Patient's question:
Currently 25 years old, with a history of masturbation. During the most recent sexual intercourse, there was a sensation of urination. After urinating, he resolved this sexual encounter through masturbation. However, in the following days—erectile dysfunction, inability to maintain an erection—what could be the cause?Doctor's answer:
Between what you described, the symptoms should fall under the category of Yang in Traditional Chinese Medicine (TCM), and TCM treatment is relatively ideal.Yang refers to a condition in young and middle-aged individuals where, due to causes such as deficiency, fright, or damp-heat, the zongjin (penile tissues) lose nourishment and become relaxed, leading to weak and limp penis, inability to achieve rigidity during intercourse, or rigidity that cannot be sustained. 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 Ren Gate 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: Nourish the kidneys and calm the mind.
- Liver qi stagnation: Soothe the liver and resolve stagnation.
- Damp-heat descending: Clear and resolve damp-heat.
However, TCM emphasizes syndrome differentiation and treatment. You should consult a local TCM hospital, combine the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation), and take medication according to your specific symptoms to achieve the best results. Wishing you a speedy recovery.