Massage, Qigong, acupuncture, and traditional Chinese and Western medicine treatments for premature ejaculation

> **2.1.2** **Massage Therapy**

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Before going to bed each night, you can use your fingers to massage the area behind the inner and outer ankles of both feet, the Yongquan point on the sole of the foot, and the big toe of both feet in turn. You can also rotate the big toe clockwise and counterclockwise 10 times each. At the same time, you can press acupoints such as Guanyuan, Zhongji, Qihai, and Shenshu.

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> **2.1.3** **Qigong Therapy**

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> ① Breathing method.

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This method is applied before ejaculation. Pause for 1-3 seconds and use the breathing method of inhaling, pressing, grasping, and holding. When inhaling, press the tongue against the roof of the mouth and use reverse abdominal breathing, accompanied by anal contraction. Practice for about 100 days.

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②The method of intentional adherence.

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> a) Focusing on the Dantian Method: Focus your mind on a point 1.5 inches below the navel, and imagine a ring-shaped object inside the lower abdomen.

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This method is suitable for patients with deficiency syndromes.

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> b) Focusing on the Tanzhong point: This involves silently recalling a circular area centered on the Tanzhong point between the breasts, or focusing on the area below the xiphoid process in the solar plexus.

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③Method for consolidating semen.

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> Lie down and focus your mind on the dantian (lower abdomen).

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With palms down, place your left palm on your navel and your right hand on the back of your left hand. Massage clockwise 36 times, then counterclockwise 36 times.

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Then, with your index fingers slightly together and angled, massage from below your heart to the pubic symphysis, centering on your lower abdomen (Dantian). One up and one down counts as one repetition; do a total of 36 repetitions.

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Finally, use both hands to cup the testicles and push them into the groin area next to the pubic bone at the top of the scrotum. Rub the outer skin of the testicles, first on the left and then on the right, for a total of 81 times.

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> a. Western medicine preparations are used, mainly including dextrin and sertraline.

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> b. Reduce glans sensitivity: Apply a topical anesthetic, such as 3% bupivacaine ointment, to the glans penis 5 minutes before intercourse to prolong orgasm by 1-2 minutes.

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Using condoms can reduce penile sensitivity and is an effective way to prevent sexually transmitted diseases. It can also prolong orgasm by 1 to 3 minutes, so the use of condoms during intercourse is recommended.

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> **2.1.4** **Acupuncture**

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Traditional Chinese medicine acupuncture is effective in treating premature ejaculation, based on syndrome differentiation and appropriate acupoint selection.

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Main acupoints: Mingmen (GV4), Guanyuan (CV4), Shenshu (BL23), Qihai (CV6), Zhongji (CV3)

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> Acupuncture points to be added according to symptoms: For deficiency of heart and spleen, add Xinshu (BL15), Shenmen (HT7), Taixi (KI3), Sanyinjiao (SP6), Yinlingquan (SP9), and Zusanli (ST36).

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**2.1.5 Western Medicine Treatment**

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①Currently, drug treatment mainly involves serotonin reuptake inhibitors such as sertraline and paroxetine; and tricyclic antidepressants such as clomipramine and fluoxetine.

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However, all of these medications have certain side effects and must be taken under the guidance of a doctor.

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② Topical medication

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It is primarily a local anesthetic, which can be applied to the glans penis before intercourse to delay the ejaculation latency period through local anesthesia.

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Topical medications include 1% dacronin solution, 1% tetracaine solution, 2% lidocaine gel, and 3% ethyl aminobenzoate.

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After applying local anesthetic, it is not necessary to use a condom.

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If not using a condom, wash off any residual medication from the penis.

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It is important to note that excessively prolonged anesthesia time (30-45 minutes) can lead to loss of erection, because prolonged anesthesia time can cause numbness in the penis in a significant number of people.

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If residual medication is not thoroughly washed off the penis before intercourse (when not using a condom), the spread of the local anesthetic residue can cause numbness in the woman's vaginal wall, reducing sexual pleasure.

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This treatment method is contraindicated if the patient or their sexual partner is allergic to local anesthetic drugs.

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③ Transurethral administration (MUSE)

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> **2.1.6 Traditional Chinese Medicine Prescriptions**

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> ① Take 20 grams of gallnut, simmer over low heat for 30 minutes, then add an appropriate amount of warm water and use the steam to wash the glans penis once every night.

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> From Xiao Zhenhui's "Gallnut Fumigation and Washing Treatment for Premature Ejaculation".

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② Soak 20 grams of cloves and 20 grams of asarum in 100 ml of 95% ethanol for 15 days. Apply the extract to the glans penis. You can have intercourse 3 minutes after applying the medicine.