What can I do about my early defecation?

Patient's question:

What should I do about early diarrhea?

Doctor's answer:

Premature ejaculation refers to the condition where ejaculation occurs at the beginning of sexual intercourse, or even before intercourse begins. This condition can be effectively treated with Traditional Chinese Medicine (TCM), yielding relatively ideal results. The differentiation of premature ejaculation in TCM includes Yin deficiency with excess fire and Yin-Yang deficiency, with treatment primarily focusing on nourishing Yin, tonifying the kidneys, and replenishing essence. For those with excess fire, cooling methods are added, while for those with Yang deficiency, warming the kidneys is incorporated. However, TCM emphasizes syndrome differentiation and treatment, so it is recommended to consult a local TCM hospital. Clinical observation, combined with the four diagnostic methods, is necessary for effective treatment. Additionally, temporary separation of the couple, mutual care and understanding, relaxation of tension, and appropriate physical exercise play important roles in the treatment of premature ejaculation. Wishing you a speedy recovery.
1. Traction of the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles are raised. At this time, if the scrotum and testicles are pulled toward the perineum, excitement can be reduced, and ejaculation can be delayed.
2. Reducing sexual sensitivity: Using a condom or applying topical medications to the penis before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, can lower the sensitivity of the sensory nerve endings on the head of the penis.
3. Alternating hot and cold: Take a 15-minute cold sit bath before bed, followed by a 15-minute warm sit bath, once daily. This can improve the ability to control ejaculation in the posterior urethra.
4. Adopt the supine position with legs straight and feet about 100 cm apart. Place your hands by your hips, naturally relaxed. Look inward, focusing on the lower Dantian, close your mouth, and press your tongue to the roof of your mouth. First, focus on the lower Dantian for 2 minutes, then begin inhaling. During inhalation, tighten your abdomen and lift your rectum, causing the penis, testicles, and anus to contract simultaneously while the lower abdomen is drawn in. At this time, visualize the Qi flowing from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine upward, to the Du Zhong.

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