| BackgroundChronic prostatitis is a common disease of genitourinary system in young or middle-aged men. The disease is stubborn, recurrent, difficult to cure. In addition to abnormal urination and local pain and discomfort, it can also cause sexual dysfunction, even can cause infertility that can seriously affect the health of patients. In recent years, there is an upward trend in incidence. Western medicine therapy in addition to the anti-inflammatory, anti anxiety drugs, there is no specific therapy which has side effects and its efficacy is not ideal and tend to capricious. Chinese medicine has certain advantages in treating this disease. Heat clearing and detoxicating, promoting blood circulation and removing blood stasis method is the primarily treatment principles. In addition to oral medications, there are rectal administration, sit-bath, acupuncture and other therapies. The overall effect is also quite satisfied, especially the improvement in symptoms. But there are few reports and there is no recognized diagnosis and judgment standard in Chinese medicine.There are a lot of clear clinical reports about Bazheng Powder on chronic prostatitis of damp-heat type and there is also a extremely wide clinical application about Taohongsiwu Decoction which is a famous prescription of activating blood circulation to remove blood stasis.Treatments for patients with damp-heat and blood-stasis syndrome type of chronic prostatitis are usually of Clearing Heat and Removing Dampness and Promoting Blood Circulation and Removing Blood Stasis. The systematically research to Bazheng Powder and Taohongsiwu Decoction on chronic prostatitis of damp-heat and blood-stasis type are less.Objectives To observe the clinical application of modified Bazheng Powder and Taohongsiwu Decoction on chronic prostatitis of damp-heat and blood-stasis type and to evaluate the clinical curative effect of Bazheng Powder and Taohongsiwu Decoction on chronic prostatitis of damp-heat and blood-stasis type.Methods100cases of patients with chronic prostatitis of damp-heat and blood-stasis type who Came form The First Affiliated Hospital of Guangzhou University of Chinese Medicine in TCM andrology clinic in March,2013to March,2014were randomized into treatment group (Bazheng Powder and Taohongsiwu Decoction group) and control group (Qianlietongyu capsule group). To observe and record the indicators, including the treatment of TCM syndrome score, pain score, score of life quality, micturition objectively examinition of the quantitative grading score, curative effect, and then Come to conclusion.Results1. In the two groups before and after treatment (including the score before and after treatment of TCM syndrome score, pain score, score, score of life quality, voidingthe objective examination grading quantitative score) compared with paired t test, P<0.05, shows that the two groups after treatment were significantly improved in patients with subjective and objective score of treatment in the two groups; after thescore (including before and after treatment of TCM syndrome score, pain score, score of life quality, voiding the objective examination grading quantitativescore) by t test, independent samples p<0.05, showed that the treatment group than the control group in improving the TCM symptom score.2. Traditional Chinese medicine curative effect:treatment group (eight are scatteredand Taohong Siwu Decoction group)12cases were cured, effective in20cases,effective in13cases, the clinical cure rate, markedly effective, effective, total effective rate was24%,40%,26%,90%, the control group (Qianlietongyu capsule group)7clinical cure cases,16cases markedly effective, effective in18cases, the clinical cure rate, markedly effective, effective, total effective rate was14%,32%,36%,82%.Gonclusion This study shows that, there is a definitely clinical effect of modified Bazheng Powder and Taohongsiwu Decoction on chronic prostatitis of damp-heat and blood-stasis type and is better than that of Qianlietongyu capsules. |
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