Low sperm count according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
little sperm and oligospermia redirect here
Low sperm count can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like low sperm count here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here low sperm count is often associated with lower back pain, premature ejaculation and lassitude in the pattern “Kidney and Spleen Yang Deficiency”. As you will see below, we have in record two patterns that can cause low sperm count.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of low sperm count we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat low sperm count.
The two "patterns of disharmony" that can cause low sperm count
In Chinese Medicine low sperm count is a symptom for 2 patterns that we have on record. Below is a small explanation for each of them with links for more details.
The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine
Kidney and Spleen Yang Deficiency
Pulse type(s): Deep (Chen), Weak (Ruo)
In addition to low sperm count, other symptoms associated with Kidney and Spleen Yang Deficiency include lower back pain, premature ejaculation and lassitude.
Kidney and Spleen Yang Deficiency is often treated with Li Zhong Wan, a herbal formula made of 4 herbs (including Dried Ginger - Gan Jiang - as a key herb). Li Zhong Wan belongs to the category of "formulas that warm the middle and dispel cold", which might be why it is often recommended for this pattern. Its main action as a formula is: "Warms the Middle Burner".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Yang Deficiency
Pulse type(s): Deep (Chen), Slow (Chi)
Tongue coating: Thin white coating
Tongue color: Pale
Tongue shape: Swollen
Kidney Yang Deficiency causes Internal Cold and weakness.
In addition to low sperm count, other symptoms associated with Kidney Yang Deficiency include infertility, lower back pain and premature ejaculation.
From a Western Medicine standpoint Kidney Yang Deficiency is associated with health issues such as Late Menstruation, Menopausal Syndrome or Irregular Menstruation.
Kidney Yang Deficiency is often treated with Ba Wei Di Huang Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Ba Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Yang".
Five herbal formulas that might help with low sperm count
Li Zhong Wan
Source date: 220 AD
Number of ingredients: 4 herbs
Key actions: Warms the Middle Burner. Strengthens the Spleen and Stomach.
Why might Li Zhong Wan help with low sperm count?
Because it is a formula often recommended to treat the pattern 'Kidney and Spleen Yang Deficiency' of which low sperm count is a symptom.
Ba Wei Di Huang Wan
Source date: 220 AD
Number of ingredients: 8 herbs
Key actions: Tonifies Yang. Warms the Kidneys and lower extremities.
Why might Ba Wei Di Huang Wan help with low sperm count?
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which low sperm count is a symptom.
You Gui Wan
Source date: 1624 AD
Number of ingredients: 10 herbs
Key actions: Warms and tonifies Kidney Yang. Replenishes the Essence. Tonifies the Blood.
Why might You Gui Wan help with low sperm count?
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which low sperm count is a symptom.
Er Xian Tang
Source date: 1950 AD
Number of ingredients: 6 herbs
Key actions: Nourishes Yin and tonifies Yang of the Kidneys. Clears Empty Heat. Regulates the Directing and Penetrating Vessels.
Why might Er Xian Tang help with low sperm count?
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which low sperm count is a symptom.
Shen Qi Wan
Why might Shen Qi Wan help with low sperm count?
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which low sperm count is a symptom.
The five Chinese Medicinal herbs most likely to help treat low sperm count
Why might Cornelian Cherry (Shan Zhu Yu) help with low sperm count?
Because Cornelian Cherry is an ingredient in several formulas indicated to treat low sperm count as a symptom, like Ba Wei Di Huang Wan or Liu Wei Di Huang Wan for instance.
Cornelian Cherries is a Warm herb that tastes Sour. It targets the Kidney and the Liver.
Its main actions are: Preserves and tonifies the Kidney, Liver and Essence. Stops sweating and benefits the Yang and Qi. Assists menstruation and stops bleeding.
Why might Prepared Aconite (Zhi Fu Zi) help with low sperm count?
Because Prepared Aconite is an ingredient in several formulas indicated to treat low sperm count as a symptom, like You Gui Wan or Shen Qi Wan for instance.
Prepared Aconite is a Hot herb that tastes Pungent and Sweet. It targets the Heart, the Kidney and the Spleen.
Its main actions are: Raises the collapse of Yang. Warms the meridians and relieves pain caused by Cold. Reduces Damp caused by Deficiency in Yang.
Why might Prepared Rehmannia (Shu Di Huang) help with low sperm count?
Because Prepared Rehmannia is an ingredient in several formulas indicated to treat low sperm count as a symptom, like Liu Wei Di Huang Wan or Zuo Gui Wan for instance.
Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.
Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.
Why might Cuscuta Seed (Tu Si Zi) help with low sperm count?
Because Cuscuta Seed is an ingredient in several formulas indicated to treat low sperm count as a symptom, like Wu Zi Yan Zong Wan or Tu Si Zi Wan for instance.
Cuscuta Seeds is a Warm herb that tastes Sweet. It targets the Kidney, the Liver and the Spleen.
Its main actions are: Tonifies Kidney Yang and Essence. Nourishes the Liver.
Why might Water Plantain (Ze Xie) help with low sperm count?
Because Water Plantain is an ingredient in several formulas indicated to treat low sperm count as a symptom, like Liu Wei Di Huang Wan or Zhi Bo Di Huang Wan for instance.
Water Plantain is a Cold herb that tastes Sweet. It targets the Bladder and the Kidney.
Its main actions are: Causes urination and removes Damp-Heat
Other symptoms often associated with low sperm count
Infertility Lower back pain Premature ejaculation Lassitude Depression Feeling of cold Cold and weak knees Weak legs Bright-white complexion Impotence