Seminal Emission and Premature ejaculation:an introduction about its ancient records,etiology and pathogenesis,syndrome differentiation and common syndromes.

Syndromes of Traditional Chinese Medicine. ✵Traditional Chinese medicine has been used for thousands of years. Through thousands of years of practice, it has been proved that Chinese medicine is effective and feasible in treating diseases, preventing diseases and maintaining health. The treatment of diseases with traditional Chinese medicine has saved countless lives. The treatment of diseases in traditional Chinese medicine is macro and comprehensive.

 The theoretical system of traditional Chinese medicine is derived from and guided by long-term clinical practice. Through the analysis of the phenomenon, the internal mechanism is explored. Therefore, this unique theoretical system of traditional Chinese medicine has two basic characteristics, one is the overall-concept, the other is the dialectical treatment.

Seminal Emission:Nocturnal Emission and Spermatorrhea
Seminal Emission:Nocturnal Emission and Spermatorrhea 
 ✵The Seminal Emission refers to the syndrome caused by the deficiency of spleen and kidney, infirm of the essence gate, or excessive fire and dampness heat, which is caused by disturbance of the essence chamber, with symptoms of frequent seminal emission not for sexual intercourse. The pathogenic reasons of this disease is more complicated, basically known as due to intemperance in sexual life(intemperate sexual intercourse), congenital insufficiency or deficiency, overuse of the mind, desire and lust not satisfied, improper diet(eating and drinking without temperance), invasion and affection of heat and dampness, etc. The syndrome of seminal emission in dreams are normally defined as nocturnal emission, the syndrome of seminal emission without a dream, or involuntary seminal emission in wake state is defined as spermatorrhea.

 The seminal emission is a male branch disease, traditional Chinese medicine treatment has better curative effect. It was first recorded in the ancient works Nei Jing.Ling Shu(Ling Shu:the Spiritual Pivot of Huangdi's Internal Classic):it recorded that: Worry too much and think too much will hurt your spirit, the spirit is hurt and you will be afraid, seminal emission unstoppable... Fear could not be relieved will hurt the essence, essence hurt and ache in bones and dysfunction, seminal emission involuntary irregularly.", the etiology of seminal emission was described briefly. The seminal emission syndrome, in the ancient works Jin Kui Yao Lue Fang Lun(the Synopsis of Prescriptions of the Golden Chamber) of the Han dynasty, was named as "Shi Jing(loss of semen)" and "Meng Shi Jing(loss semen in dreams)".

 The later ancient works Lei Zheng Pu Ji Ben Shi Fang(the Effective Prescriptions for Universal Relief) during the Song dynasty formally put forward the name of Yi Jing(spermatorrhea) and Meng Yi(nocturnal emission, wet dreams). The works Danxi Xinfa(Mastery of Medicine by Zhu Danxi) believed that the etiology of seminal emission is out of the kidney deficiency, there are also heat and dampness; Until the Ming dynasty, the understanding of seminal emission gradually improved. As the ancient works Yi Zong Bi Du(the Essential readings for medical professionals) pointed out that the disease of the five Zang-viscera all could include the seminal emission: "if one of the viscera is not proper, turn worse it will hurt the heart and kidney which govern the essence.", the ancient works Jing Yue Quan Shu(the Complete Works of Jing Yue) more comprehensively concluded that there are nine kinds of seminal emission syndromes.

 ✦Etiology and Pathogenesis:

 (1).The Sovereign fire and the ministerial fire prosperous, overwork with the mind, consumption of the heart Yin,(2).Heat and dampness phlegm fire flow downward,(3).Strain injury heart and spleen,(4).Deficiency of the kidney, feeble constitution, or early marriage in youth, excessive sexual intercourse, Or juvenile ignorance, frequent masturbation, resulting in kidney deficiency.

 The onset of this disease is mostly due to intemperance in sexual life(intemperate sexual intercourse), congenital constitution deficiency, overuse of the mind or think too much, improper diet(eating and drinking without temperance), and dampness heat pathogen affection, etc.

 ✦Manifestations: frequent seminal emission Not because of sex intercourse, more than 2 times per week, or seminal emission in sleep with dream, or in sleep without dreams, or have a small amount of semen outflow with urine, in severe case outflow in awake, often accompanied by dizziness, tinnitus(ringing in ears), amnesia(forgetfulness, bad or poor memory), palpitation, insomnia(could not sleep), ache and soft in waist and knees, listlessness(one's spirits are drooping), or difficulty in urine and not free, or swelling and unwell in lower abdomen and genital regions, etc. Due to excessive fatigue, overuse of mind or think too much, indulgence in desire and lust(give up completely to natural impulse, or indulge oneself in carnal pleasure without restraint), motivated by seeing and feeling, spicy food and other factors.

 ✦Identification:(1).Married men involuntary seminal emission not because of their sexual life, or occur in sleep, or in the waking state, more than one time a week; Or unmarried men frequent seminal emission, more than two times a week, accompanied by other symptoms tinnitus(ringing in ears), dizziness, amnesia(forgetfulness, bad or poor memory), insomnia(could not sleep), lassitude(weariness) and lack in strength, ache and soft in lumbar and knees, and lasting over 1 month, could be diagnosed as seminal emission.

 Seminal Emission:Spermatorrhea ✦Syndrome differentiation:

 (1). The difference from the seminal overflow: adult unmarried man, or married couples live apart(separate without a legal divorce), seminal emission 1-2 times in a month, and no uneasy no discomfort or other symptoms the next day, is known as seminal overflow, it is a physiological phenomenon, not pathological. As the ancient works Jing Yue Quan Shu(the Complete Works of Jing Yue) pointed out: "there are mature person with excess and flourishing Qi, gave up sex life for long period but involuntary seminal overflow, this is the condition of fullness and overflow....for the condition it is full and overflowing, which should go will go, and which should generate will generate, comes from the nature, should not worried."

 (2). The difference from the premature ejaculation: the seminal emission is the spontaneous or involuntary discharge of semen without sexual intercourse, and the premature ejaculation is the condition that at the beginning of sexual intercourse, or even before the intercourse, the semen flow out or discharged in advance, which could cause unable to perform normal sexual life.

 (3). The difference from the seminal turbidity: the seminal turbidity refers to the condition that rice-pulp like or paste muddy state things from the urethral opening, itchy and pain in the phallus, in severe case cutting like pain, but the seminal emission is the semen outflow from the urethra and no pain.

 ✦Key points of syndrome differentiation:

 (1).Examination of the Zang and Fu-viscera, "there is a dream sick in the heart, there is no dream sick in the kidney", in general, it means that, overuse the mind and think too much, or distracting thoughts and miscellaneous delusion, the sovereign fire and the ministerial fire are prosperous, seminal emission caused by the dream is mostly due to sick in the heart; Constitution insufficient, overworked in sexual strain(exhaustion due to sexual indulgence), seminal emission without a dream mostly due to sick and deficiency of the kidney. The condition with symptoms insomnia and many dreams, palpitations and upset, mostly from sick in the heart; the condition with symptoms aches and softness in the waist and knees, dizziness and tinnitus(dazzled, vertigo, ringing in ears), mostly from sick in the kidney. But there is an exception, in practice should combine the health condition, the new or chronic state of the condition, as well as the pulse manifestation, for correctly differentiate and identify the syndrome.

 (2).Distinguish the deficiency and excess: at the beginning or initial stage most are excess type, and as time passes, more cases are deficient type. The excess type syndrome with main pathological reasons the sovereign fire and the ministerial fire are prosperous, heat dampness and phlegm fire flow downward, disturb the essence chamber; the deficient type syndrome with main pathological reason kidney deficiency and not firm, exhaustion hurt the heart and spleen.

Common Syndromes of Seminal Emission.
Common Syndromes of Seminal Emission. 
 ✦The common syndromes of seminal emission, are introduced as:

 ✧The seminal emission of the sovereign fire and the ministerial fire prosperous type:

 Symptoms: less sleep and much dreams, seminal emission in dreams, accompanied by heat and upset in the heart(dysphoria with smothery sensation), dizziness and blurred vision, lethargy(fatigue), lassitude and lack in energy, palpitations and restless, fearsome and amnesia(easy to fear, forgetfulness, poor or bad memory), dry mouth, urine short and red, tongue red, pulse fine and rapid.

 ✧The seminal emission of the dampness heat flow downward type:

 Symptom: frequent seminal emission, in a dream or not in a dream, or a few semen passes with urine, urinate hot red and turbid, or urinate difficult and uncomfortable, bitter in mouth or thirsty, upset and little sleep, sores grow in the mouth and tongue, stools are loose and smelly, or epigastric and abdominal oppression, nausea and disgusting, tongue coating yellow greasy, pulse soft and rapid.

 ✧The seminal emission of the strain hurt heart and spleen type:

 Symptoms: seminal in strain state or fatigue, palpitations and restless(uneasy, palpitation), insomnia and amnesia(loss sleep,forgetfulness,poor or bad memory),sallow complexion(looks sallow yellow), limbs drowsiness(lassitude and weariness in legs arms hands feet), reduced appetite(poor appetite,take little food), loose stools, pale tongue, tongue coating thin and white, pulse fine and weak.

 ✧The seminal emission of the kidney deficiency and not solid type:

 Symptom: frequent wet dream(frequent nocturnal emission), even spermatorrhea, ache and soft in waist and knees, pharynx is dry(dry throat), upset(vexed), dizzy tinnitus(dazzled, vertigo, ringing in ears), amnesia(forgetfulness, poor or bad memory), insomnia(loss sleep), low fever and cheek red, shape thin and night sweat, hair falls and tooth shake, tongue is red with little tongue coating, pulse fine and rapid. The case with chronic seminal emission and spermatorrhea, concurrently observed symptoms cold body and cold limbs(cold in arms legs hands feet), impotence and premature ejaculation, frigid semen, nocturnal urine is much or urine little and dropsy, urine color is clear, or dribbling, complexion pallor or white without glory, pale tongue and fresh tongue with teeth marks, tongue coating white and slippery, pulse sinking and fine.

Prognosis of Seminal Emission.
Prognosis of Seminal Emission. 
 ✦ The Prognosis of seminal emission is introduced as:

 ✧The initial stage or beginning of the seminal emission, generally more excess syndromes, if not recovered and lasting, can gradually develop to a deficient syndrome. In the course of pathological development and evolution, there is also syndrome with both deficiency and excess. Yin deficiency case could also with excessive fire, kidney deficiency case could also with dampness heat and phlegm fire. The essence belonging to Yin fluid, so in the initial stage it mainly hurt the kidney Yin, because the essence and Qi mutually generate each other, Yin and Yang mutual root with each other, as a result, the chronic and long-lasting case often with symptoms weakness and deficiency of kidney Qi, lead to kidney Yang weakness and fatigue. Accordingly, seminal emission for a long period, can also observe premature ejaculation concurrently, or lead to impotence. The prognosis of seminal emission is better, but if the invigorating is not appropriate, or loss of treatment, can also extend the syndrome to a chronic case not easily recover, or even develop to asthenia syndrome.

Prevention of Seminal Emission.
Prevention of Seminal Emission. 
 ✦The prevention of seminal emission is introduced as:

 ✧ Pay attention to regulate the mind, eliminate distracting thoughts, this is especially important for those who have delusions, desire not satisfied, this is both preventive measures and its content. At the same time, sexual activity should be abstinent, abstain from masturbation, pay attention to daily life, avoid mental and physical overwork, dinner should not be too full, develop the habit of lying on one's side, bedding should not be overweight, underwear should not be too tight, to reduce local stimulation, and should eat less spicy stimulating food.

Premature Ejaculation.
Premature Ejaculation. 
 ✦The premature ejaculation refers to the discharge of sperm at the beginning of sexual intercourse, even before sexual intercourse, it is a disease state characterized by ejaculation of semen immediately after or even prior to the penetration. The premature ejaculation was recorded early in the ancient works Bian Zheng Lu(syndrome differentiation records), the premature ejaculation is often observed with seminal emission, impotence.

 ✧Sexual strain(exhaustion due to sexual indulgence), frequent masturbation, exhaust the essence, and kidney essence depletion, kidney Yin deficiency, the ministerial fire is hyperactive, disturb the essence chamber, lead to premature ejaculation; Congenital constitution is deficient, seminal emission for a long period, Yin hurt affect the Yang, lead to kidney Yin and kidney Yang both deficient, the essence gate is not solid, also lead to premature ejaculation. The syndrome differentiation of premature ejaculation is including Yin deficiency fire flourishing and Yin and Yang deficiency. The treatment should mainly by nourishing Yin, invigorate the kidney and nourishing the essence, for the case with fire prosperous should eliminate the internal heat, for the case with Yang deficiency should warming kidney Yang.

Common Syndromes of Premature Ejaculation.
Common Syndromes of Premature Ejaculation. 
 ✦The Common Syndromes of Premature Ejaculation are introduced as:

 ✧The Premature Ejaculation of the Yin Deficiency and Fire Excess Type:

 Symptoms: lust desire affect timely, easily erect, or erect but not hard, premature ejaculation in intercourse, wet dream(nocturnal emission) and spermatorrhea, ache and soft in waist and knees, five frustrating heat, dizziness and blurred vision(vertigo, swimming), palpitations and tinnitus, dry mouth and dry pharynx(dry throat), red tongue and little tongue coating, pulse fine and rapid.

 ✧The Premature Ejaculation of the Yin and Yang Deficiency Type:

 Symptoms: seminal emission for a long time, aversion to cold and cold in limbs(fear cold, cold in arms legs hands and feet), pallor complexion without glory(looks white, no glory), short of breath and lack in strength(gasp for breath or panting, weakness), ache and soft in waist and knees, impotence and little semen, urine clear and long, much urine at night, pale tongue, tongue coating thin and white, pulse sinking fine and weak.

Prevention of Premature Ejaculation.
Prevention of Premature Ejaculation. 
 ✦The prevention of Premature Ejaculation is introduced as:

 ✧The severe condition of premature ejaculation can be accompanied by impotence, impotence is often accompanied by premature ejaculation, the treatment should reference mutually. Husband and wife should temporarily separate and mutual care and consideration, abstain from masturbation, relieve tension and nervous emotions, practice appropriate physical exercise, has an important effect in the treatment of premature ejaculation.

References:
  • 1.Seminal Emission and Premature ejaculation:an introduction about its ancient records,etiology and pathogenesis,syndrome differentiation and common syndromes.
  • 2.Ling Shu:the Spiritual Pivot of Huangdi's Internal Classic.By 黄帝(the Yellow Emperor).
  • 3.Su Wen:the Plain Questions of Huangdi's Internal Classic..By 黄帝(the Yellow Emperor).
  • 4.Jin Kui Yao Lue Fang Lun:the Synopsis of Prescriptions of the Golden Chamber.By 张仲景(Zhāng Zhòngjǐng),王叔和(Wáng Shūhé),林亿(Lín Yì),高宝衡(Gāo Bǎohéng).
  • 5.Zhu Bing Yuan Hou Lun:the General Treatise on the Cause and Symptoms of Diseases.By 巢元方(Cháo Yuánfāng)
  • 6.Lei Zheng Pu Ji Ben Shi Fang(the Effective Prescriptions for Universal Relief).By 许叔微(Xǔ Shūwēi)
  • 7.Danxi Xinfa:the Mastery of Medicine.By 朱丹溪(Zhū Dānxī).
  • 8.Yi Zong Bi Du:the Essential readings for medical professionals.By 李中梓(Lǐ Zhōngzǐ)
  • 9.Jing Yue Quan Shu:the Complete Works of Jing Yue.By 张景岳(Zhāng Jǐngyuè).
  • 10.Zheng Zhi Yao Jue:the key to diagnosis and treatment.By 戴元礼(Dài Yuánlǐ).
  • 11.Ming Yi Za Zhu:the collection of experiences of famous physicians in the Ming Dynasty.By 王纶(Wáng Guān).
  • 12.Yi Guan:the Key Link of Medicine.By 赵献可(Zhào Xiànkě).

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