Patient's question:
Male; 24 years old; Medical history: (currently undergoing treatment, the third item has turned negative)Current symptoms: About a year of lower back and waist pain, scrotum occasionally damp, sometimes better. On November 30, a urine test showed everything was normal. Currently, the penis can be erected but not firm, or firm but not lasting. Please ask if I have kidney Yang deficiency or kidney Yin deficiency. How should I supplement? Can I drink goji berries in tea now?
Doctor's answer:
First, a prostatic fluid examination should be conducted to diagnose whether prostatitis is present. Based on the condition of dampness in the scrotum, it falls under the category of damp-heat in Traditional Chinese Medicine (TCM), indicating urinary tract inflammation.In TCM, the so-called deficiency of kidney yang refers to a type of cold syndrome characterized by the decline of kidney yang, impaired warming function, and loss of gas transformation.
Symptoms include: pale complexion, sore and cold waist and knees, feeling cold, especially in the lower limbs, male impotence, premature ejaculation, and cold semen; in women, cold uterus leading to infertility, reduced libido, or loose stools, frequent clear urine, nocturia, pale tongue with white coating, weak and deep pulse, especially pronounced in the lower part of the tongue. Treatment generally focuses on warming and tonifying kidney yang, and medications such as Jin Gui Shen Qi Wan (Kidney Invigorating Pills) and You Gui Wan (Right Regulating Pills) may be prescribed.
TCM also describes kidney yin deficiency, a condition where the kidneys are insufficiently nourished, leading to internal deficiency heat. The symptoms of kidney yin deficiency include: sore and weak waist and knees, dizziness and tinnitus, male premature ejaculation and nocturnal emissions, insomnia and forgetfulness, dry mouth and throat, in the palms, soles, and chest, night sweats, flushed cheeks (feeling of heat), yellow and reduced urine, red tongue with little moisture, thin or no coating, and a thin, rapid pulse. Treatment generally focuses on nourishing yin and tonifying the kidneys, with medications such as Liu Wei Di Huang Wan (Six-Flavor Rehmannia Pills) and Zuo Gui Wan (Left Regulating Pills).
The main difference between these two conditions lies in the presence of cold or heat symptoms.
However, TCM emphasizes syndrome differentiation and treatment. It is best to consult a local traditional Chinese medicine hospital for a clinical examination, combining the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) for accurate diagnosis. Wishing you a speedy recovery.