Patient's question:
I recently don't know why my lower abdomen is very uncomfortable, and I also don't get morning erections anymore. If I have prostatitis, what should I do?Doctor's answer:
Traditional Chinese Medicine (TCM) considers this condition to fall under the category of "." For many years, we have adopted a comprehensive approach that combines syndrome differentiation with disease identification, focusing on both the whole body and local symptoms. We have conducted in-depth research and exploration on the pathogenesis and treatment methods of this condition, identifying damp-heat accumulation and blood stasis obstruction as the primary pathogenic characteristics. Because the pathogenic factors of damp-heat are not easily eliminated, they accumulate in the lower burner, obstructing collaterals and leading to signs of blood stasis obstruction. "Stasis" not only refers to stagnant blood but also implies accumulation and blockage. "Turbidity" refers to damp and turbid secretions or purulent discharge. Pathologically, it manifests as chronic congestion and edema of the prostate gland, obstruction of prostatic ducts, and acute prostatic reflux obstruction with retained secretions. Clinically, it presents with local pain, urinary abnormalities, and sexual dysfunction. Therefore, on the basis of clearing heat and detoxifying, herbs such as Salvia miltiorrhiza, Carthamus tinctorius, and Persicae Semen are selected to resolve blood stasis and unblock collaterals. These herbs improve blood supply to the prostate, alleviate congestion and edema. Additionally, herbs like Semen Trichosanthis, Coix seed, and Poria are used to expel turbidity, promoting the discharge of inflammatory secretions from the prostate, accelerating the healing of inflammatory foci, and eliminating various clinical symptoms.Traditional Chinese Medicine Treatment
TCM generally classifies chronic prostatitis into five types for syndrome differentiation and treatment.
Damp-heat lower burner type: Symptoms include dysuria with burning pain, lower abdominal constriction, suprapubic distending pain, cloudy discharge from the urethral meatus, yellow greasy tongue, and a slippery rapid pulse. Treatment should focus on clearing heat and resolving dampness. The formula is modified Bazi San:
- Aconite 7g
- Plantago 10g
- Pennellia 10g
- Trichosanthes 10g
- Slipsmith 20g
- Gentiana 10g
- Rheum 6g
- Licorice 5g
Spleen deficiency with excessive dampness type: Symptoms include turbid urine, pale complexion, fatigue, poor appetite, pale tongue with white coating, and a weak pulse. Treatment should focus on strengthening the spleen and resolving dampness. The formula is modified Shen Ling Bai Zhu San:
- Codonopsis 10g
- Fried Atractylodes 15g
- Poria 24g
- Coix seed 30g
- Cardamom 7g
- Alisma 15g
- Angelica 10g
- Cimicifuga 30g
- Tangerine peel 10g
Qi stagnation with blood stasis type: Symptoms include urinary obstruction, suprapubic and lower abdominal distending pain, prostatic enlargement and hardness, dark purple tongue, and a wiry pulse. Treatment should focus on activating blood circulation, resolving stasis, and promoting qi flow. The formula is Xiao Fu Zhu Yu Tang:
- Persicae Semen 10g
- Carthamus tinctorius 10g
- Angelica 15g
- Fennel 6g
- Fructus Momordicae 10g
- Lindera 10g
- Radix Paeoniae Rubra 12g
- Lindera 15g
- Taraxacum 30g
Liver and kidney yin deficiency type: Symptoms include cloudy discharge from the urethral meatus, suprapubic distending pain, soreness and weakness of the lower back and knees, night sweats, red tongue with few coatings, and a thready rapid pulse. Treatment should focus on nourishing the liver and kidneys and clearing ministerial fire. The formula is modified Zhi Bai Di Huang Tang:
- Anemarrhena 15g
- Coptis 10g
- Rehmannia 30g
- Alisma 15g
- Moutan 15g
- Poria 30g
- Polygonum multiflorum 15g
- Polygonatum 15g
- Bambusoideae 10g
- Salvia miltiorrhiza 15g
Kidney yang deficiency type: Symptoms include dysuria with seminal discharge, aversion to cold, soreness and coldness of the lower back and knees, impotence, premature ejaculation, pale swollen tongue, and a deep weak pulse. Treatment should focus on warming the kidneys and invigorating yang. The formula is modified Jinkui Shenqi Wan:
- Prepared Aconite 10g
- Tribulus terrestris 10g
- Acanthopanax 10g
- Eucommia 10g
- Polygonatum 10g
- Angelica 15g
- Dioscorea 15g
- Poria 24g