Current location - Recipe Complete Network - Complete breakfast recipes - What are the prescriptions for treating prostatitis in TCM outpatient department?
What are the prescriptions for treating prostatitis in TCM outpatient department?
Chronic prostatitis belongs to the category of "white turbidity" and "fine turbidity" in Chinese medicine. Traditional Chinese medicine believes that the disease is caused by "damp-heat in lower energizer" and "imbalance of gasification". Traditional Chinese medicine has rich clinical experience in treating chronic prostatitis. This article will introduce some prescriptions commonly used in TCM clinic for you.

What are the traditional Chinese medicine prescriptions for prostatitis?

First, Shen Qian Huang Liu Tang

Fang Yaozhong, a famous doctor's prescription.

Consists of Radix Codonopsis, Radix Astragali, Radix Rehmanniae and Semen Plantaginis each 65438±05g, Rhizoma Coptidis, Pollen Typhae, Cortex Phellodendri and Rhizoma Polygonati each 65438±00g, and Radix Achyranthis Bidentatae 65438±02g.

Usage: One dose a day, decocted in water twice a day.

The efficacy can benefit qi, detoxify and induce diuresis.

Radix Rehmanniae and Rhizoma Polygonati nourish kidney qi; Achyranthes bidentata strengthens the waist and kidney and promotes blood circulation. Semen Plantaginis and Rhizoma Coptidis can eliminate dampness and detoxify; Huangpu promotes blood circulation to remove blood stasis and facilitates urination; Huang Baijian is wet; Shenqi Yiqi, Tori dispel pus. The combination of all the medicines has the effects of benefiting qi and detoxicating, promoting diuresis and expelling pus.

Indications: prostatitis.

The efficacy has been repeatedly used and tested, and the effect is very good.

Note that the main symptoms of prostatitis are dysuria, local pain and local swelling. There are purulent white blood cells, which are very similar to the "redness, swelling, heat and pain" of surgical carbuncle and can be regarded as carbuncle. Clinically, according to the pathology of carbuncle, in addition to detoxification and heat clearing, it is also supplemented by the diarrhea products of Eupolyphaga Seu Steleophaga, such as Shenqi, Gleditsia sinensis and onychomycosis, all of which have effects, so you might as well try it.

Second, Huoxue Liqing Decoction

A famous doctor's prescription for treating diseases

Is prepared from piglet 100g, lobelia chinensis 15g, houttuynia cordata 30g, safflower 10g, peach kernel 12g, Eupatorium odoratum 12g, poria cocos 12g, plantain seed 12g.

Usage: One dose a day, decocted in water, three times a day.

Functions: clearing away heat and toxic materials, promoting diuresis and blood circulation, removing blood stasis and activating yang.

Chronic prostatitis generally belongs to the categories of qi stranguria, fatigue stranguria and fine turbidity in traditional Chinese medicine, and the main cause is damp heat. If the disease persists for a long time and the damp-heat is unclear for a long time, one is qi deficiency, the other is qi stagnation and blood stasis in meridians, which are often mixed with excess and deficiency, or the damp-heat is unclear for a long time, leading to qi stagnation and blood stasis in meridians; Or because of emotional discomfort, stagnation of liver qi, stagnation of qi and fire, or because of improper diet, overwork, irregular atrioventricular, etc. Damp-heat attacking essence with deficiency. Therefore, the main etiology and pathology are qi stagnation and blood stasis, lingering damp heat, so frequent urination, unsmooth urination, or continuous dripping, discomfort or pain in perineum, abdomen and testis, and white secretion overflowing from urethra at the end of urination or during urination. Or kidney yang deficiency, coupled with damp heat, leads to impotence and premature ejaculation. Only by promoting blood circulation to remove blood stasis and clearing away damp-heat can we eliminate damp-heat and achieve the purpose of treatment. Prescription of piglet, Lobelia Chinensis, Houttuynia cordata, Poria, Talcum and Glycyrrhiza uralensis Fisch, especially reuse of piglet for clearing away heat and toxic materials, promoting diuresis and treating stranguria; Peach kernel, safflower and Eupatorium adenophorum promote blood circulation and remove blood stasis; Guizhi ascending yang and transforming qi. Together, it has the effects of clearing away heat and toxic materials, promoting diuresis and blood circulation, removing blood stasis and activating yang.

Indications: chronic prostatitis.

For patients with obvious pain in perineum, abdomen and testis caused by stagnation of liver-qi, Pericarpium Citri Reticulatae Viride 10g, Fructus Toosendan 12g, and Semen Citri Reticulatae12g are added; For patients with urinary retention, tingling or dysuria caused by damp-heat and blood stasis, 9 grams of Akebia stem and 9 grams of Vaccaria seed respectively; dam

Acute prostatitis is equivalent to the category of "stranguria" in traditional Chinese medicine. Most of the causes are kidney deficiency, downward flow of damp-heat, accumulation of lower energizer, prolonged stagnation and heat generation, which affects bladder gasification. Dandelion, honeysuckle, Patrinia scabiosaefolia and forsythia suspensa taste bitter and cold, clearing away heat and toxic materials and diminishing inflammation; Poria cocos, talc, plantain seeds and lotus roots are lightly infiltrated, which is beneficial to water and dampness; Angelica, Radix Paeoniae Rubra and Radix Salviae Miltiorrhizae promote blood circulation to remove blood stasis; Pangolin and cowseed powder are used to reduce swelling; Licorice. Mixed with other drugs. This recipe can clear away heat and promote diuresis, promote blood circulation and remove blood stasis, and complement each other.

Indications: acute prostatitis.

Prostatitis can be divided into acute and chronic. Acute prostatitis is more common in young and middle-aged patients with short course of disease and excessive damp-heat. This prescription is used to treat prostatitis with reliable curative effect. However, due to the different priorities of diseases, it is necessary to add or subtract according to the specific situation and cut it flexibly to avoid any real or false concerns. The treatment of acute prostatitis should focus on "emergency treatment", mainly on bitter cold, clearing away heat and promoting diuresis, and it is forbidden to use pungent drugs to avoid supporting evil spirits and damaging kidney yin. At the same time, we should also pay attention to the acute stage of the disease. When the pathogenic factors of damp-heat are solved, the related symptoms disappear. Drugs for bitter cold, clearing heat and promoting diuresis can be reduced or not used to prevent cold coagulation from contributing to prostatic hyperplasia. Especially for elderly patients with a long course of disease and prostatic hypertrophy, we should pay more attention to the use of bitter cold, heat-clearing and diuretics. Most elderly patients with prostatic hypertrophy are deficient in vital qi, which can be treated with "Huayu Ruanqiangqi Decoction" (Radix Angelicae Sinensis, Rhizoma Chuanxiong, Radix Paeoniae Rubra, Radix Salviae Miltiorrhizae, parched Pangolin scales, Semen Vaccariae, Poria, Herba Patriniae and Radix Glycyrrhizae). It can gradually restore kidney qi and gasify bladder, thus avoiding prostatic hypertrophy and hyperplasia, pressing urethra and urinary retention, becoming a dangerous syndrome. Clinical observation shows that this prescription is safe and effective in treating senile prostatic hypertrophy.

Efficacy Repeated clinical use has a good effect.

Fourth, Longdan Xiaoyan Decoction

China traditional Chinese medicine news

Radix Gentianae, Herba Taraxaci and Rhizoma Smilacis Glabrae each 15-30g, Fructus Gardeniae and Herba Patriniae each15g, Radix Rubiae, Cortex Moutan and Herba Sarcandrae each 9-15g, Cortex Phellodendri, Rhizoma Dioscoreae Septemlobae and Radix Bupleuri each 9g, and Prunella vulgaris/5g.

Usage: Take it with water, daily 1 dose (2 doses for severe illness), 2-4 times a day.

Function of clearing heat and promoting diuresis, detoxification and detumescence.

Although kidney deficiency (or spleen deficiency) is the root of this disease, it is marked as dampness and blood stasis. It is mainly caused by downward flow of damp heat in liver meridian, accumulation of yin qi and obstruction of collaterals by blood stasis. Therefore, clearing away dampness and heat is the basic method to treat prostatitis. Fang Jun used Gentiana macrophylla to soothe the liver and promote diuresis; Phellodendron amurense in Chen Chuan belongs to damp diarrhea fire; Clearing heat and promoting diuresis; Smilax glabra and Patrinia scabra can clear away heat and promote diuresis, and Smilax glabra is especially good at clearing away heat and toxic materials in the lower energizer. With dandelion, Sarcandra, Gardenia and Prunella vulgaris, it can clear away heat and toxic materials, dissipate stagnation and reduce swelling; Madder and peony bark combined with Prunella vulgaris and Patrinia scabra have a particularly good effect of cooling blood, promoting blood circulation and removing blood stasis. This recipe can not only make the toxin of blood-dividing damp heat leak out, but also prevent blood heat from burning the pulse. Bupleurum can not only soothe the liver and relieve depression, but also directly introduce the medicinal properties of various drugs to the disease site, so it can have both. All the medicines have the same effect, such as clearing away heat and promoting diuresis, detoxicating and reducing swelling.

Indications: white turbidity (prostatitis). symptom

Add or subtract acute or chronic acute attack, reuse Gentiana scabra, Taraxacum mongolicum and Sarcandra glabra, and add Flos Lonicerae 15g, Fructus Forsythiae 9g and Herba Menthae 6g (from bottom to top); Chronic removal of Cortex Phellodendri and Fructus Gardeniae, reducing the dosage of Radix Gentianae, Herba Taraxaci and Herba Sarcandrae, and adding 9 grams of Fructus Toosendan and 9 grams of Radix Paeoniae Rubra; Remove Cortex Phellodendri, Rhizoma Smilacis Glabrae, Herba Sarcandrae and Fructus Gardeniae from lumbago, and add 9 grams of Eucommiae Cortex, Fructus Toosendan, Rhizoma Cibotii, Rhizoma Corydalis and Radix Dipsaci. For patients with severe pain in lower abdomen and perineum, Sabina vulgaris, Rhizoma Smilacis Glabrae and Fructus Gardeniae are removed, and 6-9g of Toosendan Fructus, Rhizoma Corydalis, Olibanum Preparata, Myrrha Preparata, Pericarpium Citri Reticulatae Viride and Pericarpium Citri Tangerinae are added; 9 grams of Sophora japonica, 9 grams of imperata rhizome and 9 grams of agrimony are added into blood essence (or urine blood); For those with dizziness, insomnia and dreaminess, add 9 grams of Acorus gramineus, 9 grams of Polygalae and 9 grams of Poria, and remove Cortex Phellodendri and Rhizoma Smilacis Glabrae; Puffing, adding 9g of Cimicifuga foetida, 9g of orange seeds and 9g of litchi seeds; Kidney deficiency combined with Danggui decoction; Spleen deficiency combined with Shen Ling Baizhu powder; If there is scleredema of prostate, it is used with Shaofu Zhuyu Decoction.

2 10 cases were treated, of which 85 cases were acute prostatitis, 78 cases were cured and 7 cases were markedly effective. Chronic prostatitis 125 cases, 75 cases were cured, 25 cases were markedly effective, 7 cases were effective, and 8 cases were ineffective. The total effective rate was 96.65438 09%.

Five, white turbid soup

shaanxi journal of traditional chinese medicine

Honeysuckle, dandelion 60g, Cortex Phellodendri, Rhizoma Anemarrhenae, Herba Dianthi, Akebiae, Fructus Gardeniae, Rhizoma Dioscoreae Septemlobae, Semen Plantaginis 10g, Liuyisan (bag) 15g, and amber 5g (ground, taken in three times).

Usage: add 3 liters of water to the medicine, boil it to 1 liter, and take it warm for 3 times. One cup of raw leek juice is added to the medicinal juice each time, and 10 dose is a course of treatment.

Has the effects of clearing away heat, promoting diuresis, purging pathogenic fire, removing toxic substances, inducing diuresis and inducing resuscitation.

The solution is to reuse honeysuckle and dandelion to detoxify and treat stranguria; Cortex Phellodendri, Rhizoma Anemarrhenae, Caulis Akebiae and Fructus Gardeniae can nourish yin and purge fire; Zanthoxylum bungeanum, Dianthus chinensis, Plantago asiatica, Liuyisan, and even five showers with amber powder to facilitate urination; Raw leek juice can dispel blood stasis and dredge collaterals. The combination of various medicines has the effects of clearing away heat and purging fire, removing toxic substances and removing blood stasis, nourishing yin and inducing resuscitation. It has good curative effect on five stranguria and white turbidity.

Indications: white turbidity, manifested as frequent urination, pain in the stem when drowning, often accompanied by white turbidity and even drops of urine. The glans penis is often covered with pus-like mucus, and sometimes the urethral orifice is closed to form a dry scab. If urine is not washed, it will not provoke you to get out. Sometimes urine is often white and turbid as rice.

Efficacy, good effect after repeated use.

At the suggestion of the editor, our names were added. If all the symptoms are clear, it is necessary to use pills to treat sequelae and consolidate the curative effect. The prescription is Polygonum multiflorum Thunb. 120g。 60 grams of Tribulus terrestris, 60 grams of Poria cocos, 60 grams of Cuscuta chinensis, 60 grams of Chinese yam, 60 grams of parched Cortex Phellodendri, 60 grams of parched Rhizoma Anemarrhenae, 60 grams of Radix Rehmanniae, 60 grams of tortoise plastron, 60 grams of parched Achyranthes bidentata, 60 grams of Euryale euryales, 60 grams of plantain seeds, 60 grams of Alisma orientale and 60 grams of Cimicifuga rhizome. Parching, grinding into fine powder, and refining into buttonwood-sized pills. Take 40 capsules twice a day with light salt water on an empty stomach. Avoid eating.

6. Jiawei bladder turbid soup

Clinical conference

It consists of 65438±08g of Astragalus membranaceus, 65438 05g of Codonopsis pilosula, 9g of ootheca mantidis, 65438 02g of Salvia miltiorrhiza, 65438 02g of Cuscuta chinensis and 65438 05g of Alisma orientalis, 65438 05g of Ligustrum lucidum, 65438 05g of Vaccaria kwangsiensis, 4.5g of fennel, 9g of Linderae, 9 g of Plantaginis and 9 g of Polygonum cuspidatum.

Usage: Take it with water, one dose a day, twice a day.

Efficacy: invigorating spleen and kidney, benefiting bladder, eliminating dampness and resolving turbidity.

Chronic prostatitis is one of the common diseases in the elderly. Some patients linger for a long time and take the medicine of clearing away profits, which leads to Q.

Supplementary notes The third edition of the same book contains Lishui Tonglin Decoction: Gardenia and Poria each 12g, Angelica sinensis 10g, Paeonia lactiflora 12g, Cortex Phellodendri 12g, Scutellaria baicalensis 12g, Alisma orientalis 12g, Akebia. Indications and usage are the same as above. The effect is also good.

Eight. Li Qing Li Hua Tang

Thousands of magic prescriptions

Consists of Fructus Toosendan, Radix Achyranthis Bidentatae, Herba Artemisiae Anomalae, Semen Persicae, Radix Glycyrrhizae, Cortex Phellodendri and Fructus Foeniculi, Semen Coicis, Radix Paeoniae Alba, Herba Patriniae, Radix Aconiti Lateralis Preparata, Radix Dianthi and Rhizoma Corydalis.

Usage: Take it with water, one dose a day, twice a day.

Function of clearing heat and promoting diuresis, regulating qi and removing blood stasis.

The clinical manifestation of chronic prostatitis is empirical, even if it is deficiency syndrome, there are cases in which damp heat accumulates in the lower jiao. Therefore, the treatment is to clear away dampness and heat, regulate qi and remove blood stasis. Cortex Phellodendri, Herba Dianthi, Herba Patriniae and Coicis Semen can clear away damp heat; Rhizoma corydalis, Fructus Toosendan, Herba Artemisiae Anomalae, Semen Persicae, and Radix Cyathulae regulate qi and remove blood stasis. The combination of various drugs in the prescription has a good pathogenesis.

Indications: chronic prostatitis.

For those with burning urine, remove aconite and fennel, add talc 15g, testicular pain has shortness of breath, Dangshen 10g, and Huangqi10g; For impotence, premature ejaculation and rapid pulse, it is often combined with Wuzi Yanzong Pill to warm and tonify kidney qi; For patients with ejaculation pain and hemospermia, remove Radix Aconiti Lateralis Preparata and Fructus Foeniculi, and add Radix Rehmanniae 15g, Rhizoma Anemarrhenae 10g, Rhizoma Imperatae 30g, and parched Pollen Typhae10g; Prostate tubercle, add vinegar turtle shell 20g, raw chicken gizzard-membrane 10g.

Thirty-four cases of chronic prostatitis were treated, of which 14 cases were cured, 16 cases were improved and 4 cases were ineffective. The total effective rate was 88.23%.