Giovanni Maciocia - Treatment-Of-Benign-Prostatic-Hyperplasia-And-Erectile-Dysfunction PDF

THE TREATMENT OF BENIGN PROSTATIC
HYPERPLASIA AND ERECTILE DYSFUNCTION WITH

CHINESE MEDICINE
馬
万
里
Copyright Giovanni Maciocia
Zhang Jing Yue, Jing Yue Quan Shu, 1624: “To treat one woman equals treating 5
men”
However:
• Women’s gynaecological
physiology and pathology actually
help diagnosis
• Women are more in touch with

their bodies
• Women are more in touch

with their emotions
• Women are more open to

change
Reproduced from Lyttleton J, “Treatment of Infertility with Chinese Medicine”, Elsevier, London, 2004
The male genital apparatus is called the "EXTERNAL
KIDNEY" (Wai Shen 外肾) in Chinese medicine.
This comprises four elements:
Penis
Scrotum
Testicles
Room of the Sperm (Jing Shi 精室)
The External Kidney depends upon:

Kidneys
Liver
Heart
Spleen and Stomach
DU MAI - PATHWAY
“Su Wen”, chapter 60

“It starts in between the kidneys where the Dong Qi
throbs, it goes to the uterus and the pubic bone. In
women, it flows around the vagina, passes to the
perineum, then the buttocks to meet the Kidney and
Bladder channels in the thighs…
… In men, it flows around the penis and goes to
the perineum.”
“ Ling Shu”, chapter 10
“Another branch originates from the Liver

channel on the vertex and it flows down the
right and left side of the spine, entering the
spine muscles and the Bladder channel. In the
lumbar region, it enters the kidneys”.
ABDOMINAL BRANCH OF DU MAI
Su Wen chapter 60
The abdominal branch of the Du Mai starts in the

perineum, flows up the abdomen (in the midline),
up to the umbilicus, past the heart, throat, chin,
around the lips and reaches the eyes.
CHONG MAI PATHWAY • Branch 1 (Internal branch) Originates
inside the lower abdomen (uterus in
women) and emerges at the Perineum
(REN-1).
• Branch 2 (Abdominal branch) –This branch

emerges at ST-30, connects with the Kidney
meridian at KID-11 and ascends through the
Kidney channel to KID-21, then disperses in the
chest and breast.
ST-30
• Branch 3 (Head branch) Ascends along the throat,

Branch 1 chin, curves around the lips and terminates below the
Branch 2 eyes.
Branch 3 • Branch 4 (Spinal branch) Emerges from Ren-1 and
Branch 4 ascends inside the Lumbar spine to the level of BL-
Branch 5 23.
•Branch 5 (Descending branch) Emerges at ST-30, descends along the medial aspect of the legs,
and the medial malleolus. On the foot, it separates at the heel, one branch going to the arch of
the foot to connect with the Kidney channel and the other branch going to the big toe to connect
with the Liver channel.
THE CHONG MAI AND THE MALE GENITAL SYSTEM
All ancient Chinese texts state that the Du, Ren and Chong Mai either start from
the Uterus or flow through the Uterus: none of these books say where these
vessels flow in men. In my opinion, it can be postulated that the Chong Mai flows
through the prostate as this is the male organ corresponding to the Uterus: its
anatomical location and its functions support this hypothesis.
In practice, I often use the Chong Mai to treat problems of the penis or prostate in
men.
The Chong Mai influences the male genitalia in many ways:
1) It flows from ST-30 to KI-11 (which is very near the root of the
penis).
2) The Chong Mai controls the Zong Jin [宗筋], i.e. the
“Ancestral Muscle” which, almost certainly, is an ancient
Chinese name for the penis.
3) The Chong Mai’s internal pathway flows through the internal
genitalia, i.e. the seminal vesicles, ejaculatory duct and the
prostate.
4) The Chong Mai flows inside the penis and emerges at the
symphisis pubis.
THE CHONG MAI AND THE “ANCESTRAL MUSCLE” (ZONG JIN 宗筋)
Zong Jin translates literally as “Ancestral Muscle”. “Ancestral muscle” may either
refer to the rectus abdominis muscles or the penis. Both views are supported in
ancient texts.
Chapter 44 Simple Questions

“The Chong Mai... ...connects with the Yang Ming [Stomach channel] in the
Ancestral Muscle. Thus, Yin and Yang meet in the Ancestral Muscle and
connect with the avenues of the abdomen which are under the control of the
Stomach.
In this passage “Yin and Yang” refers to the Chong Mai and the Stomach
channel respectively. The Chong Mai and the Stomach channel more or less
enclose the rectus abdominis muscles between them.
The points KI-11 Henggu and ST-30 Qichong are right over the insertion of the
rectus abdominis, another reason why the Kidney and Stomach channels
control the Ancestral Muscle.
Stomach channel Chong Mai
Rectus Abdominis Transversalis Fascia
Looking at the
anatomy of the rectus Linea Alba
abdominis muscle we
see that its insertion at Thus, it is easy to see how
the pubis bone is just the “Ancestral Muscle”
above the root of the (Zong Jin) can well be
penis. both the rectus abdominis
and the penis.
DU-REN-CHONG AND TIAN GUI
• All three start from between the

kidneys where the “Dong Qi throbs”
• Flow through the Uterus/Room of
Sperm and emerge at Ren-1 where they Chong
separate Ren Du
• Heart-Yang flows down to the Kidneys
to contribute to making Tian Gui Dong
Qi
(sperm)
Ren-1
DU MAI – REN MAI – ROOM OF SPERM
HEART
HE-ROOM OF SPERM-
KIDNEYS: Vertical axis
REN
MAI
ROOM OF
SPERM
DU MAI-REN DU
MAI: Horizontal MAI
axis
KIDNEYS
HYPOTHALAMUS-PITUITARY-OVARY/PROSTATE-TESTICLES AXIS
WOMEN MEN
Hypothalamus
Pituitary
DU
REN
MAI
MAI
Uterus-
Ovaries
Ren-1
CHONG, DU AND REN MAI AND THE ZONG MUSCLES
Zong Muscle
Chong Mai
Ren
LIV-13
Mai Du Mai
宗筋 Dong
REN Qi
Zong Jin
DU
CHONG
Zong
Muscle
LIVER MAIN CHANNEL
• Reaches pubic region via SP-12

and SP-13 where it encircles the
external genitalia
• Ascends crossing the Ren Mai at
Ren-2, Ren-3 and Ren-4.
LIVER LUO CHANNEL
• Starts from LIV-5 Ligou

• Connects with the Gall-Bladder
channel on the leg
• Ascends to and encircles the
external genitalia
The pathways of the channels flowing through the genitalia are
as follows:
• A branch of the Du Mai flows down to the genitalia.
• The Kidney Main, Luo and Muscle channels flow through the
genitalia.
• The Liver Main, Luo, Divergent and Muscle channels wrap

around the genitalia.
Distal points affecting men’s genitalia:
KI-4 Dazhong LIV-5 Ligou
LIV-1 Dadun
Du-20 Baihui.
•Heart-Yang descends to help Kidney-Yin
• The Liver channel circles
HEART with production of Tian Gui
round the external genitalia
• Heart-Yang descends to enable erection
• The Liver stores Blood, of the penis
contributing to the production •The (physiological) Fire of the Heart
of Tian Gui must descend to meet Kidney-Water and
• Liver Blood contributes to produce Tian Gui
normal erection •Heart Blood descends to the penis to
assist erection
External Kidney
(Penis, scrotum, SPLEEN AND
LIVER testicles, Room of STOMACH
Sperm)
• The Kidneys are the origin of
Tian Gui (sperm)
•The Kidneys influence the The Qi and Blood produced by
internal and external genitals the Spleen and Stomach also
•The Kidneys control the Zong KIDNEYS contribute to the production of
muscle (penis) Tian Gui
•Heart-Yang descends to
HEART
meet Kidney-Yin to prodce
Tian Gui
The Liver stores the •The (physiological) Fire of
Blood contributing to the the Heart warms the sperm
production of Tian Gui
SPLEEN AND
LIVER SPERM STOMACH
The Post-Natal Qi and

Blood of the Spleen and
Stomach indirectly
supplement the Tian Gui
The Kidneys produce the
Tian Gui which is the KIDNEYS
direct origin of sperm
Qin Guo Zheng, Practical Andrology in Chinese Medicine, China Workers Publishing House,
1988.
The health of the male reproductive system depends also on the Heart
which assists the Kidneys. Heart-Fire must communicate with Kidney-
Water for the health of the male reproductive system. For example,
Heart-Heat may cause pain and itching of the penis.
Note that the communication between Heart and Kidneys depends also
on the Du, Ren and Chong Mai all of which start in the Kidneys (or
between the Kidneys) and flow to the heart.
The health of the male reproductive system depends on Heart-Yang

descending. If Heart-Qi is weak and Heart-Yang cannot descend to the
Kidneys, there is lack of warmth to promote the formation of sperm.
The communication between Heart and Kidneys is highlighted by Zhu

Dan Xi: “The Kidneys store Jing but it takes orders from the Heart; the
ascending and descending of Water and Fire [respectively] ensures the
Jing is supported.”
秦国政 Qin Guo Zheng means “Qin Government”!!

HEART
Ren
Du
Chong
KIDNEYS
Qin Guo Zheng, Practical Andrology in Chinese Medicine, China Workers Publishing House,
1988.
This doctor discusses what is a normal level of nocturnal emissions in

young men. He says that when puberty arrives there is a strong sexual
desire (which is described in Chinese as “wishful thinking” or “strong
desire” or “rash thinking” 妄想妄动).
He says that one or two a month are normal, whether the man is
married or not. This is called “Jing Overflowing” Jing Yi 精溢.
He says that loss of Jing implies loss of Blood too: yi di jing ye, yi di
xue 一滴精液一滴血. “One drip of Jing equals one
drip of Blood”.
THE ROOM OF JING AND THE “BAO” 胞
BAO 胞 LOWER DAN TIAN 丹田
In men ROOM OF UTERUS –

In women
JING ZI BAO
子胞
SPERM – MENSTRUAL BLOOD

TIAN GUI – TIAN GUI 天癸
天癸
Women are much more prone to Blood stasis

In women, the Uterus corresponds to the Lower Field of Elixir (Dan
Tian) which in men houses the “Room of Sperm” (or “Room of
Jing”).
The "Golden Mirror of Medicine" (Yi Zong Jin Jian, 1742) says:
"The Du Mai arises within the lower abdomen, externally in the
abdomen, internally in the Bao...also called Dan Tian in both men
and women: in women it is the Uterus, in men it is the Room of
Sperm".1
This passage clearly shows that bao is a structure common to both

men and women being the Uterus in women and the "Room of
Sperm" in men. The extraordinary vessels arise from this area.
“Golden Mirror of Medicine” (Yi Zong Jin Jian): “The Dan Tian
is the Ming Men. In men it is called ‘Room of Sperm.’”
1. Cited in Chinese Medicine Research Institute and Guangzhou College of Chinese Medicine 1980 Concise
Dictionary of Chinese Medicine (Jian Ming Zhong Yi Ci Dian), People's Health Publishing House, Beijing,
p. 186.
THE PROSTATE AND THE INTERNAL ORGANS
KIDNEYS
The Kidneys provide the main influence on the prostate as they are the
source of Tian Gui. Kidney-Qi also ensures the smooth functioning of
the prostate.
LIVER
The Liver influences the prostate through Qi and through Blood. First,
the Liver provides the free flow of Qi that is necessary for the smooth
functioning of this organ. Secondly, the Liver provides Blood to nourish
the prostate.
HEART
Heart-Qi and Heart-Blood descend to the prostate coordinating and
mutually interacting with Kidney-Qi.
THE PROSTATE
Its Qi and Blood descend to the

HEART prostate and the penis
Provides
LIVER PROSTATE Moves Blood and Jing
Blood and CHONG
free flow
of Qi
Provides Jing and

Ministerial Fire (The
origin of Tian Gui)
KIDNEYS
Diffusing of Lung-Qi To skin and
muscles
Descending of Lung-Qi
UPPER DU-26
LUNGS
BURNER Shuigou
Mist
Pure
STOMACH-
SPLEEN MIDDLE REN-9
BURNER Shuifen
Impure Cauldron
“Steam”
SMALL Pure KIDNEYS

INTESTINE LOWER ST-28
Impure BURNER Shuidao
Pure
LARGE Drainage ditch
BLADDER
INTESTINE
Impure
STOOLS URINE
QI MECHANISM
ENTERING
ASCENDING AND DESCENDING AND
EXITING
UPPER COU LI
HEART LUNGS
BURNER
JOINTS
MO
LIVER STOMACH SPLEEN YUAN
MIDDLE
BURNER GAO
S. I. L. I.
HUANG
LOWER BONES
BLADDER KIDNEYS BURNER
JING
SHEN
TRIPLE BURNER CAVITIES AND FLUIDS
Skin
UPPER Exiting
Cou Li
Mist BURNER Entering
Muscles
COU LI IN LIMBS (LUO)
MIDDLE
Cauldron BURNER
Ditch LOWER
BURNER
TRIPLE BURNER CAVITIES AND FLUIDS
Cou
Li Sweating
Ling Shu: “The Triple

Triple Burner responds to the
Burner Cou Li above and the
Bladder below”
Bladder Urination
THE TRIPLE BURNER CONTROLS THE
TRANSPORTATION AND PENETRATION OF QI
“Qi Mechanism”
The movement of Qi to carry out its various functions relies on

ascending/descending and entering/exiting of Qi in different
places and different organs.
Each organ has a particular direction of flow of Qi, e.g.
Spleen-Qi ascends while Stomach-Qi descends.
In each channel, Qi flows in an upward or
downward direction. Qi also enters and
exits in and out of various structures and
organs.
For example, Qi enters and exits the space between skin and
muscles, the Membranes, the joint capsules, and all other cavities.
The Triple Burner controls the ascending/descending and
entering/exiting of Qi in the Qi mechanism. One of the words most
frequently used in Chinese books to describe this function of the
Triple Burner is tong 通 which means “free passage”, “to pass
through”, “penetrate”: this describes the function of the Triple
Burner in ensuring that Qi passes through in the Qi Mechanism, in
all the cavities and in all organs.
This whole process is called “Qi Transformation by the Triple

Burner”: the result of the Qi transformation is the production of Ying-
Qi, Wei-Qi, Blood and Body Fluids. That is also why the Triple
Burner is said to control “all kinds of Qi”.
The “Central Scripture Classic” (Zhong Zang Jing, Han dynasty) says:
“The Triple Burner is the three original Qi of the body, it is the

Yang organ of clear [Qi], it controls the 5 Zang and 6 Fu, the
Ying-Qi and Wei-Qi, the channels and the Qi of the interior and
exterior, left and right, above and below. When the Qi of the
Triple Burner has free passage, Qi passes freely into interior,
exterior, left, right, above and below. The Triple Burner irrigates
the body, harmonizes interior and exterior, benefits the left and
nourishes the right, it conducts upwards and descends
downwards.”
THE TRIPLE BURNER CAVITIES AND THE FLUIDS METABOLISM
Chapter 66 of the “Nan Jing” confirms that the Triple Burner controls
the movement of Qi in general:
“The Triple Burner makes the Yuan Qi separate [into its different
functions] and it controls the movement and passage of the 3 Qi [of the
Upper, Middle and Lower Burner] through the 5 Zang and 6 Fu.”
Chapter 38 of the “Nan Jing” confirms that the Triple Burner exerts its
influence on all types of Qi:
“The Triple Burner is the place where the Yuan Qi is separated: it

supports all of the Qi.”
The “3 Qi” are the Qi of the Upper, Middle and Lower Burner:
apart from referring generally to all the types of Qi in each
Burner, this passage also refers specifically to the Zong Qi in the
Upper, Ying Qi in the Middle and Wei Qi in the Lower Burner.
Although the Wei Qi exerts its influence primarily in the Upper

Burner and the superficial layers of the body (the space between
skin and muscles), it originates in the Lower Burner from the
Ming Men.
Chapter 18 of the “Ling Shu” says: “The Ying Qi originates from

the Middle Burner; the Wei Qi originates from the Lower Burner.”
Ling Shu, chapter 18: “Ying Qi comes from the Middle Burner; Wei Qi comes
from the Lower Burner.” Interestingly, a later edition from China replaced
“Lower” with “Upper” and said that it was an old mis-print!
Zhang Yuan Su (ca. 1151-1234) Yi Yuan “Origin of Medicine”

Zhang Yuan Su says very clearly in his book that the Wei Qi comes from the
Lower Burner and the context can leave no doubt because he lists the three
Burners, from Upper to Middle to Lower and therefore the third one (for the Wei
Qi) could not not be the Lower Burner.
He says: “Zong Qi accumulates in the Upper Burner; Ying Qi comes out in the
Middle Burner; Wei Qi comes out in the Lower Burner. Ying Qi follows the Zong
Qi in the channels [mai]; the Wei Qi cannot follow the Zong Qi and cannot enter
the channels. It therefore stays outside the channels, penetrating the space
between the skin and muscles in the head, eyes, hands and feet.”
“Ying Qi is clear, Wei Qi turbid; Ying moves in the channels, Wei moves outside the
channels. The Upper Burner is like a mist; the Middle Burner like a cauldron; the
Lower Burner like a ditch. Wei Qi depends on the Yang part of the Yin of the Lower
Burner, it rises to the other two Burners [because it is Yang, Yang rises], but it comes
from the Lower Burner.”
Zhang Yuan Su
Chapter 31 confirms the influence of the Triple Burner on the
movement of Qi in all parts of the body:
“The Qi of the Triple Burner gathers in the avenues of Qi [Qi Jie]”.
This means that the Triple Burner is responsible for the free passage
of Qi in all channels but also all structures (such as cavities) of the
body; Qi Jie is another name for the point ST-30 Qichong.
CLINICAL NOTE
T.B.-6 Zhigou is the best point to stimulate the Triple Burner's function of
transportation and penetration of Qi.
POINTS
Upper Burner: Du-26 Shuigou, LU-7, LI-4, LI-6, TB-4, TB-6, Ren-17
Middle Burner: Ren-9 Shuifen, Ren-12, ST-22, Ren-11
Lower Burner: ST-28 Shuidao, BL-22, Ren-5, BL-39, SP-9, SP-6, KI-7.
THE TRIPLE BURNER CONTROLS THE WATER PASSAGES AND
THE EXCRETION OF FLUIDS
Chapter 8 of the “Su Wen” which describes the functions of all the
Internal Organs comparing them to “officials”, says:
“The Triple Burner is the official in charge of ditches”.
This means, that just like the official who is in charge of irrigation, the
Triple Burner is responsible for the transformation, transportation and
excretion of fluids. This is one of the most important functions of the
Triple Burner. The terms used in Chinese in connection with the Triple
Burner influence on the body fluids are often shu [疏 ] which means “free
flow” and tong [通 ] which means “free passage”.
Therefore the Triple Burner is like a system of canals and waterways

to channel irrigation water through the proper fields and then out: this
ensures that body fluids are transformed, transported and excreted
properly.
The Triple Burner function in relation to body fluids is closely
dependent on its function of controlling the transportation and
penetration of Qi. The Triple Burner influences the
ascending/descending and entering/exiting of Qi in the Qi
Mechanism: it is the coordinated and harmonized
ascending/descending and entering/exiting of Qi in all organs and
structures that ensures that the body fluids also ascend/descend and
enter/exit in the proper way in all places. Essentially, the
transformation and movement of fluids depends on Qi.
The end result of the complex process of transformation,

transportation and excretion of fluids leads to the formation of
various body fluids in each of the three Burners.
UPPER BURNER Sweat COU LI
MIDDLE Stomach BLOOD

BURNER
fluids
LOWER
BURNER Urine EXCRET
ION
The fluids of the Upper Burner are primarily sweat which flows in the
space between skin and muscles; those of the Middle Burner are the fluids
produced by the Stomach which moisten the body and integrate Blood;
those of the Lower Burner are primarily urine and the small amount of
fluids in the stools.
TRIPLE BURNER
1) Official in charge of ditches, water transformation (Nei Jing)
2) Envoy of the Yuan Qi (Nan Jing)
3) Controls transformation of Qi in all Burners
4) Controls body cavities
5) Shao Yang
6) Relation with Pericardium

PHLEGM IN MALE GENITAL SYSTEM
MALE GENITAL MANIFESTATIONS OF PHLEGM
• Prostatic hypertrophy
• Peyronie’s disease
• Priapism
• Impotence
• Sweaty genitals
OTHER MANIFESTATIONS
• Obesity
• Dark eye sockets
• Corners of the eyes have very slight cracks with exudate
• Sallow complexion
• Swollen body, puffy face
• Greasy skin
• Sweaty external genitalia, axillae or palms and soles
• Enlarged fingers and toes
• Thick thumbs
STASIS OF BLOOD IN WOMEN = STASIS OF JING IN MEN
STASIS OF JING WOMEN MEN
Stabbing pain lumbar region KIDNEYS KIDNEYS

pain in perineum
hypogastric pain TIAN GUI TIAN GUI
pain in testis and/or penis
impotence
premature ejaculation
Uterus –
Room of Jing
priapism Blood
Chamber
prostatic hypertrophy
premature greying of hair
itching or pain pubic region
abnormal sperm BLOOD STASIS
BLOOD IN ROOM OF
Peyronie’s disease STASIS IN JING (PROSTATE)
UTERUS
Purple tongue, Choppy or Firm
pulse.
DAMPNESS IN THE MALE GENITAL SYSTEM
URINARY SYMPTOMS PATHOLOGY

• Dysuria
• Strangury • Dampness obstructs the
(Difficulty in micturition in which the urine is passed only drop by Water passages
drop with pain and tenesmus)
• Turbid urine • Dampness is sticky, dirty,
heavy
GENITAL SYMPTOMS
• Pruritus of the genitals
• Urethral discharge
• Testicular swelling
• Impotence
• Anomalies of sperm
PROSTATE SYMPTOMS
• Hypertrophy
• Pain of the perineum
• Feeling of heaviness of the perineum
GENERAL SYMPTOMS
• Feeling of heaviness of the abdomen
• Feeling of heaviness
• Tongue with sticky coating on the root
• Slippery pulse
MALE PATHOLOGIES
URINARY
Dysuria, strangury, turbid urine, frequency, incontinence, retention of
urine
PATHOLOGY OF JING
Premature ejaculation, spermatorrea, anomalies of sperm (motility, count,
malformation), nocturnal emissions, blood in the sperm
PATHOLOGY OF THE PENIS

Impotence, priapism, pain of the penis, retraction of the penis
PATHOLOGY OF THE SCROTUM

Ulcers, retraction, pain of the scrotum and testicles, hernia, varicocele
PATHOLOGY OF THE PROSTATE (Historically part of Lin)

Urinary retention, sensation of incomplete emptying of the bladder,
dysuria, weak urinary stream, tenesmus, hesitant and intermittent,
dribbling, urgency, need to “push” to urinate, nocturia (prostatic
hypertrophy).
MALE PATHOLOGIES – TREATMENT MODALITIES
URINARY
Ren Mai (LU-7, KI-6), Du Mai (SI-3, BL-62). Ren-3, ST-28, SP-9, SP-6,
LIV-3, LIV-5, BL-22, BL-28, BL-63.
JING (including Blood)

Chong Mai (SP-4, P-6). LIV-3, SP-10, BL-17, KI-11, KI-12, KI-14, Ren-4,
Ren-3.
THE PENIS
Chong Mai (Zong Muscle), KI-11, KI-12, KI-13, Ren-4, Ren-1, LIV-5.
THE SCROTUM
LIV-5, SP-9, SP-6, Ren-1.
PROSTATE (Historically part of Lin)

Chong Mai (SP-4, P-6) for pathology of Blood and Jing; Ren Mai (LU-7,
KI-6) for Yin deficiency; Du Mai (SI-3, BL-62) for deficiency of
Ministerial Fire.
ACUPUNCTURE TREATMENT
CHONG MAI
Influences the prostate and the penis. Sea of Blood. Also influences the penis through
the Zong muscle. SP-4 Gongsun and P-6 Neiguan, KI-11, KI-12, KI-14 Siman, LIV-3
Taichong.
REN MAI
Influences the Bladder and the prostate. Nourishes the Yin. Urinary, prostate and Jing
pathologies (spermatorrea, nocturnal emissions). LU-7 and KI-6, Ren-1, Ren-2, Ren-2,
Ren-4.
DU MAI
Influences the Bladder, prostate and penis. Urinary, prostate and Jing pathologies. SI-3
and BL-62, BL-23, Du-4.
PHLEGM
ST-40, SP-6, Ren-12, Ren-6, Ren-9, Ren-5, BL-22, LU-7, KI-7, ST-28, KI-11, KI-12.
DAMPNESS
SP-9, SP-6, Ren-12, Ren-6, Ren-3, BL-22, Ren-5, ST-28, Ren-9.
STASIS OF JING
Chong Mai, KI-11, KI-12, LIV-3
STASIS OF BLOOD
Chong Mai, LIV-3, SP-10, BL-17, SP-6, KI-14.
THE PROSTATE
Prostate Gland
Du Mai
Du, Du-Chong-Ren
Chong, - JING
Ren -
JING
Chong Mai
(Zong
muscle), Du,
Ren Mai Du, Ren Mai
- JING
THE PROSTATE IN CHINESE MEDICINE
• The prostate is not mentioned in classical texts.
• Modern Chinese books and journals frequently discuss the treatment of

prostatitis and benign prostatic hyperplasia.
• Few ancient or modern texts are dedicated to the diagnosis and treatment of
men’s problems.
• For example, Chinese medicine refers to the “Uterus” in all its classic texts,
but no mention is ever made of the prostate.
• The Du, Ren and Chong Mai are said to arise in the Lower Burner and flow
through the uterus: but where do they flow in men? The classics do not say.
Chapter 65 of the “Ling Shu”:
“The Ren and Chong Mai originate from the Lower Dan Tian [literally “Bao”].”
• “Bao” 包 is often translated as “uterus”.
• “Bao” indicates a structure that is common to both men and women: in

women, it is the Uterus; in men, it is the “Room of Sperm”.
• Both these structures reside in the lower Dan Tian and store Jing and, as the
Extraordinary Vessels originate from here, they are closely connected to Jing.
The “Golden Mirror of Medicine” (Yi Zong Jin Jian, 1742):

“The Du Mai arises within the lower abdomen, externally in the abdomen,
internally in the ‘Bao’ . . . also called Dan Tian in both men and women: in
women it is the uterus, in men it is the Room of Sperm.”
The “Room of Sperm” is in the lower abdomen but we know that the sperm is
made in the testicles, seminal vesicles and prostate.
I think it is therefore legitimate to assume that the prostate is a

structure that is equivalent to the uterus in women and that the
Du, Ren and Chong Mai flow through the prostate.
• As the Du, Ren and Chong Mai all flow through the prostate, they are the vehicles
through which the hypothalamus, pituitary and prostate interact with each other in a
complex feedback mechanism in the same way as the hypothalamus, pituitary and
ovaries do.
• There are many correspondences between the physiology of the uterus and
ovaries and those of the prostate from a Chinese perspective as follows:
UTERUS – OVARIES PROSTATE – SEMINAL VESICLE – TESTIS

ZI BAO ROOM OF JING
• Uterus muscular tissue • Controls the outflow of urine from the bladder and into
the urethra.
• Prostate's fibromuscular tissue is about 30% of its total
tissue mass.
•The seminal vesicles produce their own seminal fluid

• Ovaries produce eggs which nourishes and gives volume to the sperm.
• Prostate adds its own prostatic fluid to this mixture.
UTERUS – OVARIES PROSTATE – SEMINAL VESICLE – TESTIS
ROOM OF JING
ZI BAO
• Almost all of the prostate’s mass develops during

• Ovaries mature at puberty puberty in response to hormonal changes associated
with maturation. The prostate literally doubles in size
during puberty.
• Change in balance of Ren • During male menopause an increased ratio of
and Du Mai with menopause oestrogen to testosterone just as in women passing
through menopause, the ratio of testosterone to
oestrogen increases.
• Ovaries at peak during • Testosterone is at its peak during adolescence. It

decreases thereafter, and the rate of decrease sharpens
adolescence.
by about age 50.
• The main organs that affect the prostate are the Kidneys and the Liver.
• The prostate plays a role in the making of sperm (the Tian Gui of men) and, it is
• under the influence of the Kidneys which are the origin of Tian Gui.
• The Heart also influences the prostate in the same way as it influences the Uterus.
• Heart-Qi and Heart-Blood need to descend towards the Kidneys to establish the
communication between these two organs.
• This communication ensures the smooth functioning of the prostate and the
regulation of the feedback mechanism among the hypothalamus, pituitary and
prostate.
• In terms of channels, the Du, Ren and Chong Mai affect the prostate.
• There is a complex feedback mechanism among the hypothalamus, pituitary and

prostate which could be compared to the flow of the Du Mai (which flows through
the brain) and the Ren Mai.
• From a Chinese medicine point of view, the clinical manifestations of benign

prostatic hyperplasia closely resemble those of Urinary Retention (Long Bi):
however, not all cases of urinary retention are due to prostatic hyperplasia.
BENIGN PROSTATIC HYPERPLASIA
Du Mai
Ren Mai
Kidney
deficiency
Dampness,
Phlegm
Blood Stasis
Jing Stasis
The primary effect of BPH is a progressive decrease in the ability to empty the
bladder as the prostate enlarges and applies pressure to the urethra.
Retained urine from this obstruction at first can interfere with sleep as the
sufferer wakes up in the middle of the night. At other times, pressure may make
it impossible to properly control urine flow (incontinence).
Retained urine in the bladder can allow bacterial growth and infection. Urine
may flow back up the tubules to the kidneys and cause infection there. In severe
cases of retention, urine can even find its way into the blood (uraemia) with
toxic consequences. BPH is common in older men.
• Sensation of not emptying bladder completely

• Frequent urination
• Micturition stopping and starting
• Difficult to postpone urination
• Weak urinary stream
• Need to push in order to urinate
• Nocturia.
• Occurs mostly in men over 60.
• Much less common in Asian individuals.
• The aetiology of the condition is unknown.
Microscopically, hyperplasia affects the glandular and connective tissue

elements of the prostate.
• Enlargement of the gland stretches and distorts the urethra,

obstructing bladder outflow.
• The bladder musculature hypertrophies so that a higher than usual
pressure is generated within the bladder in order to overcome the
obstruction and allow voiding of urine.
• Bands of muscle fibre are seen at cystoscopy (trabeculation).

• Eventually the bladder becomes dilated and the muscle hypotonic.
The sphincter mechanism at the vesico-ureteric junction may be
impaired and reflux of urine from the bladder into the ureters and
upper urinary tract may occur.
The clinical features of benign prostatic hyperplasia are:
Frequency of urination Post-void dribbling

Nocturia Suprapubic pain
Difficulty or delay in initiating urination Acute retention of urine or retention with
Reduced forcefulness of the urinary stream overflow incontinence
Occasionally haematuria
Abdominal examination for bladder enlargement together with rectal

examination are essential. A benign prostate feels smooth. An accurate
impression of prostatic size cannot be obtained on rectal examination
only.
Investigations should include urine culture, assessment of renal function by measuring

serum urea and creatinine concentrations, measurement of prostate-specific antigen
(markedly raised in prostatic cancer), an abdominal X-ray, and renal ultrasonography to
define whether upper tract dilatation is present. Excretion urography is not usually
necessary.
The completeness of bladder emptying after an act of voiding can be assessed by

ultrasonography or by inspection of the after-voiding radiograph carried out during
excretion urography if this is performed. Cystourethroscopy is only essential in patients
with haematuria.
Treatment choices for BPH include:
“Watchful waiting”. If the symptoms are not troubling, it may be advisable to
wait before starting any treatment. In that case, regular checkups are necessary
to make sure the condition does not get worse.
Alpha-blockers (some generic names are doxasozin, terazosin) relax

muscles near the prostate and ease symptoms. Side effects may include
headaches, dizziness, or feeling lightheaded or tired.
“Finasteride” (Proscar ®) is a competitive inhibitor of 5"-reductase, which is

the enzyme involved in the conversion of testosterone to dihydrotestosterone
which is the androgen primarily responsible for prostatic growth and
enlargement. Finasteride decreases prostatic volume with an increase
in urine flow. Side effects of this medication can include diminished
interest in sex and problems with erection or ejaculation.
Surgery can relieve symptoms but may cause complications. Also, it does
not protect against prostate cancer.
Deterioration in renal function or the development of upper tract dilatation

requires surgery. Transurethral resection is usually successful unless the gland
is very large. It carries a lower morbidity and mortality with a shorter stay in
hospital than open prostatectomy.
Treatment alternatives for patients with moderate to severe symptoms of BPH
Watchful Waiting
Medical Therapies
Alpha-Blockers
- Alfuzosin
- Doxazosin
- Tamsulosin
- Terazosin
- Silodosin
5- Alpha-reductase inhibitors (5-ARIs)
- Dutasteride
- Finasteride
Combination Therapy
- Alpha blocker and 5-alpha-reductase inhibitor
- Alpha blocker and anticholinergics
Anticholinergic Agents
Complementary and Alternative Medicines (CAM)
Minimally Invasive Therapies

- Transurethral needle ablation (TUNA)
- Transurethral microwave thermotherapy (TUMT)
Surgical Therapies
- Open prostatectomy
- Transurethral holmium laser ablation of the prostate (HoLAP)
- Transurethral holmium laser enucleation of the prostate
(HoLEP)
- Holmium laser resection of the prostate (HoLRP)
- Photoselective vaporization of the prostate (PVP)
- Transurethral incision of the prostate (TUIP)
- Transurethral vaporization of the prostate (TUVP)
- Transurethral resection of the prostate (TURP)
American Urological Association

The American Urological Association (AUA) has developed the following questionnaire to help men determine how
bothersome their urinary symptoms are and to check how effective their treatment is.
This questionnaire has also been adopted worldwide and is known as the International Prostate Symptom Score (IPSS).
Symptom score point scale

0 points means you answered "never" to the question.
1 point means you answered "less than 1 out of 5 times" to the question.
2 points means you answered "less than half of the time" to the question.
3 points means you answered "about half of the time" to the question.
4 points means you answered "more than half of the time" to the question.
5 points means you answered "almost always" to the question.
Symptom score questions

1.Over the past month, how often have you had the feeling of not completely emptying your bladder after you finished urinating?
2.Over the past month, how often have you had to urinate again less than 2 hours after you finished urinating?
3.Over the past month, how often have you found that you stopped and started again several times when you urinated?
4.Over the past month, how often have you found it hard to hold your urine?
5.Over the past month, how often have you had a weak urine stream?
6.Over the past month, how often have you had to push or strain to begin urination?
7.Over the past month, have you had to get up to urinate during the night? Give a score to the number of times.
•0 means you did not get up at all.
•1 means you got up 1 time.
•2 means you got up 2 times.
•5 means you got up 5 times or more.
Symptom score total

Total your score.
Your score shows how severe your symptoms are. Compare your total score to the list below.
Score and severity of problem
Score Severity
0 to 7 Mild
8 to 19 Moderate
20 to 35 Severe
• Prostate cancer in 1995 afflicted one out of six American men.
• At autopsy, 10-30% of men over 50 show malignant cells in the

prostate, by age 90 the rate approaches 100%.
• Environment and diet are primary causative factors.
• The symptoms of prostate cancer can be very similar to benign

prostatic hyperplasia or to the four forms of prostatitis.
• Often prostate cancer gives rise to no symptoms at all. The prostatic

specific antigen (PSA) test often gives rise to either false
positive or false negative results.
BENIGN PROSTATIC HYPERPLASIA IN CHINESE MEDICINE
In ancient times, an abdominal mass was diagnosed only on the basis of

palpation, i.e. it could be diagnosed only when it became palpable.
Therefore is it legitimate to consider (and treat) an abdominal mass that is

not palpable as part of the disease category “Abdominal Masses” (Zheng Jia
or Ji Ju) in Chinese medicine?
Using modern technology, we can now diagnose very small masses before
they are palpable: can we then diagnose the Chinese disease entity of
“Abdominal Masses” on the basis of Western medical tests?
My personal opinion is that non-palpable masses (diagnosed by modern tests

such as MRI, CAT or ultrasound scans) can and should indeed be treated as
disease entities pertaining to the Chinese disease category of Abdominal
Masses.
PATHOLOGY
BIAO: Blood Stasis, Dampness, Phlegm, stasis of Jing.

BEN: Kidney deficiency (Yang or Yin), Spleen deficiency, Liver deficiency.
CHANNELS: Du Mai, Ren Mai, Chong Mai, Liver, Bladder.
Superficial Luo
DEEP (BLOOD) LUO
Luo channel
Blood stasis in the prostate is located in the
Deep (Blood) Luo of the prostate. Herbs
which “penetrate the Luo” (tong Luo): Main channel
Deep Luo channel
Lu Lu Tong Tong Cao Ju Luo Si Gua Luo Lou Lu

The pathology of benign prostatic hyperplasia is complex and it is always
characterized by Emptiness and Fullness.
a) Deficiency of Kidneys, Spleen, Lungs and Liver
A Kidney deficiency is always at the root of benign prostatic hyperplasia.
A deficient Kidney fails to transform, transport and excrete fluids in the Lower
Burner resulting in accumulation of fluids and eventually Dampness and
Phlegm.
There may also be Lung and/or Spleen deficiency. A deficient Lung fails to
make fluids descend and a deficient Spleen fails to transform fluids: this leads to
the formation of Dampness and Phlegm.
b) Dampness and Phlegm
A deficiency of the Kidneys, Spleen and Lungs leads to the impairment

of the transformation, transportation and excretion of fluids and therefore
to Dampness and Phlegm accumulating in the prostate.
The symptoms of Phlegm accumulation in the men’s genital system are
especially:
Prostatic hypertrophy
Peyronie’s disease
c) Stasis of Jing
There is a pathology not only of fluids but also of Jing.

Although the ancient Chinese did not have a knowledge of the prostate and
seminal vesicles, they were aware of the difference between urethral discharges
of urine and of sperm.
Urethral discharges of urine pertain to the pathology of Lin Syndrome and

therefore of Body Fluids.
Urethral discharges of sperm pertain to the pathology of Jing and are generally
due to a weakness of the “Sperm Gate” (Jing Guan).
Stasis of Jing is somewhat equivalent to Blood stasis in the Uterus in women
and its clinical manifestations in men are as follows:
Stabbing pain lumbar region prostatic hypertrophy

pain in perineum premature greying of hair
hypogastric pain itching or pain in pubic region
pain in testis and/or penis abnormal sperm
impotence sperm urethral discharge
premature ejaculation Peyronie’s disease
priapism Purple tongue, Choppy, Wiry or Firm pulse.
Dampness and Phlegm in the prostate interact with stasis of Jing and these
two pathological conditions aggravate each other in the same way as Phlegm
and Blood stasis do.
In particular, when stasis of Jing interacts with Phlegm, it is men’s genital
system that is affected.
Stasis of Jing
Dampness and
Kidney
Phlegm in the
deficiency Turbidity in the prostate
prostate
Turbidity 浊 zhuo
“Turbidity” is often mentioned in Chinese medicine, especially in diseases

of the Lower Burner.
In urinary diseases, “turbidity” indicates a pathological state of the fluids in

the Lower Burner: this occurs when there is an impairment in the
transformation, transportation and excretion of fluids in the Lower Burner.
In this context, “turbidity” manifests not only with turbid urine but also with
urinary difficulty.
In genital diseases such as prostatitis and benign prostatic hyperplasia,
“turbidity” refers to a pathology of Jing: in this context, it manifests with
urethral discharges of sperm, prostatitis and benign prostatic hyperplasia.
In both urinary and genital diseases, “turbidity” also refers to retention of

chronic Dampness.
Although we think of the Jing as a pure, precious fluid that is inherited from
the parents, it plays a role in the physiology and pathology of men’s genital
system in the same way that Blood does in women: as a result, Jing in men
can become stagnant and be affected by “turbidity”.
d) Blood stasis
Blood stasis resulting from stagnation of Liver-Qi and Liver-Blood and

from stasis of Jing is another factor in the pathology of benign prostatic
hyperplasia.
The clinical manifestations of Blood stasis in men’s genital system are:
Stabbing pain lumbar region prostatic hypertrophy

pain in perineum abnormal sperm, blood in sperm
hypogastric pain Peyronie’s disease
pain in testis and/or penis Purple tongue
priapism Choppy, Wiry or Firm pulse.
Blood stasis in the prostate occurs in the prostate’s Blood Luo

Mai. One therefore needs herbs that “penetrate the Luo Mai” (tong
Luo) such as:
Lu Lu Tong
Tong Cao
Ju Luo
Si Gua Luo
Lou Lu
Ju Luo is the pith of the red tangerine, the “pith” being the white
fibrous tissue surrounding the flesh and directly below the skin of a
citrus fruit.
It is interesting to note that the Luo Mai form a reticular network of
channels and the pith of a tangerine resembles such network.
In pulse diagnosis, the prostate can be felt on the proximal end of the
left chi position (left Kidney position): this is felt by rolling the finger
proximally but only very slightly.
If the prostate is enlarged, the pulse feels either Slippery (indicating

Damp-Phlegm as the main cause of the swelling) or Wiry (indicating
Blood or Jing stasis as the main cause of the swelling).
Cun
Left
Pulse Guan Slippery: Dampness or Phlegm
Chi Wiry: Blood or Jing stasis
Prostate
e) Toxic Heat
The clinical manifestations of Toxic Heat in prostate problems are:
Pain
Feeling of heat
Possibly blood in the urine
Dark urine
Many red points or spots on the tongue, especially root
Rapid and Full pulse
If there is carcinoma of the prostate, Toxic Heat is a bad sign and one
that indicates that the cancer may spread.
TREATMENT STRATEGIES
a) HERBAL STRATEGY
The following are the treatment strategies commonly adopted:
Invigorate Blood: Lu Lu Tong, Wang Bu Liu Xing, Mu Dan Pi.
Resolve Dampness: Yi Yi Ren, Bi Xie, Shi Wei, Hai Jin Sha, Tian Kui Zi.
Resolve Phlegm: Zhe Bei Mu, Ban Xia, Xia Ku Cao, Dan Nan Xing, Si Gua Luo.
Soften hardness: Yi Yi Ren, Zhe Bei Mu, Kun Bu, Hai Zao.
Resolve Toxic Heat: Bai Hua She She Cao, Shan Dou Gen, Tian Kui Zi.
Penetrate the Luo channels: Lu Lu Tong, Tong Cao, Ju Luo, Si Gua Luo, Lou Lu.
Open the orifices: Shi Chang Pu.
The method of “softening hardness” is used for abdominal

masses, especially those from Blood stasis.
ACUPUNCTURE
When treating prostate problems, it is important to treat one of the three

extraordinary vessels that flow through it, i.e. the Du, Ren or Chong Mai.
Use the Du Mai for pronounced Kidney-Yang deficiency
Use the Ren Mai for pronounced Kidney-Yin deficiency
Use the Chong Mai for pronounced Blood stasis.
In all cases, I use the opening and coupled points of the relevant
extraordinary vessel.
In men, use the opening point on the left side and the coupled point on the
right, e.g. for the Du Mai, S.I.-3 Houxi on the left and BL-62 Shenmai on the
right.
Du Mai: SI-3 Houxi (left) and BL-62 Shemai (right).
Ren Mai: LU-7 Lieque (left) and KI-6 Zhaohai (right), Ren-2 Qugu, Ren-3
Zhongji.
Chong Mai: SP-4 Gongsun (left) and P-6 Neiguan (right), KI-14 Siman.
Liver channel: LIV-5 Ligou, LIV-1 Dadun, LIV-3 Taichong.
Back-Shu points: BL-32 Ciliao, BL-34 Xialiao.
Damp-Phlegm: ST-40 Fenglong, SP-9 Yinlingquan, BL-22 Sanjiaoshu, ST-28

Shuidao, Ren-3 Zhongji, Ren-5 Shimen.
Blood stasis: LIV-3 Taichong, SP-10 Xuehai, BL-17 Geshu, KI-14 Siman.
Stasis of Jing: KI-14 Siman, Ren-5 Shimen.

a) BLOOD STASIS
Clinical manifestations
Decreased urinary flow
Nocturia
hypogastric pain
pain in the perineum
the prostate feels hard on rectal examination
Pulse: Wiry, Choppy or Firm. Prostate pulse Wiry
Tongue: Purple
Treatment principle
Invigorate Blood and eliminate stasis, soften hardness.
Acupuncture
LIV-3 Taichong, SP-10 Xuehai, BL-17 Geshu, KI-14 Siman, SP-4 Gongsun on
the left and P-6 Neiguan on the right (Chong Mai), Ren-2 Qugu, BL-32 Ciliao,
BL-34 Xialiao.
Prescription
HU PO SI WU TANG
Succinum Four Substances Decoction
Explanation
This formula invigorates Blood, eliminates stasis and soften hardness.
Prescription
DAI DI DANG WAN
Surrogate Keeping out Pill
Note: Chuan Shan Jia in this formula can be replaced by Wang Bu Liu
Xing Semen Vaccariae.
Explanation
This formula invigorates Blood and soften hardness. It is especially
suitable if there is Heat in the Stomach and Intestines with dry stools.
Three Treasures remedies
Stir Field of Elixir and Clear the Root.
Stir Field of Elixir invigorates Blood in the Lower Burner: Clear the Root also
invigorates Blood and, in addition, it drains Dampness and resolves Toxic Heat.
HU PO SI WU TANG
Succinum Four Substances Decoction
Hu Po Succinum 6 g
Shu Di Huang Radix Rehmanniae preparata 6 g
Bai Shao Radix Paeoniae alba 6 g
Chuan Xiong Rhizoma Chuanxiong 6 g
Dang Gui Radix Angelicae sinensis 9 g
Tao Ren Semen Persicae 6 g
Hong Hua Flos Carthami tinctorii 6 g
Chuan Niu Xi Radix Cyathulae 6 g
Dan Shen Radix Salviae milthiorrizae 6 g
Chuan Shan Jia Squama Manitis Pentadactylae 6 g (replace with Zhe Bei Mu)
Rou Gui Cortex Cinnamomi 3 g
Wang Bu Liu Xing Semen Vaccariae 6 g
DAI DI DANG WAN
Surrogate Keeping out Pill
Da Huang Radix et Rhizoma Rhei 9 g
Mang Xiao Natrii Sulfas 6 g
Sheng Di Huang Radix Rehmanniae 12 g
Shan Jia Squama Manitis 6 g
b) DAMP-PHLEGM
Urinary difficulty
turbid urine
painful urination
hypogastric heaviness
micturition stopping and starting
feeling of heaviness at the perineum
Pulse: Slippery. Prostate pulse Slippery.
Tongue: Swollen with sticky coating

Treatment principle
Resolve Dampness and Phlegm, tonify the Spleen.
Acupuncture
LU-7 Lieque on the left and KI-6 Zhaohai on the right (Ren Mai), ST-28
Shuidao, BL-22 Sanjiaoshu, Ren-3 Zhongji, Ren-5 Shimen, Ren-9 Shuifen,
Ren-12 Zhongwan, BL-20 Pishu.
Prescription
CANG FU DAO TAN WAN
Atractylodes Resolving Phlegm Pill
Explanation
This formula resolves Damp-Phlegm from the Lower Burner. It is primarily
for Damp-Phlegm associated with Cold.
Prescription
TONG FU ZHI LONG TANG
Penetrating the Yang Organs and Treating Urinary Retention Decoction
Explanation
This formula is applicable when Damp-Phlegm is combined with Heat and
there is Full Heat in the Stomach and Intestines with dry stools and a thick-
dry-yellow coating.

Separate Clear and Turbid and Clear the Root
Separate Clear and Turbid resolves Dampness from the urinary passages and
resolves turbidity; Clear the Root resolves Damp-Phlegm from the prostate.
CANG FU DAO TAN WAN
Atractylodes Resolving Phlegm Pill
Cang Zhu Rhizoma Atractylodis 6 g

Fu Zi Radix Aconiti lateralis preparata 3 g
Ban Xia Rhizoma Pinelliae preparatum 6 g
Chen Pi Pericarpium Citri reticulatae 6 g
Fu Ling Poria 9 g
Dan Nan Xing Rhizoma Arisaematis preparatum 6 g
Zhi Shi Fructus Aurantii immaturus 6
Yi Yi Ren Semen Coicis 12 g
Huang Bo Cortex Phellodendri 6 g
Gan Cao Radix Glycyrrhizae uralensis 3 g
Penetrating the Fu and Treating Urinary Retention Decoction

Tian Hua Fen Radix Trichosanthis 12 g
Mang Xiao Natrii Sulfas 12 g
Lian Qiao Fructus Forsythiae 12 g
Zhi Shi Fructus Aurantii immaturus 9 g
Shan Zhi Zi Fructus Gardeniae 9 g
Huang Lian Rhizoma Coptidis 9 g
Lai Fu Zi Semen Raphani 24 g
Lu Dou Semen Phaseoli radiati 45 g
c) KIDNEY- AND SPLEEN-YANG DEFICIENCY
tiredness
dizziness
urinary frequency
lower backache
depression
slight incontinence dribbling urgency
tinnitus
loose stools
cold legs and knees
Pulse: Deep-Weak.
Tongue: Pale
Treatment principle
Tonify and warm the Spleen and Kidneys, resolve Dampness from the
Lower Burner.
Acupuncture
BL-20 Pishu, Ren-12 Zhongwan, BL-23 Shenshu, KI-13 Qimen, Ren-4
Guanyuan, SI-3 Houxi with BL-62 Shenmai, Ren-3 Zhongji, SP-9
Yinlingquan, KI-12 Dahe, BL-32 Ciliao, BL-34 Xialiao. Moxa is
applicable.
Prescription
LAO REN LONG BI TANG
Urinary Retention Decoction for the Elderly
Explanation
This formula tonifies primarily Spleen-Yang and resolves Dampness from the
Lower Burner.
Prescription
BAO YUAN TONG BI TANG
Protecting the Origin and Penetrating Urinary Retention Decoction
Explanation
This formula, based on only three herbs, tonifies Spleen-Yang (with Huang Qi
Radix Astragali 100g), resolves Dampness from the urinary passages (with
Hua Shi Talcum 30g), invigorates Blood and opens the orifices of the urinary
passages (with Hu Po Succinum 30g). Although the original formula calls for
a dose of 100g daily for Huang Qi, I would reduce that to 30g and the other
two herbs to 10g.

Strengthen the Root and Clear the Root
Strengthen the Root tonifies Kidney-Yang and Clear the Root resolves
Dampness from the prostate.
LAO REN LONG BI TANG
Urinary Retention Decoction for the Elderly
Dang Shen Radix Codonopsis 9 g

Huang Qi Radix Astragali 12 g
Fu Ling Poria 6 g
Lian Zi Semen Nelumbinis 6 g
Bai Guo Semen Ginkgo 4 g
Bi Xie Rhizoma Dioscoreae hypoglauca 6 g
Che Qian Zi Semen Plantaginis 6 g
Wu Zhu Yu Fructus Evodiae 3 g
BAO YUAN TONG BI TANG

Protecting the Origin and Penetrating Urinary Retention Decoction
Huang Qi Radix Astragali 100 g

Hua Shi Talcum 30 g
Hu Po Succinum 30 g
d) LIVER- AND KIDNEY-YIN DEFICIENCY
dizziness
tinnitus
dry eyes
Urinary difficulty dark urine
night-sweating
5-palm heat
Pulse: Floating-Empty.
lower backache
frequent but scanty urination
Tongue: without coating.
Treatment principle
Nourish Liver- and Kidney-Yin, resolve Dampness from the Lower Burner.
Acupuncture
Ren-4 Guanyuan, KI-13 Qimen, SP-6 Sanyinjiao, LIV-8 Ququan, LU-7
Lieque on the left with KI-6 Zhaohai on the right, Ren-7 Yinjiao, Ren-3
Zhongji, SP-9 Yinlingquan, BL-32 Ciliao, BL-34 Xialiao.
Prescription
ZHI BO DI HUANG WAN Variation
Anemarrhena-Phellodendron-Rehmannia Pill
The original formula plus:

- Yi Yi Ren Semen Coicis and Shi Wei Folium Pyrrosiae to resolve
Dampness.
Prescription
ZHI BO DI HUANG WAN Variation
Anemarrhena-Phellodendron-Rehmannia Pill
Sheng Di Huang Radix Rehmanniae 12 g
Shan Zhu Yu Fructus Corni 6 g
Shan Yao Rhizoma Dioscoreae 6 g
Ze Xie Rhizoma Alismatis 9 g
Fu Ling Poria 9 g
Mu Dan Pi Cortex Moutan 9 g
Zhi Mu Rhizoma Anemarrhenae 9 g
Shi Wei Folium Pyrrosiae 9 g
Explanation
This formula nourishes Liver- and Kidney-Yin and drains Damp-Heat from
the Lower Burner.

Nourish the Root (or Water Passages) and Clear the Root
Nourish the Root nourishes Liver- and Kidney-Yin and Clear the Root
resolves Dampness from the Lower Burner and the prostate.
e) STASIS OF JING
Urinary difficulty
nocturia
decreased urinary flow
hypogastric pain
seminal emissions
urethral discharge
Pulse: Wiry, Choppy or Firm. Prostate pulse Wiry.
Tongue: Purple.
Treatment principle
Invigorate Blood, eliminate stasis, soften hardness,
eliminate turbidity.
Acupuncture
SP-4 Gongsun on the left with P-6 Neiguan on the right , LIV-3 Taichong,
LIV-1 Dadun, Ren-3 Zhongji, KI-14 Siman, Zigong, BL-32 Ciliao, BL-34
Xialiao.
Prescription
HUO XUE TONG JING TANG
Invigorate Blood and Penetrate the Jing Decoction
Explanation
This formula invigorates Blood and resolves turbidity and Dampness in the
Lower Burner
Three Treasures remedy

Clear the Root

He Shou Wu Radix Polygoni multiflori preparata 6 g
Yi Mu Cao Herba Leonuri 6 g
Ji Xue Teng Caulis Spatholobi 6 g
Gou Qi Zi Fructus Lycii chinensis 6 g
Xue Jie Resina Demonoropis 6 g
Pu Huang Pollen Typhae 6 g
f) LIVER-QI STAGNATION WITH DAMP-PHLEGM
irritability
hypogastric distension
Urinary difficulty
retention of urine when under stress

turbid urine
Pulse: Slippery-Wiry. Prostate pulse Wiry.
Tongue: Red on the side, Swollen with

sticky coating
Treatment principle
Soothe the Liver, move Qi, resolve Dampness and Phlegm.
Acupuncture
SP-4 Gongsun on the left with P-6 Neiguan on the right (Chong Mai), LIV-3
Taichong, LIV-5 Ligou, KI-14 Siman, Ren-3 Zhongji, SP-9 Yinlingquan, ST-
40 Fenglong, ST-28 Shuidao.
Prescription
SHU GAN SAN JIE FANG
Soothe the Liver Disperse Stagnation Formula
Explanation
This formula moves Liver-Qi, invigorates Blood, resolves Damp-Phlegm and
softens hardness.

Clear the Root and Break into a Smile
Clear the Root resolves Damp-Phlegm from the prostate and Break into a
Smile moves Liver-Qi in the Lower Burner.
SHU GAN SAN JIE FANG
Soothe the Liver and Disperse Stagnation Formula
Chai Hu Radix Bupleuri 6 g

Chi Shao Radix Paeoniae rubra 6 g
Mu Li Concha Ostreae 9 g
Xuan Shen Radix Scrophulariae 6 g
Zhe Bei Mu Bulbus Fritillariae thunbergii 6 g
Xia Ku Cao Spica Prunellae 6 g
Hai Zao Herba Sargassi 6 g
Kun Bu Thallus Eckloniae 6 g
Hai Fu Shi Pumice 6 g
g) DAMP-PHLEGM, KIDNEY-YANG DEFICIENCY
Urinary difficulty
turbid urine
painful urination
micturition stopping and starting
Plus: feeling cold, pale urine, backache,
dizziness, cold back and kness, Weak pulse on
KI positions.
Pulse: Slippery. Prostate pulse Slippery.
Tongue: Swollen with sticky coating

Prescription
CANG FU DAO TAN WAN
Atractylodes Resolving Phlegm Pill.
Prescription
Penetrating the Fu and Treating Urinary Retention Decoction
Plus: Bai Zhu Radix Atractylodis, Huang Qi Radix Astragali, Tu Si Zi Semen

Cuscutae, Du Zhong Cortex Eucommiae and Xu Duan Radix Dipsaci.

Separate Clear and Turbid and Clear the Root plus Strengthen the Root
h) STASIS OF JING with KIDNEY-YIN DEFICIENCY
Urinary difficulty
nocturia
decreased urinary flow
hypogastric pain
seminal emissions
urethral discharge
Pulse: Wiry, Choppy or Firm. Prostate pulse Wiry.
Tongue: Purple, without coating
Treatment principle
Invigorate Blood, eliminate stasis, soften
hardness, eliminate turbidity.
Acupuncture
SP-4 Gongsun on the left with P-6 Neiguan on the right (Chong Mai), LIV-3
Taichong, LIV-1 Dadun, Ren-3 Zhongji, KI-14 Siman, Zigong, BL-32 Ciliao,
BL-34 Xialiao.
Prescription
Explanation
This formula invigorates Blood and resolves turbidity and Dampness in the
Lower Burner
Plus: Gou Qi Zi Fructus Lycii, Sheng Di Huang Radix Rehmanniae

Clear the Root.
EXTERNAL TREATMENT
Ye Ju Hua Flos Chrysanthemi indici

Ku Shen Radix Sophorae flavescentis
Ma Zhi Xian Herba Portulacae
Bai Jiang Cao Herba Patriniae
Yan Hu Suo Rhizoma Corydalis
Dang Gui Radix Angelicae sinensis
Bing Lang Semen Arecae
MODERN CHINESE LITERATURE
a) Cui Xue Jiao “58 Cases of Prostatic Hyperplasia Treated by Tonifying Qi,
Benefiting the Kidneys and Eliminating Stasis”, Journal of Chinese Medicine
(Zhong Yi Za Zhi), Vol. 35, No. 4, 1994, p. 225.
• 58 cases of prostatic hyperplasia: aged between between 45 and 70.
• Treatment principle: tonify Qi, benefit the Kidneys, invigorate Blood and
eliminate stasis.
Prescription: Wang Bu Liu Xing 30g
Huang Qi 30g Lu Lu Tong 30g
Dang Shen 30g Tao Ren 15g
Rou Cong Rong 30g Chi Shao 15g
Shan Zhu Yu 12g San Qi 3g
Results
- Good: nocturia less than twice, free micturition, retention of urine in bladder
under 60 ml
- Average: nocturia reduced, dribbling reduced, retention of urine in bladder
between 60 and 100 ml
- None: no observed changes in symptoms and signs.
- Based on the above criteria, 39 patients had good results, 17 good and 2 had
no results.
b) Wang Geng Sheng “Experience in Treatment of Prostatic Hyperplasia by
Tonifying the Kidneys and Resolving Dampness”, Journal of Chinese Medicine
(Zhong Yi Za Zhi), Vo. 29, No. 7, 1988, p. 66.
Treatment principle: tonify the Kidneys and resolve Dampness.
Prescription: Shi Chang Pu 10g

Bi Xie 15g Huang Bo 10g
Tu Si Zi 15g Che Qian Zi 15g
Shan Yao 15g Mu Dan Pi 10g
Qian Shi 10g Fu Ling 15g
Yi Zhi Ren 15g Gan Cao 5g
c) Zhang Xi Jun “Experience in the Treatment of Prostatic Hyperplasia in the

Elderly” Journal of Chinese Medicine (Zhong Yi Za Zhi), Vol. 27, no. 5, 1986,
pp. 10-1.
The treatment must be based on treating the Biao in acute cases and the Ben
in chronic cases.
i. Eliminate stasis, dissolve nodules, promote Water transformation

Prostatic hyperplasia is characterized by Dampness, Qi stagnation, Blood
stasis and nodules accumulation: this is the Manifestation (Biao).
Before treating according to Pattern Identification, Dr Zhang resolves Dampness,
moves Qi, invigorates Blood and dissolves nodules with the formula Shuang Hu
Tong Guan Wan Double Tiger Opening the Gate Pill in pill form. He uses this
pill for 3 to 5 days. This formula eliminates Stasis, resolves Dampness and
dissolves nodules by the two excretions (urination and defecation).
Ingredients of Shuang Hu Tong Guan Wan:
Hu Po 1g Tao Ren 1g
Hu Zhang 1g Shi Wei 1g
Da Huang 1g Hai Jin Sha 1.5g
Dang Gui (Wei) (tails) 1g Tu Bie Chong 2g
Take one pill 3 times a day with a decoction of Lu Cao Herba Lupuli
scandentis and Bai Hua She She Cao Herba Hedyotidis diffusae 30g of
each.
ii. Treatment according to Pattern Identification
Liver-Qi stagnation
Urinary difficulty, hypogastric distension.
Treatment principle
Promote the free flow in the Qi Mechanism, promote urination
Prescription
CHEN XIANG SAN Aquilaria Powder Variation
Chen Xiang, Chen Pi, Dang Gui, Wang Bu Liu Xing, Shi Wei, Dong Kui Zi,
Hua Shi, Xiang Fu, Yu Jin, Wu Yao
Qi and Blood stasis
Urinary retention, dribbling of urine, thin stream, hypogastric pain, swelling

and pain of prostate.
Treatment principle
Eliminate stasis, dissolve nodules, open the Water passages.
Prescription
DAI DI DANG WAN
Surrogate Keeping out Decoction
Note: Chuan Shan Jia can be replaced by Wang Bu Liu Xing Semen
Vaccariae.
Damp-Heat
Dribbling of urine, urinary difficulty, frequent but scanty urination, turbid
urine, hypogastric fullness.
Treatment principle
Resolve Dampness, clear Heat, promote Water transformation, open the Water
passages.
Prescription
BA ZHENG SAN Eight Upright Powder
Spleen- and Kidney-Yang deficiency
Frequent urination, weak stream, dribbling of urine, backache.
Treatment principle
Tonify and Warm Spleen and Kidneys, open the Water passages
Prescription
LAO REN LONG BI TANG Elderly Urinary Retention Decoction Variation
Dang Shen 6g Bi Xie 6g

Huang Qi 6g Che Qian Zi 6g
Lian Zi 6g Wang Bu Liu Xing 6g
Huang Jing 6g Wu Zhu Yu 6g
Yin Yang Huo 6g Gan Cao 3g
Rou Gui 3g
Kidney-Yin deficiency
Frequent and scanty urination, dribbling of urine, micturition stops and starts.
Treatment principle
Nourish Kidney-Yin, open the Water passages.
Prescription
LIU WEI DI HUANG WAN Six Ingredients Rehmannia Pill
d) Zhang Ping et al “Herbs Affecting the Prostate in 100 Cases of Prostatitis
and Prostatic Hyperplasia” Journal of Nanjing University of Traditional
Chinese Medicine (Nan Jing Zhong Yi Yao Da Xue Xue Bao), Vol. 12, no. 4,
1996, pp. 43-4.
The principle adopted was to tonify and warm the Kidneys, tonify Yang,
move Qi, remove obstructions from the channels, remove obstructions with
warm-pungent-dispersing herbs, invigorate Blood, benefit urination.
Examples of herbs used: Ding Xiang Flos Caryophilli, Jiu Cai Zi Semen Allii
tuberosi, She Chuang Zi Fructus Cnidii.
e) Fang Tie Sheng et al “Differentiation between Full and Empty Patterns in the
Treatment of 150 Cases of Benign Prostatic Hyperplasia” Journal of Nanjing
University of Traditional Chinese Medicine (Nan Jing Zhong Yi Da Xue Xue
Bao), Vol. 13, no. 4, 1997, pp. 206-7.
Full type. Pu Gong Ying Herba Taraxaci, Hu Lu Cha Herba Desmodii triqueti,
Dong Kui Zi Fructus Malvae, E Zhu Rhizoma Curcumae, Chuan Niu Xi Radix
Cyathulae.
Empty type. Kun Bu Thallus Eckloniae, Hai Zao Herba Sargassi, Shu Di Huang
Radix Rehmanniae preparata, Shan Zhu Yu Fructus Corni, Ze Xie Rhizoma
Alismatis, Mu Dan Pi Cortex Moutan, Dan Shen Radix Salviae milthiorrizae,
Huang Qi Radix Astragali, Chai Hu Radix Bupleuri.
Benign prostatic hyperplasia (BPH) corresponds to Long Bi. Many organs are
affected and particularly the Spleen, Lungs, Liver, Kidneys, Triple Burner and
Bladder.
In Empty conditions, there is Spleen and Kidney deficiency. Spleen deficiency

leads to the impairment of the rising of the clear and descending of the turbid so
Dampness is formed. When the Kidneys are deficient, the Qi transformation is
impaired, fluids cannot be transformed, injuring the Jing and leading to Blood
stasis; turbid Jing obstructs the Water passages.
In Full conditions, there is often Damp-Heat and stasis of Blood.

f) Meng Yu “Experience of Dr Xu Fu Song in the Treatment of Prostatic
Diseases with the Method of Transforming Yin with Sour and Sweet Herbs”
Journal of Chinese Medicine (Zhong Yi Za Zhi), Vol. 41, No. 9, 2000.
Dr Meng Yu reports the experience of Dr Xu Fu Song in the treatment of

disease of the prostate by nourishing Yin and transforming fluids. This
treatment applies especially to the elderly.
For benign prostatic hyperplasia in the elderly, Dr Xu uses this formula:

Wu Wei Zi, Wu Mei, Chi Shao, Bai Shao, Mu Gua, Mai Ya, Long Gu, Mu Li,
Xu Duan, Wu Yao, Mu Tong, Gan Cao.
g) Shanghai College of Traditional Chinese Medicine “63 Cases of Prostatic

Hyperplasia Treated by Tonifying the Kidneys and Benefiting Urination”,
Shanghai Journal of Chinese Herbal Medicine (Zhong Yi Yao Za Zhi), Vol. 12,
No. 8, 1987, p. 225.
63 cases were treated by tonifying the Kidneys and benefiting urination. The
formula used was:
Shan Yai Rhizoma Dioscoreae 15g
Dang Shen Radix Codonopsis 15g Fu Ling Poria 10g
Huang Qi Radix Astragali 26g Ze Xie Rhizoma Alismatis 10g
Jie Geng Radix Platycodi 5g Mu Dan Pi Cortex Moutan 10g
Wu Yao Radix Linderiae 15g Che Qian Zi Semen Plantaginis 15g
Most common treatment methods for benign prostatic hyperplasia adopted by modern
Chinese doctors.
TREATMENT METHOD NUMBER

Nourish Yin 14
Clear Heat 13
Eliminate Qi stagnation 10
Resolve Phlegm 9
Soften hardness 3
Dissolve nodules 3
Extinguish Wind 3
Eliminate Blood stasis 2
Clear Empty Heat 2
Tonify Qi and Yin 1
7 TREATMENT METHODS FOR BENIGN PROSTATIC HYPERPLASIA by Dr Zhang
Duan Ze
1. CARRY THE KETTLE and UNCOVER LID
Used for hyperplasia with Lung-Heat. The Lungs

control the Water Passages and its Qi descends to the
Bladder. When the Lungs are obstructed by Heat, its
Qi fails to descend, Water accumulates and urination
becomes difficult. This corresponds to acute cases.
Use Ma Huang, Sang Bai Pi, Ma Dou Ling, Jie Geng.

Example of formula: Ma Huang 5, Sang Bai Pi 12g,
Ma Dou Ling 5g, Jie Geng 5g, Fu Ling 10g, Mu Tong
3g, Shan Zhi Zi 10g, Qian Hu 10g, Xing Ren 10g, Fu
Ping 5g, Gan Cao 3g.
2. CLEAR AND PROMOTE SEPARATION OF FLUIDS, ASSIST QI
TRANSFORMATION
Used for Bladder Damp-Heat. Example: Zhi Mu 10g, Huang Bo 10g, Shan
Zhi Zi 10g, Qu Mai 10g, Bian Xu 12g, Dong Kui Zi 12g, Jin Qian Cao 15g, Fu
Ling 12g, Che Qian Zi 12g, Rou Gui 2g, Liu Yi San 6g.
3. REGULATE THE QI MECHANISM AND MOVE LIVER-QI
Used for Liver-Qi stagnation affecting the Bladder. Example:

Chai Hu 5g, Chuan Lian Zi 10g, Wu Yao 5g, Yu Jin 10g, Chen
Xiang 2g, Dang Gui 10g, Wang Bu Liu Xing 10g, Chen Pi 6g, Shi
Wei 10g, Dong Kui Zi 10g, Hua Shi 15g, Xi Shuai (cricket) 4
pieces.
4. INVIGORATE BLOOD AND DISSOLVE ACCUMULATION

Dang Gui 10g, Tao Ren 10g, Chuan Shan Jia 10g, Wu Ling Zhi 10g, Di
Bie Chong 10g, Da Huang 10g, Chuan Niu Xi 10g, Hua Shi 10g, Che
Qian Zi 15g, Chen Xiang 3g..
5. LIFT QI, BENEFIT QI, RESOLVE TURBIDITY
Dang Shen 15g. Huang Qi 15g, Sheng Ma 5g, Chuan Niu Xi 10g,
Bi Xie 10g, Hua Shi 15g, Che Qian Zi 10g, Fu Ling 10g, Mu
Tong 3g, Zhi Gan Cao 3g.
6. TONIFY AND WARM KIDNEY-YANG, PROMOTE QI

TRANSFORMATION IN WATER PASSAGES
Xian Mao 10g, Yin Yang Huo 10g, Lu Jiao 10g, Shu Di Huang 10g, Shan
Zhu Yu 10g, Mu Dan Pi 10g, Fu Ling 10g, Ze Xie 10g, Niu Xi 10g, Fu Zi
5g, Rou Hui 3g, Che Qian Cao 15g.
7. NOURISH YIN, TRANSFORM WATER, TONIFY YANG WITHIN

YIN
Sheng Di Huang 15g, Bei Sha Shen 12g, E Jiao 10g, Zhi Mu 10g, Huang
Bo 10g, Bi Xie 10g, Mu Tong 10g, Che Qian Zi 10g, Hua Shi 15g, Wu
Yao 15g, Xiao Hui Xiang 3g, Zhi Gan Cao 3g.
THE TREATMENT OF BENIGN PROSTATIC HYPERPLASIA by Dr Zhang Yi Jun.
SHUANG HU TONG GUAN WAN 双虎通关丸 Invigorate Blood, dissolve

accumulation, clear Heat and promote Water transformation
Hu Po, Hu Zhang, Da Huang, Dang Gui (wei), Tao Ren, Di Bie Chong, Shi
Wei, Hai Jin Sha.
1. LIVER-QI STAGNATION
Chen Xiang, Ju Pi, Dang Gui, Wang Bu Liu Xing, Shi Wei, Dong Kui Zi, Hua
Shi, Xiang Fu, Yu Jin, Wu Yao.
2. BLOOD STASIS
Dang Gui (wei), Chuan Shan Jia, Tao Ren, Da Huang, Mang Xiao.
3. DAMP-HEAT
Hua Shi, Gan Cao, Che Qian Zi, Bian Xu, Qu Mai, Shan Zhi Zi, Da Huang.
4. SPLEEN- AND KIDNEY-YANG XU
Dang Shen, Huang Qi, Lian Zi, Huang Jing, Yin Yang Huo, Rou Gui, Bi Xie,
Che Qian Zi, Wang Bu Liu Xing, Wu Zhu Yu, Gan Cao.
5. KIDNEY-YIN XU
Mu Dan Pi, Shan Zhu Yu, Shan Yao, Fu Ling, Sheng Di Huang, Ze Xie, Gou Qi
Zi, Che Qian Zi, Bian Xu, Qu Mai, Niu Xi.
THE TREATMENT OF PROSTATIC HYPERPLASIA THROUGH THE
LIVER CHANNEL by Dr Yin Hui He.
Prostatic hyperplasia falls under the category of disease entity “Long Bi”
(Urinary Retention) in Chinese medicine. Must move Qi, invigorate Blood,
resolve Phlegm and tonify the Kidneys.
Chai Hu, Chuan Niu Xi, Dang Gui, Chi Shao, Dan Shen, Mu Li, Hai Zao,
Kun Bu, Hai Fu Shi, Xuan Shen, Zhe Bei Mu, Xia Ku Cao, Shen Jing Zi 肾
精子.
THE TREATMENT OF PROSTATIC HYPERPLASIA THROUGH THE
LUNGS, SPLEEN AND KIDNEYS by Dr Guo Wei Yi.
LUNGS
The Lungs are in the Upper Burner, they are the “lid”. They control the
Water Passages and communicate downwards with the Bladder. When
Lung-Qi fails to descend, the Water Passages are obstructed and they affect
the Bladder leading to urinary retention.
Example of formula: Mai Men Dong 60g, Huang Qin 6g, Huang Lian 3g,
Zhu Ye 10g.
SPLEEN
Example: Huang Qi 20g, Dang Shen 15g, Dang Gui 10g, Bai Zhu 10g, Chen
Pi 10g, Mai Ya 10g, Zhi Gan Cao 5g, Sha Ren 6g, Sheng Ma 6g, Chai Hu
6g, Da Zao 3g.
KIDNEYS
Example: Shu Di Huang 24g, Shan Yao 12g, Shan Zhu Yu 12g, Mu Dan Pi
12g, Ze Xie 10g, Fu Ling 10g, Rou Gui 10g, Niu Xi 10g, Che Qian Zi 10g,
Dang Gui 10g, Wu Wei Zi 10g, Yi Zhi Ren 10g, Huang Qi 30g, Fu Zi 15g,
Yin Yang Huo 15g.
PRINCIPLES OF TREATMENT FOR PROSTATIC HYPERPLASIA by Dr Ye Lang
Qing.
1. PAY ATTENTION TO IDENTIFICATION OF PATTERNS
a) Deficiency of Central Qi (Zhong Qi): Dang Shen 9g, Huang Qi 9g, Bai Zhu 9g, Chai
Hu 4.5g, Sheng Ma 6g, Bi Xie 12g, Mu Tong 4.5g, Dang Gui 9g, Xia Ku Cao 10g,
Bian Xu 10g, Hai Zao 12g, Kun Bu 12g.
b) Qi and Yin Xu: Dang Shen 9g, Huang Qi 9g, Sheng Di Huang 12g, Bei Sha Shen 12g,
Tian Men Dong 9g, Sheng Ma 9g, Xia Ku Cao 10g, Bi Xie 12g, Mu Tong 4.5g, Dong
Kui Zi 12g, Gan Cao 9g, Chai Hu 4.5g, Hai Zao 12g, Kun Bu 12g.
c) Yin Xu with Dampness: Sheng Di Huang 12g, Bei Sha Shen 12g, Mai Men Dong 9g,
Shi Hu 9g, Bi Xie 12g, Xia Ku Cao 12g, Sheng Ma 9g, Bian Xu 12g, Qu Mai 12g, Hai
Zao 12g, Kun Bu 12g, Dong Kui Zi 12g, Da Huang 6g.
d) Damp-Heat: Mu Tong 4.5g, Bi Xie 12g, Bian Xu 12g, Qu Mai 12g, Jin Qian Cao 30g,
Xia Ku Cao 12g, Hai Zao 12g, Hua Shi 12g, Dong Kui Zi 12g, Huan Lian 3g, Hou Po
3g, Kun Bu 12g, Sheng Ma 9g.
2. MUST GIVE EQUAL IMPORTANCE TO BOTH BEN AND BIAO AND
TREAT BOTH.
This means invigorate Blood, resolve Dampness and Phlegm but also tonify
Lungs, Spleen and Kidneys.
3. STIMULATE THE ASCENDING OF CLEAR QI AND THE

DESCENDING OF TURBID QI
Use Sheng Ma and Chai Hu to stimulate the ascending of clear Qi.
4. MUST CONSIDER BOTH IDENTIFICATION OF PATTERN (Bian Zheng)

AND IDENTIFICATION OF THE WESTERN DISEASE (Bian Bing).
For example, although the urinary problems deriving from prostatic hyperplasia
fall under the category of “Long Bi” (Urinary Retention) in Chinese medicine and
can be treated through the identification of patterns, it is important to consider
the identification of the Western disease. This means that one would use herbs to
soften and dissolve masses that one would not otherwise use if only considering
identification of pattern and Chinese disease.
CHRONIC PROSTATITIS IN WESTERN MEDICINE
Prostatitis: inflammation of the prostate which may involve considerable

pain
(benign prostatic hyperplasia (BPH) may not involve any pain at all).
1. Acute bacterial prostatitis
Fairly common in adult males 2. Chronic bacterial prostatitis

classified into four types:
3. Non-bacterial prostatitis
4. Prostatodynia (prostatic pain in the absence of

active infection)
Nonbacterial prostatitis = 64 % of cases,

prostatodynia = 31 %.
Acute bacterial prostatitis is the result of bacterial infection, usually E.
coli, and typically begins with the fever, chills and other symptoms which
bacterial infections bring on.
• Pain in the lower back and perineum are typical.

• Difficult and/or painful urination, increased frequency of urination.
• Most common in young sexually active men, which may be the source of
infection, especially if there are many different sexual partners.
• Treatment includes antibiotics and is usually effective.
Chronic bacterial prostatitis can be related to failed treatment of acute

prostatitis or it may develop on its own.
• Frequently recurrent low-level infections of the prostate.
• Frequent and painful urination and nocturia. Stones or calculi are often
found in the prostatic ducts, implying a reflux of urine into these areas.
• Antibiotics cannot eliminate the bacteria in these stones, so there is a
constant source for re-infection.
• Men with low levels of zinc in their prostatic fluid seem especially prone to
chronic prostatitis.
Non-bacterial prostatitis is the most common of the prostatic
conditions.
• Characterized by an unusually high number and activity of

inflammatory cells in the prostate.
• Resulting inflammation resembles chronic bacterial prostatitis, but

there is no history of infection and bacterial cultures do not prove
positive.
• Additional symptoms are; post-ejaculatory pain and discomfort.
• Conventional medical treatments do not yield good results.

Abstaining from alcohol and spicy foods helps in some cases.
• The clinical manifestations may be very varied.
• Some men report frequent urination and others do not.
• Some report sexual dysfunction and erectile difficulties, others do

not.
Generally, when cultures are negative, chronic non-bacterial prostatitis
can be described as persistent relapsing pain or discomfort in any of
the following areas:
Urethra
Perineum
Tip of penis
Hypogastrium
Testicles
Some of the functional symptoms are:
• pain/ burning during urination

• pain/ discomfort during or after ejaculation
• pain in the lower back and upper legs
• pain in the groin and above the bladder
• burning high up in the urethra
• a sensation of not emptying the bladder completely after finishing urinating
• lowering of libido
Other symptoms are:
• Fatigue
• discoloured semen (yellowish - from dead white blood cells - a sign
of inflammation)
• pain after ejaculation
• lasting from hours to days
• impaired memory
• difficulty in concentration
• painful lymph nodes
The condition waxes and wanes. The pain can recede for hours or
days, then return inexplicably with force.
People experience remissions which can last months to years, then

flare-up.
Pain or discomfort in the pelvic region lasting 3+ months
affects younger men than BPH, median age 43
Episodic symptoms, which wax and wane
Perineum is main site of pain, but many places in the pelvic region
Chronic also reported as uncomfortable
prostatitis Voiding symptoms, irritative symptoms contribute more than
(Non bacterial) obstructive symptoms
Sexual function impairment although most men potent
Pain after ejaculation is a very specific complaint that

distinguishes prostatitis from benign prostatic hyperplasia
Prostatodynia = prostatic pain in the absence of active infection
• May be a persistent sequel to bacterial prostatitis

• Most common in young and middle aged men
• Presents many symptoms similar to chronic prostatitis, but lacks the
excessive number of inflammatory cells.
• Pain and/or discomfort in the: groin, perineum, testicles, lower
back and penis
This is due to smooth muscle spasms in the prostatic portion of the

urethra and in the neck of the bladder.
The reflux of urine into prostatic and ejaculatory ducts causes

inflammation.
Fatigue in the muscles in the pelvis and emotional stress are factors.
CHRONIC PROSTATITIS IN CHINESE MEDICINE
It may fall under the heading of several different conditions:
“Spermatorrhoea” (Bai Yin) 白淫 Also called Shi Jing 失精

“Turbid Sperm” (Jing Zhuo) 精浊
“White Turbidity” (Bai Zhuo) 白浊
“Red Turbidity” (Chi Zhuo) 赤浊
“Urinary Syndrome” (Lin and specifically “Sticky Lin” and “Fatigue Lin”) 淋
“Lower Backache” (from Kidney deficiency)
“Spermatorrhoea” = involuntary discharge of sperm
“Turbid Sperm” = turbid-sticky urethral discharge, itching and pain of the

penis that may feel like a burning blade, and dark-yellow
urine
“White Turbidity” = turbid urine, a turbid-white urethral discharge and
dysuria.
There is a pathology not only of fluids but also of Jing.

Dr Lin Pei Qin says:
• Kidneys have two orifices, one urinary, the other spermatic.

• Urinary Syndrome (Lin) pertains to the urinary orifices and involves
the Liver and Spleen
• Turbidity Syndrome (Zhuo) pertains to the spermatic orifice and
involves the Heart and Kidneys
Ye Tian Shi said:
“Urinary turbidity and spermatic turbidity are different.”

He also confirms that spermatic turbidity involves the Heart and Kidneys.
Modern doctor Xu Fu Song says:
Although urine and sperm go through the same passage

(urethra), the former pertains to the urinary system and the
latter to the genital system.
Diseases of the genital system and sperm pertain to the

Room of Sperm (Jing Shi) or also the “Palace of Sperm” (Jing
Gong).
In this context, Jing could be translated either as “sperm” or

“Essence” (as sperm is a direct manifestation of the Kidney-
Jing).
Urinary orifice
Spermatic
orifice
The term “turbidity”in urinary diseases, indicates a pathological
state of fluids in the Lower Burner: this occurs when there is an
impairment in the transformation, transportation and excretion of
urine in the Lower Burner.
In this context, “turbidity” manifests not only with turbid urine

but also with urinary difficulty.
In genital diseases such as prostatitis, “turbidity” refers to a

pathology of Jing: in this context, it manifests with urethral
discharges of sperm and discolouration of sperm (as seen in
prostatitis).
Dr Zhou An Fang thinks that the two main aetiological factors of
prostatitis are
• poor genital hygiene leading to Damp-Heat

• excessive sexual activity leading to stasis of Jing
Damp-Heat, on the other hand, frequently leads to the formation of

Toxic Heat.
Therefore the main treatment principles for prostatitis are as follows:

Clear Heat
Resolve Dampness
Resolve Toxic Heat
Invigorate Blood and Jing and eliminate stasis
Dr. Zhu Yong Jian thinks that the pathology of chronic prostatitis is
accumulation of Damp-Heat in the Lower Burner and a deficiency
of Kidney-Jing; the Kidney-Jing is “unstable” and this causes
urethral discharge.
The three main treatment principles are:

Consolidate the Kidney-Jing
Resolve Dampness and clear Heat
Eliminate turbidity.
Dr Xu Fu Song thinks that the aetiology of prostatitis in Chinese men are
• “retention of sperm”
• excessive masturbation
• dirty underwear
• long prepuce
• irregular diet and excessive consumption of greasy and hot foods
These result in the formation of Damp-Heat.
There are three main pathological conditions in chronic prostatitis:

Damp-Heat
Kidney deficiency
Stasis of Jing
• Damp-Heat causes urethral discharges

• a Kidney deficiency will cause lower backache, dizziness and tinnitus
• stasis of Jing causes pain in the perineum, scrotum, penis or hypogastrium
Dr Mai Guo Jian thinks that the three main patterns in prostatitis are:
Stasis of Blood and Jing

Damp-Heat
Heart and Kidney deficiency
Dr Liu You Fang says:
• Blood stasis is the central pathology of chronic prostatitis.
• Blood stasis in the prostate causes pain and stagnant Blood often
rises to harass the Heart and cause palpitations and insomnia.
• Stagnant Blood in the Lower Burner may prevent clear Yang from
rising leading to headaches and dizziness.
• He therefore uses a formula that invigorates Blood and

eliminates stasis as the basis for variations according to symptoms.
• Therefore invigorating Blood and eliminating stasis is the main

treatment principle; the secondary treatment principles are to
move Qi, resolve Damp-Heat and resolve Toxic Heat.
Dr Wang Bing Jun differs from other modern Chinese doctors:
• He emphasises Yin deficiency as an underlying condition.
• He considers Damp-Heat and Blood stasis to be the two main

pathological conditions in chronic prostatitis.
• He says that Damp-Heat often affects the Liver channel against

a background of Liver- and Kidney-Yin deficiency.
• Interestingly, he says that when there is Liver- and Kidney-Yin

deficiency, the prostate feels small on rectal examination.
Dr Lin Jun Yu recommends tonifying the Kidneys and resolving
Dampness as the main treatment principle in chronic prostatitis. He
modifies his basic formula in cases of Damp-Heat or Blood stasis.
Dr Zhou An Fang says:
• Although the main pathologies are Damp-Heat, Blood stasis and

Kidney deficiency, deficiency and sinking of Spleen-Qi is an important
underlying pathology of chronic prostatitis.
• One should use small quantities of warm herbs that warm the Spleen
and Kidneys, such as Rou Gui, despite the general view that warm herbs
should not be used.
• small amounts of warm herbs promote the transformation of fluids.

I tend to concur and often use small quantities of Gui Zhi or Rou Gui in
prescriptions for chronic prostatitis even if there is Damp-Heat.
Most modern Chinese journals list impotence, premature ejaculation, nocturnal emission
and spermatorrhoea among the symptoms of chronic prostatitis, while they are not
common in Western patients.
EXTERNAL TREATMENTS
Dr Wang Bing Jun recommends an external application for chronic
prostatitis.
The patient should boil the herbs in a large quantity of water for half
an hour, strain them, and pour the decoction into a shallow bath
where he should sit for 10-15 minutes twice a day.
The main purpose of this treatment it to apply the herbs to the

point Ren-1 Huiyin which is the meeting point of the Du, Ren and
Chong Mai.
The herbs that Dr Wang uses for external application are: Huang Bo,
Ming Fan and Dan Shen.
Dr Zhou also recommends three external treatments for chronic prostatitis:
1) Enema with Pu Gong Ying, Ye Ju Hua, Bai Jiang Cao, Ku Shen, Hu Zhang,
Da Huang, Hong Teng, Yan Hu Suo, Chuan Shan Jia.
2) External application of decoction to the perineum with Pu Gong Ying, Hu

Zhang, Bai Jiang Cao, Sheng Jiang, San Leng, E Zhu, Chuan Shan Jia, Wei Ling
Xian.
3)Application of a paste to the umbilicus (of Hu Zhang, Da Huang, Sheng Jiang).

CHINESE DIAGNOSIS BY PROSTATE EXAMINATION
Combining the experiences of Dr Wang Bing Jun and Dr Lin Jun Yu,
we can make the following connections between the feel of the
prostate on rectal examination and Chinese patterns:
- Prostate feels small: Kidney-Yin deficiency.
- Prostate feels large: Dampness and/or Phlegm.
- Prostate feels hard: Blood stasis or stasis of Jing

ACUPUNCTURE TREATMENT
It is important to treat one of the three extraordinary vessels that flow
through the prostate.
The Du Mai is used for a pronounced deficiency of Kidney-Yang;
The Ren Mai is used for a pronounced deficiency of Kidney-Yin;
The Chong Mai if there is a pronounced stasis of Blood or of Jing.
In all cases, I use the opening point on the left side and the coupled point
on the right, e.g. for the Du Mai, S.I.-3 Houxi on the left and BL-62 Shenmai
on the right.
The main points used according to channel and patterns are as follows:
• Du Mai: S.I.-3 Houxi (left) and BL-62 Shemai (right), Du-3 Yaoyangguan.
• Ren Mai: LU-7 Lieque (left) and KI-6 Zhaohai (right), Ren-1 Huiyin, Ren-2
Qugu, Ren-3 Zhongji, Ren-8 Shenque.
• Chong Mai: SP-4 Gongsun (left) and P-6 Neiguan (right), KI-14 Siman.
• Liver channel: LIV-5 Ligou, LIV-1 Dadun, LIV-3 Taichong.
• Back-Transporting points: BL-32 Ciliao, BL-34 Xialiao.
• Damp-Heat: Ren-3 Zhongji, ST-28 Shuidao, SP-9 Yinlingquan, BL-22

Sanjiaoshu.
• Blood stasis: LIV-3 Taichong, SP-10 Xuehai, BL-17 Geshu, KI-14

Siman.
• Stasis of Jing: KI-14 Siman, Ren-5 Shimen.
Ren-1 is particularly important for chronic prostatitis because it is a

meeting point of the Du, Ren and Chong Mai as they all emerge at this
point.
a) DAMP-HEAT IN LOWER BURNER
Acute pain on urination, frequency, urgency, urinary difficulty, pain in the genitalia radiating to
the groin, sticky-yellow urethral discharge.
Tongue: Red with sticky-yellow coating on root.
Pulse: Slippery-Rapid.
Treatment principle
Clear Heat and resolve Dampness.
Acupuncture
BL-22 Sanjiaoshu, ST-28 Shuidao, Ren-3 Zhongji, SP-9 Yinlingquan, SP-6 Sanyinjiao, Ren-1
Huiyin, BL-32 Ciliao, BL-34 Xialiao, L.I.-11 Quchi.
Herbal therapy
Prescription
EMPIRICAL PRESCRIPTION
Wang Bu Liu Xing 6g Yan Hu Suo 6g
Huang Bo 6g Mu Dan Pi 6g
Bai Jiang Cao 6g Chuan Shan Jia 6g
Pu Gong Ying 6g Mu Xiang 6g
Chi Shao 6g Gan Cao 3g
Explanation
This formula resolves Damp-Heat and Toxic Heat.
Prescription
QIAN LIE XIAN YAN PIAN Prostatitis Tablet
Explanation
This formula strongly resolves Dampness and clears Heat. Please note
that it contains many bitter and cold herbs which, in the long run, may
damage the Spleen.
Prescription
LONG DAN XIE GAN TANG Variation by Dr Wang Bing Jun
Gentiana Draining the Liver Decoction
Explanation
This formula resolves Damp-Heat in the Liver channel in the Lower
Burner. It has been modified by Dr Wang with the addition of herbs
that resolve Toxic Heat. Please note that it contains Mu Tong Caulis
Akebiae trifoliatae the use of which is illegal in most countries. It can
be replaced by Tong Cao Medulla Tetrapanacis.

Clear the Root.
Clear the Root resolves Damp-Heat and Toxic Heat.
QIAN LIE XIAN YAN PIAN
Prostatitis Tablet
Yu Xing Cao Herba Houttuniae 6 g

Feng Wei Cao Herba Pteridis multifoetidae 6 g
Tu Fu Ling Rhizoma Smilacis glabrae 6 g
Pu Gong Ying Herba Taraxaci 6 g
Zi Hua Di Ding Herba Violae 6 g
Ban Zhi Lian Herba Lobeliae chinensis 6 g
Bai Hua She She Cao Herba Hedyotidis diffusae 6 g
Long Dan Cao Radix Gentianae 6 g
Ma Chi Xian Herba Portulacae 6 g
LONG DAN XIE GAN TANG Variation by Dr Wang Bing Jun
Gentiana Draining the Liver Decoction Variation
Long Dan Cao Radix Gentianae 6 g

Huang Qin Radix Scutellariae 9 g
Shan Zhi Zi Fructus Gardeniae 9 g
Bian Xu Herba Polygoni avicularis 9 g
Mu Tong Caulis Akebiae 9 g
Tu Fu Ling Rhizoma Smilacis glabrae 6 g
Ban Zhi Lian Herba Lobeliae chinensis 6 g
NOTE: we cannot use Mu Tong

b) DAMP-HEAT WITH TOXIC HEAT IN LOWER BURNER
Dysuria
pain on micturition
dribbling of urine
dribbling of urine during effort of defecation

sticky-yellow urethral discharge
frequency of urination
pain in the perineum, penis or hypogastrium
Tongue: Red, Swollen, sticky-dark-yellow coating on

the root with red spots.
Pulse: Slippery-Rapid.
Treatment principle
Resolve Damp-Heat and Toxic Heat, invigorate Blood, eliminate stasis.
Acupuncture
SP-4 Gongsun on left with P-6 Neiguan on the right, Ren-1 Huiyin, BL-32
Ciliao, BL-34 Xialiao, Ren-3 Zhongji, BL-22 Sanjiaoshu, ST-28 Shuidao, SP-9
Yinlingquan, SP-6 Sanyinjiao.
Herbal therapy
Prescription
EMPIRICAL PRESCRIPTION BY Dr Liu Chun Ying
Explanation
This formula resolves Damp-Heat and Toxic Heat and invigorates Blood.
Please note that it contains Mu Tong Caulis Akebiae trifoliatae the use of
which is illegal in most countries. It can be replaced by Tong Cao Medulla
Tetrapanacis.
Clear the Root.
Clear the Root resolves Damp-Heat and Toxic Heat.
EMPIRICAL PRESCRIPTION by Dr Liu Chun Ying
Bai Jiang Cao Herba Patriniae 15 g

Hu Zhang Rhizoma Polygoni cuspidati 10 g
Shi Chang Pu Rhizoma Acori tatarinowii 10 g
Shi Wei Folium Pyrrosiae 10 g
Mu Tong Caulis Akebiae trifoliatae 10 g
c) QI STAGNATION, BLOOD STASIS, STASIS OF JING, STASIS IN BLOOD LUO
hypogastric pain
pain in the penis
dribbling after urination
white-sticky urethral discharge

Pain in the anus and perineum
dysuria
Tongue: Purple, sticky-yellow coating

on the root with red spots.
Pulse: Wiry, Firm or Choppy.
Treatment principle
Move Qi, invigorate Blood and Jing, remove obstructions from the
Luo channels.
Acupuncture
SP-4 Gongsun on the left with P-6 Neiguan on the right, Ren-6 Qihai, KI-14
Siman, SP-10 Xuehai, LIV-3 Taichong, Ren-1 Huiyin, BL-32 Ciliao, BL-34 Xialiao,
Ren-3 Zhongji, SP-9 Yinlingquan, SP-6 Sanyinjiao, BL-22 Sanjiaoshu, ST-28
Shuidao.
Herbal therapy
Prescription
EMPIRICAL PRESCRIPTION BY Dr Liu Chun Ying
Explanation
This formula moves Qi, invigorates Blood and Jing and eliminates stasis. It also
resolves Dampness. This formula also removes obstructions from the Blood
Luo channels of the prostate. The Blood Luo are a part of the Luo channels’
system that is deeper than the Main channels. The Blood Luo channels are
involved when there is Blood stasis in chronic diseases.
Prescription
HUO LUO XIAO LING DAN
Miraculously Effective Invigorating the Luo Channels Pill
Explanation
This formula invigorates Blood and eliminates stasis from the Luo channels
Prescription
EMPIRICAL PRESCRIPTION by Dr Liu You Fang
Explanation
This formula invigorates Blood and moves Qi.
Prescription
EMPIRICAL PRESCRIPTION by Dr. Mai Guo Jian
Explanation
This formula invigorates Blood, eliminates stasis and softens hardness.
Prescription
EMPIRICAL PRESCRIPTION by Dr Wang Bing Jun
Explanation
This formula invigorates Blood, eliminates stasis, moves Qi, resolves
Dampness and soften hardness.
Three Treasures remedy - Clear the Root plus Stir Field of Elixir
Clear the Root resolves Damp-Heat and Toxic Heat and it invigorates
Blood.
EMPIRICAL PRESCRIPTION by Dr Liu Chun Ying EMPIRICAL PRESCRIPTION by Dr Wang Bing
Jun
Dan Shen Radix Salviae milthiorrizae 20 g Wang Bu Liu Xing Semen Vaccariae 9 g
Wang Bu Liu Xing Semen Vaccariae 10 g Xiang Fu Rhizoma Cyperi 6 g
Chi Shao Radix Paeoniae rubra 15 g Chuan Lian Zi Fructus Toosendan 3 g
Chai Hu Radix Bupleuri 5 g San Leng Rhizoma Sparganii stoloniferi 6 g
Yan Hu Suo Rhizoma Corydalis 10 g E Zhu Rhizoma Curcumae 6 g
Chuan Lian Zi Fructus Toosendan 10 g Chi Shao Radix Paeoniae rubra 6 g
Bai Jiang Cao Herba Patriniae 15 g Mu Dan Pi Cortex Moutan 6 g
Xiang Fu Rhizoma Cyperi 10 g Chi Shao Radix Paeoniae rubra 6 g
Hong Hua Flos Carthami tinctorii 6 g
EMPIRICAL PRESCRIPTION by Dr Mai Guo Jian Chuan Shan Jia Squama Manitis
Pentadactylae 6 g
Ze Lan Herba Lycopi 6 g
Bai Jiang Cao Herba Patriniae 6 g
Chuan Lian Zi Fructus Toosendan 3 g
Ru Xiang Olibanum 6 g
d) KIDNEY-QI DEFICIENCY WITH DAMPNESS
Chronic urinary difficulty
frequency
turbid urine
urgency and pain
whitish discharge at the end of urination
dull ache in the genitals radiating to the groin
Tongue: Pale with a sticky coating.
Pulse: Soggy.
Treatment principle
Tonify and warm the Kidneys and Spleen and resolve Dampness.
Acupuncture
S.I.-3 Houxi on the left with BL-62 Shenmai on the right, Ren-4 Guanyuan, BL-23 Shenshu, KI-7
Fuliu, Ren-12 Zhongwan, ST-36 Zusanli, BL-20 Pishu, Ren-3 Zhongji, ST-28 Shuidao, SP-9
Yinlingquan, SP-6 Sanyinjiao, BL-22 Sanjiaoshu, Ren-1 Huiyin, BL-32 Ciliao, BL-34 Xialiao. Moxa
is applicable.
Herbal therapy
Prescription
EMPIRICAL PRESCRIPTION BY Dr. Liu Chun Ying
Explanation
This formula tonifies Spleen- and Kidney-Yang and resolves Dampness.
Prescription
EMPIRICAL PRESCRIPTION
Bi Xie
Tu Si Zi 10g Ze Xie 15g Shi Chang Pu 6g Yi Zhi Ren 10g
Huai Niu Xi 6g Che Qian Zi 10g Ma Pian Cao 6g Shan Yao 10g
Fu Ling 15g Wu Yao 10g Sha Yuan Zi 10g Gan Cao 5g
Explanation
This formula tonifies Kidney-Yang and resolves Dampness. However, the emphasis is on
resolving Dampness as it contains only one Kidney tonic.
Prescription
TU SI ZI WAN plus BI XIE FEN QING YIN
Cuscuta Pill plus Dioscoreae Separating the Clear Decoction
Explanation
These two formulae together tonify Kidney-Yang, resolve Dampness and eliminate turbidity.
Prescription
EMPIRICAL PRESCRIPTION by Dr Lin Jun Yu
Explanation
This formula tonifies Kidney-Yang and resolves Dampness.

Separate Clear and Turbid plus Strengthen the Root.
Separate Clear and Turbid resolves Dampness from the genito-urinary passages while
Strengthen the Root tonifies Kidney-Yang.
EMPIRICAL PRESCRIPTION by Dr Liu Chun EMPIRICAL PRESCRIPTION by Dr Lin Jun Yu
Ying
Bi Xie Rhizoma Dioscoreae hypoglauca 15 g Tu Si Zi Semen Cuscutae 9 g
Yi Yi Ren Semen Coicis 30 g Sha Yuan Zi Semen Astragali complanati 6 g
Fu Ling Poria 10 g Shan Yao Rhizoma Dioscoreae 9 g
Shi Chang Pu Rhizoma Acori tatarinowii 10 Fu Ling Poria 6 g
g Shi Chang Pu Rhizoma Acori tatarinowii 6 g
Yi Zhi Ren Fructus Alpiniae oxypyllae 10 g Huang Bo Cortex Phellodendri 6 g
Wu Yao Radix Linderiae 10 g Qian Shi Semen Euryales 6 g
Cang Zhu Rhizoma Atractylodis 15 g Che Qian Zi Semen Plantaginis 6 g
Tu Si Zi Semen Cuscutae15 g Gan Cao Radix Glycyrrhizae uralensis 3 g
e) KIDNEY-YANG AND LIVER-BLOOD DEFICIENCY
decreased sexual desire

impotence
Dysuria
frequent-pale urination
dribbling of urination
lower backache
white urethral discharge
cold legs
weakness of the lower back and knees
Tongue: Pale.
Pulse: Weak, Deep.
Treatment principle
Tonify and warm Kidney-Yang, nourish Liver-Blood.
Acupuncture
Ren-4 Guanyuan, KI-7 Fuliu, BL-23 Shenshu, ST-36 Zusanli, LIV-8 Ququan,
SP-6 Sanyinjiao, Ren-3 Zhongji, ST-28 Shuidao, SP-9 Yinlingquan, BL-22
Sanjiaoshu, Ren-1 Huiyin, BL-32 Ciliao, BL-34 Xialiao. Moxa is applicable.
Herbal therapy
Prescription
EMPIRICAL PRESCRIPTION BY Dr. Liu Chun Ying
Explanation
This formula strongly tonifies and warms Kidney-Yang and nourishes Liver-
Blood.
Prescription
TU SI ZI WAN
Cuscuta Pill
Explanation
This formula strongly tonifies and warms Kidney-Yang and nourishes
Blood.

Separate Clear and Turbid plus Strengthen the Root.
Separate Clear and Turbid resolves Dampness from the genito-urinary
passages while Strengthen the Root tonifies Kidney-Yang.

Bai Shao Radix Paeoniae alba 10 g
Wu Gong Scolopendra 3 pieces
Yin Yang Huo Herba Epimidii 10 g
Tu Si Zi Semen Cuscutae 15 g
Gou Qi Zi Fructus Lycii chinensis 10 g
Ba Ji Tian Radix Morindae officinalis 10 g
Zi Wei Hua Flos Campsis 6 g
Dang Shen Radix Codonopsis 20 g
f) KIDNEY-YIN DEFICIENCY
insomnia
dizziness
tinnitus
night-sweating
5-palm heat
lower backache
scanty-dark urine
white-stringy urethral discharge
Dull ache and feeling of heaviness in the perineum
Tongue: without coating; Red if there is Empty

Heat.
Pulse: Floating-Empty; Rapid if there is Empty
Heat.
Treatment principle
Nourish Kidney-Yin, resolve Dampness.
Acupuncture
Points
LU-7 Lieque on the left with KI-6 Zhaohai on the right, Ren-4
Guanyuan, KI-3 Taixi, BL-23 Shenshu, Ren-3 Zhongji, ST-28 Shuidao,
SP-9 Yinlingquan, SP-6 Sanyinjiao, BL-22 Sanjiaoshu, Ren-1 Huiyin,
BL-32 Ciliao, BL-34 Xialiao.
Herbal therapy
Prescription
EMPIRICAL PRESCRIPTION by Dr Liu Chun Ying.
Explanation
This formula nourishes Liver- and Kidney-Yin, resolves Dampness and
mildly invigorates Blood.
Prescription
EMPIRICAL PRESCRIPTION by Dr Wang Bing Jun

Clear the Root and Nourish the Root
Clear the Root resolves Damp-Heat and Nourish the Root nourishes
Liver- and Kidney-Yin.
g) DAMP-HEAT AND TURBIDITY IN THE LOWER BURNER, DEFICIENCY OF
KIDNEY-JING
dizziness
decreased memory
tinnitus
painful urination
dysuria
Turbid-white urethral discharge
lower backache
pain in the hypogastrium, perineum, penis
dribbling after micturition
nocturnal emissions
impotence
Tongue: Pale.
Pulse: Weak, Choppy.

Treatment principle
Consolidate the Kidney-Jing, resolve Dampness, eliminate turbidity.
Acupuncture
BL-23 Shenshu, Ren-4 Guanyuan, KI-13 Qixue, Ren-3 Zhongji, Ren-9 Shuifen,
BL-22 Sanjiaoshu, SP-9 Yinlingquan, SP-6 Sanyinjiao, Ren-5 Shimen.
Herbal therapy
Prescription
EMPIRICAL PRESCRIPTION BY Dr. Zhu Yong Jian
Explanation
- Tu Si Zi, Sha Yuan Zi, Yi Zhi Ren and Shan Yao tonify the Kidneys and
consolidate the Essence.
- Fu Ling, Ze Xie and Che Qian Zi resolve Dampness and resolve turbidity.
- Bi Xie eliminates turbidity.
- Huai Niu Xi regulates the Bladder and nourishes the Kidneys.
- Wu Yao promotes the Qi transformation function of the Bladder.
- Shi Chang Pu opens the orifices and helps Bi Xie to resolve turbidity.
EMPIRICAL PRESCRIPTION by Dr Zhu
Yong Jian Shu Di Huang Radix Rehmanniae preparata 10 g
Shan Zhu Yu Fructus Corni 10 g
Tu Si Zi Semen Cuscutae 10 g Mu Dan Pi Cortex Moutan 10 g
Sha Yuan Zi Semen Astragali Fu Ling Poria 10 g
complanati 10 g Ze Xie Rhizoma Alismatis 10 g
Yi Zhi Ren Fructus Alpiniae oxypyllae 6 g Bi Xie Rhizoma Dioscoreae hypoglauca 10 g
Shan Yao Rhizoma Dioscoreae 6 g Huang Bo Cortex Phellodendri 10 g
Bi Xie Rhizoma Dioscoreae Lian Zi Xin Plumula Nelumbinis 10 g
hypoglauca 9 g Nu Zhen Zi Fructus Ligustri lucidi 10 g
Fu Ling Poria 9 g Wang Bu Liu Xing Semen Vaccariae 10 g
Ze Xie Rhizoma Alismatis 6 g
Che Qian Zi Semen Plantaginis 6 g EMPIRICAL PRESCRIPTION by Dr Wang Bing Jun
Huai Niu Xi Radix Achyranthis
bidentatae 6 g Sheng Di Huang Radix Rehmanniae 9 g
Wu Yao Radix Linderiae 6 g Nu Zhen Zi Fructus Ligustri lucidi 6 g
Shi Chang Pu Rhizoma Acori Gou Qi Zi Fructus Lycii chinensis 9 g
tatarinowii 6 g Bai Shao Radix Paeoniae alba 6 g
Gan Cao Radix Glycyrrhizae uralensis 3 g Tu Si Zi Semen Cuscutae 6 g
Zhi Mu Radix Anemarrhenae 6 g
Mu Dan Pi Cortex Moutan 6 g
h) HEART AND KIDNEY DEFICIENCY
tinnitus
palpitations
insomnia
tiredness
dizziness
lack of libido
Impotence
lower backache
Tongue: Pale.
Pulse: Deep and Weak.

Treatment principle
Tonify Kidney-Yang, tonify Heart-Qi, nourish Heart-Blood, promote the
descending of Heart-Qi.
Acupuncture
SP-4 Gongsun on the left and P-6 Neiguan on the right, BL-23 Shenshu, Ren-4
Guanyuan, KI-3 Taixi, HE-5 Tongli, HE-7 Shenmen, Ren-1 Huiyin, BL-32 Ciliao, BL-
34 Xialiao.
Herbal therapy
Prescription
EMPIRICAL PRESCRIPTION by Dr Mai Guo Jian
Explanation
This formula invigorates Blood, eliminates stasis, tonifies Kidney-Yang, nourishes
the Heart and calms the Mind.

Clear the Root (small dose) plus Arouse Power.
Clear the Root resolve Dampness and invigorates Blood; Arouse Power
harmonizes Heart and Kidneys, tonifies the Kidneys, promotes the descending of
Heart-Qi and calms the Mind.
EMPIRICAL PRESCRIPTION by Dr Mai Guo Jian

Ze Lan Herba Lycopi 6 g
Yuan Zhi Radix Polygalae 6 g
Long Gu Mastodi Ossis fossilia 12 g
Mu Li Concha Ostreae 12 g
Wu Wei Zi Fructus Schisandrae 6 g
Tu Si Zi Semen Cuscutae 9 g
Zhi Mu Radix Anemarrhenae 6 g
CHINESE JOURNALS
a) Meng Yu “Experience of Dr Xu Fu Song in the Treatment of Prostatic Diseases with the

Method of Transforming Yin with Sour and Sweet Herbs” Journal of Chinese Medicine (Zhong
Yi Za Zhi), Vol. 41, No. 9, 2000.
Dr Meng Yu reports experiences of Dr Xu Fu Song treating disease of the prostate by
nourishing Yin and transforming fluids. This treatment especially applies to the elderly.
For chronic prostatitis of the elderly with Kidney-Yin deficiency and Dampness in the Lower
Burner, Dr Xu Fu Song uses the following formula:
Wu Wei Zi 10g
Lian Zi 10g
Wu Mei 10g
Bai Shao 10g
Wu Bei Zi 10g
He Zi 10g
Bai Lian 10g
Long Gu 15g
Mu Li 20g
Zhi Gan Cao 5g
b) Zhou An Fang “Observation on the Treatment of 147 Cases of Chronic Prostatitis with
‘Prostatitis Formulae’ no. I and no, II”, Journal of Chinese Medicine (Zhong Yi Za Zhi), Vol. 34,
No. 3, 1993.
Dr Zhou An Fang treated 147 cases of chronic prostatitis in the following age groups:
Between 19 and 30 years old: 74 cases
Between 31 and 40: 49 cases
Between 41 and 50: 19 cases
Over 50: 5 cases.
• The main clinical manifestations were: white-sticky urethral discharge, dripping of urine
after micturition, dripping of urine as a result of the effort of defecation, frequent urination,
urgency and pain on urination, pain in the perineum, penis, testis, anus, hypogastrium or
sacrum, decreased sexual desire, premature ejaculation, nocturnal emissions, impotence.
• Two formulae were used according to the patterns: “Prostatitis Formula No. I” for Damp-
Heat and “Prostatitis Formula No. II” for Damp-Heat with stasis of Essence and Blood.
• Complete cure (69.4%), good improvement (23.1%), moderate improvement (6.1%), no
results (1.4%).
c) Ji Hui Yi “Clinical Observations on the Treatment of Chronic Prostatitis by Clearing Heat,

Transforming Fluids, Eliminating Stasis and Tonifying the Kidneys”, Journal of Chinese
Medicine (Zhong Yi Za Zhi), Vol. 35, No. 11, 1994.
312 patients suffering from chronic prostatitis were treated.
The main presenting symptom in each group was as follows:
Decreased sexual function: 112
Spermatorrhoea: 86
Impotence: 74
Premature ejaculation: 37
Blood in sperm: 3
The main patterns found were Damp-Heat, Blood stasis and Kidney deficiency and the
treatment principles adopted were to clear Heat, resolve Dampness, invigorate Blood,
eliminate stasis, tonify the Kidneys and to simultaneously support the Upright Qi and
eliminate pathogenic factors.
The basic formula used was:
Huang Bo 10g Shu Di Huang 10g

Ye Ju Hua 10g Yi Zhi Ren 10g
Sheng Di Huang 10g Dan Shen 10g
Da Huang 10g
The results were as follows:
Cured: 162 (51.9%)
Improved: 94 (30.1%)
Moderate improvement: 27 (8.7%)
No results: 29 (9.3%)
d) Xu Fu Song et al “The Treatment of 218 Cases of Chronic Prostatitis with Protecting the
Essence Pill”, Journal of the Nanjing University of Chinese Medicine (Nanjing Zhong Yi Da Xue
Za Zhi), Vol. 12, No. 3, 1996.
218 cases of chronic prostatitis were treated with the formula Bao Jing Pian Protecting the
Essence Tablet. The clinical manifestations were as follows:
• Urinary manifestations: frequent urination, dysuria, burning on urination, dribbling after

urination
• General manifestations: tiredness, lower backache, insomnia, discomfort in the perineum
• Sexual manifestations: impotence, premature ejaculation, spermatorrhoea.
• The formula used was as follows:
Tu Si Zi, Yi Zhi Ren, Fu Ling, Dan Shen, Che Qian Zi, Bi Xie, Xiao Hui, Bi Yu San (Hua Shi, Gan
Cao, Qing Dai), Xu Duan
• The results were as follows:
Cured: 43 (19.72%)
Clear improvement: 125 (57.34%)
Improvement: 31 (14.22%)
No results: 19 (8.72%)
e) Zhang Ping et al “The Treatment of 100 Cases of Chronic Prostatitis with Herbal
Poultice”, Journal of the Nanjing University of Chinese Medicine (Nanjing Zhong Yi
Da Xue Za Zhi), Vol. 12, No. 4, 1996.
100 cases of chronic prostatitis were treated with the external application of a
herbal poultice on acupuncture points.
The points used were Ren-8 Shenque, Ren-6 Qihai, Ren-4 Guanyuan, Ren-3 Zhongji
and BL-23 Shenshu. The herbal decoction was placed in a muslin bag and then
fastened onto the acupuncture points and kept in place for 7 days. The treatment
was repeated three times.
The treatment principles adopted were to tonify and warm Kidney-Yang, move Qi
with pungent-warm-dispersing herbs, invigorate Blood and benefit urination.
The formula used was:

Ding Xiang, Jiu Cai Zi, She Chuang Zi, Dang Gui, Xi Xin, Feng Fang
Please note that the use of Feng Fang is illegal and it should therefore be eliminated
from the formula.
THE TREATMENT OF PROSTATITIS by Dr Xu Fu Song
“THE CHINESE DISEASE IS JING ZHUO 精浊 Turbid Sperm; THE DISEASE LOCATION
IS THE JING QIAO 精窍 Sperm Orifice”
Prostatitis corresponds to the Chinese medicine entities of Jing Zhuo 精浊
(“Turbid Sperm) or Bai Zhuo 白浊 “White Turbidity”. Qing dynasty
description of Zhuo: “There is a white discharge like sperm from the penis, no
pain, no difficulty, it stains the clothes.” It describes Jing Zhuo as follows:
“There is a burning pain in the penis like a knife, a white discharge”.
In Chinese medicine, pain is considered to be of urinary origin. Saying:

“In Lin disease there is pain, in Turbidity [Zhuo], there is no pain.”
“THE CLINICAL MANIFESTATIONS ARE COMPLICATED AND CHANGE CONSTANTLY; THE

PATHOLOGY IS COMPLEX AND CHARACTERIZED BY A MIXTURE OF XU AND SHI”
These are the manifestations of chronic prostatitis observed by Dr Xu: white urethral
discharge, lower backache, dribbling after urination, hypogastric discomfort, tiredness,
nocturnal emissions, difficulty in urination, feeling of distension in the perineum, turbid
urine, pain in the penis, blood in sperm, impotence, premature ejaculation, infertility.
On rectal examination, the prostate feels full but soft and tender
on pressure. All patients have a mixed Xu-Shi condition. Heat and
Dampness are frequently seen. There is also frequently deficiency
and sinking of Spleen-Qi and deficiency of the Kidneys.
PATTERNS
a) Damp-Heat
Bi Xie 10g, Fu Ling 10g, Che Qian Zi 10g, Dan Shen 10g, Huang Bo 6g, Bai
Zhu 6g, Chuan Po Huan 6g, Yi Yi Ren 12g, Shi Chan Pu 2g, Bi Yu San (Hua
Shi, Gan Cao, Qing Dai) 15g.
b) Blood stasis
Wang Bu Liu Xing 15g, Yan Hu Suo 10g, Mu Dan Pi 10g, Dan Shen 10g, Zao
Jiao Ci 10g, Tao Ren 10g, San Leng 10g, E Zhu 10g, Chuan Niu Xi 10g, Chuan
Shan Jia 6g, Hong Hua 6g, Su Mu 6g, Chuan Xiong 6g, Chi Shao 6g.
c) Spleen-Qi Xu
Huang Qi 10g, Dang Shen 10g, Dang Gui 10g, Fu Ling 10g, Qian Shi 10g, Yi
Yi Ren 12g, Long Gu 12g, Mu Li 20g, Bai Zhu 6g, Chen Pi 6g, Sheng Ma 6g,
Gan Cao 3g.
d) Kidney Xu
Tu Si Zi 10g, Fu Ling 10g, Shan Yao 10g, Che Qian Zi 10g, Shi Wei 10g, Shu
Di Huang 10g, Xu Duan 10g, Yi Zhi Ren 10g, Yuan Zhi 6g.
THE TREATMENT OF PROSTATE PROBLEMS Dr Chen Shu Sen
PROSTATITIS
Huang Qin 15g, Huang Lian 10g, Shan Zhi Zi 10g, Huang Bo 15g, Ju Hua 15g, Shi Wei 15g,
Zi Hua Di Ding 15g, Pu Gong Ying 15g, Chai Hu 10g, Qu Mai 15g. (Acute)
(Blood in the urine): Xiao Ji 15g, Sheng Di Huang 15g, Shan Zhi Zi 10g, Da Huang 10g,
Huang Bo 15g, Lian Qiao 15g, Pu Huang 10g, Hua Shi 10g, Tong Cao 6g, Ou Jie 20g, Zhu Ye
10g.
(Chronic prostatitis): Huang Bo 15g, Lian Qiao 20g, Ju Hua 15g, Yu Xing Cao 15g, Bai Hua
She She Cao 30g, Zi Cao 15g, Dan Shen 15g, Chi Shao 15g, Huang Qi 20g.
(Chronic prostatitis, Damp-Heat, Blood stasis, Ki Xu): Huang Bo 15g, Lian Qiao 20g, Dan
Shen 15g, Yu Xing Cao 15g, Bai Hus She She Cao 30g, Ze Xie 15g, Chi Shao 15g, Zi Cao
15g, Yin Yang Huo 15g, Huang Qi 20g.
“IN INFLAMMATION, CLEAR AND DO NOT FORGET TO INVIGORATE BLOOD; IN HYPERPLASIA,
TONIFY THE KIDNEYS AND OPEN THE ORIFICES OF THE LUNGS AND SPLEEN” by Dr Shen Chu
Qiao.
Prostatitis pertain to Lin disease in Chinese medicine. Often manifesting with full
conditions, the disease is located in the Bladder, Liver and Spleen. Generally there is Damp-
Heat and Liver-Qi stagnation and, in chronic cases, Kidney deficiency. Must resolve
Dampness and clear Heat with the type of herbs that resolve Damp-Heat in Lin disease. In
hyperplasia, there is usually Blood stasis.
Example of formula for prostatic hyperplasia from Damp-Heat and Blood stasis.
Dang Gui 10g, Chi Shao 10g, Wang Bu Liu Xing 10g, Mu Dan Pi 10g, Ze Xie 10g, Fu
Ling 10g, Huang Lian 15g, Huang Bo 6g, Gan Cao 6g, Jin Yin Hua 15g, Ma Bian Cao
15g.
Another one from Damp-Heat and Spleen and Kidney Xu.
Dang Shen 15g, Shan Yao 15g, Gou Qi Zi 10g, Fu Pen Zi 10g, Mu Dan Pi 10g, Zhi Mu 10g, Yu
Zhu 10g, Bai Mao Gen 10g, Fu Ling 10g, Jin Yin Hua 15g.
Prostatitis from Damp-Heat and Blood stasis
Dang Gui 15g, Chi Shao 10g, Dan Shen 10g, Mu Dan Pi 10g, Huang
Lian 2g, Huang Bo 6g, Bi Xie 15g, Jin Yin Hua 15g, Pu Gong Ying 15g,
Che Qian Zi 10g, Ze Xie 10g, Fu Ling 10g.
Lung-Qi Xu Damp-Heat
Spleen-Qi Xu Blood stasis
In chronic benign
Kidney-Yang Xu prostatic hyperplasia there
is usually: Phlegm
tonify and make descend Lung-Qi resolve Dampness
invigorate Blood
tonify Spleen-Qi
In treatment, we must
tonify Kidney-Yang therefore: resolve Phlegm
Example of formula for benign prostatic hyperplasia:
Huang Qi 15g, Jie Geng 6g, Sheng Ma 6g, Dang Shen 15g, Shan
Yao 15g, Wu Yao 10g, Sang Ji Sheng 15g, Fu Ling 10g, Mu Dan Pi
10g, Ze Xie 10g, Hu Po 1.5g.
THE USE OF BI XIE FEN QING YIN VARIATION FOR PROSTATITIS by Dr Wang Yue Ju
Variation of Bi Xie Fen Qing Yin:
Bi Xie 12g, Fu Ling 10g, Hua Shi 10g, Gan Cao 4g, Huang Bo 10g, Wang Bu
Liu Xing 10g, Chuan Shan Jia 10g, Chi Shao 10g.
- Urethral pain: Ju He 15g Wu Yao 6g.
- Kidney-Yin Xu: Sheng Di Huang 10g Nu Zhen Zi 10g.
-Kidney-Yang Xu: Fu Zi 6g Ba Ji Tian 10g Rou Gui 6g.
remove Huang Bo
IN PROSTATITIS MUST EXPEL PATHOGENIC FACTORS AND TONIFY ZHENG QI SIMULTANEOUSLY AS WELL
AS COOL AND WARM SIMULTANEOUSLY; IN HYPERPLASIA, MUST OPEN UPWARDS AND DOWNWARDS
AND CLEAR 开上通下 by Dr Peng Pei Chu
Chronic prostatitis involves Heart, Liver and Kidneys. In practice, there is always a combination of Xu-Shi
and Heat-Cold. Must simultaneously expel pathogenic factors and tonify Zheng Qi as well as
simultaneously warm and cool.
1. WARM KI-YANG, CLEAR HEART-HEAT

Zhi Mu, Huang Bo, Sheng Di Huang, Shu Di Huang, Dang Gui, Gui Ban, Lu Jiao, Xian Mao, Yin Yang Huo,
Ban Zhi Lian, Che Qian Zi.
2. REGULATE THE LIVER, DRAIN FIRE

Hu Lu Ba, Rou Gui, Fu Zi, Wu Yao, Xiao Hui Xiang, Ju He, Long Dan Cao, Li Zhi He, Chai Hu, Shan Zhi Zi.
3. DRAIN LIVER-FIRE, NOURISH LIVER-YIN

Long Dan Cao, Huang Lian, Huang Qin, Huang Bo, Chai Hu, Shan Zhi Zi, Qing Dai, Sheng Di Huang, Shan
Zhu Yu, Gou Qi Zi, Damg Gui.
4. CLEAR HEART-HEAT, NOURISH KIDNEY-WATER

Huang Lian, Huang Qin, Lian Zi Xin, Zhi Mu, Sheng Di Huang, Bei Sha Shen, Bai Shao, Nu Zhen Zi, Han
Lian Cao, Di Jin Cao.

Giovanni Maciocia - Treatment-Of-Benign-Prostatic-Hyperplasia-And-Erectile-Dysfunction PDF

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Giovanni Maciocia - Treatment-Of-Benign-Prostatic-Hyperplasia-And-Erectile-Dysfunction PDF

Uploaded by

Copyright:

Available Formats

THE TREATMENT OF BENIGN PROSTATIC

HYPERPLASIA AND ERECTILE DYSFUNCTION WITH

• Women are more in touch with

• Women are more in touch

• Women are more open to

The External Kidney depends upon:

“Su Wen”, chapter 60

“Another branch originates from the Liver

The abdominal branch of the Du Mai starts in the

• Branch 2 (Abdominal branch) –This branch

• Branch 3 (Head branch) Ascends along the throat,

Chapter 44 Simple Questions

Rectus Abdominis Transversalis Fascia

• All three start from between the

• Reaches pubic region via SP-12

• Starts from LIV-5 Ligou

• A branch of the Du Mai flows down to the genitalia.

• The Liver Main, Luo, Divergent and Muscle channels wrap

KI-4 Dazhong LIV-5 Ligou

The Post-Natal Qi and

The health of the male reproductive system depends on Heart-Yang

The communication between Heart and Kidneys is highlighted by Zhu

秦 国 政 Qin Guo Zheng means “Qin Government”!!

This doctor discusses what is a normal level of nocturnal emissions in

BAO 胞 LOWER DAN TIAN 丹 田

In men ROOM OF UTERUS –

SPERM – MENSTRUAL BLOOD

Women are much more prone to Blood stasis

This passage clearly shows that bao is a structure common to both

Its Qi and Blood descend to the

Provides Jing and

SMALL Pure KIDNEYS

Ling Shu: “The Triple

The movement of Qi to carry out its various functions relies on

This whole process is called “Qi Transformation by the Triple

“The Triple Burner is the three original Qi of the body, it is the

“The Triple Burner is the place where the Yuan Qi is separated: it

Although the Wei Qi exerts its influence primarily in the Upper

Chapter 18 of the “Ling Shu” says: “The Ying Qi originates from

Zhang Yuan Su (ca. 1151-1234) Yi Yuan “Origin of Medicine”

“The Qi of the Triple Burner gathers in the avenues of Qi [Qi Jie]”.

“The Triple Burner is the official in charge of ditches”.

Therefore the Triple Burner is like a system of canals and waterways

The end result of the complex process of transformation,

MIDDLE Stomach BLOOD

1) Official in charge of ditches, water transformation (Nei Jing)

2) Envoy of the Yuan Qi (Nan Jing)

3) Controls transformation of Qi in all Burners

4) Controls body cavities

6) Relation with Pericardium

MALE GENITAL MANIFESTATIONS OF PHLEGM

STASIS OF JING WOMEN MEN

Stabbing pain lumbar region KIDNEYS KIDNEYS

URINARY SYMPTOMS PATHOLOGY

PATHOLOGY OF THE PENIS

PATHOLOGY OF THE SCROTUM

PATHOLOGY OF THE PROSTATE (Historically part of Lin)

JING (including Blood)

PROSTATE (Historically part of Lin)

• The prostate is not mentioned in classical texts.

• Modern Chinese books and journals frequently discuss the treatment of

Chapter 65 of the “Ling Shu”:

• “Bao” indicates a structure that is common to both men and women: in

秦国政 Qin Guo Zheng means “Qin Government”!!

BAO 胞 LOWER DAN TIAN 丹田