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 Tests: White blood cells present in clusters, lipid 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 "impaired 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) is modified accordingly; if dampness is predominant, Ba Zheng San is combined with Euonymus alatus and Cucurbita ficifolia. If both dampness and heat are severe, San Miao Wan (Three Unique Pills) combined with Bi Yu San (Jade Jade Powder) is modified. Ba Zheng He Ji (Eight Treasure Syrup) can also be used. However, these heat-clearing and damp-dRAINING formulas should not be overused for extended 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) 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, nocturnal emissions, dizziness, and headaches. Treatment focuses on warming and tonifying kidney yang. Gui Fu Ba Wei Wan (Cinnamon and Fu Zi Eight-Ingredient Decoction) is commonly used.
4. Qi stagnation and blood stasis type
This type is characterized by prolonged illness and difficulty in recovery. Symptoms include lower abdominal, perineal, and lumbosacral discomfort, pain, and urethral pricking pain. Treatment focuses on promoting blood circulation to resolve stasis and regulating qi to unblock stagnation. Fu