Articles

Prostate Health

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Prostate Health

Introduction

Prostatic hyperplasia is caused by abnormal or excessive growth of the prostate gland. The enlarged prostate presses the urethra or obstructs the meatus urinarius of the bladder, causing frequent micturition, difficulty in urination, and even conditions in which urine cannot be discharged. A common disease in elderly men, prostatic hyperplasia falls into the categories of stranguria and uroschesis in traditional Chinese medicine.

Etiology/Pathogenesis

Accumulation of damp-heat hinders the circulation of qi and fails to induce diuresis. Left unattended to, the normal flow of qi and blood becomes obstructed, resulting in accumulation of yin-blood in the prostate gland, which in turn causes prostatic hyperplasia. People in their 50's have weakened spleen, kidney, and bladder functions, which also contribute to urination difficulty and even anuresis.

Primary Treatments with Chinese Medicinal Herbs

Qian Lie Shu Wan

Ingredients: Shu Di Huang (cooked Rehmannia), Shan Zhu Yu (Cornus), Shan Yao (Dioscorea), Mu Dan Pi (Moutan), Fu Ling (Hoelen), Ze Xie (Alisma), Fu Zi (Aconite), Rou Gui (Cinnamon Bark), Dong Gua Zi, Yi Yi Ren (Coix), Yin Yang Huo (Epimedium), Jiu Cai Zi (Chinese Chive Seed), Cang Zhu (Atractylodes), and Tao Ren (Persica)

Clinical Application:
One study treated 106 patients of senile prostatic hyperplasia with Qian Lie Shu Wan (oral administration, one bolus each time, three times a day). Four weeks constituted one course of treatment. The results showed that after 1-2 courses of treatment, 23 patients were completely recovered, 34 patients significantly improved, 33 patients improved, and 16 patients did not respond to the treatment, with a total effective rate of 84.9%. In relieving the main symptoms of the disease, such as frequency of micturition and bradyuria, the treatment had an effective rate above 90%. (1) , (2)

One study treated 30 cases each of prostatic hyperplasia and of chronic prostatitis (oral administration, one bolus each time, three times a day). A control group of 21 cases (8 cases of prostatic hyperplasia and 13 cases of prostatitis) orally took Qian Lie Kang, 3 tablets each time, three times a day. One course of treatment lasted a month for both groups. The results: after 1-2 courses of treatment, of the treatment and control groups, respectively, 17 and 2 cases were recovered, 20 and 4 significantly improved, 19 and 10 cases improved, and 4 and 5 cases did not respond to the treatment, with a total effective rate of 93.3% and 76.2%. (3) Another study treated 238 cases of chronic prostatitis with this formula, and reported 58% of the patients were either resolved or significantly improved, and overall, the treatment was effective on 86.2% of the patients. (4)

Other Treatments with Chinese Medicinal Herbs

Huang Qi, Tian Hua Fen, Dang Shen, Bai Zhu, Shan Yao, Zhi Mu, San Leng, E Zhu, Ji Nei Jin, Wei Lin Xian, and Shui Zhi

Li Chong Tang was used to treat 32 cases of prostatic hyperplasia. The formula consisted of Huang Qi (Astragalus Roto), Tian Hua Fen (Trichosanthes Root), Dang Shen (Codonopsis), Bai Zhu (white Atractylodes), Shan Yao (Dioscorea), Zhi Mu (Anemarrhena), San Leng (Burreed Tuber), E Zhu (Zedoaria), Ji Nei Jin (Membrane of Chicken’s Gizzard), Wei Lin Xian (Clematis), and Shui Zhi (Leech). One course of treatment lasted 30 days. The results: after 2-3 courses of treatment, 14 cases significantly improved, 15 cases improved, and 3 cases did not respond to the treatment, with a total effective rate of 90.7%. (5)

Wei Lin Xian, Fu Ling, Ze Xie, Huang Qi, Rou Cong Rong, Xia Ku Cao, Dan Shen, Gui Zhi, Zhi Mu, Zao Jiao Ci, Che Qian Zi, and Chuan Shan Jia

Ling Xian Ke Long Tang was used to treat 132 cases of prostatic hyperplasia. The formula consisted of Wei Lin Xian (Clematis), Fu Ling (Hoelen), Ze Xie (Alisma), Huang Qi (Astragalus Root), Rou Cong Rong (Cistanche), Xia Ku Cao (Prunella), Dan Shen (Salvia), Gui Zhi (Cinnamon Twig), Zhi Mu (Anemarrhena), Zao Jiao Ci (Chinese Honeylocust Spine), Che Qian Zi (Plantain Seed), and Chuan Shan Jia (Pangolin Scales). One course of treatment lasted 7 days. The results: 11 cases recovered after one course of treatment; another 41 cases recovered after a second course of treatment; and after 3 courses of treatment, a total of 98 cases recovered, 31 improved, and 3 did not respond to the treatment, with a total effective rate of 97.7%. (6)

Qian Lie Kang

Qian Lie Shu Wan was used to treat 30 cases of prostatic hyperplasia and 30 cases of chronic prostatitis. The patients took the formula one pill each time, 3 times a day. A control group consisting of 8 patients with prostatic hyperplasia and 13 patients with prostatitis orally took Qian Lie Kang, 3 pills each time, 3 times a day. One course of treatment lasted a month in both groups. The results: after 1-2 courses of treatment, of the treatment and control groups, respectively, 17 and 2 cases recovered, 20 and 4 cases significantly improved, 19 and 10 cases improved, 4 and 5 cases did not respond to the treatment, with total effective rates of 93.3% and 76.2%. (7)

Tao Ren, E Zhu, Chuan Shan Jia, Chi Shao, Wang Bu Liu Xing, Niu Xi, Shan Dou Gen, Yin Yang Huo, Che Qian Zi, and Rou Gui

One study treated 36 cases of prostatic hyperplasia by activating the blood to remove stasis, and invigorating the kidney to restore consciousness. The formula consisted of Tao Ren (Persica), E Zhu (Zedoaria), Chuan Shan Jia, Chi Shao (Red Peony), Wang Bu Liu Xing (Vaccaria), Niu Xi (Achyranthes), Shan Dou Gen (Subprostrata Sophoa Root), Yin Yang Huo (Epimedium), Che Qian Zi (Plantain Seed), and Rou Gui (Cinnamon Bark). One course of treatment lasted 20 days. The medication was supplemented by self-massage on the perineum for 20-30 minutes daily. The results: after 2-3 courses of treatment, 9 cases recovered, 10 cases significantly improved, 13 cases improved, and 4 cases did not respond to the treatment, with a total effective rate of 88.9%. (8)

External treatment with Chinese herbs

One study treated 68 cases of prostatic hyperplasia externally with Chinese herbs. Mang Xiao (Mirabilitum) and Ming Fan (Alumen) in equal portions were ground into powder and mixed thoroughly. The navel was filled with the mixture and cold water was dripped into the mixture to make it moist. The mixture was kept in place with an adhesive bandage until it was completely dissolved. The treatment was repeated daily. The results: 57 cases significantly improved, and the remaining 11 cases did not respond to the treatment. (9)

Qian Lie Tong herbal bags were used to treat 70 cases of chronic prostatitis and 30 cases of prostatic hyperplasia. The bags contained Ding Xiang (Male Clove), Jiu Cai Zi (Chinese Chive Seed), She Chuang Zi (Cnidium Fruit), Dang Gui (Dang Gui), Xi Xin (Wild Ginger), Feng Fang (Hornet Nest), etc. The bags were placed on the following acupoints: Shen Que (Ren 8), Qi Hai (Ren 6), Guan Yuan (Ren 4), Chong Ji (Ren 3), etc. The bags were changed once every 15 days. One month constituted one course of treatment. The results: the treatment achieved a total effective rate of 87%. (10)

Retention-enema with Chinese medicine

Retention-enema with Chinese herbs was used to treat 21 cases of prostatic hyperplasia. The formula consisted of She Gan (Belamcanda), Huang Lian (Coptis), Yu Xing Cao (Houttuynia), Huang Qin (Scutellaria), Bai Jiang Cao (Thlaspi), Pu Gong Ying (Dandelion), Huang Bo (Phellodendron), Jin Yin Hua, Che Qian Zi (Plantain Seed), E Zhu (Zedoaria), San Leng (Burreed Tuber), and Tao Ren (Persica). One dose of the formula was boiled to get a decoction of 150ml. The decoction was then filtrated and added 0.25g of 2% procaine powder for transfusion-type retention-enema. The treatment was applied once every evening. 15 days constituted one course of treatment. After 1-3 courses of treatment, 16 cases recovered, 4 cases improved, and 1 case did not respond to the treatment, with a total effective rate of 95.2%. (11)

Another study used Qian Lie Shu decoction in treating 47 cases of prostatic hyperplasia with retention-enema. The formula contained Huang Bo (Phellodendron), Rou Gui (Cinnamon Bark), Da Huang (Rhubarb), San Leng (Burreed Tuber), and E Zhu (Zedoaria). Once or twice a day, the patients were treated by retention-enema with 50ml of the decoction of the formula was heated to about 95 degrees Fahrenheit, and 30 days constituted one course of treatment. The results: 18 cases significantly improved, 23 cases improved, and 6 cases did not respond to the treatment, with a total effective rate of 87.2%. (12)

Treatment with Chinese herbs and microwave radiation

One study treated 35 cases of prostatic hyperplasia with a combination of Chinese herbs and microwave radiation. Bao Yuan Tong Guan Gao, a paste made of the extract of Rou Cong Rong (Cistanche), Zao Jia (Honeylocust), Xuan Shen (Scrophularia), Huang Bo (Phellodendron), Pao Jia Pian (Baked Pangolin Scale), Jing Jie Sui (Schizonepeta spike), Chuan Niu Xi (Cyathulae), Rou Gui (Cinnamon Bark), etc. was injected into the patients’ anorectum. In addition, the physiotherapy probe of a microwave radiator with the maximum power of 220W and frequency of 2450 MHZ was inserted 6-10cm deep into the anorectum for a 30-minute treatment each day. One course of treatment consisted of 15 daily treatments. The results: after 2-4 courses of treatment, 17 cases recovered, 15 cases improved, and 3 cases did not respond to the treatment, with a total effective rate of 91.43%. (13)

Other Treatments

Treatment with massage
Foot reflection areas were massaged to treat 54 cases of prostatic hyperplasia. The prostate and testicles were selected as the main reflection areas, the kidney, ureter, and bladder the basic reflection areas, and the accessory thyroid gland and lymphatic glands in both the upper and lower body as the auxiliary reflection areas for daily massage treatments. Each session lasted 25 to 35 minutes, and immediately after the massage, the patient drank 300-500ml of boiled water. One course of treatment consisted of 15 sessions. The results: after 1-3 courses of treatment, 45 cases significantly improved, and the remaining 9 cases improved. (14)

Acupunture & Acupressure

Treatment with acupuncture and moxibustion
Otopuncture was used to treat 14 cases of prostatic hyperplasia. Otopoints related to the following areas were used: the pelvic cavity, prostate, kidney, liver, bladder, spleen, brain point, and sympathetic nerve. The needles were manipulated to assert moderate stimulation and were retained for 40 minutes. The results: 9 cases recovered, 4 cases improved, and 1 case did not respond to the treatment. (15)

Acupuncture and ginger moxibustion were jointly used to treat 38 cases of prostatic hyperplasia. Patients with yang deficiency of the spleen and kidney and with bladder dysfunction in qi transformation received acupuncture treatment on Guan Yuan (Ren 4), Zu San Li (St 36), San Yin Jiao (Sp 6), Pang Guang Shu (UB 28), Shen Shu (UB 23), and Pi Shu (UB 20). The needles were vertically inserted into the acupoints and were retained while ginger moxibustion was applied (three moxa cones). Patients with yin deficiency of the liver and kidney and with downward flow of damp-heat into the bladder received acupuncture treatment on Zhong Ji (Ren 3), Tai Chong (Liv 3), San Yin Jiao (Sp 6), Pang Guang Shu (UB 28), Shen Shu (UB 23), and Gan Shu (UB 18). Using the reinforcing-reducing method, the acupuncture treatment was conducted daily, and 10 sessions constituted one course of treatment. The results: 10 cases recovered, 24 cases improved, and 4 cases did not respond to the treatment. (16)

Fresh-water turtle shell moxibustion was used to treat 65 cases of prostatic hyperplasia. A whole fresh-water turtle shell was washed clean, air-dried, and soaked in hydrochloric acid (1:1500) for an hour. Several cloves of garlic were spread out on acupoint Zhong Ji (Ren 3) and covered with the treated turtle shell. A 2mm-thick mugwort floss was placed on the shell, and ignited and burnt. Right after this treatment, the acupoint was palm-massaged for three minutes. The moxibustion was repeated 2 times a day, and one course of treatment lasted 10 days. The results: after one course of treatment, 35 cases significantly improved, 29 cases improved, and 1 case did not respond to the treatment. (17)

References

  1. Chen Ke Zhong, et al. Treating senile prostatic hyperplasia with Qian Lie Shu Wan. Journal of Pharmacology and Clinical Application of TCM. 1991;7(3):35-36.
  2. Huang Yao Qin. The clinical effects of Qian Lie Shu Wan. Journal of Chinese Patent Medicine. 1993;15(3):23-24.
  3. Wang Jing Shan, et al. 30 cases each of prostatic hyperplasia and chronic prostatitis treated with Qian Lie Shu Wan. Shandong Journal of TCM. 1990;9(6):12.
  4. Chen Ke Zhong. 238 cases of chronic prostatitis treated with Qian Lie Shu Wan. Journal of Applied Integrated Medicine. 1990;3(5):300.
  5. Liu Shao Feng. 32 cases of prostatic hyperplasia treated with Li Chong Tang. Sichuan Journal of TCM. 2000;18(4):31-32.
  6. Wang Zhen Jiang. 132 cases of prostatic hyperplasia treated with Ling Xian Ke Long Tang. Hebei Journal of Integrated Medicine. 1999;8(1): 72-73.
  7. Wang Jing Shan, et al. 81 cases of prostatic hyperplasia and chronic prostatitis treated with Qian Lie Shu Wan. Shandong Journal of TCM. 1990;9(6):12.
  8. Tao Chuan Mei, et al. 36 cases of prostatic hyperplasia treated by activating the blood and invigorating the kidney. Journal of Applied TCM. 1999;15(3):13.
  9. Chen Ben Li. 68 cases of senile prostatic hyperplasia treated externally with Mang Fan San. Journal of External Application in TCM. 1999;8(2):24.
  10. Sun Hong Ru, et al. 100 cases of chronic prostatitis and prostatic hyperplasia treated with Qian Lie Tong herbal bags. China Journal of New Herbal Medicine and Clinical Practice. 1998;17(1):56-58.
  11. Liu Chun, et al. Treating prostatic hyperplasia by retention-enema with Chinese herbs. Hebei Journal of Integrated Medicine. 1998;7(9):1414-1415.
  12. Du Sheng Min. 47 cases of prostatic hyperplasia treated externally with Qian Lie Shu. Qinghai Journal of Medicine. 1999;29(11):36-37.
  13. Cai Heng Fei, et al. 35 cases of prostatic hyperplasia treated with Bao Yuan Tong Guan Gao and microwave radiation. Jiangsu Journal of TCM. 1999;20(7):29.
  14. He Chao Geng. 189 cases of prostatic hyperplasia treated with massage of foot reflection areas. Journal of Massage and Induction. 1999;15(4):47.
  15. Zhang Geng Tian. 14 cases of prostatic hyperplasia treated with otopuncture. China Journal of Acupuncture. 1998;18(5):316.
  16. Fu Xiao Hong. Treating prostatic hyperplasia with acupuncture and Ginger moxibustion. Journal of Acupuncture Clinical Application. 1998;14(7):41-42.
  17. Ma Yao Jing. 65 cases of prostatic hyperplasia treated with turtle shell moxibustion. China Journal of TCM Science and Technology. 1999;6(6):410-411.