Prostatitis is a common disease in adult men, which can be caused by pathogenic bacterial infection or some non-infectious factors, and patients may have clinical manifestations such as pain and discomfort in the pelvic area, abnormal urination, and sexual dysfunction. Clinically, antibiotic anti-infective treatment is generally not required, but if a bacterial infection is suspected, anti-infective treatment with antibiotics is required instead of antibiotic treatment, so there is a pitfall for antibiotic abuse in prostatitis.
When many people hear the name of prostatitis, they think that it is a simple inflammatory disease, and it can be cured with "anti-inflammatory drugs" like other inflammatory diseases. In fact, this is not the case, for example, the relevant tests of type III.B prostatitis are all negative, and there is no evidence of inflammation, but it is also prostatitis. Therefore, this type of prostatitis is also known as pelvic pain syndrome.
Many patients come up and say directly: "Doctor, my prostate is guilty, is it okay to eat cephalosporin?" or "I have prostatitis, I have been eating cephalosporin for a few days, the effect is average, can I continue to eat?" Bacterial infections are only one of the causes of inflammation, but not the whole cause. This is especially true of prostatitis, only 5-10% of chronic prostatitis can be clearly infected with bacteria, and the vast majority of prostatitis is not clearly related to bacteria. Therefore, it is certainly unreasonable to take antibiotics without a confirmed type of prostatitis, and antibiotics have been abused to a certain extent.
1. Abuse of antibiotics: Clinically, the onset of prostatitis is related to pathogen infection, and antibiotics may kill the normal flora while killing pathogenic bacteria, so that the normal flora in the body is out of balance, which may lead to double infection and aggravate the symptoms of prostatitis, so it is not recommended for patients with prostatitis to abuse antibiotics;
2. Cause other bacterial disorders: When using antibiotics to treat prostatitis, it is necessary to determine whether there is any imbalance of other bacterial flora in the body, such as there may be a risk of aggravating bacterial infections such as anaerobic bacteria and fungi, which will then lead to secondary infection, aggravate the symptoms of prostatitis, and is not conducive to the recovery of prostatitis, so it is necessary to avoid the use of antibiotics;
3. Reduce the quality of life: patients with prostatitis are often accompanied by symptoms such as frequent urination, urgency, and painful urination, which seriously affects the quality of life of patients, and prostatitis may cause painful ejaculation, which in turn makes patients miserable, so prostatitis patients need to avoid sitting for a long time, reduce cycling, motorcycles and other entertainment items to reduce pain symptoms;
4. Lead to antibiotic resistance: The resistance mechanism of most antibiotics is due to the fact that the pathogenic bacteria have developed resistance to antibiotics, so the use of antibiotics to treat prostatitis cannot fundamentally solve the problem of drug resistance and delay the treatment time.
Doctors of chronic prostatitis have classified it as "white turbidity", "fine turbidity", "white lewdness", etc., which belong to the categories of "gonorrhea", "drenching turbidity" and "seizure" in traditional Chinese medicine. The etiology and pathogenesis of the disease are different, and the traditional treatment methods are mainly based on clearing heat and dampness, and most of them are limited to the understanding of dampness and heat accumulation in the lower scorched arms.
There are two showering patterns in traditional Chinese medicine, one is waterway drenching syndrome, and the other is sperm drenching syndrome. The disease is in the shower of the waterway, mostly for urinary tract infection, and the disease is in the shower of the sperm tract, mostly for the germological infection. After more than 20 years of clinical verification, Pan's TCM has achieved remarkable results, which are summarized below for your reference and discussion with colleagues.
Although the ancients did not have the name of chronic prostatitis, some doctors had a deep understanding of its etiology, pathogenesis, location and clinical manifestations. For example, Ye Tianshi of the Qing Dynasty commented after a case in "Clinical Guide to Medical Cases: Drenching Turbidity": "If the room is forbearing, the injury of essence and blood is a physical turbidity blocked in the tunnel, so every drowning is painful." Those who enter to clear the dampness and heat and urinate uselessly will drown in the same name as the essence. That is, it is pointed out that there is an essential difference between chronic prostatitis and urinary tract infection in terms of disease location.
His student Shao Xinfu explicitly mentions the concepts of "Jingdao" and "Shuidao" in the commentary that follows the article. "It has the name of five showers, and there is a difference between turbidity and turbidity. The so-called sperm also refers to the passage through which the sperm of reproduction is excreted from the outside, which reaches the sperm chamber in the upper chamber, leads to the urethra in the lower part, and in men, it is actually the same door as the waterway (i.e., the urethra), which is an important difference between men and women, and is also an important symptom of andrological diseases. It is precisely because men drowning in the same ...... that they are in the same way", so the two are inextricably linked.
If the disease of the waterway is not cured, it can develop to the fine channel, and the disease of the fine channel can also affect the waterway because it is connected with the waterway. Therefore, the turbidity of the essence of the sperm tract and the turbidity of the urine of the waterway can cause the clinical symptoms of "drowning pain".
Generally speaking, waterway diseases can occur in men and women of all ages, and the pathogenesis is mostly due to the accumulation of dampness and heat in the lower coke and the invasion of bladder qi, and the desecration of the lower coke is unfavorable. "Neijing: Linglan Secret Classics" cloud: "The three cokes, the officials who decide to blaspheme, and the waterways are out of the waterway." Those who have a bladder are all officials in the state, and the liquid is hidden, and gasification can be released. ”
After the birth of "Tianqi", due to the vigorous fire of the liver and kidney, the dampness and heat follow the Qi Sutra deep into the lower scorching blood, disturbing the sperm chamber, resulting in the sperm excretion disorder, "tangible turbidity obstruction in the spermatozoa". When men enter old age, the level of celestial decay decreases, and the phase fire gradually declines, and this disease also develops.
Compared with the two, the disease location of the waterway is shallow, the pathogenesis is relatively simple, and there is no obvious gender and age boundary. In the case of sperm tract, there is a relatively limited age of onset. The disease site is deeper than the former, and there are more viscera meridians involved. Therefore, the etiology and pathogenesis are more complex than the former.
As Ye Tianshi said: "When young people suffer from this, they have a lot of desires and secretly move, and they leave the palace, and they become corrupt and coagulated." Zhang Xichun, a famous doctor in modern times, has an incisive discussion on this. He said in "Medical Hearts and Western Records: Drenching Prescription": "The evidence of blood is about the essence of the way." If a person indulges too much and fails to regulate the restraint, the viscera will generate heat due to deficiency, or if he wants to be forced to make up for it, he will not be able to vent his anger and generate heat. As a result, the blood heat in the blood chamber moves in vain, and it mixes with the septic essence and becomes a rotten substance, or red, or white, silky, and lumpy, and it is blocked and pulled when drowning and causes pain. ”
It should be pointed out that what Zhang is talking about here is blood, and from the perspective of the pathogenesis of his discussion, it should be inflammation of the reproductive system. It can be seen in vesiculitis or acute and chronic prostatitis, and his discussion is in the same vein as Ye Tianshi's view. In terms of etiology and pathogenesis, his understanding is deeper than Ye Tianshi's.
In addition, if the young adult is addicted to spicy and sweet, or is addicted to alcohol, it will lead to the endogenous accumulation of dampness and heat, and the evil of dampness and heat can reach the sperm chamber through the meridians such as Chong and Ren, or the evil of damp heat and turbidity in the waterway cannot be cured for a long time, and it can also invade the sperm tract and cause prostate diseases. Because the sperm tract is connected to the sperm chamber, and the physiology and pathology of the sperm chamber are closely related to the eight veins of the Qi Sutra such as Chong, Ren, Du and Dai, the diseases of the Jing Dao mostly involve the Qi Jing.
This is similar to gynaecological menstrual disease. As Zhang Xichun said in "Medical Hearts in the Western Record, Female Science Prescription, Wen Chong Tang": "The sea of human blood is the name of the day." On both sides of the chamber, it communicates with the chamber...... There is a pulse for it, a pulse for the supervision, a pulse for the constraints, the yin dimension, the yang dimension, the yin stilts, and the yang stilts for the support, a total of eight veins of the strange meridians. These eight veins and blood chambers are found by both men and women. In men, it is flushed to the blood chamber as the place of sperm transformation, and in women, it is rushed to the blood chamber as the place of conception. ”
The blood chamber that Zhang refers to is actually the cell palace in women and the sperm chamber in men. Among the eight veins, the blood chamber is more closely related to Chong, Ren, Governor, and Belt. As far as chronic prostatitis is concerned, it is mostly due to the prevalence of phase fire, which disturbs the sperm chamber through the chong ren second pulse, causing the sperm to leave the chamber and block the sperm tract. Therefore, it has the greatest relationship with Chong and Ren.
Because chronic prostatitis is in the sperm tract, the disease location is deep, the pathogenesis is complex, and it involves strange meridians, so it is much more difficult to treat than water diseases. If the doctor does not know the reason, simply treats from the waterway, and abuses the method of clearing heat and drenching, although it temporarily relieves some superficial symptoms, it is difficult to achieve the goal of radical cure.
As the saying goes: "The decay of the essence is in the essence of the pass, the rot is strong because of drowning, and the new is stasis in it, and after years and months, the essence and blood are both withered, and it is bound to be exhausted." When the governor is used to take care of it, it is also like a woman's collapse and leakage. Doctors know the 'Eight Positives' and 'Distinction', and treat them with dampness and heat, and there are also Dihuang decoctions that benefit yin and yang, and they can't always enter the strange scriptures. ”
Here, first of all, quacks do not distinguish the location of the disease, do not know the pathogenesis, blindly use the Bazheng San, distinguish the clear drink and other clear waterways; if the cure is not cured for a long time, then use the rehmannia pill to nourish the yin and nourish the kidney, which is mistaken for the root cause. Therefore, this kind of drenching is linked to the Qi Sutra, and it is believed that the treatment of the disease of the Jing Dao should be like the gynecological collapse and leakage, not only should adjust the liver and kidneys, extinguish the phase fire, but also should be treated from the Qi Jing, so that the Chong and Ren can be nourished, the sperm room should be restored, and the Jing Dao should be sparse, and the essentials should be obtained.
How does TCM treat chronic prostatitis from the organs?
1. Treat from the lungs - lift the lid of the pot, and the qi is turbid.
Traditional Chinese medicine believes that the lungs have the function of dredging the body's water channels and transporting the body's water. The lungs are the commander of the body's qi, and the qi is the driving force that promotes the body's blood operation, and if the qi runs smoothly, the water and liquid will run smoothly, and the qi in the bladder will run normally and regularly, and the water can run downward and discharge normally;
The relationship between drenching and turbidity in the "Zhengzhi Hui Supplement and Closed Chapter" is: "The qi of the body is about the lungs, the lungs are clear, the qi is flowing, and the lungs are turbid. Therefore, the urine is not passed, and the majority of people cannot be declared by lung qi, so it is advisable to clear gold and reduce qi, and participate in the treatment of other diseases". This is the method of "lifting the lid of the pot and opening the lungs" in later generations, and urine cannot be treated from the lungs. Clinical medication is used according to different pathogenesis such as lung fever, pulmonary qi stagnation, and lung qi deficiency. For other types of chronic prostatitis, on the basis of the original prescription, a little prescribing of lung qi can be added, and the lung qi can be lightly promoted to restore the function of the lungs to regulate the waterway, and the qi can be turbidized and the waterway can be passed.
2. Treatment from the liver - dredging the liver and drenching, and turning turbidity from the liver.
The male part of the man should be dominated by the foot syncope yin and liver meridians, so the prostate is also under the jurisdiction of the foot syncope yin and liver meridians. Regarding the treatment, it is recorded in the "Medical Truth": "The whole world uses the method of dampness, but not Sidamu, how do you know the dampness products, and its nature tends to decline." There are more beneficial and more closed, Jingyun: the kidney is two stools, its job is in the liver, if it does not reach the depression of its wind and wood, the trap of the spleen, the lower trick can be adjusted, how can the damp fire be solved. "Damp heat and turbidity poison often hinder the qi of the liver and meridians, deplete the liver yin, and the yin and blood of the liver damage the internal friction, the liver meridian is empty as a result, the yin meridian does not get sufficient nutrition, the supremacy of the tendons also fails, the bladder loses the nourishment of the less yin, the warmth of the qi and yang, and the function of the turbidity of the jin will be attenuated, so the diseases caused by dampness and heat such as chronic prostatitis will not be cured for a long time.
The perineal distention, lower abdomen discomfort, scrotal &* testicular pain, and flank distension caused by chronic prostatitis are all caused by liver loss and liver qi stagnation. According to the difference of dampness and heat in the liver meridian, stagnation of liver qi, and deficiency of liver yin, the appropriate prescription should be selected after adding or subtracting with reference to the specific syndrome type. At the same time, it is also necessary to take into account the excretion function of the liver, regulate the emotions, and through the dredging of the liver, the yin and liver veins of the foot and the yin and liver veins can be nourished, and the symptoms of perineal distension and pain, scrotum falling, testicle and * swelling and pain can be eliminated.
3. Treat from the spleen - ascend and clear and reduce turbidity, and take care of the spleen first.
The spleen and stomach are the hub of lifting, the foundation of the day after tomorrow, the main transport of water and liquid, the main rise and clear and turbidity, "Lingshu Oral Question" said: "The middle qi is insufficient, and the stool is changed". Poor diet, fatigue and spleen, dampness and heat obstruct the middle coke, resulting in damage to the spleen, lack of middle qi, and even qi depression, resulting in clear qi does not rise, turbidity and yin do not fall. Symptoms include: turbid urine, inexhaustible dripping of urine, turbidity of urethral meatus, fatigue and fatigue, lack of breath and lazy speech, fat tongue, tooth marks on the side, pale moss, weak pulse, etc. In ancient times, famous doctors had many classic expositions on the treatment of drenching in the spleen, such as "Medical Congrenlu: Red and White Turbidity": "Those who are turbid, turbidity is also the meaning of turbidity, and the kidney is responsible for the book." And the spleen of the rest of the quest is covered with the spleen as the main soil, and the soil disease is damp and hot, and it is turbidity... The method of treatment does not externally guide its dampness and heat, but guides its dampness and heat and turbidity and self-purification. ”
Patients with chronic prostatitis are often mistreated, untreated, and misused with bitter cold and Qingli, antibiotics, etc. As a result, the spleen and stomach are damaged, dampness and turbidity do not dissolve, the septic sperm is difficult to remove, and the course of the disease lingers. From the spleen treatment, spleen management first, spleen is sufficient, then biochemical active, rise and fall phase cause, turbidity yin can run downward, and decay can be smoothly discharged from the body. Patients with weak spleen and stomach and damp heat mixed with clinical evidence can not be overly clear to prevent yin injury and bitter cold and stomach loss. The pathogenesis mainly includes dampness and heat of the spleen and stomach, lack of spleen qi, deficiency of middle qi, etc., and the treatment is to clear the dampness and heat, replenish qi and strengthen the spleen, and restore the spleen to rise and clear and reduce turbidity. If the spleen deficiency is not obvious, you can also use products to replenish qi and dilute the spleen, take care of the spleen and stomach, cultivate the middle qi, and take the spleen to flourish and not be evil in all seasons.
4. Treatment from the kidneys - the kidney qi is solid and dense, and the gasification is measured.
If the kidney qi fails, the semen is obstructed, and the dampness, heat, turbidity and poison invade the body, causing chronic prostatitis. "The Source of Miscellaneous Diseases" has the saying that "five showers and two turbidities, both are kidney diseases". Patients with kidney deficiency may be due to too many times of sexual intercourse or forbearance and lack of sperm leakage, or excessive masturbation, drunkenness, and fatigue, resulting in kidney deficiency. The kidney qi is weak, the essence is out of place, the yin essence becomes rotten, the essence is infused, the essence is not solid, and the essence becomes turbid or lost sperm.
Due to the prolongation of the course of chronic prostatitis, long-term illness enters the kidney, which mostly injures the kidney yin, and it is more common for those with insufficient kidney yin. Common symptoms include: dripping urine, or prostatic fluid when urinating, mucus flowing out of the urethra, or soreness in the waist and knees, five heart irritation, perineal distention, red urine, thin pulse and other manifestations of kidney yin deficiency. Although the clinical medication should be used to nourish yin and reduce the profit, although it is mainly empty, but it can not forget to dispel evil spirits, and the medicine for removing stasis, dampness, and circulation should also be added or subtracted according to the actual situation.
In short, the pathogenesis of chronic prostatitis is complex, and the medication should be used to promote dampness without harming yin, removing stasis and turbidity, and semen without harming the positive. According to different pathological stages, the initial treatment is to clear the dampness and heat, and the moderate disease is stopped. Those who are mixed with reality and dampness, heat, stasis, and deficiency can often be combined with the deficiency of viscera. The pathogenesis of long-term illness can be treated by analyzing the pathogenesis from the lungs, liver, spleen, and kidneys.