According to Traditional Chinese Medicine (TCM), premature ejaculation is caused by physical weakness or heat, and it is 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 (a feeling of rapid heartbeat and restlessness), sallow complexion, fatigue, memory loss, insomnia with frequent dreams, sweating during the day, lack of appetite, loose stools, or hematochezia, or subcutaneous bleeding. The prescription Qiyang Yuxin Dan can be used with modifications.
2. Damp-Heat in Liver and Gallbladder
Its main symptoms are irritability, excessive sexual desire, ejaculation before penetration without entering the vagina after erection, often accompanied by a bitter taste in the mouth, nocturnal emission (ejaculation during sleep without sexual intercourse), flank pain, dampness or odor in the scrotum or swelling and pain, 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.
3. Yin Deficiency with Hyperactivity of Fire
Its main symptoms are excessive sexual desire, ejaculation before penetration without entering the vagina after erection, often accompanied by nocturnal emission (ejaculation during sleep without sexual intercourse), irritability, dry throat and sore throat, or thirst for cold drinks, low-grade fever in the afternoon or at night which usually subsides by the next morning like tides on schedule, or night sweats (sweating while sleeping that stops upon waking), or five-center heat (heat sensation in the palms, soles, and chest), insomnia, frequent dreams, soreness and weakness in the waist and knees, emaciation, or short and red urine, or constipation. The prescriptions Dabuyin Wan with modifications and Zhibai Dihuang Tang with modifications can be used.
4. Insufficiency of Kidney Qi
Its main symptoms are having the idea of sexual intercourse but ejaculating before erection, or ejaculating before penetration after erection. At this time, the patient may appear pale, with soreness and weakness in the waist and knees.
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