Erectile dysfunction and pigmentation are due to spleen deficiency or kidney deficiency?

Patient's question:

Consultation Description: Yellow-brown spots around the eyes, dull complexion. Visited a traditional Chinese medicine practitioner who said I have spleen deficiency and that my pulse indicates kidney deficiency as well. Indeed, my erectile function has been slightly affected in the past year, with no morning erections and difficulty achieving erections during sex with my girlfriend. My erection hardness and length have also declined compared to before. Two months ago, I underwent detailed medical examinations at the hospital, including three male hormone tests, color Doppler ultrasound of the penis, and prostatic fluid analysis, all of which were normal. Specifically, estradiol was 37 pg/ml (reference range: 20-47), and testosterone was 3.57 ng/ml (reference range: 1.75-7.83). The test results were all normal.
Help Needed: What could be the cause? Is it spleen deficiency or kidney deficiency? How should I take medication?

Doctor's answer:

According to your description, it is more likely that the possibility of kidney deficiency is the cause, which may lead to the recurrence of the symptoms you described. It is related to multiple different factors, and symptomatic treatment can be applied. It is recommended to take Liuwei Dihuang Wan and Jin Suo Gu Jing Wan under the guidance of a doctor, following the instructions on the packaging. Alternatively, you can take Zuoyuan Wan or Shi Quan Da Bu Wan, also following the instructions on the packaging. Pay attention to dietary regulation, rest well, and engage in more physical exercise.

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