How to cope with hollow and unsteady?

Patient's question:

Detailed medical condition and consultation purpose: Sometimes unable to maintain an erection during sexual activity, often struggles to get erect, occasionally experiences frequent urination, feels tired after intercourse.

Doctor's answer:

From a symptomatic perspective, it should be classified as impotence in the scope of Traditional Chinese Medicine (TCM). Impotence refers to young and middle-aged individuals who, due to causes such as deficiency, fright, or damp-heat, experience a lack of nourishment in the zongjin (sinews), leading to relaxation and weakness of the penis. This results in an inability to achieve an erection during intercourse, or an erection that is firm but not lasting. It is often accompanied by symptoms such as fatigue, lower back and knee weakness, dizziness and tinnitus, cold contraction of the scrotum and penis, reduced semen volume or low sperm motility, a sense of fullness and pain in the perineum, difficulty urinating, or clear, frequent urination.
Treatment Based on Different Syndromes:
- Decline of mingmen fire: Warm and tonify the kidney yang, nourish the kidneys and replenish essence.
- Damage to the heart and spleen: Tonify the heart and spleen.
- Fear injuring the kidneys: Benefit the kidneys and calm the spirit.
- Liver qi stagnation: Soothe the liver and resolve stagnation.
- Damp-heat descending: Clear and resolve damp-heat.
However, TCM emphasizes syndrome differentiation and treatment. You should consult a local traditional Chinese medicine hospital and combine the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) to prescribe the appropriate medication for effective treatment.
Medication Ingredients:
- Cistanche (Rou Cong Rong): 60g
- Achyranthes (Chuan Niu Xi): 20g each
- Euonymus (Tu Si Zi): 20g each
- Psoralea (Bǔ Gǔ Zhī - toasted): 15g each
- Aconite (Fu Zi): 10g each
- Dried ginger (Pao Jiang): 20g
Grind the above ingredients into powder, wrap them in gauze, tie the mouth, place them in a clean container, and soak with 2 pounds of white wine. Let it steep for 5 days in spring and autumn, and 7 days in summer and winter. Filter out the herbs and drink the wine. Take 1 small cup in the morning and evening on an empty stomach.
Effects:
Tonifies the liver and kidneys, strengthens muscles and bones.
Mainly used for impotence caused by kidney and liver deficiency.

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