Chronic Prostatitis KD Qi/Yang Deficiency with Dampness 

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Pattern Names
Chronic Prostatitis KD Qi/Yang Deficiency with Dampness • •
Classification
Category: Bio Med Syndrome: Chronic Prostatitis
Symptoms
Tongue: a pale tongue with a sticky white coating
Pulse: deep, slow, soft
Indications: Chronic urinary difficulty, turbid urine, frequency, urgency and pain, whitish discharge at the end of urination, dull ache in the genitals radiating to the groin, possible spermaturia, decreased sexual desire or impotence, possible sterility, low back pain, fear of cold, terminal dribbling which will not stop, a sticky, white-ish discharge at the end of urination, fatigue, lassitude of the spirit, a somber white facial complexion, puffy edema of the lower extremities, loose stools [34][47]
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
tonify and warm the Kidneys and Spleen and resolve dampness
Acupunture
SI3, BL62, Ren4, BL23, KI7, Ren12, ST36, BL20, Ren3, ST28, SP9, SP6, BL22, Ren1, BL32, BL34/BL35 [34][47]
Herbs
Shen Qi Wan + Bi Xie Fen Qing Yin (modified): Shu Di Huang, Yi Zhi Ren, Bi Xie, Shan Yao, Shan Zhu Yu, Mu Dan Pi, Ze Xie, Shi Chang Pu, Zhi Fu Zi, Rou Gui. ➞For severe terminal dribbling, nocturia, long clear urination with white discharge at the end of urination: subtract Rou Gui, add Yin Yang Huo, Sha Yuan Zi, Qian Shi, Tu Si Zi (all 9g each)[47] • Remember that Rou Gui, Yin Yang Huo, Sha Yuan Zi, and Tu Si Zi are a great combination for KD Qi or Yang Deficiency with clear, frequent, profuse urination. Qian Shi is used for discharge. [42]
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.