Patient's question:
Detailed medical condition and consultation purpose: Benign Prostatic Hyperplasia. I hope to get a Chinese herbal formula with good efficacy to alleviate my suffering. Thank you.Duration and course of the current illness: 2 months
Previous diagnoses, treatments, and outcomes: Taking Proscar and Chinese herbal decoctions.
Doctor's answer:
Hello:Traditional Chinese Medicine (TCM) is most suitable for treating benign prostatic hyperplasia (BPH) in Stage I (see Question 140), and a portion of Stage II can also be treated. There is no particularly effective method for sitz baths.
Here are a few dietary formulas:
(1) Damp-heat accumulation type
Symptoms include difficulty urinating in small amounts, or very little urine with short, red, and scalding sensation, difficulty urinating, abdominal distension, bitter and sticky mouth, or thirst without desire to drink, or constipation. The tongue has a red tip and yellow greasy coating, with a rapid pulse.
Treatment should focus on clearing heat and draining dampness, and promoting urination.
Formula: Modified Bazi San (Eight Treasure Powder).
Herbs:
- Akebia stem 10g
- Plantain 10g
- Winter melon seeds 12g
- Pennellia 10g
- Polygonum 10g
- Slender stone 20g
- Nephrolepis 10g
- Rhubarb 4g
- Achyranthes 10g
(2) Yin deficiency with excess fire type
Symptoms include frequent urination, difficulty urinating in small amounts, intermittent attacks, worsening with exertion, prolonged duration, accompanied by dizziness, tinnitus, five-palm heat, dry mouth and constipation. The tongue is red with a thin coating, and the pulse is fine and rapid.
Treatment should focus on nourishing yin, reducing fire, and tonifying the kidneys to consolidate essence.
Formula: Er Hai Di Huang Tang (Two Sea Rehmannia Decoction).
Herbs:
- Prepared and raw Rehmannia 10g
- Cornus officinalis 10g
- Poria 10g
- Achyranthes 10g
- Anemarrhena 10g
- Phellodendron 9g
- Alisma 10g
- Fucus 10g
- Laminaria 10g
- Moutan 10g
- Plantain 15g
(3) Kidney yang deficiency type
Symptoms include difficulty urinating or unsatisfactory urination with weak flow, pale complexion, weak spirit, aversion to cold, cold limbs, soreness and weakness in the lower back and knees. The tongue is pale with a thin white coating, and the pulse is deep, fine, and weak in the lower part.
Treatment should focus on warming yang, tonifying qi, and tonifying the kidneys to promote urination.
Formula: Modified Jisheng Shenqi Wan (Jisheng Kidney Qi Pill).