What Chinese herbs can be used to treat premature ejaculation?

Aug 22, 2025 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
In general, premature ejaculation is often associated with kidney deficiency, liver qi stagnation, damp-heat, and other factors. Common symptoms include ejaculation occurring too quickly during intercourse, inability to control ejaculation voluntarily, accompanied by soreness and weakness in the waist and knees, or irritability. Patients may take medications such as Jin Kui Shen Qi Wan, Zhi Bai Di Huang Wan, Xiao Yao Wan, Long Dan Xie Gan Wan, and Wu Zi Yan Zong Wan according to medical advice. A detailed analysis is as follows:

Generally, premature ejaculation is often associated with kidney deficiency, liver qi stagnation, and damp-heat, among other factors. Common symptoms include rapid ejaculation during sexual intercourse, inability to control ejaculation voluntarily, and accompanying symptoms such as soreness and weakness in the waist and knees or emotional irritability. Patients may take medications such as Jin Kui Shen Qi Wan, Zhi Bai Di Huang Wan, Xiao Yao Wan, Long Dan Xie Gan Wan, and Wu Zi Yan Zong Wan under the guidance of a physician. Detailed explanations are as follows:

1. Jin Kui Shen Qi Wan

Jin Kui Shen Qi Wan is a blackish-brown water-honey pill or large honey pill made from herbs including Rehmannia glutinosa, Chinese yam, and Cornus officinalis. It warms and invigorates kidney yang and promotes qi activity to eliminate water retention. It is suitable for premature ejaculation caused by kidney yang deficiency and can improve symptoms such as soreness and weakness in the waist and knees, cold intolerance, cold limbs, and weak ejaculation caused by kidney yang deficiency.

2. Zhi Bai Di Huang Wan

Zhi Bai Di Huang Wan is a dark brown water-honey pill, blackish-brown small honey pill, or large honey pill containing Anemarrhena asphodeloides, Phellodendron amurense, processed Rehmannia glutinosa, and other ingredients. It nourishes yin and reduces fire, commonly used to treat premature ejaculation caused by yin deficiency with fire hyperactivity. It effectively alleviates symptoms such as night sweats, dry mouth, sore throat, tinnitus, and nocturnal emission.

3. Xiao Yao Wan

Xiao Yao Wan is a yellowish-brown to brown water pill composed of Bupleurum chinense, Angelica sinensis, Paeonia lactiflora, and other herbs. It soothes the liver, strengthens the spleen, nourishes blood, and regulates menstruation. It is suitable for premature ejaculation caused by liver qi stagnation and spleen deficiency, and can improve symptoms such as rapid ejaculation, chest and rib-side distension and pain, and loss of appetite caused by emotional distress and liver qi stagnation.

4. Long Dan Xie Gan Wan

Long Dan Xie Gan Wan is a dark yellow water pill made from Gentiana scabra, Bupleurum chinense, Scutellaria baicalensis, and other ingredients. It clears heat from the liver and gallbladder and eliminates dampness and heat. It is used to treat premature ejaculation caused by damp-heat in the liver and gallbladder and can relieve symptoms such as genital dampness, bitter taste in the mouth, dry throat, and rapid ejaculation caused by downward invasion of damp-heat.

5. Wu Zi Yan Zong Wan

Wu Zi Yan Zong Wan is a brownish water-honey pill, dark brown small honey pill, or large honey pill containing Lycium barbarum, Cuscuta chinensis, Rubus idaeus, and other ingredients. It nourishes the kidneys and replenishes essence, suitable for premature ejaculation caused by kidney deficiency and depletion of essence. It can improve symptoms such as impotence, infertility, and lower back pain.

Maintain healthy lifestyle habits in daily life, avoid excessive fatigue and mental stress, and limit consumption of spicy and irritating foods such as chili peppers and strong liquor to prevent worsening of symptoms.

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