Kidney Deficiency: Traditional Chinese Medicine Insights

Q: Kidney Deficiency: Traditional Chinese Medicine Insights

Hello, regarding your question, here are the answers：<br>1. <br>The sensation you describe at the glans, which feels uncomfortable and is characterized by a warm, swollen feeling, could be related to sexual arousal or prostatitis. <br>However, given your young age, it is more lik

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Hello Dr.
Lin: I sometimes experience a sensation in the glans that is hard to describe, somewhat like a warm, swollen discomfort.
Because of this, my urine output is often low when I urinate, although I feel much better after finishing.
Sometimes, I feel the urge to urinate just after drinking plain water.
I also notice bubbles in my urine.
These symptoms have persisted for three years.
I have sought treatment from a Western medicine doctor, who diagnosed me with prostatitis.
I have taken medication, but the symptoms occasionally recur.
Additionally, I sometimes experience soreness in my knees.
I have now switched to a traditional Chinese medicine clinic in Yuanlin, where the practitioner diagnosed me with kidney deficiency.
He prescribed herbal remedies to tonify the kidneys, including Liuwei Dihuang Wan, Sang Piao Xiao San, and Hong Jing Tian.
I have been taking these for two weeks and feel some improvement.
However, after about a month and a half, the discomfort has returned.
I would like to ask if kidney deficiency is related to masturbation (previously, I would do it about 3 to 4 times a week, but I am now hesitant to do it that often).
Is the herbal prescription from the practitioner gentle? Can I continue taking it? Is there any harm in taking too much? Thank you for your response.

Xiao Xin, 20~29 year old female. Ask Date: 2004/11/26

Dr. Lin Qingzhong reply Traditional Chinese Medicine

Hello, regarding your question, here are the answers:
1.
The sensation you describe at the glans, which feels uncomfortable and is characterized by a warm, swollen feeling, could be related to sexual arousal or prostatitis.
However, given your young age, it is more likely related to sexual arousal.
The cloudy urine you mentioned, based on my years of clinical experience in a large hospital, often results from benign urethral cell casts.
The chances of actual inflammation or proteinuria are quite low, so there is no need to worry too much.
In my clinical practice, I often prescribe medications to clear kidney heat, which usually helps and is unrelated to kidney deficiency.
Young individuals sometimes experience external stimuli leading to sexual arousal or nocturnal emissions, which are normal phenomena in the process of growth.
As long as nocturnal emissions do not occur too frequently within a week, leading to fatigue or mental confusion, there is no need for concern.
If you do experience fatigue, lower back pain, or difficulty concentrating, you may consult an experienced traditional Chinese medicine practitioner for medications to clear kidney heat.
Additionally, it is advisable to avoid external stimuli, take cold showers, and engage in physical activity to help manage sexual urges.
2.
It is important to regularly test your urine and maintain a balanced perspective on masturbation; do not feel guilty about it.
I believe that this will lead to a happier life and growth.
If you have similar questions, I am more than happy to assist you.
Wishing you all the best.
Dr.
Lin Qingzhong, Director of the Traditional Chinese Medicine Department, Fengyuan Hospital.

Reply Date: 2004/11/26

More Info

Understanding kidney deficiency from the perspective of Traditional Chinese Medicine (TCM) involves a holistic approach that considers not only the physical symptoms but also the underlying imbalances in the body. In your case, you have described a range of symptoms including discomfort in the genital area, changes in urination, and knee pain, which have persisted for three years. You have also mentioned a diagnosis of prostatitis from Western medicine and have been prescribed various treatments.

In TCM, the kidneys are considered the source of vitality and are closely linked to reproductive health, fluid regulation, and overall energy levels. The term "kidney deficiency" (腎虛) refers to a state where the kidney's functions are weakened, leading to various symptoms. This can be categorized into different types, such as kidney yin deficiency or kidney yang deficiency, each presenting with distinct signs and symptoms.

Your symptoms of discomfort in the genital area, frequent urination, and the presence of bubbles in your urine may suggest a deficiency in kidney yin or yang, or possibly a combination of both. The sensation of heat and discomfort could indicate an excess condition or inflammation, which aligns with your diagnosis of prostatitis. The fact that you experience relief after urination suggests that there may be an underlying issue with fluid retention or inflammation in the urinary tract.

Regarding your question about the relationship between kidney deficiency and masturbation, TCM often views excessive sexual activity as a potential cause of kidney depletion, particularly if it leads to fatigue or other symptoms. However, the impact of masturbation on kidney health can vary significantly among individuals. Moderation is key, and if you feel that your sexual activity is contributing to your symptoms, it may be beneficial to reduce the frequency.

The herbal prescriptions you are taking, including Liuwei Dihuang Wan (六味地黃丸), Sangpianhao San (桑螵蛸散), and Hongjing Tian (紅景天), are traditionally used to nourish the kidneys and improve vitality. Liuwei Dihuang Wan is particularly well-known for its ability to tonify kidney yin, while Sangpianhao San is often used for its calming effects and to support kidney function. Hongjing Tian is recognized for its adaptogenic properties, helping the body cope with stress.

As for the warmth of the herbal formula, TCM herbs can vary in their thermal nature, with some being warming and others cooling. Liuwei Dihuang Wan is generally considered neutral to slightly warming, making it suitable for many individuals. However, if you experience any adverse effects or if your symptoms worsen, it is essential to consult your TCM practitioner for adjustments to your treatment plan.

In terms of safety, taking herbal remedies in moderation is typically safe, but overconsumption can lead to imbalances or side effects. It is crucial to follow your practitioner's guidance and report any changes in your condition. If you feel that the herbs are beneficial, you may continue taking them, but always under the supervision of a qualified practitioner.

In conclusion, your symptoms may indeed be related to kidney deficiency as understood in TCM, and the treatment you are receiving appears to be appropriate. However, it is essential to maintain open communication with your healthcare providers, both Western and Eastern, to ensure a comprehensive approach to your health. Regular follow-ups and adjustments to your treatment plan will be vital in managing your symptoms effectively.

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