Impotence

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Textbook Prescriptions Urogenital

Essentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.

Points

  1. CV4 Guanyuan midline

    Tonifies original qi

    Moxibustion.

    • Pregnancy: contraindicated
  2. GV4 Mingmen midline

    Gate of vitality; strengthens kidney yang

  3. BL23 Shenshu bilateral

    Back-Shu of the Kidney; strengthens kidney yang

  4. KI3 Taixi bilateral

    Yuan-Source of the Kidney; strengthens kidney yang

  5. GV20 Baihui midline

    Vertex point; moxa lifts yang qi

    Moxibustion.

Needling Safety

Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.

Treatment Principle

Tonify kidney yang with reinforcing needling and moxibustion on Ren and Kidney points.

Indications

Inability to achieve erectionKidney yang deficiency: pallor, dizziness, blurred vision, listlessness, sore weak lower back and knees, frequent urination, deep thready pulseWith heart and spleen qi damaged: palpitations and insomnia as well

Method

Reinforcing method plus moxibustion.

⚠ Cautions

Erectile dysfunction can be an early sign of cardiovascular disease, diabetes, endocrine disorder or medication effect; a medical assessment is advisable. Empty the bladder before needling CV4.

About

The colleges' prescription for impotence, aimed at deficient kidney yang, with additions when heart and spleen qi are also damaged.

Rationale

Moxa at CV4 builds original qi, and GV4, BL23 and KI3 strengthen kidney yang from the back and the foot. Moxa at GV20 raises the yang qi, completing a prescription that warms from the lower abdomen to the vertex.

Clinical Notes

When heart and spleen qi are damaged (palpitations, insomnia), add BL15, HT7 and SP6 to tonify them. The book also gives an ear-acupuncture option (Seminal Vesicle, External Genitalia, Testis, Endocrine).

Sources

  • Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Impotence, p. 369.

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