Prostatic hyperplasia is the name of Western medicine, and we call it "Jing Disease" in Chinese medicine.
The normal standard of prostate should be about 4cm×3cm×2cm, once it exceeds this standard, it is hyperplasia.
In Western medicine, there are two key types of drugs, one is 5α-reductase inhibitors, such as finasteride tablets; The other is an alpha-1 receptor blocker, such as prazosin.
This is a commonly used drug in Western medicine to treat prostatic hyperplasia, but the treatment of the symptoms is not the root cause, and there are many patients who have not been solved after taking the medicine prescribed by Western medicine.
In our view of traditional Chinese medicine, prostatic hyperplasia actually belongs to the category of "occlusion", which needs to be treated dialectically.
Today, I will give you a science popularization of prostatic hyperplasia, kidney deficiency, and blood stasis.
Prostatic hyperplasia is a condition of difficulty urinating due to the enlargement of the prostate gland that compresses the urethra.
Kidney deficiency and blood stasis are the syndrome types in TCM theory, that is, kidney deficiency and blood stasis coexist.
Common symptoms include: weakness in urination, painful urination, thinning of the urine line, dripping of urine, abdominal pain, enlargement of the prostate gland, and thin purple and dark veins of the tongue.
It can be treated by nourishing kidney yang, invigorating blood and removing stasis, and dispersing water and improving water.
【Medical Case】
The patient, Mr. Zheng, a 65-year-old retired driver, complained of prostatic hyperplasia and had worsening urination difficulties in the past two months.
The diagnosis is as follows:
1. Urine weakness, urine waiting;
2. Frequent urination, about 10 times during the day, 3~4 times at night;
3. The urine line is fine, and the remaining drain is inexhaustible;
4. Dizziness and weakness, cold in the limbs;
5. Soreness in the waist and knees, poor sleep;
6. Less abdominal pain, perineal distention, prostate calcification
7. The tongue is dull, pale, and the pulse is weak.
Physical examination: Digital rectal examination (DRE) shows a prostate approximately 5 cm in diameter, a shallow central sulcus, and no palpable nodules.
Auxiliary examination: Urinary system color ultrasound showed prostatic hyperplasia, the size was about 5.1cm×4.6cm×3.9cm, and the residual urine was 37mL.
Western medicine diagnosis: BPH
Traditional Chinese Medicine Diagnosis: Jing Ring
Dialectic: kidney deficiency and blood stasis
Treatment: Tonify the kidneys and help yang, dispel stasis
How do I treat this patient's condition? Now I will tell you in detail about the composition effect of the formula.
【Cinnamon Drink】Composition:
Cinnamon, motherwort, turmeric, poria cocos, astragalus, rehmannia rehmannia, senderella, eucommia, licorice
The patient, Mr. Zheng, has a complex number of symptoms, but there are many diseases, we just need to find the right line:
Thread 1 - Kidney Yang deficiency, symptoms are dizziness and weakness, cold in the limbs, backache and knees, and poor sleep.
Thread 2 - blood stasis and obstruction, the symptoms are dull tongue, vague abdominal pain, perineal distention, and prostate calcification.
(1) Warm and replenish kidney yang
Eucommia ulmoides, warm can be supplemented, pungent can be moistened, its dark purple into the liver meridian, moisturizing its dryness and tonifying the kidney, kidney yang to replenish, replenish the cavernous body.
Xianmao, the best product of the same origin of medicine and food, has a fragrant smell and the power of sexual heat, which can help yang.
The combination of the two nourishes the kidney yang, enhances the fire of the elderly patients, and enhances the function of the sperm chamber.
(2) Seek yang in yin
Rehmannia rehmannia is irregular and lumpy, sweet in taste, can nourish yin and moisten dryness, enter the liver and kidney, and benefit the kidney and fill the essence.
Cinnamon, pungent and warm, thick and pure yang.
The two drugs are matched, one yin and one yang, to balance the yin and yang of the kidneys, promote urine discharge, and slow down the difficulty of urination.
(3) Promote blood circulation and water
Motherwort, the central pith is white, white is qi, adjustable qi and diuretic, Xin can invigorate blood.
Turmeric, dug in winter, has the power of sedimentation, can break the blood and qi, and relieve pain.
The combination of the two breaks the way of stasis and blockage, softens the calcification of the prostate; The aerator opens the waterway and enlarges the urethra to help expel calcifications.
(4) Qi replenishment and diuresis
Astragalus membranaceus, which is inferior to ginseng for qi replenishment, but is stronger than angelica for blood tonic and has the ability to nourish blood and diuresis, replenish qi and strengthen the surface.
Poria cocos, sweet and light in taste, specializes in tonifying the heart and spleen, and is conducive to urination.
The use of the two can not only replenish the deficiency, but also dissolve stasis and water, and help restore the normal function of the sperm chamber.
(5) Reconcile medicines
Licorice, returning to the heart and spleen meridians, can replenish qi and benefit the spleen, and can reconcile the properties of various medicines.
The combination of various medicines can tonify the kidney and invigorate the blood, break the stasis and improve the water, break through the prostate calcification, and relieve the pain of hyperplasia in patients.
After taking 7+14 doses of self-formula, the patient had smooth urination, frequent urination was relieved, sleep quality rebounded, and the prostate gland became 4.2cm×3.3cm×2.1cm.