An exploration and analysis of Professor Xu Yongchang’s clinical experience in treating premature ejaculation of kidney deficiency syndrome with modified Sancai Fengsui Pill
徐永昌教授运用三才封髓丹加减治疗早泄肾虚证型的临床经验探索分析

摘要

目的 探讨徐永昌教授运用三才封髓丹加减治疗早泄肾虚证型的临床效果。方法 回顾性分析320例早泄（肾阴亏虚证）患者的临床资料（2023年5月至2025年5月），所有患者均接受三才封髓丹基础方加减治疗，疗程4周。结果 治疗后患者的IELT明显延长，各项中医证候积分及总分明显下降（P<0.05）。经治疗后，不同兼夹证型的总有效率对比存在差异（P<0.05），单纯肾阴虚证患者的总有效率最高（94.20%），肾阴虚兼肝郁化火患者的总有效率最低（82.86%）。治疗期间不良反应均未对治疗造成影响。结论 徐永昌教授运用三才封髓丹加减治疗早泄肾虚证型的疗效显著，其核心经验在于精准辨证、灵活加减及心-肾-精关同治，为中医治疗早泄提供了重要思路。

Abstract

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.