For the treatment of premature ejaculation, Chinese herbal medicine can be used appropriately on the basis of evidence-based treatment. For the common kidney deficiency evidence, the corresponding formula can be chosen for oral administration according to the patient’s symptoms and signs, distinguishing between kidney yang deficiency and kidney yin deficiency. Premature ejaculation mainly refers to the situation of ejaculation before entering the vagina or less than 1 minute after entering the vagina, leading to premature ejaculation for more reasons, commonly: 1, recent excessive indulgence or physical fatigue, resulting in poor physical response, weak erection, lack of hardness, 2, daily bad habits, frequent masturbation, high-intensity masturbation, easily lead to penile weakness, 3, lack of sexual knowledge or dissatisfaction with sexual partners, 4, inflammatory stimulation, if Patients with urinary tract inflammation, such as prostatitis, urethritis, etc., may lead to premature ejaculation. The Chinese medicine treatment for premature ejaculation must be combined with the patient’s constitution: 1. Patients with kidney yang deficiency mostly show heat in the five hearts, i.e. cold hands and feet, insufficient heat in their own body, and often sleep without warming up the nest, in this case, it is recommended to take Jin Lock Gu Jing Wan; 2. Patients with kidney yin deficiency mostly show heat in the five hearts, i.e. easy irritability, easy anxiety, and heat in the palms and feet, in this case, it can be considered to take Liu Wei Di Huang Wan or Zhi Bai Di Huang Wan. In this case, consider taking Liu Wei Di Huang Wan or Zhi Bai Di Huang Wan, etc. However, these two conditions often coexist and need to be combined with other aspects of the patient’s performance, and it is not possible to distinguish between kidney yang deficiency and kidney yin deficiency in a simple sentence. In conclusion, if the condition of premature ejaculation does not recover well under psychological guidance and self-adjustment, you can consider medication, but always under the guidance of a doctor, as random medication may aggravate the condition.