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Zhuangdan Yanshi Decoction is a traditional Chinese medicine (TCM) herbal formula used primarily in the treatment of premature ejaculation, particularly in patients diagnosed with the TCM syndrome of biliary depression and phlegm disturbance. The decoction is administered orally and typically used as part of an integrative approach, sometimes combined with Western medications such as dapoxetine. While detailed composition and pharmacological mechanisms are not specified in available clinical trial records, it follows the TCM principle of multi-herb combinations targeting multiple physiological pathways to restore balance. Its use is supported by clinical observation studies for male patients aged 18–64 years with premature ejaculation characterized by specific diagnostic criteria[1]. The exact herbal ingredients and their individual actions remain unspecified in current accessible sources.
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