Azoospermia
Traditional Chinese Medicine Definition
In traditional Chinese medicine, the condition of not ejaculating is referred to as "jing bi," which describes a condition where, during sexual intercourse, although the penis can become erect, the individual does not reach orgasm and seminal fluid is unable to be naturally expelled from the body. In internal medicine, this condition is often associated with patterns such as liver depression and qi stagnation, or kidney essence deficiency.
The pathogenesis of not ejaculating primarily involves dysfunction of the liver and kidney organs. In clinical practice, common precipitating factors include emotional disturbances and kidney exhaustion due to overexertion. During differentiation, it is important to differentiate the following key points: liver depression and qi stagnation is characterized by depression, fullness in the chest and hypochondria; kidney essence deficiency manifests as weakness in the lower back and knees, dizziness, and tinnitus. In the process of differentiation, attention should also be paid to distinguishing between cold and heat, as well as deficiency and excess, to guide clinical treatment. The overall direction of treatment suggests that for liver depression and qi stagnation, the main approach is to soothe the liver, relieve depression, and open the orifice of the essence; for kidney essence deficiency, the principle of treatment is to tonify the kidney and replenish essence, and nourish the essence gate. It is traditionally believed in Chinese medicine that by adjusting the functions of the internal organs, restoring the normal opening and closing of the essence gate, the condition of not ejaculating can be treated.
Common Syndrome Types and Key Points of Differentiation
Liver depression and Qi stagnation syndrome
Main Manifestations: Ejaculation failure, emotional depression, chest and hypochondriac distension
Management Approach: Shugan Jieyu, Tongjing Kaigao
Kidney Essence Deficiency Syndrome
Main Manifestations: Ejaculatory failure, lumbago, weakness of the knees and shins, dizziness, tinnitus
Management Approach: Buxin Tianshen, Runyang Jingguan
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
Patients with not ejaculating often experience a decrease in the quality of sexual life. During treatment, attention should be paid to harmonizing the liver and kidney to restore the function of ejaculation.
— Chen Yan Traditional Chinese Medicine Practitioner
Related Popular Articles
Related Practicing Physicians
This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
This article has been reviewed by licensed TCM physicians at Hangzhou Kezhentang TCM Clinic. It is for TCM popular science reference only and does not involve specific treatment plan recommendations.
References: Internal Medicine of TCM (13th Five-Year Plan Textbook), Diagnostic and Therapeutic Effectiveness Standards for TCM Diseases and Syndromes (ZY/T001.1-94), Classification and Codes of TCM Diseases and Syndromes (GB/T 15657-2021)