Help about nocturnal ejaculation - and the pain that follows

[Guest guest]

Hello from America,

 

I'm fairly new to this chat site however, I have fairly demonstrable success

with my patients who have marked symptoms with premature ejaculation, as well as

other hormonal disorders and GU disorders such as interstitial cystitis.

 

I have found that integrating other modalities has allowed me the freedom of

making choices as to what would work best for my patients. Over the course of

time; and I have been practicing 17+ yrs., I have learned to resolve allergies,

nervous system disorders, arthritis, and a host of autoimmune disorders and

demyelinating disorders (early-middle stage multiple sclerosis).

 

In attempt to address your problem with premature ejaculation, it is good to

understand some things about the nervous system as well as the endocrine system.

 

At this point it is difficult for me to offer a difinitive TCM diagnosis, as I,

like many other practitioners who share my observation, believe TCM is one facet

of healing and like other modalities, has its limitations. Nonetheless, I will

attempt to share some information and hope it will help.

 

The central nervous system (CNS) is comprised of many glands such as the

hypothalamus, thalamus, pituitary, pineal, etc. These glands work together to

tranmit information to other systems outside of the CNS, such as the endocrine,

digestive, reproductive, respirtory, etc. and their particular end site such as

the adrenals, pancreas, gonads, etc. This information travels via energetic

impulses over synaptic connections t/o the body from the brain to the end organ.

This is known as efferent signals. These signals either facilitate the

production of hormones, enzymes, acids, etc. for instance, or slows down the

synthesis of these products. This all depends on how the brain determines the

need.

 

When mislabeling of signals occurs either within the CNS or outside in the

peripheral nervous system, symptoms occur. Anything can cause mislabling: a

transmission problem (too fast, too slow), a signal traveling on the wrong track

(to the wrong end organ), the incorrect synthesis of the product being produced

(too much, not enough, quality), a growth or tumor, and any number of other

possibilities. For testosterone to be produced, the hypothalmus and the

pituitary glands in the CNS must be working optimally. If this is not the case,

pre-mature ejaculation certainly could occur.

 

There are other things to think about like receptors. Receptors are located t/o

the entire body: pain receptors, thermal receptors, chemo receptors, stretch

receptors, etc. If at any time, a receptor bonds to the incorrect

chemical/antigen (which produces the pain, stretch, heat, cold, etc.), symptoms

occur. This too could be creating your problem.

 

At this time, you are demonstrating increased symptoms such as pain and obvious

signs of kidney involvement and I would highly suggest you consider seeing a

genitourinary specialist or endocrinologist for a workup -just to rule out

anything serious.

 

I have had magnificent training in a technique called JMT. This has enabled me

to quantum leap beyond an average OMD. Through JMT, I have learned about all the

aformentioned, homeopathy, detox and drainage. The results of the training are

outstanding. I am able to resolve osteoarthritis in 3 txs., as well as

fibromyalgia, MS, rheumatoid arthritis and a host of other chronic and complex

health conditions. I can cure any allergy in ten minutes, as well as muscle pain

in less than 15 minutes - 1 treatment. I highly suggest any and all TCM

practitioners consider getting trained in JMT - it is taught by a Dr. of

acupuncture, Ph.D. naturopath.

 

Their website is www.jmttechnique.com

 

I do wish you well on your journey back to optimal health. I will share more as

the chatters indicate.

 

Thank you for this terrific chat site.

Acudoctor5

[Guest guest]

Hi Henrik

 

Longterm premature ejaculation usually has sausal or associated

physical (material/organic), psychological, and possibly spiritual

aspects. Its successful treatment may be difficult unless all three

levels can be addressed. Highly skilled TCM physicians would

attempt to address all aspects, especially if they match any of the

classical TCM Patterns (syndromes).

 

IMO, any " therapist " that prescribes herbs or jabs needles before

he/she listens to the full story and does a thorough systematic

exam is a charlatan.

 

Your story suggests much more than ejaculatio praecox and

physical pain to me. Do not lose heart, a really good therapist can

probably help you. IMO, you need to see a very experienced

physician who is also experienced in acupuncture, TCM herbalism,

stress-management and disorders of the psyche.

 

Also, see the article on male problems at

http://homepage.tinet.ie/~progers/gu3c.htm

 

and begin routine massage or DIY indirect moxibustion for 5-10

minutes/day at acupoints selected from BL23, BL32, CV03, BL33,

CV04, SP06, SP09.

 

For the perineal/scrotal/anal itch/pain, add massage at BL30,

GV20, BL57.

 

As magnesium supplements may have a role to play in treating

premature ejaculation, you may wish to take 10g MgSO4 (Epsom

Salts) per day for 1-2 weeks (if it does not cause diarrhoea). If 10 g

causes diarrhoea, reduce the dose to 5 g/day

 

It is most important not to lose heart. Every human being has

SOME problem(s). Please contact me OFF-LIST if you want me to

ask Danish colleagues to recommend a top-class therapist.

Best of luck,

Phil

 

See Medline references to effective treatments for premature

ejaculation, below.

 

Alpha-1 blockade pharmacotherapy in primitive psychogenic

premature ejaculation resistant to psychotherapy. | Cavallini,-G |

Eur-Urol. 1995; 28(2): 126-30 JN: European-urology IS: 0302-2838

LA: English | alpha 1-Blocking agents (alphuzosine and

terazosine) have been tested to determine their effectiveness over a

placebo in the treatment of premature ejaculation. A total of 91

patients, all of whom were resistant to psychological therapy, were

submitted to a double-blind controlled cross-over trial. Side effects

were recorded as well. Alphuzosine and terazosine proved effective

in approximately 50% of the cases and were, thus, significantly

more active than the placebo; moreover no significant difference

was found between them in terms of side effects. It is concluded

that alpha 1 blockers are reasonably safe active drugs, effective in

the treatment of premature ejaculation which does not respond to

the psychological approach. RO: National-Library-of-Medicine AN:

8529737

 

An in vivo evaluation of the therapeutic potential of sympatholytic

agents on premature ejaculation. | Hsieh,-J-T; Liu,-S-P; Hsieh,-C-H;

Cheng,-J-T | BJU-Int. 1999 Sep; 84(4): 503-6 JN: BJU-international

IS: 1464-4096 LA: English | OBJECTIVE: To evaluate the

therapeutic potential of sympatholytic agents on premature

ejaculation in an animal model, using monitoring of rat seminal

vesicle pressure change in response to electrical stimulation of the

lesser splanchnic nerve. MATERIALS AND METHODS: Male

Wistar rats (aged 12-14 weeks) were injected intra-arterially with

sympatholytic agents (phenoxybenzamine, prazosin, WB-4101,

chloroethylclomidine, yohimbine and RX 821002) at various

concentrations 10 min before electrical stimulation of the lesser

splanchnic nerve. The change in phasic tension (triangle upmmHg)

of the seminal vesicle induced by electrical nerve stimulation before

and after the addition of sympatholytic agents was used for

statistical analysis. The maximum inhibition and the concentration

required to induce 50% inhibition of the maximal contractile

response (IC50) were obtained from the concentration-response

curves, and used to determine the potency of test agents.

RESULTS: The seminal vesicle contractile response to electrical

nerve stimulation was suppressed in a dose-dependent manner by

all test drugs except RX 821002. The mean (sd) maximal inhibition

was 78.4 (9. 3)% by 0.03 mg/kg of phenoxybenzamine, 77.1

(10.1)% by 0.03 mg/kg of WB-4101, 73.4 (6.0)% by 0.1 mg/kg of

yohimbine, 67.9 (9.7)% by 0.1 mg/kg of prazosin, 75.5 (7.5)% by 3

mg/kg of chloroethylclomidine and 25.3 (4.8)% by 0.01 mg/kg of

RX 821002. The potencies of WB-4101 (IC50 3 microgram/kg) and

yohimbine (IC50 0.8 microgram/kg) were similar to that of

phenoxybenzamine (IC50 0.5 microgram/kg) and much higher than

that of prazosin (IC50 0.03 mg/kg) or chloroethylclomidine (IC50

0.3 mg/kg). CONCLUSIONS: Phenoxybenzamine, prazosin, WB-

4101, chloroethylclomidine and yohimbine all inhibit the contractile

response of the rat seminal vesicle to electrical nerve stimulation.

As phenoxybenzamine is effective in treating premature

ejaculation, the comparable in vivo potencies of WB-4101 and

yohimbine strongly suggest that they have clinical therapeutic

potential. RO: National-Library-of-Medicine AN: 10468770

 

An open clinical trial of fluoxetine in the treatment of premature

ejaculation. | Lee,-H-S; Song,-D-H; Kim,-C-H; Choi,-H-K | J-Clin-

Psychopharmacol. 1996 Oct; 16(5): 379-82 JN: Journal-of-clinical-

psychopharmacology IS: 0271-0749 LA: English | There have

been an increased number of recent reports on orgasm-related

sexual dysfunction coincident with selective serotonin reuptake

inhibitor (SSRI) treatment. In contrast, it has also been reported

that SSRIs improve sexual dysfunction. Low doses of clomipramine

and paroxetine, potent 5-hydroxytryptamine reuptake blockers,

have been found to retard ejaculation time. We hypothesized that

the SSRI fluoxetine might be effective in treating premature

ejaculation. In an 8-week open-label clinical study, 11 male

patients with premature ejaculation were treated with fluoxetine.

After a washout period of 2 weeks, each patient was assigned to

receive fluoxetine, 20 mg/day for 2 weeks, and then titrated to 60

mg/day, depending on the patient's tolerability and clinical

response. A within-subjects comparison of pre- and posttreatment

intravaginal ejaculation latency time revealed a significant

improvement. Fluoxetine treatment produced significant

improvements in self-visual analogue scale scores for sexual

desire, anxiety for rapid ejaculation, and partner's satisfaction with

ejaculation and overall sexual function. These data suggest that

serotonergic antidepressants may be effective in treating rapid

ejaculation in men and underline the need to carry out a double-

blind, placebo-controlled trial to confirm these results. RO:

National-Library-of-Medicine AN: 8889910

 

Antidepressants in the treatment of premature ejaculation. | Balon,-

R | J-Sex-Marital-Ther. 1996 Summer; 22(2): 85-96 JN: Journal-of-

sex-and-marital-therapy IS: 0092-623X LA: English | The SSRI

antidepressants have emerged as effective new treatment for

patients with premature ejaculation whether or not these patients

suffer from depression. Clomipramine, fluoxetine, paroxetine, and

sertraline seem to be a safe treatment option for patients with

premature ejaculation, especially in cases of failed psychological

treatment, in rejection of psychological treatment, and when

partners are unwilling to cooperate in treatment. Further controlled

and larger studies that focus on clinically relevant issues such as

dose, length of treatment, maintenance of beneficial effects after

treatment discontinuation, and the combination of pharmaco- and

behavior therapy for premature ejaculation are warranted. Other

medications, such as benzodiazepines, may be useful in some

cases of premature ejaculation. RO: National-Library-of-Medicine

AN: 8743620

 

Association of sexual problems with social, psychological, and

physical problems in men and women: a cross sectional population

survey. | Dunn,-K-M; Croft,-P-R; Hackett,-G-I | J-Epidemiol-

Community-Health. 1999 Mar; 53(3): 144-8 JN: Journal-of-

epidemiology-and-community-health IS: 1470-2738 LA: English |

STUDY OBJECTIVE: To investigate the association of sexual

problems with social, physical, and psychological problems.

DESIGN: An anonymous postal questionnaire survey. SETTING:

Four general practices in England. PARTICIPANTS: 789 men and

979 women responding to a questionnaire sent to a stratified

random sample of the adult general population (n = 4000). MAIN

RESULTS: Strong physical, social, and psychological associations

were found with sexual problems. In men, erectile problems and

premature ejaculation were associated with increasing age.

Erectile problems were most strongly associated with prostate

trouble, with an age adjusted odds ratio of 2.6 (95% confidence

intervals 1.4, 4.7), but hypertension and diabetes were also

associated. Premature ejaculation was predominantly associated

with anxiety (age adjusted odds ratio 3.1 (95% confidence intervals

1.7, 5.6)). In women, the predominant association with arousal,

orgasmic, and enjoyment problems was martial difficulties, all with

odds ratios greater than five. All female sexual problems were

associated with anxiety and depression. Vaginal dryness was

found to increase with age, whereas dyspareunia decreased with

age. CONCLUSIONS: This study indicates that sexual problems

cluster with self reported physical problems in men, and with

psychological and social problems in women. This has potentially

important consequences for the planning of treatment for sexual

problems, and implies that effective therapy could have a broad

impact on health in the adult population. RO: National-Library-of-

Medicine AN: 10396490

 

Clinical study of SS-cream in patients with lifelong premature

ejaculation. | Choi,-H-K; Jung,-G-W; Moon,-K-H; Xin,-Z-C; Choi,-Y-

D; Lee,-W-H; Rha,-K-H; Choi,-Y-J; Kim,-D-K | Urology. 2000 Feb;

55(2): 257-61 JN: Urology- IS: 1527-9995 LA: English |

OBJECTIVES: To investigate the clinical efficacy of SS-cream, the

topical agent made from the extracts of nine natural products for

the treatment of premature ejaculation, we performed a double-

blind, randomized, placebo-controlled Phase III clinical study of

patients with lifelong premature ejaculation in three medical

centers. METHODS: One hundred six patients (mean age 38.7 +/-

0.61 years) completed this study. The ejaculatory latency

measured by stopwatch and sexual satisfaction ratio of both

partner and patient were investigated twice in the screening period

and once after each treatment (1 placebo 0.20 g and 5 SS-cream

0.20 g for a total of six treatments). Patients were instructed to

apply the cream on the glans penis 1 hour before sexual

intercourse in a double-blind randomized fashion. Clinical efficacy

was compared with the prolongation of ejaculatory latency and

improvement of the sexual satisfaction ratio before and after each

treatment. RESULTS: In the screening period, the mean

ejaculatory latency was assessed at 1.37 +/- 0.12 minutes, and

neither the patients nor their partners were satisfied with their

sexual lives. After treatment, the mean ejaculatory latency was

prolonged to 2.45 +/- 0.29 minutes in the placebo group and 10.92

+/- 0.95 minutes in the SS-cream group. The clinical efficacy of

placebo and SS-cream as judged by an ejaculatory latency time

prolonged more than 2 minutes was 15.09% and 79.81%,

respectively. The improvement of sexual satisfaction to a grade

higher than effective was 19.81% and 82.19%, respectively, for

placebo and SS-cream. Of 530 trials of SS-cream, 98 (18.49%)

resulted in a sense of mild local burning and mild pain. No adverse

effect on sexual function or partner and no systemic side effects

were observed. CONCLUSIONS: According to these results, SS-

cream is effective and safe in the treatment of premature

ejaculation, with mild local side effects. RO: National-Library-of-

Medicine AN: 10688090

 

Clomipramine and sexual function in men with premature

ejaculation and controls. | Haensel,-S-M; Rowland,-D-L; Kallan,-K-T

| J-Urol. 1996 Oct; 156(4): 1310-5 JN: Journal-of-urology,-The IS:

0022-5347 LA: English | PURPOSE: We determined whether

clomipramine taken as needed increases ejaculation latency in

men with premature ejaculation and controls. MATERIALS AND

METHODS: The study included 8 patients with primary premature

ejaculation, 6 with premature ejaculation and erectile dysfunction,

and 8 controls. A prospective, double-blind, placebo controlled,

crossover design was used that included 2, 3-week periods with

clomipramine and placebo. During treatment phases subjects took

either 25 mg. clomipramine or placebo as needed, that is 12 to 24

hours before anticipated sexual activity (coitus or masturbation).

Subjects also visited the laboratory during these phases for

evaluation of sexual response using visual erotic stimulation with

and without vibration to the penis. Daily logs of sexual activities

were maintained during treatment phases. RESULTS:

Clomipramine significantly increased the latency to ejaculation

during sexual activity (coitus or masturbation) from approximately 2

to 8 minutes in men with primary premature ejaculation. There were

no significant effects in controls and men with premature

ejaculation plus erectile dysfunction. Laboratory assessment

indicated that men with primary premature ejaculation were better

able to control ejaculatory response with clomipramine therapy. In

these men clomipramine also resulted in increased satisfaction

with sex life and relationship. Clomipramine inhibited nocturnal

penile tumescence in all subjects. CONCLUSIONS: Clomipramine

(25 mg. as needed) effectively increases ejaculatory latency in men

with primary premature ejaculation, while treatment is not effective

in those with premature ejaculation and erectile dysfunction. RO:

National-Library-of-Medicine AN: 8808861

 

Clomipramine for obsessive-compulsive disorder. | Feinberg,-M |

Am-Fam-Physician. 1991 May; 43(5): 1735-8 JN: American-family-

physician IS: 0002-838X LA: English | Obsessive-compulsive

disorder affects about 2 percent of the U.S. population and can be

quite disabling. Clomipramine is the only drug approved for the

treatment of obsessive-compulsive disorder. Its efficacy is unique

among tricyclic antidepressants and may be related to its relatively

high potency in affecting serotonergic neurotransmission. The drug

has many anticholinergic effects, but it is relatively well tolerated

by the patients for whom it is effective. A 0.4 percent incidence of

seizures, a potentially serious side effect, has been observed.

Other antidepressants that are relatively selective for serotonergic

(as opposed to noradrenergic) transmission may be as effective as

clomipramine in the treatment of this disorder; controlled studies

are under way. Clomipramine at low doses is also effective in the

treatment of panic disorder and has been used successfully in the

treatment of premature ejaculation. RO: National-Library-of-

Medicine AN: 2021107

 

Comparative tolerability and efficacy of treatments for impotence. |

Meinhardt,-W; Kropman,-R-F; Vermeij,-P | Drug-Saf. 1999 Feb;

20(2): 133-46 JN: Drug-safety-an-international-journal-of-medical-

toxicology-and-drug-experience IS: 0114-5916 LA: English |

Modern pharmacological treatment of impotence is determined by

the presenting symptoms. Since this involves symptomatology with

a heterogenous aetiology, many different drugs are involved in the

treatment of impotence. Drugs used for libido and arousal problems

include testosterone, yohimbine, trazodone and apomorphine.

Since patient self-assessment is the only parameter that can be

used to measure the result of treatment and positive results are

seldom affirmed, no positive benefit of these agents can be

assumed at present. Oral medications for erectile dysfunction

include yohimbine, trazodone, apomorphine, phentolamine,

arginine and sildenafil. Of these drugs, sildenafil has been the most

systematically studied for effectiveness, but long term safety data

await the results of post-marketing surveillance. Of the ejaculation

disorder therapies, treatments for premature ejaculation are the

best studied. Favourable results have been obtained with

clomipramine, paroxetine and fluoxetine. The safety of these

medications has been assessed through their long term use in

psychiatry. Intracavernous self-injections for erectile disorders are

performed using a variety of drugs and drug mixtures. Only

alprostadil and the combination of papaverine with phentolamine

are widely used. Alprostadil is very well tolerated; however, penile

pain is a serious problem in a significant proportion of patients.

Papaverine in combination with phentolamine is effective, but penile

fibrosis and priapism occur more often than with the use of

alprostadil. Several new developments in this area are currently

under way. Alternative routes for medication for erectile dysfunction

include ointments and patches to the penile skin and the glans.

Only transurethral alprostadil, 'MUSE' (medicated urethral system

for erection) has been shown to be effective in large trials. Long

term safety still has to be demonstrated, but the 1-year safety

profile is encouraging. In general, the end points of impotence

treatment studies are very diverse so efficacy data can only be

assessed in comparative studies. However, long term comparison

studies have not been performed. Safety demands must be set

very high for this type of treatment since the disorders being

treated present no threat to the patient's health. RO: National-

Library-of-Medicine AN: 10082071

 

Comparison of the efficacy of fluoxetine alone vs. fluoxetine plus

local lidocaine ointment in the treatment of premature ejaculation. |

Atan,-A; Basar,-M-M; Aydoganli,-L | Arch-Esp-Urol. 2000 Nov;

53(9): 856-8 JN: Archivos-espanoles-de-urologia IS: 0004-0614

LA: English | OBJECTIVE: The present study compares the

efficacy and side effects of fluoxetine alone vs. fluoxetine plus local

lidocaine ointment in the treatment of premature ejaculation.

METHODS: Forty-three patients suffering from premature

ejaculation were studied. The exclusion criteria were erectile

dysfunction, loss of libido, alcohol and substance abuse, mental

retardation, diabetes mellitus, thyroid disease, hypotension,

previous use of these drugs and urogenital infections. The patients'

ages ranged from 19 to 48 years (mean age 28 +/- 1.6). They had

regular sexual lives. They had normal psychiatric consultation and

the Glombock Rast Sexual Satisfactory Test (GRISS) psychiatric

test were in accordance with premature ejaculation. RESULTS:

The patients were assigned to two groups. Twenty-six patients,

aged 21 to 36 years (mean age 27), received only fluoxetine 20

mg/day (1 capsule) for a week which was later increased to 40

mg/day (2 capsules). Seventeen patients, aged 19 to 48 years

(mean age 31), were given fluoxetine 20 mg/day plus local

application of lidocaine ointment. The patients and partners were re-

evaluated 8 weeks after the treatment. The results were classified

as unsuccessful, improvement and cure. The chi-square test was

used for statistical analysis. In the fluoxetine group, 8 (30.8%)

patients cured, 11 (42.2%) showed improvement and there were 7

failures (26.9%). In the combination treatment group, 9 (52.9%)

patients cured, improvement was observed in 5 (29.4%) and failure

in 3 (17.6%). Side effects in group I were observed in 6 patients

(23%) and in 5 (29.4%) in group II. There were no statistical

differences between the two groups according to the side effects (p

> 0.01). No patients were excluded from the study due to side

effects. CONCLUSION: The combination of fluoxetine plus local

application of lidocaine ointment was found to be more effective

than fluoxetine alone in the treatment of premature ejaculation.

However, the results should be confirmed in further studies with a

placebo group to rule out the placebo effect. RO: National-Library-

of-Medicine AN: 11196396

 

Diagnosis and treatment of male sexual dysfunction. | LoPiccolo,-J

| J-Sex-Marital-Ther. 1985 Winter; 11(4): 215-32 JN: Journal-of-sex-

and-marital-therapy IS: 0092-623X LA: English | This paper

presents a critical review of recent work on diagnosis and treatment

of male sexual dysfunction. One recent advance has been a focus

on low sexual desire in males. Hormonal disorders are relatively

uncommon in such men, with family-of-origin and couple-dynamic

issues usually cited in the clinical literature as major etiologic

factors. Recent work on erectile failure has focused on differential

diagnosis of physiological and psychological factors in erectile

failure. To date, no simple differential diagnostic procedure has

been identified, and a complex and expensive multidimensional

evaluation is required for accurate diagnosis. Treatment for

premature ejaculation continues to be very effective, but an

understanding of the mechanism underlying treatment effectiveness

has remained elusive. The cause of inhibited ejaculation also

continues to be unclear, although medication side effects have

been recognized as a common contributing factor. Across all the

male dysfunctions, clinical reports have outweighed empirical

studies in the recent literature. Heterogeneity of patient groups,

lack of objective outcome measures, lack of control groups, and

other basic methodological problems, continue to plague this area

of research. RO: National-Library-of-Medicine AN: 3908695

 

Effective daily treatment with clomipramine in men with premature

ejaculation when 25 mg (as required) is ineffective. | Rowland,-D-L;

De-Gouveia-Brazao,-C-A; Koos-Slob,-A | BJU-Int. 2001 Mar; 87(4):

357-60 JN: BJU-international IS: 1464-4096 LA: English |

OBJECTIVE: To determine whether men with premature ejaculation

who fail to respond to 25 mg clomipramine as needed improve

when taking 10-30 mg clomipramine daily. SUBJECTS AND

METHODS: Four men with premature ejaculation whose

ejaculation latencies increased minimally or not at all when taking

25 mg clomipramine as needed participated in a prospective 12-

week study consisting of four treatment phases, beginning with

baseline (0 mg) and progressing through increasing daily doses of

10, 20, and 30 mg clomipramine. The subjects maintained daily

logs of their sexual activities and estimated their ejaculatory

response, sexual arousal and penile rigidity during intercourse. The

subjects were contacted 8-15 weeks after the experiment to

assess their satisfaction with and continued use of clomipramine.

RESULTS: There was a dose-response effect on ejaculatory

latency with increasing levels of clomipramine; 30 mg increased

the latency from 25 s to 220 s, a clinically significant increase. In

addition, 30 mg taken daily was significantly more effective than 25

mg as required. Other variables of sexual response (sexual

interest, arousal and penile rigidity) were unaffected. At follow-up all

four subjects expressed satisfaction and three continued the dose.

CONCLUSION: Men with premature ejaculation who do not

respond to clomipramine 'as required' are probably not insensitive

to pharmacological treatment, but may simply require higher doses

or a different regimen. All four subjects improved when taking daily

clomipramine at varying doses. These results suggest that if initial

treatment is unsuccessful, 20-30 mg daily clomipramine should be

considered. RO: National-Library-of-Medicine AN: 11251530

 

Efficacy and safety of fluoxetine, sertraline and clomipramine in

patients with premature ejaculation: a double-blind, placebo

controlled study. | Kim,-S-C; Seo,-K-K | J-Urol. 1998 Feb; 159(2):

425-7 JN: Journal-of-urology,-The IS: 0022-5347 LA: English |

PURPOSE: We compared the efficacy and safety of fluoxetine,

sertraline, clomipramine and placebo for the oral pharmacotherapy

of premature ejaculation. MATERIALS AND METHODS: The study

included 36 men (mean age 44 years) who had intravaginal

ejaculation latency of less than 2 minutes. Patients took each of 3

drugs and the placebo consecutively during a 4-week period per

each agent. Efficacy and side effects data were obtained by a self-

reported patient questionnaire that rated intravaginal ejaculation

latency, sexual satisfaction of patient and partner, and possible

side effects. RESULTS: After 4 weeks of treatment with placebo,

fluoxetine, sertraline and clomipramine the mean intravaginal

ejaculation latency time was significantly increased from 46

seconds to 2.27 minutes, 2.30 minutes, 4.27 minutes and 5.75

minutes, respectively (all p <0.01). However, treatment with

clomipramine or sertraline caused a greater increase in mean

intravaginal ejaculation latency time than fluoxetine or placebo (p

<0.01). Patient sexual satisfaction rate after treatment with

clomipramine was significantly higher (p <0.05) than with sertraline,

fluoxetine or placebo. Partner sexual satisfaction rate was also

higher with clomipramine than with sertraline or fluoxetine but no

statistical difference was found. The incidence of side effects with

clomipramine was significantly higher (p <0.05) compared to that of

fluoxetine, sertraline and placebo, while no significant difference

among sertraline, fluoxetine and placebo was noted.

CONCLUSIONS: In men with premature ejaculation clomipramine

was the most useful drug in terms of efficacy. Treatment with

sertraline was nearly as effective and had a lower incidence of side

effects. RO: National-Library-of-Medicine AN: 9649255

 

Fluoxetine and premature ejaculation: a double-blind, crossover,

placebo-controlled study. | Haensel,-S-M; Klem,-T-M; Hop,-W-C;

Slob,-A-K | J-Clin-Psychopharmacol. 1998 Feb; 18(1): 72-7 JN:

Journal-of-clinical-psychopharmacology IS: 0271-0749 LA:

English | The purpose of this study was to investigate the effect of

fluoxetine on sexual function in men with premature ejaculation

and/or erectile dysfunction and control subjects in a prospective,

double-blind, placebo-controlled, crossover study. There were four

groups: (1) premature ejaculation (PE, N = 9); (2) premature

ejaculation and erectile dysfunction (PE/ED, N = 9); (3) erectile

dysfunction (ED, N = 7); and (4) healthy, sexually functional control

subjects (N = 15). The study consisted of three 4-week periods:

fluoxetine, washout, and placebo (or vice versa). Fluoxetine began

at 5 mg/day for 2 weeks, followed by 10 mg/day for 2 weeks. At

weeks 0, 4, 8, and 12, subjects visited the laboratory for evaluation

of sexual function and assessment of erectile response,

ejaculation, and sexual arousal to visual erotic stimulation without

and with concomitant vibrotactile stimulation to the penis. At home,

daily logs for sexual activities and feelings of well-being were

maintained, and nocturnal penile tumescence was measured. The

latency to ejaculation increased significantly in the PE/ED group (p

= 0.03) and in the PE and the PE/ED group taken together (p =

0.007) but not in the PE group alone. Fluoxetine stimulated

objectively but not subjectively measured erectile response during

laboratory assessment in all groups. No major side effects were

reported. In conclusion, fluoxetine (5-10 mg/day) was effective in

increasing latency to ejaculation in patients with PE (PE and

PE/ED groups combined). RO: National-Library-of-Medicine AN:

9472846

 

Group vs. couple treatment of sexual dysfunctions. | Golden,-J-S;

Price,-S; Heinrich,-A-G; Lobitz,-W-C | Arch-Sex-Behav. 1978 Nov;

7(6): 593-602 JN: Archives-of-sexual-behavior IS: 0004-0002 LA:

English | Results of a study comparing the effectiveness of two

formats for treating men with premature ejaculation and their female

partners with orgasmic dysfunctions are described. In one

treatment format, a couple was treated by a male and female

cotherapy team once a week for 12 sessions. In the second

treatment format, which also consisted of 12 weekly sessions,

three or four couples were treated simultaneously in a group led by

a cotherapy team. The five couples treated alone and the ten

couples treated in the group format all received a standardized

therapy program consisting of sex education, attitude restructuring,

and specific suggestions for acquiring ejaculatory control for the

men and an increased range of orgasmic response for the females.

The results showed significant improvement for couples in both

treatment formats. The group format initially showed a slight

tendency toward more rapid progress than did the couple format,

but by the 2-month follow-up there were no significant differences.

The study demonstrates that couple group treatment is a cost-

effective means for treating common male and female sexual

problems. RO: National-Library-of-Medicine AN: 742968

 

In vivo evaluation of serotonergic agents and alpha-adrenergic

blockers on premature ejaculation by inhibiting the seminal vesicle

pressure response to electrical nerve stimulation. | Hsieh,-J-T;

Chang,-H-C; Law,-H-S; Hsieh,-C-H; Cheng,-J-T | Br-J-Urol. 1998

Aug; 82(2): 237-40 JN: British-journal-of-urology IS: 0007-1331

LA: English | OBJECTIVE: To evaluate the effect of drugs on

premature ejaculation using a rat animal model in which the

seminal vesicle was electrically stimulated via its lesser splanchnic

nerve and changes in the pressure response monitored.

MATERIALS AND METHODS: Male Wistar rats (aged 12-14

weeks) were injected intravenously with prazosin and serotonergic

agents (serotonin, clomipramine, fluoxetine, imipramine and

indatraline) at various concentrations 10 min before electrical nerve

stimulation (ENS) of the lesser splanchnic nerve; the initial

increase in seminal vesicle pressure in response to ENS was then

compared. RESULTS: The pressure response to ENS was reduced

in the presence of prazosin or serotonergic agents. The mean

(SEM) maximum inhibition values were 84.1 (8.9%) by fluoxetine at

0.1 mg/kg, 67.9 (8.7)% by prazosin at 0.1 mg/kg, 60.9 (11.0)% by

serotonin at 3 mg/kg, 54.9 (4.6)% by clomipramine at 3 mg/kg,

30.0 (11.0)% by imipramine at 0.1 mg/kg, and 20.9 (4.3)% by

indatraline at 0.1 mg/kg. From the concentration-response curve,

the potency of prazosin was lower than that of fluoxetine, but was

higher than that of serotonin or clomipramine. CONCLUSIONS:

Like serotonin, fluoxetine and clomipramine can reduce the

pressure response of the seminal vesicle to ENS. Among these

inhibitory agents, including prazosin, fluoxetine was the most

effective and may be valuable for the clinical treatment of

ejaculatory dysfunction in man. RO: National-Library-of-Medicine

AN: 9722759

 

Intracavernous injection during diagnostic screening for erectile

dysfunction; five-year experience with over 600 patients. | Slob,-A-

K; Verhulst,-A-C; Gijs,-L; Maksimovic,-P-A; van-der-Werff-ten-

Bosch,-J-J | J-Sex-Marital-Ther. 2002 Jan-Feb; 28(1): 61-70 JN:

Journal-of-sex-and-marital-therapy IS: 0092-623X LA: English |

Psychophysiological diagnostic screening (PDS) was carried out

on just over 1000 consecutive patients with erectile dysfunction

(ED) during 1995 through 1999. Roughly one-third did not require

an intracavernous injection (ICI) because of optimal penile response

during visual and tactile penile sexual stimulation. The present

article deals with those other patients (n = 609) who required an ICI

and completed a 24-hour-postinvestigation questionnaire (PIQ). The

two ICI preparations used, prostaglandin and papaverine +

fentolamine, were virtually equally effective in the doses applied,

with very low and similar percentages of unwanted side effects, for

example, prolonged erection. Somatic ED patients displayed the

lowest penile responses to ICI, whereas psychogenic ED patients

had the highest penile responses. ED patients who also suffered

from premature ejaculation (PE) ejaculated significantly more

readily during PDS that those without PE. An ICI following an

ejaculation/orgasm could lead to an erection presumably sufficient

for intromission, which indicates ICI as a therapeutic option for

rapid ejaculators. Our elaborate and lengthy PDS procedure,

particularly the use of penile vibration as an addition to the visual

sexual stimulation, obviates the diagnostic use of the PIQ. RO:

National-Library-of-Medicine AN: 11928180

 

Male sexual dysfunction. | Stine,-C-C; Collins,-M | Prim-Care. 1989

Dec; 16(4): 1031-56 JN: Primary-care IS: 0095-4543 LA: English

| Impotence and premature ejaculation are common male sexual

dysfunctions that are present in most adult primary care

populations. New information about the vascular and

neurophysiologic mechanisms of impotence have been joined by

new technology to advance the medical practices in the diagnosing

and treating of the impotent male. While similar advances have not

occurred in the understanding of premature ejaculation, behavior

therapy techniques are extremely effective with motivated couples.

Primary care physicians can aid male patients with sexual

dysfunction by attempting to identify them, initiating diagnostic and

treatment programs, and referring patients for additional evaluations

or specialized procedures when indicated. RO: National-Library-of-

Medicine AN: 2692041

 

Management of premature ejaculation -- a comparison of treatment

outcome in patients with and without erectile dysfunction. | Chia,-S

| Int-J-Androl. 2002 Oct; 25(5): 301-5 JN: International-journal-of-

andrology IS: 0105-6263 LA: English | This study evaluated the

problem of premature ejaculation (PE) in patients treated for

erectile dysfunction. The aim was to compare the efficacy of

selective serotonin reuptake inhibitors (SSRIs) in the management

of primary PE and PE associated with sildenefil treatment. Eighty-

seven patients with PE seen over a period of 17 months were

recruited into this prospective study. They were categorized into

two groups: primary PE (GPI) and PE in sildenefil-treated patients

(GPII). All patients recruited into GPII had erectile dysfunction (ED)

that was successfully treated with sildenefil citrate for at least a

year. Both groups of patients were given sertraline 50 mg 4 h

before expected time of sex. The minimum follow-up was 6

months. The ejaculation latency before and after treatment of the

two groups were compared. The sexual satisfaction scores of the

patients in the two groups were also sought and analysed. Twenty-

eight percent of patients with ED who were successfully treated

with sildenefil developed PE. Subjects in group GPI were younger

and have less comorbid factors than those in group GPII. There

was no significant difference in the mean ejaculation latency for

both groups (46 vs. 34.6 sec for GPI and GPII, respectively).

However, there was highly significant difference in the ejaculation

latency between the two groups after treatment with sertraline for 6

months (247.2 vs. 111.6 sec for GPI and GPII, respectively). There

was also significant difference in the sexual satisfaction score for

group GPI post-treatment, but not for GPII. No significant side-

effect of sertraline was reported from patients in both groups.

Successful treatment of ED could not assure sexual satisfaction.

At least a quarter of sildenefil treated ED patients might develop

PE which would continue to frustrate these patients sexually.

While selective serotonin re-uptake inhibitors (SSRIs) was effective

in the management of primary PE, they were not as effective in

patients with sildenefil corrected ED. RO: National-Library-of-

Medicine AN: 12270028

 

Paroxetine in the treatment of premature ejaculation. | Ludovico,-G-

M; Corvasce,-A; Pagliarulo,-G; Cirillo-Marucco,-E; Marano,-A;

Pagliarulo,-A | Br-J-Urol. 1996 Jun; 77(6): 881-2 JN: British-journal-

of-urology IS: 0007-1331 LA: English | OBJECTIVE: To test the

efficacy and the adverse effects of a new anti-depressant drug

(paroxetine) in the treatment of premature ejaculation. PATIENTS

AND METHODS: The study comprised 32 men (mean age 28

years) with premature ejaculation (14 of whom ejaculated before

penetration) who were treated with paroxetine (20 mg orally each

evening for 2 months). The study group excluded those with

neurological and psychiatric disorders, urinary tract infections and

drug or alcohol abuse. RESULTS: After about 14 days, the

patients' symptoms improved and all patients reported a longer

interval before ejaculation. The adverse effects were sleepiness in

19 patients (61%) and mild sensory confusion in 21 (68%), but only

one had to withdraw from therapy. Three weeks after the end of

therapy, the premature ejaculation recurred in 28 (90%) of the

patients. CONCLUSIONS: These results indicate that paroxetine is

an effective therapy for premature ejaculation. Further studies with

different dosages are necessary to decrease the adverse effects

and to prolong the efficacy. RO: National-Library-of-Medicine AN:

8705226

 

Penile vibratory threshold changes with various doses of SS-cream

in patients with primary premature ejaculation. | Xin,-Z-C; Choi,-Y-

D; Lee,-W-H; Choi,-Y-J; Yang,-W-J; Choi,-H-K; Kim,-D-K | Yonsei-

Med-J. 2000 Feb; 41(1): 29-33 JN: Yonsei-medical-journal IS:

0513-5796 LA: English | SS-cream made with extracts from

natural products is a topical agent for treating premature

ejaculation (PE). In order to elucidate the penile vibratory threshold

changes and clinical effects of various doses of SS-cream, 53

patients with primary PE were investigated in a double-blind

randomized placebo-controlled study. The mean age was 37.3 +/-

6.4 years and mean ejaculatory latency was 1.37 +/- 0.52 minutes.

Neither the patients nor their sexual partners were satisfied with

their sexual lives. Vibratory threshold at the glans penis, penile

shaft, scrotum and index finger were measured using a

biothesiometer twice during the screening period and three times

one hour after the application of respective creams (SS-cream

0.05, 0.10. 0.15, 0.20 gm and placebo 0.10 gm) on the glans penis

according to the order of the allocation table in a randomized

fashion. The efficacy of SS-cream was defined as when the

vibration threshold increased by more than 4 microns compared to

the value tested during the screening period. The vibratory

thresholds at the glans penis increased significantly in a dose-

dependent manner after the application of various doses (0.05,

0.10, 0.15, 0.20 gm) of SS-cream (p < 0.001), and the efficacy of

SS-cream on the penile vibration threshold increased according to

the increased dosage (penile shaft: 48.4, 51.6, 54.8, 64.5%, glans

penis: 58.1, 67.7, 77.4, 83.9%, respectively). With these results,

we concluded that SS-cream increased the penile sensory

threshold dose dependently, and therefore it is clinically effective

for treating the heightened penile sensory response in patients with

PE. RO: National-Library-of-Medicine AN: 10731916

 

Premature ejaculation: a psychophysiological approach for

assessment and management. | Metz,-M-E; Pryor,-J-L | J-Sex-

Marital-Ther. 2000 Oct-Dec; 26(4): 293-320 JN: Journal-of-sex-and-

marital-therapy IS: 0092-623X LA: English | This article

distinguishes several subtypes of biogenic and psychogenic

premature ejaculation (PE) according to their etiologic features: the

physiological PE types of (a) neurologic constitution, (b) acute

physical illness, © physical injury, and (d) pharmacologic side

effect; and the psychological PE types of (a) psychological

constitution, (b) acute psychological distress, © relationship

distress, and (d) psychosexual skills deficit. Attention is given to

assessment and differential diagnosis, and to specific treatment of

the types of PE, such as the pharmacologic management of

difficult neurologic cases. Effective psychosexual treatment

combines multiple strategies such as physiological relaxation,

pubococcygeal muscle training, cognitive and behavioral pacing

strategies, and the involvement of the partner in the therapy.

Treatment should determine the specific type of PE and

comprehensively address its particular features in order to improve

long-term treatment effectiveness. RO: National-Library-of-

Medicine AN: 11056895

 

Safety and efficacy study with various doses of SS-cream in

patients with premature ejaculation in a double-blind, randomized,

placebo controlled clinical study. | Choi,-H-K; Xin,-Z-C; Choi,-Y-D;

Lee,-W-H; Mah,-S-Y; Kim,-D-K | Int-J-Impot-Res. 1999 Oct; 11(5):

261-4 JN: International-journal-of-impotence-research-official-

journal-of-the-International-Society-for-Impotence-Research IS:

0955-9930 LA: English | OBJECTIVES: SS-cream is a topical

agent made from the extracts of natural products for treating

premature ejaculation (PE). To determine the optimal clinical

dosage of SS-cream on PE, we investigated the safety and efficacy

of SS-cream with various doses. A double blind, randomized

placebo controlled clinical study was performed. METHODS: Fifty

patients completed the study. Mean age of the patients was 37.1+/-

1.O y and mean ejaculatory latency was 1.35+/-0.07 min. Sexual

satisfaction rate of both the partner and patient was 16.2%. Each

patient was instructed to apply the different cream (placebo, SS-

cream 0.05, 0.10, 0.15, 0.20 g) on glans penis 1 h before sexual

intercourse in random fashion. The ejaculatory latency was

measured by stop watch and the satisfaction rate of both partner

and patient was also recorded two times in the screening period

and after the application of each test drugs. Clinical efficacy was

considered if ejaculatory latency was prolonged more than 2 min

and sexual satisfaction rate increased more than 20% than that of

pretest values. RESULTS: The mean ejaculatory latencies were

significantly prolonged after using various test drugs (placebo

2.27+/-0.32, SS-cream 0.05 g 4.47+/-0.81, 0.10 g 5.34+/-0.79,

0.15 g 6.22+/-0.87, 0.20 g 11.06+/-1.17 min, respectively). Clinical

efficacies evaluated by ejaculatory latency were placebo 18%, SS-

cream 0.05 g 30%, 0.10 g 60%, 0.15 g 54%, 0.20 g 84%,

respectively. The satisfaction rate was also significantly increased

dose-dependently (placebo 26%, SS-cream 0.05 g 60%, 0.10 g

70%, 0.15 g 78%, 0.20 g 90%, respectively). A side effect such as

local mild burning sensation was noted in 35/250 times (14%) and

no adverse effect on sexual function and no systemic side effects

were observed. From the result of logistic regression analysis on

clinical efficacy, the ED50 of SS-cream was obtained as 0.10 g.

SS-cream 0.20 g was effective in 84% without any serious

systemic side effects. CONCLUSION: From the above results, our

conclusions are that SS-cream is effective on the treatment of PE

with a few local side effects and that clinical optimal dose of SS-

cream is 0.20 g. RO: National-Library-of-Medicine AN: 10553804

 

Sensory evoked potential and effect of SS-cream in premature

ejaculation. | Xin,-Z-C; Choi,-Y-D; Seong,-D-H; Choi,-H-K | Yonsei-

Med-J. 1995 Nov; 36(5): 397-401 JN: Yonsei-medical-journal IS:

0513-5796 LA: English | The cause of premature ejaculation (PE)

has been thought to be psychological in the majority of patients but

we investigated penile hypersensitivity for an organic basis of PE.

For another organic basis of PE, we have suggested

hyperexcitability of the ejaculation center. SS-cream is a topical

agent containing 9 oriental herbs for treating PE. Clinically SS-

cream has been effective in the treatment of PE. Therefore, in order

to implicate the organic basis of PE and realize the effect of SS-

cream on PE, we investigated the somatosensory evoked potential

(SEP) in patients with PE(16 cases) and the effects of SS-cream

on SEP for treating PE. The latencies and amplitudes of the

evoked responses were measured by two different places in

stimuli, one was on the penile shaft with ring electrode and the

other on the glans penis with a surface electrode. The latency of

SEP stimulated at the glans penis was significantly longer than

that stimulated at the penile shaft (p < 0.05). The latency

stimulated at the glans penis after applying SS-cream was

significantly longer than before applying SS-cream (p < 0.05),

which was near the level of a normal potent man. But the latency

stimulated at the penile shaft has no significant difference between

before and after the application of SS-cream (P > 0.05). The

amplitudes of the evoked responses stimulated at the glans penis

were significantly higher than those stimulated at penile shaft (p <

0.05). And both these amplitudes were significantly reduced with

the application of SS-cream (p < 0.05). With these result, we can

suggest that the patients with PE have glans penile

hyperexcitability and it provides further implications for an organic

basis of PE, SEP stimulated at the glans penis can be a very

useful method to evaluate PE, along with SEP stimulated a penile

shaft and SS-cream prolongs the sensory conduction and reduces

the penile hyperexcitability of the patient with PE. RO: National-

Library-of-Medicine AN: 8545998

 

Sertraline in the treatment of premature ejaculation: a double-blind

placebo controlled study. | Biri,-H; Isen,-K; Sinik,-Z; Onaran,-M;

Kupeli,-B; Bozkirli,-I | Int-Urol-Nephrol. 1998; 30(5): 611-5 JN:

International-urology-and-nephrology IS: 0301-1623 LA: English |

This study investigated the efficacy and the adverse effects of

sertraline in the treatment of premature ejaculation (PE). Thirty-

seven patients with PE were randomly assigned to receive either

sertraline or a placebo. Of them 22 were given 50 mg of sertraline

per day and the other 15 patients were given an identical placebo

one per day. After 4 weeks, the latency to ejaculation in the

sertraline group was found to be significantly longer than that of the

placebo group (p<0.01). None of the patients discontinued therapy

due to adverse effects. These results indicate that sertraline is an

effective therapy for PE. RO: National-Library-of-Medicine AN:

9934807

 

Structured group treatment of couples experiencing sexual

dysfunctions. | Price,-S; Heinrich,-A-G; Golden,-J-S | J-Sex-Marital-

Ther. 1980 Winter; 6(4): 247-57 JN: Journal-of-sex-and-marital-

therapy IS: 0092-623X LA: English | This paper describes a

structured, time-limited method for treating couples in which both

people are experiencing sexual dysfunctions. In our previous

research, we found that group treatment was as effective as single-

couple treatment for treating men experiencing premature

ejaculation and women experiencing secondary orgasmic

dysfunction. In this article we have described our procedures for

evaluating and selecting group participants, our 12-week structured

group treatment format, the group process, common problems and

resistances, and our methods for assessing treatment outcome.

Our structured group treatment approach is a cost efficient and

effective method for treating the many couples experiencing sexual

dysfunctions. RO: National-Library-of-Medicine AN: 6965175

 

The coital alignment technique (CAT): an overview of studies. |

Pierce,-A-P | J-Sex-Marital-Ther. 2000 Jul-Sep; 26(3): 257-68 JN:

Journal-of-sex-and-marital-therapy IS: 0092-623X LA: English |

The Coital Alignment Technique (CAT), a basic physiological

alignment that provides consistent and effective stimulation for

female coital orgasm, has been evaluated in a series of controlled

studies. An overview of the CAT is discussed as well as related

studies including replication studies, and subsequent studies of

Orgasm Consistency Training (OCT), which incorporates the CAT

technique. Classic sex problems like female coital anorgasmia and

premature ejaculation and modern day epidemic-level sex problems

such as hypoactive sexual desire are analyzed in relation to a

syndrome of sexual dysfunction symptoms devolving from failed

intercourse. Studies indicate that some symptoms of sexual

dysfunction considered to have their etiological foundations in

pathology are the result of ineffective intercourse techniques. RO:

National-Library-of-Medicine AN: 10929574

 

The effects of fluoxetine on several neurophysiological variables in

patients with premature ejaculation. | Yilmaz,-U; Tatlisen,-A; Turan,-

H; Arman,-F; Ekmekcioglu,-O | J-Urol. 1999 Jan; 161(1): 107-11

JN: Journal-of-urology,-The IS: 0022-5347 LA: English |

PURPOSE: Fluoxetine, a selective serotonin re-uptake inhibitor,

has been shown to increase the intravaginal latency of patients

with premature ejaculation. We demonstrated the effects of

fluoxetine on intravaginal latency, penile sensory threshold, and

variables of sacral evoked response and cortical somatosensorial

evoked potential in patients with premature ejaculation.

MATERIALS AND METHODS: Of 48 patients 40 who presented to

our clinic with premature ejaculation met the study criteria, gave

written or oral consent, and were divided randomly in a double-blind

fashion into 2 groups of 20 patients. The study group received 20

mg. fluoxetine daily and the control group received placebo for 1

month. The patients were evaluated during visits before and after

treatment for intravaginal latency, penile sensory threshold values,

and the variables of sacral evoked response and cortical

somatosensory evoked potential tests. RESULTS: Patient ages,

intravaginal latencies, penile sensory threshold values, and

amplitudes and latencies of sacral evoked response and cortical

somatosensory evoked potential tests in both groups were not

significantly different at the beginning of treatment (p >0.05). At the

end of treatment intravaginal latencies and penile sensory threshold

values were increased in the study group compared to before

treatment and the control group (p <0.05). No change was

observed in either group for the amplitudes and latencies of sacral

evoked response and cortical somatosensory evoked potential

tests (p >0.05). CONCLUSIONS: These findings suggest that

fluoxetine is effective treatment for premature ejaculation probably

due to its effect of increasing the penile sensory threshold, without

changing the amplitudes and latencies of sacral evoked response

and cortical somatosensory evoked potential. RO: National-Library-

of-Medicine AN: 10037380

 

TI: Magnesium in human semen: possible role in premature

ejaculation. | Omu,-A-E; Al-Bader,-A-A; Dashti,-H; Oriowo,-M-A |

Arch-Androl. 2001 Jan-Feb; 46(1): 59-66 JN: Archives-of-andrology

IS: 0148-5016 LA: English | Although magnesium is involved in

many biological process and it is found higher levels in semen than

serum, its role in human semen has not been elucidated. This

investigation was conducted to evaluate the relationship between

premature ejaculation and the levels of seminal magnesium. The

levels of magnesium, zinc, copper, and selenium were evaluated

with an atomic absorption spectrophotometer in serum and seminal

plasma in 3 groups of men: (a) normal sperm parameters (15) (b)

oligoasthenozoospermia (15), and genuine premature ejaculation

(9). There were normal serum and semen levels of all the elements

in the three groups, but significantly lower seminal plasma

magnesium levels in men with premature ejaculation. The hormonal

profile, body mass index (BMI) had no association with premature

ejaculation. Decreased levels of magnesium gives rise to

vasoconstriction from increased thromboxane level, increased

endothelial intracellular Ca2+, and decreased nitric oxide. This may

lead to premature emission and ejaculation processes. Magnesium

is probably involved in semen transport. More research into the role

of magnesium in the male physiology of reproductive tract,

especially its association with premature ejaculation, is advocated.

RO: National-Library-of-Medicine AN: 11204619

 

Treating premature ejaculation in the multi-modal therapeutic

framework: a single case study. | Lee,-B-O | Ann-Acad-Med-

Singapore. 1995 Sep; 24(5): 668-75 JN: Annals-of-the-Academy-of-

Medicine,-Singapore IS: 0304-4602 LA: English | Generally,

premature ejaculation is caused by organic, psychological,

interpersonal factors and lay beliefs. It is defined as a lack of

adequate voluntary ejaculatory control with the result that a patient

climaxes involuntarily. An ejaculatory control may be said to be

established when the patient can tolerate high levels of excitement

which characterise the plateau stage of the sexual response cycle

without ejaculating reflexly. The most effective treatment for

premature ejaculation so far is the stop-start exercises that aim to

help patients tolerate a prolonged period of intense pleasurable

arousal and to enjoy sexual sensation before ejaculation. However,

the stop-start exercises would be more effective if they are

employed in a multi-modal therapeutic framework. This is because

cases of premature ejaculation differ in terms of the aetiology,

pathological patterns, and the patients' personal characteristics

and background. A case is presented to illustrate how the

conventional stop-start exercises are prescribed in this multi-modal

framework. RO: National-Library-of-Medicine AN: 8579307

 

Treatment for premature ejaculation through male-only groups. |

Zeiss,-R-A; Christensen,-A; Levine,-A-G | J-Sex-Marital-Ther. 1978

Summer; 4(2): 139-43 JN: Journal-of-sex-and-marital-therapy IS:

0092-623X LA: English | A report on the treatment of premature

ejaculation in a group format is provided. In this format only males

attended group therapy sessions, but they were expected to relay

all information on the group meetings to their regular sexual

partners. The women then participated in structured retraining

exercises with their male partners. This approach was both cost

effective and successful for most couples. It is argued, though, that

group treatments are not likely to be as effective as the Masters

and Johnson strategy and that clinics should, therfore, remain

flexible enough to provide more individualized treatment for those

couples who do not succeed with group approaches. Therapists

are also encouraged to ensure that treatment gains are well

established before terminating therapy. RO: National-Library-of-

Medicine AN: 722817

 

Vakuumno-konstriktornaia terapiia pri sochetanii erektil'noi

disfunktsii i prezhdevremennogo semianzverzheniia. [Vacuum-

constriction therapy in association of erectile dysfunction and

premature ejaculation] | Levin,-E-I | Urologiia. 2002 Nov-Dec; (6): 37-

41 JN: Urologiia-Moscow,-Russia-1999 LA: Russian; Non-English

| Choice of treatment in combination of erectile dysfunction with

premature ejaculation (PE) is not a simple task because of

multifactor etiology of these diseases and physiologically

antagonistic stimulating domination of parasympathetic autonomic

nervous system for erectile function and sympathetic one for

ejaculation. Therefore, some present-day effective treatments for

each of the above diseases are contraindicated in their

combination. 5 patients with the above combination gave an

informed consent to vacuum-constrictor therapy (VCT) with

application of ErecAid Classic Osbon unit. Control examination 6

months after VCT stated rehabilitation of the erectile function.

Ejaculatory latency increased insignificantly, but erection could

sustained coitus for 30 minutes. RO: National-Library-of-Medicine

AN: 12577577

 

Worldwide use of clomipramine. | Trimble,-M-R | J-Clin-Psychiatry.

1990 Aug; 51 Suppl: 51-4; discussion 55-8 JN: Journal-of-clinical-

psychiatry,-The IS: 0160-6689 LA: English | Clomipramine, a

preferential inhibitor of 5-hydroxytryptamine uptake, has proven

effective in the management of depression, resistant depression,

and obsessive compulsive disorder. Investigators have also

reported benefits of this medication in patients with phobia, panic

disorder, chronic pain, Gilles de la Tourette's syndrome, premature

ejaculation, anorexia nervosa, cataplexy, and enuresis. In double-

blind studies of patients with depression, clomipramine has been

significantly more effective than placebo and equivalent to standard

tricyclics. Clomipramine is particularly well suited for the treatment

of resistant depression, for which its efficacy may be enhanced by

combination therapy with tryptophan and/or lithium. In at least 12

double-blind comparative trials, clomipramine has exhibited

significant benefit in patients with obsessive compulsive disorder,

this efficacy not being limited to patients with an associated

depressive illness. In the United States, clomipramine is approved

only for the treatment of obsessive compulsive disorder. RO:

National-Library-of-Medicine AN: 2199435

 

 

 

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[Guest guest]

On Saturday, June 14, 2003, at 04:19 AM, henriknielsen wrote:

 

> Hello,

>

> I hope that if some of you on this list put have any knowledge about

> this matter or knows of anyone that does that you will forward the

> information to me.

> About about me - I study psychology, I have a girlfriend - and I

> have it for about three years. I am 25 years old,

 

Given your somewhat young age, I'll assume at this point that the

problem is due to excessive causes rather than deficiency.

 

> and I have had

> some problems with ejaculation the last couple of years. I've tried

> to cure it with yoga, tantra, acupuncture, tai chi, with some of

> mantak chia books about sex but none have really helped yet.

>

> Since I was about 19 years old, I have had problems during

> intercourse - I would get very fast ejaculation in matter of

> seconds.

> Since then other problems has arisen (but this problem

> about too quick ejaculation has in periods been better - but right

> now it is really bad). I read a lot of books, and some books claimed

> that it was good to preserve the semen. I thought OK (because in the

> years 20-23 I didn't have any lover) then I'll stop masturbating,

> and I stopped. But then the ejaculations just came during dreams.

 

When you're younger, " yang Qi is exuberant " which translates to

something like if it doesn't come out in the procreative act, It's

going to boil out somehow. I tell my younger patients that they should

avoid " taking matters into their own hands " until it starts expressing

as nocturnal emissions. Then its okay, but avoid masturbation for

solely entertainment purposes (i.e. you're bored and alone).

 

> When I was about 21 years old I began getting various kinds of

> symptoms after nocturnal emissions.

>

> At first I always got a sore throat, sore eyes - like they were

> burning - and I felt dry like a desert on my skin. Then the symptoms

> changed (I never went to see a doctor - cause what would he say?)

> maybe it was caused by some of the treatments I that I tried or some

> of the exercises that I did (like headstand I yoga). Now it became

> more traditional symptoms like backpains (that during the days that

> followed moved up along the spine) and I felt a pressure against the

> lower part of scrotum (not the testes but against the lower part on

> some of the threads that leads from the body to the testes).

 

Not sure about the testes pressure, but everything else sounds like a

yin deficiency which could definitely be related to expressing your

Jing. That is a little inconsistent in that it suggests deficiency

rather than excess. So what else is new? You're an enigma. : )

 

> During the last six moth - I somehow stopped having nocturnal

> emissions (I believe it was caused by the yogic headstand), but

> still if I got ejaculation together with my girlfriend (which

> happened about one or two times a month though - I quite often

> succeeded in getting no ejaculation) I would get the former

> mentioned symptoms. But during these six months I developed some

> stomach pains - just above the hips (the doctor said that it

> probably was stress or something emotional) and because the doctor

> couldn't help I went to a another acupuncturist.

>

> Somehow the focus with the acupuncturist became the symptoms I got

> when I got ejaculation instead of the stomach pains. He answered

> quickly before I could tell more thorougly about my situation that

> the cause was loss of 'jing'. He stung me with some needles and gave

> me some medicine and said I should take care of not getting

> ejaculations for a while. I was happy that he at least had something

> to offer. But after I had taken the medicine (herbals: called jin

> suo gu jing wan) for a week I got a nightly ejaculation, and then

> the day after it came again. My symptoms was two things: tiredness

> and pressure against the lower scrotum - and some of the threads in

> scrotum even began to swell and get hard (it felt like swollen lymph

> nodes).

 

Okay, so the Jin Suo Gu Jing Wan is assuming a deficiency of Kidney Qi

which is unable to " control the lower gates " and causes semen to leak

out during the night. I only use this particular formula for nocturnal

emissions that have no dream. Strange but true. If there is a dream,

there is some sort of heat in the heart. What I have yet to figure out

is whether this is excessive heat or deficiency heat. The symptoms of

dryness in the throat and dry skin lean me toward deficiency while the

red eyes could be either. This false heat too could easily give rise

to premature ejaculation.

 

If this is deficiency heat, the indicated formula is called Zhi Bai Di

Huang Wan. Sometimes Zhi Bo Di Huang Wan.

 

> When I told the acupuncturist this, he then he prescribed some other

> herbpills called Kai Kit Wan - some pills against prostatitis. But

> last night (and this is why I write this mail) I got ejaculation TWO

> times during the night - it might be part of the healing process (I

> know nothing!!!!!!!!) but as I am writing this email the pressure in

> scrotum is slowly rising and I would be very surprised if it not

> will become worse the following days. And I feel so very tired and

> confused ..................

 

I think that I would suggest you stop taking the pills for now and see

if it settles down. I'm not sure what this is, but if it is truly due

to the pills, I don't believe that this is an intended outcome and

sounds kind of strange to me. I've never heard of this before. I know

of a hardening of the scrotal tubes, usually due to underwear that are

too tight. You might try going without underwear with some loose

fitting clothing for a while (couple of days) or wear loose, large

underwear that we call " boxers " in American English. Not sure if that's

a universal term. : )

 

The Kai Kit Wan seems pretty benign and includes some Yin Tonic, so I

think its a bit better than the Jin Suo Gu Jing Wan, but I can't

understand where the scrotal swelling is coming from. Perhaps you're

doing some Qi Gong or Yogic posture that is stressing them?

 

> I have some other things I would like to mention - my girlfriend

> began getting very irregular periods after she had been with me for

> a while, and a few months a go she was diagnosed with some kind of

> bacteria called streptococcus (I don't know how it is spelled - and

> whether this is the right name in English). When she was diagnosed

> with it she was not told anything about that it could have comed

> from me. But now (without still not knowing anything for sure) it

> seems likely to me that it could have been me that have transferred

> it to her (I have only had sex with one person before her though).

> But of course it can also be other way around - maybe???

 

This is likely not effecting your ejaculation issues. I don't know who

gave it to whom, but I'm confident that it can be easily treated.

 

> Another thing is that I have also had some itchy feelings just

> inside and around anus for quite some time now (and the doctor just

> gave me some salvia) could this be related to my other symptoms?

 

If the area feels wet after your itch it, then there may be a

relationship with your nocturnal emissions. This would be damp-heat

(especially if the area around your anus is red - I'm talking about the

normal skin being red, not the anal skin which is normally a darker

color) So there's dampness descending to the bottom of your abdomen,

and heat rising to the heart.

 

If this sounds like you, try this formula: Long Dan Xie Gan Wan, but

only if you have a thick yellow tongue coating. The coat should be so

thick that you can't see the tongue body beneath. Otherwise, return to

the Zhi Bai Di Huang Wan which clears heat, dries damp, and nourishes

Yin. (tastes great, less filling!)

 

> My hamstrings (my muscles on my backlegs) are short, which makes it

> impossible to do certain yogic postures cause my back just becomes

> round instead of remaining straight - can this be related?

 

Everything's related, but most importantly we need to find out if you

have heat, which I suspect you do, given your age and your dreams. And

then, is this true heat or false heat. Is the heat too much heat or is

it not enough cool? If it is the not enough cool problem, you'll do

well with Zhi Bai Di Huang Wan. If you decide at one point that this

problem is too much heat, the formula for you would likely work for you

is going to be that Long Dan Xie Gan Tang again.

 

> Does anybody know anything that could help me, or tell me something

> about what is happening.

>

> Best regards

> Henrik Nielsen, Denmark

>

>

>

[Guest guest]

Hello everyone,

 

I thought it was agreed that this site is for practitioners only. Am I

mistaken?

 

In any case, I think its inappropriate to diagnosis or provide advice on

treatment to a patient in this forum. There are always many factors that go

into a diagnosis and treatment plan, and we only have limited information.

If it was the practitioner who wrote in and said this the situation with my

patient, this is what I did, its not working and does anyone have any

advice, that would be ok, but I don't think we should be second-guessing or

passing judgement on another practitioner to his patient.

 

Thanks everyone, Corinne

[Guest guest]

To All My Colleagues: Won't it be great when we can

quote these many studies/experiments for something

likje Liver Yang Rising. Reenah

--- < wrote:

> Hi Henrik

>

> Longterm premature ejaculation usually has sausal or

> associated

> physical (material/organic), psychological, and

> possibly spiritual

> aspects. Its successful treatment may be difficult

> unless all three

> levels can be addressed. Highly skilled TCM

> physicians would

> attempt to address all aspects, especially if they

> match any of the

> classical TCM Patterns (syndromes).

>

> IMO, any " therapist " that prescribes herbs or jabs

> needles before

> he/she listens to the full story and does a thorough

> systematic

> exam is a charlatan.

>

> Your story suggests much more than ejaculatio

> praecox and

> physical pain to me. Do not lose heart, a really

> good therapist can

> probably help you. IMO, you need to see a very

> experienced

> physician who is also experienced in acupuncture,

> TCM herbalism,

> stress-management and disorders of the psyche.

>

> Also, see the article on male problems at

> http://homepage.tinet.ie/~progers/gu3c.htm

>

> and begin routine massage or DIY indirect

> moxibustion for 5-10

> minutes/day at acupoints selected from BL23, BL32,

> CV03, BL33,

> CV04, SP06, SP09.

>

> For the perineal/scrotal/anal itch/pain, add massage

> at BL30,

> GV20, BL57.

>

> As magnesium supplements may have a role to play in

> treating

> premature ejaculation, you may wish to take 10g

> MgSO4 (Epsom

> Salts) per day for 1-2 weeks (if it does not cause

> diarrhoea). If 10 g

> causes diarrhoea, reduce the dose to 5 g/day

>

> It is most important not to lose heart. Every human

> being has

> SOME problem(s). Please contact me OFF-LIST if you

> want me to

> ask Danish colleagues to recommend a top-class

> therapist.

> Best of luck,

> Phil

>

> See Medline references to effective treatments for

> premature

> ejaculation, below.

>

> Alpha-1 blockade pharmacotherapy in primitive

> psychogenic

> premature ejaculation resistant to psychotherapy. |

> Cavallini,-G |

> Eur-Urol. 1995; 28(2): 126-30 JN: European-urology

> IS: 0302-2838

> LA: English | alpha 1-Blocking agents (alphuzosine

> and

> terazosine) have been tested to determine their

> effectiveness over a

> placebo in the treatment of premature ejaculation. A

> total of 91

> patients, all of whom were resistant to

> psychological therapy, were

> submitted to a double-blind controlled cross-over

> trial. Side effects

> were recorded as well. Alphuzosine and terazosine

> proved effective

> in approximately 50% of the cases and were, thus,

> significantly

> more active than the placebo; moreover no

> significant difference

> was found between them in terms of side effects. It

> is concluded

> that alpha 1 blockers are reasonably safe active

> drugs, effective in

> the treatment of premature ejaculation which does

> not respond to

> the psychological approach. RO:

> National-Library-of-Medicine AN:

> 8529737

>

> An in vivo evaluation of the therapeutic potential

> of sympatholytic

> agents on premature ejaculation. | Hsieh,-J-T;

> Liu,-S-P; Hsieh,-C-H;

> Cheng,-J-T | BJU-Int. 1999 Sep; 84(4): 503-6 JN:

> BJU-international

> IS: 1464-4096 LA: English | OBJECTIVE: To evaluate

> the

> therapeutic potential of sympatholytic agents on

> premature

> ejaculation in an animal model, using monitoring of

> rat seminal

> vesicle pressure change in response to electrical

> stimulation of the

> lesser splanchnic nerve. MATERIALS AND METHODS: Male

>

> Wistar rats (aged 12-14 weeks) were injected

> intra-arterially with

> sympatholytic agents (phenoxybenzamine, prazosin,

> WB-4101,

> chloroethylclomidine, yohimbine and RX 821002) at

> various

> concentrations 10 min before electrical stimulation

> of the lesser

> splanchnic nerve. The change in phasic tension

> (triangle upmmHg)

> of the seminal vesicle induced by electrical nerve

> stimulation before

> and after the addition of sympatholytic agents was

> used for

> statistical analysis. The maximum inhibition and the

> concentration

> required to induce 50% inhibition of the maximal

> contractile

> response (IC50) were obtained from the

> concentration-response

> curves, and used to determine the potency of test

> agents.

> RESULTS: The seminal vesicle contractile response to

> electrical

> nerve stimulation was suppressed in a dose-dependent

> manner by

> all test drugs except RX 821002. The mean (sd)

> maximal inhibition

> was 78.4 (9. 3)% by 0.03 mg/kg of phenoxybenzamine,

> 77.1

> (10.1)% by 0.03 mg/kg of WB-4101, 73.4 (6.0)% by 0.1

> mg/kg of

> yohimbine, 67.9 (9.7)% by 0.1 mg/kg of prazosin,

> 75.5 (7.5)% by 3

> mg/kg of chloroethylclomidine and 25.3 (4.8)% by

> 0.01 mg/kg of

> RX 821002. The potencies of WB-4101 (IC50 3

> microgram/kg) and

> yohimbine (IC50 0.8 microgram/kg) were similar to

> that of

> phenoxybenzamine (IC50 0.5 microgram/kg) and much

> higher than

> that of prazosin (IC50 0.03 mg/kg) or

> chloroethylclomidine (IC50

> 0.3 mg/kg). CONCLUSIONS: Phenoxybenzamine, prazosin,

> WB-

> 4101, chloroethylclomidine and yohimbine all inhibit

> the contractile

> response of the rat seminal vesicle to electrical

> nerve stimulation.

> As phenoxybenzamine is effective in treating

> premature

> ejaculation, the comparable in vivo potencies of

> WB-4101 and

> yohimbine strongly suggest that they have clinical

> therapeutic

> potential. RO: National-Library-of-Medicine AN:

> 10468770

>

> An open clinical trial of fluoxetine in the

> treatment of premature

> ejaculation. | Lee,-H-S; Song,-D-H; Kim,-C-H;

> Choi,-H-K | J-Clin-

> Psychopharmacol. 1996 Oct; 16(5): 379-82 JN:

> Journal-of-clinical-

> psychopharmacology IS: 0271-0749 LA: English |

> There have

> been an increased number of recent reports on

> orgasm-related

> sexual dysfunction coincident with selective

> serotonin reuptake

> inhibitor (SSRI) treatment. In contrast, it has also

> been reported

> that SSRIs improve sexual dysfunction. Low doses of

> clomipramine

> and paroxetine, potent 5-hydroxytryptamine reuptake

> blockers,

> have been found to retard ejaculation time. We

> hypothesized that

> the SSRI fluoxetine might be effective in treating

> premature

> ejaculation. In an 8-week open-label clinical study,

> 11 male

> patients with premature ejaculation were treated

> with fluoxetine.

> After a washout period of 2 weeks, each patient was

> assigned to

> receive fluoxetine, 20 mg/day for 2 weeks, and then

> titrated to 60

>

=== message truncated ===

 

 

 

 

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[Guest guest]

Can you describe the JMT technique in detail please (I looked at the JMT website and found virtually no description of what it actually is, other than what appears to be muscle testing (without reference to the nature of the inquiry) and percussion along the spine. I would love To "cure any allergy in ten minutes". Can you describe the method in some detail? Many thanks,

Neal White.

 

-

Acudoctor5

Chinese Medicine

Saturday, June 14, 2003 11:12 AM

Re: [Chinese Medicine] Help about nocturnal ejaculation - and the pain that follows

Hello from America,I'm fairly new to this chat site however, I have fairly demonstrable success with my patients who have marked symptoms with premature ejaculation, as well as other hormonal disorders and GU disorders such as interstitial cystitis.I have found that integrating other modalities has allowed me the freedom of making choices as to what would work best for my patients. Over the course of time; and I have been practicing 17+ yrs., I have learned to resolve allergies, nervous system disorders, arthritis, and a host of autoimmune disorders and demyelinating disorders (early-middle stage multiple sclerosis).In attempt to address your problem with premature ejaculation, it is good to understand some things about the nervous system as well as the endocrine system.At this point it is difficult for me to offer a difinitive TCM diagnosis, as I, like many other practitioners who share my observation, believe TCM is one facet of healing and like other modalities, has its limitations. Nonetheless, I will attempt to share some information and hope it will help.The central nervous system (CNS) is comprised of many glands such as the hypothalamus, thalamus, pituitary, pineal, etc. These glands work together to tranmit information to other systems outside of the CNS, such as the endocrine, digestive, reproductive, respirtory, etc. and their particular end site such as the adrenals, pancreas, gonads, etc. This information travels via energetic impulses over synaptic connections t/o the body from the brain to the end organ. This is known as efferent signals. These signals either facilitate the production of hormones, enzymes, acids, etc. for instance, or slows down the synthesis of these products. This all depends on how the brain determines the need. When mislabeling of signals occurs either within the CNS or outside in the peripheral nervous system, symptoms occur. Anything can cause mislabling: a transmission problem (too fast, too slow), a signal traveling on the wrong track (to the wrong end organ), the incorrect synthesis of the product being produced (too much, not enough, quality), a growth or tumor, and any number of other possibilities. For testosterone to be produced, the hypothalmus and the pituitary glands in the CNS must be working optimally. If this is not the case, pre-mature ejaculation certainly could occur.There are other things to think about like receptors. Receptors are located t/o the entire body: pain receptors, thermal receptors, chemo receptors, stretch receptors, etc. If at any time, a receptor bonds to the incorrect chemical/antigen (which produces the pain, stretch, heat, cold, etc.), symptoms occur. This too could be creating your problem.At this time, you are demonstrating increased symptoms such as pain and obvious signs of kidney involvement and I would highly suggest you consider seeing a genitourinary specialist or endocrinologist for a workup -just to rule out anything serious.I have had magnificent training in a technique called JMT. This has enabled me to quantum leap beyond an average OMD. Through JMT, I have learned about all the aformentioned, homeopathy, detox and drainage. The results of the training are outstanding. I am able to resolve osteoarthritis in 3 txs., as well as fibromyalgia, MS, rheumatoid arthritis and a host of other chronic and complex health conditions. I can cure any allergy in ten minutes, as well as muscle pain in less than 15 minutes - 1 treatment. I highly suggest any and all TCM practitioners consider getting trained in JMT - it is taught by a Dr. of acupuncture, Ph.D. naturopath.Their website is www.jmttechnique.comI do wish you well on your journey back to optimal health. I will share more as the chatters indicate.Thank you for this terrific chat site.Acudoctor5

[Guest guest]

Since I was about 19 years old, I have had problems during intercourse - I would get very fast ejaculation in matter of seconds. Since then other problems has arisen (but this problem about too quick ejaculation has in periods been better - but right now it is really bad).

>>>>Have you tried an SSRI, would probably solve the problem quickly

Alon

[Guest guest]

--- al stone <alstone wrote:

 

> If this is deficiency heat, the indicated formula is

> called Zhi Bai Di

> Huang Wan. Sometimes Zhi Bo Di Huang Wan.

 

I'm going to jump in here with a few opinions. I very

much agree with prescribing the Zhi Bai for hollow

heat. For me that would be the base formula, then I

would add Hsiao Yao (he studies psychology ), and

ming mu di huang.

 

I feel the problem centers on Liver Qi congestion

with Kidney Jing depletion, leading to kidney yin

deficiency with Liver blood/Yin deficiency...which, in

my mind, would explain the small trend towards heat in

the heart.

 

When he said early ejaculation and burning eyes I

immediately thought hollow heat with liver yin down.

Then he was mentioning mild symptoms of damp-heat, and

the possible infection with his girlfriend.

 

One point about qi gong etc: there are two fairly

well-known ways to conserve essence/semen:

Method one, which is not recommended:

At the brink of orgasm, clench jaws, clench stomach

and clench anus until orgasm subsides. This exercise

fills the prostte with essence - however, the prostate

has no good method of draining, so the essence can

build up and stagnate. Therefore sensations of

fullness down below.

Method two, which is recommended, but still you

shoudl get a teacher:

About one second before orgasmic contractions, press

firmly and steadily on CV 1 using three fingers

(middle on CV, one to each side), and hold through

orgasm until it is finished, then release. This method

allows expression fo the orgasm and redirection of the

semen/essence into the bladder, where it is

reabsorbed.

 

Al makes a good point that masturbation or

love-making should not be done for entertainment

orwhen bored, but rather only when the feeling is

there, i.e. when the body is ready. The 'feeling' can

be divided into 5 parts: desire, length, girth,

hardness and heat. If you have all five attributes

strongly, it is ok to do method two. If you don't have

them, it is better to rest and not lose semen.

 

Two thigns I would like to ask the patient:

1. Colour of urine? Dark yellow, cloudy, clear, medium

yelow, pale yellow? High volume or low volume? Burning

sensation upon urination?

2. When you urinate, does the water become frothy?

 

Bye for now,

Hugo

 

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[Guest guest]

--- Hugo Ramiro <subincor wrote:

 

> I very

> much agree with prescribing the Zhi Bai for hollow

> heat.

 

I suppose that sounds really silly. I meant

diagnosing hollow heat for him, and prescribing Zhi

Bai for him.

 

Bye,

Hugo

 

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[Guest guest]

hi Henrick

i'm sorry to hear about your distressing symptoms.

From the perspective of chinese medicine, most of your symptoms would fall into

a pattern known as Kidney Yin deficiency with Empty Fire Blazing.

Deficiency of Kidney Yin leads to a deficiency of Essence (which is stored in

the Kidney). This will lead to a distubance of the sexual function (as it is

Essence (or Jing) which largely governs this).

Yin deficiency also causes the arousal of Empty Fire in the body (as Yin is the

cooling aspect of the Kidney energy and is supposed to cool and nourish the body

at night). Vivid (and, i assume sexual) dreams come about when Empty Fire

agitates the mind and creates strong sexual desire. Deficient Jing cannot govern

the sexual energy properly, hence nocturnal ejaculation.

Deficient Yin further leads to the exhaustion of body fluids hence the symptoms

of dryness you describe.

The back pains you describe would almost certainly be due to a general weakness

of the Kidney energy ( it is responsibe for the strength of the back - Jing also

is said to nourish the bones and keep them healthy).

As for the stomach pains, it's rather more difficult to know what's going on

there without a more detailed understanding of your general health and what

other symptoms you may have. My guess is that it points to an involvement of the

Liver channel which flows through the groin and genitals, then passing just

anteriorly to the hips. The channel which is closely linked to the Liver channel

is the Gall Bladder channel which also passes over and above the hips. Liver

and Gall Bladder channel involvment would explain the hot, sore eyes and

probably the pain you're getting in and around the scrotum but that's difficult

to ascertain without more information. The Liver, from a chinese perspective

nourishes sinews and tendons. It is possible that Liver involvement could

therefore also explain your 'short hamstrings', which is really a lack of

flexibility and nourishment. But again, it's difficult to say without having the

whole picture and examining your pulse and tongue.

Streptococcus seems an unlikely cause for irregular periods unless she has had

an auto immune respose to the infection - which is a very rare compliction of

streptococcal infection. It can go on to effect the kidneys, but i'm sure that

if this was the case, she would have a host of other unpleasant symptoms to do

with the kidneys (from a western medicine perspective) and would not really be

complaining of just irregular periods. Streptococcus is normally associated with

conditions like sore throat, scarlet fever, impetigo and a range of chest

infections. Yes, it is possible that she got it from you, but not as a sexually

transmitted disease (which it is not) as you seem to be implying. What were the

symptoms she had that made her go to the doctor - was it the irregular periods?

The only real link here i can see is that strep. bacteria can be responsible for

a condition known as endometritis which in theory may interfere with the

menstrual cycle. ( I don't think you need to worry about the whole strep.

connection!!).

Acuptuncture and herbs should be able to help but you may need to have a course

of treatment and not expect a one visit cure. Seek out a well qualified

practitioner. They will be able to help you.

In the mean time, try avoiding hot energy foods - red meat, caffeine, alcohol,

ginger, chilli, cinnamon, fried foods and those cooked for a log time. Eat more

cooling things like fruit, salads (in moderation), cucumber. Tahini is good for

the kidneys as are kidney beans, sardines, eggs, bean sprouts, mung beans and

millet. Preferred cooking methods are lightly steamed or stir-fried.

 

Good luck ,and best wishes

jason

 

 

 

 

 

[Guest guest]

Thank you for your response Hugo,

 

I hope it is OK that I ask some more - your email awakens more questions.

 

You write:

Method two, which is recommended, but still you

should get a teacher:

About one second before orgasmic contractions, press

firmly and steadily on CV 1 using three fingers

(middle on CV, one to each side), and hold through

orgasm until it is finished, then release. This method

allows expression fo the orgasm and redirection of the

semen/essence into the bladder, where it is

reabsorbed.

 

 

How does one find a teacher?

I think I have used this method (I think i read about in a book by Stephen T

Chang or Mantak Chia), but in some ways I became unsure about it healthyness,

because the urine was quite strange afterwards I recall. And at the same time i

was very inspired by taoists texts that told about the fluency of things, and

this felt like a block.

 

You write:

love-making should not be done for entertainment

orwhen bored, but rather only when the feeling is

there, i.e. when the body is ready. The 'feeling' can

be divided into 5 parts: desire, length, girth,

hardness and heat. If you have all five attributes

strongly, it is ok to do method two. If you don't have

them, it is better to rest and not lose semen.

 

 

Could you describe or come with a reference that describes this readiness of the

body in more detail?

 

You write:

Two thigns I would like to ask the patient:

1. Colour of urine? Dark yellow, cloudy, clear, medium

yelow, pale yellow? High volume or low volume? Burning

sensation upon urination?

2. When you urinate, does the water become frothy?

 

 

My urine after an ejaculation stings like (often but not always) it is more

acidlike, and the stingy feeling stays for while. Often the water becomes frothy

when I urinate after ejaculation (but not when it has been a while since i've

had ejaculation), and the urine has a strange smell that is very strong. The

colour is somewhat yellow, but mostly it is a cloudy as i recall it (but I am

not sure that it is exactly the same colour every time after ejaculation).

Normally my urine is quite clear or pale (except in the mornings). My volume is

not little mostly large - and sometimes after ejaculation I can stand and

urinate in what feel like many minutes.

 

Does these descriptions any sense according to my symptoms?

 

Best regards

 

Henrik Nielsen, Denmark

 

 

 

 

[Guest guest]

> 1. Colour of urine? Dark yellow, cloudy, clear, medium

> yelow, pale yellow? High volume or low volume? Burning

> sensation upon urination?

> 2. When you urinate, does the water become frothy?

 

What is frothy urine a sign of? Thanks.

 

For those new to TCM, in general dark yellow, infrequent urination,

and low volume point to Heat and/or Yin Deficiency. Pale-colored

urine, frequent urination, and high volume point to Cold and/or Yang

Deficiency.

 

It's normal for urine to be more concentrated and less frequent in

the summer. It is normal for urine to be more dilute and more

frequent in the winter. Heat/ Yin Deficency and Cold/ Yang

Deficiency goes beyond what is normal during these seasons and can

occur at any time.

[Guest guest]

Hello Al,

 

Thank you for your long response and your sharing of your knowledge,

 

You wrote:

Okay, so the Jin Suo Gu Jing Wan is assuming a deficiency of Kidney Qi

which is unable to " control the lower gates " and causes semen to leak

out during the night. I only use this particular formula for nocturnal

emissions that have no dream. Strange but true. If there is a dream,

there is some sort of heat in the heart. What I have yet to figure out

is whether this is excessive heat or deficiency heat. The symptoms of

dryness in the throat and dry skin lean me toward deficiency while the

red eyes could be either. This false heat too could easily give rise

to premature ejaculation.

 

A few days ago I had a nightly emission without any dream but normally the

emission comes together with sexual dreams. Not so long ago (while taking the

first prescribed pills) I had a dream in which a filminstructor (uhh symbolic)

told me to rape a womanactress (?????), and when I ejaculated he specifically

told me to notice the heaviness in my feet and legs in order to act good in the

movie.

I have never really haved the sexdrive in the everyday world as many other

boys/men - or maybe my interest is different. I stopped masturbating not because

of moral, but because spiritual interest weighed higher than sexual - it didn't

feel like a loss. And when I have sex, I don't feel the need to ejaculate - but

often it happens anyhow (!) but when it doesn't happen I feel so at ease, calm

and centered. So I think that it is possible that I have born without as much

sexual energy as many other people - I know nothing about this issue, but to me

it seems plausible. Or else I am just weird guy, that doesn't really care about

sex in the same scale as many others.

 

You wrote:

I think that I would suggest you stop taking the pills for now and see

if it settles down. I'm not sure what this is, but if it is truly due

to the pills, I don't believe that this is an intended outcome and

sounds kind of strange to me. I've never heard of this before. I know

of a hardening of the scrotal tubes, usually due to underwear that are

too tight. You might try going without underwear with some loose

fitting clothing for a while (couple of days) or wear loose, large

underwear that we call " boxers " in American English. Not sure if that's

a universal term. : ) The Kai Kit Wan seems pretty benign and includes some Yin

Tonic, so I

think its a bit better than the Jin Suo Gu Jing Wan, but I can't

understand where the scrotal swelling is coming from. Perhaps you're

doing some Qi Gong or Yogic posture that is stressing them?

 

I forgot to meantion in my former email that the swelling is only on the right

side. I usually use something loose like boxers. The second suggestion really

makes me wonder: I have been doing a tai chi form called taoistic tai chi for

about a year now, and in this I do a lot of movement in the hips. Could this

cause the swelling or worsen the condition?

 

I have learned a yogic position called headstand, in position this position I

stand on myr head for about 5-8 minutes before sleep. And when i do this it

seems like the nightly ejaculations decreases - can acupuncture come with any

explanation why? And could it be bad for something like misdirecting heat or

cold in body?

 

You wrote:

If the area feels wet after your itch it then there may be a

relationship with your nocturnal emissions. This would be damp-heat

(especially if the area around your anus is red - I'm talking about the

normal skin being red, not the anal skin which is normally a darker

color) So there's dampness descending to the bottom of your abdomen,

and heat rising to the heart.

 

It is reddish (left side only) but not wet, instead it feels very dry, and it

feels like just on the inside of the anus (on the left side only) that something

is stinging like a little needle and when I feel with my fingers on the inside I

can feel something small and soft (but the doctor didn't detect anything????)

 

You wrote:

Everything's related, but most importantly we need to find out if you

have heat, which I suspect you do, given your age and your dreams. And

then, is this true heat or false heat. Is the heat too much heat or is

it not enough cool? If it is the not enough cool problem, you'll do

well with Zhi Bai Di Huang Wan. If you decide at one point that this

problem is too much heat, the formula for you would likely work for you

is going to be that Long Dan Xie Gan Tang again.

 

Hmmm, are there any other indications that I could descripe in order to find out

wether it is lack of cold or too much heat?

 

Best regard

Henrik

 

 

 

 

[Guest guest]

Actually it does not sound silly at all. Perfectly economical - especially

in context of the thread.

 

BTW. I would be interested to know what what kind of hormone profile Henrik

has. It is possible to get a saliva test for testosterone early morning just

before / after ejaculation and compare this with one six hours later through

a whole 24 hour cycle.

 

Testosterone (which is presumably driven by essential KI Qi or Jing) does

have diurnal variations. If these variations are too great then this would

explain the sexual high's and the lows throughout the day and night. This

might then lead you on to a more differentiated treatment. For example

something to raise Kidney Yang during the day and then raise kidney Yin at

night in order to balance the Yin/Yang in essential Ki Qi (Jing)?

 

As I am a student of TCM not a practitioner maybe one of the experts could

comment on my approach?

 

Sammy.

 

 

Hugo Ramiro [subincor]

16 June 2003 17:49

Chinese Traditional Medicine

Re: [Chinese Traditional Medicine] Help about nocturnal ejaculation - and the

pain that follows

 

 

--- Hugo Ramiro <subincor wrote:

 

> I very

> much agree with prescribing the Zhi Bai for hollow

> heat.

 

I suppose that sounds really silly. I meant

diagnosing hollow heat for him, and prescribing Zhi

Bai for him.

 

Bye,

Hugo

 

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[Guest guest]

--- ga.bates wrote:

 

> Actually it does not sound silly at all. Perfectly

> economical - especially

> in context of the thread.

 

haha, I just meant that Zhi Bai is the basic

prescription for hollow heat, and I made it sound like

I did indeed agree that Zhi bai is for hollow heat.

 

> might then lead you on to a more differentiated

> treatment. For example

> something to raise Kidney Yang during the day and

> then raise kidney Yin at

> night in order to balance the Yin/Yang in essential

> Ki Qi (Jing)?

 

There is nothing wrong with this approach. It is a

little time consuming, and requires a committed

patient, unless one is doing it with patents in which

case it is fairly standard.

 

For example, Some one with dual kidney yin and yang

vacuity could benefit from Fu Zi LiZhong in the

morning (boost yng), and Zhi Bai Di Huang in the

evening (bost yin).

 

Hugo

 

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[Guest guest]

--- victoria_dragon <victoria_dragon

wrote:

> What is frothy urine a sign of? Thanks.

 

It indicates a material in the urine. Most often

sperm.

 

Hugo

 

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[Guest guest]

--- Henrik Nielsen <alfen wrote:

 

> How does one find a teacher?

 

That's a good question. It's difficult to find a

genuine teacher. You just have to be informed and be

open to the possibility.

 

> I think I have used this method (I think i read

> about in a book by Stephen T Chang or Mantak Chia),

> but in some ways I became unsure about it

> healthyness, because the urine was quite strange

> afterwards I recall.

 

How so?

 

> And at the same time i was very

> inspired by taoists texts that told about the

> fluency of things, and this felt like a block.

 

No, this is a taoist method. Taoists block things

too.

 

> Could you describe or come with a reference that

> describes this readiness of the body in more detail?

 

Hmm...no, I can't. Basic thing is to fix your current

problem, and you need to do that with lifestyle iet

and herbs. When you are stronger you can try this

method.

 

> Does these descriptions any sense according to my

> symptoms?

 

Yes, they make a lot of sense.

Do you ever have urgency with you urination or bowel

movements? Ever have to run to the bathroom? Do you

ever wake to urinate at night?

 

Hugo

 

 

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[Guest guest]

On Monday, June 16, 2003, at 09:43 AM, Hugo Ramiro wrote:

 

> Al makes a good point that masturbation or

> love-making should not be done for entertainment

> orwhen bored, but rather only when the feeling is

> there, i.e. when the body is ready. The 'feeling' can

> be divided into 5 parts: desire, length, girth,

> hardness and heat. If you have all five attributes

> strongly, it is ok to do method two. If you don't have

> them, it is better to rest and not lose semen.

 

This is really interesting. I've never heard this before, but it looks

like a five element sort of approach to timing the reproductive act.

 

The pulse, for instance should have some of the healthy quality from

the five zang organs. The heart provides regular rhythm, the Kidneys

provide root, etc... So these five diagnostic attributes to knowing

when its time to do the deed is pretty cool. Just exploring this a bit,

I believe that we can also do some diagnostic work based on these five

parts to know which organ is weak in the case of a libido or erectile

issue.

 

Desire is Water.

Length is ?

Girth is ?

Hardness is Wood? (no pun intended)

Heat is Fire.

 

--

 

Pain is inevitable, suffering is optional.

-Adlai Stevenson

[Guest guest]

HI All,

 

If the differentiation for him is " Both Kidney Yang & Yin Defficiency " ,

to take different fomula in the day time and night time is really

excellent suggestion, I think. Yet, " Fu Zi Li Zhong Wan " is more for

" Spleen Yang Defficiency " , and " Zhi Bai Di Huang Wan " is used for excess

heat result from Kidney Yin Defficiency; both are not quite suitable for

patient with " Both Ki Yang & Yin Defficiency " . I'd suggest that the " Ba

Wei Di Huang Wan " in the morning for the Kidney Yang, " Gui Pi Tang " at

noon time for balancing both Yin & Yang by tonifying the spleen and

liver, and " Liu Wei Di Huang Wan " at night for the Kindey Yin

Defficiency. If the patient tends to have more " defficiency heat

symtoms " at night, then " Zhi Bai Di Huang Wan " is also good to take at

night, but with smaller dosage due to the " coldness " nature of the

fomula that in the long run might further damage the " Kidney Yang " thus

would create an new imbalanced Ki Yin-Yang.

 

Thanks for attention.

 

Zenny Chen

M.S. of TCM (CDUTCM/China)

 

subincor wrote:

 

> --- ga.bates wrote:

>

> > Actually it does not sound silly at all. Perfectly

> > economical - especially

> > in context of the thread.

>

> haha, I just meant that Zhi Bai is the basic

> prescription for hollow heat, and I made it sound like

> I did indeed agree that Zhi bai is for hollow heat.

>

> > might then lead you on to a more differentiated

> > treatment. For example

> > something to raise Kidney Yang during the day and

> > then raise kidney Yin at

> > night in order to balance the Yin/Yang in essential

> > Ki Qi (Jing)?

>

> There is nothing wrong with this approach. It is a

> little time consuming, and requires a committed

> patient, unless one is doing it with patents in which

> case it is fairly standard.

>

> For example, Some one with dual kidney yin and yang

> vacuity could benefit from Fu Zi LiZhong in the

> morning (boost yng), and Zhi Bai Di Huang in the

> evening (bost yin).

>

> Hugo

>

> ______________________

> Want to chat instantly with your online friends? Get the FREE

> Messenger http://uk.messenger./

>

>

[Guest guest]

Dear Zenny & All,

 

I found this formula which may strengthen Ki Yang on the following site

http://www.china-guide.com/hr00gb12.html it is called Jin Kui Shen Qi Wan.

The formula includes (quoting from the page):

 

Ingredients:

Chinese Foxglove (Rehmannia glutinosa libosch),

Cornus Fruit (Cornus officinalis siebold),

Chinese Yam (Discocera japonica thumg),

Moutan Root (paeonia suffuticosa andrews),

Poria Fungus (Poria cocos wolff),

Alisma Phizome (Alisma plantago-aquatica),

Cinnamon Bark (Cinnamonum cassia),

Aconitum Root (Acconitum carmichaeli).

 

The last item is not found in some formulations and I think it is worth

looking out to make sure the following:

 

If you take the formulation with Aconite make sure you are not taking

anything else that will 'fight' with this herb. A second formulation to

strengthen kidney Yin such as Lu Wei Di Huang Wan is superficially similar

but may have different and conflicting effects. Perhaps one of the experts

could comment ?

 

Also, I am not so sure if the formulation Jin Kui Shen Qi Wan without the

Aconite is any good - it is easy to buy at TCM shops but I suspect they

'water down' these pills for public consumption so that complications are

avoided. Again a comment from one of the experts would be appreciated on the

effectiveness of Jin Kui Shen Qi Wan with and without Aconite.

 

Cheers,

 

Sammy.

 

 

 

Zenny (Chien-Ming) CHEN [jming8cdu]

17 June 2003 22:10

Chinese Traditional Medicine

Re: [Chinese Traditional Medicine] Help about nocturnal ejaculation - and the

pain that follows

 

 

HI All,

 

If the differentiation for him is " Both Kidney Yang & Yin Defficiency " ,

to take different fomula in the day time and night time is really

excellent suggestion, I think. Yet, " Fu Zi Li Zhong Wan " is more for

" Spleen Yang Defficiency " , and " Zhi Bai Di Huang Wan " is used for excess

heat result from Kidney Yin Defficiency; both are not quite suitable for

patient with " Both Ki Yang & Yin Defficiency " . I'd suggest that the " Ba

Wei Di Huang Wan " in the morning for the Kidney Yang, " Gui Pi Tang " at

noon time for balancing both Yin & Yang by tonifying the spleen and

liver, and " Liu Wei Di Huang Wan " at night for the Kindey Yin

Defficiency. If the patient tends to have more " defficiency heat

symtoms " at night, then " Zhi Bai Di Huang Wan " is also good to take at

night, but with smaller dosage due to the " coldness " nature of the

fomula that in the long run might further damage the " Kidney Yang " thus

would create an new imbalanced Ki Yin-Yang.

 

Thanks for attention.

 

Zenny Chen

M.S. of TCM (CDUTCM/China)

 

subincor wrote:

 

> --- ga.bates wrote:

>

> > Actually it does not sound silly at all. Perfectly

> > economical - especially

> > in context of the thread.

>

> haha, I just meant that Zhi Bai is the basic

> prescription for hollow heat, and I made it sound like

> I did indeed agree that Zhi bai is for hollow heat.

>

> > might then lead you on to a more differentiated

> > treatment. For example

> > something to raise Kidney Yang during the day and

> > then raise kidney Yin at

> > night in order to balance the Yin/Yang in essential

> > Ki Qi (Jing)?

>

> There is nothing wrong with this approach. It is a

> little time consuming, and requires a committed

> patient, unless one is doing it with patents in which

> case it is fairly standard.

>

> For example, Some one with dual kidney yin and yang

> vacuity could benefit from Fu Zi LiZhong in the

> morning (boost yng), and Zhi Bai Di Huang in the

> evening (bost yin).

>

> Hugo

>

> ______________________

> Want to chat instantly with your online friends? Get the FREE

> Messenger http://uk.messenger./

>

>

[Guest guest]

Hi there,

 

> Zenny (Chien-Ming) CHEN

 

> If the differentiation for him is " Both Kidney Yang

> & Yin Defficiency " ,

> to take different fomula in the day time and night

> time is really

> excellent suggestion, I think. Yet, " Fu Zi Li Zhong

> Wan " is more for

> " Spleen Yang Defficiency " ,

 

You are right, and I mentioned that formula for a

couple of reasons. One, he had stomach pain. I didn't

check, but I suspect it is cold-type pain from Spleen

Yang deficiency. However, i should check that. Two, I

think it may be a bad idea to tonify kidney yang

directly at this point since that might heat up the

kidneys too strongly and burn yin further or cause

excess sexual desire. What do you think?

 

> and " Zhi Bai Di Huang

> Wan " is used for excess

> heat result from Kidney Yin Defficiency; both are

> not quite suitable for

> patient with " Both Ki Yang & Yin Defficiency " .

 

I should have been clearer with my diagnosis, I'm

sorry.

 

> suggest that the " Ba

> Wei Di Huang Wan " in the morning for the Kidney

> Yang, " Gui Pi Tang " at

> liver, and " Liu Wei Di Huang Wan " at night for the

> " defficiency heat

> symtoms " at night, then " Zhi Bai Di Huang Wan " is

 

That sounds like a good plan.

 

> also good to take at

> night, but with smaller dosage due to the " coldness "

> nature of the

> fomula that in the long run might further damage the

> " Kidney Yang " thus

> would create an new imbalanced Ki Yin-Yang.

 

Sure, however, for other members in the list who may

not know, any application of formulas is prescribed

according to presenting signs and symptoms, and

therefore he would be on Zhi Bai only so long as it

was indicated, i.e. only so long as hollow heat

symptoms were present, and it would be prescribed at

an appropriate dosage to severity or mildness of signs

and symptoms.

 

Thans for your input Zenny.

 

Bye,

Hugo

 

 

 

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[Guest guest]

Dear Sammy & All,

 

Thanks for your information about the herb website. I think we'll have

to have a little discussion about the histry of the formula here. Hope

you guys wouldn't be bored by it.

 

As said in the bottom of that website, " Jin Gui Shen Qi Wan " originates

in Synopsis of Prescriptions of the Golden Chamber " . The ingredients

originally include all indicating but " Rou Gui, Cinnamon Bark "

(originally " Gui Zhi, Cinnamon Twig " is used instead). Some TCM Master

after Zhang Zhong Jing altered the " twig " to " bark " for " stronger warm "

with " Fu Zhi, Aconitum Root " , and named it " Ba Wei Di Huang Wan " ever

since. But the names are substituable with each other, yet the " bark "

is used not the " twig " . The principle of the fomula is to " tonify

Kidney Qi " (Actually, more like Kidney's Yang Qi) from the help of

Kidney's Jing (more like Kidney's Yin Jing). Yet, the herbs to help

Kidney Jing outnumber and outweigh those to help Kidney Qi in the

formula, following the principle in the " Huang Di Nei Jing, the Yellow

Emporer's Inner Classic " as " 'shao huo, little fire' bears Qi " . In

this fomula, it is both Fu Zi and Rou Gui do the job of " lighting up the

'shao huo' " in the Kidney.

 

Fu Zi and Rou Gui are commonly used as a pair in many fomula or cases to

boost the warmth in the kidney. If Fu Zi is taken away, then Rou Gui

should be added more, yet not as powerful and effective as in pair with

Fu Zi. There are incompatible between Fu Zi's family member, Wu

Tou/Radix Aconiti, with Bei Mu/Bulbus Fritillariae, Gua Lou/Fructus

Trichosanthis, Ban Xia/Rhizoma Pinelliae, Bai lian/Raix Ampelopsis, Bai

Ji/Rhizoma Bletillae. (Chinese Herbal Medicine, Dan Bensky & Andrew

Gamble, p. 11) When applying Wu Tou, one should be careful about the

" fight " among them. Fu Zi, on the other hand, isn't mentioned yet

should be still careful about the " fight " too.

 

Another histry about " Liu Wei Di Huang Wan " is that it was also altered

by Song Dynsaty TCM Master Qian Yi taking out the Gui Zhi and Fu Zi to

be suitable for children's condition (Yin is under developing while Yang

seems to be excessive). TCM Masters after him used it to " tonify

Kidney Yin " ; and it becomes the representative formula for the Kidney

Yin defficiency. Although it has six ingredients same as " Ba Wei Di

Huang Wan/Jin Gui Shen Qi Wan " , the effectiveness and application

between them is different., yet not conflicting. The Kidney is the

" house " of both Yin and Yang. To balance the Yin and Yang in the Kidney

is always the number one thought, if the symptoms are not relating to

other organs. If the patient is diagnosed and differentiated as " Both

Kidney Yin and Yang Defficiency " , taking " Ba Wei Di Huang Wan/Jin Gui

Shen Qi Wan " in the day time and " Liu Wei Di Huang Wan " in the night

time is good suggestion for him.

 

The above is more like academic discussion. I think the discussion

should be based on the patient's subjective symtoms. Maybe we should

review his condition more now.

 

Thanks for your attention.

 

 

Zenny

 

 

 

ga.bates wrote:

 

>

> Dear Zenny & All,

>

> I found this formula which may strengthen Ki Yang on the following site

> http://www.china-guide.com/hr00gb12.html it is called Jin Kui Shen Qi Wan.

> The formula includes (quoting from the page):

>

> Ingredients:

> Chinese Foxglove (Rehmannia glutinosa libosch),

> Cornus Fruit (Cornus officinalis siebold),

> Chinese Yam (Discocera japonica thumg),

> Moutan Root (paeonia suffuticosa andrews),

> Poria Fungus (Poria cocos wolff),

> Alisma Phizome (Alisma plantago-aquatica),

> Cinnamon Bark (Cinnamonum cassia),

> Aconitum Root (Acconitum carmichaeli).

>

> The last item is not found in some formulations and I think it is worth

> looking out to make sure the following:

>

> If you take the formulation with Aconite make sure you are not taking

> anything else that will 'fight' with this herb. A second formulation to

> strengthen kidney Yin such as Lu Wei Di Huang Wan is superficially similar

> but may have different and conflicting effects. Perhaps one of the experts

> could comment ?

>

> Also, I am not so sure if the formulation Jin Kui Shen Qi Wan without the

> Aconite is any good - it is easy to buy at TCM shops but I suspect they

> 'water down' these pills for public consumption so that complications are

> avoided. Again a comment from one of the experts would be appreciated

> on the

> effectiveness of Jin Kui Shen Qi Wan with and without Aconite.

>

> Cheers,

>

> Sammy.

>

>

>

> Zenny (Chien-Ming) CHEN [jming8cdu]

> 17 June 2003 22:10

> Chinese Traditional Medicine

> Re: [Chinese Traditional Medicine] Help about nocturnal ejaculation - and the

> pain that follows

>

>

> HI All,

>

> If the differentiation for him is " Both Kidney Yang & Yin Defficiency " ,

> to take different fomula in the day time and night time is really

> excellent suggestion, I think. Yet, " Fu Zi Li Zhong Wan " is more for

> " Spleen Yang Defficiency " , and " Zhi Bai Di Huang Wan " is used for excess

> heat result from Kidney Yin Defficiency; both are not quite suitable for

> patient with " Both Ki Yang & Yin Defficiency " . I'd suggest that the " Ba

> Wei Di Huang Wan " in the morning for the Kidney Yang, " Gui Pi Tang " at

> noon time for balancing both Yin & Yang by tonifying the spleen and

> liver, and " Liu Wei Di Huang Wan " at night for the Kindey Yin

> Defficiency. If the patient tends to have more " defficiency heat

> symtoms " at night, then " Zhi Bai Di Huang Wan " is also good to take at

> night, but with smaller dosage due to the " coldness " nature of the

> fomula that in the long run might further damage the " Kidney Yang " thus

> would create an new imbalanced Ki Yin-Yang.

>

> Thanks for attention.

>

> Zenny Chen

> M.S. of TCM (CDUTCM/China)

>

> subincor wrote:

>

> > --- ga.bates wrote:

> >

> > > Actually it does not sound silly at all. Perfectly

> > > economical - especially

> > > in context of the thread.

> >

> > haha, I just meant that Zhi Bai is the basic

> > prescription for hollow heat, and I made it sound like

> > I did indeed agree that Zhi bai is for hollow heat.

> >

> > > might then lead you on to a more differentiated

> > > treatment. For example

> > > something to raise Kidney Yang during the day and

> > > then raise kidney Yin at

> > > night in order to balance the Yin/Yang in essential

> > > Ki Qi (Jing)?

> >

> > There is nothing wrong with this approach. It is a

> > little time consuming, and requires a committed

> > patient, unless one is doing it with patents in which

> > case it is fairly standard.

> >

> > For example, Some one with dual kidney yin and yang

> > vacuity could benefit from Fu Zi LiZhong in the

> > morning (boost yng), and Zhi Bai Di Huang in the

> > evening (bost yin).

> >

> > Hugo

> >

> > ______________________

> > Want to chat instantly with your online friends? Get the FREE

> > Messenger http://uk.messenger./

> >

> >

[Guest guest]

Hello Hugo,

 

Thank you for your concern and response,

 

You wrote as an answer to my question about how to find a teacher:

That's a good question. It's difficult to find a

genuine teacher. You just have to be informed and be

open to the possibility.

 

What should you be informed about if you seek a teacher?

 

I wrote:

> I think I have used this method (I think I read

> about in a book by Stephen T Chang or Mantak Chia),

> but in some ways I became unsure about it

> healthiness, because the urine was quite strange

> afterwards I recall.

You asked:

How so?

 

 

The urine got very unclear therefore I had doubts about the healthiness,

secondly while I put the pressure on the point it felt, as I recall it, a bit

stingy (but maybe I put pressure in the wrong spot).

 

You wrote:

Hmm...no, I can't. Basic thing is to fix your current

problem, and you need to do that with lifestyle yet

and herbs. When you are stronger you can try this

method.

 

Ok, I will write you then if is ok .

 

You wrote:

Do you ever have urgency with you urination or bowel

movements? Ever have to run to the bathroom? Do you

ever wake to urinate at night?

 

Not really any of them - except for the last one, but isn't that quite normal?

 

I found a few days ago what I thought to be a dietary supplement (which was the

reason why I did not mention it in my former email - and I am sorry about that)

actually is 'Zhi bai di huang' (10 pills in morning and afternoon) and these

have I been taken together with 'Kai kit wan' (8 pills in morning and afternoon)

for 8 days all in all (before that it was jin suo gu jing wan).

 

In the last 24 hours I have had the urge to urinate many more times than usual.

And now my belly feels really hard, like there is a lot of wind inside it (and

it feels hot as well in the lower part where the intestines lies), the muscles

feels sore around the solar plexus and in the lower part of intestines there is

a deeper stingy feeling - and there is a lot movement. And there is a hot

sensation in the groin on the left side. I don't relate this to the herbpills

(but that is because I don't know enough about how they effect the body) instead

it seems like the is some kind of infection - but I was hoping these pills in

some way could help my body to fight it. (The pstitive thing is that there

haven't been the tradtinal backpains after the nightly ejaculations but my eyes

have been very tired for the last couple of days)

 

The acupuncturist told me yesterday to stop taking the herp pills, so the body

would not get to used to them. But to me it seems like whatever is happening in

my body it is relly accelerating right now.

 

Now I have not taken the pills for 24 hours.

 

I went to see a traditional doctor today, but he didn't really react - and he

didn't see a link between the pains in stomach and the swollen tubes in scotum.

He would do a urine test for clamydia (but my girlfriend have already been

tested for this - and she did not have so i don't think I have it either). I

would like to see an urologist, to check for infection in prostata, but in

Denmark you need a doctors approval of seeing one, or else it costs a lot of

money (if at all possible).

 

Do you or anybody else have any suggestions for this - whatever it is?

I just hope that the symptoms is a part of healing process - because I really

don't know what to do right now but to try to relax and at the same help the

stomach without annoying it too much.

 

Best regards

Henrik Nielsen, Denmark

 

 

[Guest guest]

Dear Henrik

 

May I suggest you get your girlfriend to check your prostate. If it is sore

to the touch or if it feels uneven or spongy or swollen then you can ask

your doctor for a referral to a urologist. Checking the prostate is done by

inserting a finger up the back passage. You cannot do it yourself you will

need assistance. You girlfriend will probably want to use a disposable

surgical type rubber glove that is nowadays readily available from a

pharmacist. A Google search on DRE (digital rectal examination) for prostate

problems will help you both work out the anatomy to go for.

 

I'd be interested to know if you have any breast swelling or nipple

soreness - or even discharge from the nipples ?

 

Have you had a bone density scan ? It is not usual to have for young men but

the symptoms you describe may be associated with a reduced bone mineral

density and associated increased risk of fracture. This is one area where

TCM and CM coincide - the Ki system associated tissue is bone and marrow - a

weak Ki system may not be able to support this tissue therefore the pain. In

conventional medicine back pain and joint paint may be interpreted as a

symptom of reduced bone density.

 

You can easily get a BMD scan at a womens osteoporosis clinic for bone

density measurement. In the UK it costs about ?30 to be tested privately.

You do not need a doctor's referral. If you cannot get it at home it may

well be worth a visit here.

 

There are further considerations as well but I won't elaborate until I hear

the results of your DRE and doctor's comment.

 

Take care,

 

Sammy.

 

> I went to see a traditional doctor today, but he didn't really react - and

he didn't see a link between the pains in stomach and the swollen tubes in

scotum. He would do a urine test for clamydia (but my girlfriend have

already been tested for this - and she did not have so i don't think I have

it either). I would like to see an urologist, to check for infection in

prostata, but in Denmark you need a doctors approval of seeing one, or else

it costs a lot of money (if at all possible).

 

Do you or anybody else have any suggestions for this - whatever it is?

I just hope that the symptoms is a part of healing process - because I

really don't know what to do right now but to try to relax and at the same

help the stomach without annoying it too much.

 

 

 

Henrik Nielsen [alfen]

19 June 2003 00:26

Chinese Traditional Medicine

Re: [Chinese Traditional Medicine] Help about nocturnal ejaculation - and the

pain that follows

 

 

Hello Hugo,

 

Thank you for your concern and response,

 

You wrote as an answer to my question about how to find a teacher:

That's a good question. It's difficult to find a

genuine teacher. You just have to be informed and be

open to the possibility.

 

What should you be informed about if you seek a teacher?

 

I wrote:

> I think I have used this method (I think I read

> about in a book by Stephen T Chang or Mantak Chia),

> but in some ways I became unsure about it

> healthiness, because the urine was quite strange

> afterwards I recall.

You asked:

How so?

 

 

The urine got very unclear therefore I had doubts about the healthiness,

secondly while I put the pressure on the point it felt, as I recall it, a

bit stingy (but maybe I put pressure in the wrong spot).

 

You wrote:

Hmm...no, I can't. Basic thing is to fix your current

problem, and you need to do that with lifestyle yet

and herbs. When you are stronger you can try this

method.

 

Ok, I will write you then if is ok .

 

You wrote:

Do you ever have urgency with you urination or bowel

movements? Ever have to run to the bathroom? Do you

ever wake to urinate at night?

 

Not really any of them - except for the last one, but isn't that quite

normal?

 

I found a few days ago what I thought to be a dietary supplement (which was

the reason why I did not mention it in my former email - and I am sorry

about that) actually is 'Zhi bai di huang' (10 pills in morning and

afternoon) and these have I been taken together with 'Kai kit wan' (8 pills

in morning and afternoon) for 8 days all in all (before that it was jin suo

gu jing wan).

 

In the last 24 hours I have had the urge to urinate many more times than

usual. And now my belly feels really hard, like there is a lot of wind

inside it (and it feels hot as well in the lower part where the intestines

lies), the muscles feels sore around the solar plexus and in the lower part

of intestines there is a deeper stingy feeling - and there is a lot

movement. And there is a hot sensation in the groin on the left side. I

don't relate this to the herbpills (but that is because I don't know enough

about how they effect the body) instead it seems like the is some kind of

infection - but I was hoping these pills in some way could help my body to

fight it. (The pstitive thing is that there haven't been the tradtinal

backpains after the nightly ejaculations but my eyes have been very tired

for the last couple of days)

 

The acupuncturist told me yesterday to stop taking the herp pills, so the

body would not get to used to them. But to me it seems like whatever is

happening in my body it is relly accelerating right now.

 

Now I have not taken the pills for 24 hours.

 

I went to see a traditional doctor today, but he didn't really react - and

he didn't see a link between the pains in stomach and the swollen tubes in

scotum. He would do a urine test for clamydia (but my girlfriend have

already been tested for this - and she did not have so i don't think I have

it either). I would like to see an urologist, to check for infection in

prostata, but in Denmark you need a doctors approval of seeing one, or else

it costs a lot of money (if at all possible).

 

Do you or anybody else have any suggestions for this - whatever it is?

I just hope that the symptoms is a part of healing process - because I

really don't know what to do right now but to try to relax and at the same

help the stomach without annoying it too much.

 

Best regards

Henrik Nielsen, Denmark

 

 

[Guest guest]

> I found a few days ago what I thought to be a dietary supplement

(which was the reason why I did not mention it in my former email -

and I am sorry about that) actually is 'Zhi bai di huang' (10 pills

in morning and afternoon) and these have I been taken together

with 'Kai kit wan' (8 pills in morning and afternoon) for 8 days all

in all (before that it was jin suo gu jing wan).

 

It sounds like you need to stop experimenting on yourself for a

while. Wait until you know more about TCM before cautiously trying

things.

 

You may also want to consult with your TCM healer for a re-evaluation.

 

If you have been trying things on your own in addition to what s/he

has been recommending, this is going to make it difficult for him/her

to evaluate the effectiveness of the treatments s/he recommends.