不射精
Traditional Chinese Medicine Definition
In traditional Chinese medicine, the condition of not ejaculating is referred to as "jing bi," which describes a condition where, during sexual intercourse, although the penis can become erect, the individual does not reach orgasm and seminal fluid is unable to be naturally expelled from the body. In internal medicine, this condition is often associated with patterns such as liver depression and qi stagnation, or kidney essence deficiency.
The pathogenesis of not ejaculating primarily involves dysfunction of the liver and kidney organs. In clinical practice, common precipitating factors include emotional disturbances and kidney exhaustion due to overexertion. During differentiation, it is important to differentiate the following key points: liver depression and qi stagnation is characterized by depression, fullness in the chest and hypochondria; kidney essence deficiency manifests as weakness in the lower back and knees, dizziness, and tinnitus. In the process of differentiation, attention should also be paid to distinguishing between cold and heat, as well as deficiency and excess, to guide clinical treatment. The overall direction of treatment suggests that for liver depression and qi stagnation, the main approach is to soothe the liver, relieve depression, and open the orifice of the essence; for kidney essence deficiency, the principle of treatment is to tonify the kidney and replenish essence, and nourish the essence gate. It is traditionally believed in Chinese medicine that by adjusting the functions of the internal organs, restoring the normal opening and closing of the essence gate, the condition of not ejaculating can be treated.
Common Syndrome Types and Key Points of Differentiation
肝郁气滞证
Main Manifestations：不射精,情志抑郁,胸胁胀满
Management Approach：疏肝解郁,通精开窍
肾精亏虚证
Main Manifestations：不射精,腰膝酸软,头晕耳鸣
Management Approach：补肾填精,濡养精关
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
Patients with not ejaculating often experience a decrease in the quality of sexual life. During treatment, attention should be paid to harmonizing the liver and kidney to restore the function of ejaculation.
— 陈燕 中医执业医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)