Sunday, July 27, 2008

TCM-Acupuncture for Prostatitis

[Syndrome differentiation]
1. Downward migration of damp-heat
Burning sensation in the urinary tract, yellow and scanty urine, profuse whitish secreta from the external orifice of urethra, bitter taste and dryness of mouth, thirst and desire to drink water, retention of dry feces, red tongue, yellow and greasy tongue fur, slippery and Taichong (LR 3) are added; for asthenia of liver and kidney yin, Guanyuan (CV 4), Fuliu (KI 7), Taixi (KI 3), Shenshu (BL 23) and Ganshu (BL 18) are added; for asthenia of spleen and kidney yang, Mingmen (GV 4 ), Pishu (BL 20), Shenshu (BL 23) and Zusanli (ST 36) are added; for qi stagnation and blood stasis, Taichong (LR 3) and Geshu (BL 17) are added; for hematuria, Xuehai (SP 10), Geshu (BL 17) and Zhibian (BL 54) are added; for seminal emission and spermatorrhea, Jinggong (Ext.), Guanyuan (CV 4) and Dahe (KI 12) are added.

Performance: Urine is discharged completely, then Zhongji (CV 3), Guanyuan (CV 4) and Qugu (CV 2) are needled vertically for 1.5 - 2 cun to direct the needling sensation to the perineum; Ciliao (BL 32) and Zhibian (BL 54) are needled 1.5 - 3 cun toward the bladder to direct the needling sensation to the lower abdomen and perineum; the other acupoints are needled with routine procedure. The needling technique used is mainly for reducing purpose. For the treatment of asthenia of the spleen and kidney yang, reinforcing needling technique is used together with moxibustion. For the treatment of asthenia of liver and kidney yin, mild reinforcing and reducing needling technique is used.

2. Ear acupuncture
Prescription: Angle of Cymba Concha (C08), Kidney (C010), Bladder (C09), Liver (C012), Triple Energizer (C017), Ear Shenmen ( TF4 ), Pelvic Cavity ( TF5 ), Sympathetic Nerve (AH6a), Endocrine (CO18) and Adrenal Gland (TG2p).

Performance: Each time 3 - 5 acupoints are selected with normal procedure. For the treatment of acute prosta-tiffs, strong stimulation (with bloodletting from the tip of ear) is used. The needles are retained for a longer (45-60 minutes) time and manipulated at intervals. For the treatment of chronic prostatitis, moderate stimulation is used. The needles are retained for 20 minutes and the needling is done once a day.

Source: Acupuncture- Acupuncture for Prostatitis
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