Frequent urination, heavy legs - how to treat

Patient's question:

Dear Doctor: I would like to introduce my condition.
Male, 29, I have frequent urination and discomfort in the lower abdomen, especially when sleeping. I feel bloated and have difficulty falling asleep. I can only sleep after urinating a little, and there is only a small amount of urine. I feel very weak and experience heaviness in my lower limbs. I have a history of hepatitis B and mild prostatitis. However, medications and injections for the prostate have had no effect. Test reports before and after medication show no changes. When I sit on a chair for a while, my buttocks become numb. I also have hemorrhoids. I have been in this condition for several years and am very troubled. I have seen doctors...

Doctor's answer:

Hello: You are experiencing symptoms of prostatitis. Traditional Chinese Medicine (TCM) can be used for syndrome differentiation and treatment. The main symptoms of prostatitis include: frequent urination, urgent urination, painful urination, perineal pain, discomfort in the lower abdomen, perineum, and testicular area. There is often a white discharge from the urethra, and it may also involve lower back pain, weakness in the knees, impotence, premature ejaculation, or even hematuria (blood in urine) and hematospermia (blood in semen). In TCM, this falls under the categories of "heat-dampness obstruction," "lao-lin," and "jīng zhuó." It is divided into syndromes such as:
- Heat-dampness obstruction
- Yin deficiency with fire flaring up
- Insufficient kidney yang
- Stagnation of qi and blood
However, TCM emphasizes syndrome differentiation and treatment. You should consult a local traditional Chinese medicine hospital, combine clinical observations with the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation), and take medication based on the specific symptoms to achieve a cure. Wishing you a speedy recovery!
Self-treatment plan:
1. Massage the sides of the urethra for 15-20 minutes each day, with intensity adjusted to your comfort level.
2. Perform anal contraction exercises while standing, 50-100 times in the morning and before bed, until you feel aching or warmth in the anus.
3. In summer, use a damp towel to apply cold compresses to the testicles, 2-3 times per night, until the testicles contract fully.
4. Completely relax your mental stress.
5. Engage in morning exercises, 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. The ideal number of repetitions is 100-1500.

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