Prostatitis

Question 1

Often affects young men or any age; older men with catheters; Sx: abrupt onset of urinary urgency, burning and painful micturtition, hematuria, fever, chills, perineal and back pain, lower abdominal fullness, pain; malaise, body ache.

Answer 1

Acute Bacterial Prostatitis

Question 2

Often asymptomatic; pelvic and perineal distention and pain

Answer 2

Chronic Bacterial Prostatitis

Question 3

Sx like bacterial, no bacteria present

Answer 3

Chronic Non-Bacterial Prostatitis

Question 4

Chronic pelvic pain, perineal distention, pain; obstructive voiding, sexual dysfunction; but no evidence of either bacterial or inflammatory involvement

Answer 4

Chronic Non-Bacterial Non-inflammatory Prostatitis

Question 5

a nonmalignant enlargement of the prostate due to excessive growth of prostatic tissue with aging, may not involve pain at all.

Answer 5

Benign prostatic hypertrophy (BPH

Question 6

Acute pain on urination, frequency, urgency, urinary difficulty, pain in the genitalia radiating to groin, sticky yellow discharge

T: Red with sticky coat on root
P: Slippery, rapid

Answer 6

DAMP HEAT IN LOWER BURNER

TX: Clear Heat and resolve Dampness

BL 22, ST 28, CV 3, SP 9, SP 6, CV 1, BL 32, BL 34,
LI 11

Question 7

Dysuria, sticky yellow urethral discharge, dribbling of urine during effort of defecation, dribbling of urine, pain in perineum, penis or hypogastrium, frequency of urination, pain on micturition
T: Red, swollen, sticky, dark, yellow coat on root, red spots
P: Slippery, Rapid

Answer 7

DAMP HEAT WITH TOXIC HEAT

TX: Resolve damp and toxic heat, invigorate blood, eliminate stasis
SP 4, PC 6, CV 1, BL 32, BL 34, CV 3, BL 22, ST 28, SP 9, SP 6

Question 8

Pain in the anus and perineum, hypogastric pain, pain in the penis, white sticky urethral discharge, dysuria, dribbling after urination
T: Purple, sticky yellow coat on root, red spots
P: Wiry, Firm and Choppy

Answer 8

STAGNATION OF Qi, Blood, Essence and Blood Connecting Channels

TX: Regulate Qi, Blood and Essence, remove obstructions from Connecting channels
SP 4, PC 6, CV 6, KD 14, SP 10, LIV 3, CV 1, BL 32, BL 34, CV 3, SP 9, SP 6, BL 22, ST 28

Question 9

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
T: Pale with a sticky coating
P: Soggy

Answer 9

KIDNEY QI DEF. with DAMPNESS

TX: Tonify and warm the Kidneys, Spleen and resolve dampness
SI 3, BL 62, CV 4, BL 23, KD 7, CV 12, ST 36, BL 20, CV 3, ST 28, SP 9, SP 6, BL 22, CV 1, BL 32, BL 34,

Question 10

Dysuria, dribbling of urination, frequent pale urination, white urethral discharge, lower backache, weakness of the lower back and knees, cold legs, decreased libido, impotence
T: Pale
P: Weak, deep

Answer 10

KIDNEY YANG, LIVER BLOOD DEF

TX: Tonify and Warm the Kidney Yang, nourish Liver Blood
CV 4, KD 7, BL 23, ST 36, LIV 8, SP 6, CV 3, ST 28, SP 9, BL 22, CV 1, BL 32, BL 34

Question 11

• Non-malignant increase in growth of the prostate.
• 90% of men in 80’s have prostate hyperplasia at autopsy; begins in mid 40’s, progresses slowly; significant cause of urinary Sx in aging men
• Untreated, complete urinary obstruction
• Exacerbated by delayed urination, decongestants, antidepressants, antispasmodic, exposure to cold, consumption of alcohol

Answer 11

Benign Prostatic Hyperplasia BPH