Benign Prostatic Hyperplasia (BPH)
Benign prostatic hyperplasia (BPH) is a common condition in older men. Histologically, it is characterized by proliferation of the stromal and glandular components of the prostate; anatomically, it involves enlargement of the prostate. Its main clinical manifestations are lower urinary tract symptoms (LUTS) and urodynamic bladder outlet obstruction (BOO). Prostate volume is not directly proportional to the severity of clinical symptoms. In traditional Chinese medicine (TCM), this condition falls under the category of Jinglong (精癃).
TCM Pattern Differentiation and Medication Reference
|Common Symptoms
Clinical description:
Incomplete or difficult urination; frequent urination with dark yellow or reddish urine; burning, painful urination; white discharge at the end of urination; scrotal dampness. Red tongue, yellow or yellow-greasy coating, slippery and rapid or wiry and rapid pulse.
In plain language:
- After urinating, you may still feel that your bladder has not emptied completely, or that urination is difficult.
- You may urinate more often, and the urine may look yellow or reddish.
- You may feel burning in the urethra, with stinging or painful urination.
- A milky-white discharge may appear at the end of urination.
- The scrotum may feel damp and sticky.
- The tongue may look red.
- The tongue coating may be yellow or yellow and greasy.
- The pulse may feel slippery and rapid, or taut and rapid.
|Treatment Approach
Clinical description:
Clear heat and resolve dampness; disperse stasis and dissipate nodules.
In plain language:
- Aims to clear internal heat and promote the elimination of dampness, potentially easing symptoms such as feeling hot, heaviness in the body, or difficulty urinating.
- Aims to address blood stasis and dissipate masses, potentially easing symptoms such as pain, bruising, or palpable lumps in the body.
|Related Formulas
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
Difficult urination; a weak or split urinary stream; discomfort or pain on urination; incomplete emptying, sometimes progressing to inability to urinate. Dull, dragging pain or distention in the lower abdomen, perineum, or lumbosacral area. Dark tongue or purple spots and patches on the tongue; the pulse is usually deep and choppy.
In plain language:
- Urination may be difficult, the stream may be weak or split, and urination may be painful or feel incomplete; in severe cases, you may be unable to urinate.
- You may have a dull, dragging ache or a feeling of distention in the lower abdomen, perineum, or lower back and sacral area.
- The tongue may look dark, or have purple spots or patches.
- The pulse is often deep and choppy.
|Treatment Approach
Clinical description:
Invigorate blood and resolve stasis; dissipate nodules and promote urination.
In plain language:
- Aims to promote blood circulation and address blood stasis, potentially easing symptoms such as bruising, pain, or menstrual irregularities.
- Aims to dissipate masses and promote fluid metabolism, potentially easing swelling, fluid retention, or difficulty urinating.
|Related Formulas
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
Frequent, uncomfortable urination; small amounts of dark, hot urine, or urinary retention. Accompanied by soreness and weakness in the lower back and knees, dizziness, blurred vision, insomnia and vivid dreams, seminal emission, premature ejaculation, heat in the palms, soles, and chest, and a dry throat and mouth. Red tongue with little moisture; scant or yellow coating; deep, fine or fine, rapid pulse.
In plain language:
- You may urinate often but have difficulty passing urine. The amount may be small and the urine yellow or reddish; in severe cases, you may be unable to urinate.
- Your lower back and knees may feel sore and weak, and you may feel dizzy or have blurred vision.
- You may sleep poorly, have insomnia or vivid dreams, and experience seminal emission or premature ejaculation.
- You may feel heat in your palms, soles, and chest, with a dry throat and mouth.
- The tongue may be red and dry, with little coating or a yellow coating; the pulse may be deep and fine or fine and rapid.
|Treatment Approach
Clinical description:
Nourish kidney yin; open the passages and promote urination.
In plain language:
- Aims to nourish kidney yin, potentially easing discomfort such as soreness and weakness in the lower back and knees, dizziness, ringing in the ears, or heat in the palms and soles.
- Aims to open the passages and promote urination, potentially easing symptoms such as scant, dark urine, painful urination, or difficulty urinating.
|Related Formulas
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
Frequent urge to urinate with only a small amount passed; weak urination and a thin stream, sometimes with dribbling and difficulty emptying. Accompanied by lower back soreness and fatigue, low energy, a cold sensation in the lower abdomen, and loose stools. Pale, enlarged tongue; white coating or teeth marks; deep, fine, weak pulse.
In plain language:
- You may often feel the need to urinate, but pass only a small amount each time.
- Your urine stream may be weak and thin, or urination may be slow and dribbling.
- Your lower back may feel sore and weak.
- You may feel low in energy and generally fatigued.
- Your lower abdomen may feel cold, and you may feel sensitive to cold.
- Your stools may be loose.
- Your tongue may look pale and enlarged, with a white coating and teeth marks along the edges.
- Your pulse may feel deep, fine, and weak.
|Treatment Approach
Clinical description:
Warm and tonify kidney yang; support qi transformation and promote fluid metabolism.
In plain language:
- Aims to warm and support kidney yang, potentially easing discomfort such as feeling cold, cold limbs, soreness and weakness in the lower back and knees, or fatigue.
- Aims to support qi transformation and fluid movement, potentially easing difficulty urinating, swelling, or a heavy feeling in the body.
|Related Formulas
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
Frequent urination, delayed and weak urination, and incomplete emptying. Accompanied by a sallow complexion, fatigue and weakness, shortness of breath, and poor appetite. Pale tongue; thin white coating; fine, weak pulse.
In plain language:
- You may urinate frequently.
- It may take longer to start urinating; the stream may be weak, and you may still feel that your bladder has not emptied completely.
- Your face may look sallow or dull, with little color.
- You may feel mentally and physically fatigued.
- You may feel short of breath, have little energy when speaking, and have a poor appetite.
- Your tongue may look pale, with a thin white coating.
- Your pulse may feel fine and weak.
|Treatment Approach
Clinical description:
Tonify the spleen and kidneys; support qi transformation and promote urination.
In plain language:
- Aims to support spleen and kidney qi, potentially easing discomfort such as poor appetite, soreness and weakness in the lower back and knees, or low energy.
- Aims to support qi transformation and fluid movement, potentially easing difficulty urinating, swelling, or a heavy feeling in the body.
|Related Formulas
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
References
- Li Yueqing. TCM Surgery [M]. Beijing: China Press of Traditional Chinese Medicine, 2002: 293-296.
- Li Hongjun. Standard Practices in Andrology [M]. Beijing: China Medical Science Press, 2015: 150-155.
- Liu Yang, An Liwen. Research progress and current status of the mechanisms of traditional Chinese medicine treatment for benign prostatic hyperplasia [J]. Chinese Journal of Andrology, 2006, 20(6): 71-72.