Prostatitis

Question 1

What is prostatitis?

Answer 1

Inflammation or infection of the prostate

Question 2

Symptoms of prostatitis

Answer 2

Painful, frequent, difficult urination, dribbling

Question 3

Sn/Sx of acute prostatitis

Answer 3

sudden high fever, chills, and severe distending pain in lumbosacral region, RN 1

Question 4

Sn/Sx of chronic prostatitis

Answer 4

Repeated attack, difficult urination, burning sensation, turbid urine, bearing down sensation around the low abdomen or lumbosacral region, pain and aching in RN1 or scrotal region, may develop pain during ejaculation or impotence

Question 5

What are the common causes of prostatitis?

Answer 5

1) Food, too much alcohol,
2) Excessive sexual activity
3) Suppression of ejaculation
4) External trauma of RN 1 area
5) Common cold EPF invasion

Question 6

What TCM categories would prostatitis fall into?

Answer 6

Lin syndrome or Long Bi

Question 7

What are the most common patterns of prostatitis?

Answer 7

Excess: Accumulation of heat in the LJ
Deficiency: KI Yang Qi Xu

Question 8

How is prostatitis diagnosed?

Answer 8

1) Palpation or tests to see if prostate is enlarged

2) PSA prostate specific agent, if elevated may suspect cancer

Question 9

What are the common points for prostatitis?

Answer 9

SP6 – tonify yin, remove damp function
SP9 – remove damp
UB28 – back shu of UB
RN3/4 – Front mu of UB and Front mu of SI (Deficiency use 4, excess case use 3)
UB22 – SJ back shu water passage

Question 10

Acupuncture for D-H in LJ

Answer 10

Bleed UB67

Question 11

Acupuncture for KI Xu

Answer 11

RN4, KI3, UB23, ST36 to tonify KI qi

Question 12

Education

Answer 12

1) Encourage patient to drink lots of water to flush the urine
2) Self massage in chronic case for 30 minutes
3) Hot water bath for 20 minutes every night

Question 13

Acupuncture/Herb for Damp heat

Answer 13

UB28, RN3, LI11, LV5

Ba zhen san

Question 14

Acupuncture for retention of heat in the lung

Answer 14

LU5

Question 15

Acupuncture for LV Qi stagnation

Answer 15

LV3, LV14

Question 16

Acupuncture for SP Qi Sinking

Answer 16

UB20
DU20 - lifting clear yang
RN4 - tonify qi

Question 17

Bearing down sensation around anus

Answer 17

UB32

Question 18

Irritability

Answer 18

PC6

Question 19

KI Yang Xu

Answer 19

UB23, RN4, needle with moxa

Question 20

Treatment and herb for SP Qi sinking

Answer 20

• Bu Zhong Yi Qi Tang + something for promoting urination

- Tonify and raise spleen qi, open water passage

Question 21

What type of herbs could you use for blockage of the urinary tract?

Answer 21

strong herbal like rhubarb for purgation, let diarrhea and blood stasis come out, eliminate stagnation, open water passage. Only use for people with a strong constitution.