In the treatment of premature ejaculation, the first thing to distinguish is deficiency and reality. The main points of deficiency and reality are sexual desire, ejaculation strength and erectile function of the penis. Sexual desire is the basis of all sexual activity in men, without it nothing else can be talked about, so it is listed as the first item, the meaning of which is to have an active sexual request once a few days within a month, not necessarily sexual relations, and is active, out of the wife’s request and passive occurrence does not count. Ejaculation is closely related to the degree of erection, the climax and end of a man’s sexual activity, and the strength of ejaculation reflects the patient’s deficiency as much as the hardness of erection. If the erection is not sufficient, natural premature ejaculation and weak ejaculation, in this case erectile insecurity and premature ejaculation is actually the same thing, both are deficiency signs, treatment should be to Xing Yang and fixing the essence of the method, clinical can be based on the traditional identification plus San Cai Feng Marrow Dan treatment. The actual person who has a strong sexual desire and a firm erection and powerful ejaculation. Ejaculation is a complete nerve reflex, the essence of this kind of premature ejaculation is related to abnormal spinal sympathetic excitation and perineal muscle spasm or out of irritable condition, the nerve disease can be blamed on the deficiency of lung yin and lung qi, the deficiency of lung gold is too much sparing of liver wood and manifests as premature ejaculation, the clinical can adopt the method of zojin and ping wood, the clinical can add nourishing yin and clearing lung soup on the basis of traditional identification. In the latter case, muscle spasm or ejaculatory urgency due to irritable condition is related to “wind evil”. If there is wind evil in the meridians of the perineum or wind evil with phlegm obstruction, the ejaculation will be naturally provoked by wind evil and manifest as premature ejaculation.