An Analysis On The Correlation Factors With TCM Syndrome Of BPH

Objective: BPH is a common disease in the aging male. As the aging process in the population, its incidence rate will be increased and causing aging people' s life quality, even result in many other complications which threaten people' s life. It's a tough topic in the 215t century and become the main disease affect aging male' s health in our country.This noun was absence in the ancient literature of TCM, was called in the "Jin-Shi" , "Jin-Qiong" and "Jing-Dao" category. Since many famous TCM doctors called prostate as QiHengZhiFu, because it' s save and void ,with the main functions of organ, but not exactly the same as organ. It's very important for the prostate to have regular save and void, it is to show the normal function of the prostate and it is a very important sign of a healthy prostate. In the other hand, prostate has the function of adjusting urine, this was related to the save and void function. Therefore we think prostate' s function is belonging to the "Kidney" , manifesting in the following points: 1. Control of Spirit: to keep and to void; 2. Adjusting urine: to adjusting urine, mining prostate has the functions to save to void urine; 3. Opens in the anterior pudendum: Prostate' s pathological change can be shown in the exogenesis. Prostate is very close in functions with other organ through "Kidney" , other organ functions disorder will affect prostate. For example if "liver loss in void" will affect prostate's save and void function and result in spermatorrhea or Yang devoid.There is no such a name for BPH in the TCM. As for the characteristics of micturition, dysuresia, spotting or even obliterate many scientist think it is very close to "Long-Bi" and "Ling-Zheng" category described in the literature. Combined with TCM' s conception on anatomy of seminal vesicle, created a new terra "Jing-Long" which is much more accurate.Cognition of TCM' s etiology and pathology comes in deep gradually, in the early 90th, wetness-heat, kidney essence, Phlegm Stasis, liver depression, Pulmonary heat and Spleen week been recognized as the common causing of BPH, as BPH' s basic etiology and pathology are not confirm. In the recent years, many clinical studies shows Kidney Qi-weak is the basic effluence, Pulmonary, Spleen and liver pathological changes are the main reasons worsening patient' s condition. Pathologic output like wetness- heat, Phlegm Stasis, worsen sperm can all become BPH' s complication or incentives. As Kidneyweakness and stasis of Blood are the main pathology, more-clinical:'studies support this idea.Differentiate signs and a syndrome is to present etiology and pathology in specific. In the recent TCM clinical to the BPH' s signs and syndrome comes in separately, up to 20 different clinical types. The common seen syndromes are Damp-Heat pouring down, stagnant blockade of water passage, Depression of liver and stasis of Qi, Pulmonary heat flourishing, Deficiency of Spleen . Qi, Ying weakness and heat flourishing, Kidney-Yang decline, Spleen-Kidney Yang deficiency, Pulmonary-Spleen Qi weakness, poison attack heart, shortness of breath qi deficiency, Spleen Qi deficiency etc. This reflect people not really sure about the etiology and pathology of BPH. Because there' re many syndromes, each syndrome lack of logic and correlation, result in fluctuates of effect.This clinical study aimed to analytic signs of syndrome, confirm BPH etiology and pathology in TCM in addition, observe regularity of syndrome, and analysis TCM syndrome in relation to clinical factors to be much more accurate in BPH' s TCM syndrome reorganization. Clinical prescription can be instructed accurately, and to make useful observation of TCM syndrome in quantity and objectively.Aim: This research is based on the clinical findings; all the BPH cases are from The 1st afflicted hospital of Guangzhou TCM from July 2003- March 2005. Age from 51-86 years old, mean age of 63 years old; shortest course of disease is 5 months, longest is 21 years. On the basis of "TCM standard of effectiveness" categorized in Kidney-Qi deficiency, Ying-deficiency and heat flourishing, Kidney-Yang weakness, Blood-stasis pouring down, bladder wetness and heat and Pulmonary Qi blockage six syndromes. To differentiate syndrome for cure, understanding each syndromes developing patterns and their relationship, and to study the relationship between patient' s age, course of illness, path genetic condition, size of prostate, urine flow rate, pathological findings and endothelia.Results: BPH' s syndrome is much in proportion of Kidney-Qi Deficiency, 26.4%. And is seen in early stage, is a basic syndrome. Not much of Ying-deficiency and heat flourishing, only 7.8% in the middle stage. Mid to end stage of Kidney-Yang weakness is very often seen with 23. 38%. Blood stasis pouring down are often seen in late stage, about 22.07% and with Ying-deficiency and heat flourishing, Kidney-Yang weakness showing together. Blood stasis is categorized in Blood stasis pouring down. Bladder wetness and heat 14. 71%, Pulmonary heat with Qi-blocking 5.62%, two syndrome shows in transient, often take over the signs of weakness in fundamental. Syndromes of Kidney-Qi deficiency, Yin deficiency and heat flourishing and Kidney-Yang deficiency can recall after been treated. Yin deficiency and heat flourishing, Kidney-Yang deficiency and Blood stasis pour down shows server condition. Bladder wetness and heat, Pulmonary heat with Qi-blocking are often signs of aggravation in condition.