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Internal Therapeutics > Impotence > Flashcards

Impotence Flashcards

1
Q

What is impotence?

A

Inability of the adult male to achieve or maintain erection. Majority of the cases are functional impotence, which is curable.

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2
Q

Accompanied Sn/Sx for impotence

A

Accompanied by dizziness, blurry vision, lassitude, listlessness, insomnia, night sweats or spontaneous sweating, depression (which may lead them to avoid sex, which can cause further impotence)

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3
Q

Corresponding Western Medical Diseases

A
  • Cardiovascular disease
  • Diabetes (sugars can deposit on blood vessel walls causing damage over time)
  • Endocrine disorder (thyroid, adrenal glands), - - Certain drugs or medications
  • Aging
  • Psychological disorder (stress)
  • Anatomical problem (organic impotence).
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4
Q

What percentage of patients belong to psychological disorder category?

A

80-90%

This is functional but treatable with stress reduction.

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5
Q

What are some factors leading to impotence?

A

Anything that damages the kidney may affect yang energy and lead to impotence. Deficiency patterns are much more common.

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6
Q

What are the most common patterns for impotence? (Excess and Deficiency)

A

Excess: Damp heat in LJ, maybe some LV Qi stagnation
Deficient: Mingmen fire decline or qi and blood deficient (HT and SP Xu)

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7
Q

What is the chief organ?

A

Kidney

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8
Q

What is the chief pathology?

A

Mingmen fire decline

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9
Q

What other organs are involved?

A

HT, LV/GB, SP

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10
Q

What are some common sn/sx’s for Decline of Mingmen Fire?

A
  • Adrenal gland fatigue is similar to this
  • Look at the eye, look for dark/black colour around the eye
  • These people like to be warm
  • Tongue is pale and even puffy if the kidney yang deficiency is leading to water retention
  • Pulse is deep (interior) and weak (deficient)
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11
Q

HT and SP Xu Sn/Sx?

A

HT signs as listed in the handout but also add spleen signs…

  • Poor appetite
  • Loose stool
  • Abdominal distention
  • Pale puffy tongue
  • Teeth marks
  • Usually diarrhea but if it is hypothyroid it can be constipation
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12
Q

Injury of HT and KI by fright (Sn/Sx)

A
  • Personality tends toward fear and worry

- May be from a traumatic experience during sex or being interrupted

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13
Q

Damp heat in LJ (Sn/Sx)

A
  • Scanty urine with foul smell especially in the early morning
  • Weakness of lower extremities (associated with kidney)
  • Scrotal area is often wet and/or itchy
  • Night sweats are usually from yin deficiency but it can be from D-H
  • Coating at the back indicates kidney
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14
Q

LV Qi Stagnation (Sn/Sx)

A
  • Can combine with all other patterns
  • Depression
  • Fullness in chest and hypochondriac
  • Sighing frequently
  • Anxiety
  • Poor appetite
  • Gas bloating
  • Normal tongue or a bit purplish
  • Thin white coating
  • Pulse is wiry and maybe thready
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15
Q

Most common POT (Mingmen Fire Decline most common pattern)

A

Warm and tonify KI yang.

Also take care of heart and liver.

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16
Q

Basic acupoints and POT

A

RN4 - 3 foot yin meridian cross point, tonify yuan qi
SP6 - 3 foot yin meridian cross point, tonify qi, essence and blood
3 foot yin meridian points.
Choose 5-7 points.
Xu tonify technique add moxa.
Shi reducing technique

17
Q

Describe needling technique for RN4.

A

Insert perpendicularly and get the qi at three layers. After you get qi lift up to superficial layer then start to angle it obliquely downward. Where you locate the point is not as important as where the tip of the needle goes. Send qi to genitals. Do not do this the first time, make sure they are ok with regular needling first.

18
Q

Stroke patient treatment?

A

PC6, SP6 and HT1 – wake up the mind and open the orifices for stroke patients. Need to get the patient to jump 3 times for each of these points. Do this on the disease side to stimulate the nerve and wake up the system. They have less sensation on the disease side.

19
Q

Injury of HT and KI acupoints

A

Modified four gates LV3, PC6

20
Q

Damp heat in LJ acupoints

A

Ba liao sacral foramen 8 points UB31, 32, 33, 34 (among these 32 is the most commonly used) Choose 1-2 points. This is also very good for blood pressure. UB28 back shu, LV5 especially for people with problems of the testicle (wet, itching), can even bleed LV1

21
Q

LV Qi Stagnation acupoints

A

PC6, LV3 modified four gates, (if sensitive to needle use LI4 instead of PC6), sishencong (calm mind and regulate qi), ST36, ear Shenmen

22
Q

Wet dreams acupoints

A

nocturnal emission due to HT fire, slippery, therefore address UB15, back shu of HT, LV 4

23
Q

Seminal emission acupoints

A

Tonify RN6, UB52

24
Q

Low libido acupoints

A

Moxa DU4, SP10

25
Q

Yang shu acupoints

A

Tonify RN6 with needling, moxa or moxa with ginger, RN4, RN8

26
Q

Yang qiang (priapism) acupoints

A

LV5, LV2 reducing technique, also tonify KI6, SP6 at the same time

27
Q

Intense moxa treatment and points

A

Rice moxa 100 to 300 times, light it with incense; have your ash container ready, you can use your hand to sweep it off the patient. RN4, RN8, DU4, UB23, ST36, SP6

28
Q

Electro technique and points

A

2-3 points for 20-30 minutes 2-4 Hz, choose baliao, KI3, RN4, SP6

29
Q

Auricular points

A

Internal and external genitals, LV, KI, HT, SP, endocrine, subcortex,

30
Q

Cupping

A

Cup back around UB23 or front umbilicus, RN6, RN4. Use retained or flash cupping, usually combined with needling first

31
Q

Embedded needle

A

SP6 with tip going up, bilaterally for 3 days, rest for 3 days then use again

32
Q

Education

A
  1. Avoid sexual activity during the treatment
  2. Mostly due to psychological, functional disorders, therefore very important to encourage the patient to develop a positive attitude
  3. Self massage testes and RN1 twice a day
  4. Nutrition, exercises
  5. Easy for impotence to return if the patient does not take care, therefore education is important. Try to relieve stress.
33
Q

What percentage of people benefit from acupuncture for impotence?

A

90% of cases get some degree of benefit from acupuncture. Points on lower abdomen and low back, try to send sensation down to the genitals.

Internal Therapeutics (10 decks)

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