A complete collection of traditional Chinese medicine prescriptions for treating sexual dysfunction

First of all, let’s clarify the core conclusion: there is no “universal magic formula” that can cover all sexual dysfunction conditions. All clinical Chinese medicine conditioning programs must be based on syndrome differentiation. Prescriptions that are not symptomatic may be ineffective at worst, or aggravate symptoms at worst. Listed below are commonly used prescriptions in andrology clinical practice that have been proven through many years of practice, as well as the corresponding applicable groups, key points of syndrome differentiation, and different schools of medication ideas. For reference, all prescriptions must be adjusted after an interview with a regular Chinese medicine practitioner after syndrome differentiation before use. Do not take the medicine on your own.

At this point, I have to mention that many people’s first reaction to sexual dysfunction is “kidney deficiency needs to be replenished”. This is actually a big misunderstanding. I met a 32-year-old Internet programmer two years ago. He worked overtime until early in the morning every day. Smoking and drinking iced drinks was the norm. He had problems with weak erections and weak erections for two consecutive months. I checked the guide and bought Jingui Shenqi Pills and took them for half a month. Not only did he not get better, but he suffered from dry mouth and nosebleeds every day, and his libido dropped even lower. When I came for a consultation, I found that the tongue coating was yellow and greasy, as if coated with a layer of slurry, and the pulse was slippery and rapid. It was a typical sign of dampness and heat, and there was no sign of yang deficiency at all. Wouldn't taking medicine to warm and replenish kidney yang add fuel to the fire?

Let’s first talk about the most familiar prescriptions related to kidney deficiency, which are also divided into yin and yang, and cannot be supplemented randomly.

If you are always afraid of heat, sweat on the palms and soles of your feet, have night sweats when you sleep at night, have a red tongue with less coating, like to stay up late and have sexual intercourse more frequently, most of them are due to kidney yin deficiency, the Jingfang School often uses Zhibai Dihuang Pills as a base: Rehmannia glutinosa 24g, cornus 12g, yam 12g, Alisma 9g, paeonol 9g, Poria 9g, Anemarrhena 6g, Phellodendron 6g, if accompanied by frequent nocturnal emissions, you can add 15g Golden Cherry Seeds and 15g Gorgon Seed to astringe and solidify astringency. Sometimes doctors from the Fang School feel that Anemarrhena Cortex and Phellodendron are too cold, so they will replace it with more gentle yin-nourishing medicines such as mulberry and Ligustrum lucidum, which are suitable for people with weak spleen and stomach. They are slower to take effect but less irritating, and each has its own advantages.

If you are always afraid of the cold, have cold hands and feet all year round, long and clear urine, diarrhea at every turn, significantly low sexual desire, and a pale and fat tongue with tooth marks on the edge, it is mostly due to kidney yang deficiency. Commonly used Jingui Shenqi Pills include: 24g of Rehmannia glutinosa, 12g of Cornus officinale, 12g of Chinese yam, 9g of Alisma, 9g of Poria, 9g of Danbark, 3g of Guizhi, and 3g of Fuzi (must be fried for 30 minutes to remove the toxicity). Here is a controversy among different schools: Many folk traditional Chinese medicine practitioners are accustomed to adding "powerful" Yang-warming medicines such as Epimedium and Morinda officinale to this prescription, which will have a faster effect. However, many doctors from the traditional prescription school do not recommend this use, especially for young people. Too many warming and drying medicines can easily consume Yin fluid and hollow out the foundation. Unless it is a middle-aged and elderly patient with a very serious Yang deficiency, it is generally not recommended to add too many strong tonic medicinal materials.

Don’t underestimate the symptoms of non-deficiency syndrome. Clinically, more than 70% of sexual dysfunctions in young and middle-aged adults have nothing to do with kidney deficiency. The most common one is the damp-heat syndrome just mentioned. Most of them are caused by drinking alcohol, eating spicy food, and sitting for a long time. They are usually accompanied by scrotal moisture. , yellow and foul-smelling urine, and sticky toilet stools, the commonly used Gendan Xiegan Decoction is: Gentian grass 6g, Scutellaria baicalensis 9g, Gardenia 9g, Alisma 12g, Chuanmu Tong 6g, Plantain Seed 9g (fried), Angelicae 3g, Rehmannia glutinosa 9g, Bupleurum 6g, Licorice 6g. This prescription is cold and cool in nature, and it will stop the disease. It needs to be prepared after taking it for at most two weeks. Many doctors who treat febrile disease are afraid that gentian is too strong, so they will replace it with artemisia and dandelion.

There is another situation that is very common nowadays, especially among working people aged 30-40 years old. They are usually under a lot of pressure and their emotions are always suppressed, or they have just experienced major blows such as layoffs or investment failures. When functional problems occur, they are usually accompanied by swelling and pain in the chest and flanks, constant sighing, and low mood. This is liver qi stagnation, and taking tonics will not help at all, so it is necessary to soothe the liver. Commonly used Xiaoyao Powder additions and subtractions: Bupleurum 9g, Angelica 9g, White Peony 9g, Atractylodes 9g, Poria 9g, Zhigancao 4.5g, Mint 3g (bottom below), 3 slices of ginger. If the difficulty in erection is obvious, some doctors will add 12g of turmeric and 1 centipede to unblock the meridians. However, there are also many schools that reject the use of insecticides because they think they are too irritating, so they will replace them with Cyperus rotundus and Ligusticum chuanxiong, which have a gentle effect and are safer.

Middle-aged and elderly patients should pay more attention to the problem of blood stasis, especially those with underlying diseases such as diabetes and hypertension. The blood supply is often poor, and the lower body usually feels cold, the tongue has ecchymosis, and the pulse is astringent. This kind of light supplement is useless. Instead, it needs to activate blood circulation. The Shaofu Zhuyu Decoction is commonly used. After activating blood circulation and unblocking meridians, the function will naturally improve.

In my many years of clinical practice, I have rarely encountered patients with a single syndrome. Most of them have mixed cold and heat, as well as deficiency and excess. For example, some people have liver stagnation and kidney deficiency, and some have both dampness and heat and yang deficiency. They have never been able to use the medicine directly according to the prescriptions in the "Encyclopedia". Last month, there was a 40-year-old patient who had damp-heat symptoms such as a moist scrotum and yellow urine, as well as yang deficiency symptoms such as cold hands and feet, and frequent nocturia. The cold and heat were mixed. Finally, he took Ermiao Pills and Heguishenqi Pills for almost two months before he gradually improved. In the meantime, he also changed the prescription three times.

Finally, I would like to say a few words. Don’t believe the “ancestral secret recipe” and “7-day radical cure for impotence and premature ejaculation” Chinese medicine pills sold online. Most of them are secretly added with western medicine ingredients. They are effective when taken, but in fact they are very harmful to the body. And conditioning is never just about taking medicine. There was a patient who took medicine for half a month and the effect was particularly good. After drinking a lot of wine with friends on the weekend, he went back to his original state, and the medicine was in vain for half a month. If bad habits like staying up late, sitting for long periods of time, drinking alcohol, and frequent masturbation are not changed, no matter how much medicine you take, it will be useless. Half of the problems have nothing to do with the body at all, but are caused by high psychological pressure. Communication with your partner more and relaxing your mind may be more effective than taking medicine.

Reminder again: All the above prescriptions are for clinical reference. Individual syndrome differentiation is very different. Do not take the medicine on your own. You must go to a regular medical institution for consultation and the doctor will adjust the dosage and compatibility to avoid adverse reactions.