Patient's question:
Male, 22 years old, severe premature ejaculation (primary premature ejaculation, started from the very first time), previously had a long history of masturbation, now feels severe kidney deficiency. Back pain, lack of energy, constantly tired, always wanting to sleep. Deep sleep at night is not good, finds it hard to fall asleep. Cold hands and feet, especially hands (when clinking glasses with others, feels their hands are very warm), and both hands and feet are sweaty. Hair is turning white severely (premature graying, has been white for two years already). Frequent urination, tends to urinate more frequently if drinks a little more water during the day, but never sleeps through the night. These symptoms have been present for a long time, but were not taken seriously until the premature ejaculation issue with a partner made the situation seem severe. Previously, the only problem was constipation, but now it has resolved on its own, with regular bowel movements every morning.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 menstrual 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 morning diarrhea. The treatment is based on Jinkui Shenqi Wan.
The specific type of kidney deficiency needs face-to-face communication and diagnosis with a traditional Chinese medicine practitioner to confirm.