What are the methods of traditional Chinese medicine to treat prostatitis and hot urine?

In the early stages of prostatitis, urination difficulties usually occur, along with other symptoms such as white discharge from the urethra and frequent urination. Therefore, abnormal urine will gradually disappear as the disease progresses and turn into other symptoms. So how does traditional Chinese medicine treat prostatitis?

Damp-heat descending type: Symptoms include painful, red, and difficult urination, lower abdominal cramps, distension and pain in the perineum, turbid urine at the urethra opening, yellow and greasy tongue coating, and slippery and rapid pulse. The treatment should be to clear away heat and dampness, and the prescription is Ba Zheng San with modifications: 7 grams of Akebia, 10 grams of Plantago, 10 grams of Polygonum multiflorum, 10 grams of Dianthus superbus, 20 grams of Talcum, 10 grams of Gardenia, 6 grams of Rhubarb, and 5 grams of Licorice.

Spleen deficiency and dampness excess type: Symptoms include turbid urine, sallow complexion, drowsiness in limbs, loss of appetite, pale tongue with white coating, and weak pulse. The treatment should be to invigorate the spleen and eliminate dampness. The prescription is Shenling Baizhu San with modifications: 10 grams of Codonopsis pilosula, 15 grams of stir-fried Atractylodes macrocephala, 24 grams of Poria cocos, 30 grams of Coix lachryma-jobi, 7 grams of Amomum villosum, 15 grams of Alisma orientalis, 10 grams of Angelica sinensis, 30 grams of Codonopsis pilosula, and 10 grams of dried tangerine peel.

Qi stagnation and blood stasis type: symptoms include difficult urination, distending pain and heaviness in the perineum and lower abdomen, hard and enlarged prostate, dark purple tongue, and stringy and hesitant pulse. The treatment should be to promote blood circulation and remove blood stasis, promote qi and dredge collaterals. The prescription of choice is Shaofu Zhuyu Decoction: 10 grams of peach kernel, 10 grams of safflower, 15 grams of angelica, 6 grams of fennel, 10 grams of Toosendan fruit, 10 grams of Linderae scabra, 12 grams of red peony root, 15 grams of Zedoariae rhizome, and 30 grams of dandelion.

Liver-kidney yin deficiency type: Symptoms include leucorrhea at the urethral orifice, distension of the perineum, soreness of the waist and knees, hot flashes and night sweats, red tongue with little coating, and a thin and rapid pulse. The treatment should be to nourish the liver and kidneys and clear away the internal fire. The prescription is Zhibai Dihuang Decoction with modifications: 15 grams of Anemarrhena asphodeloides, 10 grams of Phellodendron chinense, 30 grams of Rehmanniae glutinosae, 15 grams of Alisma orientalis, 15 grams of Moutan bark, 30 grams of Poria, 15 grams of processed Polygonum multiflorum, 15 grams of Polygonatum sibiricum, 10 grams of White rattan, and 15 grams of Salvia miltiorrhiza.

Kidney Yang Deficiency Type: Symptoms include difficult and difficult urination with semen, fear of cold, soreness and coldness of waist and knees, impotence, premature ejaculation, pale and fat tongue, and weak pulse. The treatment should be to warm the kidney and strengthen the yang. The prescription is Jinkui Shenqi Pills with modifications: 10 grams of processed aconite root, 10 grams of dodder seed, 10 grams of epimedium, 10 grams of eucommia, 10 grams of polygonatum, 15 grams of angelica, 15 grams of yam, and 24 grams of poria.