Male climacteric can be treated by means of traditional Chinese medicine conditioning, acupuncture and moxibustion, massage, diet regulation, emotional regulation, etc. Male menopause is usually caused by kidney essence deficiency, liver depression and qi stagnation, heart and spleen deficiency, deficiency of qi and blood, and imbalance of yin and yang.

1. Traditional Chinese Medicine Treatment
For patients with kidney essence deficiency, Guilu Erxian Jiao or Liuwei Dihuang Wan can be used. When accompanied by hot flashes and night sweats, Zhibai Dihuang Wan can be used. The liver stagnation and qi stagnation type is suitable for Chaihu Shugan San. For patients with heart and spleen deficiency, it is recommended to use Guipi Tang with modifications. Patients with insufficient qi and blood can choose Bazhen Tang, while those with yin and yang deficiency often use Right Return Pill or Left Return Pill. A prescription should be issued by a traditional Chinese medicine practitioner after differentiation of symptoms, and self medication should be avoided.
2. acupuncture and moxibustion treatment
The acupoints of Guanyuan, Shenshu, Sanyinjiao, etc. are often selected to nourish the kidney qi, and those with liver depression are added to Taichong to relieve liver depression. Adopting the method of tonifying acupuncture combined with moxibustion to warm up yang, with one course of treatment every other day. Applying pressure on the endocrine and Shenmen parts of the ear points using Wangbuliuxing seeds is effective in improving insomnia and excessive sweating. Acupuncture and moxibustion should be performed by professional doctors to avoid the risk of fainting or infection.
3. Massage and Tuina
Perform spinal therapy along the Du meridian and bladder meridian to regulate yin and yang, and press the Yongquan acupoint to ignite and return to the original state. Clockwise rubbing of the abdomen combined with massaging the Zhongwan acupoint can strengthen the spleen and stomach. Before waking up in the morning, you can massage the kidney area by yourself, and before going to bed at night, massage the Baihui acupoint to calm the mind. Pay attention to moderate force, use with caution for those with skin damage or osteoporosis.

4. Diet regulation
Eat more kidney tonifying ingredients such as black sesame and walnut, and yam Congee can strengthen the spleen and kidney. People with liver depression can use roses as a substitute for tea drinks, and those with palpitations and insomnia can take lotus seed and lily soup. Avoid eating spicy and hot foods, and consume zinc containing foods such as oysters in moderation. Eating wolfberry stewed lamb meat three times a week to warm up, but those with yin deficiency and excessive heat need to adjust the compatibility.
5. Emotional regulation
Relieve stress and maintain a regular schedule to avoid staying up late through exercises such as Ba Duan Jin and Tai Chi. Cultivate good habits such as calligraphy and gardening, and learn mindfulness breathing to relieve anxiety. Spouses should understand emotional fluctuations and establish a harmonious family atmosphere. Severe depressive tendencies require psychological counseling intervention.

Male menopausal conditioning needs to be maintained for more than 3 months to show significant effects, during which regular follow-up visits are needed to adjust the plan. Maintain moderate aerobic exercise such as brisk walking and swimming, accumulating 150 minutes per week. Pay attention to supplementing high-quality protein and vitamin B family in diet, and limit high salt and high sugar intake. Avoid overwork and prolonged sitting, and ensure 7 hours of sleep per day. When symptoms continue to worsen or severe depressive symptoms appear, timely medical attention should be sought.
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