How is prostatic hyperplasia (enlargement) treated?

  The majority of men are unable to resist a degenerative disease of old age, which deserves the attention of every middle-aged person. The prostate gland, like other organs in the human body, has a process of development, maturation and aging, since birth to adolescence the prostate gland grows slowly, after puberty the growth rate accelerates, and gradually develops into maturity, men between the ages of 25-40 years old its gland volume basically remains balanced, after 40 years old there are two trends, a small number of people tend to atrophy, the gland volume gradually     The earliest clinical symptom of prostate hyperplasia is an increase in the number of nocturnal urination, which often reflects the early obstruction of the urinary tract, when the nocturnal urination develops from 1 to 2 times to 2 to 3 times or even 4 to 5 times, indicating that the degree of lower urinary tract obstruction is gradually increasing.  The number of nocturnal urination is often parallel to the degree of prostatic hyperplasia, that is, proportional to the relationship, nocturnal urination is caused by the hyperplastic glands at night by congestion and stimulation. It is easy to go to the hospital to do an ultrasound to check the residual urine volume of the bladder and the size of the prostate gland to detect whether there is residual urine volume in the bladder after urination? How much residual urine is there? If the residual urine volume is more than 50-60 ml, it means that the prostate gland is seriously enlarged and is generally considered to be an indication for surgery.  The residual urine volume of the bladder is an important test to determine the degree of prostate enlargement and hyperplasia! The actual fact is that there is no actual clinical significance to this indication, nor does it indicate that the prostate is enlarged. The actual prostate enlargement is not clinically significant and does not indicate that it is a manifestation of prostate enlargement. The first prerequisite is the age, which should be above 40 to 45 years old, and the second key is whether there are clinical symptoms, and then in combination with the anorectal examination of the prostate and the residual urine volume or urine flow rate of the bladder.  In addition, some elderly people, often with their own prostate ultrasound report card, will own prostate ultrasound report size, value and other elderly people’s prostate ultrasound report size, value to compare, think that the larger the prostate size value reported, the more serious the condition is thought to be ……. The actual fact is that this view is extremely wrong, and even more unscientific. It is important to note that the size of the prostate is not proportional to the clinical symptoms of prostate hyperplasia, in other words, the bigger the prostate gland is, the more serious the prostate condition is and the more serious the clinical symptoms are.   The main treatment for prostate hyperplasia in modern medicine is catheterization, intra-glandular injection of drugs, endocrine therapy, and surgical removal of the enlarged part of the prostate, which has some efficacy, but also has considerable limitations and side effects.  This disease belongs to the category of “retention of urine” in Chinese medicine. This disease has been recorded as early as the Qin and Han dynasties. Su Wen? Xuanming Wu Qi” says: “The bladder is not conducive to retention of urine, not about drowning.” It is clearly pointed out that the location of the disease is in the bladder, and it is also pointed out that the pathology of the disease is unfavorable gasification, which is closely related to Sanjiao, kidney and middle qi. In the Han Dynasty, Zhang Zhongjing pioneered the diagnosis and treatment of this disease, such as Wu Ling San for Qi not transforming water, Pig Ling Tang for water-heat interconnection, Pu Hui San for blood stasis and heat, and Fu Ling Rong Yan Tang for deficiency of both spleen and kidney, which obviously involved all aspects of cold and heat, deficiency and reality, Qi and blood. In the Sui and Tang dynasties, the seriousness of this disease was recognized as “causing premature death, which should not be taken lightly”. There were more discussions on the etiology and treatment of this disease, and the method of using onion leaves to catheterize urine, which can be said to be the earliest catheterization, and the treatment method of ironing and moxibustion with salt in the umbilical area was also proposed. During the Song and Yuan dynasties, Zhu Danxi proposed the method of opening the upper orifice by exploring the vomit in order to benefit the lower orifice. During the Ming and Qing dynasties, Zhang Jinyue and Li Zhongzi made the method and prescription of this disease complete. Zhang also recorded a more advanced method of catheterization by using pig cells and goose plumes to drum air into the bladder. It can be said that the predecessors have accumulated rich experience in the treatment of this disease.  The modern Chinese medicine study of this disease is based on the inherited experience of the predecessors, and combined with modern physical therapy and other comprehensive treatment, the use of Chinese medicine, external application and warmth to promote the blood circulation of the prostate, improve the local sterile inflammation, so that the local swelling subsided to improve the smooth flow of the urinary tract.  In short, “the upper work to cure the disease”, for the middle-aged men, should also put the health examination and maintenance of the prostate gland in a certain important position of health examination and maintenance, if the clinical symptoms related to prostate enlargement and prostatitis, should pay great attention and seek the guidance and help of doctors, scientific and reasonable attention to The actual fact is that you can find a lot of people who are not able to get a good deal on this kind of things.