What is the reason for not being firm during erection?

Patient's question:

I am a 24-year-old male with weak erections, insufficient blood flow during erection, and occasional burning pain in the blood vessels at the base of the scrotum near the anus. Lightly pressing this area causes a stinging sensation. I have a sexual history of over ten years. My urine is very yellow, with a hint of green. If I drink more water, the color of my urine returns to normal. My appetite is normal, and I experience night sweats. Apart from my exercise habit, I don't feel physically weak. The onset of symptoms was approximately a year ago in the summer. At that time, my libido became unusually tense (with almost no refractory period—after sexual intercourse, I would rest for a while, and my libido would return to an extremely tense state). Since I didn't have a girlfriend, I had to resort to sexual activity for release, significantly increasing my sexual frequency compared to before, which lasted for more than three months. Then, during one of my workouts, I overexerted myself while training my abdomen and thighs. Three days later, the pain in my thigh root became extremely intense.

Doctor's answer:

Your condition is spleen and kidney yang deficiency, with internal cold and yin excess leading to a series of symptoms of physical weakness. It is recommended to pay attention to rest and avoid overexertion. Avoid cold foods in your diet, and take oral medications such as Shenben Yangqì Granules and Jiange Buxi Granules. Erection issues tend to be recurrent, requiring long-term oral medication. For male patients, it is important to actively seek diagnosis at professional and reputable hospitals. Treatment should be considered based on detailed examination results. Additionally, control sexual activity and maintain a positive mood.

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