Patient:
Male, 76 y.o.

Main Complaint:
Patient complained of delayed/inhibited ejaculation for 15 plus years. It took him 20-30 minutes of continual stimulation to reach climax. He was able to climax and ejaculate 6 out of 10 times but never under the time frame of 20-30 minutes.

Secondary Complaint:
Patient presented with asthma and allergies that have affected him is entire life. He had the following symptoms;  nasal and chest congestion, post-nasal drip, itchy eyes, tight chest, wheezing, fatigue, unable to take full breaths and occasional productive cough, slight yellow phlegm.

Third Complaint:
Patient had atrial fibrillation. He had corrective surgery during the course of our treatment and was seeking acupuncture to heal faster and return to normal sinus rhythm as quickly as possible.

OM History:
No headaches, no tinnitus, occasional foggy mind with allergies, no floaters, palpitations, sob, good appetite and digestion, no gas/bloating, occasional constipation due to medications, urination normal, general body aches because of age but no low back or knee problems, sleeps well, low stress, exercises regularly and eats a well balanced diet. The patient has no structural or organic problems with his sexual organs. He is a physician and still works full time.

History:
Erectile dysfunction, heart disease, asthma, allergies, diabetes.

Medications:
HCTZD, Coumadin, ASA, Testosterone, Flovent, Omeprozole.

Pulse:
Irregularly Irregular

Tongue:
Scarlet with a slightly yellow coat and distended veins

Diagnosis:
Erectile Dysfunction, Asthma, Allergies

Differentation:
LV/KI Yin Xu with HT Qi Xu, LU Qi Xu, Xue Yu and Damp Heat Retention in the Upper Jiao

Treatment Principle:
Nourish LV/KI Yin, Tonify HT and LU Qi’s, Move Xue and Clear Damp Heat from Upper Jiao

Points and Methods Used:
DU 20; BL 7; Yintang; Bitong; LU 1, 7, 9; LI 10, 4; PC 6; HT 7; RN 17, 15, 6, 3, 2; Tituo; KI 13, 8, 6; SP 10, 6; ST 36, 40; LV 8, 3; GB 34.
Estim applied to RN 2 to Tituo L; RN 3 to Tituo R – dense disperse on an intensity comfortable to the patient.
Needles retained for 30 minutes.

Herbs Prescribed:
Patient wanted herb for asthma only. Qi Wei Du Qi Wan – 4 pills 3xday.

Results:
Main Complaint:
After 6 treatments the patient experience significant improvement in with his delayed ejaculation. He is still currently being treated though he now, after 12 treatments of repeating the protocol above, has no more problems with his sexual health. His libido has improved, he gets and maintains healthy erections and can reach climax within 10 to 15 minutes.

Second Complaint:
After 1 treatment the patients’ allergies were completely resolved. His nasal and chest congestion clear, as well as his post-nasal drip and itching eyes. We will attend to his allergies only if they are troublesome now. He is still currently being treated for his asthma, though after one treatment he experienced an opening of his chest, no more wheezing and rarely has a productive cough. At this point the patients yellow coating became much lighter.

Third Complaint:
The corrective surgery for his atrial fibrillation, called catheter radiofrequency, was successful and the patient returned to normal sinus rhythm after 2 treatments of acupuncture. After his surgery and the two treatments his pulse became regularly irregular and his tongue lightened from scarlet to red and the veins under his tongue were no longer distended.

Conclusion:
The patient came to me with severe conditions that conventional medicine had done nothing to improve for him. After a few treatments for his various conditions, everything improved significantly. The improvement of his quality of life has been momentous. He is still currently under my care for maintenance of his 3 complaints, coming every to every other week. He is also taking his herbs continually. As we progress treatments will diminish to once every three weeks to once a month, which we will stick with due to the patients advanced age. If he needs to come more often, he will be treated accordingly.

Definitions:
Delayed/Inhibited Ejaculation – a condition in which an extended period of sexual stimulation is necessary for a man to reach sexual climax and ejaculate. In severe conditions, some may not be able to ejaculate at all. It can be a temporary or lifelong problem.
Atrial Fibrillation – is an irregular and often rapid heart rate that commonly causes poor blood flow throughout the body. When the hearts two upper chambers (the atria) beat irregularly/out of rhythm with or out of coordination/time with the two lower chambers (the ventricles) this is considered to be atrial fibrillation. Episodes can come and go or be chronic. Atrial fibrillation itself is not usually life-threatening, though it is a serious medical condition that requires treatment.
Radiofrequency Ablation – a process where a thin flexible tube (catheter) is inserted into a vein in the arm or groin. It is then threaded through the blood vessels into the heart. Heat (radiofrequency) is then applied through the catheter to destroy identified heart tissue causing a heart condition.

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