Is premature ejaculation caused by "kidney deficiency"? The answer is...

Author: Hu Haixiang, Chief Physician of Air Force Specialty Medical Center

Reviewer: Li Fangjie, Chief Physician, Wangjing Hospital, China Academy of Chinese Medical Sciences

Many people believe that premature ejaculation is caused by "kidney deficiency". In fact, everyone only knows one side of the story.

According to traditional Chinese medicine, premature ejaculation can be divided into four types, namely, weak kidney qi, yin deficiency and hyperactivity of fire, dampness and heat, and deficiency of both heart and spleen. Premature ejaculation of different types has different clinical manifestations and unique treatment methods.

1. Premature ejaculation: Kidney Qi is not solid, what are the symptoms? How to treat it?

According to traditional Chinese medicine, the kidneys are responsible for storing essence. When the kidneys lose their ability to store essence, premature ejaculation will occur. This situation is what ordinary people often think of as premature ejaculation caused by kidney deficiency. In traditional Chinese medicine, it is called premature ejaculation caused by kidney qi instability.

In addition to premature ejaculation, such patients may also experience symptoms such as back pain, weak legs, tinnitus, clear and long urination, and frequent urination.

In traditional Chinese medicine, the method of nourishing the kidney and consolidating essence is generally adopted, for example, the prescription Jinsuo Gujing Pills can be used.

2. Premature ejaculation: Yin deficiency and fire excess type, what are the symptoms and how to treat it?

In fact, Yin deficiency and hyperactivity of fire syndrome is also caused by kidney deficiency, but it belongs to kidney Yin deficiency. Chinese medicine emphasizes the balance of Yin and Yang, and the two restrain each other. If Yin cannot restrain Yang, it will lead to Yang being relatively hyperactive, thus causing deficiency fire syndrome.

Therefore, patients with Yin deficiency and hyperactivity of fire syndrome, in addition to the typical symptoms of kidney deficiency such as soreness and weakness in the waist and knees, will also have symptoms of virtual fire such as hot palms and soles, red cheekbones, and yellow urine.

The treatment of this syndrome generally requires the method of nourishing yin and tonifying the kidney, and the prescription is to use Zhibai Dihuang Pills with some modifications.

3. Premature ejaculation: Damp-heat type, what are the symptoms? How to treat it?

Damp-heat mainly refers to the symptoms caused by the body being affected by damp-heat evil, which accumulates in the lower part of the body, such as the bladder, intestines, lower abdomen, and kidneys.

In terms of clinical manifestations, especially the downward flow of damp-heat in the liver meridian, there will be symptoms such as irritability, impatience, yellow and greasy tongue coating, and constipation.

Regarding the treatment of damp-heat, we need to adopt the method of clearing the liver and removing dampness. The most classic medication is Longdan Xiegan Pills.

IV. Premature ejaculation: Heart and spleen deficiency type, what are the symptoms? How to treat it?

Deficiency of both heart and spleen usually refers to the coexistence of insufficient heart blood and weak spleen qi, which is mainly caused by long-term irregular diet, or frequent worry and anxiety, which cause damage to the spleen and stomach and insufficient nutrient intake of the body.

Patients with deficiency of both heart and spleen will have symptoms such as palpitations, chest tightness, and loss of appetite.

The treatment for this syndrome should adopt the method of nourishing the heart and strengthening the spleen. The most classic prescription is Guipi Pills.

5. Premature ejaculation: Traditional Chinese medicine treats the root cause, while Western medicine treats the symptoms. Is this understanding correct?

When it comes to treating premature ejaculation, traditional Chinese medicine has its advantages, and Western medicine has its advantages.

If TCM can accurately treat the disease, it can achieve very good results. The same is true for Western medicine. If Western medicine is used well and symptomatic treatment is given, it can also achieve ideal results. Therefore, it cannot be said one-sidedly that TCM treats the root cause and Western medicine treats the symptoms.

In actual clinical work, the effect achieved by combining Chinese and Western medicine is usually better than that achieved by using Western medicine alone or Chinese medicine alone.

Figure 1 Original copyright image, no permission to reprint

If traditional Chinese medicine is used for conditioning on the basis of Western medicine treatment, it can enhance the effect of Western medicine and reduce its side effects. This effect is more ideal for patients.

6. Premature ejaculation: What are the commonly used western medicines?

Western medicine for the treatment of premature ejaculation can be used on demand, mainly serotonin reuptake inhibitors, such as paroxetine and sertraline, which generally take effect in 2-4 weeks. It can be treated according to the course of treatment, which is generally 6-8 weeks. Some patients can achieve good therapeutic effects through one or two courses of treatment.

If the time of ejaculation is prolonged and the satisfaction with sexual life is better after taking the medicine, it means that the desired therapeutic effect has been achieved and the medicine can be gradually stopped based on close observation.

In addition, PDE5 inhibitors such as sildenafil and tadalafil for the treatment of erectile dysfunction are also clinically used to treat premature ejaculation and have certain effects.

7. Premature ejaculation: If not treated in time, will it get worse?

Premature ejaculation is a big blow to men's self-confidence. If you don't pay attention to it, delay it for too long, ignore it, and let it develop, the negative impact will be relatively large.

Because long-term premature ejaculation will affect the relationship between husband and wife, cause some confusion, and even lead to avoidance of sexual life. Over time, the sexual life between husband and wife will become disharmonious, affecting marriage and family.

Therefore, if premature ejaculation occurs, you should treat it as a common disease like a cold or fever.

Nowadays, many gay men, due to lack of knowledge in this area, do not have a scientific and correct understanding of male reproductive health. When they are sick, they refuse to seek medical treatment and delay turning minor illnesses into major ones, which is very detrimental to their physical and mental health.