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Low Sperm Count (Oligospermia)

How Chinese medicine differentiates a low sperm count into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Erectile Dysfunction and Infertility pages. 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. A low sperm count should be confirmed and worked up medically before assuming any single pattern here explains it.
General Acupuncture Points

Acupuncture points traditionally used for a low sperm count — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-23Tonifies the Kidneys and nourishes the Kidney-Essence. Consolidates Kidney-Qi. Benefits bones and Marrow.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys. Strengthens the Kidney's receiving of Qi.
DU-4Tonifies Kidney-Yang and warms the Gate of Life (Ming Men). Benefits Essence (Jing).
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence. Strengthens the lower back and knees.
KI-6Nourishes Kidney-Yin. Calms the Mind. Invigorates the Yin Stepping Vessel.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
LR-2Drains Liver-Fire and subdues Liver-Yang. Resolves Damp-Heat in the genitourinary system.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages. Benefits the Lower Burner.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi. Invigorates Blood.
PC-6Opens the chest and moves Qi and Blood. Moves Liver-Qi. Harmonizes the Stomach.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney Essence Deficiency View full pattern →

Clinical manifestations: Low sperm count without obvious heat or cold signs, soreness and weakness of the lower back and knees, poor memory, premature greying or hair loss, low libido and general fatigue.
Tongue: Pale, thin body with little or no coating, fine cracks may appear. Pulse: Fine and deep, weak at both Chi (rear) positions.
Treatment principle: Replenishes the deepest vital substance to support sperm production through nourishment of Kidney-Essence.
Note: moxa applicable. Direct exact-name match with this site's own Kidney-Essence-deficiency slide — its own text explicitly lists loose teeth, thinning and greying hair.

2. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Cold and aching lower back and knees, thin watery semen, low libido or erectile difficulty, frequent nighttime urination, feeling cold all over, worse in the lower body, fatigue and low energy.
Tongue: Pale, puffy, and tender with teeth marks and a wet white coating. Pulse: Deep, slow, and weak, especially at the rear (Chi) position.
Treatment principle: Warms Kidney-Yang and restores the body's fire to transform Essence into healthy sperm.
Note: moxa strongly indicated. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.

3. Kidney Yin Deficiency View full pattern →

Clinical manifestations: Scanty, thick, viscous semen, night sweats, dry mouth and throat especially at night, heat sensation in the palms, soles, and chest, dizziness, tinnitus, and sore lower back.
Tongue: Red, thin body with little or no coating, dry surface, possible cracks. Pulse: Fine and rapid, weak at the left rear (Kidney) position.
Treatment principle: Nourishes Kidney-Yin and replenishes Essence while cooling deficiency Heat affecting sperm production.
Note: no moxa. Direct exact-name match with this site's own Kidney-Yin-deficiency slide.

4. Spleen and Kidney Qi Deficiency View full pattern →

Clinical manifestations: Poor appetite with loose or watery stools, chronic fatigue and low stamina, lower back soreness with weak knees, frequent nighttime urination, cold hands and feet.
Tongue: Pale, swollen body with teeth marks, white moist coating. Pulse: Deep, weak, and fine, especially weak at the right Guan (Spleen) and both Chi (Kidney) positions.
Treatment principle: Tonifies Spleen-Qi and Blood to provide raw materials nourishing Kidney-Essence and supporting sperm production.
Note: moxa applicable. Linked to this site's own Kidney-and-Spleen-Yang-deficiency slide — its own text explicitly names \"low sperm count\" and \"cold and thin sperm\" — flagged only for the source's Qi-framing vs. that slide's Yang-framing, otherwise an unusually strong content match.

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

Clinical manifestations: Scrotal dampness or itching, burning urination, heavy dragging sensation in the legs and lower back, turbid, thick, foul-smelling semen, sticky foul-smelling stools, afternoon heat sensation.
Tongue: Red and slightly swollen with a yellow greasy coating thickest at the root. Pulse: Slippery and rapid, more pronounced at the rear position.
Treatment principle: Clears Damp-Heat from the Lower Burner to reduce genital inflammation and restore a healthy sperm environment.
Note: no moxa. Since the discharge and dampness described are explicitly scrotal/genital, this follows this session's established genital-routing rule toward the Liver deck's own Damp-Heat-in-the-Liver slide rather than a general Lower-Burner default.

6. Liver Qi Stagnation View full pattern →

Clinical manifestations: Distension or bloating along the ribs and flanks, irritability or depression, frequent sighing, feeling of a lump in the throat, poor appetite or belching, worse with emotional stress.
Tongue: Normal or slightly dark body with red or slightly purple sides, thin white coat. Pulse: Wiry, taut like a guitar string, especially at the left middle (Liver) position.
Treatment principle: Soothes Liver-Qi stagnation to restore smooth Qi and Blood flow to the reproductive organs, alleviating emotional tension that impairs sperm production.
Note: no moxa. Direct exact-name match with this site's own Liver-Qi-stagnation slide.
Related conditions

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