How to distinguish which type of prostate disease you have?

Patient's question:

Lower back pain, sore knees, slight dizziness, a feeling of fullness and heaviness in the lower abdomen, no problem with erection, but it's short-lived, and sometimes there's a twitching pain in the perineum after ejaculation.
Past treatment history and effectiveness: A few weeks ago, I took ten boxes of Liu Wei Di Huang Wan, but it had no effect.
What kind of help I'm looking for: What condition do I have?

Doctor's answer:

Kidney Yin deficiency manifests as: soreness and weakness in the lower back and knees, five-palm heat, dizziness and tinnitus, neurasthenia and forgetfulness, restlessness and thirst, premature ejaculation and spermatorrhea in men, scanty menstruation and amenorrhea in women, constipation, red tongue with little coating, and thin pulse. It can be treated with Liuwei Dihuang Wan; for Yin deficiency with excess fire, Zhibai Dihuang Wan can be used.
Kidney Yang deficiency is characterized 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 pre-dawn diarrhea. Treatment is based on Jinkui Shenqi Wan.
To determine the specific type of kidney deficiency, face-to-face communication and diagnosis with a Traditional Chinese Medicine practitioner are necessary.
In addition to active treatment, patients with prostatitis need to pay attention to maintaining a proper diet and lifestyle to digest nutrients well. I hope the above information helps you. Thank you!

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