徐（三十）脉小数涩。上热火升。喜食辛酸爽口。上年因精滑阳痿。用二至百补通填未效。此乃焦劳
思虑郁伤。当从少阳以条畅气血。（郁）
柴胡 薄荷 丹皮 郁金 山栀 神曲 广皮 茯苓 生姜
仲（二八）三旬以内。而阳事不举。此先天禀弱。心气不主下交于肾。非如老年阳衰。例进温热之比。
填充髓海。交合心肾宜之。（心肾不交）
熟地 雄羊肾 杞子 补骨脂 黄节 远志 茯苓 胡桃 青盐 鹿筋胶丸。
王（五七）述未育子。向衰茎缩。凡男子下焦先亏。客馆办事。曲运神思。心阳久吸肾阴。用斑龙聚精
茸珠合方。（劳心过度）
男子以八为数。年逾六旬。而阳事痿者。理所当然也。若过此犹能生育者。此先天禀浓。所谓阳常有余也。若夫少
壮及中年患此。则有色欲伤及肝肾而致者。先生立法。非峻补真元不可。盖因阳气既伤。真阴必损。若纯乎刚热燥涩之
补。必有偏胜之害。每兼血肉温润之品缓调之。亦有因恐惧而得者。盖恐则伤肾。恐则气下。治宜固肾。稍佐升阳。有
因思虑烦劳而成者。则心脾肾兼治。有郁损生阳者。必从胆治。盖经云。凡十一脏皆取决于胆。又云少阳为枢。若得胆
气展舒。何郁之有。更有湿热为患者。宗筋必弛纵而不坚举。治用苦味坚阴。淡渗去湿。湿去热清。而病退矣。又有阳
明虚。则宗筋纵。盖胃为水谷之海。纳食不旺。精气必虚。况男子外肾。其名为势。若谷气不充。欲求其势之雄壮坚举。
不亦难乎。治惟有通补阳明而已。（华岫云）
徐评 阳痿之病。其症多端。更仆难尽。非专论数千言不明。容当另详。兹不复赘。
徐（三十岁）：脉象细数而涩。上焦火热升腾，喜好食用辛香酸爽的食物。去年因遗精滑泄导致阳痿，使用二至丸配合多种补益填精药物无效。这是由于过度劳累、思虑导致气机郁结损伤，治疗应当从少阳经入手以条畅气血。（病因：气郁）
仲（十六岁）：三十岁以下，但阴茎不能勃起。这是先天禀赋薄弱，心气不能下行交于肾。不像老年人阳气衰微，可以按常规进用温热药。治疗宜填补髓海，交通心肾。（病机：心肾不交）
熟地黄、雄羊肾、枸杞子、补骨脂、黄柏、远志、茯苓、胡桃仁、青盐、鹿筋胶丸。
王（五十七岁）：叙述没有生育儿子，向来阴茎萎缩短小。凡是男子下焦先亏虚，在客馆办事，用心劳神。心阳长期消耗肾阴，使用斑龙丸和聚精丸合方治疗。（病因：劳心过度）
男子以八为基数，年龄超过六十岁，出现阳痿是理所当然的。如果过了这个年纪还能生育，这是先天禀赋浓厚，也就是所谓的“阳常有余”。至于少年壮年及中年患此病，则是有色欲过度损伤肝肾所致。先生确立的治法，非峻补真元不可。因为阳气既已受伤，真阴必然受损。如果纯粹使用刚热燥涩的药物进补，必定有偏胜的危害。通常兼用血肉有情且温润的药物缓慢调治。也有因恐惧而得病的，因为恐则伤肾，恐则气下，治疗宜固肾，稍加佐使升阳药物。有因思虑烦劳而成的，则心脾肾兼治。有因郁结损伤而生发阳气障碍的，必须从胆论治。因为《内经》说：“凡十一脏皆取决于胆。”又说：“少阳为枢。”如果胆气舒展，哪里还有郁结呢？更有湿热为患者，宗筋必然弛纵而不能坚举，治疗用苦味药坚阴，淡渗药去湿。湿气去除，热气清除，病就退去了。又有阳明虚弱的，则宗筋弛纵。因为胃是水谷之海，纳食不旺盛，精气必然虚弱。况且男子的外肾，名为“势”，如果谷气不充实，想要求得它的雄壮坚举，不也很难吗？治疗唯有通补阳明而已。（华岫云评）
Xu (30 years old): The pulse is fine, rapid, and choppy. Fire-heat in the upper jiao ascends; he prefers pungent and sour foods that refresh the palate. Last year, due to seminal emission and impotence, he used Er Zhi Wan (Two Winter Decoction) combined with various tonifying and filling prescriptions without effect. This is due to damage from overwork and excessive thinking causing Qi stagnation. Treatment should focus on the Shaoyang channel to smooth and unblock Qi and Blood. (Etiology: Qi Stagnation)
Chai Hu (Bupleuri Radix), Bo He (Menthae Haplocalycis Herba), Dan Pi (Moutan Cortex), Yu Jin (Curcumae Radix), Shan Zhi (Gardeniae Fructus), Shen Qu (Massa Medicata Fermentata), Guang Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Sheng Jiang (Zingiberis Rhizoma Recens).
Zhong (16 years old): Under thirty years of age, yet unable to achieve erection. This is due to weak congenital endowment, where Heart Qi fails to descend and interact with the Kidney. It is not like the Yang decline in the elderly, where warm-tonifying methods are routinely applied. Treatment should fill the Marrow Sea and facilitate communication between the Heart and Kidney. (Pathogenesis: Heart-Kidney Non-Interaction)
Shu Di Huang (Rehmanniae Radix Praeparata), Xiong Yang Shen (Aries Testis), Qi Zi (Lycii Fructus), Bu Gu Zhi (Psoraleae Fructus), Huang Bo (Phellodendri Cortex), Yuan Zhi (Polygalae Radix), Fu Ling (Poria), Hu Tao Ren (Juglandis Semen), Qing Yan (Halitum), Lu Jin Jiao Wan (Deer Sinew Gelatin Pills).
Wang (57 years old): Reported having no male offspring and a history of penile retraction/shrinkage. In men, deficiency often begins in the lower jiao. Working at an inn and exerting mental effort excessively, Heart Yang has long consumed Kidney Yin. Treated with a combination of Ban Long Wan (Spotted Dragon Pill) and Ju Jing Wan (Accumulate Essence Pill). (Etiology: Overexertion of the Mind)
For men, the number eight is significant. By the age of sixty, impotence is natural. If one can still procreate beyond this age, it indicates strong congenital endowment, what is referred to as "Yang is often in excess." However, for those suffering from this condition in youth, adulthood, or middle age, it is caused by sexual excess damaging the Liver and Kidney. The Master's established method requires vigorous tonification of True Yuan. Since Yang Qi is damaged, True Yin must also be impaired. Purely using harsh, hot, dry, and astringent tonics will inevitably cause imbalance. Therefore, moistening substances from animal sources (flesh and blood products) are usually combined for slow regulation. There are also cases caused by fear; since fear injures the Kidney and causes Qi to sink, treatment should secure the Kidney with a slight addition of herbs that raise Yang. Cases resulting from mental worry and fatigue require simultaneous treatment of the Heart, Spleen, and Kidney. Cases where depression damages the generation of Yang Qi must be treated via the Gallbladder. As the Classics state, "All eleven zang-fu organs depend on the Gallbladder," and "Shaoyang serves as the pivot." If Gallbladder Qi expands and flows freely, how can there be stagnation? Furthermore, in cases of Damp-Heat, the tendons (Zong Jin) become flaccid and unable to erect. Treatment uses bitter herbs to firm Yin and bland herbs to leach out Dampness. Once Dampness is removed and Heat cleared, the disease recedes. In cases of Yangming deficiency, the tendons relax because the Stomach is the sea of water and grain; if food intake is poor, Essence and Qi will be deficient. Moreover, the external genitalia are called "Shi" (Power/Momentum); if Grain Qi is not sufficient, seeking robust erection is difficult. Treatment lies solely in unblocking and tonifying Yangming. (Commentary by Hua Xiuyun)
Xu's Commentary: The symptoms of impotence are manifold and endless; they cannot be fully explained without a dedicated treatise of thousands of words. I will detail them separately elsewhere and will not repeat them here.