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In Traditional Chinese Medicine (TCM), wind, cold, dampness, heat, dryness, and fire are referred to as the “Six Excessive Evils” (liuyin xieqi). Regardless of which one a man encounters, it can affect his functional capabilities to some extent. Moreover, these six evils can intertwine and complicate the situation, making treatment more challenging.
Wind evil wanders unpredictably, making it hard to grasp; cold evil can damage the body’s Yang energy, causing stagnation of Qi and blood; heat and dryness easily deplete Qi and injure body fluids; fire evil can disturb the mind, leading to irritability and insomnia; while damp evil is heavy, turbid, and sticky, tending to descend and obstruct the smooth flow of Qi and blood in the body, thus affecting the lifting and standing capabilities of the vital essence (zongjin). Today, we will focus on damp evil.
Patient Case: Mr. Shen, 47 years old, reports: Recently, I have noticed a significant decline in function, with a quick loss of erection, weakness, difficulty in achieving an erection, and a notably short duration. Previously, it lasted at least 30 minutes, but now sometimes I can’t achieve an erection at all, and sometimes it lasts only two to three minutes. Additionally, I feel particularly fatigued upon waking, my mind is foggy, my body feels heavy, and I lack motivation. My stools stick to the toilet, my hair and face are oily, I am sensitive to cold, my hands and feet are cold, and I have frequent urination with dribbling.
Upon examination, the tongue is large with a thick, greasy coating and heavy tooth marks on the sides, indicating excessive dampness in the body and deficiency of the Mingmen fire (mingmen zhi huo). I prescribed a formula to elevate Yang and transform Qi to resolve dampness: Gui Zhi (Cinnamon Twig), Fu Ling (Poria), Shan Yao (Chinese Yam), Shan Zhu Yu (Cornus), Mu Dan Pi (Moutan Root), Di Huang (Rehmannia), Ze Xie (Alisma), Niu Xi (Achyranthes), Che Qian Zi (Plantago Seed), and Fu Zi (Aconite).
Gui Zhi warms and unblocks the meridians, assisting Yang and transforming Qi; Shan Yao nourishes the spleen and stomach, benefiting the lungs and kidneys; Shan Zhu Yu tonifies the liver and kidneys; Di Huang clears heat, cools the blood, and nourishes Yin; Fu Ling and Ze Xie promote urination and drain dampness; Mu Dan Pi invigorates blood and resolves stasis;
Niu Xi promotes blood circulation, tonifies the liver and kidneys, strengthens the tendons and bones, and promotes urination; Che Qian Zi promotes urination; Fu Zi revives Yang and rescues from collapse, replenishing fire and assisting Yang, bringing Yang energy back to restore vitality. Overall, this formula can both strengthen the spleen and eliminate damp evil, while also nourishing the liver and kidneys to enhance the vitality of the vital essence, achieving two goals at once.
If you are experiencing similar conditions, it is essential to accurately determine which of the Six Excessive Evils you are dealing with before treatment, and it is advisable to seek guidance from a qualified practitioner to avoid unnecessary detours.