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Seminal cold

精冷 〔精冷〕jīng lěng

A condition characterized by cold, thin, scant semen; a major cause of male sterility. Seminal cold is attributed to insufficiency of kidney qì or to kidney yáng vacuity.

Patterns

Insufficiency of kidney qì (肾气不足 shèn qì bù zú): Seminal cold due to insufficiency of kidney qì is accompanied by weak constitution, marked emaciation, lusterless facial complexion, lack of strength and shortness of breath, aching lumbus and limp knees, hair loss, loosening of the teeth, frequent urination or profuse urination at night, a pale tongue and a fine pulse weak at the cubit.

Medicinal therapy: Treat by neutral supplementation of kidney. Use variations of Five-Seed Progeny Pill (五子衍宗丸 wǔ zǐ yǎn zōng wán).

Acumoxatherapy: Base treatment mainly on KI, CV, and back transport points. BL-23 (Kidney Transport, 肾俞 shèn shù), CV-6 (Sea of Qì, 气海 qì hǎi), CV-4 (Pass Head, 关元 guān yuán), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and KI-3 (Great Ravine, 太溪 tài xī); needle with supplementation.

Kidney yáng vacuity (肾阳虚 shèn yáng xū): Seminal cold due to kidney yáng vacuity is accompanied by physical cold and cold limbs, a bright-white facial complexion, and impotence. Other signs include aching lumbus and limp knees, dizziness, tinnitus, devitalized essence-spirit, long voidings of clear urine or profuse urination at night, pale enlarged tongue with thin white fur, and forceless fine sunken pulse.

Medicinal therapy: Warm the kidney and invigorate yáng. Use formulas such as Cuscuta Seed Pill (菟丝子丸 tù sī zǐ wán), Golden Cabinet Kidney Qì Pill (金匮肾气丸 jīn guì shèn qì wán), Right-Restoring [Life Gate] Pill (右归丸 yòu guī wán), and Striped Dragon Pill (斑龙丸 bān lóng wán).

Acumoxatherapy: Base treatment mainly on CV, KI, and GV. Select BL-23 (Kidney Transport, 肾俞 shèn shù), KI-3 (Great Ravine, 太溪 tài xī), BL-52 (Will Chamber, 志室 zhì shì), GV-4 (Life Gate, 命门 mìng mén), CV-4 (Pass Head, 关元 guān yuán), ST-29 (Return, 归来 guī lái), and KI-7 (Recover Flow, 复溜 fù liū); needle with supplementation and add moxa.

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