Prostatic Hyperplasia Flashcards
Qian Lie Xian Zeng Sheng
What does prostatic hyperplasia indicate?
Prostatic hyperplasia indicates the enlargement of the prostate gland.
In which demographic is prostatic hyperplasia commonly seen?
Prostatic hyperplasia is commonly seen in aged men.
What are the clinical characteristics of urinary issues?
Frequent urine, difficult urine, acute block of the flow of urine, or incontinent urine.
What does ischuria refer to in TCM?
Ischuria refers to incontinent urine in Traditional Chinese Medicine.
What is the etiology + pathogenesis of Prostatic Hyperplasia in the Upper Jiao?
Results in Obstruction in BL:
LU regulates water passage and descends the water into BL ( LU empty cold or LU dryness)
Dryness in LU Qi –> not descending –> difficult urine
Empty cold in LU –> Unable to control BL –> Frequent or incontinent urine
What is the etiology + pathogenesis of Prostatic Hyperplasia in the Middle Jiao?
Damp-Heat Blocking BL:
SP & ST deficiency –> failure of T+T –> damp-heat –> flowing downwards –> blocking BL –> difficult urination
Unable to Control BL:
SP & ST deficiency –> Qi sinking –> failure of controlling BL –> enuresis + incontinent urine
What is the etiology + pathogenesis of Prostatic Hyperplasia in the Lower Jiao?
Consumption or Fluid or Not Transforming Fluid:
Aging –> Ki Qi Xu –> Imbalance of Yin & Yang
-KD Yin deficiency –> unsmooth flow of urine, scanty but frequent
-KD Yang deficiency –> profuse, frequent urine, enuresis, incontinent urine
Blocking BL:
Aging, improper diet, overstrain –> blood stagnation in BL –> blocking ureter –> difficulty in urine
What is the difference between Prostatitis and Prostatic hyperplasia?
More serious than prostatitis and also involves the metabolism of the whole body
What are the main points to treat Protatic Hyperplasia?
BL-23
BL-25
REN-2
REN-3
BL-39
BL-40
BL-28: Back-shu of BL
REN-4: Tonify Yin
REN-6: Tonify Yang
SP-6: Tonify SP + ST + resolves Dampness
GB-34: Strengthen sinews
The following are S/sx of Prostatic Hyperplasia due to ___________-?
Dribbling urine, dry mouth and throat, cough, scanty sputum
T: Red w/ scanty coating
P: Rapid + Thready (esp. in LU Cun postion)
LU Dryness
(LU not regulating water passage)
What are the treatment points to treat Prostastic Hyperplasia due to LU Dryness?
Main points PLUS
Moisten LU-
LU-1 + LU-5 + LU-6 (Xi-cleft of LU)
Nourish LU Yin-
BL-13 + BL-43 (nourish Zang organs)
The following are S/sx of Prostatic Hyperplasia due to ___________-?
Dribbling urine, incontinence, SOB, cough
T: Pale + puffy
P: Weak
LU Empty Cold
(LU not regulating water passage)
What are the treatment points to treat Prostatic Hyperplasia due to LU Empty Cold?
Main points PLUS
Warm LU
BL-13 + BL-42 (same line)
The following are S/sx of Prostatic Hyperplasia due to ___________-?
Itching and pain in the penis, yellow urine
with burning sensation, or even difficult
urine, distending sensation in lower abdomen
T: Red w/ yellow-greasy coating
P: Rapid + Sippery
Damp Heat in BL
What are the treatment points to treat Prostatic Hyperplasia due to Damp-Heat in BL?
Main points PLUS
Clear heat + Remove dampness
BL-28 + KI-7 + REN-4
The following are S/sx of Prostatic Hyperplasia due to ___________-?
Incontinent urine, enuresis, lassitude, fatigue, SOB, dislikes talking,
lusterless complexion, maybe bladder prolapse
T: Pale w/ white coating
P: Weak + Forceless
SP Qi Sinking
What are the treatment points to treat Prostatic Hyperplasia due to SP Qi Sinking?
Main points PLUS
Tonify Qi + SP/ST-
ST-36 + SP-3 + BL-20 + BL-21 + LR-13 + REN-6
Along with overthinking, what other emotions can make Qi sink?
Sadness (Metal) + Fear (Water) can make the Qi sink as well.
The following are S/sx of Prostatic Hyperplasia due to ___________-?
Frequent but unsmooth flow of urine,
dribbling, dizziness, blurred vision, soreness and weakness in lower back and knees, dream-disturbed sleep, dry mouth and throat, dark urine, burning sensation
T: Red w/ scanty coating
P: Rapid + Thready
Ki Yin Xu
What are the treatment points to treat Prostatic Hyperplasia due to KI Yin xu?
Main points PLUS
Nourish KI Yin-
KI-3 + KI-6 + SP-6
KI-1 + KI-2 + BL-23
The following are S/sx of Prostatic Hyperplasia due to ___________-?
Involuntary urine, enuresis, fatigue, lassitude, soreness and cold sensation in lower back and knees, bright-white complexion, intolerance to cold, preference to warmth
T: Pale + puffy
P: Weak + Slow or Deep + Thready
KI Yang Xu
What are the treatment points to treat Prostatic Hyperplasia due to KI Yang Xu?
Main points PLUS
Tonify KI Yang-
KI-3 + BL-23
GB-25 + KI-7
The following are S/sx of Prostatic Hyperplasia due to ___________?
Dribbling or urine with hard push, distending pain in lower abdomen or
perineum area, bloody urine, or bloody
sperm
T: Purple w/ ecchymosis
P: Choppy + Thready + Deep
Qi Stagnation + Blood Stasis in Lower Jiao
What are the treatment points to treat Prostatic Hyperplasia due to Qi Stagnation + Blood Stasis of Lower Jiao?
Main points PLUS
Move Qi-
LI-4 + LR-3 + GB-34
Regulate Qi-
SP-3 + LR-5: Regulates Qi + regulates genitials
Invigorate Blood-
SP-10
The following are patterns of __________?
LU Dryness
LU Empty Cold
Damp-Heat in BL
SP Qi Sinking
KI Yin Xu
KI Yang Xu
Qi Stagnation + Blood Stasis in Lower Jiao
Prostatic Hyperplasia