Benign prostatic hyperplasia
AliasEnuresis
Traditional Chinese Medicine Definition
Prostatic Hyperplasia (Enuresis)
In traditional Chinese medicine, prostatic hyperplasia is known as "Enuresis," which refers to the condition characterized by the enlargement of the prostate gland leading to urethral stricture, causing difficulties in urination, frequent urination, and urgency. According to the records in "Internal Medicine of Traditional Chinese Medicine," this disease is often caused by insufficient kidney Qi, downward invasion of damp-heat, and Qi stagnation and blood stasis, and is a common disease in urology.
In clinical practice of traditional Chinese medicine, the core pathogenesis of prostatic hyperplasia is insufficient kidney Qi, leading to weakened Qi transformation and obstruction of the waterway. Common precipitating factors include aging, emotional disharmony, and irregular diet. During the process of differentiation, it is necessary to differentiate the cold, heat, deficiency, and excess, such as the kidney Yang deficiency syndrome, which is manifested by weak urination, frequent urination at night, cold pain in the lower back and knees; the downward invasion of damp-heat syndrome is manifested by burning pain during urination, frequent and urgent urination, bitter taste in the mouth; and the Qi stagnation and blood stasis syndrome is manifested by difficulty in urination, abdominal distension, and dark tongue. The overall direction of treatment suggests focusing on warming and reinforcing kidney Yang, clearing heat and promoting diuresis, and promoting Qi and blood circulation to restore kidney Qi and unblock the waterway.
Common Syndrome Types and Key Points of Differentiation
Insufficient Kidney Yang Syndrome
Main Manifestations: Weak urination, frequent urination at night, cold pain in the lower back and knees
Management Approach: Warming the Kidneys and Tonifying Yang, Transforming Qi and Promoting Urine Flow
Damp-heat descending syndrome
Main Manifestations: Burning sensation during urination, frequent and urgent urination, bitter taste in mouth
Management Approach: Clear Heat and Drain Dampness, Promote Urine Flow
Stagnation and blood stasis
Main Manifestations: Difficult urination, abdominal pain in the lower abdomen, dark tongue
Management Approach: Promote Qi and Blood Circulation, Open Orifices and Promote Diuresis
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 prostatic hyperplasia and significant symptoms of enuresis, the treatment should pay attention to activating blood circulation and removing blood stasis, and unblocking the urethra.
— Zhu Yongbing 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)