Patient's question:
Detailed medical condition and consultation purpose: Is it chronic prostatitis?Auxiliary tests: None
Current general condition: Frequent urination, white discharge after urination, occasional dullness and fullness in the perineum, frequent dreams at night, listless during the day
Duration and course of the current illness: 1 year
Other: History of chronic cholecystitis and duodenal ulcer
Previous diagnosis, treatment, and outcomes: Intermittent, with occasional relapses
Doctor's answer:
Prostatitis is primarily characterized by symptoms such as frequent urination, urinary urgency, dysuria, perineal pain, discomfort in the lower abdomen, perineum, and testicular area. There is often a white discharge from the urethra, and it may also include lower back and knee weakness, impotence, premature ejaculation, or even hematuria and hematospermia. In traditional Chinese medicine (TCM), it falls under the categories of "hot dampness obstruction," "lumbago with dampness," and "cloudy sperm." It is further divided into conditions such as "heat-dampness stagnation," "yin deficiency with fire," "insufficient kidney yang," and "blood and qi stagnation."However, TCM emphasizes syndrome differentiation and treatment. You should consult a local traditional Chinese medicine hospital, combining clinical observations with the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) to prescribe the correct treatment for your specific symptoms. Only then can the medicine effectively address the condition. Wishing you a speedy recovery!
Self-Treatment Plan:
1. Massage the sides of the urethra for 15–20 minutes daily, adjusting the intensity to what you can comfortably tolerate.
2. Perform anal contraction exercises while standing, 50–100 times each morning and evening, until you feel a sensation of warmth and slight 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 break a light sweat.
6. In the morning, press your hands against your lower back to stimulate kidney blood circulation. The ideal range is 100–1,500 presses.