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Men may experience erectile dysfunction due to either Yin Deficiency (Yin Xu) or Yang Deficiency (Yang Xu), or a combination of both. This requires a differential diagnosis based on the patient’s specific symptoms and appropriate regulatory measures.
1. Differential Diagnosis of Yin Deficiency and Yang Deficiency
Yin Deficiency: If the hardness of the erection is insufficient and is accompanied by symptoms such as heat sensations, night sweats, five hearts heat, dry mouth and tongue, red tongue with little coating, and thin rapid pulse, it may be due to Kidney Yin Deficiency (Shen Yin Xu). When Kidney Yin is deficient, the body experiences insufficient Yin energy and weakened moistening functions.
Medication Treatment: Under the guidance of a physician, medications such as Liù Wèi Dì Huāng Wán (Six-Ingredient Rehmannia Pill), Zuǒ Guī Wán (Left Restore Pill), Bǎi Hé Gù Jīn Wán (Lily Bulb and Golden Pill), and Yǎng Yīn Qīng Fèi Wán (Nourishing Yin and Clearing Lung Pill) can be selected to nourish Yin and tonify the kidneys, improving sexual function.
Lifestyle Regulation: Maintain adequate sleep and avoid staying up late; moderately increase exercise, such as jogging and swimming, to enhance physical fitness; quit smoking and limit alcohol to reduce harm to the body. Additionally, avoid excessive fatigue and mental stress, and maintain a positive mindset.
Dietary Improvement: Eat more foods rich in protein, vitamins, and minerals, such as lean meat, eggs, and fresh fruits and vegetables, especially those with Yin-nourishing properties, such as Hé Táo (walnuts), Hēi Zhī Ma (black sesame), Hēi Dòu (black beans), and Shān Yào (Chinese yam). Avoid high-fat, high-sugar, high-salt diets, as well as spicy, greasy, and irritating foods.
Yang Deficiency: If the hardness of the erection is insufficient and is accompanied by symptoms such as fear of cold, lower back and knee soreness, cold limbs, loose stools, pale tongue with white coating, and deep thin pulse, it may indicate Kidney Yang Deficiency (Shen Yang Xu). When Kidney Yang is deficient, there is insufficient Yang energy in the body, which cannot promote blood flow to the penis, leading to erectile dysfunction.
Medication Treatment: Under the guidance of a physician, medications such as Jīn Guì Shèn Qì Wán (Kidney Qi Pill from the Golden Cabinet), Yòu Guī Wán (Right Restore Pill), Guì Fù Dì Huāng Wán (Cinnamon and Atractylodes Pill), and Qiáng Yáng Bǎo Shèn Wán (Strong Yang and Kidney Pill) can be selected to warm and tonify Kidney Yang, enhancing kidney function.
Lifestyle Regulation: Maintain a regular schedule, avoid staying up late and excessive fatigue; moderately increase exercise, such as jogging and mountain climbing, to enhance physical fitness and improve immunity. Additionally, pay attention to maintaining good personal hygiene habits.
Dietary Improvement: Eat more warming and tonifying foods, such as Yáng Ròu (lamb), Niú Ròu (beef), and Jiǔ Cài (leeks). Avoid cold and raw foods to prevent exacerbating the condition.
2. Other Regulatory Methods
Psychological Therapy: Psychological factors play an important role in sexual dysfunction. Psychological therapy can help patients reduce anxiety and stress, improve self-confidence, and thus enhance sexual function. Patients can try relaxation techniques such as deep breathing and meditation, as well as communicate with their partners to alleviate psychological pressure.
Sexual Technique Training: By learning sexual knowledge and mastering correct sexual techniques, the quality of sexual life can be improved. This includes changing positions and increasing foreplay time to enhance sexual stimulation and erection hardness.
Control of Underlying Diseases: Actively treat underlying conditions such as diabetes, hypertension, and hyperlipidemia that may lead to erectile dysfunction, and stabilize the condition to help improve sexual function.
In summary, erectile dysfunction in men may be due to either Yin Deficiency or Yang Deficiency. A differential diagnosis based on the patient’s specific symptoms is necessary, along with appropriate regulatory measures. Maintaining good lifestyle habits and a positive mindset is also an important aspect of preventing and improving such issues. If needed, please seek medical attention promptly and follow the doctor’s advice for treatment.
Tongshitang Traditional Chinese Medicine (103 stores)5, 7 Baima Village Street, Dingqiao Town, Shangcheng District, Hangzhou, Zhejiang Province