The treatment of psychogenic erectile dysfunction is analyzed] A. Good choice of language at the clinic, grasp the proportion, to prevent inappropriate views on the patient bring negative impact Impotent patients are more weak psychological quality, the doctor’s words are very sensitive, such as careless words, often cause adverse implication. The relationship between masturbation and impotence, for example, should be treated with caution. Many surveys have confirmed that about 90% of young adults have a history of masturbation, and masturbation is a normal sexual activity. Only excessive and inappropriate masturbation can have an impact on the room. However, once the clinician learns that the patient has a history of masturbation, it is often recorded as an important cause of impotence, which intentionally or unintentionally increases the patient’s burden of thought. This is a vicious circle that creates a new “medically induced” impotence based on the original condition. The same is true for the relationship between other factors and impotence. In the case of impotence in old age, we should not stick to the old saying of “eighty-eight days of exhaustion” and lightly give the theory of “no cure”; instead, we should follow the good advice, increase their confidence, and then treat them appropriately in order to prolong the age of their room. It is undeniable that the current understanding of impotence in Chinese medicine is still imperfect and many theoretical issues are yet to be resolved. This has led clinicians to have a superficial understanding of the pathogenesis of impotence, simple dialectical evidence, and sloppy medication. They simply divide the disease into several different types of evidence according to their own clinical experience and then “prescribe the right medicine”; although it is called “dialectical treatment”, it is actually blind and superficial. For some patients who have no “evidence” to identify, it is the blind use of drugs, the abuse of “agreement prescription”, which has led to indiscriminate clinical treatment, indiscriminate supplementation phenomenon, not only greatly affect the clinical efficacy, but also brought a series of drawbacks. In the section of “Etiology and Pathogenesis”, we have outlined the understanding of Chinese medicine on the pathogenesis of impotence, which involves the doctrine of “Heavenly Decay”, the relationship between the Jun Huo and the Xiang Huo, the promotion of spleen qi and lung qi on the ventricular activity, and the role of the Chong, Ren and Du veins on the zong tendons, etc., which are intended to help It is intended to help the reader to deepen his understanding of the pathogenesis of impotence by triggering his thinking, in order to more accurately identify the disease and dialectic. The purpose of this article is also to explain that the pathogenesis of impotence is complex and can never be summarized by a few common types of evidence. On the premise of accurate identification of the evidence, we should also grasp the symptoms of the elements of the symptoms of the symptoms of the symptoms, light, heavy, slow, urgent, main, secondary, as well as their mutual storage relationship, so as to achieve a clear analysis of the hierarchy; then we can agree on the treatment, the prescription of drugs. There are medicines to take into account the real and the imaginary, once in place; there are also first this and then the other, or from this and the other, step by step effect. In the case of Dafengdu, it is advisable to treat the real ones quickly (with the exception of blood stasis) and the deficient ones slowly. For those who are also depressed, the depression should be relieved first, and only after the gas is cleared can we discuss nourishing and filling; for those who are also fire, the fire should be dispelled first, and only after the fire is quenched can we warm and tonic. If the impotence is secondary to other diseases, the original disease should be the main focus, not a leaf blindfold, do not see the mountain, the noisy guests take away the main, will lead to its defeat. The treatment of organic erectile dysfunction should be carefully identified, not completely incurable. Some Western doctors believe that Chinese medicine can only treat functional (mental) impotence, and it is difficult to take effect on organic impotence; and on functional impotence, the effectiveness of Chinese medicine is only “psychological effect”. We believe that this view is not fair. In fact, many clinical impotence patients have both psychological and organic factors, which is a kind of mixed impotence. For functional impotence, the role of TCM is not only “psychological comfort”; for impotence patients with organic factors, TCM can still play its unique role as long as surgery is not necessary. Of course, the treatment of these impotent patients is much more difficult than the treatment of pure functional impotence. Second, in general, for organic impotence, the first step is to actively treat the primary disease. For example, for impotence caused by diabetes, we should actively treat impotence disease; for impotence caused by neurological and vascular lesions, we should actively treat neurological and vascular diseases, etc. As the original disease improves or is cured, the symptoms of impotence will also be reduced or disappear accordingly. For mixed impotence, the functional disease should be treated first, followed by the organic disease. As long as the functional causes are removed and the organic lesions are improved, the impotence will be reduced accordingly. For some patients who are difficult to treat, comprehensive therapies such as combination of Chinese and Western medicine, combination of internal and external treatment, combination of local and systemic treatment, and combination of medicine and physical therapy can be used. It has been proven that comprehensive therapy is one of the most effective ways to treat impotence. Of course, for more serious organic impotence, Chinese medicine treatment “back to the sky”, should be based on a clear diagnosis to the patient to tell the truth, persuade them to perform surgery or penile prosthesis implant; do not blindly use drugs, delaying the disease.