According to Traditional Chinese Medicine (TCM), premature ejaculation is caused by physical weakness or heat, and can be mainly divided into the following categories:
1. Deficiency of both Heart and Spleen
Its main symptoms include ejaculation before penetration without entering the vagina after erection, often accompanied by palpitations (feeling of heart fluttering or racing, with a sense of unease), sallow complexion, fatigue, memory loss, insomnia with frequent dreams, daytime sweating, lack of appetite, loose stools, or blood in stool, or subcutaneous bleeding. The prescription Qiyang Yuxin Dan can be used for treatment.
2. Damp-Heat in Liver and Gallbladder
Its main symptoms include irritability, anger, hypersexuality, ejaculation before penetration without entering the vagina after erection, often accompanied by bitter taste in mouth, nocturnal emission (ejaculation during sleep without sexual intercourse), flank pain, dampness or foul-smelling swelling and pain in scrotum, short and red urine, post-urination discomfort, or abdominal distension (pain) and anorexia, or jaundice, or nausea and vomiting. The prescription Longdan Xiegan Tang can be used for treatment.
3. Yin Deficiency with Hyperactivity of Fire
Its main symptoms include hypersexuality, ejaculation before penetration without entering the vagina after erection, often accompanied by nocturnal emission (ejaculation during sleep without sexual intercourse), irritability, dry throat, or thirst preferring cold drinks, low-grade fever in the afternoon or at night which usually subsides by morning like tides on schedule, or night sweats (sweating during sleep that stops upon waking), or five-center heat (heat in palms, soles, and chest), insomnia, frequent dreams, weak and sore waist and knees, emaciation, or short and red urine, or constipation. The prescriptions Dabuyin Wan and Zhibai Dihuang Tang can be used for treatment.
4. Insufficient Kidney Qi
Its main symptoms include ejaculation before erection even though there is a desire for sexual intercourse, or ejaculation before penetration after erection. At this time, the patient may appear pale, with weak and sore waist and knees.
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