Prostatitis is a common male disorder. Statistics indicate that around 50% of men suffer from prostatitis at some stage in life, which often causes considerable distress. Traditional Chinese Medicine (TCM) provides numerous practical prescriptions for prostatitis, including Chinese patent medicines and empirical formulas.

 

Treatment Rules

Excess Syndromes

Damp‑heat pouring downward, bladder qi transformation dysfunction.

 Treatment: Clear heat and drain dampness, quicken blood and resolve toxins.Heat‑clearing & dampness‑draining: Polygonum aviculare, Dianthus superbus, Plantago semen, Talcum, Gardeniae fructus, Akebia caulis.Blood‑quickening & toxin‑resolving: Rhei radix et rhizoma cruda, Rehmanniae radix cruda, Paeoniae radix rubra, Polygoni cuspidati rhizoma, Taraxaci herba, Patriniae herba.

 

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Damp‑heat congesting the essence chamber, heat exuberance turning to pus

Treatment: Purge fire and resolve toxins, dissipate binds and dispel swelling.Fire‑purging & toxin‑resolving: Gentianae radix, Scutellariae radix, Gardeniae fructus, Rhei radix et rhizoma cruda.Heat‑clearing & swelling‑relieving: Lonicerae flos, Chrysanthemi indici flos, Patriniae herba, Taraxaci herba, Violae herba, Rehmanniae radix cruda, Paeoniae radix rubra, Polygoni cuspidati rhizoma, Sarcandrae glabrae herba, Phaseoli semen.Dampness‑draining: Akebia caulis, Plantago semen, Alismatis rhizoma.

 

Damp‑heat binding the lower jiao, disturbing the essence chamber

Treatment: Clear heat and drain dampness, guide turbidity and unblock collaterals.Heat‑clearing & strangury‑relieving: Polygonum aviculare, Dianthus superbus, Plantago semen, Talcum, Gardeniae fructus, Akebia caulis, Rehmanniae radix cruda.Turbidity‑guiding & collaterals‑unblocking: Rhei radix et rhizoma cruda, Benincasae semen, Smilacis glabrae rhizoma, Polygoni cuspidati rhizoma, Patriniae herba.

 

 

Qi stagnation and blood stasis in the essence chamber, vessel blockage

Treatment: Quicken blood and dispel stasis, move qi and stop pain.Blood‑quickening & stasis‑resolving: Persicae semen, Carthami flos, Eupolyphaga steleophaga, Paeoniae radix rubra, Vaccariae semen, Trogopterori faeces, Typhae pollen, Polygoni cuspidati rhizoma.Qi‑moving & pain‑stopping: Aurantii fructus, Linderae radix, Citri reticulatae viride pericarpium, Toosendan fructus, Cyperi rhizoma, Liquidambaris fructus.

 

Liver qi stagnation, essence chamber qi stagnation

Treatment: Soothe the liver and resolve stagnation, move qi and stop pain.Liver‑soothing: Bupleuri radix, Paeoniae radix alba, Curcumae radix, Rosae rugosae flos, Pruni mume flos.Qi‑moving & pain‑stopping: Curcumae radix, Toosendan fructus, Chuanxiong rhizoma, Cyperi rhizoma, Aurantii fructus, Akebiae fructus.

 

Liver depression transforming into fire

Treatment: Course the liver and discharge heat, regulate qi and resolve depression.Liver‑course & heat‑discharging: Moutan cortex, Gardeniae fructus, Paeoniae radix alba, Toosendan fructus, Scutellariae radix.Qi‑regulating & depression‑resolving: Pruni mume flos, Citri sarcodactylis fructus, Rosae rugosae flos, Toosendan fructus, Akebiae fructus.

 

Liver depression and spleen deficiency

Treatment: Soothe the liver and fortify the spleen.Liver‑soothing: Paeoniae radix alba preparata, Angelicae sinensis radix, Bupleuri radix, Cyperi rhizoma, Citri sarcodactylis fructus, Nardostachyos radix et rhizoma, Linderae radix, Saposhnikoviae radix.Spleen‑fortifying: Citri reticulatae pericarpium, Atractylodis macrocephalae rhizoma preparata, Poria cocos, Glycyrrhizae radix preparata.

 

Damp‑heat stagnation, stasis obstructing the essence chamber

Treatment: Clear heat and drain dampness, move qi and quicken blood.Heat‑clearing & dampness‑draining: Gentianae radix, Gardeniae fructus, Scutellariae radix, Akebia caulis, Polygoni cuspidati rhizoma.Qi‑moving & blood‑quickening: Sarcandrae glabrae herba, Persicae semen, Carthami flos, Paeoniae radix rubra, Rehmanniae radix cruda, Aurantii fructus, Bupleuri radix, Eupolyphaga steleophaga, Liquidambaris fructus.

 

Cold congealing the liver vessels, qi stagnation

Treatment: Warm the liver and scatter cold, move qi and quicken blood.Liver‑warming & cold‑scattering: Foeniculi fructus, Cinnamomi cortex, Evodiae fructus, Epimedii herba, Cnidii fructus, Linderae radix, Aquilariae lignum resinatum, Zingiberis rhizoma recens.Qi‑moving & blood‑quickening: Angelicae sinensis radix, Lycopi herba, Linderae radix, Aquilariae lignum resinatum, Chuanxiong rhizoma.

 

Deficiency Syndromes

 

Kidney yang insufficiency, failure of astringency

Treatment: Tonify the kidney and warm yang, tonification combined with purgation.Kidney‑tonifying & yang‑warming: Aconiti radix lateralis preparata, Cinnamomi cortex, Corni fructus, Epimedii herba, Rubi fructus, Eucommiae cortex, Morindae officinalis radix.Dampness‑draining: Plantago semen, Alismatis rhizoma, Poria cocos, Moutan cortex, Dioscoreae hypoglaucae rhizoma, Smilacis glabrae rhizoma, Benincasae semen.Kidney‑warming & spleen‑strengthening: Psoraleae fructus, Evodiae fructus, Myristicae semen, Schisandrae fructus, Aconiti radix lateralis preparata, Codonopsis radix, Atractylodis macrocephalae rhizoma preparata, Zingiberis rhizoma.

 

Kidney yin deficiency, yin deficiency with effulgent fire

Treatment: Nourish yin and clear heat, calm the heart and quiet the spirit.Yin‑nourishing & heat‑clearing: Rehmanniae radix cruda, Corni fructus, Dioscoreae rhizoma, Poria cocos, Alismatis rhizoma, Moutan cortex, Anemarrhenae rhizoma, Phellodendri cortex, Scrophulariae radix.Heart‑calming: Coptidis rhizoma, Nelumbinis semen, Junci medulla, Rehmanniae radix cruda, Scrophulariae radix, Moutan cortex, Ziziphi spinosae semen, Poria cocos cum spiritu, Magnetitum.

 

 

Kidney yin deficiency with damp‑heat pouring downward

Treatment: Nourish kidney yin, clear and drain damp‑heat.Yin‑nourishing & heat‑clearing: Rehmanniae radix cruda, Corni fructus, Dioscoreae rhizoma, Dendrobii caulis, Ligustri lucidi fructus, Ecliptae herba, Scrophulariae radix, Anemarrhenae rhizoma, Phellodendri cortex.Damp‑heat‑clearing: Poria cocos, Alismatis rhizoma, Moutan cortex, Phragmitis rhizoma, Imperatae rhizoma.

 

How TCM Herbs Protect Prostate Health

Kidney yang insufficiency with lower jiao damp‑heat

Treatment: Tonify the kidney and warm yang, clear and drain damp‑heat.Kidney‑tonifying & yang‑warming: Cuscutae semen, Eucommiae cortex, Astragali complanati semen, Achyranthis bidentatae radix.Damp‑heat‑clearing: Plantago semen, Alismatis rhizoma, Poria cocos, Moutan cortex, Dioscoreae hypoglaucae rhizoma, Smilacis glabrae rhizoma, Benincasae semen.

 

Spleen‑stomach weakness, middle qi insufficiency

Treatment: Fortify the spleen and boost qi, upraise yang and lift sinking.Spleen‑fortifying & qi‑boosting: Astragali radix preparata, Codonopsis radix, Atractylodis macrocephalae rhizoma, Citri reticulatae pericarpium.Yang‑upraising: Astragali radix preparata, Bupleuri radix, Cimicifugae rhizoma preparata.Qi‑regulating & stomach‑harmonizing: Citri reticulatae pericarpium, Linderae radix, Acori tatarinowii rhizoma.Kidney‑tonifying & essence‑astringing: Linderae radix, Cuscutae semen, Euryales semen.Turbidity‑separating: Dioscoreae hypoglaucae rhizoma, Poria cocos.

 

Chinese Patent Medicines

Niaoqingshu Granules

Clear heat, drain dampness, drain turbidity and remove toxins. For chronic prostatitis due to damp‑heat binding.10–20g, 3 times daily.

 

Yinhua Miyanling Tablets

Clear heat, resolve toxins, drain dampness and relieve strangury. For chronic prostatitis due to damp‑heat pouring downward.4 tablets, 4 times daily.

 

Dahuang Zhechong Pills

 

Quicken blood, dispel stasis and stop pain. For chronic prostatitis due to qi stagnation and blood stasis.3–6g, 2–3 times daily.

 

Xiaoyao Pills

Soothe the liver and fortify the spleen. For chronic prostatitis due to liver depression and spleen deficiency.6–9g, 3 times daily.

 

Jinkui Shenqi Pills

Warm and tonify kidney yang. For chronic prostatitis due to kidney yang decline.6g, 2–3 times daily.

 

Qianlie Tongyu Capsules

Quicken blood, dispel stasis, clear heat and relieve strangury. For chronic prostatitis due to damp‑heat binding and blood stasis obstruction.1g, 3 times daily.

Zhibai Dihuang Pills

Nourish yin and downbear fire. For chronic prostatitis due to yin deficiency with fire effulgence.6g, 2–3 times daily.

 

Buzhong Yiqi Pills

Tonify the center and boost qi, upraise yang and lift sinking. For chronic prostatitis due to spleen deficiency and qi sinking.6g, 2–3 times daily.

 

Empirical Single & Combined Formulas

Houttuyniae herba 30g, Plantaginis herba recens 30g. 1 dose daily, decoct in water, warm dose after meals, 3 times daily.

Paeoniae radix rubra 20g, Phaseoli semen 30g. 1 dose daily, decoct in water, warm dose after meals, 3 times daily.

Maydis stigma 50g, Plantaginis herba recens 30g, Glycyrrhizae radix cruda 10g. Boil in 500mL water, yield 400mL decoction, warm dose, 3 times daily.

Astragali radix cruda 30g, Phaseoli semen 30g. 1 dose daily, decoct in water, warm dose after meals, 3 times daily.

Bie Tu Tang (Xu Fusong's empirical formula)Dioscoreae hypoglaucae rhizoma 15g, Cuscutae semen 15g, Dioscoreae rhizoma 15g, Poria cocos 10g, Alismatis rhizoma 10g, Ostreae concha 20g, Lycii fructus 10g, Astragali complanati semen 15g, Dipsaci radix 10g, Acori tatarinowii rhizoma 6g, Plantago semen 15g (wrapped), Glycyrrhizae radix 3g.For chronic prostatitis of kidney deficiency with damp‑heat pattern.

Tong Qian Luo Tang (Li Yueqing's empirical formula)Salviae miltiorrhizae radix 10g, Vaccariae semen preparata 15g, Paeoniae radix alba 12g, Glycyrrhizae radix 6g, Corydalis rhizoma 10g, Toosendan fructus 10g, Citri reticulatae viride pericarpium 6g, Angelicae dahuricae radix 10g, Leonuri herba 15g, Astragali radix cruda 20g.Severe pain: add Myrrha 6g, Olibanum 6g.Depressed mood: add Curcumae radix, Bupleuri radix, Rosae rugosae flos.Impotence: add Eupolyphaga steleophaga, Aspongopus chinensis.Urinary difficulty: add Plantago semen, Phellodendri cortex.For chronic prostatitis of qi stagnation and blood stasis pattern.

 

 

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