Ejaculation Premature
AliasSpermatorrhea
Traditional Chinese Medicine Definition
In traditional Chinese medicine, spermatorrhea, also known as slippery semen, falls under the category of kidney-related diseases. It refers to the condition where an adult male experiences the spontaneous ejaculation of seminal fluid without engaging in sexual intercourse. The classical text "Internal Medicine in Traditional Chinese Medicine" records: "Spermatorrhea is the spontaneous emission of seminal fluid without sexual intercourse." This condition is often attributed to deficiencies in kidney essence, internal accumulation of damp-heat, or excessive heart fire.
The clinical Pattern identification approach to spermatorrhea is as follows: Firstly, the core pathogenesis of spermatorrhea is the deficiency of kidney essence, leading to its inability to be retained. Common triggers include emotional disturbances, irregular diet, and excessive sexual activity. During the process of differentiation, the following key points should be noted:
1. Exuberant King and Minister Fire Syndrome: Patients experience insomnia, frequent dreaming with spermatorrhea, restlessness, and dizziness. This syndrome is often caused by excessive heart fire, which disturbs the seminal chamber.
2. Downward Flow of Damp-Heat Syndrome: Patients experience frequent spermatorrhea, hot and turbid urine, and bitter taste in the mouth. This syndrome is often due to internal accumulation of damp-heat, which descends to the kidneys.
Overall treatment direction: In clinical practice, the treatment of spermatorrhea is based on the principles of nourishing the kidneys and consolidating essence, and clearing heat and promoting diuresis. For the Exuberant King and Minister Fire Syndrome, the approach should be to clear the heart and drain the liver, and to facilitate communication between the heart and kidneys; for the Downward Flow of Damp-Heat Syndrome, the approach should be to clear heat and promote diuresis, and to calm the mind. Traditional Chinese medicine believes that adjusting lifestyle, dietary adjustments, and emotional management can help improve the condition.
Common Syndrome Types and Key Points of Differentiation
King and minister fire excess syndrome
Main Manifestations: Insufficient sleep, frequent dreams, dreams with seminal emission, heartburn, dizziness, and dizziness
Management Approach: Clear the heart and drain the liver, connect the heart and kidneys
Damp-heat descending syndrome
Main Manifestations: Frequent seminal emissions, hot and turbid urine, bitter taste in the mouth
Management Approach: Clear heat and promote diuresis, calm the mind and tranquilize the spirit
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
For patients with spermatorrhea, it is essential to pay attention to the timing, frequency, and accompanying symptoms of spermatorrhea to differentiate between deficiency and excess, and to assess the degree of kidney essence deficiency.
— Fan Li Traditional Chinese Medicine (TCM) Practitioner Assistant Physician
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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.
This article has been reviewed by licensed TCM physicians at Hangzhou Kezhentang TCM Clinic. It is for TCM popular science reference only and does not involve specific treatment plan recommendations.
References: Internal Medicine of TCM (13th Five-Year Plan Textbook), Diagnostic and Therapeutic Effectiveness Standards for TCM Diseases and Syndromes (ZY/T001.1-94), Classification and Codes of TCM Diseases and Syndromes (GB/T 15657-2021)