1. Syndrome of Excessive Flame of Liver Fire
Main Symptoms: Sperm in fresh red color or mixed with fresh blood, easy erection, red cheeks, distending sensation in the head, vexation, dry mouth, bitter taste in the mouth, scanty and yellow and heat urine, reddened tongue, yellowish coating, and rapid pulse.

2. Syndrome of Downward Transmission of Dampness and Heat
Main Symptoms: Sperm in fresh red color, dark red color or coffee color, distending pain in the seminal vesicle and perineum, itching and pain in the penis, accompanied by heavy sensation in the lumbus and knee, frequent and urgent urination, yellow and turbid urine, reddened tongue, yellowish and greasy coating, slippery and rapid pulse.

3. Syndrome of Yin Deficiency and Fire Hyperactivity
Main Symptoms: Sperm in fresh red color, descending distension and pain in the perineum, soreness and weakness in the lumbus and knee, dizziness, tinnitus, feverish sensation in the chest, palms and soles, dry mouth and throat, insomnia, dream-disturbed sleep, reddened tongue, scanty coating, thready and rapid pulse.

4. Syndrome of Blood Stasis in the Lower Energizer
Main Symptoms: Long duration, sperm in dark red color, coffee color or mixed with blood clots, accompanied by pricking pain in the perineum and lower abdomen ,painful ejaculation, purple tongue, or tongue with purple spots, and hesitant pulse.