Patient: "Doctor, I have been feeling the urgency and frequency of urination again and again for more than ten years, but it was not so serious before, and I feel more and more serious in the past year, because I feel that my lower abdomen is swelling, and when I am urgent, the pain will be aggravated, what medicine do I need to take to get better?" I really don't want to run to the toilet so often, it's really delaying and uncomfortable! ”
I asked him, "Is there anything else that is uncomfortable besides urgency and frequency?" ”
Patient: "Yes! Every time I urinate after urinating, the urethral opening is dripping white, I get up about 4 times at night, I usually feel very tired, I always feel cold, especially my hands and feet, I can't wait to put on gloves to keep warm......"
The patient, Mr. Jiang, 47 years old, has been complaining of chronic prostatitis for more than 10 years.
Diagnosis:
1. Frequent urination and urgency;
2. Distension and pain in the lower abdomen, and urgency to urinate is aggravating the pain;
3. White dripping of the urethral opening;
4. Nocturia 4~6 times;
5. Tiredness and coldness, cold hands and feet;
6. The incubation period of astringency is shortened, and the congestion is general;
7. The tongue is light, there are tooth marks on the side of the tongue, the moss is thin and white, and the pulse is heavy and thin.
Diagnosis: chronic prostatitis
Dialectic: spleen and kidney qi deficiency
Treatment: Warm and replenish the spleen and kidneys
Therefore, the proposed party:
Ox knee, raw land, Wang Buliuxing, Morinda officinalis, Shayuanzi, keel, cinnamon, sprout, black medicine, atractylodes, poria cocos, oysters
Regarding Mr. Jiang's symptoms, let's briefly analyze:
(1) Frequent urination and urgency, white dripping at the urethral opening, and nocturia 4~6 times - insufficient kidney qi.
(2) Distension and pain in the lower abdomen, aggravated by urgency - bladder gasification is not good.
(3) Tiredness and coldness, cold hands and feet - spleen and kidney yang deficiency.
(4) The incubation period of solidity and astringency is shortened, and the congestion is generally - the kidney qi is insufficient, and the essence is not solid.
(5) The tongue is light, there are tooth marks on the tongue, the moss is thin and white, and the pulse is heavy and thin - spleen and kidney qi deficiency.
1. Warm the kidneys and replenish yang
Morinda day, its warmth, specifically tonifies the kidney and benefits the yang.
Cinnamon, into the wood, the blood and wood are warm, you can warm the kidney yang.
The addition of the two flavors nourishes the kidney yang, and the kidney yang helps the bladder to vaporize, which is conducive to the discharge of water.
2. Relieve dampness and strengthen the spleen, promote qi and relieve pain
It can dispel wind and dampness, distinguish turbidity, and alleviate the patient's urethral dripping white disease.
Atractylodes macrocephalus and Poria cocos are all returned to the spleen, and the taste is sweet, both of which can strengthen the spleen and invigorate qi, and benefit water and dampness.
Black medicine, regardless of the season, can be harvested, warm the kidneys to drive away cold, and the power of qi to relieve pain.
The synergy of the four medicines can increase the synergy at the same time, which can not only improve the positive qi, but also relieve pain, and can treat symptoms such as frequent urination and painful urination caused by chronic prostatitis.
3. Solid and astringent and anti-shedding
Oyster + keel is a common pair of astringent essence drugs, which can latent yang and solidify essence.
Shayuanzi, a thing of the mountains and wilderness, is the main temperature and helps the yang, which can benefit the liver and kidneys, solidify essence and shrink urine.
The combination of the three drugs can delay the problem of prolonging the incubation period of patients, and because it can enhance kidney function, it can alleviate frequent urination and urgency.
Morinda officinalis, sand garden, keel, cinnamon, and sprouts
4. Promote blood circulation and eliminate blood stasis
The raw land is soft but tough, and the sweetness and coldness can clear the heat and cool the blood.
If the king does not stay, he will go, and if he goes, he will run, and if he attacks, he will be good at activating blood and stasis.
Ox knee, dug in winter, has the power of sedimentation, which can lead blood downward.
The combination of three drugs can invigorate blood, clear blood stasis, dredge the blocked urethra, open the urethra, and promote urination.
The combination of various medicines can warm and replenish the spleen and kidney, help the bladder restore the function of gasification, and achieve the effect of diluting water and drenching.
The patient took 7 doses, the frequency and urgency of urination were reduced, the urine turbidity disappeared, and after taking 21 doses, the symptoms disappeared and the urination was normal.