Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Cnidium (Cnidium monnieri) has a long history of use in Traditional Chinese Medicine (TCM), particularly for addressing male sexual health issues such as erectile dysfunction and premature ejaculation. In TCM, the fruit of the plant, known as "She Chuang Zi," is believed to tonify the kidneys and support sexual function. Historical pharmacopeias and herbal texts from China describe its application in formulas intended to prolong sexual activity and reduce hypersensitivity, which is thought to contribute to premature ejaculation.

However, while traditional use is well-documented, scientific studies specifically evaluating Cnidium's efficacy for premature ejaculation are extremely limited. Some laboratory research shows that Cnidium contains osthole and other coumarins, which have been observed to have vasodilatory and smooth muscle relaxant properties. These effects could theoretically play a role in sexual function, but direct clinical trials in humans for premature ejaculation are lacking. Most modern reviews of the evidence conclude that, although traditional use is established, high-quality scientific validation is minimal, and the overall evidence is weak.

In summary, Cnidium’s use for premature ejaculation is primarily justified by tradition rather than modern scientific research. Those considering its use should be aware of the lack of robust clinical data and consult with healthcare professionals before use.

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