International Research in Chinese Medicine

Objective To explore the clinical effect of Professor Xu Yongchang’s modified Sancai Fengsui Decoction in treating premature ejaculation with kidney deficiency syndrome. Methods A retrospective analysis was conducted on the clinical data of 320 patients with premature ejaculation (kidney yin deficiency syndrome) from May 2023 to May 2025. All patients were treated with the modified Sancai Fengsui Decoction for a 4-week course. Results After treatment, the IELT of the patients was significantly prolonged, and the scores of all TCM syndromes and the total score significantly decreased(P < 0.05). After treatment, There were differences in the total effective rates among different concurrent syndrome types (P < 0.05), with the highest total effective rate in patients with simple kidney yin deficiency syndrome (94.20%) and the lowest in those with kidney yin deficiency and liver depression with internal heat (82.86%). The total incidence of adverse reactions during treatment did not affect the treatment. Conclusion Professor Xu Yongchang's modified Sancai Fengsui Decoction is effective in treating premature ejaculation with kidney deficiency syndrome. The core experience lies in precise syndrome differentiation, flexible modification, and simultaneous treatment of the heart, kidney, and essence. This provides an important approach for the treatment of premature ejaculation with TCM.

Sancai fengsui decoction; Premature ejaculation; Kidney yin deficiency syndrome; Experience of famous doctors; Traditional chinese medicine therapy