Blocked Ejaculation

How Chinese medicine differentiates blocked (anejaculatory) ejaculation — distinct from Erectile Dysfunction and Premature Ejaculation already covered — the five patterns you'll actually meet in practice, and the points for each. Supportive care only. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Persistent blocked or retrograde ejaculation needs a proper medical work-up (nerve, prostate, or medication causes must be ruled out) before assuming a simple pattern; acupuncture here is supportive alongside that care, never a substitute for it.

General Acupuncture Points

Acupuncture points traditionally used for blocked ejaculation — 12 key points, used across the patterns below rather than tied to just one.

Point	Key action
REN-4	Strengthens the Kidneys. Benefits Original Qi.
KI-3	Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
SP-6	Strengthens the Spleen. Resolves Dampness. Benefits the Lower Burner.
BL-23	Tonifies the Kidneys and nourishes Kidney-Essence.
LR-14	Promotes the smooth flow of Liver-Qi and harmonizes Liver and Stomach.
LR-3	Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
P-6	Opens the chest and moves Qi and Blood. Calms the Mind.
G.B.-34	Promotes the smooth flow of Liver-Qi. Benefits the sinews.
REN-3	Resolves Dampness from the Lower Burner. Promotes the Bladder function of Qi transformation.
SP-9	Regulates the Spleen. Resolves Dampness.
ST-36	Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-10	Cools Blood. Invigorates Blood and eliminates stasis.

The Five Patterns

↑ reinforcing ↓ reducing ⊥ even method.

1. Kidney-Yin Deficiency With Empty-Heat Blazing View full pattern →

Clinical manifestations: Strong sexual desire but inability to ejaculate, nocturnal emissions without intercourse ejaculation, five-palm heat, night sweats, dry mouth/throat, lower back soreness, mental restlessness.

Tongue: Red, thin, dry body with little or no coating. Pulse: Fine and rapid, possibly floating and empty.

Treatment principle: Nourish Kidney-Yin, clear deficiency Heat, anchor the Essence Gate.

REN-4 ↑ KI-3 ↑ SP-6 ↑ BL-23 ↑

Note: no moxa given the Empty-Heat. Direct match with this site's own Kidney-Yin-deficiency-Empty-Heat-blazing slide.

2. Liver-Qi Stagnation View full pattern →

Clinical manifestations: Rib distension/bloating, emotional irritability/depression, frequent sighing, plum-pit throat sensation, genital tension during arousal.

Tongue: Normal or slightly dark body, red/purple sides. Pulse: Wiry, at the left middle position.

Treatment principle: Smooth Liver-Qi, relieve obstruction, open the ejaculatory pathway.

LR-14 ⊥ LR-3 ↓ P-6 ⊥ G.B.-34 ⊥

Note: no moxa. Direct exact-name match with this site's own Liver-Qi-stagnation slide.

3. Damp-Heat in the Lower Burner View full pattern →

Clinical manifestations: Inability to ejaculate, scrotal dampness/itching, heavy dragging sensation below, cloudy/dark urine, sticky foul stools, lower abdominal fullness.

Tongue: Red swollen body, yellow greasy coating thickest at the root. Pulse: Slippery and rapid.

Treatment principle: Clear Heat and drain Dampness from the Lower Burner, unclog the seminal tract.

REN-3 ⊥ SP-6 ⊥ SP-9 ↓ LR-3 ⊥

Note: no moxa. This is a genuine match to this site's genital-specific Damp-Heat-in-the-Liver slide — the source's own explicit scrotal-dampness content directly matches, the same confirmed-match logic as Oligospermia and Priapism.

4. Kidney-Yang Deficiency View full pattern →

Clinical manifestations: Low libido, weak erections, cold throughout the body especially the lower back/knees, frequent night urination, fatigue, pale complexion.

Tongue: Pale, puffy, tender with teeth marks, wet white coating. Pulse: Deep, slow, weak.

Treatment principle: Warm and tonify Kidney-Yang, strengthen the Gate of Life Fire, restore ejaculatory force.

REN-4 ↑ ST-36 ↑ KI-3 ↑

Note: moxa central on REN-4. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.

5. Blood Stagnation View full pattern →

Clinical manifestations: Fixed stabbing/distending perineal pain, pain worsening at night/with prolonged sitting, pelvic fullness/lump sensation.

Tongue: Dark purple with stasis spots, distended sublingual veins. Pulse: Choppy or wiry.

Treatment principle: Invigorate Blood, dispel stasis, unblock the ejaculatory pathway.

REN-3 ⊥ SP-6 ⊥ SP-10 ↓

Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide via the well-established dark/purple stasis-spot-tongue marker.

Related conditions

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