Traditional Chinese Medicine Syndrome Of Chronic Prostatitis And Related Factors

Chronic Prostatitis (CP), as a common and difficult disease of adult males, affects the life quality of patients seriously. The main clinical symptoms are the pain of the lower urinary and bladder reproductive area. It is often caused by several different kinds of diseases with a unique form of co-composition, so it is also called Chronic Prostatitis Syndromes(CPS).The clinical signs and symptoms of CP can be divided into 5 parts:1, the stimulation symptoms of lower urinary route; 2, the obstruction symptoms of lower urinary route; 3, the pelvic pain symptoms; 4, dysgenesis; 5, mental and emotion aberration. In addition, the CP can be divided into 2 kinds according to the National Institute of Health of United States:the Chronic Bacterial Prostatitis (Type II), the Chronic Non-bacterial Prostatitis/The Chronic Pelvis Pain Syndromes (TypeⅢ). The cause of CP has not been definated up to now. Generally, it is thought that CP is related to micro-biological infection, self immune reaction and urinary returning, pelvic vegetative nervous disorder and psychological factor. Currently, the pathogenesis and mechanism remains unclear, the diagnosis and treatment are still controversial, and the efficacy is not satisfactory until now.CP belongs to the scope of JINGZHUO in the field of TCM. It locates in the JINGSHI and JINGQIAO, which is related to the kidney and bladder as well as to the liver, lung, spleen, heart and SANJIAO. Its mechanism character is:the deficiency of kidney as the fundamental cause, the dampness, heat, stagnated blood and QI, poison as the incidental complications. There are definite advantages and effectiveness in treating CP with TCM, especially the compositive method, which can improve the syndromes and get satisfactory effectiveness, also be utilised popularly. However, the lack of awareness of the pathogenesis, mechanism and the non-uniform differentiation became huge problems of the TCM treatment and research on CP.In recent years, some professors began to study the CP differentiation by using epidemiological methods. But there still some questions:first of all, the differentiation standard for the investigation is still based on traditional knowledge. Second, Lack of uniform standards for syndrome diagnosis and efficacy evaluation. Third, Syndrome diagnosis has not quantified. Fourth, lack of prospective survey on epidemiological. Fifth, collect less information of patients, and the information is ambiguity. All the reasons above made the limitation of syndrome conclusion, the lack of comprehensive analysis, leading to recognition bias, made a certain gap between the research conclusion and the clinical practice. A clinical survey was carried out from three hospitals in Beijing and database was established. The frequency of TCM syndromes and the correlation between biologicalparameters and TCM syndromes were analyzed. The results of statistics showed that TCM syndromes of CP were various in total 304 cases. The syndrome of downward flow of dampness heat (74.0%), the syndrome of qi stagnation and blood stasis (43.4%) and the syndrome of Liver qi stagnation (37.8%) were the main categories, with occurrance incorporatively in patients. Furthermore, the syndrome of the kidney-yang deficiency (29.6%), the syndrome of middle qi insufficiency (27.3%) and the syndrome of hyperactivity of fire due to yin deficiency (14.1%) were seldom found. Multiple factors logistic regression analysis of basic syndromes revealed the risk factors for different syndromes, with metal work for the syndrome of downward flow of dampness heat; category IIIA, metal and physical work, working time less than 8 hours for the syndrome of qi stagnation and blood stasis; duration over 12 months, uncomfortable living environment, no consumption of irritating beverages and indigestion for the syndrome of Liver qi stagnation; aging, less work pressure, onset in winter for the syndrome of the kidney-yang deficiency. Because of the small sample size and the large number of observation indicator, some of the indicators can not be analyzed, so the statistical results and clinical knowledge can not be fully consistent with the general. However, the results still provided more reliable theoretical basis and research ideas for further studies.