Professor Deng Chunhua of the 18th International Conference on Network Diseases and Prostate Disease Forum: To treat prostate diseases, we must "eat whole fish"

At the prostate disease sub-forum of the conference, dozens of experts from urology, integrated traditional Chinese and Western medicine and other fields exchanged and shared clinical views and diagnosis and treatment experiences

Professor Deng Chunhua, chairman of the andrology branch of the Chinese Medical Association and the first affiliated hospital of Sun Yat-sen University, pointed out in an interview that "the treatment concept of prostate diseases has undergone significant changes

Prostate disease is easily overlooked in the early stages,

Improving quality of life is the primary therapeutic goal

Among prostate diseases, prostatitis and benign prostatic hyperplasia (BPH) are the most common

Due to the upper bladder of the prostate and the lower urethra, lesions often affect urination, resulting in symptoms

In fact, many patients with prostate disease usually seek medical attention after a significant decline in quality of life, but the onset or initial symptoms of the disease have long existed

"From a pathological point of view, the real onset is about 35 years old, and the symptoms are generally around

Nowadays, prostatitis treatment has changed from "focusing on inflammation" to "paying attention to symptoms", and clinically paying more attention to the impact
of disease on patients' quality of life.

"In the treatment of prostatitis, there is no need to worry too much about which bacteria there are many and how many white blood cells there are, and it is the primary goal
of treatment to relieve the patient's urination symptoms and improve the quality of life.
"
Professor Deng Chunhua stressed that inflammation may not be the only cause
of symptoms.

In addition to infection, there may also be psychosocial, nervous system, endocrine and other factors, or from the perspective of Traditional Chinese medicine, the patient has physical fitness, meridians and other reasons
.

Therefore, the treatment needs to be from a systemic perspective, and the use of integrated means such as multi-mechanism and multi-target of traditional Chinese and Western medicine can significantly improve the prognosis
.

Integrative Medicine

Early prostate disease is more effective

In the 1990s, Deng Chunhua cured a BPH patient using integrated traditional Chinese and Western medicine, which was his first experience of the miraculous effect of integrated traditional Chinese and Western medicine, and he still remembers it
vividly.

The patient was only about 50 years old at the time, but symptoms such as dysuria were obvious
.

Deng Chunhua is concerned that surgical treatment will affect the sexual function of patients, so it is recommended to use medication first
.

At that time, α receptor blocker had just been approved for marketing in China, and he tried to prescribe the drug
to patients.

Unexpectedly, the next day after taking the drug, the patient excitedly came to the hospital and told him that urination became very smooth, and the effect was really "immediate", which also surprised
him.

However, the subsequent treatment fell into a bottleneck - the patient's nocturia symptoms fell from the original seven or eight times a night to four or five times and could not go down
.

Deng Chunhua tried various treatment methods, but the results were very ineffective, so he was quite nervous
.

Finally, after the order of a senior, he added proprietary Chinese medicine to the patient's prescription and used the combination of traditional Chinese medicine and Western medicine to further treat
the patient.

Happily, the patient returned to the clinic half a month later, happily telling him that nocturia had dropped to about once a night, and that the urination was smooth, "feeling as if it had returned to the previous state where there was no disease", and the patient was very satisfied with
the treatment effect.

After this diagnosis and treatment, Deng Chunhua realized that the correct application of integrated Western medicine can significantly improve patient symptoms, delay the operation time, and even solve the problem
without surgery.

Especially for patients with early prostate disease, individualized drug therapy and health management for the patient's condition are more important
.

Professor Deng Chunhua said, "Chinese medicine pays attention to the overall view, pays attention to the same disease and different treatment, and can be said to be the 'old ancestor' of precision treatment, which has important clinical value
in the early stage of the disease.
"
"For patients undergoing surgical treatment, postoperative treatment can also accelerate recovery through traditional Chinese medicine treatment, improving the clinical benefits of
patients.
"

Give full play to the advantages of integrated traditional Chinese medicine and western medicine

Serving patient health

Nowadays, in the combination of traditional Chinese and Western medicine treatment of prostate diseases, in addition to the routine use of α receptor blockers, β receptor agonists, M receptor agonists and other drugs, Deng Chunhua will also combine the patient's condition and use proprietary Chinese medicines with healthy spleen and kidney and water dispersal effects, such as Xia Liqi capsules, etc.
, to further improve the benefits of
patients.

"Especially in terms of improving the frequency of nocturnal urine, Xia LiQi capsules have significant advantages
.

Professor Deng Chunhua pointed out that the treatment of nocturnal urine by Xia Liqi capsules has a holistic concept, which can be treated both symptomatically and fundamentally, attacking and supplementing, and combining treatment and nourishment, highlighting the holistic thinking
of TCM treatment.

Led by Guang'anmen Hospital of the Chinese Academy of Chinese Medical Sciences, the results of the controlled trial of Xia Liqi capsules for the treatment of benign prostatic hyperplasia multi-center, double-blind, double-simulated, and positive drugs confirmed that Xia Liqi capsules can not only alleviate the symptoms of patients with urinary weakness, dripping inexhaustibility, frequent urination, abdominal distention, waist and knee soreness, etc.
, but also reduce gland volume, reduce residual urine volume, improve urine flow rate, and treat benign prostatic hyperplasia effectively and with high
safety.

News review

In July 2022, experts in relevant fields organized by the Andrology Branch of the Chinese Society of Traditional Chinese Medicine Information, combined with the latest clinical evidence at home and abroad, formulated and issued the "Guidelines for the Multidisciplinary Diagnosis and Treatment of Benign Prostatic Hyperplasia combined with Traditional Chinese and Western Medicine" (hereinafter referred to as the "Guidelines"), which provides a reference for clinicians in the multidisciplinary collaborative diagnosis and treatment of prostatic hyperplasia, and gives play to the role of integrated traditional Chinese and Western medicine in the management of
prostatic hyperplasia.

In recent years, traditional Chinese medicine has achieved remarkable
results in improving lower urinary tract symptoms and improving the quality of life of patients.

In the "Guidelines", proprietary Chinese medicines and botanical drugs are recommended according to the different dialectical classifications of BPH, and Xia Liqi capsules are recommended for the treatment of prostatic hyperplasia, which plays a role
in tonifying the spleen and strengthening the qi and warming the kidneys and diuresis.

Xia Liqi capsule is a proprietary Chinese medicine specially developed for the treatment of prostatic hyperplasia based on the guidance of the theory of chinese medicine network disease, and the treatment method of "strengthening the spleen and benefiting the kidneys, and benefiting the water and loosening the knots" is established with the general principle of "network to use"
.

Xia LiQi capsule formula in the Summer Dry Grass detoxification, water dispersion, litchi core temperature through the dispersion of cold, astragalus can replenish qi, the whole side of the spleen and kidneys, water dispersion, with "fast treatment and slow maintenance" comprehensive treatment of
prostatic hyperplasia effect.

The "Guidelines" pointed out that the spleen and kidney deficiency type prostatic hyperplasia should be healthy spleen and kidney, and recommended Xia Liqi capsules, "can be used to improve waist and knee soreness, frequent urination, urgency, pain of urination, fine urine line, scrotum dampness and other symptoms, suitable for the treatment of prostatic hyperplasia damp heat stasis evidence
.
"
”

The clinical practice of integrative Medicine embodies the exchange and collision
between traditional medicine and modern medicine.

Deng Chunhua pointed out that modern medicine is based on scientific thinking, conducts in-depth research on anatomy and physiology, and uses reductionism to tell a "complete story", which has the advantage of being more accurate and easy to convince
.

But the disadvantage is that specific to each patient's condition, in addition to reducing "a story line", other causes
are ignored.

For example, for symptoms of dysuria, in addition to the compression of the urethra by prostatic hypertrophy and compression of the urethra, the narrowing of the lumen of the urethra may also be due to weakness in bladder contraction, or pelvic dysfunction, resulting in changes in
the fluid dynamics of the entire lower urinary tract.

"Although the story of reductionism is well told, the causes of other aspects have not been solved, and the concept of treatment is relatively lacking in a holistic view
.

Deng Chunhua proposed that in contrast, Chinese medicine emphasizes system theory, not "only staring at the disease", but from the level of various systems in the body for comprehensive diagnosis and treatment
.

In recent years, there have been views that the use of modern medical research methods to verify the theory of Chinese medicine can increase the "scientific nature" of Chinese medicine and improve the "recognition"
of Chinese medicine worldwide.

In this regard, Deng Chunhua believes that this is a necessary journey for the development of traditional Chinese medicine, but "not necessarily the best way"
.

Deng Chunhua stressed that Chinese medicine and Western medicine are two completely different medical systems, which should be eclectic and complementary, and give full play to the respective advantages
of the two medical systems.

"It is hoped that Chinese medicine and Western medicine will strengthen exchanges, actively cooperate to carry out exploratory research, accumulate experience in the diagnosis and treatment of integrated Chinese and Western medicine, continuously optimize clinical diagnosis and treatment programs, and jointly serve
to promote human health.
"
”

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