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Pattern Names

Chronic Prostatitis KD Yin Deficiency • •

Classification
Category: Bio Med	Syndrome: Chronic Prostatitis

Symptoms

Tongue: a red tongue without coating

Pulse: rapid, thready

Indications: Dull ache and feeling of heaviness in the perineum, white urethral discharge, dribbling urination, frequent nocturia, dark scanty urine, low back pain, dizziness, tinnitus, impotence, seminal emission, insomnia, night sweats, possible feverish sensation or low-grade fever in the afternoon, constipation [34][47] When there is KD Yin Deficiency, there is usually concurrent LV Yang Rising.[42]

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

nourish KD Yin, resolve dampness

Acupunture

LU7, KI6, KI7, Ren4, KI3, BL23, Ren3, ST28, SP9, SP6, BL22, Ren1, BL32, BL34 [34][47] • The main points used according to channel and patterns are as follows: 1) Du Vessel: SI3 on the left and BL62 on the right, DU3. 2) Ren Vessel: LU7 on the left and KI6 on the right, REN1, REN2, REN3, REN8 3) Chong Vessel: SP4 on the left and PC6 on the right, KI14 4) Liver channel: LIV5, LIV1, LIV3 5) Back-Shu points: BL32, BL34. 6) Damp Heat: Ren3, ST28, SP9, BL22 7) Blood stasis: LIV3, SP10, BL17, KI14. 8)Stasis of Essence: KI14, Ren5. • There are several special point combinations which should be considered when treating chronic prostatitis: ➞ BL32 and REN3. Both points should be needled in direction of the genitals to induce a qi sensation in the affected area. ➞ BL54 and SP6. BL54 should be needled deeply in direction of ST29 to induce a qi sensation in the affected area. BL35 and BL23. BL35 should be needled deeply, 2-3 cun, to induce a qi sensation in the affected area. ➞ BL35 and REN4. BL35 should be needled deeply, 2-3 cun, and REN4 should be needled in direction of the genitals so as to induce a qi sensation in the affected area. [47] • Point needles towards the genitals to direct the Qi appropriately. [42]

Herbs

Liu Wei Di Huang Wan + Er Zhi Wan: For the urinary symptoms: add Tu Fu Ling 9g, Bi Xie 9g. For frequent nocturia and seminal emission, add 12g each of Jin Ying Zi, Qian Shi, and Wu Wei Zi. For more empty heat: use Zhi Bai Di Huang wan + Bi Xie Fen Qing Yin [47]

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.