Male health massage therapy: Treatment of premature ejaculation, nocturnal emission, and frigidity

Massage Therapy for Premature Ejaculation

Premature ejaculation refers to the involuntary ejaculation of semen before or immediately after penetration during intercourse, followed by penile flaccidity.

I. Symptoms and Classifications of Premature Ejaculation

1. Yin Deficiency with Hyperactivity of Fire Type

Manifestations include hypersexuality, lower back and knee weakness, hot flashes in the palms, soles, and chest, night sweats, dizziness, tinnitus, dry stools, dark yellow urine, red tongue, and a thready, rapid pulse. Commonly seen in those with excessive sexual activity or a history of masturbation.

2. Kidney Qi Deficiency Type

Manifestations include decreased libido, lower back and knee weakness, lethargy, frequent urination with clear urine, nocturia, pale tongue, and a weak, thready pulse. Commonly seen in middle-aged and elderly patients.

3. Heart and Spleen Injury Type

Manifestations include shortness of breath, fatigue, pale complexion, palpitations, insomnia, vivid dreams, dizziness, forgetfulness, loose stools, poor appetite, pale tongue, and a weak, thready pulse. Commonly seen in middle-aged men who have engaged in excessive mental labor, overworked, or are recovering from illness and lack proper care.

4. Liver Qi Stagnation Type

Manifestations include depression, distending pain in the hypochondrium, chest tightness, bitter taste in the mouth, insomnia with excessive dreaming, red tongue, and wiry pulse. Commonly seen in those with emotional distress.

5. Damp-Heat Accumulation Type

Manifestations include fullness and discomfort in the chest and hypochondrium, bitter taste in the mouth, poor appetite, scrotal swelling and itching, dark yellow urine, yellow and greasy tongue coating, and slippery and rapid pulse. Commonly seen in those who crave rich, sweet, and spicy foods.

II. Massage Sites and Acupoints

Before intercourse, massage the area around the anus, groin, inner thighs, lower abdomen, and scrotum.

For premature ejaculation due to Yin deficiency and excessive fire, frequent massage (primarily self-massage, supplemented by massage from the wife) of extra acupoints in the perineum such as Yumen, Yuquan, Shimao, and Yangshi, as well as acupoints in the Chong meridian such as Huiyin, Qichong, and Shiguan.

For premature ejaculation due to kidney deficiency, frequent massage of acupoints outside the meridians in the perineum, such as Shimao, Quanyin, Yuquan, and points on the Bladder Meridian of Foot Taiyang, including Shenshu, Sanjiaoshu, and Qihaiyu, is recommended.

For premature ejaculation due to deficiency of both heart and spleen, frequent massage of acupoints outside the meridians in the perineum, such as Shimao, Yumen, Yuquan, Quanyin, and points on the Stomach Meridian of Foot Yangming, including Zusanli, Qichong, and Guilai, is recommended.

For premature ejaculation due to liver qi stagnation, frequent massage of acupoints outside the meridians in the perineum, such as Yumen, Yuquan, and Nangdi, and points on the Liver Meridian of Foot Jueyin, including Zuwuli, Taichong, Zhongdu, and Yinbao, is recommended.

For premature ejaculation due to damp-heat accumulation, frequent massage of acupoints on the Ren Meridian, such as Huiyin, Zhongji, Guanyuan, Shenque, and Yinjiao, and points on the Du Meridian, such as Yaoyangguan, Yaoshu, and Shendao, is recommended.

III. Selected Massage Techniques

Massage techniques that can be used include: double-handed stroking, finger lifting and pinching, palm rubbing, finger pinching and kneading, thumb kneading, two-finger pinching and kneading, four-finger kneading, and single-hand pressing.

Massage Treatment for Nocturnal Emission

Nocturnal emission is a condition characterized by the involuntary ejaculation of semen without sexual intercourse. Clinically, it is commonly classified into several types, including heart-kidney disharmony, damp-heat accumulation in the lower body, overwork damaging the heart and spleen, and weak seminal control.

I. Symptoms and Classification of Nocturnal Emission

1. Heart-Kidney Disharmony Type (Heart-Minister Fire Exacerbated)

Symptoms include insomnia with frequent dreams, followed by nocturnal emission during dreams, accompanied by restlessness, dizziness, vertigo, lethargy, palpitations, dry mouth, dark urine, red tongue, and a thready, rapid pulse.

2. Damp-Heat Accumulation Disturbing the Seminal Chamber Type

Symptoms include frequent seminal emission, dark and cloudy urine, bitter taste in the mouth, thirst, mouth and tongue sores, loose and foul-smelling stools, tenesmus, or epigastric fullness and nausea, yellow and greasy tongue coating, and a soft and rapid pulse.

3. Overexertion Injuring the Heart and Spleen, Failing to Control the Essence Type

Symptoms include palpitations, insomnia, forgetfulness, sallow complexion, fatigue in the limbs, poor appetite, loose stools, seminal emission upon exertion, pale tongue, thin coating, and a weak pulse.

4. Kidney Deficiency and Spermatorrhea Type

Symptoms include frequent nocturnal emission or even spermatorrhea, soreness and weakness in the lower back and knees, low-grade fever, flushed cheeks, tinnitus, forgetfulness, hair loss, loose teeth, red tongue with little coating, and a thready and rapid pulse.

II. Massage Areas and Acupoints

Massage the lower back, sacrum, lateral abdomen, groin, and lower abdomen; focus on massaging the lower back and positive tender points, and the inner side of the calf.

For nocturnal emission, dizziness, and irritability, massage the back of the neck, both sides of the 5th to 10th thoracic vertebrae, and acupoints such as Neiguan and Zhongchong on the Pericardium Meridian of Hand-Jueyin. For mental fatigue and lower back pain, massage the abdomen, the inner side of the calves, Baihui (GV20), and Guanyuan (CV4) on the Ren Meridian.

For seminal emission and spermatorrhea, massage Shiguan, Yindu, Yufu, and Zhaohai on the Kidney Meridian of Foot-Shaoyin, and Sanyinjiao, Xuehai, and Yinlingquan on the Spleen Meridian of Foot-Taiyang to consolidate the therapeutic effect.

III. Selected Massage Techniques

Thumb kneading, double-hand kneading, single-hand pressing, finger pinching, and double-finger pinching are recommended.

Massage Treatment for Male Hypoactive Sexual Desire

Male hypoactive sexual desire refers to low libido in men; it can be caused by prolonged illness and physical weakness, excessive sexual activity depleting kidney yang, or marital discord.

I. Symptoms and Classification of Male Frigidity

1. **Depletion of Kidney Fire Type:** Manifests as decreased libido, often accompanied by impotence, premature ejaculation, infertility, lower back and knee pain and coldness, dizziness, lethargy, clear urine and loose stools, occasional early morning diarrhea, pale tongue, and deep, slow pulse. Commonly seen in those who overindulge in sexual activity or engage in prolonged masturbation.

2. **Heart-Kidney Disharmony Type:** Manifests as decreased libido, often accompanied by spermatorrhea, irritability, insomnia, dizziness, forgetfulness, hot flashes, night sweats, lower back and knee pain, tinnitus, dry throat, red tongue with little coating, and thready, rapid pulse. Commonly seen in young adults who frequently masturbate.

3. **Qi and Blood Deficiency Type:** Manifests as low libido, pale complexion, palpitations, forgetfulness, insomnia, lethargy, dizziness, pale and swollen tongue, and thready, weak pulse. Commonly seen in those who have not properly recovered from a serious or prolonged illness. 4. Liver Qi Stagnation Type

Manifestations include decreased libido, depression, irritability, chest and rib distension, poor appetite, red tongue, and wiry pulse. Commonly seen in couples with marital discord and excessive life burdens.

II. Massage Areas and Acupoints

Frequent massage (can be done by oneself, but primarily by one's wife) of the penis, scrotum, groin, lower abdomen, buttocks, and inner thighs.

For those with frigidity due to deficiency of the Mingmen fire, massage the extra acupoints on the perineum: Shi Tou, Guan Men, Quan Yin, and the acupoints on the Bladder Meridian of Foot Taiyang, such as Shen Shu, Qi Hai Yu, San Jiao Yu, and Hui Yang.

For those with frigidity due to disharmony between the heart and kidneys, massage the extra acupoints on the perineum: Shi Tou, Yu Men, Yang Shi, and Nang Di, the acupoints on the Heart Meridian of Hand Shaoyin, such as Shen Men, Ling Dao, and Shao Fu, and the acupoints on the Kidney Meridian of Foot Shaoyin, such as Yong Quan, Zhao Hai, and Shui Quan.

For those with qi and blood deficiency-type frigidity, massage acupoints on the Du meridian such as Mingmen, Changqiang, Yaoyangguan, and Zhiyang, as well as on the Bladder meridian such as Shenshu, Sanjiaoshu, Guanyuanshu, and Huiyang.

For those with liver qi stagnation-type frigidity, massage acupoints on the Liver meridian such as Taichong, Zhongdu, Yinlian, and Qimen, as well as on the Bladder meridian such as Shenshu, Sanjiaoshu, Baohuang, and Heyang.

III. Suitable Massage Techniques

Recommended techniques include thumb kneading, two-finger pinching, four-finger kneading, finger pinching, single-hand pressing, and double-hand stroking.