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.
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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.
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
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
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".
The top herbs in Li Zhong Wan are Dried Ginger (Gan Jiang), Ginseng (Ren Shen) and Atractylodes Rhizomes (Bai Zhu)
Source date: 220 AD
Number of ingredients: 4 herbs
Key actions: Warms the Middle Burner. Strengthens the Spleen and Stomach.
Because it is a formula often recommended to treat the pattern 'Kidney and Spleen Yang Deficiency' of which low sperm count is a symptom.
The top herbs in Ba Wei Di Huang Wan are Prepared Rehmannia (Shu Di huang), Cornelian Cherries (Shan Zhu Yu) and Yam (Shan Yao)
Source date: 220 AD
Number of ingredients: 8 herbs
Key actions: Tonifies Yang. Warms the Kidneys and lower extremities.
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which low sperm count is a symptom.
The top herbs in You Gui Wan are Prepared Aconite (Zhi Fu Zi), Cinnamon Bark (Rou Gui) and Deer Antler Glue (Lu Jiao Jiao)
Source date: 1624 AD
Number of ingredients: 10 herbs
Key actions: Warms and tonifies Kidney Yang. Replenishes the Essence. Tonifies the Blood.
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which low sperm count is a symptom.
The top herbs in Er Xian Tang are Curculigo Rhizomes (Xian Mao), Epimedium Herbs (Yin Yang Huo) and Morinda Roots (Ba Ji Tian)
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.
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which low sperm count is a symptom.
The top herbs in Shen Qi Wan are Prepared Aconite (Zhi Fu Zi), Cinnamon Twigs (Gui Zhi) and Prepared Rehmannia (Shu Di huang)
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which low sperm count is a symptom.
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.
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.
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.
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.
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
Infertility Lower back pain Premature ejaculation Lassitude Depression Feeling of cold Cold and weak knees Weak legs Bright-white complexion Impotence