Prostatitis is a disease in which the prostate gland is infected by pathogenic bacteria and the main clinical manifestations are frequent urination, urgent urination, painful urination, and perineal swelling. Mostly due to bacterial or pathogenic (such as mycoplasma, chlamydia, etc.) infections. The actual fact is that there are a lot of people who are not able to get a good deal on this. The majority of the clinical cases are chronic prostatitis, accounting for about 25%, which is equivalent to the Chinese medicine “gonorrhea”, “gonorrhea”, “clear turbidity”, “white turbidity”, “waist turbidity”. The most common type of prostatitis is chronic prostatitis, which accounts for about 25% of cases.
Causes in Chinese medicine: external poisonous heat, dietary injury, excessive intercourse, deficiency of kidney yang and blood stagnation.
(I) Diagnostic points.
1. Clinical symptoms.
Urinary tract symptoms: one of the common clinical symptoms, manifested as repeated urinary frequency, urinary urgency, urinary pain and other urinary irritation symptoms of different degrees. There may be dyspareunia, a sense of incomplete urination, urethral burning, urinary bifurcation, or visible blood in urine, or white turbid liquid overflowing from the urethra at the end of urination or during stooling, and scrotal dampness, etc.
Pain: for different degrees of pain in the penis, scrotum testicles, groin, perineum, pubic bone, lower back, and ejaculation pain. The above symptoms are often aggravated by sedentary, exertion or after intercourse.
Sexual dysfunction: Some patients may show hypersexuality in the early stage, but after a period of time, it changes to hypersexuality, insecure erection of penis, even impotence, premature ejaculation, seminal emission, etc., and may lead to abnormal semen and cause infertility certificate, etc.
Neurological weakness: it can be manifested as dizziness and insomnia, agitation, forgetfulness, weakness, neurosis, etc.
Other symptoms: joint pain, skin rash, etc.
2.Physical examination.
Rectal examination, gland size or normal or slightly large, both sides of the lobe may not be symmetrical, hard or uneven texture, the central groove exists or becomes shallow, in severe cases, the prostate can be painful to the touch.
3, auxiliary examination.
The prostate fluid examination: 10 white blood cells (WBC) per high magnification field (labelled as “+”) or more than 10, or although less than 10, but there are piles of pus cells (PC), lecithin vesicles reduced, can generally make the diagnosis of chronic prostatitis. Or take interrupted urine or prostate fluid for bacterial culture and colony count, colony count VB3 is up to 10 times greater than VB1, can be diagnosed as bacterial prostatitis. If the bacterial culture of VB1 and VB2 is negative and the bacterial culture of VB3 and prostate fluid is positive, the diagnosis can also be confirmed.
The PH value of the prostate fluid is measured: the PH value of the prostate is 6-7. When there is chronic prostatitis, the PH value is significantly higher, and the degree of prostate healing is directly proportional to the PH value of the prostate fluid returning to normal.
B ultrasound examination: shows confusion in the prostate boundary structure. Cystoscopy reveals congestion and swelling of the posterior urethra and spermatic port.
(B) Chinese medicine evidence-based treatment.
1, heat and toxicity: the treatment should be to clear heat and detoxify, activate blood circulation and remove blood stasis. The formula is based on the combination of Huang Lian Detoxification Tang and Wu Wei Disinfection Drink.
2. Damp-heat infiltration: treatment is to clear damp-heat. This formula is based on Dafenqing Drink plus or minus.
3. Spleen spleen subsidence: to strengthen the spleen, promote Yang, remove dampness and eliminate turbidity. The formula is supplemented with Tonic Central Beneficial Qi Tang.
4. Yin deficiency of liver and kidney: treatment is to nourish Yin and lower fire, diuretic and laxative. The formula uses Zhi Bai Di Huang Tang plus or minus.
5, deficiency of kidney and kidney yang: treatment is to warm the kidney and strengthen yang and consolidate clear.
6. Qi stagnation and blood stasis: to invigorate blood circulation and remove blood stasis, dredge the liver and open the ligaments. The formula is based on Fuyuan Blood Invigorating Tang with neem and orange kernel.