Male sexual dysfunction is a difficult problem for many people. On the one hand, the disturbances that arise in life cannot be resolved through the usual socialization; on the other hand, the anxiety and depression that arise from the inability of the disease to heal quickly can be self-inflicted. Looking forward and backward, internal and external difficulties. Among them, male penile erectile dysfunction is one of the most common and concerned sexual dysfunctions in clinical practice. As the standard of living improves, the average human lifespan increases, and the population ages, the number of patients with erectile dysfunction (ED) increases accordingly. A randomized large-sample survey of men aged 40-70 years in the Boston area of Massachusetts, USA, showed that the prevalence of ED was 52.0±1.3%. A randomized large sample survey of men aged 40-80 years (mean age 61.9±10.1 years) in Shanghai showed a conservatively estimated ED prevalence of 39.5%. Based on this value, it is conservatively estimated that there are about 2.37 million middle-aged and elderly men with ED in Shanghai. Erectile Dysfunction (ED) is defined as the persistent inability of the penis to achieve or maintain an erection sufficient for a satisfactory sexual life, with a duration of more than three months, according to the latest guidelines of the Chinese Medical Association for male diseases. Just as penile erection is a complex vascular activity under neuroendocrine regulation, this activity requires the joint participation of neurological, endocrine, vascular, corpus cavernosum and psychological factors to accomplish together, and at the same time, it is affected by the general health, nutritional status and medication. Therefore, abnormalities in any of these areas can lead to ED. Penile erectile dysfunction is anciently known as “impotence”, “impotence of the tendons”, “can not afford” and so on. The Ming Dynasty “Shenzhai遗书” first contained “impotence” of the name, for later generations of medical practitioners to follow. Chinese medicine believes that the occurrence and development of impotence and liver, kidney organs are closely related. Kidney essence, yuan yang deficiency, the true element of exhaustion, not to warm the tendons; yin essence dissipation, not to moisturize the yuan yang, yin loss and yang, the fate of the fire failure, resulting in ED. excessive anxiety, resentment, jealousy and other emotions affecting the liver’s function of excretion, liver qi stagnation or cross-reversal, resulting in poor qi, blood disorders, tendon loss of nourishment and the onset of the disease; or stasis of blood or dampness and heat, blocking meridians and channels, tendons are not full, the yin apparatus not to use. Therefore, the examination of the cause of the disease, dialectical treatment, symptomatic treatment, Chinese medicine treatment of impotence from the liver theory of treatment, from the kidney theory of treatment. For young and middle-aged patients, clinically, the actual disease is common. Or emotional injury, or dampness and heat impregnation, or blood stasis obstruction, so the treatment of impotence from the liver theory has a strong practicality. Capturing the dialectical characteristics of the liver meridian for the disease of poor qi and blood, using the method of dredging the liver and regulating qi, activating blood circulation, clearing heat and promoting dampness, cultivating the earth and suppressing wood, nourishing water to contain wood, warming the liver and dispersing cold, etc., so as to achieve the therapeutic effect of regulating qi and blood, enriching liver meridian and nourishing zongshen. For the elderly patients, deficiency or mixed deficiency and solidity are the majority of the cases. Yin and Yang deficiency, failure of vital fire, blood stasis, phlegm-dampness obstruction. Clinically, it is required to grasp the positive deficiency or positive deficiency and evil reality to develop the treatment. Either nourishing kidney water, or warming the kidney and strengthening yang, or activating blood circulation, or light seepage of dampness, or phlegm circulation, with a view to achieving both the symptoms and the root cause, the purpose of eliminating the evil and replenishing the positive. In recent years, the continuous deepening of research on ED and the development of clinical interdisciplinary, people have proposed a new understanding of ED. Erectile dysfunction (ED) is a resting cardiovascular disease. Its pathogenesis is identical to that of common cardiovascular diseases, especially atherosclerosis, which is characterized by vascular endothelial dysfunction and impaired nitric oxide (NO) production. 2006, Drs. Jackson G, Rosen RC, Kloner RA, and others reached the Princeton Consensus on Sexual Medicine (II), and proposed in Sexual Medicine that “ED is a symptom of resting cardiovascular disease. a symptom of resting cardiovascular disease, a concept that has been widely accepted. If a patient with ED is not screened for cardiovascular disease, he or she may be considered a potential patient for cardiovascular disease.” The study of ED has given rise to a whole new cross-cutting field – Urocardiology or Cardio-Urology. In the case of atherosclerosis, Chinese medicine recognizes that qi and yin deficiencies, phlegm and stasis are intertwined to form a “vein accumulation”. Phlegm and blood stasis are the initiating causes of atherosclerosis. On the basis of activating blood circulation and removing blood stasis, benefiting qi and nourishing yin, the treatment method of softening hardness and resolving stagnation is applied. Early treatment to improve symptoms. In clinical practice, our department combines the traditional diagnosis and treatment of ED with the concept of dialectical treatment of atherosclerosis, and has gained some therapeutic insights. For young and middle-aged patients with solid evidence, the main rule of treatment is to dredge the liver and activate blood, accompanied by worm drugs, softening and eliminating the accumulation of hardness. Qing? Ye Tianshi “clinical guide medical case? Accumulation” pointed out: “each take insects and ants quickly fly away from the spirit, so that the flyer rises, walker descends, the blood does not condense, the gas can be declared through. In this disease, phlegm and blood stasis are intertwined, and the accumulation is formed over a long period of time. The use of insects to activate blood and soften the products, such as leeches, gadflies, turtle shells, tortoise boards, scorpions, etc., to achieve the effect of making them go away, eliminating the accumulation in the invisible. For elderly patients, the treatment is to tonify the kidney and benefit the qi, accompanied by the agent of activating blood, resolving phlegm and clearing the veins. Elderly patients with “pulse accumulation” for a long time, if the single use of phlegm expelling drugs such as Chen Pi, half-summer, Poria, etc., not enough power, so the author more than the use of shellfish, piper betel, and other phlegm and soft products, Wu to activate the blood to eliminate blood stasis and soften the accumulation of drugs, to play the effect of activating the blood to eliminate phlegm and soften the accumulation of elimination. The diagnosis and treatment of any disease is a process of gradual improvement and depth. Its means of treatment is also a process from scarcity, to abundance, to simple and direct. We see that in recent years, the treatment methods and means of treatment of ED have become increasingly abundant, and the therapeutic effect has become clearer. Among them, Chinese medicine shows its irreplaceable role with its special efficacy of holistic treatment and solidifying the root cause. At the same time, we are sure that, through the combination of Chinese and Western medicine to improve the theory, means of innovation, will certainly make greater contributions to men’s health, men’s quality of life.