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This disease is one of the common diseases in young adult men and seriously affects the quality of life of adult men. It is currently considered that chronic prostatitis is a clinical syndrome consisting of a group of diseases with their own unique etiology, clinical features and regression. The main emphasis in the concept of chronic prostatitis is on a series of associated clinical symptoms, including four basic elements (lower urinary tract symptoms, presence of evidence of inflammation, prostate involvement and lack of evidence of acute inflammatory evidence).
Clinical symptoms: Patients present with 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 stool; painful discomfort in the perineum, external genital area, lower abdomen, suprapubic area, lumbosacral and perianal areas. 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, fatigue, memory loss, abnormal sexual function, painful ejaculation and other symptoms.
The number of WBCs in EPS is controversial, but it is generally believed that the number of WBCs in EPS can increase in patients with type II and type IIIA chronic prostatitis, while type IIIB WBCs generally do not increase. The EPS should be tested at least 3 times.
2, bacteriological examination: (1) four-cup method: VB1 and VB2 and primary and secondary urine, localization of urethral and bladder infections, VB3 and EPS localization of the prostate. However, it is less used because it is complex, time-consuming, expensive and has limited clinical guidance. (2) The two-cup method: only the middle urine before prostate massage (VB2) and the urine after massage (VB3) are taken, and the same results can be obtained . The pathogenic microorganisms tested in the test specimen diagnose chronic prostatitis type II, and vice versa, non-bacterial chronic prostatitis type IIIA.
3, semen specimen testing, including pathogenic microorganism testing.
4.PSA assay: generally used for people over 50 years of age, or those with a family history of prostate cancer.
The ultrasound examination can show uneven prostate echogenicity, calcification, stones, dilated ducts, changes in the seminal vesicles, and changes in pelvic vein congestion. The above mentioned auxiliary examinations are mainly used to rule out other possible pathologies in the urinary and reproductive tracts and pelvic organs.
The basic pathology of chronic prostatitis is dampness and heat stasis. The most important thing is that it is not just a matter of the time, but also of the time. In recent years, liver qi stagnation has attracted more and more attention from many clinical doctors.
Western medical treatment.
(i) General treatment: Health education, psychological and behavioral counseling all have positive effects. Patients should abstain from alcohol, spicy and stimulating foods; 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. Regular prostate massage therapy can also significantly relieve the patient’s discomfort, and is generally recommended 2 to 3 times a week. Biofeedback therapy also provides good relief for pelvic floor and perineal discomfort and pain caused by pelvic floor perineal muscle tension and spasm.
(ii) Medication: The three most commonly used drugs are antibiotics, alpha-blockers and non-steroidal anti-inflammatory analgesics, while other drugs also have varying degrees of efficacy in relieving symptoms. The specific use of medication requires professional medical guidance.
Chinese medicine treatment: mainly divided into the following types.
1.Damp-heat infusion
Treatment: Clear heat and dampness.
Prescription: Gentian diarrhea of the liver soup (“Collection of medical prescriptions”): gentian herb, scutellaria, gardenia, zedoary, mouton, psyllium, angelica, raw earth yellow, Chai Hu, licorice.
Chinese patent medicine: Ning Ju Tai capsule, taken orally, 3-4 capsules once, 3 times a day.
2.Qi stagnation and blood stasis
Treatment: Promote the flow of Qi and Blood.
Recipe: Fuyuan and invigorating blood soup (“Medical Invention”): Chai Hu, Gua Shi Root, Radix Angelicae Sinensis, Safflower, Glycyrrhiza Glabra, Gunnera, Rhubarb in wine, Peach kernel.
Chinese patent medicine: Rhubarb and insect pills, 3-6 grams per serving, 1 to 3 times a day, served with warm boiled water.
3.Liver Qi Stagnation
Treatment: De-stressing the liver and relieving depression.
Recipe: Chai Hu Dredging Liver San plus reduction (Jing Yue Quan Shu): Chai Hu, Bai Shao, Angelica Sinensis, Chen Pi, Chuan Xiong, Xiang Fu, Citrus Aurantium, Glycyrrhiza glabra.
Chinese patent medicine: Prosperity Pill, 6-9 grams per serving, taken twice a day.
4.Deficiency of kidney yang
Treatment: It is advisable to tonify the kidney and strengthen yang.
Prescription: Jisheng Kidney Qi Pill plus or minus (“Jisheng Formula”): Shu Di Huang, Fried Yam, Cornus Officinalis, Ze Di, Poria, Mudan Pi, Cinnamon, Gunner’s Root, Chuan Niu Knee, Che Qian Zi.
Prepared Chinese medicine: Right Return Pill (Jin Kui Yao), 6-9 grams per serving, in light salt soup.
5.Damp-heat stagnation
Treatment: Clearing heat and relieving dampness, resolving blood stasis and relieving pain.
Recipe: Gentian Diarrhea Liver Soup (Collective Explanation of Medical Formulas) combined with Peach and Red Four Things Soup (Jinjian of Medicine): gentian herb, scutellaria, gardenia, zedoary, mouton, carthamus tinctorius, angelica, raw groundnut, chai hu, licorice, peach kernel, safflower, chuanxiong.
Chinese patent medicine: prostate detoxification capsule, taken orally, 4 capsules once, 2 times a day.
6.Yin deficiency of liver and kidney
Treatment: Nourish the liver and kidney.
Recipe: Zuo Gui Wan plus or minus (Jing Yue Quan Shu): Shu Di Huang, Shan Yao, Cornu Cervi Pantotrichum, Fructus Lycii, Semen Cuscutae, Deer Horns Gum, Turtle Board Gum, Chuan Niu Knee.
Chinese patent medicine: Dajingyinwan (Danxi Xinfa), 6-9 grams per dose, in salt and white soup in empty heart.
(B) External treatment method
1, Chinese medicine retention enema: on the basis of the identification of each type, change the route of medication, can further improve the efficacy, the theory is based on the existence of a special venous channel between the prostate and rectum.
2, suppository anal plug: prostate security suppository
3, in addition to Chinese medicine ion introduction, Chinese medicine sitz bath, Chinese medicine fumigation, Chinese medicine paste and acupuncture can be effective.
Daily life attention.
Psychological treatment, can effectively reduce the psychological pressure of patients, eliminate the vicious cycle caused by physical and mental disorders, so that their symptoms are significantly improved, help to improve the efficacy of prostatitis, also plays an important role in the prevention of prostatitis. 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.
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