1. What is prostatic hyperplasia? Is there a difference between prostatic hyperplasia and prostatic hyperplasia? A: Commonly speaking, “prostate enlargement” is the enlargement of the prostate gland beyond its normal size (4cm transverse diameter, 2cm anterior and posterior, 3cm vertical diameter), often diagnosed by ultrasound; when this enlargement leads to compression of the urethra, the symptoms of poor or difficult urination, frequent urination, etc. are called ” prostatic hyperplasia”. The two are quantitative and qualitative, which means that the enlarged prostate does not necessarily have symptoms and is not a disease, and certainly does not require treatment, but when the enlargement reaches a certain level and brings discomfort to the patient, it becomes a disease, and it is time to see a doctor. 2. Who is prone to this disease? Why do you get this disease? A: Older men are at high risk for prostate hyperplasia, with a prevalence of about 50% in older men between the ages of 50 and 60, and up to 80% in those over 80. The actual mechanism is still unclear and may be caused by the balance of epithelial and mesenchymal cell proliferation and apoptosis, which means that the new cells are always more than the dead ones, and as we grow older, the prostate will gradually increase in size, a process that every male has to go through. 3. What are the common symptoms of prostate hyperplasia? A: The frequency of urination is an early symptom, especially the increase in the number of nighttime urination as the main performance; in addition, there can be a delay in the onset of urination, prolonged urination time, not far, thin and weak urine line, gradually appearing interrupted urine flow and after-leakage; because urine can not be smoothly discharged, urine long-term urine retention and cause stones, infection and other complications will also appear painful urination, hematuria; when the retention of urine upward reflux will also cause kidney damage, and even 4.How to treat prostate hyperplasia? A: The treatment plan for prostatic hyperplasia depends on three main aspects: the severity of urinary symptoms, the size of the prostate and the presence of complications. With regard to urinary symptoms, the International Prostate Symptom Score (I-PSS) is commonly used to assess the patient’s urinary condition. When the score is low (I-PSS score ≤ 7) or when it is more than 7 but the patient feels that the current symptoms are acceptable, medication can be withheld and reviewed regularly. When the score is greater than 7 and the patient cannot accept the current uncomfortable symptoms, the stage of medication can be entered. The main two types of drugs for treatment are alpha-blockers, common drugs such as Halo, Cordova, and Gottlieb, which can relax the smooth muscles of the prostate and bladder neck to relieve bladder outlet obstruction, characterized by fast onset of action, often significantly improving urinary symptoms, but there are side effects of lowering blood pressure, which should be applied with caution to patients who usually have low blood pressure, in addition, the drug does not reduce the size of the The second is the 5-alpha reductase inhibitor, common drugs such as Pauligy, which can reduce the content of dihydrotestosterone in the prostate to reduce the size of the prostate and improve the treatment of urinary difficulties, but the drug works slowly and often requires more than 6 months of continuous use to obtain a certain effect. The common side effects are sexual dysfunction and male feminization, and the prostate will continue to grow after stopping the drug. For those who do not have a significantly enlarged prostate, alpha-blockers can be taken alone, but if the prostate is significantly enlarged, the addition of a 5-alpha reductase inhibitor is recommended. Since the disease often recurs or worsens after stopping the medication, patients should take the medication for a long time. Surgery is recommended when patients have recurrent urinary retention, urinary tract infections, hematuria, and complications such as bladder stones and obstructive nephropathy, and the commonly used surgical procedure is transurethral electroprostatectomy. 5.What are the methods of Chinese medicine? How to make good life adjustments? Since the disease is chronic, the author recommends the combination of internal Chinese medicine with food therapy and self-operable acupuncture and moxibustion, and the specific treatment plan is best done under the guidance of a professional Chinese medicine practitioner. In terms of life conditioning, it is important to live a regular life and keep the bowels open; it is advisable to eat a light diet and prevent the intake of high cholesterol foods. Encourage to eat less “red meat” (referring to meat containing high cholesterol such as pig, cow and sheep) and more “white meat” (referring to meat containing low cholesterol such as chicken and fish); avoid eating spicy and stimulating products and drinking alcohol, avoiding cold in the lower body, excessive intercourse and holding back urine, which may lead to acute urinary retention. These may lead to acute urinary retention; when taking cold medicine or drugs for respiratory diseases, read the instructions in detail because these drugs can often lead to a weakening of bladder contraction and cause acute urinary retention. In addition, some patients develop insidiously and show symptoms of uremia at the time of consultation, so elderly men with abnormal urination should be promptly examined and treated.