Some time ago, a patient with chronic prostatitis came to the outpatient clinic, 53 years old, what is the specific situation?
The patient reported that he began to have symptoms such as abdominal distension and pain and poor urination 7 years ago, and then went to the hospital for examination and treatment, and the symptoms were still mild and sometimes severe.
Recently, the patient's condition suddenly worsened due to the fatigue of doing heavy farm work, and the diagnosis is as follows:
Pain in the lower abdomen
Urine retention, urethral stinging pain
Mucus buildup at the urethral opening in the morning
Dizziness and dizziness, impotence is not used
The pulse is astringent, and the tongue is purple and dark
Before analyzing the patient's symptoms, let's first understand the causes of chronic prostatitis, which are generally divided into 4 types:
1. Uncontrolled life, dampness and heat invasion and stagnation, resulting in qi and blood stasis
2. The phase fire is reckless, the wish is not fulfilled, the kidney fire is depressed and does not disperse, and the essence of the departure turns into white turbidity
3. The physique is partial to yang deficiency, and the fire weakens over time, and it is easy to have yang deficiency in the spleen and kidney
4. It is easy to hurt yin after a long illness, and the kidney is dark and depleted, resulting in yin deficiency and fire
In summary, the core pathogenesis of chronic prostatitis can be summarized as follows: kidney deficiency as the foundation, dampness and heat and liver depression as the standard, and stasis as change.
Let's look at the patient's situation:
The patient's tongue is purple and dark, with ecchymosis, and astringent pulse, which is a typical blood stasis tongue vein;
congestion blockade, so it leads to less abdominal distension and pain, stabbing pain in the urethra, and stagnation in urination;
In addition, patients are dizzy and dizzy, and they don't need to do yang things, so they can know that they also have a tendency to have a little kidney yang deficiency.
It can be seen that the main cause of the patient's urination problem is the blood congestion in the body, so where does the blood come from?
Quite simply, after the prostate becomes chronic, it is like a dog skin plaster, which is difficult to remove, and at this time, the condition will be delayed for a long time, resulting in congestion.
So how do I treat it?
According to the patient's symptoms, the prescription is mainly used to do two things, to promote blood circulation and eliminate blood stasis, to warm and replenish kidney yang, and to supplement qi and pain, diuresis and work.
1. Panax notoginseng, Chuanxiong - invigorate blood and eliminate blood stasis
Panax notoginseng alias gold does not change, the smell is bitter and warm, it can differentiate its blood stasis in the blood, it is the medicine for blood syndrome; at the same time, it is good at stopping bleeding and acting in vain, so that the blood stasis does not stay in the meridians after illness.
Chuanxiong is also known as fragrant fruit, its sex is good and scattered, and go to the liver meridian, it is the blood medicine in the qi, the main medicine for blood circulation and blood stasis, the effect is peaceful, does not hurt the positive, does not break the blood, and is very appropriate for people with kidney deficiency.
The combination of the two can dissolve the congestion in the prostate patient's body, so that most of the problem is solved.
2. Morinda Heaven, Yizhiren - Warm and replenish kidney yang
Morinda is a medicine for the blood of the kidney meridian, which can strengthen yin and benefit essence, supplement yuan yang, and at the same time dispel wind and dampness and disperse evil.
At the same time, it also enters the spleen meridian, through the warmth of the spleen and kidney, to achieve the effect of fixing the intake, and can replenish qi and turn yang.
When the blood is congested, the kidneys are yang, and the root of the patient's chronic prostatitis is disintegrated.
3. Jatamansi - regulates qi and relieves pain
Gansong Xin, sweet and warm, good at meridians, can regulate qi and relieve pain, can relieve the patient's lower abdomen distension pain, urethral tingling pain, people are more comfortable, will have the confidence to treat.
4. Rock sugar – diuretic
I choose rock sugar among many diuretics because: