is the inability to conceive after one year of unprotected intercourse.
Infertility may be due to sperm disorder (35%), decreased ovarian reserve or
ovulatory dysfunction (20%), tubal dysfunction and pelvic lesions (30%),
abnormal cervical mucus (5%), and unidentified causes (10%). Specifically,
sperm disorder refers to defects in quality or quantity of sperm, which may be
caused by endocrine disorders, genetic disorders, and drugs and toxins
(anabolic steroids, corticosteroids, androgens, estrogens, aspirin, opioids,
alcohol, nicotine, marijuana, and many others).
Vital Essence is mainly composed of herbs that tonify Kidney yin, yang and jing (essence). Tonifying Kidney yin will boost sperm count. Warming
the Kidney yang will increase sperm mobility and motility. Replenishing Kidney jing (essence) will improve sperm morphology.
Qi Zi (Fructus
Lycii), Shu Di
Rehmanniae Praeparata) and Dang
Angelicae Sinensis) tonify Kidney yin and Liver blood. They replenish
the foundation of the Kidney. Jiu
Cai Zi (Semen Allii Tuberosi), Tu Si Zi (Semen Cuscutae), Xian
Mao (Rhizoma Curculiginis) and Yin Yang Huo
(Herba Epimedii) vitalize the Kidney yang, increase libido, and improve
sperm mobility and motility. Fu
Pen Zi (Fructus
Rubi) and Zhi He Shou Wu (Radix Polygoni
Multiflori Praeparata) are essential Kidney jing (essence)
tonics for the treatment of male infertility. Chuan Xiong
(Rhizoma Chuanxiong) moves blood and prevents the tonic herbs from
creating stagnation in the body. Huang
Astragali) tonifies the zhong (central) qi to enhance energy. Fu Ling (Poria) and Che Qian Zi (Semen Plantaginis) are
dampness-eliminating herbs that offset the cloying properties of the yin and jing (essence) tonics. Fu
also strengthens the Spleen to ensure maximum absorption of the Kidney tonics. Che Qian Zi (Semen Plantaginis) ensures
the absence of blockage in the lower jiao.
Finally, Wu Wei Zi (Fructus Schisandrae Chinensis),
an astringent, is added to prevent further leakage of jing (essence).
Together, the herbs in Vital Essence tonify Kidney yin, yang and jing
(essence) to successfully treat male reproductive disorders.
* It is important to remember that
this formula is designed to treat infertility. They do not offer
any protection against sexually transmitted diseases.
* Many drugs are known to damage and
impair healthy sperm, including but not limited to anabolic steroids,
corticosteroids, androgens, estrogens, aspirin, opioid analgesics, cimetidine,
methotrexate, spirolactone, and sulfasalazine. Patients who take these
medications should consult their physician to see if these drugs can be
substituted or discontinued.
herbal formula contains herbs that invigorate blood circulation, such as Dang Gui (Radix Angelicae Sinensis).
Therefore, patients who are on anticoagulant or antiplatelet therapies, such as
should use this formula with caution, or not at all, as there may be a higher
risk of bleeding and bruising.,,
* According to most textbooks and contemporary
references, the classic entry of "He Shou Wu" is now separated
into two entries: the unprepared Sheng Shou Wu (Radix
Polygoni Multiflori) and the prepared Zhi He Shou Wu (Radix
Polygoni Multiflori Praeparata), as they have significantly different
therapeutic effects and side effects. Sheng Shou Wu (Radix
Polygoni Multiflori) is a stimulant laxative that treats constipation, but may
cause nausea, vomiting, abdominal pain, diarrhea, and in rare cases, liver
disorder (dose- and time-dependent, and reversible upon discontinuation). On the other hand, Zhi He Shou Wu (Radix
Polygoni Multiflori Praeparata) is a tonic herb that is safe and
well-tolerated. The dramatic changes in the therapeutic effect and safety
profile are attributed to the long and complicated processing of the root
with Hei Dou (Semen Sojae) through repeated
blending, cooking, and drying procedures. When properly processed, the chemical
composition of the root changes significantly. Many new compounds
are generated from the Maillard reaction (four furanones, two furans,
two nitrogen compounds, one pyran, one alcohol and one sulfur compound).
Furthermore, the preparation process causes changes in the composition of
sugars and 16 kinds of amino acids; it also reduces the pH of the herb from
6.28 to 5.61., In summary, these changes give rise to the tonic
effects of the prepared roots, and eliminate the adverse
reactions associated with the unprepared roots. Note: Due to medical risks and legal
liabilities, it is prudent to exercise caution and not use
this herb in either prepared or unprepared forms
in patients with pre-existing or risk factors of liver diseases.
and Vital Essence are two formulas that are frequently combined together. Vitality
tonifies Kidney yang to treat sexual dysfunction. Vital Essence replenishes
Kidney yin and jing (essence) to treat reproductive disorders. Together,
they complement and enhance the clinical success of each others.
analysis is extremely important, as sperm factors account for approximately 35%
of all cases of infertility. Parameters evaluated include ejaculate volume,
viscosity, appearance, pH balance, sperm count, motility, and sperm morphology.
Semen composition of fructose less than 120 mg/dL is indicative of ejaculatory
duct obstruction or agenesis of seminal vesicles. Most patients may already
have an analysis. They should be instructed to re-test and compare the results
after taking herbs for two to three months.
analysis is also important. Testosterone level studies are indicated for
patients displaying loss of libido and possible hypogonadotropic abnormality.
Normal FSH at baseline analysis correlates with improvement in semen
volume estimation for impaired spermatogenic function or oligospermia should be
Diagnosis by Dr. Jimmy Wei-Yen Chang:
Deep and small pulse on the left chi.
* With impotence, erectile dysfunction or low
libido, add Vitality.
* For decreased sperm motility or mobility,
add Kidney Tonic (Yang).
* For low sperm count, add Kidney Tonic (Yin).
premature ejaculation or spermatorrhea, add Vitality and Jin Suo Gu
Jing Wan (Metal Lock Pill to Stabilize the Essence).
stress and anxiety, add Calm or Calm (ES).
improve the quality of sperm for in vitro fertilization (IVF), add Polygonum 14.
* With difficulty in ejaculation, add Wei Ling Xian (Radix et Rhizoma Clematidis) and Shi
Chang Pu (Rhizoma Acori Tatarinowii) with Resolve (Lower).
* With thick or condensed semen due to
deficiency fire of the Kidney, add Nourish.
* With prostatitis, add P-Support.
* For varicocele, add Resolve (Lower) and P-Support.
and moxa: Dahe (KI 12), Qugu
(CV 2), Sanyinjiao (SP 6), Guanyuan (CV 4), Zhongji (CV 3)
and moxa: Qugu (CV 2), Yinlian
(LR 11), Dadu (SP 2), Ciliao (BL 32)
and moxa: Shenshu (BL 23), Guanyuan
(CV 4), Rangu (KI 2), Fuliu (KI 7), Zusanli (ST 36), Sanyinjiao
Master Tung's Points:
Tung’s Points by Dr. Chuan-Min Wang:
* Low sperm count, poor
motility, mobility, morphology: Tianhuangfu [shenguan]
(T 77.18), Dihuang (T 77.19), Renhuang (T 77.21)
Method by Dr. Richard Tan:
side: Linggu (T 22.05), Lieque (LU 7), Shuiquan (KI 5), Sanyinjiao (SP 6)
side: Yangxi (LI 5), Zusanli
sides from treatment to treatment
Medicine by Dr. Li-Chun Huang:
* Emission: Shenmen, Liver, Neurasthenia Point (front and back), Neurasthenia
Area (front and back), Nervous Subcortex, Dream Disturbed Sleep Area, Heart,
Kidney. Bleed Ear Apex.
Patients should be advised to eat more clams,
oysters, sea cucumbers, and lamb.
use of certain herbs such as echinacea, ginkgo biloba, and St. John’s Wort have been
associated with infertility and should be avoided.
an adequate amount of selenium (200 to 400 mcg daily), as deficiency has been
associated with reduced sperm count and sterility in men.
an adequate amount of vitamin C and bioflavonoids (2,000 to 6,000 daily), as
they are important in sperm production.
an adequate amount of vitamin E (200 to 400 IU daily), which helps to balance
intake of zinc (80 mg daily) is important for normal functioning of the
alcohol, coffee, and cigarette smoking.
Tao of Nutrition by Dr. Maoshing Ni and Cathy McNease:
* Infertility or inadequate sperm: Eat
three quail eggs before bedtime daily for one month.
excessive sexual intercourse or ejaculation. While taking herbs, sexual
activity should be reduced to once a week until the sperm lab report is normal.
artificial lubricants may prevent the sperm from reaching the cervix. Saliva
may also have a negative effect on spermatozoa.
* Avoid drinking alcohol, which
reduces sperm count.
* Avoid smoking (and exposure to
secondhand smoke of) cigarettes and marijuana, as they impair sperm
stress as much as possible.
AND CLINICAL RESEARCH
sperm disorders account for approximately 35% of failed pregnancies. Disorders
of sperm production can evolve from an assortment of conditions that include,
but are not limited to, spermatogenesis, azoospermia, varicocele, retrograde
ejaculation, in addition to endocrine, genetic, social,
pharmaceutical and psychological factors. As men age, the sperm density and
testosterone levels appear to decrease while estradiol and estrone levels
Therefore, herbs must be used to regulate the endocrine system, balance the
hormones, and promote blood circulation. Vital Essence is
designed with such general and specific effects to treat male infertility.
Vital Essence has many herbs to
increase the quantity and improve the quality of sperm. Pharmacologically, Fu Pen Zi (Fructus Rubi) and Yin Yang Huo (Herba
Epimedii) have been shown to increase the production and release
Mao (Rhizoma Curculiginis) stimulates the reproductive
system to increase the weight of the testicles.
Jiu Cai Zi (Semen Allii Tuberosi) and Xian Mao (Rhizoma
Curculiginis) have positive aphrodisiac properties that affect
sexual behavior in male subjects, such as an increase in penile erection,
mating performance, mount frequency, mount latency, and ejaculation frequency.,
In addition, administration of Yin Yang Huo (Herba Epimedii) not
only stimulates the sensory nerves and increases sexual desire and activity, it
also increases sperm production.
Clinically, many herbs in Vital Essence have been used with great
success to treat male infertility. According to one study, use of fresh Gou Qi Zi (Fructus Lycii) in a
formula effectively increased sperm count and improved sperm motility. Of 42
patients, 33 successfully conceived children.
According to another study, one formula was reported to have a 95.3% rate of
effectiveness in treating 129 males with poor sperm count using an herbal
formula in decoction daily that contained 12 grams each of Zhi He
Shou Wu (Radix Polygoni Multiflori Praeparata), Huang Jing (Rhizoma Polygonati), Huang Qi (Radix Astragali), Yin Yang Huo (Herba Epimedii), Gou Qi Zi (Fructus Lycii), Tu Si Zi (Semen Cuscutae), and Zi He Che (Placenta Hominis).
Obstructed blood circulation may
adversely affect sperm emission and spermatogenesis. Therefore, Vital Essence contains herbs to invigorate and improve blood circulation to
peripheral parts of the body, such as Dang Gui
(Radix Angelicae Sinensis) and Chuan Xiong
(Rhizoma Chuanxiong). Use of Dang Gui
(Radix Angelicae Sinensis) is
associated with significant effects on angiogenesis, the physiological
process that promotes blood vessel formation in various parts of the body. It also improves overall blood
circulation by decreasing the whole blood specific viscosity, or improving the
hemorrheological changes associated with blood stagnation.
Administration of Chuan
Chuanxiong) is associated with increased blood perfusion.
The mechanism of this action is attributed mainly to its effect to inhibit
thrombus formation and platelet aggregation.
In this formula, Zhi He Shou
Wu (Radix Polygoni Multiflori Praeparata) is well known for its
antiaging effect as it demonstrated a marked effect to improve general health
and increase life expectancy. Tu Si Zi (Semen Cuscutae) has an adaptogenic effect to improve both mental
and physical health.
Though these two herbs do not treat male infertility directly, they address the
underlying deficiencies associated with many cases of infertility.
In summary, Vital Essence
is one of the best formulas to treat male infertility. Not only does it treat
the underlying sexual and reproductive disorders, it also restores the overall
health and well-being of patients.
striking difference between Western and traditional Chinese medicine is that Western
medicine focuses and excels in crisis management, while traditional Chinese
medicine emphasizes and shines in holistic and preventative treatments.
Therefore, in emergencies, such as gunshot wounds or surgery, Western medicine
is generally the treatment of choice. However, for treatment of chronic
idiopathic illness of unknown origins, where all lab tests are normal and a
clear diagnosis cannot be made, traditional Chinese medicine is distinctly
There is no drug treatment for male
infertility. Those with sperm disorders (low
sperm count, poor sperm motility, mobility and morphology) are usually treated
with physical medicine, such as artificial insemination. However, there are no drug
options available to increase sperm quantity and quality.
One main function of Kidney yang is
regulation of sexual and reproductive functions. Vital Essence is
a Kidney yang tonic formula that emphasizes more on maintaining reproductive
functions and treating reproductive disorders, such as low sperm count, poor sperm
motility, mobility, and morphology. Though this formula is definitely
effective, it does not have an instantaneous effect, but rather requires
continuous use for two to three months for maximum effect.
Reproductive disorder is perhaps best
treated with integration of Western and traditional Chinese medicine. Herbal
therapy has been found to be exceptionally effective for male infertility to
increase sperm quantity and quality. In most cases, the use of herbal therapy
is sufficient for mild to moderate cases of male infertility. In severe cases
where herbs improve the condition but the patient still cannot achieve
insemination can also be employed to enhance the success rate.