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Yang Deficiency: Cold Limbs & Low Libido

Yang Deficiency (阳虚 Yáng Xū)

What is Yang Deficiency and how is it treated in TCM?

Yang Deficiency (阳虚) is a Traditional Chinese Medicine pattern characterized by insufficient warming, activating, and metabolic functions in the body, typically affecting the Kidney and Spleen systems. This manifests as persistent cold hands and feet even in summer, low libido, erectile dysfunction, lower back and knee pain, frequent nighttime urination, morning diarrhea, and fatigue worse in cold weather. The tongue shows a pale (almost white) color, swollen with scalloped edges, thin white wet coating, and excessive saliva. In this case, a 45-year-old accountant with 3 years of progressive symptoms was diagnosed via AI tongue analysis with 98.1% accuracy. Treatment used Jin Gui Shen Qi Wan (Kidney Qi Pill), a classical formula containing prepared Aconite and Cinnamon to powerfully warm Kidney Yang, combined with Rehmannia to nourish underlying Yin. Lifestyle modifications included avoiding all cold/raw foods, eating warming foods (ginger, cinnamon, lamb), moxibustion therapy, and keeping the lower back and feet warm constantly. Results were dramatic: by week 4, libido returned with normal morning erections and back pain reduced 60%, and by week 6, complete resolution of cold extremities, normal sexual function, sustained energy, and 90% Yang deficiency pattern resolution confirmed by AI follow-up analysis.

Quick Takeaways:
  • Yang Deficiency causes chronic cold limbs, low libido/ED, frequent urination, fatigue, pale wet tongue
  • AI diagnosed with 98.1% accuracy based on pale white swollen tongue with wet coating
  • Treatment: Jin Gui Shen Qi Wan (Aconite + Cinnamon) + warming foods + moxibustion
  • Results: Normal sexual function and energy restored in 6 weeks, 90% pattern resolution

Common Questions About Yang Deficiency

How long does Yang Deficiency take to treat?

Significant improvement typically occurs within 4-6 weeks with proper treatment. In this case, hands/feet began warming by week 2, libido returned by week 4, and complete resolution occurred by week 6. However, Yang deficiency that took years to develop often requires 3-6 months of treatment for complete stabilization, and some patients benefit from seasonal maintenance formulas during winter.

Is Yang Deficiency the same as low testosterone?

Yang Deficiency and low testosterone often overlap but aren't identical. Yang Deficiency is a broader functional pattern affecting metabolism, warmth generation, and energy across multiple systems (digestive, urinary, sexual, circulatory). Low testosterone is one biochemical marker that can result from Kidney Yang deficiency. Many Yang deficiency patients show normal testosterone levels, while others benefit from combined TCM and hormone therapy.

What foods help Yang Deficiency?

Emphasize warming, Yang-tonifying foods: lamb, venison, ginger, cinnamon, garlic, walnuts, black beans, shrimp, cinnamon tea, bone broths cooked with warming spices. Completely avoid cold/raw foods (salads, iced drinks, sushi, cold fruits), as these further drain Yang. Cook all meals, and eat foods warm or hot. Winter squash, sweet potato, and oats are good carb sources.

Can exercise help or hurt Yang Deficiency?

Moderate exercise helps by circulating Qi and generating Yang warmth, but excessive exercise depletes Yang further. Recommended: gentle walking, tai chi, qigong, light weights. Avoid: intense cardio, cold-weather outdoor training, exhaustive workouts. The key is consistency with moderate activity rather than sporadic intense exercise. Stop before exhaustion sets in.

Why does Yang Deficiency cause ED?

In TCM, Kidney Yang provides the 'fire' for sexual function - arousal, erectile capacity, and reproductive vitality. When Kidney Yang is deficient, this fire is weak, leading to low libido, poor erectile quality, and cold extremities. The mechanism involves poor circulation to the pelvis and insufficient metabolic fire. Restoring Kidney Yang with herbs like Aconite and Cinnamon directly addresses the root cause, which is why function often returns within 4-6 weeks.

What Were the Patient's Main Symptoms?

What Did the AI Tongue Analysis Reveal? (98.1%)

Color: Pale, almost white

Shape: Swollen, scalloped edges

Coating: Thin white, very wet

How Was Yang Deficiency Treated?

Jin Gui Shen Qi Wan (Kidney Qi Pill from Golden Cabinet)

• Fu Zi (Prepared Aconite) - 9g - Strongly warm Kidney Yang

• Rou Gui (Cinnamon bark) - 6g - Warm Kidney, strengthen Yang

• Shu Di Huang (Prepared Rehmannia) - 24g - Nourish Kidney Yin

• Shan Zhu Yu (Cornus) - 12g - Stabilize Kidney

• Shan Yao (Chinese Yam) - 12g - Tonify Spleen/Kidney

• Ze Xie (Alisma) - 10g - Drain dampness

• Fu Ling (Poria) - 10g - Strengthen Spleen

• Mu Dan Pi (Tree Peony bark) - 10g - Clear deficiency heat

What Were the Treatment Results?

Week 6 Final

Cold: No more cold extremities

Libido: Normal function restored

Energy: Sustained energy, no fatigue