Radical Cure Article

How to Treat Chronic Prostatitis with TCM?

The pathogenesis and pathophysiological changes of chronic prostatitis are not well understood, thus making it a more difficult disease to treat. It is now believed that chronic prostatitis is a clinical syndrome consisting of a group of diseases with their unique etiology, clinical features, and outcomes. 

In recent years, treating chronic prostatitis has made great strides, no longer using only combined antibiotics as the primary method. TCM, which focuses more on non-antibiotic integrative treatment, highlights its advantages of whole-body holistic diagnosis.
The basic pathogenesis of chronic prostatitis is damp-heat stasis, but at different stages and in different patients, it can manifest in different symptoms. It is generally believed that damp-heat infiltration occurs in the early stages, damp-heat stasis in the middle stages, and spleen and kidney deficiency in the later stages. 
The following types can be classified for typing treatment according to the patient's physique and condition.
1. Damp-heat downward. Its treatment principle is: Clear heat and improves dampness. Patients can use Phellodendron, Acorus tatarinowii, Tuckahoe, Atractylodes, lotus plumule, Salvia miltiorrhiza, and plantain seeds.
2. Qi stagnation and blood stasis. Its treatment principle is: to activate blood circulation and remove blood stasis. Fennel, dried ginger, Rhizoma corydalis, Myrrh, Angelica, Rhizoma ligustici wallichii, Cinnamon, Red peony, Cattail pollen, and Trogopterori dung can be used.
3. Liver Qi stagnation. Its treatment principle is: De-stress the liver and relieve depression. Patients can use: Radix bupleuri, Fructus paeoniae, Angelica, Tangerine peel, Rhizoma ligustici wallichii, Fructus aurantii, Licorice.
4. Kidney Yang Deficiency. Its treatment principle is: Tonify the kidney and help Yang. Patients can use Cooked Rehmannia, Fried yam, Cornus Officinalis, Poria, Peony skin, Cinnamon, Aconite of artillery, Achyranthes, and Plantain seeds.
5. Liver and kidney yin deficiency. Its treatment principle is: to nourish the liver and kidneys. Cooked Rehmannia, yam, Dogwood, Wolfberry, Achyranthes, etc., can be used by patients.
The characteristics of TCM treatment are as follows:
1. Treatment of both the symptoms and the root cause. 
Damp-heat, blood disease, and kidney deficiency are the pathogenesis of the disease, with damp-heat and blood stasis as the symptoms and deficiency of both spleen and kidney as the root cause. 
The treatment should be based on the general principle of "treating both the symptoms and the root cause, promoting dampness, removing blood stasis, and promoting the circulation of blood stasis" to treat the symptoms, as well as supporting the root cause by supplementing the deficiency. The clinical application of the appropriate addition of kidney and Qi tonifying and circulation products can achieve good results.
2. Staging treatment. It is mainly dampness and heat, with empirical evidence in the early stage. 
With the development of the disease, the positive qi is damaged, from solid to virtual; Clinically, the most common is that in the middle stage, it will turn into dampness-heat mixed with blood stasis, or accompanied by spleen deficiency, Qi deficiency, and liver depression, often mixed with deficiency and solid. 
In the later stage, dampness and heat were not exhausted, and stasis and turbidness were formed, accompanied by deficiency of the kidney or spleen and kidney or deficiency of the heart and spleen. The treatment should combine supporting righteousness and eliminating evil, but different stages have a preference. The early stage aims to eradicate evil, and the late stage seeks to support righteousness.
3. Activating blood circulation and removing blood stasis throughout the treatment. 
Most doctors have found that almost all patients with chronic prostatitis have blood stasis symptoms and that blood stasis is the common pathogenesis of the disease. So in the treatment, the principle of activating blood circulation and removing blood stasis is used throughout with good effects. 
In recent years, the treatment of TCM has changed from focusing on the evil of dampness and heat to paying equal attention to dampness and blood stasis. Clearing heat and dampness and promoting blood circulation have become the primary treatment methods for chronic prostatitis.
The traditional Chinese medicine Diuretic and Anti-inflammatory Pill has the above-mentioned effects, which are excellent for treating male urinary system diseases and difficult conditions, such as acute and chronic prostatitis, epididymitis, etc.
Chronic prostatitis is a common male disease and often has repeated attacks. This is closely related to living habits and eating habits. TCM has advantages in treating chronic prostatitis, including oral herbal medicines, acupuncture, or massage. 
Doctors should choose different herbal drugs according to the symptoms of chronic prostatitis, and acupuncture has a good effect on relieving prostate pain. To summarize, TCM treatment of chronic prostatitis features syndrome differentiation and proper medication with good curing results.
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