The prostate enlargement, also known as prostate hypertrophy, is a common disease in older men, with the incidence of hyperplasia reaching more than 60% over the age of 60. The PSA, or prostate-specific antigen, is generally considered to be a benign disease that occurs in the migratory zone of the prostate.
The normal value of PSA is less than 4ug/ml. Prostate enlargement and prostatitis, two benign diseases, will be able to cause an increase in PSA values, the concentration is usually between 4 and 8ug/ml. If there is a progressive increase, or if the MRI of the prostate suggests suspicion, biopsy pathology is generally advocated for diagnosis. The actual fact is that the actual person is afraid of the puncture biopsy and insists on the Chinese herbal medication. Fan Zuo, male, born 1958-6-3, from Pinggu District, Beijing 2013.7.23 Initial diagnosis: Complaint: Physical examination (2013-7-8) revealed TPSA: 7.53 for two weeks. With weak urination, no nocturia, perineal distension, normal sweating, no lumbar acidity and mental unpleasantness. No discomfort for the rest. The tongue is lightly pointed and cracked, with a thick mossy root; the pulse is sunken and astringent. Traditional Chinese medicine diagnosis: seminal retention of urine (toxic and stasis interconnection, Yang deficiency and stagnation of the governor. Treatment: 1. MRI of the prostate is recommended. 2. Treatment: detoxify the toxin, resolve the stasis, pass the Governor and tonify the kidney. Prescription: whole scorpion, sizzling leech, white flowered snake’s tongue grass, earth poria, dogwood, cinnamon, Sichuan break, astragalus, raw oyster (first decoction), etc. 7 payments. 2013.7.30 follow-up: MRI scan: prostate 5.1X3.4X3.7, left peripheral patchy hypoechoic. Perineal distention and weakness of urination. The tongue is lightly pointed and cracked, the moss is rooty, and the pulse is sunken and thin. Puncture biopsy was recommended and not accepted. Followed by 14 doses of traditional Chinese medicine. 2013.8.27 Third consultation, recheck: TPSA2.34, FPSA0.55, F/T-PSA0.24. Complaint: saw the test results, good mental status, present symptoms: slightly distended perineum with sedentary, urination is possible, tongue is thinly fissured, pulse is fine. Followed by herbal medicine with addition and reduction. 14 payments. 2013.9.10 Fourth consultation. Complaint: no discomfort, urine flowing, happy spirit. The tongue is pale and shallowly fissured with white fur, and the pulse is slow and slightly thin. I gave Chinese medicine for consolidation.
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