Impotence is the inability of man in achieving an erection or achivieng an

erection but that is insufficient for the success of sexual intercourse.

In Chinese Medicine there are 3 main patterns: (1) fullness pattern– damp-heat
- (2) standard of vacuity - Kidney yang vacuity – and (3) pattern from the
desahrmony relationship between 2 zang organs - vacuity of the spleen and
heart Qi -.

DIAGNOSIS ACCORDING WITH CHINESE MEDICINE

Damp-heat
Impotence, swelling and heat in the external genitalia, feeling the heat, itching,
dark urine, dysuria, possible hematuria, pain that worsens with heat and is
accompanied by a feeling of heaviness, with strong smelling urine, red tongue
with yellow sticky layer, slippery and fast pulse.

Kidney Yang Vacuity[1]

Impotence, aversion to cold, low back pain that improves with applications of
heat and pressure, polyuria, cold on the genitals, a feeling of comfort with local
applications of heat, tinnitus, physical sluggishness, dizziness, pale face,
tongue pale swollen, deep and slow pulse.

Spleen and Heart Qi Vacuity

Impotence, decreased sexual desire, palpitations, soft stools, symptoms may
worsen with long periods without eating, physical fatigue, changes in appetite,
pale face, pale tongue, weak pulse.

ACUPUNCTURE

Selection of points for impotence: 6SP, 3CV, 2CV, 23BL

6SP and 3CV is a simple and effective combination to treat both urinary
problems as problems related to the genitals. 2CV is an important local point.
Both in 3VC as 2VC should try to make sensation of Qi to go to the penis. 23BL
is the kidney back shu point.
Other points to use: 32BL, 33BL, 34BL, 1CV, 3LV. On these points I would like
to draw your attention to the points 32BL, 33BL and 34BL which are of the
utmost importance in dealing with this complaint. The point 1CV is not widely
used due to its location. However it is advisable for this type of problems. When
punctured should make the patient feel the sensation of Qi radiate to the head
of the penys.

Selection of points according to the clinical patterns:

Damp-heat: 9SP, 5LV, 28ST
Point 28ST is local and eliminates damp (water passage). 9SP and 5LV are
distal points. The point 5LV eliminates damp-heat and also benefits the genitals
and is therefore a point of choice in this type of complaint with this specific
pattern.
Other points to use: 10KD and 8LV are 5 Shu points and thus help eliminate
Damp-Heat. Since the main points to address problems in the genitourinary
tract are the points of Yin meridians of the leg you must never forget these
points.
Kidney Yang Vacuity: 4GV, 3KD, 52BL, 4CV
4GV, 52BL and 4CV are local points. In this case we must give attention to
various points and places to make use of hot needle or Moxibustion. Other
important points as 3CV or 23BL are already on the base protocol.
Other points to use: 32B.
Spleen and Heart Qi Vacuity: 15BL, 20BL, 12CV, 17CV, 36ST.
This combination is simple and effective. Point 36ST is a strong general point to
invigorate the Qi. Points 12CV and 17CV have action on the MB (Midlle Burner)
and SB (Superior Burner) respectively, which is where the organs affected are.
In addition, they are very good points to invigorate the Qi and points of organs.
Finally we have the points 15BL and 20BL which are the back shu points of the
affected organs.
Other points to add: 2SP, 4SP, 30ST, 6SP.

Symptomatic points for most relevant symptoms:

Haematuria: 8SP, 5KD, 6LV [2]
Lombalgia: 40BL, 60BL
Tinnitus: 2GB, 19SI, 21SJ
Dizziness: 20GV
Palpitation: 6PC
Soft stools: 37ST, 30ST

BIBLIOGRAPHY

JUNYING, Geng; Et Alli; Selecting the right point of Acupuncture: A Manual of

Acupuncture; Ed. Roca; 1st Ed.; Sao Paulo, 1996

YANFU, Zuo; Et Alli; CHINESE ACUPUNCTURE & MOXIBUSTION; Compiled

by Nanjing University of Traditional Chinese Medicine, Publishing House of
Shanghai University of Traditional Chinese Medicine, 1st Ed.; Shanghai, China,
2002

YIN, Ganglin; Advanced Modern Chinese Acupuncture Therapy; New World

Press, 1st ed., Beijing, China, 2000

ZHIXIAN, Long, et ally, Acupuncture & Moxibustion, edited by Beijing University

of Traditional Chinese Medicine, Academy Press, ISBN 7-5077-1269-9, 1st
edition, Beijing, 1999

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[1] This pattern is often referred to as the decline of the Ming Men fire.
[2] As points of emergency can be used for such complaints. However, this
complaint, is not among the main problems to be dealt with this point.