In the process of seeing a doctor, or after I post an article, the patients who leave me the most messages are: "Doctor, I have a short time, what medicine should I take?", "Doctor, I have premature ejaculation, how can I treat it?", There are too many patients who come up and say that they are premature ejaculation and want proprietary Chinese medicines. Basically, I don’t seem to answer them very often, because in our traditional Chinese medicine, the types of premature ejaculation and the causes of premature ejaculation are also varied. Only After distinguishing the type of premature ejaculation in patients, finding the cause, and taking different measures according to the different physical conditions of the patient, the treatment can be targeted.
Traditional Chinese medicine divides premature ejaculation into five categories:
1, kidney qi deficiency type.
1. Symptoms: more common in middle-aged and elderly patients, with obvious symptoms of premature ejaculation, decreased desire, weak waist and knees, lethargy, long urination, frequent nocturnal urination, unclear streak, pale tongue, and thin and weak pulse.
2. Etiology Pathogenesis :
(1) Kidney qi is not solid, sealing and dereliction of duty, so premature ejaculation;
(2) Kidney qi is weak and life fire is insufficient, so desire decreases; Sore and weak knees;
(4) Kidney deficiency and Jingguan are not solid, and gasification is lost, so frequent urination and unclear drenching.
3. Principles of treatment: Yiqi Gujing.
4. Indications and prescriptions:
Prescriptions: Jingui Shenqi Pills.
Recipe: Rehmannia , dogwood meat, yam nourishes kidney yin; aconite, cinnamon warms kidney and nourishes yang to solidify kidney qi; Alisma , Poria, and Danpi are used in various tonic medicines for diarrhea, preventing medicine and nourishing greasy; With the addition of keel, oysters have the effect of solidifying essence and stopping leakage, replenishing qi and solidifying essence.
Second, liver qi stagnation type.
1. Symptoms: It is more common in those who are not feeling well. Premature ejaculation is accompanied by depression and lack of joy, pain in the flanks, chest tightness and bitterness in the mouth, long sighs, insomnia and dreams, red tongue, pulse .
2. Etiology and pathogenesis:
(1) Premature ejaculation due to emotional failure, unpleasant qi and mechanism, failure of the liver, failure of the restraint of the ligaments, and insufficiency of the semen, resulting in premature ejaculation;
(3) Liver veins pass through the flank, stagnant and uncomfortable, causing pain in the flanks and chest tightness;
(4) Because the liver and gallbladder are related to the outside and inside, the depression turns into fire and inflammation, which causes bitter.
3, treatment principles: soothing the liver and regulating qi .
4. Indications and prescriptions:
Prescription: Chaihu Shugan Powder.
Recipe: Bupleurum , Citrus aurantium, Cyperus officinalis, tangerine peel to soothe the liver and relieve depression, invigorate the qi and neutralize; white peony root softens the liver and relieves pain; .
Third, Yin deficiency type.
1. Symptoms: It can be seen in overworked houses or those with a history of mobile games. The symptoms of premature ejaculation are obvious, accompanied by strong desire, soreness and weakness of waist and knees, and five upset and hot , hot flashes and night sweats, dizziness and tinnitus, dry and yellow stools, red tongue, and rapid pulse.
2. Etiology and pathogenesis:
(1) Premature ejaculation due to excessive labor in the room, long-term consumption of kidney essence, hyperactivity of yin and yang, and heat disturbing the sperm chamber; ;
(3) due to deficiency and heat disturbing the heart, so the desire is strong, hypersexuality;
(4) due to the internal disturbance of deficiency heat, so five upset and hot;
(5) dizziness due to hot flashes and night sweats , the essence is injured and the essence is empty Tinnitus;
(6) because of the heat and the yin injury, so dry yellow.
3. Principles of treatment: nourish yin and reduce fire.
4, Indicating prescription and prescription:
Prescription: Zhibai Dihuang Wan with added flavor.
Recipe: Zhibai Dihuang Pill nourishes the yin of the liver and kidney; purifies the deficiency of fire in the gate of life; adds keel , oysters solidify essence and stop leakage, and play the role of nourishing yin, reducing fire and solidifying essence.
Fourth, the heart and spleen deficiency type.
1. Symptoms: It is more common in people with excessive mental work, or excessive thinking and dystrophy after illness. The symptoms of premature ejaculation are obvious, accompanied by shortness of breath and fatigue, pale complexion, palpitations, insomnia and dreaminess, dizziness and forgetfulness, loose stools, dull appetite, pale tongue and thin and weak pulse.
2. Etiology and pathogenesis:
(1) Premature ejaculation due to overwork injuring the heart and spleen, or deficiency of both qi and blood after illness and inability to capture sperm;
(2) dizziness and forgetfulness due to insufficient qi and blood to clear yang and inability to rise;
( 3) Weakness of the middle qi, lack of blood and lack of pride, so shortness of breath, fatigue, pale complexion;
(4) deficiency of blood and lack of nourishment, so palpitations , insomnia and dreaming; loose stools.
3. Principles of treatment: nourish the heart and spleen, strengthen essence and stop leakage.
4. Indications and prescriptions:
Prescription: Guipi Decoction.
Recipe: ginseng, Atractylodes, Astragalus to nourish the temper; Fushen , Polygala, Zao Ren, Longan meat to nourish the heart, blood and mind; Angelica to nourish the blood, together with the medicine of nourishing qi to nourish the blood; Anti-nourishing and greasy; add golden cherry seed , Gorgon is astringent and refined to stop leakage, which has the effect of benefiting the heart and spleen, strengthening the essence and preventing leakage.
Five, hot and humid betting type.
1. Symptoms: It is mostly caused by people who are addicted to eating fatty, sweet and spicy foods, or feel the evil of dampness and heat in the outside world. The symptoms of premature ejaculation are obvious, accompanied by fullness in the chest and flanks, bitter taste in the mouth, itchy scrotum, yellow and red urine, yellow and greasy tongue coating , slippery pulse.
2. Etiology and pathogenesis:
(1) Premature ejaculation due to frequent intake of fat, sweet and thick flavor, damp heat endogenous or exogenous damp heat, accumulated in the liver meridian, disturbed by the meridian and semen;
(2) Damp heat Premature ejaculation Therefore, the scrotum is swollen and itchy;
(3) The heat accumulates in the liver and gallbladder qi, so the mouth is bitter and bloated; Jin so the urine is yellow and red.
3. Principles of treatment: clearing away dampness and heat.
4. Indications and prescriptions:
Prescription: Longdan Xiegan Decoction.
Recipe: use gentian , gardenia, scutellaria baicalensis, bitter cold to clear dampness and heat in the liver and gallbladder; Shengdi, angelica to nourish blood and liver; Alisma, Mutong, psyllium purpurea to clear dampness and heat, dispel pathogenic factors and excrete it through urine; Bupleurum Soothes the liver and regulates qi, and has the effect of dispelling damp-heat in the liver and gallbladder.
The problem of premature ejaculation has an impact on male patients both physically and psychologically. In daily life, male friends can develop good living and hygiene habits, eat a lot of fresh vegetables and fruits every day, and use their free time to play outdoor sports Exercise, arrange your married life reasonably, and fix your partner, so many aspects of prevention and health care.
Recipe: gentian, gardenia, scutellaria baicalensis, bitter cold to clear dampness and heat in the liver and gallbladder; shengdi, angelica to nourish blood and liver; Alisma, mutong Soothes the liver and regulates qi, and has the effect of dispelling damp-heat in the liver and gallbladder.
The problem of premature ejaculation has an impact on male patients both physically and psychologically. In daily life, male friends can develop good living and hygiene habits, eat a lot of fresh vegetables and fruits every day, and use their free time to play outdoor sports Exercise, arrange your married life reasonably, and fix your partner, so many aspects of prevention and health care.#Clean Breeze Project# #Health Truth Museum#
