Library

1. When Mingmen Fire (Fire of the Gate of Life, referring to Kidney Yang) is deficient, and Essence and Qi are cold and deficient leading to impotence, formulas such as Yougui Wan (Right Restoring Pill), Zanyu Dan (Nourishing Fertility Elixir), and Shike Anshen Wan (Stone-Carved Kidney-Calming Pill) should be primarily used. If Mingmen Fire is not significantly deficient, but the condition arises solely from thinness and weakness of Blood and Qi, formulas such as Zuogui Wan (Left Restoring Pill), Banlong Wan (Spotted Dragon Pill), and Quanlu Wan (Whole Deer Pill) should be primarily used.

1. In cases where excessive worry or fright causes deficiency and decline of the Spleen and Kidney, resulting in impotence, it is essential to nourish the Heart and Spleen so that Stomach Qi gradually becomes sufficient; only then can the Chong and Ren vessels (Penetrating and Conception Vessels) be revitalized, and Yuan Qi (Original Qi) restored. Formulas such as Qifu Yin (Seven Blessments Decoction) and Guipi Tang (Restore the Spleen Decoction) should be primarily used. However, one must greatly broaden their outlook to soothe the Spirit and Qi; otherwise, relying solely on medicinal power will be of no benefit. For those with excessive sorrow, worry, or fear, who often suffer from suppression of Yang Qi, if Mingmen Fire is not supplemented, there will ultimately be no vitality. In such cases, Qifu Yin added with Rougui (Cortex Cinnamomi), Fuzi (Radix Aconiti Lateralis Preparata), and Gouqi (Fructus Lycii) should be primarily used.

1. In cases where Damp-Heat in the Liver and Kidney leads to flaccidity and relaxation of the Zongjin (Tendons of the Genitals, referring to the penis), this also constitutes impotence. Treatment should focus on clearing Heat to firm the Kidney. However, this diagnosis applies only when there are clear signs and pulses of Excess Heat, consistent internally and externally. Formulas such as Ziyin Bawei Wan (Yin-Nourishing Eight-Ingredient Pill), or Danxi Dabu Yin Wan (Danxi Great Tonifying Yin Pill) and Huqian Wan (Tiger-Hiding Pill) should be primarily used. For severe Heat, formulas such as Zishen Wan (Kidney-Nourishing Pill) and Dabu Wan (Great Tonifying Pill) may all be used.

Xue Lizhai stated: The penis belongs to the meridians of the Liver. Since the Liver corresponds to Wood, just as trees stand erect when bathed in dew, they wither under scorching heat. If the disease is caused by Damp-Heat in the Liver meridian, Longdan Xiegan Tang (Gentian Drain the Liver Decoction) should be used to clear Liver Heat and guide out Damp-Heat. If the disease is caused by Dry-Heat in the Liver meridian, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) should be used to nourish Kidney Water and nourish Liver Blood, thereby bringing peace to the body. He further stated: Qiongyu Gao (Jade Pearl Paste), Guben Wan (Root-Firming Pill), and Kanli Wan (Kan-Li Pill) are all agents of deep cold that drain Fire; they are not suitable for those without Dry-Heat in the intestines and stomach. If patients with Deficiency-Heat due to Yin deficiency of the three Yin meridians of the foot take these for a long time, it will render them infertile. This is because damaging Yang Qi prevents the generation of Yin Blood. This has been verified repeatedly.

A prescription for treating inability to achieve erection: Use equal parts of Chuanshangzi (Semen Cnidii), Wuweizi (Fructus Schisandrae), and Tusizi (Semen Cuscutae), grind into fine powder, make pills with honey, sized like wutong seeds. Take 30–50 pills per dose, washed down with warm wine, three times daily.