Patient's question:
Male, 22 years old, severe premature ejaculation (primary premature ejaculation, has been premature ejaculation since the first time), previously had a long history of masturbation, now feels severe kidney deficiency. Back pain, lack of energy, always tired, wants to sleep. Deep sleep at night is not good, it's hard to fall asleep. Hands and feet are cold, especially hands (when clinking glasses with others, it feels like their hands are very warm), and both hands and feet sweat a lot. Hair turns white severely (premature graying, has been white for two years). Frequent urination, slightly more water intake during the day leads to frequent urination, but never sleeps at night. These symptoms have existed for a long time, but were not taken seriously until the premature ejaculation with a girlfriend made the situation serious. Previously, the only problem was constipation, but now it has resolved on its own. Bowel movements are very regular, always going to the toilet for a bowel movement in the morning.Doctor's answer:
Kidney Yin deficiency is characterized by symptoms such as soreness and weakness in the lower back and knees, restlessness with heat in the palms, soles, and heart, dizziness and tinnitus, neurasthenia and forgetfulness, excessive thirst, premature ejaculation and spermatorrhea in men, scanty or absent menstruation in women, constipation, a red tongue with little coating, and a thin pulse. It can be treated with Liuwei Dihuang Wan; for cases of Yin deficiency with excess fire, Zhibai Dihuang Wan can be used.Kidney Yang deficiency is manifested by pale or dark complexion, soreness and coldness in the lower back and knees, lack of energy, impotence and premature ejaculation in men, uterine cold and infertility in women, enuresis and edema, and diarrhea at 5 a.m. The treatment is based on Jinkui Shenqi Wan.
The specific type of kidney deficiency needs to be determined through face-to-face communication and diagnosis with a traditional Chinese medicine practitioner to confirm.