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Erectile Dysfunction

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I am a fairly new practitioner and would love some advice from the

more experienced practitioners, especiallly those with experience

treating erectile dysfunction. I have a 36 year old male with a 5

year history of ED. I thought his patterns were pretty clear cut- KD

yang xu (low libido, low back soreness, freguent urination, feels

cold), LR depression qi stagnation (irritable, stress makes impotence

worse, exercise helps with fatigue and with impotence) with

depressive heat (night sweats continue after bout of Lyme Disease).

Tongue fat, pale, teeth-marked with red sides and tip. Pulse slow,

deficient in cun and qi positions on left side (HT, KD). I am

treating him with acupuncture and I gave him the following granular

formula (a variation of you gui wan):

 

Shu di, shan yao, shan zhu yu, ba ji tian, du zhong, Rou cong rong,

Tu si zi, yin yang huo, dang shen, zhi mu, huang bai, bai shao, chai

hu, lu rong.

 

There was no change after 2 weeks, so I added xiang fu and huai niu

xi. Had him on this for 2 more weeks without much change, except he

has only had one night sweat since starting the herbs (he used to get

2-3 per week). His left KD pulse has responded beautifully with this

formula, so I was surprised that there was no change!

 

His wife, however, also just informed me that his ED started with the

death of his brother. Not sure how to proceed from here.

 

So now, I guess I was wondering if anyone had any suggestions/pearls

of wisdom for a newbie? How long does this indication typically take

to treat? Any advice on the formula? Thanks so much in advance!

Candace

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