First, Chinese medicine to impotence (ED) knowledge Chinese medicine will be the cause of ED more responsible for the liver, kidney two meridians. The source of all diseases discussed in the “theory”: “Kidney openings in the yin, if the labor injury to the kidney, kidney deficiency can not be glorified in the yin, so atrophy and weakness.” “Jisheng Fang” also mentioned: “five labor seven injuries true yin exhaustion …… yang thing not to lift.” This indicates that the ancient Chinese medicine to impotence etiology of the understanding of the first attributed to the lack of kidney qi true yang. In addition, traditional Chinese medicine also believes that emotional abnormalities can also lead to ED, such as Zhang Jingyue said, “Where the thought of anxiety and anxiety labor depression is too much to impotence, where the panic does not release the person also cause impotence.” Depression is often too much and the liver is not comfortable is tightly linked together, the liver is like the wind, to the yin for the body, to the yang for the use of the liver, the liver is not comfortable, it is easy to be depressed and the fire. Therefore, the Ming Dynasty Wang Lun said: “men’s impotence is not, the ancient formula more than cloud fire failure, the essence of the gas is cold, inherent. However, there are also Yu fire even to atrophy.” This shows that the ancients have long attached importance to the impact of mental factors on ED. Henan Provincial People’s Hospital Department of Traditional Chinese Medicine Yang Qiang At the same time, clinically common liver and gallbladder dampness and heat is also an important reason for the development of ED. This kind of liver and gallbladder dampness and heat, mostly by the addiction to sweet and fat food, or long-term drinking, so that the dampness and heat accumulation, the injection of liver and gallbladder and caused. Liver and gallbladder main zongjian, zongjian for dampness and heat of the evil immersion, then impotence and not. In recent years, with the change of the disease spectrum, the incidence of metabolic diseases has risen significantly, and the resulting secondary ED has also increased. Such as diabetic ED; in addition, medical ED, such as taking certain antihypertensive drugs or psychotropic drugs produced after the ED is also increasing. Chinese medicine on the treatment of ED emphasizes the overall adjustment, treatment content is very rich, including drugs, food therapy, health and other aspects. Second, the traditional Chinese medicine treatment of ED The traditional Chinese medicine treatment of ED must be carried out in accordance with the principle of diagnosis and treatment. Absolutely not with a large number of hot and pungent drugs to help the sun and kidney, should pay attention to the cause of the disease, to determine the location of the disease, respectively, cold and hot and solid, and then legislation and prescription. Clinical common ED evidence of the following categories: 1, the fate of the fire failure Evidence: Yang affair does not lift, face shaking white, mental depression, lumbar spine weakness, dizziness, tinnitus, cold and fear of cold, pale tongue, white, thin and feeble pulse. Chinese medicines: Jin Gui Kidney Qi Pill, Right Angelica Pill, Hippocampus Multi Whip Pill and so on. 2, kidney Yin deficiency Evidence: lumbar and knee soreness and weakness, heartburn, sweating, night sweating, insomnia and forgetfulness, dizziness and dizziness, red tongue and pulse. Drugs: ripened earth, yam, cornelian cherry, wolfberry, motherwort, cypress, turtle board gum, Chinese hyssop, etc. Nourish the kidneys and fill the essence, nourish yin and laxative fire. Chinese medicines: Zuo Gui Pill, Liu Wei Di Huang Pill, Dai Tonic Yin Pill and so on. Deficiency of heart and spleen Evidence: palpitations and forgetfulness, insomnia and dreaminess, and lack of virility. Dullness and poor appetite, bloating and loose stools, fatigue, yellowish color, pale tongue and white fur, weak pulse. Medicines: Radix Codonopsis, Radix Astragali, Poria, Rhizoma Atractylodis Macrocephalae, Radix Angelicae Sinensis, Radix Gui Yuan Pork, Radix Rehmanniae Praeparata, Radix Cuscutae, Radix Xian Ling Spleen, Radix et Rhizoma Gastrodiae, Rhizoma Serpentina, Radix Jujubae Jubae, Radix Polygoni Multiflori, Radix Mucilage. Proprietary Chinese medicines: tonifying the middle and benefiting qi pill, gui spen pill, tonifying the heart pill and so on. 4, Liver qi stagnation Evidence: lack of yang, depression, sighing, fullness in both hypochondriacs, or irritability; red tongue with thin fur, stringy pulse. Drugs: Chai Hu, Paeonia lactiflora, Citrus aurantium, Glycyrrhiza glabra, Centipede, etc. Proprietary Chinese medicines: Siwei San, Shu Liver Pill, Free Pill, etc. Dampness and heat of liver and gallbladder Evidence: impotence, scrotum dampness, odor, testicular swelling and even pain, body fatigue, heartburn, bitter mouth, sticky stools, short and reddish urine, red tongue, yellowish greasy moss, and slippery pulse. Drugs: gentian diarrhea liver soup can be used to clear away heat and dampness, diarrhea liver and bile, medicinal gentian herb, scutellaria, gardenia, chaihu, mouton, psyllium, zedoary, angelica, and raw land. Chinese patent medicine: gentian diarrhea liver pill, angelica dragon aloe pill, dande gardenia free and easy powder and so on. It should also be noted that for some disease-induced ED, the primary disease must be combined with the treatment of ED. For example, some young adults often due to chronic prostate inflammation and impotence. The patient, in addition to the impotence of the penis is accompanied by small abdominal swelling, frequent urination, sometimes accompanied by urinary pain, and a feeling of incomplete urination. White secretion is common in the urethra after urination or defecation. The identification of this disease mostly belongs to the lower anxiety dampness and heat, should be clear heat and dampness as the main treatment, appropriately supplemented with qi and blood. The medicines used are rhubarb, cypress, white-flower snakeweed, white grass root, yuanhu, neem, angelica, chuanxiong, wubuzhuang, chenpi and so on. Clinically, we have also noticed that some middle-aged and elderly people suffer from diabetes mellitus, which affects many aspects of the penile erection mechanism, which is complex and has both psychological and pathological effects. Pathological changes include effects on the nerves, especially the vegetative nerves, resulting in conduction defects; vascular changes, such as diabetic penile arteriolar dilatation response is limited; diabetic penile cavernous smooth muscle relaxation mechanism is impaired, which affects the hemodynamics of the early erection; of course, diabetes can also cause a series of endocrine changes, such as causing testicular Leydig cell dysfunction, affecting the production of testosterone. testosterone production. The treatment of diabetic ED can be combined with the application of traditional Chinese medicine while controlling blood sugar levels. In traditional Chinese medicine treatment, it should be remembered not to apply aphrodisiac drugs. There is often a misunderstanding that ED is “kidney deficiency”, especially “kidney yang insufficiency”, and therefore warming the kidney yang is the main treatment for ED. Many proprietary Chinese medicines, such as Nutribullet and Three Whip Pills, are also composed of warm-yang medicines. As a matter of fact, patients with kidney-yang deficiency account for less than 10% of ED, while heart-spleen deficiency, liver-qi stagnation and lower-jiao dampness-heat account for a considerable proportion, therefore, the treatment of Chinese medicine should adhere to the principle of identification of the symptoms and the use of medicines. In addition, in our clinical practice, we have experienced that in the prescription of ED treatment, the appropriate addition of some medicines to activate blood stasis is often helpful to improve the efficacy of treatment, which may be related to the fact that many middle-aged and elderly patients with ED are combined with some blood stasis syndromes, and in connection with the fact that the main role of Viagra is to dilate blood vessels, it is reasonable to envisage that blood-activating medicines will be added on top of the main treatment prescription.