Premature ejaculation according to Chinese Medicine

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Premature ejaculation can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.

Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like premature ejaculation here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.

A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here premature ejaculation is often associated with enuresis, feeling of cold and back pain in the pattern “Kidney Qi not Firm”. As you will see below, we have in record two patterns that can cause premature ejaculation.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of premature ejaculation we’ve identified three herbal formulas that may help treat patterns behind the symptom.

We’ve also selected below the five medicinal herbs that we think are most likely to help treat premature ejaculation.

The two "patterns of disharmony" that can cause premature ejaculation

In Chinese Medicine premature ejaculation is a symptom for 2 patterns that we have on record. Below is a small explanation for each of them with links for more details.

The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine

Kidney Qi not Firm

Pulse type(s): Deep (Chen), Weak (Ruo)

Tongue color: Pale

Kidney Qi not Firm means Kidney Qi Deficiency. Two characteristics are typical in this pattern. Firstly, it is a type of Kidney Yang Deficiency with the associated Cold symptoms. Secondly, it is a type of sinking of Kidneys Qi, thus with many ‘leaking’ downwards symptoms.

In addition to premature ejaculation, other symptoms associated with Kidney Qi not Firm include enuresis, feeling of cold and back pain.

Kidney Qi not Firm is often treated with You Gui Wan, a herbal formula made of 10 herbs (including Prepared Aconite - Zhi Fu Zi - as a key herb). You Gui Wan belongs to the category of "formulas that warm yang and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Warms and tonifies Kidney Yang".

Read more about Kidney Qi not Firm here

The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine

Kidney Yang Deficiency

Pulse type(s): Deep (Chen), Slow (Chi)

Tongue coating: Thin white coating

Tongue color: Pale

Tongue shape: Swollen

Kidney Yang Deficiency causes Internal Cold and weakness.

In addition to premature ejaculation, other symptoms associated with Kidney Yang Deficiency include spermatorrhea, impotence and tinnitus.

From a Western Medicine standpoint Kidney Yang Deficiency is associated with health issues such as Late Menstruation, Menopausal Syndrome or Irregular Menstruation.

Kidney Yang Deficiency is often treated with Ba Wei Di Huang Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Ba Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Yang".

Read more about Kidney Yang Deficiency here

Three herbal formulas that might help with premature ejaculation

Fu Tu Dan

Source date: 1107 AD

Number of ingredients: 5 herbs

Key actions: Stabilizes the Kidney Qi. Strengthens the Spleen. Stops leakage.

Why might Fu Tu Dan help with premature ejaculation?

Because it is a formula often recommended to treat the pattern 'Kidney Qi not Firm' of which premature ejaculation is a symptom.

Other symptoms characteristic of Kidney Qi Not Firm include enuresis, feeling of cold and back pain.

Read more about Fu Tu Dan here

Wu Zi Yan Zong Wan

Source date: 1550 AD

Number of ingredients: 5 herbs

Key actions: Tonifies Kidney Yang. Strengthens the Essence.

Why might Wu Zi Yan Zong Wan help with premature ejaculation?

Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which premature ejaculation is a symptom.

Other symptoms characteristic of Kidney Yang Deficiency include spermatorrhea, impotence and tinnitus.

Read more about Wu Zi Yan Zong Wan here

Jin Suo Gu Jing Wan

Source date: 1682 AD

Number of ingredients: 6 herbs

Key actions: Stabilizes the Kidneys. Binds up the semen.

Why might Jin Suo Gu Jing Wan help with premature ejaculation?

Because it is a formula often recommended to treat the pattern 'Kidney Qi not Firm' of which premature ejaculation is a symptom.

Other symptoms characteristic of Kidney Qi Not Firm include enuresis, feeling of cold and back pain.

Read more about Jin Suo Gu Jing Wan here

Acupuncture points used for premature ejaculation

The five Chinese Medicinal herbs most likely to help treat premature ejaculation

Why might Cuscuta Seed (Tu Si Zi) help with premature ejaculation?

Because it is both specifically indicated to treat premature ejaculation and also because it is an ingredient in herbal formulas known to treat premature ejaculation as a symptom (such as Fu Tu Dan for instance).

Cuscuta Seeds is a Warm herb that tastes Sweet. It targets the Kidney, the Liver and the Spleen.

Its main actions are: Tonifies Kidney Yang and Essence. Nourishes the Liver.

Read more about Cuscuta Seeds here

Why might Lotus Seed (Lian Zi) help with premature ejaculation?

Because it is both specifically indicated to treat premature ejaculation and also because it is an ingredient in herbal formulas known to treat premature ejaculation as a symptom (such as Jin Suo Gu Jing Wan for instance).

Lotus Seeds is a Neutral herb that tastes Sour and Sweet. It targets the Heart, the Kidney and the Spleen.

Its main actions are: Tonifies the Spleen, stops diarrhea. Strengthens the Kidneys, reinforces Essence. Nourishes the Blood and calms the mind.

Read more about Lotus Seeds here

Why might Foxnut Seed (Qian Shi) help with premature ejaculation?

Because it is both specifically indicated to treat premature ejaculation and also because it is an ingredient in herbal formulas known to treat premature ejaculation as a symptom (such as Jin Suo Gu Jing Wan for instance).

Foxnut Seeds is a Neutral herb that tastes Sour and Sweet. It targets the Kidney and the Spleen.

Its main actions are: Tonifies the Spleen and stops diarrhea. Strengthens the Kidneys and restrains Essence. Dispels Dampness and relieves leukorrhea.

Read more about Foxnut Seeds here

Why might Palmleaf Raspberry (Fu Pen Zi) help with premature ejaculation?

Because it is both specifically indicated to treat premature ejaculation and also because it is an ingredient in herbal formulas known to treat premature ejaculation as a symptom (such as Wu Zi Yan Zong Wan for instance).

Palmleaf Raspberries is a Warm herb that tastes Sour and Sweet. It targets the Bladder and the Kidney.

Its main actions are: Augments the Kidneys, restrains Essence. Stops leakage of Bodily Fluids.

Read more about Palmleaf Raspberries here

Why might Milkvetch Seeds (Sha Yuan Zi) help with premature ejaculation?

Because it is both specifically indicated to treat premature ejaculation and also because it is an ingredient in herbal formulas known to treat premature ejaculation as a symptom (such as Jin Suo Gu Jing Wan for instance).

Milkvetch Seeds is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.

Its main actions are: Tonifies Kidney Yang. Consolidates Essence and semen. Strengthens vision.

Read more about Milkvetch Seeds here