Patient's question:
I am 23 years old. After ejaculation, I have prolonged rectal pain. There are no obvious symptoms of frequent urination or urgency, but I often experience lower back and waist pain. The color of my semen is slightly yellow, and my sleep quality has been very poor for a long time. On the 22nd, I had two routine prostatic fluid tests at the Urology Department of Sichuan Provincial People's Hospital. The results of the first test were: white blood cells 2-5; pH value 7.5; lecithin corpuscles +++. The results of the second test were: white blood cells 2-5; lecithin corpuscles ++++; pH value 6.5. Urinalysis showed white blood cells 3.30 UL and red blood cells 10.50 UL. The doctor said the test results do not support a diagnosis of prostatitis, but prescribed Betto, Santa, and Qian.Doctor's answer:
Consider using traditional Chinese medicine (TCM) for treatment. The main symptoms of prostatitis are: frequent urination, urgent urination, painful urination, perineal pain, lower abdominal discomfort, and a sense of unease in the perineum, testicular area, and urethra. There is often a white discharge from the urethra, accompanied by symptoms such as lower back pain, knee weakness, impotence, premature ejaculation, and even hematuria or hematospermia. In TCM, this falls under the categories of "heat-dampness obstruction," "lao-lin," and "jing-tuozhuo." It is divided into conditions such as:- Heat-dampness obstruction
- Yin deficiency with fire effulgence
- Insufficient kidney yang
- Stagnation of qi and blood
However, TCM emphasizes syndrome differentiation and treatment. You can consult a local traditional Chinese medicine hospital, combining clinical observation with the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) to prescribe the correct treatment for effective recovery. Wishing you a speedy recovery!
Self-treatment plan:
1. Massage along both sides of the urethra for 15–20 minutes daily, with intensity adjusted to your comfort level.
2. Perform anal contraction exercises while standing, 50–100 times each morning and evening before bed, until you feel a sense of warmth and soreness in the anus.
3. In summer, apply a cold compress with a damp towel to the testicles 2–3 times per night, ensuring the testicles contract fully.
4. Completely relax your mental stress.
5. Engage in morning exercises daily, such as jogging for 10–15 minutes, until you sweat slightly.
6. In the morning, press your hands against your lower back to stimulate kidney blood circulation, ideally 100–1500 times.