Chronic Prostatitis Damp Heat Toxin in Lower Jiao 

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Pattern Names
Chronic Prostatitis Damp Heat Toxin in Lower Jiao • •
Classification
Category: Bio Med Syndrome: Chronic Prostatitis
Symptoms
Tongue: a red tongue with sticky yellow coating in the root, and red spots
Pulse: rolling, rapid
Indications: Recurrent urinary pain, pain in the genitals radiating to the groin, lower abdomen, scanty, yellow or turbid urine, dribbling of urine, possible constipation, sticky yellow urethral discharge, possible dryness and bitterness in the mouth, restlessness, possible itchy and/or damp scrotum, possible fever, aversion to cold, and body pains when severe [34][47] • Difference between damp heat and heat toxicity is pain, bitter taste, inflammation, possible fever, body ache.
BioMed: Chronic Prostatitis/Chronic Pelvic Pain Syndrome: recurrent or chronic genitourinary, prostatic, or pelvic pain without evidence of a urinary tract infection. This is the third most frequent urologic diagnosis in men younger than 50. • Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) presents with symptoms across four key domains: urogenital pain, lower urinary tract symptoms (LUTS), sexual dysfunction, and psychological health. ➞ Pain—typically in the pelvis, perineum, or genital region—is the hallmark symptom, often persistent, relieved by voiding, or triggered by ejaculation. ➞ Common LUTS include hesitancy, weak flow, and frequency. ➞ Sexual dysfunction is prevalent, with ejaculatory pain directly impacting libido and erectile function, while reduced quality of life further contributes to erectile issues. CP/CPPS is also linked to impaired fertility, characterized by abnormal semen parameters such as reduced sperm count, concentration, and motility. ➞ Chronic pain, LUTS, and sexual dysfunction frequently coexist with sleep disturbances and psychological distress, with stress known to exacerbate symptoms.
Etiology: Chronic prostatitis is categorized as “Spermatorrhea” (Bai Yin), “Essence Turbidity” (Jing Zhuo), “ Urinary Syndrome” (Lin and specifically “Sticky Urinary Syndrome” and “Fatigue Urinary Syndrome”) • Urethral discharges of urine are associated with the pathology of Urinary Syndrome (Lin) and thus involve Body Fluids. In contrast, urethral discharges of sperm relate to the pathology of Essence (Jing) and typically result from a weakness of the "Sperm Gate" (Jing Guan). ➞ The "Jing Shi" or “Jing Gong”, the room of essence, includes the testicles, epididymis, seminal vesicles, and prostate gland. It is responsible for the production and storage of sperm and plays a key role in reproduction. • Affected Zang-fu organs: BL, KD, HT, LV • Etiologies: poor genital hygiene, excessive sexual activity or/and masturbation, long prepuce, irregular diet and excessive consumption of greasy and spicy foods • Pathogenic factors: damp-heat, heat toxin, stasis of blood and essence [34]
Treatment Principle
resolve Damp Heat and Toxic Heat, invigorate Blood, eliminate stasis
Acupunture
SP4, PC6, Ren1, BL32, BL34, BL54, Ren3, BL22, ST28, SP9, SP6, LV5 [47]
Herbs
Huang Bai Jiang Cao Tang (customized formula by Flaw): Ingredients - Wang Bu Liu Xing, Huang Bai, Bai Jiang Cao, Pu Gong Ying, Yan Hu Suo, Chi Shao, Mu Dan Pi, Zao Jiao Ci, Mu Xiang, Gan Cao • For urinary symptoms: add Che Qian Zi, Bi Xie, and Qu Mai. • For a thick, turbid discharge dripping from the urethra, add Tu Fu Ling, Shi Chang Pu, and Yi Yi Ren, 12g each. [47] • Wang Bu Liu Xing is the chief herb. It is used to break up essence stasis, promote lactation, and it's what's used in ear seeds!
Notes
HT and KD both belong to Shao Yin. Male pathogenic factors include damp heat, heat toxicity when patient has had infections. Stasis of the Essence is very unique because it involves ejaculation problems.