This paper reports a case of a patient with sleep-related painful erections treated by acupuncture combined with abdominal vibration therapy. The main symptom was repeated painful penile erections during nighttime sleep. The syndrome was differentiated as "water failing to nourish wood" and "liver

qi

stagnation". Acupuncture was applied at Baihui (GV20)

Sishencong (EX-HN1)

Guanyuan (CV4)

and bilateral Neiguan (PC6)

Hegu (LI4)

Taichong (LR3)

Taixi (KI3)

Guilai (ST29)

Yongquan (KI1)

Yanglingquan (GB34)

and Sanyinjiao (SP6). The treatment was combined with abdominal vibration therapy. Treatment was given once daily

five times per week. After the first treatment

the severity and duration of nocturnal erection pain were reduced

and sleep quality was improved. After two weeks of treatment

nocturnal erection pain persisted but became tolerable

with significantly shortened duration.