Article 42: Single-herb prescriptions and medicinal diet therapy for treating ejaculatory dysfunction

◇A Guide to Caring for Your Husband's Health as a Good Wife◇

Next chapter: CHANG JIAN BING DE ZHI LIAO YU TIAO YANG

Treatment and recuperation of common diseases

Traditional Chinese medicine prescriptions for treating anejaculation

1. Prepared Rehmannia root and Astragalus root, 18g each; Dipsacus root, Plantago seed (wrapped), Talcum, Vaccaria seed, 15g each; Cuscuta seed, 12g; Cistanche, Acorus tatarinowii, Achyranthes bidentata, Curcuma longa, 10g each. Decocted in water and taken once daily.

2. Grind 30 grams of jujube seed and 60 grams of fine tea powder into a fine powder. Take 6 grams of the powder with a decoction of 6 grams of ginseng root, twice a day.

3. Grind 0.5g of centipede, 0.3g of prepared strychnine seeds, and 0.1g of borneol into a fine powder. Take with warm water 90 minutes before bedtime each night.

4. Take 15 grams of raw ephedra, 6 grams of asarum, 0.5 grams of musk, 3 centipedes, and 10 grams each of raw and roasted licorice root. Grind them into a fine powder. Take 3 grams each time, twice a day, on an empty stomach with rice wine.

5. Grind equal parts of camphor, borneol, and menthol into powder and seal. When needed, take 1 gram and place it in the navel, then add 1-2 drops of white wine, and fix it with adhesive tape. Apply the medicine in the evening and remove it before going to sleep.

6. Grind 0.5g of musk and 6g of white pepper into a very fine powder, mix well, and apply 1g each time with an appropriate amount of 75% alcohol to the navel. Cover with gauze to prevent the gas from dissipating. Change the dressing every 2 days. One course of treatment is 10 days.

7. Take 10 grams of Impatiens balsamina and 250 grams of jujubes, decoct in water and take one dose daily.

8. 30g of Epimedium, 12g of Lycium barbarum, 10g of Cuscuta chinensis, 12g of Rehmannia glutinosa, 12g of Cornus officinalis, 12g of Curculigo orchioides, 10g of Impatiens balsamina, 10g of Citrus aurantium, 10g of Ephedra sinica, and 2 centipedes. Decocted in water and taken once a day.

9. Ginseng 12g, Angelica sinensis 12g, Astragalus membranaceus 12g, Ophiopogon japonicus 9g, Platycodon grandiflorus 6g, Akebia quinata 9g, Liquidambar formosana 6g, Vaccaria segetalis 6g, Acorus tatarinowii 6g. Decocted in water and taken once daily. Used for anejaculation due to deficiency of both qi and blood.

10. Take 20 grams of Asarum, 30 grams of Gallnut, and 20 grams of Epimedium. Decocted in water, use the decoction to fumigate and wash the perineum while it is still hot, once a day.

Medicinal diet for treating ejaculatory dysfunction

1. Cook 30 grams of yam (100 grams if fresh), 15 grams of lotus seeds, and 100 grams of japonica rice into porridge with an appropriate amount of water. This is used for anejaculation due to spleen deficiency and low sperm count.

2. Take 3-5 sparrows, scald them to remove feathers and intestines, put them in a pot with seasonings and stew until cooked. Eat the meat and soup. Used for ejaculatory dysfunction due to deficiency of kidney yang.

3. Take half a fresh placenta, add 5 slices of ginger and a suitable amount of salt, decoct and take twice a week.

4. One fresh placenta, 15 grams each of wolfberry, dodder seed, raspberry, paper mulberry fruit, and privet fruit, and 10 grams each of schisandra fruit and plantain seed. First, rinse the placenta clean, cut it into small pieces, crush the remaining 7 herbs, wrap them in gauze, and steam them together until cooked. Add salt to taste and take twice a day, morning and evening.

5. 6 grams of peach kernels and 1 cuttlefish. Remove the bone and skin from the cuttlefish, wash it, and cook it together with the peach kernels. After the fish is cooked, discard the broth and eat only the fish meat. This is used for anejaculation caused by blood stasis.

6. 30 grams of red beans, 50 grams of white rice, and appropriate amount of white sugar. First, cook the red beans until tender, then add the white rice to make porridge. Add white sugar to taste before eating. Used for anejaculation caused by damp-heat.

7. Boil 15 grams of orange peel, 10 grams of almonds, and 10 grams of old loofah in water for 15 minutes, then drink the liquid as a tea. This is used for anejaculation caused by liver qi stagnation.

8. 200 grams of pork spinal cord, 1 turtle, and appropriate amounts of ginger, scallions, and other seasonings are cooked and eaten.

9. Take 50 grams of angelica root, 20 grams of ginger, and 250-500 grams of mutton. Add seasonings and cook until done. Drink the soup and eat the meat every morning and evening. This is a two-day supply.

How to perform massage therapy

1. The patient lies prone. The practitioner uses their palm to massage the patient's lower back and both sides of the lumbosacral region for about 3 minutes, and then uses the thenar eminence of one hand to rub the Mingmen and Yaoyangguan acupoints for 1 minute.

2. The patient lies prone. The practitioner first presses the Guanyuan and Shu points on both sides for 1 minute each, and then rubs the Baliao points with the palm for 1 minute (place one palm on the Baliao points on the lumbosacral region and rub horizontally).

3. The patient lies supine. The practitioner uses a few feathers to perform linear stimulation along the liver and kidney meridians from top to bottom on the patient's abdomen 40 times. Then, with the navel as the center point, perform transverse stimulation to both sides 10 times.

4. The patient lies supine. The practitioner uses the thumb of one hand to press the patient's Zhongji acupoint, and the index, middle and ring fingers of the other hand to massage and rub from under the scrotum to the perineum for about 1 minute.

5. The patient lies supine. The practitioner flexes the lower limbs so that the soles of the feet are flat on the bed. The practitioner inserts the tips of the index, middle, and ring fingers of both hands into the spaces between the first and second toes, the second and third toes, and the fourth and fifth toes of the patient's two feet, respectively, at the Xingjian, Neiting, and Xiaxi acupoints. The practitioner pinches these points 10 times in the depressions of the toes, followed by massage for 1 minute. During this method, the patient may experience intense itching and pain.

6. The patient lies supine. The practitioner uses both thumbs to press and move on the heel of the patient's foot. When the most sensitive area is touched, the practitioner stops and repeats the stimulation. Finally, the practitioner uses multiple fingers to knead the entire heel.

Sexual therapy

First, both partners should learn more about sex and participate in sexual behavior therapy together. During intercourse, the man should increase the depth and frequency of penile thrusting inside the vagina to enhance the stimulation of the glans penis by the vaginal walls. At the same time, the woman should support the man's scrotum with her hand and press it against the pubic symphysis to promote orgasm and ejaculation.

Alternatively, the woman can manually stimulate the glans penis and coronal sulcus to bring the man to a high level of arousal. When the man feels he is about to ejaculate, the woman should assume the woman-superior position and quickly insert the penis into the vagina, continuing stimulation during insertion. If the man cannot ejaculate after a short period of vigorous friction, the woman can stimulate the penis again manually. When the man feels an urge to ejaculate, he should then insert the penis into the vagina, continuing to increase the size and speed of thrusting. Once ejaculation occurs inside the vagina, the erectile dysfunction can be permanently corrected. If the above methods still fail to produce intravaginal ejaculation, the man can initially ejaculate outside the vagina, gradually transitioning to intravaginal ejaculation.

What should we pay attention to in daily life?

1. Pay attention to cultivating the relationship between husband and wife. Be considerate and cooperative with each other in sexual life. If ejaculation failure occurs, do not blame each other. Seek medical attention as soon as possible and cooperate with the treatment.

2. It is important to strengthen the learning and mastery of sexual knowledge and not to excessively restrict sexual activity, because too little sexual activity is not conducive to the release of androgens.

3. The location of sexual intercourse should be free from external interference to avoid fear and tension that could prevent ejaculation.

4. Sexual activity should be moderate. Avoid excessive sexual activity, but do not abstain for a long time. Also, abstain from masturbation.

5. Maintain an open and stable emotional state, and participate in meaningful cultural and recreational activities and physical exercises, such as Tai Chi, walking, and swimming, to regulate your mind and body and assist in treatment.

6. You can choose to eat soft-shelled turtle, oyster meat, walnuts, animal kidneys and testicles to nourish the kidneys and strengthen yang, and choose to eat pork, beef and mutton spinal cord and mussels to nourish yin essence.

7. Avoid excessive smoking and drinking.

Retrograde ejaculation

Retrograde ejaculation refers to a condition where sexual intercourse occurs normally, resulting in orgasm and the sensation of ejaculation, but no semen is expelled from the urethra; instead, it flows backward into the bladder. Post-coital urine tests show sperm and fructose. During normal intercourse, sexual stimulation excites the ejaculation center, causing rhythmic contractions of the vas deferens, seminal vesicles, bulbocavernosus of the prostate, and ischiocavernosus, expelling semen from the vas deferens, seminal vesicles, and prostate through the urethra. Retrograde ejaculation occurs in the early stages of sexual arousal, when the bladder neck sphincter and membranous urethral sphincter are contracted. After ejaculation begins, semen flows from the epididymis, vas deferens, seminal vesicles, and prostate into the prostatic urethra but does not further flow into the posterior urethra. Consequently, some or all of the semen flows upward through the bladder neck and retrogrades into the bladder.

Causes of disease

1. Bladder neck closure disorder: Disruption of the anatomical function of the bladder neck or blockage of the sympathetic nerve innervation of the lower urinary tract can cause dysfunction of the bladder neck and external urethral sphincter, causing semen entering the prostatic urethra to flow back into the bladder, resulting in retrograde ejaculation.

(1) Congenital diseases: congenital bladder neck too wide, bladder neck contracture, urethral valve formation, etc., which lead to the inability of the bladder neck to close and retrograde ejaculation.

(2) Surgery and injury: Bladder neck surgery, pelvic surgery, posterior urethral rupture and other injuries can directly damage the bladder neck or damage the nerves that innervate the posterior urethra, causing abnormal function of the bladder neck sphincter and malfunction of closure, resulting in retrograde ejaculation.

(3) Endocrine diseases: such as diabetes can lead to peripheral neuropathy, causing dysfunction of the sympathetic nerve innervation of the lower urinary tract and affecting the bladder neck closure function.