1. In TCM, syndrome differentiation and treatment is based on the principle that organ deficiency and instability are the main pathogenesis of premature ejaculation, while evil disturbance of the seminal gate is a basic characteristic. Therefore, treatment focuses on replenishing deficiencies, consolidating涩, removing evil influences, and solidifying essence.
(1) Kidney Qi Deficiency Type [Main Symptoms]: Premature ejaculation, thin semen, reduced libido, nocturnal emission, erectile dysfunction, soreness and weakness in the waist and knees, clear and long urination or difficulty in urination, cold hands and feet, mental fatigue, pale complexion, light-colored tongue with white coating, and deep fine pulse.
[Treatment Method]: Warm and replenish kidney qi, consolidate essence and stop leakage.
[Prescription Medicine]: Modified Zan Yu Dan or Gu Jing Dan No. 1 formula (empirical formula).
2. Single Formula and Empirical Formula: Jin Ying Zi Tincture - 100 grams of Rosa laevigata, 50 grams each of Codonopsis pilosula, Dipsacus asperoides, Epimedium, and Cnidium monnieri, 2500 milliliters of white wine. Soak the herbs in the alcohol for half a month before consumption. Take twice daily, 20 milliliters each time, with a course of treatment lasting 10 days. Suitable for premature ejaculation due to kidney qi deficiency.
3. Massage Therapy: Perform massages before sleeping. Press acupoints such as Guanyuan, Qihai, and Zhongji every night before sleep. Methods like pressing the perineum and traction can also be effective, especially when combined with the partner's cooperation for better therapeutic effects.
4. External Treatment Methods: Use methods such as applying medicine to the glans penis or Chinese herbal fumigation and washing to reduce the sensitivity of the glans penis, thereby achieving the purpose of treatment. Other methods like enema,æ•·umbilical method, and external washing can also be used in combination to improve efficacy.