Patient's question:
1. Frequent premature ejaculation. I'm 30 now, and it has been going on for 4 years since October 2014. It happens about 6 times a month, though not excessively. After ejaculation, I experience headaches and weakness for about three days. Sometimes it's nocturnal emission, sometimes it's slippage of ejaculation, with nocturnal emission being more common.2. Frequent urination. It started in May 2014, and I urinate more than 20 times a day. When I'm agitated or it's extremely cold, I go to the bathroom four or five times an hour. Before, I had lower abdominal discomfort, but it's gone now. However, I still experience frequent and incomplete urination.
3. Less frequent erections. Unlike many in their 20s who have frequent nocturnal emissions, I rarely get erections. I feel like I'm about to experience premature ejaculation, and I only get nocturnal erections around 4 or 5 a.m.
4. Extremely weak body, lack of energy, and constant fatigue. For example, if I don't take a nap in the afternoon, I feel headaches and weakness in the evening.
5. Fear of heat and cold. I'm always either too hot or too cold, even when I'm not moving.
Doctor's answer:
The patient has Yang deficiency from a TCM perspective, and from a Western medicine perspective, urinary tract infection should be ruled out. Urine bacterial culture and prostatic fluid bacterial culture should be performed. If the results are negative, antibiotics should be used cautiously, and a ginger and brown sugar tea can be used for treatment. Over-the-counter medicine can be taken as Jin Gui Shen Qi Wan. Antibiotics should be used cautiously, and ginger and brown sugar tea can be used to take Jin Gui Shen Qi Wan. For patients with premature ejaculation, timely treatment can reduce the incidence, and if not treated in a timely manner, it may affect health. Therefore, the patient should take medication promptly and pay more attention to self-care in daily life, avoiding spicy foods.