Prostatic hyperplasia, the word enlargement, is the "natural enemy" of our middle-aged and elderly men, and there is no other reason for it to be too annoying.
However, Yiyuan wants to say that prostatic hyperplasia is not invulnerable, and it is necessary to distinguish the syndrome and diagnose and treat it, and solve it by targeting the source.
There are two main causes of prostatic hyperplasia: age and androgen stimulation.
It is a disease that increases in incidence as we men age, just like when we get old, we will develop age spots, as long as we find a problem and seek medical attention in time, the problem is not big.
Androgens are an important factor in promoting the division and proliferation of prostate cells, once the androgen lasts too long or is overstimulated, it will lead to the increase in the size of the prostate, thus triggering prostatic hyperplasia.
The normal prostate gland is only the size of a chestnut, but it is like a remote control, which can "control" our men's normal urination and urine control, if it fails, it is only us who are miserable, the TV has no remote control, and it can be equipped with a new remote control, but we can't!
So this is the root cause of the pain of many middle-aged and elderly male friends, and it can't be replaced, it can only be cured!
One of my patients, Mr. Lin Zhongguo, 63 years old, complained of post-urine drenching and frequent urination for 2 years, which worsened for 1 year.
Diagnosis:
1. Frequent urination, difficulty urinating, nocturia, 4~5 times;
2. The urine line is thin and bifurcated, and the urine is waiting to be prolonged;
3. Dry mouth, bitter mouth, irritable mood;
4. Dry eyes, tinnitus, backache and weak knees;
5. Easy to wake up and dreamy, yellow urine and urgency;
6. Prostate swelling and pain, with discharge;
7. Scrotal dampness, abdominal distension, loose stools;
8. The tongue is dark red, yellow and greasy, and the number of pulses.
泌尿系超声：前列腺体积增大（4.7cm ×3.5cm ×3.1cm）
Western medicine diagnosis: prostatic hyperplasia
Traditional Chinese Medicine Diagnosis: Jing Ring
Syndrome differentiation: phlegm and stasis are intertwined, liver depression and spleen deficiency, kidney deficiency and dampness and heat
Treatment: dispel phlegm and stasis, strengthen the spleen and soothe the liver, benefit the kidneys and dispel dampness and heat
How did I distinguish these symptoms of Mr. Lin? Let's analyze:
(1) Phlegm and stasis are intertwined - the urine line is thin and bifurcated, and the urine is waiting to be prolonged; prostate swelling and pain, discharge; The tongue is dark red.
Phlegm stasis can block the urethra and make it difficult to urinate, so we need to remove phlegm and get rid of stasis.
(2) Liver depression and spleen deficiency - easy to wake up and dream, emotional anxiety, abdominal distention, loose stools.
Liver stagnation leads to poor sleep, loose stools, etc., so we need to loosen the liver and strengthen the spleen.
(3) Kidney deficiency and dampness and heat - frequent urination, difficulty urinating, nocturia, 4~5 times; dry mouth and bitter mouth; backache and weakness in the knees; yellow and urgent urine; moist scrotum; Moss yellow and greasy.
Kidney deficiency will lead to unfavorable bladder gasification, and damp heat betting on the bladder will affect urination, so we need to replenish the kidney and dispel dampness and heat.
Self-simulated:
Liu Jinu, Astragalus, Rhizome, Zhimu, Yujin, Danpi, Atractylodes, Licorice, Shouwu Teng, Yuanhu, Jineijin
1. Promote blood circulation and water
Liu Jinu, widely distributed in the mainland, the main wild in the woods or hillsides, Bing bitter cooling method, can be through the blood breaking, water.
Astragalus membranaceus, which can be cut into slices, is used to boil porridge and eat, and has the function of raising yang and replenishing qi, diuresis and swelling.
The cooperation of the two drugs can invigorate blood to break the stasis, promote the operation of qi, slow down the proliferation, and enhance the effect of Tongli urination.
2. Dispel turbidity and dampness
It grows mostly in the humid land of the ravine, which can help the water to be wet and distinguish the turbidity.
Knowing the mother, bitterness can clear away heat, relieve the dampness and heat of scorching, and slow down frequent urination.
The combination of the two can reduce secretions and urine turbidity, and relieve painful urination and frequent urination.
3. Healthy spleen
Atractylodes atractylodes is willing to enter the spleen, nourish the qi and strengthen the spleen, and the bitterness is more settled, so it can benefit the water and dampness.
The inner gold of the chicken is the inner wall of the dry sand bladder of the chicken, which has the need to strengthen the spleen and soothe the liver, which can eliminate the tangible accumulation and slow down the proliferation.
Yujin, bitter and painful and breaking blood accumulation, Xin can dredge the ventilator, so as to relieve depression, alleviate emotional anxiety, dreaminess and other symptoms.
The synergy of the three can relieve the stagnation of the liver, regulate the ventilator, and run the blood circulation, which is beneficial to the patient's peace of mind.
4. Promote blood circulation and remove blood stasis
Yuanhu, that is, Yanhu Suo, is oblate spherical in shape, which is used to invigorate blood and relieve pain and qi.
Danpi, is a peony skin, fragrant and profitable, can invigorate blood and break stasis.
The combination of the two drugs can enhance the effect of blood circulation and blood stasis, and can relieve prostate pain.
5. Nourish blood and calm the nerves
Shouwu vine nourishes blood and calms the nerves, and helps patients improve sleep quality.
6. Reconcile medicines
Licorice can tonify the spleen and invigorate qi, and reconcile various medicines.
The combination of various medicines can slow down prostatic hyperplasia and open and close the bladder to a certain extent
After taking 7 doses, the urine was not yellow, and there was no painful urination or discharge, and after taking 14 doses, the prostate volume was reduced to (4.3cm×3.0cm×2.2cm).