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Brief introduction of premature ejaculation

Directory 1 pinyin 2 English reference 3 premature ejaculation in traditional Chinese medicine 3. 1 symptoms of premature ejaculation 3.2 etiology and pathogenesis of premature ejaculation 3.2. 1 kidney deficiency and liver depression 3.2.2 yin deficiency and hyperactivity of yang 3.2.3 kidney qi deficiency 3.2.4 panic injury to kidney 3.3 early. Syndrome Differentiation Treatment of Diarrhea 3.3. 1 Liver Meridian Dampness 3.3. 1 symptom 3.3. 1.2 Syndrome Analysis 3.3. 1.3 Diet 3.3. 1.3.65438+ recommended ingredients 3.3./kloc. 3.3 Acupoint Matching Syndrome 3.3.2.3.4 Acupuncture Moxibustion Method 3.3.3 Symptoms of Yin Deficiency and Yang Hyperactivity 3.3.313.3.3.2 Syndrome Analysis 3.3.3.3 Prescription Treatment 3.3. 3. 1 Treatment 3.3.3.3.2 Prescription 3.3.3.3. 4 Diet 3.3.3.4.1Diet 3.3.4.2 Recommended ingredients 3.3.3.4.3 Diet 3.3.3.5 Massage Therapy 3.3.3.6 Acupuncture Therapy 3.3.3.6.1 Therapy 3.3.3.6.2 Acupoint Selection 3.3.3.6.4 Acupuncture Moxibustion 3.3.6.3 Prescribed 3.3.3.7 Moxibustion Therapy 3.3.3.7.1Prescription13.3.3.7.1.1acupoint selection. 3.3.7.2 Prescription II 3.3.7.2.1Acupoint Selection 3.3.7.2.2 Moxibustion 3.3.4 Deficiency of Kidney Qi 3.3.4. 1 Analysis of Symptoms of 3.3.4.2 Syndrome 3.3.4.3 dietotherapy 3.3.4.3. Methods 3.3.4.3.2 Recommended ingredients 3.3.4.3.3 Therapeutic prescription 3.3.4.4 acupuncture for 3.3.4.4.1Treatment 3.3.4.4.2 Acupoint selection 3.3.4.4.3 According to the syndrome, point matching 3.3.4.4.3.3. Therapy 3.3.5.2.2 Fang 3.3.5.3 Moxibustion 3.3.5.3.1Fang13.3.5.3.6.5438+3.5.3.1.2 Moxibustion 3.3.5.3.2 Fang 23. Acupoint acupuncture for 3.3.6.3.1Treatment 3.3.6.3.2 Acupoint selection 3.3.6.3.3 Acupoint matching and syndrome 3.3.6.3.4 Acupuncture moxibustion 3.3.7 Deficiency of both heart and spleen 3.3.7.13.3.7.2 syndrome. Dietotherapy 3.3.7.3.1dietotherapy 3.3.7.3.2 Recommended ingredients 3.3.7.3 dietotherapy 3.3.8 Ear acupuncture for premature ejaculation 3.5 Premature ejaculation with nocturnal emission and moxibustion for impotence 3.5. 1 nocturnal emission 3.5. 1 acupoint selection 3.5. Taboo 4 Western medicine premature ejaculation 4. 1 clinical manifestations 4.2 Diagnostic basis 4.3 Treatment principle 4.4 Medication principle 4.5 Auxiliary examination 4.6 Efficacy evaluation 5 Reference materials Attachment: 1 premature ejaculation acupoint 2 Premature ejaculation prescription. 3 Chinese patent medicine for premature ejaculation 4 drugs related to premature ejaculation 5 premature ejaculation in ancient books 1 pinyin z m 4 o xi è.

2 English reference prospermia [Chinese medicine terminology validation Committee. Terminology of Traditional Chinese Medicine (2004)]

Premature ejaculation [Chinese medicine terminology examination Committee]. Terminology of traditional Chinese medicine (20 10)]

Chinese medicine terminology examination committee. Terminology of traditional Chinese medicine (20 10)]

Prepare for ejaculation [2 1 Century English-Chinese-English Bidirectional Dictionary]

3 In Chinese medicine, premature ejaculation (premature ejaculation [1][2], premature ejaculation [1]) is the name of the disease [3]. It refers to the disease that semen is discharged from * * * *, even before * * * *, and normal sexual life cannot be carried out [1][2]. This is the meaning in Shen Shi's "Zun Ming Shu": "If you don't pay, you will be discharged, or if you pay first, you will be discharged." Severe premature ejaculation occurred in * * *, or just entered [4]. Most of them are accompanied by impotence and nocturnal emission [5].

In the process of treatment, it is best to use different beds, and do a good job in patients' ideological work, eliminate doubts and reduce the ideological burden, so as to facilitate treatment [4].

3. 1 Premature ejaculation symptoms * * * Premature ejaculation, even before delivery * * *, can not have a normal sex life [3]. Often accompanied by * * * easy, or not firm, upset and dry mouth, rapid pulse [3].

3.2 Etiology and pathogenesis of premature ejaculation Premature ejaculation is mostly caused by deficiency of kidney yin and excessive fire [3].

Premature ejaculation is mostly caused by deficiency of kidney-qi, abnormal excretion, lack of restraint, dereliction of duty in sealing and storage, and unauthorized fixation [4].

Premature ejaculation is mostly caused by emotional internal injuries, invasion of damp heat, excessive sexually transmitted diseases and chronic physical weakness. Its basic pathogenesis is that the kidney is not sealed and the essence is not solid [5].

The disease is located in the kidney, which is related to the heart and spleen [5].

3.2. 1 Symptoms of kidney deficiency and liver depression, weakness in fixation, depression or anger, liver injury, fire depression, nocturnal emission and premature ejaculation [4].

3.2.2 Yin deficiency with hyperactivity of yang, fornication, * * * failure, yin and yang failure, weakness of fixation, yin deficiency with excessive fire, disturbing nocturnal emission, leading to premature ejaculation [4].

3.2.3 Kidney-qi failure frequently leads to * * *, or early marriage and over-cutting, leading to kidney-qi deficiency and premature ejaculation [4].

3.2.4 Panic hurts the kidney, leading to qi disorder, fear leads to qi disorder, qi disorder leads to abnormal excretion, qi disorder leads to lack of restraint, leading to dereliction of duty in sealing and premature ejaculation without solid strength [4].

3.3 The syndrome differentiation and treatment of premature ejaculation should be based on tonifying spleen and kidney, or nourishing yin to reduce fire, or warming kidney to replenish essence, or tonifying heart and spleen, supplemented by astringent essence; Those with excess syndrome should clear away heat and promote diuresis, and clear heart and reduce fire.

Acupuncture has a certain effect on premature ejaculation [4]. When acupuncture points on the lower abdomen, the needle tip inclines downwards, which makes the acupuncture sensation reach * * *, and the curative effect is better [4].

3.3. 1 Premature ejaculation with damp-heat in liver meridian (1) refers to premature ejaculation with damp-heat accumulated in liver meridian, manifested as hypochondriac pain, * * * dampness, itching, swelling and pain in vulva, red tongue, yellow and greasy fur and slippery pulse.

3.3. 1. 1 Symptoms: premature ejaculation, dysphoria, wet scrotum, itching, bitter mouth and dry throat, pain in chest and hypochondrium, red urine, red tongue, yellow and greasy fur and slippery pulse [5].

3.3. 1.2 Syndrome analysis: Damp-heat downward flow disturbs seminal vesicle [5].

3.3. 1.3 dietotherapy 3.3. 1.3. 1 dietotherapy to clear liver and damp heat [5].

3.3. 1.3.2 Recommended ingredients: coix seed, poria cocos, wax gourd, cucumber, purslane, celery, gardenia, lotus seeds, licorice, etc. [5].

3.3. 1.3.3 Dietotherapy prescription lotus seed Liu Yi decoction (Renzhai Zhi Zhi prescription): lotus seed (with heart) 60g, raw licorice root 10g, decocted with slow fire, added with rock sugar when lotus seeds are ripe and soft, and eaten with lotus seeds for soup [5].

Pork and winter melon soup with razor clam (Quanzhou Materia Medica): 50g razor clam, 0/50g cucumber/kloc. Cut cucumber into thick slices, boil it in water until cooked, and add ginger, salt and other seasonings appropriately. Eat with meals [5].

Portulaca oleracea porridge (too square): Portulaca oleracea 150g, japonica rice 100g. Wash purslane and cut into pieces for later use. Portulaca oleracea and japonica rice are boiled together. Bring the porridge to a boil with high fire and cook it with low fire until the porridge is cooked. No salt and no vinegar, eat lightly on an empty stomach [5][7].

3.3.2 Kidney deficiency and liver depression 3.3.2. 1 Symptoms: mental depression, backache and leg weakness, diarrhea at the touch, dizziness, bitter taste, dry throat, red tongue, thin coating and thready pulse [4].

3.3.2.2's syndrome analysis shows that the liver stores blood and the kidney stores essence, and the liver blood is nourished by the kidney essence, and the kidney gets the liver blood and fills the essence [4].

Deficiency of kidney essence, liver dystrophy, and loss of qi, then mental depression [4].

Kidney deficiency and essence are not solid, and it will be discharged as soon as it is handed over [4].

The waist is the house of the kidney, and the kidney deficiency is in the waist, so the waist is sour and the legs are soft [4].

Deficiency of kidney essence, water without wood, hyperactivity of liver yang and dizziness [4].

Yin deficiency leads to internal heat, so the mouth is bitter and the throat is dry [4].

Red tongue and thin pulse are all manifestations of yin deficiency and internal heat [4].

3.3.2.3 acupuncture therapy [4]

3.3.2.3.1Treatment: Soothing the liver, relieving depression and tonifying the kidney.

3.3.2.3.2 The acupoints are mainly Renmai and Zujueyin Liver Meridian. Take Neiguan, Zhongshan, Taixi, Taichong, Guanyuan and Sanyinjiao. Neiguan, Zhongshan, broad chest and qi, qi and depression. Too anxious to clear the liver fire. Guan Yuanpei's tonifying kidney, benefiting qi and strengthening body. Taixi and Sanyinjiao nourish kidney yin, replenish essence and consolidate the foundation.

3.3.2.3.3 Waist-Yangguan and Shenshu points should be added for those with weak waist and knees.

3.3.2.3.4 Acupuncture and Moxibustion: Acupuncture is combined with reinforcing and reducing, and moxibustion can be used.

3.3.3 Premature ejaculation with yin deficiency and excessive fire [1] refers to loss of * *, insufficient fire, premature ejaculation, hot flashes due to bone steaming, dry mouth and throat, irritability and insomnia, night sweats, red cheekbones, constipation and short urine.

3.3.3. 1 The symptoms are weakness, insomnia, hyperactivity of yang, premature ejaculation, nocturnal emission, dizziness, soreness of waist and knees, hot flashes due to bone steaming, dry mouth and throat, vexation of five senses, insomnia and night sweats, red cheekbones, constipation, short and red urine, red tongue, scanty body fluid, scanty fur and rapid pulse [6].

The analysis of 3.3.3.2's syndrome shows that yin deficiency and excessive fire disturb the heart, which causes insomnia [4].

Deficiency of kidney yin, excessive fire and nocturnal emission will lead to premature ejaculation and nocturnal emission [4].

If the fire moves wildly, Yang will do things easily [4].

Kidney yin loss, waist loss of support, so the waist and knees ache [4].

Deficiency fire forces body fluid to leak out, but see night sweats [4].

5. Upset and fever, red tongue with little fur and rapid pulse are all manifestations of yin deficiency and fire flourishing [4].

3.3.3.3's prescription is used to treat 3.3.3.3.1Therapy to nourish yin and reduce fire [3].

3.3.3.3.2 Prescriptions can be Baizhi Bawei Pill, Dabuyin Pill and Sancai Honey Pill [3].

3.3.3.4 dietotherapy 3.3.3.4.1dietotherapy method of nourishing yin and reducing fire [5].

3.3.3.4.2 Recommended ingredients are Lycium barbarum, Radix Rehmanniae, pig kidney, silky fowl, duck meat, nail fish, mussels, abalone, etc. [5].

3.3.3.4.3 Gouqi porridge (Taiping Shenghui recipe): Wash 30g of Lycium barbarum and japonica rice 100g, put them in a pot, add water and boil them with strong fire, and then cook them with slow fire. [5][8]。

Mulberry ointment (Yi Yan Materia Medica): fresh mulberry1000g (or dried mulberry 500g) and honey 300g. Decocting Mulberry in water to obtain juice, continuing to cook with slow fire until it becomes thick, adding honey, and collecting paste. Twice a day, each time 1 tablespoon, with boiled water [5].

Rehmannia glutinosa chicken (elbow emergency prescription): Rehmannia glutinosa 250g, silky fowl 1, maltose 150g. Slaughter chicken to remove hair, intestinal impurities and internal organs for later use; Wash Radix Rehmanniae, slice, add maltose, mix and stuff into chicken belly. Put the chicken belly down into the pot, then put the pot into the steamer and cook for about 2 ~ 3 hours. After cooking, eat meat and drink juice twice a day. [5][9]。

3.3.3.5 Massage Therapy The following methods are suitable for patients with five vexations and fever, weak waist and knees, and * * * easy to get sick [10]:

① Press the thumb tips of both hands on both sides of Shenshu point 50 times each.

② Press Guanyuan 30 times with your thumb with moderate strength.

③ Press and knead both sides of Sanyinjiao 50 times with your thumb.

(4) Scrape and press Taixi point with your thumb for 3 minutes.

3.3.3.6 acupuncture therapy [4]

3.3.3.6.1Nourishing yin and suppressing yang, and strengthening sperm room therapy.

3.3.3.6.2 Ren meridian, foot deficiency and kidney meridian are the main factors. Paihai, Taixi, Jianxing, Shenshu, Zhishi, Guanyuan and Sanyinjiao.

3.3.3.6.3 If hot flashes and night sweats are matched with acupoints according to the syndrome, Hegu and Fuliu are added.

3.3.3.6.4 Acupuncture method: the method of supplementing with needles.

3.3.3.6.5 Fang Shao Yi, Taixi point and Sanyinjiao nourish kidney yin and control deficiency fire. Clearing liver and benefiting gallbladder, reducing fire and calming the palace. Shenshu, Fructus Aurantii Immaturus and Guan Yuanpei tonify kidney and replenish essence through the sperm-fixing room.

3.3.3.7 moxibustion therapy 3.3.3.7.1formula 1 [1 1]

3.3.3.7.1.1Choose Shenshu, Fructus Aurantii Immaturus, Taixi, Gu Ran and Sanyinjiao.

3.3.3.7. 1 .2 Moxibustion method Moxibustion with moxa sticks is mild, each point 10 minute, local redness degree 1 time per day,1time per course of treatment. Moxibustion is performed at intervals until symptoms improve.

The second party [1 1]

3.3.3.7.2. 1 Select Xinshu, Shenmen, Taixi and Shenshu.

3.3.3.7.2.2 Moxibustion method: Moxibustion with moxa sticks is mild, each point lasts 10 minute, the local redness and burning degree is 1 time per day, and 1 time is1course of treatment. Moxibustion is performed at intervals until symptoms improve.

3.3.4 Premature ejaculation with kidney-qi deficiency syndrome [1] refers to deficiency of kidney-qi, failure of fixation, premature ejaculation, frequent urination, endless residual fluid, even enuresis, urinary incontinence, or fecal incontinence, tinnitus, and soreness of waist and knees.

3.3.4. 1 Symptoms * * * decrease, premature ejaculation, nocturnal emission, soreness of waist and knees, long urination, nocturia, endless urination, even enuresis, urinary incontinence, or fecal incontinence, tinnitus, pale face, pale tongue, white fur and weak pulse [4] [5].

3.3.4.2's syndrome analysis shows that premature ejaculation and nocturnal emission are caused by chronic treatment, yin impairing yang, deficiency of kidney qi and weakness of fixation [4].

Deficiency of kidney-yang, decreased vital signs and reproductive function, but decreased [4].

The waist is the house of the kidney, and kidney deficiency leads to weakness of the waist and knees [4].

The kidney is responsible for the two stools, and the kidney is qi-deficient and has no right to gasify, so the urine is long and nocturnal urine is much [4].

Pale tongue, white fur and weak pulse are the signs of deficiency of Yuanyang and qi and blood [4].

3.3.4.3 dietotherapy 3.3.4.3.1Dietotherapy method of tonifying kidney and fixing essence [5].

3.3.4.3.2 Recommended ingredients: leek, walnut kernel, lotus seed, Euryale euryales, mutton, sheep kidney, sea cucumber and shrimp [5].

3.3.4.3.3 Dietary prescription Baiyangshen Decoction (edible meal): 2 white sheep kidneys, sheep fat 120g, 30g of cistanche deserticola, 6g of pepper, 3g of dried tangerine peel, 6g of long pepper, 6g of tsaoko, flour 150g, scallion, ginger, etc. Put all the medicines into gauze bags and decoct them with water together with sheep oil, sheep kidney with fascia removed, onion and ginger. When the sheep kidney is cooked, add flour dough, add salt as appropriate, and cook. [5]

Sea cucumber porridge ("Lao Lao Heng Yan"): sea cucumber 30g, japonica rice 100g, ginger, onion and salt. Soak the sea cucumber first, cut it clean, blanch it in boiling water, take it out and cut it into pieces. Wash japonica rice, add appropriate amount of water, and cook with sea cucumber slices into porridge. After cooking, add appropriate amount of ginger, onion and salt to taste. Twice a day. [5]

Fried shrimp balls with mussels (pink rice): 50 grams of mussels, 200 grams of shrimp balls, 20 grams of winter bamboo shoots, 20 grams of leeks, salt and vegetable oil. Mussels are soaked in cold water 1 day, winter bamboo shoots are shredded, leeks are cut into sections, shrimp balls are fried with a little vegetable oil, and salt is added when cooked. Eat with meals. [5]

3.3.4.4 acupuncture therapy [4]

3.3.4.4.1Therapy for tonifying kidney and benefiting qi and consolidating semen chamber.

3.3.4.4.2 Acupoint selection is mainly based on Renmai and Zushaoyin Kidney Meridian. Take Shenshu, Mingmen, Zhishi, Guanyuan, Taixi and Sanyinjiao. Shenshu, Mingmen, Fructus Aurantii Immaturus tonify kidney, strengthen kidney yang, and solidify essence. Guanyuan is the intersection of the foot three yin and ren meridian, which can strengthen the body, tonify the kidney and replenish qi. Sanyinjiao point and Taixi point nourish kidney essence, seek yang from yin and replenish kidney qi.

3.3.4.4.3 If urination lasts for a long time and nocturia is frequent, Zhongji and Bladder Meridian should be added according to the syndrome.

3.3.4.4.4 Acupuncture method: Tonifying with needles.

3.3.5 Premature ejaculation with deficiency of both yin and yang [1] refers to premature ejaculation syndrome with deficiency of both yin and yang, with common symptoms such as premature ejaculation, dizziness, tinnitus, listlessness, chills of limbs, vexation and fever, palpitation, backache, pale tongue and weak pulse.

3.3.5. 1 Symptoms include premature ejaculation, dizziness, tinnitus, fatigue, chills, fever, palpitation, backache, pale tongue with scanty fluid and weak pulse [6][3].

3.3.5.2's prescription can treat 3.3.5.2.1,nourish yin, reduce fire and warm kidney yang [3].

3.3.5.2.2 Prescriptions include Baizhi Bawei Pill, Dabuyin Pill and Sancai Honey Pill. , plus Rhizoma Cibotii, Semen Cuscutae and Radix Morindae Officinalis [3].

3.3.5.3 moxibustion therapy 3.3.5.3.1formula 1 [1 1]

3.3.5.3.1.1Select points Guanyuan, Qihai, Yaoyangguan and Shenshu.

3.3.5.3. 1 .2 Moxibustion method: Moxibustion with soybean mugwort pot, each point is more than 30 strong, every day or every other day 1 time,1time is1course of treatment. You can also use mild moxibustion with moxa sticks, each point 15 minutes, once a day or every other day 1 time, and 1 time is1course of treatment. Moxibustion is performed every once in a while after symptoms improve.

The second party [1 1]

3.3.5.3.2. 1 Select Zusanli, Sanyinjiao, Mingmen, Guanyuan and Qihai.

3.3.5.3.2.2 Moxibustion method: Moxibustion with moxa sticks is mild, each point is 15 minutes, and the degree of local redness and burning is 1 time every day or every other day, and 1 time is1course of treatment. Moxibustion is performed at intervals until symptoms improve.

3.3.6 Panic hurts the kidney 3.3.6. 1 Symptoms: timidity, palpitation, apathy, fear and anxiety, diarrhea at the touch, red tongue, thin and white fur, and slightly rapid pulse [4].

3.3.6.2's syndrome analysis shows that the kidney is afraid of injury, the yin deficiency is low, the fire is high, the mind is shaken, and the mind can't control itself, so it is afraid, nervous and palpitation. Panic, qi disorder, kidney qi loss, essence is not solid, so * * * indifference, once handed in. Tongue and pulse are both manifestations of deficiency of kidney-qi. [4]

3.3.6.3 acupuncture therapy [4]

3.3.6.3.1Therapy for tranquilizing mind, tonifying kidney and fixing essence.

3.3.6.3.2 The acupoints are mainly Renmai, Dumai, Heart Meridian of Hand Shaoyin and Kidney Meridian of Foot Shaoyin. Take Baihui, Sishencong, Shenmen, Taixi, Guanyuan and Sanyinjiao. Baihui point is the intersection of Du Meridian and Foot Taiyang Bladder Meridian. Both meridians enter the brain, and the brain is the mansion of Yuan God, so Baihui point can calm the nerves. Sishencong is a strange point outside the meridians, which can improve intelligence and soothe the nerves. Can be used with Baihui to increase the effect. Shenmen and Taixi points are the original points of the heart and kidney meridian, and the two points are matched, which communicate the heart and kidney, fire and water, and ji ji, and God will be calm. Guanyuan nourishes vitality, Sanyinjiao tonifies kidney essence, and the two points cooperate with tonifying kidney and solidifying essence.

3.3.6.3.3 For those who are timid when matching points according to syndrome, Jia Xinshu, Dan Shu, Daling and Xu Qiu.

3.3.6.3.4 Acupuncture method: Tonifying with needles.

3.3.7 Premature ejaculation with deficiency of both heart and spleen [1] refers to insufficiency of heart and blood, weakness of temper, premature ejaculation, mental fatigue, emaciation, pale face, palpitation, poor night sleep, anorexia, loose stool and pale tongue.

3.3.7. 1 Symptoms include premature ejaculation, mental fatigue, emaciation, pallor, palpitation, poor night sleep, eating less loose stool, pale tongue and thready pulse [6][5].

3.3.7.2 syndrome analysis of qi and blood deficiency, heart and spleen dystrophy [5].

3.3.7.3 dietotherapy 3.3.7.3.1Dietotherapy method tonifies the heart and spleen [5].

3.3.7.3.2 Recommended ingredients: longan pulp, jujube, lotus seeds, codonopsis pilosula, licorice, pig heart, sheep heart, etc. [5].

3.3.7.3.3 Jujube porridge (Records of Shengji Zonglu): jujube 10 ~ 15, japonica rice 100g, washed, put in a pot, add a proper amount of water, boil with strong fire, then cook the rice into porridge with slow fire, and add syrup. [5][ 12]

Lotus seed porridge (book for the elderly): lotus seed 15g, glutinous rice 60g. After the lotus seeds are cooked, add glutinous rice to cook porridge [5].

Candied jujube longan (Quanzhou Materia Medica): longan meat 250g, jujube 250g, honey, ginger juice. Boil longan pulp and jujube to 70% maturity, add honey and ginger juice, stir well and cook. Three times a day. [5]

3.3.8 Deficiency of both heart and kidney, it is advisable to tonify heart and kidney, and attack Si Dan and Bu Tian Yu Lin Dan with acute fire [3].

3.4 Ear acupuncture for premature ejaculation: internal genitalia, subcortical, external genitalia, kidney and heart. Choose 2-3 acupoints at a time, and use a filiform needle to light * * *,/kloc-0 once every other day.

3.5 Moxibustion therapy for nocturnal emission, impotence and premature ejaculation is often accompanied by symptoms such as nocturnal emission and impotence. The following methods can be added according to the accompanying symptoms [1 1]:

3.5. 1 nocturnal emission 3.5. 1. 1 acupoints Taixi and Gu Ran.

3.5. 1.2 Moxibustion Moxibustion Moxibustion Moxibustion Moxibustion Moxibustion Moxibustion Moxibustion Moxibustion Moxibustion Moxibustion Moxibustion Moxibustion each point 1 minute, with local redness as the degree, once a day 1 time.

3.5.2 Impotence 3.5.2. 1 Acupoint Shenque

3.5.2.2 Moxibustion with Soybeans Moxibustion with soy beans Moxibustion with intensity of 65438 05 ~ 30 each time until the navel feels warm, or Moxibustion with moxa sticks for 65438 05 minutes.

3.6 medical record 1986 winter, male youth. Teenagers commit bad habits because they are ignorant. After more than 65,438+0 years of marriage, the yang is rising but not firm, with spontaneous discharge of color, dizziness and tinnitus, insomnia and dreaminess, loss of appetite, fatigue, memory loss, red tongue tip, thin white fur and thready pulse. The syndrome belongs to yin deficiency and yang hyperactivity, both yin and yang are injured and unsealed. Treatment: Warming the kidney, consolidating the foundation, nourishing the heart and calming the nerves, and communicating with the heart and kidney. Prescription: Xinshu, Shenshu, Shenmen and Sanyinjiao, once a day/kloc-0. After 7 days of continuous treatment, insomnia and dreaminess were relieved, the rice was fragrant and the physical strength was doubled. The original prescription went to Shenmen, the sea was aerated, and five notes were made, but the kidney essence was not left. Follow the front, before and after treatment for more than a month, recovered. In order to consolidate the curative effect, we should inject 1 ~ 2 times a week and tell them not to share the same bed for 3 months. No recurrence was found in the follow-up after 1 year. (Essentials of Clinical Acupuncture in Contemporary China)

Li, male, 25 years old, married for 3 years, suffered from premature ejaculation and was exhausted in the body. Li is very upset. Weakness of ulnar pulse, backache. Moxibustion on Guanyuan, Qihai, Zhongji and Shenshu points, until the age of 70, consciously converged the lower jiao, and its qi solidified for a quarter of an hour. Still giving moxibustion treatment, where she was in March, she was too white and too strong, full of gods and radiant. Laugh at her and say, "fine customs are solid." [ 1 1]

3.7 Dietary contraindications for premature ejaculation Patients with premature ejaculation should pay attention to astringency, avoid being too bitter and cold, in case they love evil or hurt the spleen and stomach, avoid eating spicy, fatty and sweet products, and avoid alcohol and tobacco [5].

4 premature ejaculation in western medicine is the most common male sexual dysfunction. It is generally believed that premature ejaculation occurs before, during or just after * * *.

Patients with premature ejaculation lack self-control ability during sexual excitement and cannot delay time. Severe premature ejaculation is easy to diagnose, and it can't be considered pathological if it occurs once or several times occasionally. Premature ejaculation is easy to occur when young men start sexual life, and some are overcome with the increase of sexual experience; Some premature ejaculation has become a fixed pattern. Premature ejaculation caused by organic causes is rare, mostly psychogenic premature ejaculation. Among male sexual dysfunction, premature ejaculation is the most common and destructive. Patients with premature ejaculation are prone to doubt their masculinity and their self-esteem is hit. Severe operational anxiety aggravates the vicious circle and produces secondary erectile dysfunction. Modern treatment has improved the prognosis of premature ejaculation. Behavioral therapy can strengthen self-control ability, and significantly delay the arrival of * * * reflex and sex * * *.

Newlyweds are too excited and nervous because of lack of sexual experience, and it is not uncommon for them to have "premature ejaculation". Most couples can find a * * * or more harmonious sexual life style after gaining sexual life experience.

4. 1 clinical manifestations 1. * * * before entering * * * or immediately after contact with * * *, making normal * * * impossible.

2.*** time is less than one minute or * * * twitches back and forth less than 15 times, that is, * * *, so that women with normal sexual function are not satisfied in at least 50% of the * * * opportunities.

4.2 Diagnostic Basis Diagnose according to the above two meanings.

4.3 therapeutic principles 1. Psychotherapy;

2. Sexual behavior therapy (sexy concentrated training method).

3. medication.

4.4 Medication principle 1. Psychotherapy and sexual behavior therapy are the main methods of mild premature ejaculation. Appropriate sedatives.

2. Serious cases should be treated with psychological and behavioral therapy. α -blockers (benzylamine) or local drugs and other comprehensive treatment.

4.5 supplementary examination 1. Simple functional premature ejaculation inspection items mainly focus on inspection framework "A";

2. If there are organic reasons, the inspection items may include "A", "B" and "C".

4.6 Efficacy evaluation 1. Cure: Sexual life returns to normal, and both husband and wife can get sexual satisfaction.

2. Improvement: The quality of sexual life has been improved, and the * * * time is more than 1 minute, but the probability of women getting sexual life is less than 50%.

3. Unresolved: the symptoms have not improved, and the quality of * * * has not improved.

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