When this patient first came, the condition of prostatic hyperplasia has been more than 5 years, the main manifestation is frequent urination and urgency, always have the desire to urinate, but the amount of urine each time is very small, sometimes to the toilet a stop is not to pee, the number of times to get up at night is more, basically 5-6 times, but recently I feel aggravated, because I can't urinate several times, and urination is painful, the hospital recommends surgical treatment, but the patient is old and unwilling to operate, so he first left a urinary catheter and chose traditional Chinese medicine for conservative treatment
He also brought the previous recipe, and saw that there were psyllium, talc, gardenia, coix seed and other traditional Chinese medicines, and the whole was a recipe for clearing heat and dampness, but the patient did not feel obvious. Seeing that the patient is emaciated, listless, the tongue is light, the tongue is fat, white and greasy, there are tooth marks on both sides, although diuresis is needed, but it is wrong to clear heat, because the patient is obviously cold, it is a yang deficiency syndrome, lack of yang qi, weak transpiration and vaporization of water and dampness, moisture is trapped in the body, and obstructs the flow of qi and blood around the prostate, resulting in congestion, and finally causes prostatic hyperplasia and hypertrophy, followed by the bladder and urethra are squeezed, resulting in unfavorable urination
Therefore, according to the patient's current situation of difficulty urinating, the top priority is to focus on diuresis, and at the same time with the method of warming yang and dissolving dampness, activating blood and removing blood stasis, with Zhang Zhongjing's Wuling Powder as the formula, plus eucommia, Morinda officinalis, cinnamon, red peony, myrrh, etc., to replenish the yang qi, the cold and dampness will be dispersed, and the blood will be warm, and it can also break through blood stasis and play the role of anti-inflammatory and pain-relieving
When the patient came for the second follow-up visit, the feedback was that the urination was smooth, but the number of urination still felt a bit too much, so the original prescription Morinda and Eucommia ulmoides were removed, and aconite and dried ginger were added to replenish the fire and help yang, with the purpose of restoring the gasification function of the bladder
At the third follow-up visit, the unfavorable situation of urination has disappeared, and there is no feeling of holding urine, and I don't get up at night.