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Chronic prostatitis acupuncture treatment technology

 

 

 

China's traditional Chinese medicine reported

 

 

 

        Chronic prostatitis for adult male common urinary tract disease, its clinical features is the perineum drop bulge pain, urination, urethral opening outflow ivory mucous. Generally divided into chronic bacterial prostatitis and the bacterial prostatitis two kinds, someone will prostate disease are also due to pain. Age of onset concentrated in 20 to 50 years old.

 

        Traditional Chinese medicine without the disease name, according to the symptoms relegated to "Lin cloud", "BaiZhuo", "urine essence", "white Yin" and disease category, if the concurrent prostate abscess, it is known as "suspended carbuncle", "wear file hair".

 

        A, causes and mechanism

 

        Traditional Chinese medicine thinks, the disease as much pain, no quarter due to the room, endure essence or masturbation discharge the habit, and ministry of nutrients, day long kidney Yang losses, and can't fire mingmen decline steaming, or drink and food Kennedy fat, the spleen deficiency of damp and hot embodiment, defeated fine warm sluggish, corrosion resistance of accommodation or qiao, they will long stasis and most of the corruption.

 

        Second, clinical manifestation

 

        Chronic prostate inflammation, weight is differ, light person can have no obvious symptoms, but usually have the genitals or rectum unwell feeling and pain, pain may be radiation to the lumbar di ministry, the pubis, the place such as the testicles or groin, and may not have urination, frequent urination, urgency, micturition signs, sometimes urine pain serious, urethral mouth very white secretion, often in urine or stool when terminal drops out, sometimes since morning found the mouth for the urethra secretion sealed. The patient can fatigue strength, dizziness, god low back pain, the sexual appetite decrease, spermatorrhea, premature ejaculation, impotence, accompanied by the seminal vesicle phlogistic, there is pure blood. Sometimes prostatitis as a lesions can cause pyelonephritis, arthritis, neuropathy, iris inflammation, a digital rectal examination of the prostate and can be slightly and hard, irregular surface, can have nodules, general no tenderness or mild tenderness. Prostatic massage liquid check, note the amount of pus cells, each at high magnification view more than 10 above, lecithin small body significantly reduce, germiculture positive.

 

        Three, for diagnostic point and syndrome differentiation type points

 

        (1) for diagnostic point

 

        (1) the typical clinical, gender characteristics, a digital rectal examination prostate specific signs, urine and prostate liquid routine examination, combined with the acute prostatitis, urethritis or other history of urinary tract infection, can consider the diagnosis.

 

        (2) the bacterial prostatitis person, no history of urinary tract infection, there are a lot of the prostatic secretion of white blood cells and contain adipose bead macrophages.

 

        (3) prostate pain, micturition not great, urinary stimulation to ask for positive, but no history of urinary tract infection, prostate liquid training negative, no inflammatory cells.

 

        (2) syndrome differentiation type points

 

        (1) the hot and humid bet: urination, or urethral have the burning sensation, mouth bitter, dry mouth. Red tongue moss yellow greasy, pulse this number.

 

        (2) the spleen deficiency gas trapped: urinate not free, the lower abdomen bilge fell, god tired and weak, the complexion grooves, tired or eat greasy attack is increased. Tongue light moss white, pulse virtual soft.

 

        (3) the yuan virtual failure: not long, urine not more, WeiMi spirit, thin and weak, lumbar debility, dizziness tinnitus. The Yin deficiency, vexed hot. Dry mouth, tongue quality red, pulse count; Yang, who was BaiGuangBai, form cold, cold extremities of tongue reddish, pulse heavy fine.

 

        Four, put to cure

 

        (1) the basic treatment

 

        [therapeutic] deficiency syndrome in the kidney and gas, invigorating spleen to turn wet Lord; The reality in the wet, heat activating blood qi to give priority to.

 

        [prescription] qi hai, close yuan, too, in the extremely, Yin ling springs, three Yin /, safe

 

        [and] hot and humid betting add day hub, YangLingQuan; The spleen deficiency and spleen yu, gas trapped air, sea, close yuan, stomach yu, in wan; The yuan add kidney deficiency failure, yu, cv3, too streams, springs; Qi stagnancy and blood stasis and blood, rows, emmeniopathy.

 

        [operation] these points based on syndrome, every time selecting 5 ~ 7 hole, with mention in the turn twisting reducing method, with mention deficiency syndrome in turn twisting replenishing method, chronic syndrome virtual image JiaoChongZhe, it is desirable, cv3, qi hai, very, kidney yu with article ai moxibustion or the ginger moxibustion, tertian, 10 times to be a period of treatment.

 

        (2) other therapy

 

        1. Point injection

 

        [location] big Hector, times of liao

 

        [operation] the drugs for placenta injection or angelica injection, every time to choose two points, the conventional acupuncture, each hole into the solution 0.5 ~ 1 ml, every week 3, 15 times for one period of treatment.

 

        2. Earpins

 

        [location] the kidney, spleen, triple warmer, sympathetic, cortex, external genital organs

 

        [operation] HaoZhen Pierce, the strong stimulation, every 5 minutes to do a needle, LiuZhen 30 minutes per day, or the treatment once, 15 times for one period of treatment. Or do not leave the ears with the king seed stick pressure.

 

        3. 3 arris needle

 

        [location] waist yu, Yin ling springs

 

        [operation] three edges with needle broken skin bleeding 1 ml, every one to two weeks thorn blood once, until symptoms improve.

 

        4. Disk therapy

 

        [location] three Yin /, close yuan, very

 

        [operation] put the disk in the three Yin / (polar), very close yuan, hole, with a plaster on it for external fixation, 5 days purify, two days later to the original point set disk, the treatment of five days, rest two days, three months for one period of treatment.

 

        5. Ion into therapy

 

        [location] perineal

 

        With 30% of the [operation] garlic or sijiqing injection 2 ml, soaked with gauze, apply to the dc physical therapy of anode in the, in the perineum; The cathode (the effect extremely) leaching after physiological saline in the pubis, the current strength of 15 ~ 25 ma, every time 25 ~ 30 minutes per day, or tertian, 10 times to be a period of treatment.

 

        6. Moxibustion

 

        [location] perineal, close yuan, foot three mile, three Yin /

 

        [operation] article ai suspension with sticks, sticks to local skin burning, flush, sustainable smoked jiu 10 to 20 minutes. Daily or tertian, 10 times to be a period of treatment.

 

        Five, the appropriate technology

 

        1. Rank edge permeable way acupuncture therapy for chronic prostatitis technology

 

        [location] the Lord acupuncture point: rank edge permeable way. With acupuncture point: hot and humid betting add, cv3, Yin ling springs, FengLong; Qi stagnancy and blood stasis gas sea, and blood, the three Yin emmeniopathy into; Liver and kidney Yin kui add kidney, liver yu yu, too streams, emmeniopathy; Kidney Yang deficiency and kidney yu, mingmen close yuan, gas, and the sea.

 

        [operation]

 

        (1) location: patients who take prone, needle into the point in the coming on of the femoral big rotor of 2/5 and the attachment of the needle into the 3/5 junction, clinical needle into the depth for 115 mm around (6 inches).

 

        (2) Angle and the direction: and MianCheng 20 ° sagittal plane Angle, and needle into the parallel. The Angle (20 ° Angle) just can make the needle holes and in-depth sciatic big. Angle is too large needle hole of sciatic touch of sacral, small Angle is against the big hole sciatic needle at the outer edge of the ilium. The needle into the direction after just located in the waterway hole (pubic symphysis two inches on the open two inch) nearby.

 

        (3) the needle technique: "rank edge permeable way" point: after the needle into the light twisting into 4 ~ 6 inches xu, make needle are spread to the perineum or the testicles or small abdomen for degrees, twisting reducing method was turned a minute. Other points in the needle to traditional method, the final for flat flat gas diarrhea after technique, LiuZhen 30 minutes.

 

        (4) the treatment: once per day, for 15 times for one period of treatment.

 

        2. The treatment of prostate hyperplasia aesthetic embroidered urination difficulties caused by the disease technology

 

        [location] rank edge, very

 

        [operation] take 28 HaoZhen 5 inches, 60 ° Angle Pierce rank edge point, to pinpoint the needle into the perineum, needle into depth 3 ~ 3.5 inches to needle feeling to the perineum genital radiation to be beautiful, little scope mention in turn a minute twist, LiuZhen 20 minutes, during every four minutes, do small range in turn a minute to mention twined, strength to endure the patient can advisable, up the needle. Instructing patients supine, regular disinfection needle into the point, take 28, 2.5 inch HaoZhen, straight by a hole to needle feeling to the perineum radiation is preferred. Two centimeters long article--a, lit insert handle, jiu the two strong. Once per day, five times for one period of treatment.

 

        Six, the matters needing attention

 

        (1) prostatitis is a more stubborn disease, because the pathological changes of special, drug treatment is not significant.

 

        (2) acupuncture treatment with local mainly to find more.

 

        (3) the disease treatment cycle is long, need to long-term treatment.

 

        (4) can be used with the local hot compress or take bath.