Struggling with Health: Seeking Answers for Persistent Issues

Still unable to "do as one pleases."

Dear Dr.
Chen,
Thank you very much for your consultation last time.
However, after taking "Tian Wang Bu Xin Dan," I still haven't seen any improvement.
I suddenly realized that this has been going on for about one to two months now, and it's really distressing.
I currently work in Hsinchu from Monday to Friday and only return to Tainan on Friday nights.
I only get to spend time with my wife on Friday nights and Saturdays.
When we try to be intimate, I initially can achieve an erection, but it doesn't last long, and I can't maintain penetration.
If I force it, I end up ejaculating quickly (without a firm erection), which is really unfortunate! I've also noticed that I tend to have erections around 5 or 6 AM, but by the time I need to get up at 7 or 8 AM, it goes soft.
It's not like before, when I would be erect until I used the restroom.
I don't know what to do.

Dr.
Chen, I previously asked you which is more effective among Liu Wei Di Huang Wan, Qi Bao Mei Ran Dan, and Ban Long Wan, and you mentioned that you would let me know after I started the medication.
But now I have more questions: Can I drink alcohol? Are there any foods I should avoid? What can I eat more of? Which acupressure points should I massage regularly? I apologize for these difficult questions, but I feel I must ask.
Thank you for taking the time to respond!
Best Regards,
Jacky Lin
August 20, 2002

Jacky, 30~39 year old female. Ask Date: 2002/08/20

Dr. Chen Weili reply Traditional Chinese Medicine

Dear Jacky,
Sometimes, not being able to do as one wishes can indeed be a significant concern.
The previous suggestion to use Tianwang Buxin Dan was based on my observation of your stress and anxiety symptoms.
If you continue to take it and make slight adjustments over a period of time, it should yield results.
Unfortunately, in clinical practice, I often encounter patients like you who have the common complaint of wanting immediate results.
It is important to understand that while traditional Chinese medicine may work slowly, its effects are indeed noticeable.
Liuwei Dihuang Wan is used for kidney yin deficiency and upward-heat disturbance, presenting symptoms such as weakness in the lower back and knees, dizziness, tinnitus, night sweats, nocturnal emissions, and heat in the palms and soles.
Banlong Wan is indicated for yang deficiency and impotence, with symptoms including clear and prolonged urination, impotence, cold extremities, weight loss, and fatigue.
Qibao Meiran Dan is used to nourish the liver and kidneys, replenish essence and blood, and improve hair and beard health, particularly for those with kidney deficiency and weakness in the lower limbs.
Which one is better? If there is a tendency towards kidney yang deficiency, Banlong Wan may be appropriate; if there is a tendency towards kidney yin deficiency, Liuwei Wan would be more suitable.
Remember, medicine is inanimate, while people are living beings; there is no absolute good or bad, only what is appropriate or not!
Excessive alcohol consumption and overly cold foods are contraindicated.
Engaging in exercises such as push-ups and frog jumps can strengthen the lower back.
Additionally, applying heat and massaging along the spine from the lower back outward can also be beneficial.
Wishing you the ability to do as you wish.

Reply Date: 2002/08/20

More Info

Dear Jacky,
Thank you for reaching out and sharing your concerns. It’s understandable to feel frustrated when dealing with persistent health issues, especially those related to sexual function. Your situation is not uncommon, and many individuals experience similar challenges at different points in their lives.
From what you’ve described, it seems that you are experiencing erectile dysfunction (ED), which can be influenced by a variety of factors, including psychological stress, physical health, and lifestyle choices. The fact that you notice a difference in your ability to achieve and maintain an erection at different times of the day suggests that there may be both physical and psychological components at play.

Firstly, it’s important to consider the psychological aspects of erectile dysfunction. Stress, anxiety, and relationship dynamics can significantly impact sexual performance. Since you mentioned that you only see your wife on weekends, the pressure to perform during that limited time could be contributing to your difficulties. It might be beneficial to have open and honest conversations with your wife about your feelings and experiences. This can help alleviate some of the pressure you may be feeling and foster a supportive environment.

In terms of physical health, several factors can contribute to erectile dysfunction, including hormonal imbalances, cardiovascular health, and lifestyle choices such as diet and exercise. Since you mentioned that you have been taking traditional Chinese medicine (TCM) remedies like "Tian Wang Bu Xin Dan," it’s important to monitor how these treatments are affecting you. If you feel that they are not providing the desired results, it may be worth discussing alternative options with your healthcare provider.

Regarding your questions about alcohol consumption and diet, moderation is key. Excessive alcohol intake can negatively affect erectile function, so it’s advisable to limit your drinking. Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, which can support overall health and potentially improve sexual function. Foods that are high in antioxidants, such as berries and nuts, as well as those rich in omega-3 fatty acids, like fish, may also be beneficial.

As for acupuncture or massage, certain acupressure points may help improve circulation and reduce stress, which can be beneficial for erectile function. Points such as "Ren 4" (Guanyuan) and "Kidney 3" (Taixi) are often targeted in TCM for reproductive health. However, it’s best to consult with a qualified practitioner who can provide personalized treatment based on your specific needs.

Lastly, if you continue to experience difficulties, I recommend seeking a comprehensive evaluation from a healthcare professional who specializes in sexual health. They can help identify any underlying medical conditions that may be contributing to your symptoms and suggest appropriate treatments, which may include medication, therapy, or lifestyle modifications.

In conclusion, it’s essential to approach this issue holistically, considering both the physical and psychological aspects of your health. Open communication with your partner, a healthy lifestyle, and professional guidance can all play significant roles in addressing your concerns. Please feel free to reach out if you have further questions or need additional support.

Best regards,
Doctor Q&A Teams

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