Patient's question:
Patient Gender: What are the Chinese herbal formulas for treating prostatitis? Which formulas should be selected for bacterial and non-bacterial types respectively?Detailed Medical History and Purpose of Consultation: What are the Chinese herbal formulas for treating prostatitis? Which formulas should be selected for bacterial and non-bacterial types respectively?
Duration of Current Illness: 4 years
Current General Condition: Chronic prostatitis with sexual dysfunction
Previous Diagnoses, Treatments, and Outcomes: Western medicine, with generally unsatisfactory efficacy
Auxiliary Examinations: Leukocytes present in clusters, Myeloid bodies ++/HP
Doctor's answer:
Hello, Chronic prostatitis falls under the categories of "white turbidity" and "sperm turbidity" in Traditional Chinese Medicine (TCM). TCM believes that this condition is caused by "lower jiao damp-heat" and "disorder of qi transformation." TCM has extensive experience in treating chronic prostatitis, with treatment methods divided into two major categories: internal and external treatments.Internal treatment refers to oral herbal medicine therapy. According to TCM's syndrome differentiation and treatment principles, chronic prostatitis is generally classified into five types:
1. Damp-heat stagnation type
This is often the acute phase of chronic prostatitis. Treatment focuses on clearing heat, detoxifying, and draining dampness. If heat is predominant, Ba Zheng San (Eight Treasure Decoction) with modifications is used; if dampness is predominant, Ba Zheng San with Euonymus alatus and Cuscuta chinensis is prescribed. If both damp-heat are severe, San Miao Wan combined with Bi Yu San with modifications is used. Ba Zheng He Ji (Eight Treasure Syrup) can also be applied. However, these heat-clearing and damp-dRAINING formulas should not be overused for long periods, as they may damage the spleen and stomach and deplete yin and fluids.
2. Yin deficiency with excess fire type
Symptoms include frequent masturbation, excessive sexual activity, lower back and leg weakness, general fatigue, restlessness, white discharge at the end of urination, constipation, and dark yellow urine. Treatment focuses on nourishing kidney yin. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Decoction) with modifications is commonly used.
3. Kidney yang deficiency type
Symptoms include frequent urination, white discharge from the urethra, cold limbs, lower abdominal and perineal discomfort, damp and cold scrotum, premature ejaculation, and seminal emission, as well as dizziness and lightheadedness. Treatment focuses on warming and tonifying kidney yang. Gui Fu Ba Wei Wan (Cinnamon Bark and Fu Zi Eight-Ingredient Decoction) with modifications is often prescribed.
4. Qi stagnation and blood stasis type
This type is characterized by a long duration and difficulty in recovery. Symptoms include lower abdominal, perineal, and lumbosacral discomfort and pain, as well as urethral pricking pain. Treatment focuses on promoting blood circulation to remove stasis and regulating qi to resolve stagnation. Fu