How to cure prostate

Almost 50% of men will suffer from prostatitis. Especially for older men, the probability of suffering from prostatitis will be greatly increased. After men get prostatitis, they will feel pain when urinating, and there will also be bifurcated urine. Generally, some antibiotics are needed during treatment. The main function of antibiotics is to reduce inflammation. So how can the prostate be cured?

How to treat prostatitis? Here we mainly introduce three methods:

1. Antibiotic treatment

This is a common method of treating prostatitis. Antibiotics diffuse from plasma into prostatic fluid and are mostly effective against Gram-positive bacilli that cause urinary tract infections. However, because they cannot cross the lipid membrane of the prostate epithelium and enter the prostate acini to achieve therapeutic effects, the therapeutic effect is not ideal. Therefore, the following principles should be followed when selecting antibiotic drugs for prostate treatment:

(1) The drug is highly sensitive to bacteria.

(2) The drugs to be determined for application should be based on those with high lipid solubility, high permeability, low binding rate to plasma proteins, and high degree of dissociation.

(3) Combined use of two or more drugs with synergistic effects.

(4) In order to achieve an effective concentration of the drug in the prostate interstitium and prevent the occurrence of urinary tract infection, ultra-large dosage and ultra-time-limited (4 to 12 weeks) medication should be advocated.

Recently, some scholars have classified antibiotics according to the different levels of antibacterial drugs that can diffuse into the prostate. High-level ones include trimethoprim, clindamycin, erythromycin, etc.; medium-level ones include chloramphenicol, lincomycin; low-level ones include ampicillin, Pioneer I, Pioneer IV, doxycycline, kanamycin, nitrofurantoin, oxytetracycline, penicillin G, polymyxin B, rifampicin, and most sulfa drugs. Patients can choose the drug type, usage, dosage, etc. under the guidance of a doctor.

2. Traditional Chinese Medicine Treatment

Prostatitis, especially chronic prostatitis, is a chronic disease, so the traditional Chinese medicine of the motherland plays a very important role in its treatment, and the prospects are optimistic. Traditional Chinese medicine generally divides chronic prostatitis into five types for syndrome differentiation and treatment. Here is a separate introduction. (1) Damp-heat type: Symptoms include stranguria, red and painful urine, tightness in the lower abdomen, perineal distension and pain, white and turbid urethral meatus, yellow and greasy tongue coating, and slippery and rapid pulse. The treatment is suitable for clearing away heat and removing dampness, and choose Bazheng Powder with the following additions and subtractions: 7 grams of Akebia, 10 grams of Plantain Seed, 10 grams of Bianzhu, 10 grams of Qumai, 20 grams of Talc, 10 grams of Gardenia, 6 grams of rhubarb, and 5 grams of licorice. Spleen deficiency and dampness type: Symptoms include turbid urine, dull complexion, sleepy limbs, no desire to eat, pale tongue with white coating, and weak pulse. The treatment is suitable for strengthening the spleen and diluting dampness, and the selected prescription is Shenling Atractylodes Powder: 10 grams of Codonopsis pilosula, 15 grams of stir-fried Atractylodes macrocephala, 24 grams of Poria cocos, 30 grams of Coix, 7 grams of amomum villosum, 15 grams of Alisma, 10 grams of Angelica sinensis, 30 grams of Kuncao, and 10 grams of tangerine peel. (2) Qi stagnation and blood paralysis type: Symptoms include sluggish urine, perineal stagnation, and distended lower abdomen, enlarged and hard prostate, dark purple tongue, stringy and astringent pulse. The treatment is suitable for activating blood circulation and removing blood stasis, promoting qi and unblocking meridians. The prescription is Shaofu Zhuyu Decoction: 10 grams of peach kernel, 10 grams of safflower, 15 grams of angelica root, 6 grams of cumin, 10 grams of toodango, 10 grams of adenospermum, 12 grams of red peony root, 15 grams of adenophora, and 30 grams of dandelion. (3) Liver and kidney yin deficiency type: Symptoms include frequent white turbidity at the urethra orifice, swelling of the perineum, soreness and weakness of the waist and knees, hot flashes and night sweats, red tongue with less coating, and thready and rapid pulse. The treatment is suitable for nourishing the liver and kidneys and clearing away fire. Fangxuan Zhibai Dihuang Decoction is modified: 15 grams of Anemarrhena, 10 grams of Phellodendron, 30 grams of Rhizoma Polygoni, 15 grams of Alisma, 15 grams of paeonol, 30 grams of Poria, 15 grams of Polygonum multiflorum, 15 grams of Polygonatum, 10 grams of White Teng, and 15 grams of Salvia miltiorrhiza. (4) Kidney yang deficiency type: Symptoms include stranguria and semen retention in urine, fear of cold, soreness and coldness in waist and knees, impotence, premature ejaculation, pale and fat tongue, and weak pulse. The treatment is suitable for warming the kidneys and strengthening yang, and the prescription is Jingui Shenqi Pills with the following additions and subtractions: 10 grams of Fu Pian, 10 grams of Cuscuta, 10 grams of Xianling Spleen, 10 grams of Eucommia ulmoides, 10 grams of Polygonatum, 15 grams of Angelicae Sinensis, 15 grams of Chinese yam, and 24 grams of Poria.

3. Injection therapy

Since systemic antibiotics cannot easily reach an effective concentration in the prostate and affect the efficacy, a treatment method of directly injecting antibiotics into the prostate has emerged. The specific method is to use gentamicin, kanamycin, and cephalosporin, alone or in combination, to directly inject into the prostate through the perineum, or directly inject the liquid into the prostate lesion under the guidance of B-ultrasound, 1 to 2 times a week, 10 times as a course of treatment.

The main advantage of this treatment method is that the drug is directly injected into the prostate and can easily spread and reach an effective antibacterial concentration. It can not only kill the bacteria at the injection site, but also eliminate the bacteria in the surrounding tissues. The drug is partially absorbed into the blood and can also synergistically eliminate infections in the urethra and other parts. It is a valuable treatment method for refractory and stubborn chronic prostatitis. But it also has some shortcomings that are difficult to overcome, mainly:

(1) The prostate is deep and direct injection is not easy. Puncture may cause damage to surrounding tissue and cause hematuria.

(2) Puncture can cause pain and discomfort, and if repeated, it will be difficult for patients to accept it.

(3) Puncture through the skin or through the rectum can introduce bacteria and cause repeated infection of the prostate.

(4) Repeated punctures can cause prostate fibrous tissue hyperplasia and prostate sclerosis. During anal examination, induration can be palpable in the prostate, or a hard prostate can be palpated. Fibrous tissue hyperplasia will cause the lesions to be separated and surrounded, making it more difficult for antibiotics to penetrate and make it difficult to discharge prostatic fluid.

Therefore, you must be careful when choosing this treatment method. This method should only be considered when other methods are ineffective, and punctures should not be too frequent. Punctures should be performed 1 to 2 times a week. The course of treatment should not be too long, and should be controlled to about 1 to 2 months.