3 topical medicines and 2 proprietary Chinese medicines for erectile dysfunction and premature ejaculation:
1. Compound chamomile lidocaine cream (gel), lidocaine or proprivacaine spray
These drugs are topical local anesthetics that reduce the sensitivity of the head of the penis, thereby reducing the spinal cord and central input to the brain for sex drive, and prolonging the latency of vaginal ejaculation to treat premature ejaculation. At present, there are gels, creams, sprays and other dosage forms, including lidocaine, plymcaine or different combinations with other drugs, generally used 5~10 minutes before sex, applied or sprayed on the front of the penis, around the frenulum. Local anesthetics have fewer side effects but may cause a small number of patients to be unable to get an erection due to penile numbness.
Clinical practice has shown that local anesthetic creams containing lidocaine (25 mg/g) and propavacaine (25 mg/g) extend intravaginal ejaculation latency by approximately 6 minutes compared with placebo. Studies have shown that compound chamomile lidocaine gel can be used 5 minutes before sexual life, and has the characteristics of fast onset; Moreover, the anesthesia effect is moderate, and most patients do not have obvious penile numbness, do not affect the sexual experience, and have good tolerance.
2. Kidney nourishing aphrodisiac ointment
Kidney nourishing aphrodisiac cream, as a domestic treatment of erectile dysfunction topical drugs, the main ingredients are epimedium, snake bed, angelica, fairy grass, cistanche, cloves, spices, licorice. Nourish kidney, aphrodisiac, activate blood circulation. For penile erectile dysfunction, Chinese medicine distinguishes kidney yang deficiency.
Modern research has confirmed that many drug ingredients in Fangzhong have the effect of tonifying kidney and aphrodisiac and improving penile erectile function. Epimedium has been used for the treatment of erectile dysfunction for thousands of years, and studies suggest that it can promote the regeneration of penile nerves, improve the expression of penile cavernous nerves and endothelial nitric oxide synthase, promote the proliferation of penile smooth muscle cells, and increase the ratio of penile muscle/collagen.
Kidney-promoting aphrodisiac cream, good absorption, fast onset. Using the method of external treatment of internal diseases in traditional Chinese medicine, through the combination of local drugs in vitro, the drug directly passes through the vulva and its surrounding skin and enters its body, through the meridians, has the effect of tonifying the kidney, aphrodisiac, activating the blood circulation, and achieving the purpose of smooth operation of qi and blood, unclogging the meridians, harmony of yin and yang, external treatment of internal diseases, and restoration of internal organ function. Studies have shown that after treatment, erection hardness and sexual life satisfaction have been significantly improved, and the effective rate is high.
3. Prostaglandin E1 cream
Prostaglandin E1, a natural component in semen, is a strong vasodilator, which can directly act on receptors on the corpus cavernosum, activate adenylate cyclase, through cyclic adenosine monophosphate (cAMP), protein kinase A second messenger system, causing intracellular calcium ions to decrease, dilate penile blood vessels, relax penile cavernous smooth muscle to achieve penile erection.
In addition, prostaglandin E1 also acts on the corresponding receptors on the sympathetic presynaptic or postsynaptic membrane, inhibiting the release of norepinephrine in the cavernous body with constricted blood vessels. Based on the synergistic effect of the above two functions of prostaglandin E1, its effect is far more natural and effective than other vasodilators in the treatment of erectile dysfunction. In addition, it can inhibit collagen synthesis, and its incidence of hard nodes and fibrosis is significantly less than that of other vasodilators, such as phentolamine or papaverine.
4. Golden lock solid essence pill
Renal qi infirmity type premature ejaculation, mainly manifested as premature ejaculation, decreased libido, waist and knee soreness, fatigue, tinnitus, long urine or unfavorable urination or residual drainage after urine, frequent nocturia, light tongue, thin white moss, weak pulse or weak pulse. Insufficient kidney qi, dereliction of duty, and poor precision, resulting in premature ejaculation; Kidney qi deficiency, gasification loss, bladder failure, then urine clearance, urine is unfavorable or residual drainage after urine. Kidney qi deficiency, decreased function, kidney qi can not be filled in the ear, so tinnitus, fatigue, bones lose kidney qi inflated, then waist and knees will be sore. It is advisable to supplement the kidney and solid essence, and the golden lock solid essence pill bears the brunt.
The golden lock solid essence pill is from the Qing Dynasty physician Wang Ang's "Collection of Medical Formulas". It is composed of sand seeds, chia, lotus whiskers, keels, oysters, and lotus seeds, and has the effect of fixing kidney and astringency. It is used for kidney deficiency, sperm slippage, premature ejaculation, fatigue, sore limbs, low back pain and tinnitus. This side gathers products that benefit kidney astringency, secret kidney qi, solid essence, and can take into account specimens.
Fang Zhong Shayuan Zi Ganwen, tonify kidney and solid essence, "Bencao Fengyuan" said that it is "a medicine for draining essence and wasted labor, the most able to fix essence", so it is a jun medicine. Lotus seed tonic kidney astringent essence, Qian Shi beneficial kidney solid essence, lotus beard solid kidney astringent essence, three medicines combined, to help Jun tonify kidney solid essence, a total of medicine. Calcined keel, calcined oysters converge and solidify, calm the spirit, and are used as adjuvants. The combination of various drugs can not only astringent, but also tonify the kidney, and the specimen is taken into account, mainly astringent. This formula integrates kidney astringent essence drugs on one side, mainly astringent essence to stop the loss, supplemented by kidney and essence, taking into account the specimens, specially designed for patients with kidney deficiency and premature ejaculation, and its differentiation plus and subtraction for the treatment of premature ejaculation has been enduring.
5. Gentian diarrhea liver pills
There are many types of premature ejaculation, among which the hepatobiliary moist heat type is the most common, the spleen does not dissolve dampness, the liver does not leak, resulting in moist depression, humid heat connotation, resulting in impotence and premature ejaculation. Treatment should be based on liver relief, heat and dampness.
Gentian diarrhea liver pills, composed of gentian, saihu, skullcap, gardenia, zeppelin, mutong, salt psyllium, wine angelica, rehmannia and licorice. Clear liver and gallbladder, reduce humidity and heat. For hepatobiliary humid fever, dizziness, tinnitus, deafness, hypochondriac pain, bitter mouth, red urine, wet tropics.
Fang Zhong angelica replenishes blood and invigorates blood, regulates menstruation and relieves pain; Chai Hu soothes the liver and relieves depression and lifts up Yang Qi; Gentian grass clears heat and humidity, diarrhea liver fire; Gardenia clears heat and pouring fire, detoxifies and dampness; Nourish blood and nourish blood in raw land, nourish yin and kidney; Licorice clears heat and detoxifies, replenishes spleen and invigorates qi; Scutellaria baicalensis replenishes qi and raises the yang, benefits the solid table, supports poison and muscles, and reduces swelling; psyllium clears heat, water, eyes, expectorant; Ze diarrhea water seeps moisture, heat release; Wood drains heat and water. The combination of various drugs plays the effect of relieving liver depression, replenishing qi and raising yang, and promoting water and moisture.
Clinical studies have shown that angelica and chaihu have sedative, hypnotic, anesthetic, analgesic and other effects, which can reduce the excitability of the ejaculation center; Astragalus has antipyretic, diuretic, sedative effects, can reduce nerve excitability. Gentian diarrhea liver pills combined with dapoxetine or sertraline for the treatment of hepatobiliary moist fever premature ejaculation can reduce the excitability of nerve centers, effectively prolong the ejaculation latency, improve sexual function index, and improve premature ejaculation symptoms by increasing the content of serotonin in the prominent space. #男性健康 #
