精浊
Alias慢性前列腺炎
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坠 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
湿热蕴结证
Main Manifestations：尿后滴白,尿频尿急,会阴胀痛
Management Approach：清热利湿,分清泌浊
气滞血瘀证
Main Manifestations：小腹会阴坠胀刺痛,久坐加重
Management Approach：理气活血,通络止痛
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.
— 柴夏阳 中医执业医师
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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.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)