Patient's question:
Patient Gender: Male. The penis can become erect, but during intercourse, when changing positions, the penis becomes soft and takes a long time to become erect again. However, the erection is not sufficient, and he ejaculates after just a few thrusts. What is wrong, and how should it be treated?Doctor's answer:
Impotence refers to young and middle-aged individuals who, due to reasons such as deficiency, fright, and damp-heat, cause the loss of nourishment and relaxation of the zongjīn (penile tissues), leading to weak and unaroused penis, limp erection during intercourse, or firm but unsustainable erection. It is often accompanied by symptoms such as fatigue, lower back and knee weakness, dizziness and tinnitus, cold contraction of the scrotum and penis, reduced semen volume or low sperm motility, a sense of fullness and pain in the perineum, difficulty urinating, or clear, frequent urination.Treatment based on syndrome differentiation:
- Decline of mingmen fire: Warm and tonify the kidney yang, nourish the kidneys and replenish essence.
- Damage to the heart and spleen: Tonify the heart and spleen.
- Fear injuring the kidneys: Benefit the kidneys and calm the mind.
- Liver qi stagnation: Soothe the liver and resolve stagnation.
- Damp-heat descending: Clear and resolve damp-heat.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. You should consult a local traditional Chinese medicine hospital, combining the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) to match the treatment to your specific symptoms. Only then can the medicine effectively address the condition. Wishing you a speedy recovery.