1. Deficiency of Qi and Blood Stagnation
A "stagnancy" syndrome prevents the sexual and reproductive organs from functioning despite normal hormone levels and normal ability to respond to hormones. This is said to involve a stagnancy of "qi and blood," which has the impact of restricting circulation to the tissues involved. Qi stagnation is often noted by tense muscles, restrained anger, and digestive disorders; herbs for resolving the stagnancy include bupleurum, cyperus, lindera, and various citrus products. Other symptoms that might arise include abdominal pain or bloating, chronic inflammation, and formation of lumps (including cysts and tumors). Blood stagnation often occurs following childbirth, surgery, injury, or severe infection.
2. Heat Syndrome
A "heat" syndrome, which causes the affected organs to function abnormally. Heat syndromes may be associated with an infection or inflammatory process. This type of syndrome can produce abnormal semen quality leading to male infertility. For these cases, herbs that inhibit infections and reduce inflammation are used, including gardenia, phellodendron, patrinia, and lonicera.
3. Deficiency of Liver and Kidney
A "deficiency" syndrome prevents the hormonal system from properly influencing the sexual and reproductive functions. This is said to be a weakness of the "kidney and liver" which may influence various body functions producing symptoms such as frequent urination, weakness and aching of the back and legs, impotence, and difficulties with regulation of body temperature. Deficiency syndromes are treated with tonic herbs that are said to nourish qi (e.g., ginseng, codonopsis, atractylodes, astragalus), blood (e.g., tang-kuei, peony, ho-shou-wu, gelatin), yin (e.g., lycium fruit, ligustrum, eclipta, ophiopogon), or yang (e.g., epimedium, cistanche, cuscuta, eucommia), and are selected according to the overall evaluation of symptoms.