Erectile dysfunction, premature ejaculation, cold hands and feet - what could be the cause?

Patient's question:

Patient: Male, 23 years old, with a 6-year sexual history. Condition: Difficulty in achieving and maintaining an erection, premature ejaculation, cold hands and feet, which worsens in winter, occasional thirst in winter, normal urination frequency, occasional sweating under the armpits when not sleeping, white tongue, and a slightly yellow complexion. Formerly, the penis could achieve a length of 16-17 cm, but recently it is only 13-14 cm and tends to soften if not fully erect.
Previous Treatment and Effects: Recently took Lock Yang Gu Jing Wan and Wu Zi Yan Zong Wan for a week (still taking it attentively). The first two days showed some improvement, and there was morning erection. On the third day of medication, there was one sexual encounter, but after consuming spicy food, the effects disappeared. Difficulty in achieving and maintaining an erection returned, with only 13 cm, and morning erections ceased.
Desired Assistance: Seeking advice from experts whether my condition is due to Ren Yang deficiency. Additionally, how can I take both of these medications together? Generally, I would like to know...

Doctor's answer:

Your symptoms of yin-yang deficiency are all present. Switching to Liuwei Dihuang Wan plus Wuzi Yanzong Wan might be better. You need to endure taking the medicine.
Medical advice: Pay attention not to have sexual activity in the first few weeks of starting medication. Avoid spicy and greasy foods as well, as this will slow down recovery. Otherwise, if you supplement while draining, the effect will be very poor. Wishing you good health! Erection issues are prone to recurrence, requiring long-term medication. For male patients, it is important to actively seek diagnosis from professional and regular hospitals and consider treatment based on examination results. Also, pay attention to a proper diet and avoid sexual activity. Finally, wishing all patients a speedy recovery.

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