Patient's question:
Detailed medical condition and consultation purpose: Married for two years, I love my wife. We live in different places, and I come home on weekends. I'm very tired from work and have to entertain drinking. So, I have sexual intercourse at most twice a month. I feel guilty towards my wife. What should I do?Doctor's answer:
Hello: Based on your description, it appears to be a symptom of kidney deficiency, but whether it is kidney yang deficiency or kidney yin deficiency is difficult to diagnose due to the limited information you provided.In Traditional Chinese Medicine (TCM), it is believed that what is referred to as kidney yang deficiency is a type of deficiency-cold syndrome characterized by the decline of kidney yang, loss of warming function, and impairment of qi transformation.
Its manifestations include: pale complexion, sore and cold knees and lower back, feeling cold in the body with limbs being particularly cold, impotence and premature ejaculation in men, cold semen, uterine cold and infertility in women, reduced libido, or symptoms such as loose and frequent stools, pre-dawn diarrhea, frequent clear urination, nocturia, pale tongue with white coating, deep and weak pulse, especially on the (the lower part of the tongue). Treatment generally focuses on warming and tonifying kidney yang, and herbs like Jinkui Shenqi Wan (Golden Cabinet Kidney Qi Pill) and Yougui Wan (Right Returning Pill) may be used.
TCM also holds that kidney yin deficiency, characterized by insufficient nourishment and the emergence of internal (deficiency-heat), manifests as a weak syndrome known as kidney yin deficiency. Its symptoms include: sore and weak knees and lower back, dizziness and tinnitus, spermatorrhea and premature ejaculation in men, insomnia and forgetfulness, dry mouth and throat, (disturbance-heat) in the palms, soles, and chest (), night sweats, flushed cheeks in the afternoon (feeling of fever), yellow and reduced urination, red tongue with little moisture, thin or no tongue coating, and a thin and rapid pulse. Treatment generally focuses on nourishing yin and tonifying the kidneys, and herbs like Liuwei Dihuang Wan (Six-Flavor Rehmannia Pill) and Zuoying Wan (Left Returning Pill) may be used.
However, TCM emphasizes syndrome differentiation and treatment. It is best for you to consult a local traditional Chinese medicine hospital for a clinical examination. The combination of the four diagnostic methods () is ideal for accurate diagnosis.