As to the middle-aged and young
man, prostatitis is a commonly encountered disease, which is
usually caused by urethritis, spermatocystitis, or epididymitis.
In clinical practice, it is divided into the chronic type and
acute type, or the inflammatory one and non-inflammatory one, or
the specific one and non-specific one.
Although the disease name of
prostatitis does not exist in traditional Chinese medicine
(TCM), it belongs to the categories of suspended yang-carbuncle,
white turbidity, white evil, fatigue strangury, grease
strangury, seminal turbidity, lumbar pains due to kidney
deficient, etc.
Acute Prostatitis
Syndrome
Identification and Treatment Determination:
1.
Damp and Heat Inrushing Downward
Major
symptom: intermittent fevers and chills when occurring first,
rapid progress, frequent micturation, urinary urgency with
inhibited voidings, burring sensation and stinging pains in the
urethra, or visible bloody urine, falling-like distension or
pains of the perineum, dry mouth, a bitter taste in the sticky
mouth, constipation, distension and pains in the lower abdomen,
red tongue, yellow and slimy tongue coating, soggy and rapid
pulse.
Therapeutic Principle: clear heat and
excrete damp
.
Formula and ingredients: Eight Corrections Variant Powder
manshurian aristolochia stem (mu
tong) 10g, plantago seed (che qian zi) 15g, rhubarb (da huang)
6g, knotgrass (bian xu) 10g, diathus (qu mai) 10g, phellodendron
bark (huang bai) 10g, lonicera flower (jin yin hua) 15g,
gardenia fruit (shan zhi) 10g, fresh rehmannia root (shen di
huang) 15g, Yedo violet (zi hua di ding) 15g, licorice root (gan
cao) 3g
.
Administration: A dosage per day, decocting with water, taking
the decoction twice a day, 200-300ml of pure soup each time.
2.
Intense Heat and Exuberant Toxin
Major
symptoms: Sudden onset, persistent high fever, vexation, unrest,
thirst, liking drinks, reddening, swelling, heat and pains of
the perineum, scanty urine, obstructed urination, or urine with
visible pus and blood, burning sensation and pains in the
urethra, constipation, red tongue, yellowish tongue coating,
rapid and string-like pulse.
Therapeutic principle: Discharge heat and resolve toxin.
Formula and ingredients: Gentian Liver-Draining Variant
Decoction
gentian root (long dan cao) 10g, gardenia fruit (shan zhi) 10g,
scutellaria root (huang qin) 10g, phellodendron bark (huang bai)
10g, busy knotweed root (hu zhang) 10g, lonicera flower (jin yin
hua) 15g, fresh rehmannia root (shen di huang) 15g, plantago
seed (che qian zi) 15g, alisma tuber (ze xie) 10g, dandelion (pu
gong ying) 15g, baijiang (bai jiang cao) 15g, licorice root (gan
cao) 6g.
----------------
Chronic Prostatitis
Incomplete treatment of acute prostatitis may result in chronic
prostatitis. However, most patients have no obviously acute
stage. The etiology is clinically complex. In clinical practice,
the following factors may bring on the occurrence of chronic
prostatitis, including dysfunction of the immune system,
frequent sexual activities, frequent masturbation, indulgence in
drinking much wine, influence caused by inflammation of the
upper-respiratory tract, urethra, seminal vesicle, rectum,
epididymitis, perineum, and so forth.
Syndrome Identification and Treatment Determination
1.
Damp and Heat Inrushing Downward
Major
symptoms: short disease history, scanty and yellowish urine,
frequent micturation, urinary urgency, painful urination,
stinging pains or burning sensation in the urethra, distention
and pains of the perineum and lower abdomen, intermittent white
and profuse excretion from the mouth of the urethra, dry mouth,
a bitter taste in the sticky mouth, yellow and slimy tongue
coating, stinging and slippery and rapid pulse.
Therapeutic principle: clear heat and excrete damp.
Formula and components: Fish Poison Yam Clear-Turbid Separation
Variant Beverage
fish
poison yam (bi xie) 10g, poria (fu ling) 15g, plantago seed (che
qian zi) 15g, salvia root (dan shen) 10g, phellodendraon bark
(huang bai) 10g, acorus root (shi chang pu) 10g, lonicera flower
(jin yin hua ) 15g, alisma tuber (ze xie) 10g, magnolia bark
(hou po) 6g, fangji root (fang ji) 10g, licorice root (gan cao)
3g.
Administration: A dosage per day, decocting twice a day, taking
200-300ml of pure soup each time.
2.
Qi-Stagnation and Blood Stasis
Major
symptoms: relatively long disease history, obvious pains
radiating to the lower abdomen, testicle, and waist, white
excreting from the urethra at the end of the urinating,
strangury when urinating, or visible bloody urine, slight
hardening of the prostate checked out by the doctor¡¯s finger
insertion from the anus, or palpable nodules and tenderness,
darkish tongue body, or stasis macules and speckles on the
tongue, uneven pulse.
Therapeutic principle: Move the qi,
check pains, quicken blood circulation, transform stasis
.
Formula and ingredients: Origin-Restoring Blood- Quickening
Variant Decoction
tangkuei (dang gui) 6g, carthamus flower (hong hua) 10g, peach
kernel (tao ren) 6g, rhubarb (da huang) 6g, red peony root (chi
shao ) 15g, corydalis tuber (xuan hu suo) 15g, vaccaria seed
(wang bu liu xing) 15g, salvia root (dan shen) 10g,
trichosanthes root (gua lou gen ) 10g, pangolin scales (chuan
shan jia) 10g.
3.
Deficiency of the Kidney-Yin
Major symptoms: The diseases lasts
quite a long term without recovering. The patient is enfeebled
due to the chronic course, or he has once indulged in excessive
sexual activities or masturbation. White or sticky excretion
from the mouth of the urethra usually or at the end of the
urination. Post-voidings dribble, aching pains of the loins,
soft legs, feverish sensation in the soles and palms in the
afternoon, dizziness, tinnitus, insomnia, profuse dreaming,
seminal emission, premature ejaculation, hypofunction of the
sexual ability, red tongue with few coating, thready and rapid
pulse
.
Therapeutic principle: tonify kidneys, astringe essence, moisten
the yin, and lower fire.
Formula and ingredients: Anemarrhena, Phellodendron, and
Rehmannia Variant Decoction
anemarrhena (zhi mu) 10g,
phellodendron bark (huang bai) 10g, fresh rehmannia root (shen
di huang) 15g, dioscorea root (shan yao)15g, cornus fruit (shan
yu you ) 10g, poria (fu ling) 15g, alisma tuber (ze xie) 10g,
moutan bark (dan pi) 10g, plantago seed (che qian zi) 15g,
vaccaria seed (wang bu liu xing) 10g, Cherokee rose fruit (jin
ying zi) 10g.
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