Patient's question:
Hello, I have been frequenting masturbation since my youth, and it seems I can no longer get a normal erection for three or four years. Even when I do get an erection, it's not hard, and it quickly goes soft if I don't keep stimulating it. It also gets erect at night when I hold my urine, but it's still not hard. I haven't realized I have ED until recently, as I'm about to get married. I have cold hands and feet and am losing a lot of hair. I suspect I have a deficiency of kidney Yang, so I bought Hui Ren Shen Bao to take, but it hasn't been effective. Please help me see a doctor.Doctor's answer:
Hello: Based on your description, it may be due to excessive masturbation leading to kidney yang deficiency. Traditional Chinese Medicine (TCM) considers kidney yang deficiency as a type of cold deficiency syndrome characterized by the decline of kidney yang, loss of warming function, and impairment of qi transformation.Symptoms include: pale complexion, soreness and coldness in the lower back and knees, feeling cold in the body with the lower limbs being particularly affected, impotence, premature ejaculation, and cold semen in men; while in women, it may manifest as uterine cold, infertility, reduced libido, or symptoms like loose and watery stools, morning diarrhea, frequent clear urine, nocturia, pale tongue with white coating, and weak, deep, and thready 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 used.