Prostatitis is a disease characterized by pain or discomfort in the pelvic region, abnormal urination and other symptoms in the male prostate gland under the action of pathogens or certain non-infectious factors.
Clinical manifestations: varying degrees of urinary frequency, urgency, painful urination, incomplete urination, burning in the urethra, a small amount of white discharge from the urethra in the morning, at the end of urination or during defecation; painful discomfort in the perineum, external genital area, lower abdomen, suprapubic area, lumbosacral and perianal area. There may also be waiting for urination, weakness of urination, thinning or interruption of the urine line and prolonged urination time.
Some patients may also experience dizziness, weakness, memory loss, abnormal sexual function, ejaculation discomfort or pain and mental depression.
Chinese medicine considers prostatitis to have the following conditions.
1, damp-heat injection: manifested as burning and astringent pain in the urine, urinary frequency and urgency. The yellow urine is short and red, dripping after urination, white turbidity in urine, dampness of the scrotum, irritability and dryness of the mouth, foul breath and gangrene. The tongue coating is yellow and greasy, and the pulse is slippery or stringy.
2. Qi stagnation and blood stasis: Pain and swelling in the perineum, external genital area, lower abdomen, suprapubic area, lumbosacral area and perianal area. Dripping after urination, stinging pain in urine and dripping urine. The tongue is dull or with petechiae, petechiae, and the pulse is stringent or astringent.
3. Liver qi stagnation: manifesting as perineum, or external genital area, or lower abdomen, or suprapubic area, or lumbosacral and perianal swelling and discomfort, seemingly painful but not painful, depression. Dripping urine, chest tightness, anxiety, suspicion and fear of disease. Pale red tongue, string pulse.
4, deficiency of kidney yang: manifested as fear of cold, waist and knee soreness or pain. Dripping after urination, mental depression, impotence or low libido. The tongue is pale with thin white coating and the pulse is sluggish or weak.
Treatment
1. General treatment: Health education, psychological and behavioral counseling all have positive effects.
Patients should abstain from alcohol, avoid spicy and stimulating food, avoid holding urine and sitting for a long time, pay attention to keeping warm, and strengthen physical exercise.
Impure sexual behavior and frequent sexual excitement should be avoided, and moderate sexual life should be encouraged.
Hot water sitz baths can help relieve painful symptoms, but those who have not had children should be aware of the adverse effects of long-term hot water sitz baths on the spermatogenic function of the testicles.
The regular prostate massage treatment can also significantly relieve the patient’s discomfort.
The three most commonly used drugs are antibiotics, alpha 2 blockers and non-steroidal anti-inflammatory analgesics.
The most common first-line drugs used in the treatment of prostatitis are antibiotics, and the commonly used antibiotics are fluoroquinolones.
Alpha 2 receptor blockers: can improve lower urinary tract symptoms and pain by relaxing smooth muscle in the prostate and bladder and other areas.
Non-steroidal anti-inflammatory analgesics: the main role is to relieve pain and discomfort.
3.Chinese medicine treatment
Damp-heat infusion: clear heat and dampness. Recommended prescriptions: Bazheng San, Gentian Diarrhea Liver Soup
Recommended Chinese medicine: Ning Ju Tai capsule, 1.14~1.52 g each time, taken orally 3 times a day.
Qi stagnation and blood stasis: move Qi and invigorate Blood. Recommended formula: Fuyuan and invigorating blood circulation, Shao abdominal and blood stasis soup
Recommended Chinese medicine: Rhubarb Sting Worm Pill, 3~6 g each time, 1~3 times a day with warm water.
Liver qi stagnation: dredging the liver and relieving depression. Recommended herbs: Chai Hu Dredging Liver San, Prosperity San combined with Golden Bell Seed San
Recommended Chinese herbal medicine: Prosperity Pill, 6-9 g each time, taken orally twice a day.
Deficiency of kidney yang: tonifying the kidney and strengthening yang. Recommended prescription: Jisheng Kidney Qi Pill, Jin Kui Kidney Qi Pill
Recommended Chinese medicine: Yugui Wan, 6-9 g per dose in light salt soup.
4.Health education
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. 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.