Does Zhibai Dihuang Pills treat premature ejaculation?

Aug 22, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
Under normal circumstances, Zhibai Dihuang Pills are a traditional Chinese medicine preparation, with main ingredients including Anemarrhena rhizome (Zhimu), Phellodendron bark (Huangbai), processed Rehmannia root (Shudihuang), etc. It has the functions of nourishing yin to reduce fire and tonifying the kidneys to replenish essence. Whether Zhibai Dihuang Pills can be used to treat premature ejaculation needs to be determined based on the specific condition of the patient. If discomfort occurs, it is recommended to seek timely medical advice from a qualified Traditional Chinese Medicine (TCM) practitioner. A detailed analysis is as follows:

Generally speaking, Zhibai Dihuang Pills are a traditional Chinese medicine preparation, with main ingredients including Anemarrhena (Zhimu), Phellodendron (Huangbai), Rehmannia (Sh熟地黄), among others. It functions to nourish yin and reduce fire, as well as to tonify the kidneys and enrich essence. Whether Zhibai Dihuang Pills can be used to treat premature ejaculation depends on the specific condition of the illness. If discomfort occurs, it is recommended to promptly seek medical advice from a professional TCM practitioner. Detailed analysis is as follows:

If premature ejaculation is caused by yin deficiency with fire hyperactivity, presenting as rapid ejaculation accompanied by symptoms such as tidal fever, night sweats, soreness and weakness of the waist and knees, dizziness, tinnitus, irritability, insomnia, red tongue with little coating, etc., Zhibai Dihuang Pills may exert a therapeutic effect. This medicine, made from herbs such as Anemarrhena, Phellodendron, and Rehmannia, can nourish yin and reduce fire, improving dysfunction of the reproductive system caused by yin deficiency with fire hyperactivity. When taken at the appropriate dosage, once symptoms of yin deficiency with fire hyperactivity are alleviated, the problem of premature ejaculation may gradually improve.

If premature ejaculation is caused by other factors, such as kidney yang deficiency, heart-spleen deficiency, or damp-heat descending, Zhibai Dihuang Pills are not applicable. Patients with kidney yang deficiency often experience cold intolerance, cold limbs, mental fatigue, and reduced libido, requiring warming and tonifying kidney yang. Those with heart-spleen deficiency commonly have shortness of breath, fatigue, poor appetite, palpitations, and forgetfulness, requiring nourishment of the heart and spleen. Patients with damp-heat descending may show symptoms such as dampness and itching in the genital area, bitter taste and sticky mouth, and yellowish or dark urine, requiring clearing heat and removing dampness. In these cases, using Zhibai Dihuang Pills will not only fail to relieve symptoms but may also worsen physical discomfort.

During the use of Zhibai Dihuang Pills, spicy and greasy foods should be avoided, and alcohol consumption should be refrained from in order to prevent interference with the medicine's effectiveness. If symptoms do not improve after taking the medication for a period of time, or if adverse reactions such as abdominal pain or diarrhea occur, the medication should be discontinued immediately and medical attention sought.

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