Chinese medicine prescriptions for treating sexual dysfunction

There is no "universal formula" that is suitable for everyone. All traditional Chinese medicine treatments must first differentiate and classify syndromes. Currently, there are 4 categories of basic prescriptions for common syndrome types that are supported by clinical evidence and recognized by various schools. They correspond to the four core pathogenesis types of kidney deficiency, liver stagnation, dampness and heat, and blood stasis. The specific medication needs to be adjusted according to individual symptoms and must be used under the guidance of a professional TCM physician. It is strictly forbidden to take medicine by yourself.

I have been working in the men's clinic of traditional Chinese medicine for 8 years, and I have seen too many patients who came with the mentality of "looking for the magic formula". The one who impressed me the most was a 32-year-old Internet programmer who came last year. He worked on a project for more than 3 months. At first, the hardness dropped, and then the time shortened to less than 2 minutes. I heard from netizens that six Wei Dihuang Pills were used to treat kidney deficiency. I secretly bought 3 bottles and took them for two months. However, I became less and less energetic. Even my morning erections were almost gone. When I came to the doctor, I stuck out my tongue and found thick yellow coating all over my body. My pulse was slippery and rapid. It was a typical sign of dampness and heat. Taking supplements at this time is equivalent to keeping the dampness in the body and "locking it up". It would be strange if it does not make it worse.

In fact, regarding the treatment of sexual dysfunction, there have always been two different ideas in the traditional Chinese medicine circle. Most of the old doctors of the traditional prescription school prefer "9 out of 10 men are deficient". They believe that the core pathogenesis is kidney deficiency, and the treatment should give priority to nourishing the kidney and replenishing essence. Use Jinkui Shenqi Pills and Yougui Pills as the base, and add tortoise shell glue, deer antler glue and other flesh-and-blood products. For kidney yin deficiency, use Liuwei Dihuang Pills and Zuogui Pills. Most of the kidney-tonifying prescriptions that we ordinary people are familiar with are handed down from this idea. However, the emerging school of traditional Chinese medicine andrology in the past ten years is more inclined to "purge the excess". Think about it, people nowadays have no worries about food and clothing, so how can they have so many deficiencies that need to be replenished? Most of them are blood stasis caused by sitting for a long time, dampness and heat caused by staying up late and drinking, and liver stagnation caused by KPI pressure. Our outpatient statistics show that nearly 70% of 30 to 40-year-old patients are not purely deficient. Instead, their pulse beats quickly when touched, and their tongues are either dark purple with ecchymosis or yellow and greasy coating. At this time, the more you supplement, the worse it gets. First, loosen, clear, and unblock, and the effect will be much better.

Let me tell you a few basic prescriptions that are most commonly used in clinical practice, all of which have been proven effective by thousands of patients. But again, they are only for reference and must not be copied directly. Everyone's body constitution and syndrome are different, and the effect of one medicine may be completely different.

For example, for patients who are usually afraid of the cold, with hands and feet as cold as ice, soreness in the back that makes it difficult to stand for half an hour, frequent nocturia two or three times a night, weak erections and easy ejaculation, pale white tongue with thin coating, and a pulse so deep that it is almost untouchable, for patients with pure kidney yang deficiency, we usually use the basic formula of Jingui Shenqi Pills: 20g of Rehmannia glutinosa, 15g of Chinese yam. g. Cornus 15g, Alisma 10g, Poria 10g, paeonol 10g, cinnamon twig 10g, Aconite 6g (this medicine is slightly poisonous and must be fried for 40 minutes before taking other medicines), Epimedium 12g, Cuscuta 15g. Generally, if you take it for about 2 weeks, your hands and feet will warm up, and morning erections will slowly recover if the symptoms are correct.

For patients who are usually under great pressure at work, like to lose their temper, or are introverted and like to hold things in, they get nervous when they get into the same room, and the more afraid they are, the less capable they will be. They usually feel swollen on both sides of their chests, and like to sigh when nothing happens. For patients with liver stagnation, we often use Bupleurum Soothing Powder: Bupleurum 12g, Citrus Aurantii 10g, White Peony Root 15g, Zhigancao 6g, Cyperus rotundus. 10g, Ligusticum chuanxiong 10g, 1 centipede (pulverized into fine powder for best effect, put into decoction the effect is much worse), 10g dew honeycomb, adding centipede is the classic experience of contemporary andrologist Wang Qi. Centipede is very powerful and can move the blocked liver qi into the tendons. Many patients feel that their chest is no longer tight after taking it for a week, and they are not so panicked when having sex.

There is also the type of programmer I just mentioned, who usually likes to eat skewers and drink cold beer, which is not spicy at all. His scrotum is so wet that his underwear is wet, and his urine is yellow and smelly. His glans is particularly sensitive and prone to premature ejaculation, and his tongue coating is yellow and greasy. This kind of damp and hot gambling type must not take tonics. The basic prescription is generally Longdan Xiegan Decoction with the following additions and subtractions: Gentian 6g of grass, 10g of skullcap, 10g of gardenia, 12g of Alisma, 6g of Akebia, 15g of Plantago (wrap and fry otherwise it will burn the pot), 10g of Bupleurum, 6g of raw licorice, 30g of coix seed and 10g of Phellodendron. Generally, if you eat it for about a week, the moisture in the scrotum will be significantly reduced and the sensitivity will be reduced.

There are also those drivers who drive long distances and white-collar workers who sit in the office all day long. The perineum is usually swollen and swollen, and the lower abdomen still hurts during intercourse. There are ecchymoses on the dark purple edges of the tongue. This is caused by blood stasis blocking the blood vessels of Zongjin. If the corpus cavernosum cannot be supplied with blood, of course it cannot become erect. Generally, Taohong Siwu Decoction is used to add or subtract: 10g peach kernel, 10g safflower, 15g angelica, 15g rehmannia root, 10g chuanxiong, 15g red peony root, 15g achyranthes bidentata, 20g salvia miltiorrhiza. When the blood stasis is opened and the blood supply increases, the hardness will naturally increase.

When I usually sit in the clinic, I rarely use a single prescription. People nowadays have complex living habits, and most of them have several syndrome types mixed together, such as liver stagnation and kidney deficiency, or dampness and heat and blood stasis. Last time, there was a 42-year-old boss in the building materials business who socialized and drank every day. I was under a lot of pressure. I had to deal with clients and take care of my children's studies. When I came for the consultation, my scrotum was moist, my back was sore and afraid of the cold, and I suffered from insomnia and anxiety every day. I combined the ideas of clearing dampness and heat, soothing the liver, and warming yang, and prescribed 7 doses. After finishing the treatment, I came back for a follow-up consultation and said that I had almost recovered.

To be honest, I am most annoyed by those people on the Internet who boast of "ancestral secret recipes" and "blind medicine to cure impotence". They are just cutting leeks. Everyone's physique, living habits, and illness are different. How can there be any magic formula that is universally applicable? There are also many people who think that traditional Chinese medicine is slow to take effect. In fact, as long as the syndrome diagnosis is correct, obvious changes can be felt in 3 to 7 days. If there is no reaction at all after taking it for two weeks, then the syndrome diagnosis must be wrong. Please change the doctor quickly and don't waste money on it.

By the way, don’t forget that conditioning is not just about taking medicine. If you drink medicine here, stay up until two or three o’clock every day, drink five or six heavy drinks a week, and have uncontrolled sex, no medicine can save you. Regular work and rest, moderate exercise, and relaxation are more effective than any tonic.