1, treatment principle: chronic prostatitis Chinese medicine, Chinese and Western medicine combined comprehensive treatment mainly to improve the symptoms as the purpose. While identifying the disease and individualizing the treatment, pay attention to the patient’s quality of life and correct the patient’s poor lifestyle. The recommended course of treatment is 1 month, which can be treated for 2-3 courses of treatment. 2.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 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 baths on the spermatogenic function of the testicles. Regular prostate massage therapy can also significantly relieve the patient’s discomfort. 3.Western medicine treatment: the three most commonly used drugs are antibiotics, beta-blockers and non-steroidal anti-inflammatory analgesics, and other drugs also have different degrees of efficacy in relieving symptoms. (1) Antibiotics Currently, the most commonly used first-line drugs in clinical practice for the treatment of prostatitis are antibiotics, but only about 5% of patients with chronic prostatitis are found to have a definite bacterial infection. Type II: Based on the results of bacterial culture to select a sensitive antibiotic with a high concentration of drugs in the prostate gland, the commonly used antibiotics are fluoroquinolones, sulfonamides and other drugs. The recommended course of treatment for quinolones is 4-6 weeks and for sulfonamides is 12 weeks. During this time, patients should be evaluated for stage efficacy. If the efficacy is unsatisfactory, other sensitive antibiotics may be used instead. Intraprostatic antibiotic injections are not recommended as a treatment. Type IIIA: Antibiotic treatment of this disease is mostly empirical and is based on the theory that certain pathogens that are currently undetectable in routine culture are presumed to be responsible for the inflammation of this type. Therefore, oral fluoroquinolone antibiotics are recommended for 2-4 weeks, followed by a decision to continue antibiotic therapy based on efficacy feedback. Continuation of antibiotics is recommended only if the patient’s clinical symptoms do decrease, with a recommended total course of 4-6 weeks. Some patients may have pathogenic infections such as Chlamydia trachomatis, Mycoplasma solium or Mycoplasma humanum, which can be treated with oral antibiotics such as macrolides. Type IIIB: Antibiotic treatment is not recommended. (2) β-blockers can relax the smooth muscles in the prostate and bladder and improve the lower urinary tract symptoms and pain, thus becoming the basic drug for the treatment of type II/III prostatitis. Different beta-blockers can be selected according to the individual patient. The treatment should pay attention to the adverse effects of vertigo and postural hypotension caused by these drugs. β-blockers can be used in combination with antibiotics for the treatment of type IIIA prostatitis, and the combined course of treatment should be at least 6 weeks. (3) Non-steroidal anti-inflammatory analgesics are used empirically to treat the symptoms associated with type III prostatitis, and their main purpose is to relieve pain and discomfort. (4) Other therapeutic drugs Botanical preparations, M-blockers, antidepressants and anxiolytics can also be used according to the clinical situation.