Partial classification of chronic prostatitis:
Treatment of downward flow of damp heat: clearing heat and promoting diuresis. Prescription: Bazheng Powder, recommended alternative prescription: Longdan Xiegan Decoction, recommended Chinese patent medicine: Ningbitai Capsule,114 ~1152g, taken orally three times a day. The idea of combining traditional Chinese and western medicine: Type III can be treated with traditional Chinese medicine alone, and western medicine can be added when necessary. On the premise of syndrome differentiation and treatment, western medicine can be selected according to the specific situation to improve the curative effect. For example, when VB 3 bacteria culture is positive, it is recommended to take fluoroquinolones orally for at least 4 ~ 6 weeks; After 2-4 weeks of oral administration of fluoroquinolones, it is recommended to continue antibiotic treatment only when the clinical symptoms of patients are truly relieved, with a total course of treatment of 4-6 weeks [9]; Type Ⅲ B western medicine treatment can also choose α 2 receptor blockers as needed.
Treatment of qi stagnation and blood stasis: activating qi and promoting blood circulation. Prescription: Fuyuan Huoxue Decoction; Recommended alternative prescription: Shaofu Zhuyu decoction; Recommended Chinese patent medicine: Dahuangchong pill, 3 ~ 6 g each time, 1 ~ 3 times a day, taken with warm water. Thinking of integration of traditional Chinese and western medicine: the main symptom of syndrome differentiation of qi stagnation and blood stasis is pain, and type ⅲ is treated with traditional Chinese medicine alone, and western medicine can be added if necessary. α 2 receptor blockers and non-steroidal anti-inflammatory and analgesic drugs can be selected. Antibiotics can be used if necessary.
Treatment of liver depression: soothing the liver and relieving depression. Prescription: Chaihu Shugan Powder; Recommended alternative prescriptions: Xiaoyao powder and Jinlingzi powder; Recommended Chinese patent medicine: Xiaoyao Pill, 6 ~ 9 g each time, taken orally twice a day. Thoughts on the combination of traditional Chinese and western medicine: this syndrome can be treated with traditional Chinese medicine alone. When mental symptoms are serious, such as anxiety and depression, antidepressants and anxiolytics can be selected according to clinical needs. Proper selection of α 2 receptor blockers and non-steroidal analgesics is helpful to improve the curative effect.