This is to point out that there is a fundamental difference between chronic prostatitis-like diseases and urinary tract infections in terms of disease location. The concept of the “essence” and “water” is clearly mentioned in the commentary of his student Shao Xinfu at the end of the chapter: “There are five gonorrhea names, and there is a difference between the essence of turbidity and the turbidity of the stool. The number of people should check the qi and blood, essence and watercourse, indeed from where.” The so-called seminal tract, that is, the reproductive essence to the body outside the channel of excretion, it reaches up to the seminal chamber, down to the urethra. In men, it actually comes from the same door as the waterway (i.e. urethra). This is an important difference between men and women, and is also an important feature of male diseases. It is because men “drowning and essence of the same door and a different path”, so the two for the disease also has a lot of inextricable links. If the disease of the waterway does not heal, it can develop to the seminal tract, and the disease of the seminal tract, because it is connected to the waterway, can also affect the waterway. Therefore, the clinical symptoms of “drowning and pain” can occur in both seminal turbidity and urinary turbidity. 2, the etiology and pathogenesis of the seminal tract disease Generally speaking, the disease of the waterway can occur at all ages, and its pathogenesis is mostly due to the invasion of damp heat into the bladder and qi, and the lower jiao is unfavorable. The disease of the sperm duct mostly occurs in adolescence after the beginning of “Tian Kuei”, due to the liver and kidney fire, or damp heat through the Qi meridian deep in the lower jiao blood, resulting in damage to the sperm chamber, sperm duct excretion obstruction, “tangible deficiency in the sperm duct” and caused. When a man enters old age, the level of Tiankui decreases, the phase fire gradually declines, and this disease also occurs gradually. Compared with the two, the disease of watercourse is shallow and relatively simple, and there is no obvious age limit. On the other hand, the disease of the seminal tract has a relatively limited age of onset, and its pathological location is deeper than the former, involving the internal organs. More meridians, and therefore the etiology and pathogenesis are more complex than the former. As Ye Tianshi said: “The teenager suffers from this, more desire heart dark movement, essence away from the Palace, corruption condensation block drowning orifice.” Zhang Xicun, a famous doctor in modern times, also has a brilliant discussion on this. He said in the “Medical heart in the ginseng and western record? The gonorrhea formula” said: “blood gonorrhea of the disease, most out of the seminal tract also. The person or indulge in too much desire and loss of regulation, it is dirty because of the tiger heat; or want to force and delusional talk about tonic, the phase of fire moving without drainage, can also generate heat. In order to blood room (original note: both men and women, men to turn sperm, women to tie the cell) in the blood heat delusional movement, and defeat sperm culmination into a rotten and turbid things, or red. Or white, into silk, into lumps, drowning when blocked traction pain.” It should be noted that Zhang’s is talking about blood gonorrhea here, and from the pathogenesis he describes, it is an inflammation of the genital system, which can be seen in seminal vesiculitis or acute and chronic prostatitis. His above understanding is in line with Ye’s view, and his understanding is deeper than Ye’s in terms of etiology and pathogenesis. In addition, if the young and strong stage of life is addicted to spicy and fatty sweet, or too much alcohol, resulting in damp heat, the evil of damp heat can reach the seminal chamber through the odd meridians such as Chong and Ren; or the evil of damp heat and filth in the waterway is not cured for a long time, it can also invade the seminal tract, and prostatitis-like diseases occur. Since the seminal tract is connected to the seminal ventricle, and the physiopathology of the seminal ventricle is closely related to the eight channels of the odd meridians, such as Chong, Ren, Du, and Zhan, most diseases of the seminal tract involve the odd meridians, which is quite similar to menstrual diseases in gynecology. This is similar to menstrual diseases in gynecology. Female Formula? The name is Chong, which is on both sides of the blood chamber, which is connected to the blood chamber. …… There is the Ren Vessel as its role, the Governor Vessel as its supervisor, the Belt Vessel as its restraint, the Yin Wei, Yang Wei, Yin Stilts, Yang Stilts as its support, a total of eight odd meridians. These eight channels and blood chambers are found in both men and women. In men, the blood chamber is the place where the essence is transformed, and in women, the blood chamber is the place where the fetus is conceived.” Zhang refers to the blood chamber, in the woman is actually the uterus, in the man is the sperm chamber. The actual fact is that the actual woman is actually the uterus, and the man is the sperm room. Amongst the eight veins, the blood room is more closely related to the punch, Ren, Du, and belt. In the case of chronic prostatitis, it’s mostly due to the fact that the phase fire is in full bloom and disturbs the sperm chamber through the two veins, causing the sperm to leave its palace and become blocked in the sperm channel. The most important thing is that the two veins are the most related. If the doctor doesn’t know the reason, and simply treats it from the waterway, abusing the method of clearing heat and fluids, although it can relieve some symptoms, but it is difficult to cure the disease at its root. As Ye Tianshi said: “defeat of essence in the essence of the Guan, the old rot because of drowning strong out, the new one and stasis in the, after years and months, essence and blood and are withered, will be exhausted into labor is not treated. When the Ren Du Chong with regulation, also like the woman’s collapse and leakage with the next. The doctor but know ‘eight positive’, ‘clear’, to damp heat treatment; also have YiYinDiYangDiYang Tang, always can not go people QiJing.” Here, Ye first criticized the quack doctors do not identify the location of the disease, do not know the disease mechanism, blindly with eight Zheng San, clearing drinks such as clearing the bladder water; such as a long treatment does not heal, it is used to nourish the yin and kidney with Dihuang Pills, the wrong cure. At the same time, he linked this kind of gonorrhea with the odd meridians, and believed that the treatment of the sperm duct should be like that of gynecology, not only should the liver and kidney be regulated and the phase fire be extinguished, but also the treatment should be based on the odd meridians, so that the flushing and the ren are nourished, the sperm chamber is normalized, and the sperm duct is unblocked. Because chronic prostatitis tends to occur in young adults, its etiology is mostly due to an important principle of phase. The clinical use of Zhi Mu. ② Drain the seminal tract. Water channels. Dredging the sperm channel is to invigorate the blood and remove blood stasis, and to soften the hardness and disperse the knots. Clinically, peach kernel, zelen, nux vomica, ocimum sanctum, lychee kernel, raw oyster. Turtle shell etc. Also add white foxglove root, zedoary and dioscorea Z to cleanse the water channels. ③Treatment from odd meridians. This is an important principle in the treatment of chronic prostatitis. The most important thing is that it is the most important part of the body. In this regard, he has an insightful passage in the “Clinical Guide to Medical Cases? Void labor” has an insightful discussion: “The essence and blood are all tangible, to grass and wood indifferent things for the benefit of the sound and gas will not correspond. Gui attached to the headstrong, masculine, essence and blood of the main dirty, dirty body is Yin, just the more rob fat carry on. As for Danxi tiger submerged method, submerged yang firm yin, with Zhi Bai bitter cold sunken, not through the strange pulse. Yu to soft agent Yang medicine, through the strange veins do not stagnate. And flesh and blood have feelings, cultivate the essence of blood in the body. But the king’s way no near work, more use since beneficial.” Therefore, for the treatment of such diseases, in addition to the above-mentioned rules, we often add blood and flesh sentient products such as turtle turtle nail, aconite, angelica, wolfberry and walnut flesh to the formula with the evidence, in order to hope to enter the treatment from the odd meridian. However, the medication must be used continuously for a slow effect.