Premature Ejaculation
AliasEuphoria of the Kidneys
Traditional Chinese Medicine Definition
In traditional Chinese medicine, premature ejaculation is referred to as "Jing Xue" and falls under the category of male genital diseases. According to the records in "Internal Medicine of Traditional Chinese Medicine," premature ejaculation refers to a condition where a male experiences ejaculation before or immediately upon penetration into the vagina, thus unable to maintain normal sexual activity. Its characteristics include a short duration of sexual intercourse, which is insufficient to satisfy the physiological needs of both parties.
In TCM clinical practice, the pathogenesis of premature ejaculation is mainly related to dysfunction of the kidney, heart, and spleen. Common triggers include emotional distress, excessive sexual activity, and overexertion. During syndrome differentiation, attention should be paid to the following key points:
1. Yin deficiency with fire hyperactivity syndrome: Manifested as ejaculation upon intercourse, easy erection, accompanied by irritability and tidal fever. This syndrome type should be treated by nourishing Yin and reducing fire, securing essence and stopping premature ejaculation.
2. Kidney Qi insecurity syndrome: Mainly manifested as premature ejaculation with spermatorrhea, soreness and weakness of the lower back and knees, and tinnitus. This syndrome type should be treated by tonifying the kidney and benefiting Qi, securing the essence gate.
3. Heart-spleen deficiency syndrome: Premature ejaculation accompanied by palpitations, insomnia, and poor appetite. This syndrome type should be treated by tonifying the heart and spleen, calming the spirit and securing essence.
Overall direction of regulation: TCM treatment emphasizes syndrome differentiation, adopting corresponding treatment methods based on different syndrome types. Traditional Chinese medicine holds that by regulating organ function and balancing Yin and Yang, the goal of improving premature ejaculation can be achieved.
Common Syndrome Types and Key Points of Differentiation
Yin deficiency with excessive fire
Main Manifestations: Jiao ze ji xie, yang shi yi ju, xin fan chao re
Management Approach: Nourish Yin and Cool the Liver, Consolidate Essence and Stop Diarrhea
Kidney Qi Deficiency with Incoordination
Main Manifestations: Premature ejaculation, seminal emission, soreness in the lower back and knees, tinnitus
Management Approach: Tonify the Kidneys and Invigorate Qi, Consolidate Jing Gate
Deficiency of both heart and spleen
Main Manifestations: Premature ejaculation, palpitations, insomnia, poor appetite
Management Approach: Tonify the Heart and Spleen, Calm the Mind and Consolidate Jing
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 premature ejaculation often report a decline in sexual quality of life. Clinical treatment should focus on tonifying and regulating the liver and kidney to improve sexual function.
— Li Mingjiu Traditional Chinese Medicine Practitioner
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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)