.

PUBIC HAIR

Loss of pubic hair

Observation, Chapter 17

Kidney-Essence deficiency

Loss of pubic hair, 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, 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.

Spleen- and Kidney-Yang deficiency

Loss of pubic hair, lower backache, cold and weak knees, a feeling of cold, bright-white complexion, impotence, decreased libido, tiredness, lassitude, abundant clear urination, urination at night, loose stools, poor appetite, slight abdominal distension, a desire to lie down, early-morning diarrhoea, Pale and wet tongue, Deep-Weak pulse.

Excessive pubic hair

Observation, Chapter 17

Phlegm and Blood stasis

Excessive pubic hair, pain in the genital area, a feeling of oppression of the chest, Swollen and Purple tongue, Slippery-Wiry pulse.

Kidney-Yin deficiency with Empty-Heat

Excessive pubic hair, dizziness, tinnitus, night sweating, dry mouth with a desire to sip water, backache, poor memory, scanty dark urine, five-palm heat, malar flush, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

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