Impure Essence
AliasChronic Prostatitis
Traditional Chinese Medicine Definition
In traditional Chinese medicine, Jingzhu is known as chronic prostatitis, a category of male genital diseases. According to the "Textbook of Internal Medicine in Traditional Chinese Medicine," Jingzhu is characterized by discomfort and pain in the perineum, lower abdomen, and testicles, accompanied by symptoms such as frequent urination, urgency, and whitish discharge after urination. The pathogenesis is often attributed to the accumulation of damp-heat and Qi stagnation with blood stasis, and treatment should focus on clearing heat and dampness, regulating Qi and promoting blood circulation, and unblocking collaterals to relieve pain.
In clinical practice of traditional Chinese medicine, the core pathogenesis of Jingzhu is the accumulation of damp-heat and Qi stagnation with blood stasis. Common precipitating factors include irregular diet, emotional disturbances, and sedentary lifestyle. During the process of differentiation, attention should be paid to distinguishing the nature of cold and heat, as well as the deficiency and excess. For instance, the damp-heat accumulation pattern is characterized by whitish discharge after urination, frequent urination, and distension and pain in the perineum; while the Qi stagnation with blood stasis pattern is characterized by Sinking and stabbing pain in the lower abdomen and perineum, which worsens with prolonged sitting. The overall direction of treatment suggests that in clinical practice, the treatment of Jingzhu often involves clearing heat and dampness, separating the pure from the turbid, for the damp-heat accumulation pattern; and regulating Qi, promoting blood circulation, and unblocking collaterals to relieve pain for the Qi stagnation with blood stasis pattern. Traditional Chinese medicine believes that adjusting the patient's lifestyle, dietary structure, and emotional management, combined with herbal medicine treatment, can help improve symptoms and enhance the quality of life.
Common Syndrome Types and Key Points of Differentiation
Damp-Heat Accumulation Syndrome
Main Manifestations: Niao hou di bai, niao pin niao ji, hui yin zhang teng
Management Approach: Clear heat and promote diuresis, differentiate clear and turbid
Stagnation and blood stasis
Main Manifestations: Abdominal discomfort, perineal distension, and piercing pain, exacerbated by prolonged sitting.
Management Approach: Regulate Qi and Activate Blood, Unblock Channels and Alleviate Pain
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
For patients with Jingzhu, the symptoms of chronic prostatitis are pronounced. During treatment, attention should be paid to clearing heat and detoxifying, and promoting blood circulation to resolve blood stasis.
— Chai Xia Yang Traditional Chinese Medicine Practitioner
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
This article has been reviewed by licensed TCM physicians at Hangzhou Kezhentang TCM Clinic. It is for TCM popular science reference only and does not involve specific treatment plan recommendations.
References: Internal Medicine of TCM (13th Five-Year Plan Textbook), Diagnostic and Therapeutic Effectiveness Standards for TCM Diseases and Syndromes (ZY/T001.1-94), Classification and Codes of TCM Diseases and Syndromes (GB/T 15657-2021)