Patient's question:
Male, 31 years old.Severe impotence, unable to achieve erection during intercourse, and when erect, it is not firm. No erection occurs before getting up in the morning. I have dreams every day. The semen is thin, but after drying, it leaves a thin layer of film, like the film on top of porridge when it's cooked.
The growth of my beard is noticeably slow and sparse. I always thought it was due to hormonal imbalance, but after checking, it wasn't.
I have seen a doctor at a traditional Chinese medicine hospital and taken Chinese medicine to treat qi and blood deficiency, as well as yin deficiency of the kidneys (for about a month), but both were ineffective.
First follow-up question: It should be laiw.
Doctor's answer:
Impotence refers to young and middle-aged individuals who, due to causes such as deficiency, fright, or damp-heat, experience the loss of nourishment in the zong jing (major 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, tinnitus, coldness in the scrotum and penis, reduced semen volume or low sperm motility, a sense of fullness or pain in the perineum, difficulty urinating, or clear, frequent urination.Treatment based on syndrome differentiation:
- 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, traditional Chinese medicine 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 receive targeted treatment for the best results. Wishing you a speedy recovery.