Chronic Prostatitis is a very familiar disease for men and has reached a level where it is known to everyone. It is now so widely publicized that it can be seen on the internet, on television, on buses, and even on the cowlick in restrooms. While there is both formal and informal propaganda that demonizes this disease. I’m here to share 1 case of recurring, multiple visits to the doctor for prostatitis patients eventually cured in my case.
1. Firstly, the symptoms of chronic prostatitis are introduced.
It has a non-specific, group of syndromes
The actual fact is that you can find a lot of people who are not able to get to the actual site of the actual site.
Pain and discomfort: perineal, lower abdominal and testicular distension and discomfort, pelvic pain or cramping, etc.
The symptoms: anxiety, insomnia, depression, urethral “white drip”, sexual dysfunction, back pain and weakness, etc.
2, the etiology of prostatitis.
The pathogenesis of chronic prostatitis is not very clear now, the Chinese urological diagnosis can only give eight possible causes, but we are currently more recognized to focus on the first three pathogenic microbial infection, urinary dysfunction, psychological factors, and generally will be considered from these aspects.
3, the patient’s medical history.
General situation: Wang, 24 years old, male, IT industry, unmarried.
Complaint: perineal discomfort with frequent and urgent urination for 2 years
Present history: 2 years ago, he developed perineal discomfort, intermittent episodes, obvious after sitting for a long time. It was accompanied by frequent urination, 10-15 times/day, and urgent urination. No urinary pain, hematuria, no fever. Six months ago, I had a routine examination of prostate fluid in a foreign hospital, which indicated that the white blood cells were high, and I was given prostate relief quality treatment for 2 weeks without significant improvement. The quality of sleep is poor dreamy and easy to wake up. The appetite is average.
Past history: no special.
Personal history: no smoking and drinking bad habits, long-term masturbation history.
Physical examination: prostate tough, central groove present, no significant tenderness, prepuce
Tongue: red tongue, yellowish tongue coating, thin pulse
Urine routine: negative
Ultrasound: calcified foci in the prostate
Prostate fluid pathogenic microbial culture: negative
Diagnosis: chronic prostatitis type IIIA, Chinese medicine evidence: damp-heat and heavy
4. Treatment plan
One: Consider that it is caused by a long-term sedentary urinary dysfunction caused by holding urine, forming urine reflux chemically stimulating the prostate, leading to aseptic prostatitis.
Treatment: kodohua + clear heat, dampness and blood activating herbs for 1 month
End result: discomfort in the perineum reduced, urinary frequency and urgency slightly improved
Think: Why is the improvement in urinary frequency not obvious? (If it is caused by urinary dysfunction, there will be significant improvement after one month of Cordovan treatment) Consider from the psychological aspect (the patient recently had poor sleep and appetite)
Adjustment of ideas: consulting and asking medical history found
Lack of confidence due to poor results of repeated medical treatment
In the past year, he often searched for information on the Internet and was misled to believe that the prostate could not be cured, fearing that it would lead to sexual dysfunction and infertility.
Excessive concern, easily depressed, memory weakness, always sad and sad, sometimes even pessimistic and desperate.
Fear that family and friends know they are ill
Two: The patient was given a depression scale PHQ-9 score: 14
Diagnosis: Moderate depressive state
Chronic prostatitis type IIIA
Adjusted treatment plan: psychological counseling + Wu Ling capsule for depressive symptoms + Chinese herbal medicine for two weeks, mental state and sleep began to improve significantly, PHQ-9 score: 9 points, perineal symptoms disappeared, urinary frequency, urinary urgency significantly improved. (It’s easy to understand that mental and psychological factors can cause frequent urination; tension and stress can mostly cause it. For example, this is one of my lectures, I went to the bathroom several times before I went up to speak, and I had frequent urination)
After one month of treatment, the symptoms disappeared and the PHQ-9 score was 5. (You can stop observing the medication, cure, and prevent recurrence on it)
5. Thinking
Chronic prostatitis can lead to psychiatric disorders
Chronic prostatitis can be combined with psychopathic disorders
Psychosomatic illnesses can lead to chronic prostatitis
6.Summary.
The psycho-psychological aspect of prostatitis is also important to treat the body and mind together. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.