I have impotence, premature ejaculation, dizziness, palpitations, cold hands and feet. What should I do?

Patient's question:

I have a 10-year history of masturbation.
I currently suffer from impotence, premature ejaculation, dizziness, palpitations, cold hands and feet.
Could it be that I have Kidney Yang deficiency or Kidney Yin deficiency?
Additional information for the first question: I also experience frequent urination, urgency, incomplete urination, and dribbling.

Doctor's answer:

Hello: These symptoms are difficult to determine whether they are due to kidney yin deficiency or kidney yang deficiency. It is best to have a TCM (Traditional Chinese Medicine) diagnosis. It could be yin deficiency. You can first compare it yourself. TCM considers what is called kidney yang deficiency as a type of cold deficiency syndrome characterized by the decline of kidney yang, failure to warm the body, and loss of function in Qi transformation. Its manifestations include: pale complexion, sore and cold knees and lower back, feeling cold, especially in the lower limbs, impotence and premature ejaculation in men, cold semen, uterine cold and infertility in women, reduced libido, or loose stools, frequent clear urine, nocturia, pale tongue, white coating, and deep, weak pulse, especially on the (sishu - the lower part of the pulse). Treatment generally focuses on warming and tonifying kidney yang, and herbs like Jin Gui Shen Qi Wan (Golden Cabinet Kidney Qi Pill) and You Gui Wan (Right Regulating Pill) can be used.

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