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

肾阳不足证

Main Manifestations：排尿无力,尿频夜甚,腰膝冷痛

Management Approach：温补肾阳,化气行水

湿热下注证

Main Manifestations：排尿灼痛,尿频急,口苦

Management Approach：清热利湿,通利水道

气滞血瘀证

Main Manifestations：排尿困难,小腹胀痛,舌暗

Management Approach：行气活血,通窍利尿

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.

— 朱永兵中医执业医师

Reviewed by：朱永兵（中医执业医师）｜ 2026-07-08 ｜ Version 2

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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)

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