Impotence

Question 1

What is Impotence?

Answer 1

Refers to lack of power in achieving and maintaining an erection

Question 2

In Western Med, impotence belongs to?

Answer 2

Male sexual dysfunction

Question 3

What are the etiologies and pathogenesis of Impotence?

Answer 3

Def: Congenital deficiency, overstraining + chronic disease

Excess: Downward Attack of Damp-Heat blocking channel

Both: Emotions disturbing the LR, KI + SP

Question 4

What is the main etiology of impotence?

Answer 4

The main etiology is malnutrition or flaccidity of male external genitals

Question 5

The following are patterns of ________.

KI Xu
Damp-Heat

Answer 5

Impotence

Question 6

The following are S/sx of Impotence due to ________ patterns.

Failure or weakness to produce an erection during sexual activity, occasional spontaneous emission, dizziness, tinnitus, palpitations, SOB, pale complexion, soreness and weakness of lumbar, knees + loins, cold limbs
T: Pale + puffy
P: Thready + Weak

Answer 6

Deficient

(mainly KI but also will see HT, SP + LR s/sx too)

Question 7

The following are S/sx of Impotence due to _____.

Weak erection of short duration, premature emission, wetness, itching and foul smell of scrotum, bitter taste in the mouth, nausea, yellow, scanty urine
T: Red w/ yellow, sticky coating
P: Rapid + Soggy

Answer 7

Downward Attack of Damp-Heat (attacking LR Channel)

Question 8

What are the main points treating Impotence?

Answer 8

REN-4 + SP-6 + BL-23

Question 9

What are the supplementary points treating Impotence?

Answer 9

KI Yang:
DU-4 (moxa)

KI Yin Xu:
KI-3 + KI-6

HT + SP Xu:
BL-15 + BL-20 + ST-36

KI Fear:
BL-52 + BL-19

Damp-Heat:
LR-2 + LR-5 + LR-8 + SP-6 + SP-9 + LR-10 + LI-11

Qi + Blood Stasis:
LR-3 + SP-10 + BL-17

Insomnia + vivid dreaming:
PC-6 + HT-7 + BL-15

Poor appetite:
REN-12 + ST-36

Soreness + weakness of lumbar:
DU-4 + GB-34