The concept of chronic prostatitis
Chronic prostatitis is a syndrome mainly characterized by discomfort in the lower abdomen, perineum, and urethra or accompanied by weak urination, incomplete urination, or white urethra, or decreased function. It is characterized by more symptoms and fewer positive signs.
Chronic prostatitis is a common disease of the male reproductive system. Its incidence accounts for about 25% of andrology clinics, and the incidence is about the first in andrology clinics.
Severe prostatitis can also lead to male fertility disorders, male fertility disorders caused by severe chronic prostatitis, we call it: chronic prostatitis male fertility disorders. The etiology, pathology, and treatment of chronic prostatitis have not been fully elucidated so far. Many issues are still widely controversial, because any patient may have multiple causes at the same time.
Because we have found that most prostatitis syndromes are related to functional factors in our long-term clinical work, we will focus on the etiology, diagnosis, classification, classification, and classification of functional prostatitis syndrome. Syndrome
The etiology and pathogenesis of modern Chinese medicine and our common clinical prescriptions
According to modern people's living habits and disease progression, we divide the etiology and disease of prostatic branch syndrome into the following 5 common pathological types for analysis
1. Kidney Yang weak prostatitis syndrome
(1) The main cause:
1. The internal cause is mainly congenital deficiency, general weakness, or introverted personality, depression and depression,
2. External cause Mainly due to intercourse strain and excessive handwork. Or feel cold and damp outside.
(2) The main pathogenesis: the above-mentioned internal and external evils can cause the weakness of the kidney yang and make the kidney yin and yang imbalance. Because the kidney contains Yuanyin and Yuanyang , which is the foundation of human reproduction and development. Therefore, the balance of yin and yang in the kidney can maintain the normal physiological functions of the human body.If there is attrition, various diseases will arise from it.
Although there are many syndromes of kidney disease, there are mainly two types: kidney-yang deficiency, and kidney-yin deficiency .
The kidney is the foundation of the innate. The yin and yang of the kidney hide the true yin and the yuan yang. Yin and Yang are two opposite and unified aspects, they always maintain a dynamic balance, if the kidney and yang are weak. Insufficient yang, causing negligence in the sealing of the kidney, leaving the essence in its place, causing white urine, incessant urine, or pain and discomfort.
Kidney Yang Deficiency Type: dizziness, fatigue, chills, cold waist and knees, early yang, pale tongue, white tongue, deep and thin pulse;
treatment method: Warming kidney and strengthening yang;
prescription : Jinkui Shenqi pill addition and subtraction; medicine composition: psoralen , yam, curculio, yizhiren, , cinnamon, Knee , fairy spleen , Alisma , Dogwood , Rehmannia , cooked aconite.
2. Yin deficiency and fire prostatitis syndrome
(1) The main cause:
1. The internal cause is mainly long-term overwork, excessive manual labor, or chronic illness and yin .
2. The external cause is mainly or the external feeling is dry,Or take products that warm dryness and jeopardize yin, such as ginseng, velvet antler , aconite , cinnamon, etc., so that
is consumed in the dark.
(2) The main pathogenesis: the above evils inside and outside can cause yin deficiency and fire . Yin deficiency refers to the deficiency of yin in the viscera, such as
standard fluid and body fluid and other yin essence deficiency, unable to restrict yang qi, and there is a state of deficiency and heat with excessive yang qi, that is, "yin deficiency
" It is the pathological change of "generation of internal heat" or "excessive heat of phase" or "excessive heat of yin deficiency".
Most of this syndrome manifests as a chronic process. The more intense the fire, the more yin becomes weaker, forming a vicious circle. The disease is getting worse and the kidney yin is deficient and the fire is prosperous.
Yin-deficiency and fire-strength type : dizziness, swollen waist and knees, insomnia, dreaminess, spermatorrhea, white turbidity during urination or defecation, red tongue, white tongue coating, pulse breakdown ;
Therapeutic method: nourish the liver and kidney, remove toxins and Tongli;
prescription use : Dabuyin pill plus flavor; medicine composition: rehmannia , sesame mother _ , , Scutellaria barbata, Cantharidin, Solanum , chrysanthemum, pig spinal cord, cork, tortoise shell.
3. Prostatitis syndrome with deficiency of both heart and spleen
(1) The main cause:
1. The internal cause is mainly congenital deficiency.Usually weak or thinking too much.
2. The main external cause is too much mental and psychological pressure, or injury from diet, or injury to the spleen due to cold and dampness.
(2) Main pathogenesis: the sum of the above inside and outside can cause heart and spleen damage. Too much worries and doubts will make the heart sad, and when the mind is hurt, the spirit will be disturbed. There are mental depression , mental anxiety and pale complexion , fatigue, palpitations, forgetfulness, insomnia and dreaminess, loose stools, swelling and painful perineum, confusion of semen, or white dripping after urine.
Heart and spleen deficiency type: Mental fatigue, headache, insomnia, dreaminess, anorexia, depression, dysfunction, etc.
Treats and replenishes the heart and spleen, nourishes the heart and soothes the mind
prescription : Shenlingbaizhu powder addition and subtraction: Codonopsis , fried Atractylodes , _spanspan, 茯仁菋泽Diarrhea, angelica, Kun grass, tangerine peel.
4. Prostatitis syndrome of qi stagnation and blood stasis type
(1) The main cause:
① The internal cause is mainly introverted personality, depression or anxiety.
②External causes are mainly due to long-term happiness, anger, worry, thinking, sadness, fear, panic and internal injuries, or long-term patient contact.
(2) Main pathogenesis: the above internal and external evils can cause stagnation of liver qi, or stagnation of liver qi ,Then developed into Qi stagnation and blood stasis.
God anxiety and blood stagnation match. Liver controls venting, and "relieving" means dredging; "venting" means venting and raising hair. Hepatic hijabs are upset and depressive, so bad emotions such as anger and perplexity can easily affect the liver's function of evacuation. And because foot Jueyin Liver Meridian pulses around the
yang organs, the dredging of semen is also governed by the liver, and stagnation of liver qi affects the dredging of semen. If the flow of qi is blood
, qi stagnation is blood stasis, stagnation of qi and blood, and blockage of the veins, resulting in upset and chest tightness, insomnia, anxiety, perineal pain,
or white urine.
Qi stagnation and blood stasis type : Perineum, lower abdomen, g pills falling swelling and tingling, accompanied by hematuria , blood essence, purple tongue,
; Treatment: Regulating Qi and relieving pain, activating blood circulation and removing blood stasis;prescription : Shaofu Zhuyu decoction modification; medicine composition: safflower, fennel, span_37span wu , Eupatorium, dandelion, red peony , angelica, peach kernel.
5. Damp-heat betting prostatitis syndrome
(1) The main cause:
①The internal cause is mainly congenital deficiency, spleen and stomach weakness _span38.
②External causes are mainly cold, dampness, swelling, or direct dampness and heat.
(2) The main pathogenesis: the above evils inside and outside can cause dampness, heat and dampness. The so-called damp heat refers to the symptom that dampness and heat coexist.
The so-called "wet", that is, water wet, there are external wet and internal wet points. Because the spleen has the function of transporting, transforming and mixing water, long-term addiction to fat, sweet, greasy and greasy food can damage the function of the spleen and stomach, which can cause dampness from endogenous, that is, internal dampness.
External dampness is caused by humid weather, wading in the rain, or dampness in the room, so that the external water invades the human body and causes the moisture to enter from the outside.
Above internal and external damp pathogens can cause the spleen and stomach to become ineffective, the damp pathogens cohesive, and become phlegm over time.
In addition, if the body is seborrheic (more obesity yang deficiency) or spleen and kidney yang deficiency, yang deficiency can not dissipate qi and promote water and cause water dampness to stop, and wetness can accumulate into phlegm. .
The so-called "heat" is a kind of thermal phenomenon. The source of heat is related to humidity, or both damp and heat exist, or due to the heat of summer and autumn seasons
wet and heavy, or due to long-term dampness and heat, or due to the physique of sun heat, the dampness changes from sun to heat.
Above dampness and heat are mutual cause and effect and mutual transformation, which continuously aggravates the disease, leading to the production of damp and heat.
If the damp and heat flow in the lower Jiao is called damp-heat betting, if the bet is on the bladder, it is called bladder damp-heat. Wait.
damp-heat betting type: frequent urination, urgency, waiting for urine, yellow urine, red hot, wet scrotum, red tongue, yellow greasy tongue coating span38span hot , easy to sweat, relatively speaking, people who have more social activities, lack of exercise, and have a stronger physique have more people
【Therapeutic Method】 clearing away heat and removing dampness,Distinguish the diarrhea.
【Party name】Different drinks.
[Composition] Chuanqi, Phellodendron, Shichangpu , Poria, Salvia, Atractylodes, Lotus seed heart, Plantago seed.
The above formulas should be used dialectically under the guidance of professional doctors, and remember not to use them indiscriminately.
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