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Reproduction is a function of the kidney. Growth, development, and reproduction rely on the essential qì stored by the kidney. Kidney essential qì is derived from the reproductive essence of the parents (congenital essence), out of which the fetus develops. After birth, kidney essential qì is gradually nurtured by the essence of food (acquired essence) and reaches fullness in puberty; women menstruate (and ovulate) according to the monthly cycle, and men are able to produce semen.

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