Hair loss is significant, Premature ejaculation, Yin deficiency or Yang deficiency?

Patient's question:

I have a lot of hair loss with dry, yellow hair. My pubic hair is also falling out a lot. My urine is yellow. During sex, I have premature ejaculation and my penis becomes soft after erection. I have difficulty sleeping and often overthink things. Is this Yin deficiency or Yang deficiency?? / Thank you

Doctor's answer:

Hello: Based on the symptoms, it is analyzed as kidney yin deficiency. Traditional Chinese Medicine (TCM) believes that kidney yin deficiency manifests as a weak condition due to insufficient nourishment and the generation of internal heat. This is known as kidney yin deficiency, with symptoms including: soreness and pain in the lower back and knees, dizziness and tinnitus, premature ejaculation and nocturnal emissions in men, insomnia and forgetfulness, dry mouth and throat, in the five centers (palms, soles, chest), night sweats, flushed cheeks in the afternoon (feeling of fever), yellow and reduced urination, red tongue with little moisture, thin or no coating, and a thin, rapid pulse. Treatment generally focuses on nourishing yin and tonifying the kidneys, and traditional Chinese herbal formulas such as Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) and Zuo Gui Wan (Left-Gui Wan) can be used. However, TCM emphasizes syndrome differentiation and treatment. It is best to consult a local traditional Chinese medicine hospital for clinical diagnosis and the combination of the four diagnostic methods ().

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