What methods are used in Chinese medicine to treat prostate enlargement?

Prostatic hyperplasia is known as jing-癃 in traditional Chinese medicine. It can be treated by internal treatment with formulas such as Bazheng San and tonifying the middle and benefiting the vital energy, and external treatment such as enemas. 1. Internal treatment (1) Dampness-heat infiltration (dampness and heat evils invading the intestines, bladder, pubic area, lower limbs, etc.): manifested by short yellow urine, burning in the urethra, dysuria, dry stools, bitter and sticky mouth, red tongue, yellowish greasy moss, etc., which can be treated with additions and subtractions of formulas such as Bazheng San. (2) Spleen and kidney qi deficiency: manifested as frequent urination, thin urine line, enuresis, fatigue (lack of spirit, physical weakness), lumbar and knee weakness (feeling of lumbar and knee weakness), etc. It can be treated by tonifying the middle and benefiting the qi, Jin Gui Kidney qi Pill and other formulas with additions and subtractions. (3) Qi stagnation and blood stasis (stagnation of blood due to lack of circulation of Qi): manifested as dysuria, thinning of the urine line, vague pain in the abdomen, dark purple tongue, petechiae and bruises, and astringent pulse, etc., and treated with formulas such as Sinking Fragrance Essence with additions and subtractions. (4) Kidney Yin deficiency: manifested by frequent urination, thinning of urine line, soreness and weakness of waist and knees, five heart-heat (heat in the hearts of the hands and feet, and self-consciousness of irritability and sultriness in the heart and chest), etc., and treat with Zhi Bai Di Huang Wan and other formulas with additions and subtractions. (5) Kidney yang deficiency (lack of yang energy in the kidneys): manifested by frequent urination, thinning of the urine line, aching and coldness in the waist and knees, fear of cold and cold limbs (fear of cold, cold limbs), etc. Treat with Jisheng Kidney Qi Pill and other formulas with additions and subtractions. 2. External treatment: rhubarb, zephyr, dahurica, cinnamon, etc. can be used, and the decoction should be retained for enema. If there is any discomfort and medication is needed, please go to the hospital, consult the clinician and follow the doctor’s instructions.