The treatment of chronic prostatitis with acupuncture and mild moxibustion

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The treatment of chronic prostatitis with acupuncture and mild moxibustion

by Yu Yang et al.

Chronic prostatitis is a common disease of the male urinary tract characterised by slow onset, complicated aetiology and pathology and repeated relapses. The therapeutic effect of both Chinese herbs and Western medicine is reduced by the layer of compact fibrous tissue surrounding the prostate, which prevents penetration of any medicines into the gland. In TCM theory prostatitis mainly involves damp-heat, blood stasis and Kidney deficiency. Acupuncture can clear damp-heat, while moxibustion can supplement qi, promote blood circulation and resolve blood stasis. In addition, the authors have noted that the overuse of damp and heat clearing herbs may result after some time in internal accumulation of cold and damp, blood stasis and Kidney yang deficiency. Thus it is appropriate to warm the channels with moxa to disperse cold and promote blood circulation, remove blood stasis and warm and nourish Kidney and Liver. In this study 200 randomly chosen men were divided into two equal groups. All had been diagnosed with chronic prostatitis and had been unsuccessfully treated with Western and Chinese medicines. The treatment group received acupuncture and mild moxibustion and the control group received acupuncture only. The points selected for both groups were Shenshu BL-23, Dachangshu BL-25, Zhibian BL-54, Zhongji REN-3, Guanyuan REN-4, Sanyinjiao SP-6, the prostatic points (located on either side of the perineum), Shuidao ST-28 and Qihai REN-6. Firstly, a needle was inserted 1-2 cun obliquely at 45 degrees into the mid-point between the scrotum and groin until aching and distension was felt at the perineum, then Guanyuan REN-4 was needled obliquely downwards at an angle of 65 degrees until aching and distension reached the root of the penis. This was followed by perpendicular needling of Shuidao ST-28 and Qihai REN-6 with lifting and thrusting technique until deqi was felt. The needles were retained for 20 minutes. For the treatment group moxibustion wedges were burnt three times on the needles. The wedges contained Ai Ye (Folium Artemisiae), Fang Feng (Saposhnikoviae Radix) and Bai Zhi (Angelicae dahuricae Radix) to warm the channels and disperse cold, and Wu Yao (Linderae Radix), Xiao Hui Xiang (Foeniculi Fructus) and Rou Gui (Cinnamomi Cortex) to warm the lower jiao in order to disperse cold, relieve pain and induce diuresis. For the control group the treatment was the same, but without the moxibustion. One course of treatment consisted of daily treatment for 10 days and 2-3 courses of treatment were given with a five day interval between each course. Improvements in the symptoms of urinary urgency, white exudates after urination, distending pain in the perineum, groin pain, sexual dysfunction, lassitude, dizziness, tinnitus, insomnia and frequent dreaming were statistically significant in the treatment group, especially the symptoms of sexual dysfunction and lassitude. The overall effectiveness rate according to symptomatic relief, reduction in WBC and increase in lecithin corpuscles was 100% in the treatment group and 91% in the control group. The smoothness of the prostatic surface and internal evenness of the tissue was also significantly improved in the treatment group.

JTCM September 2005

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Author Yu Yang et al
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