What are the TCM causes of impotence?

Patient's question:

I used to have a relatively good sex life and high libido, but recently, due to the pressure of changing jobs, it has become very stressful. As a result, my sexual performance has again suffered. Every time, it takes a lot of effort to get erect, and I can't last very long. I can only maintain it for a maximum of two minutes before it becomes ineffective. For this, I've become very self-conscious. My friends suggested I see a Chinese medicine practitioner, and I really want to try it. What are the Chinese medicine causes of premature ejaculation?

Doctor's answer:

Premature ejaculation, from the perspective of Traditional Chinese Medicine (TCM), should be attributed to the deficiency of kidney qi, which can be further divided into two types: kidney yang deficiency and kidney yin deficiency. Both can lead to symptoms of premature ejaculation.
In Western medicine, treatment options for premature ejaculation are limited, with surgical methods like nerve ablation being among the few available approaches. Therefore, it is recommended to consider TCM treatment.
On the other hand, TCM offers various treatment methods, including oral medications such as traditional Chinese herbal decoctions or patent medicines like Jin Gui Shen Qi Wan (Golden Cabinet Kidney Qi Pill) and You Gui Wan (Right Regulating Pill), which have proven to be quite effective. Additionally, practices such as acupuncture and acupoint catgut embedding can also yield significant results.
If both approaches are combined, the therapeutic effect would likely be even better.

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