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Prostatitis, Benign Prostatic Hyperplasia (BPH)



Prostatitis is an inflammation of the Prostate Gland. It may be Bacterial or Chronic in nature. Prostatitis is believed to affect 30–50% of men with approximately 8% having symptoms. Men under 35 are more prone to bacterial Prostatitis whereas men over 50 typically have some degree of prostate enlargement or Prostatitis. When the enlargement is due to proliferation of the Prostate cells that are non malignant, it is termed Benign Prostatic Hyperplasia (BPH).

Both Prostatitis and BPH often present with no symptoms. When present, the primary symptoms of Chronic Prostatitis include Urogenital Pain, Sexual Dysfunction and Urinary symptoms such as frequent, urgent, dribbling or painful urination.

Western Medicine treats Bacterial Prostatitis with antibiotics. while Chronic Prostatitis may be treated with α-blocker, anti-inflammatories, and 5α-reductase-inhibitors. Surgery is indicated in severe cases.

Men suffering Chronic Prostatitis have a 30% higher chance of developing Prostate Cancer, according to some research.

While Prostatitis is not specifically listed in Traditional Medicine texts, it falls under the category of Difficult or Obstructed Urine.

TCM views Chronic Prostatitis as due to one of several pathomechanisms:
  • Obstruction by Damp-Heat
  • Yin Deficiency
  • Liver Qi Stagnation


Herbs with Proven Effect against Prostatitis
Willow Herb
Couch Grass
Cleavers
Agrimony


Tribulus
Linseed
Saw Palmetto
Nettle root

Horsetail
Thuja
Black Nightshade
Shilajit

Pulsatilla Bai Tou Weng
Plantain seed Che Qian Zi
Phellodendron Huang Bai
Andrographis
Suggested Formulas:

1. Willow bark with Horsetail (Ellingwood
)
2. Golden Seal, Thuja
3. Kelp with Cleavers, Corn Silk, Horsetail, Saw Palmetto (Wonders in Weeds, W. Smith)
4. Bearberry with Horsetail, Agrimony
5. Queen of the Meadow with Golden Seal, Juniper berry, Marshmallow root, Parsley root
6.. Thuja with Poke root, Saw Palmetto, Damiana
7. Astragalus Huang Qi, Leonurus Yi Mu Cao, Epimedium Yin Yang Huo, Phellodendron Huang Bai, Achyranthes Niu Xii
8. Rhubarb, Phellodendron Huang Bai, Frankincense Ru Xiang, Shilajit
9. Polygonum He Shou Wu and Frankincense (Ru Xiang)
10. Ba Zheng San with Yi Guan Jian
11. Zhi Bai Di Huang Wan with Cinnamon


Western Tradition

Simples
Chebulic Myrobalan
Rhubarb
Horsetail
Parsley root / seed
Costus
Saffron
Sandalwood
Verbena
Bee Pollen

Licorice
Barberry bark
Plantain seed
Nettle herb / root
Cyperus rotundus
Rue
Lesser Cardamon
Walnut
Shilajit


Heat and Damp
Elegant Powder for Strangury (Renodeus)
Powder for Bladder Abscess of Alexander Benedictus
Troches for Abscess and Ulcer of the Kidneys (Nicholas)
Electuary of Seeds
Barberry 8 Powder (Tibetan Medicine)
Madder Pill (Tibetan Medicine)
Possessor of Ruby Color (Pad rag mdog ldan) (Tibetan)


Cold and Damp
Powder of Galangal (Diagalanga) (Mesue)
Cardamon 10 (Sug smel bcu pa) (Tibetan Medicine)
Punarnava Guggulu

1. Punarnava Guggulu with Shilajit


Blood Stasis
Powder of Gum Lacca Greater (Dialacca Majores) (M.)
Troches of Rhubarb (Mesue)


Kidney Deficiency
Halys Powder
Electuary of Seeds

Mandala of the Sun (Se bru nye dkyil) (Tibetan)


TCM Classification

Simples
Phellodendron Huang Bai
Plantain seed Che Qian Zi
Alisma Ze Xie
Dang Gui
Sophora Ku Shen
Hedyotis Bai Hua She She Cao

Gardenia Zhi Zi
Dodder seed Tu Si Zi
Fritillaria Zhe Bei Mu
Paeonia Mu Dan Pi
Talcum Hua Shi

1. Take Hedyotis Bai Hua She She Cao as common tea throughout the day.

Heat and Damp
Turbid, hot or painful urination, difficult or incomplete urination, dribbling urine, dry mouth, thirst

Ba Zheng San
Long Dan Xie Gan Tang
Zhi Bai Di Huang Wan


Blood Stasis
Chronic cases with fibrosis, fixed pain, dull or purplish color of the lips and nails

Gui Zhi Fu Ling Wan
Bu Yang Huan Wu Tang
Ge Xia Zhu Yu Tang
Shao Fu Zhu Yu Tang


Kidney Deficiency
Chronic cases, lower back pain, goes to the toilet at night, Kidney pulse weak

Zhi Bai Di Huang Wan
You Gui Wan
You Gui Yin
Sang Piao Xiao San

Yi Guan Jian

Special Formula

Danggui Beimu Kushen Wan
  Dang gui
  Fritillariae Thunbergii Zhe Bei Mu
  Sophora Ku Shen
  Talcum Hua Shi
This classic formula has been widely used for Prostate disease including Chronic Prostatitis, benign prostatic hyperplasia and Prostate Cancer.


Research:
1. Berberine ameliorates nonbacterial prostatitis via multi-target metabolic network regulation.
2. Quercetin protects against chronic prostatitis in rat model through NF-κB and MAPK signaling pathways
3. The Effects of Korea Red Ginseng on Inflammatory Cytokines and Apoptosis in Rat Model with Chronic Nonbacterial Prostatitis
4. Bee Collected Pollen and Bee Bread: Bioactive Constituents and Health Benefits
5. A Classic Herbal Formula Danggui Beimu Kushen Wan for Chronic Prostatitis: From Traditional Knowledge to Scientific Exploration
6. Walnuts may help prevent or slow prostate cancer

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