Can traditional Chinese medicine regulate asthenozoospermia?

Patient's question:

Previously, a semen test revealed symptoms of asthenozoospermia, suggesting the possibility of some seminal vesiculitis or prostatitis. Currently, traditional Chinese medicine is being used for conditioning. There are two types of traditional Chinese medicine:
The first type: Tribulus terrestris, Rubus fragrantus, Goji berries, Schisandra chinensis, White peony root, Cuscuta chinensis, Ligustrum lucidum, and Bupleurum.
The second type: Poria, Polygonatum sibiricum, Rehmannia glutinosa, White peony root, Polygonum multiflorum, Eucommia ulmoides, Goji berries, Gentiana scabra, Alisma orientale, Atractylodes macrocephala, Cuscuta chinensis, Aconitum carmichaelii, and Cinnamon bark.

Doctor's answer:

Your symptoms may be related to insufficient kidney qi and excessive coldness in the kidney water. However, if treatment is required, using tonics for warming the kidney yang directly can sometimes be counterproductive. I have seen many cases where the body is indeed very weak but internally very strong, such as those who are prone to getting hot easily. Such individuals are not suitable for taking tonics, as overuse can make their condition worse.
The two formulas mentioned above:
The first formula is based on the Wuzi Yanzong Wan (Five Seeds Enriching Origin Pill) as the foundational prescription, with modifications for treating conditions of weak kidney yang and insufficient essence. These seed-based herbs have strong astringent and descending properties, so they are not recommended during colds.
The second formula is based on Yougui Wan (Right Regulating Pill) with modifications. If you have symptoms of frequent stomach issues, internal excess, or constipation, this formula is not suitable for you.

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