Post Date December, 02 2023
1、 Laboratory diagnosis: Mainly for smear examination of prostate fluid, which can be obtained by rectal massage. The normal prostate fluid is pale milky white, with a protein luster, and secretes approximately 0.5 to 2 milliliters per day. Prostate fluid is a part of semen, accounting for about 15% to 30% of semen. Its pH value is around 6 to 7, and it is slightly acidic; When inflammation is severe, the secretion is thick, with a yellowish or reddish color, or contains flocculent matter, and may have sticky filaments. Under the microscope, the following components can be seen: (1) Lecithin corpuscles: Lecithin corpuscles in normal prostate fluid are almost full of visual field. When inflammation occurs in the current column of glands, macrophages engulf a large amount of lipids, resulting in a decrease in lecithin corpuscles. Therefore, the number of lecithin bodies reflects the severity of prostatitis to a certain extent. (2) Blood cells: There are very few red blood cells in the normal prostate fluid, which often appear during inflammation. Excessive massage can also cause an increase in the number of red blood cells; Prostatitis can be diagnosed by observing under a microscope that there are more than 10 to 15 white blood cells in each high-power field of view in the normal prostatic fluid, with no more than 10 white blood cells in each high-power field. During inflammation, due to poor drainage of the excretory tube, piles of pus cells or red blood cells can be seen.
2、 Differential diagnosis: This disease should be differentiated from gonorrhea.
Prostatitis can also occur with frequent urination, urgency, and pain, but without pyuria. Male prostatitis can be divided into infectious prostatitis and non infectious prostatitis. The most common clinical form is non infectious prostatitis, which is caused by chronic congestion of the prostate, or some inappropriate stimulation, leading to prostatitis. "Chronic prostatitis has white oozing fluid at the end of the urinary tract, while chronic gonorrhea has white mucus at the beginning of the urine.". Prostatitis often causes pain and discomfort in the perineum. Further examination requires culture of prostate fluid to determine.
3、 Treatment:
(1) Western medicine treatment: ampicillin 250 mg, oral, 4 times a day; Or norfloxacin 200 mg, taken orally 3 times a day.
(2) Traditional Chinese medicine treatment: Traditional Chinese medicine believes that the pathogenesis of this disease is due to the internal invasion of damp-heat toxins and the formation of lower scorches in water spinach. When treating it, one should clear away heat and detoxify, and use Bazheng Powder to add or subtract:
Prescription: Mutong 10g plantain 6g rhubarb 6g phellodendron 10g flat storage 10g honeysuckle 15g chicory 15g gardenia 10g raw land 15g licorice 6g dandelion 12g viola officinalis 15g
Usage: Take one dose daily, decoct twice in water, mix the liquid, and take it separately in the morning and evening.
