The most embarrassing “social death” for men is probably that the two people with their loved ones are excited to come, but the “little brother” does not give strength, tossing out a lot of sweat “little brother” is still not moving. What is going on here? Will this be the case in the future? In fact, the male “little brother” strike is most likely the result of these 3 reasons, not every situation needs to be treated! Erectile dysfunction (ED) refers to a state in which the penis persistently fails to achieve and (or) maintain an erection sufficient to obtain a satisfactory sex life, called impotence in Chinese medicine, and is usually clinically diagnosed as erectile dysfunction when it is greater than three months old. The reasons for the “little brother” strike are many, including bad habits, malfunction of the five organs, excessive psychological stress, and disease can lead to such events. 1. Psychological reasons: Occasional or short-term erectile dysfunction is likely to be caused by psychological reasons, long-term depression, stressful life especially tired, excessive anxiety, previous bad sexual experience and first sexual intercourse tension, frustration, fear of emotions, these will affect the male “little brother” working state. 2. pathological reasons: organic impotence accounts for about 50% of the total impotence population, mainly related to chronic diseases such as hypertension, diabetes and endocrine. Obesity can also cause certain effects. ① Vascular diseases: Vascular diseases such as vascular sclerosis and stenosis can reduce blood flow to the penis and affect erection. Impotence caused by vascular factors is mainly manifested as loss of erection at night, etc. ②Nerve damage: Chronic diseases such as diabetes, hypertension and hyperlipidemia, if not well controlled, can affect nerve function and prevent erection. In addition, localized damage to the brain, chronic alcoholism, and pelvic surgery that damages the peripheral autonomic nerves can also lead to nerve damage and cause erectile dysfunction. ③Endocrine disorders: reduced androgen secretion can lead to reduced libido and erectile difficulties. It is common in diseases such as pituitary insufficiency, testicular damage or hypofunction, hypo- and hyperthyroidism, and adrenal insufficiency. 3. Other: Bad lifestyle habits are a non-negligible factor in the pathogenesis of impotence. It is generally accepted that smoking and alcohol abuse may lead to impotence. Rupture of the corpus cavernosum of the penis caused by trauma is also a common cause of inability to get an erection. In addition, lack of sexual education or wrong sexual education, mental trauma, incompatibility between husband and wife, incompatibility in social interpersonal relationships or some medical factors can also lead to erectile dysfunction. Sudden or short-term impotence can actually be full of vitality again with a little improvement in mind, but pathological causes still need to go to the hospital and find the right treatment for the root of the problem! References [1] Li Heqiao, Guo Jun, et al. Exploring the idea of Wu Mei Pills for impotence based on the pathogenesis of liver Yang deficiency [A]. Global Chinese Medicine.2021,14(12):2201-2204