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PROSTATE CANCER

GENERAL

Clinical Manifestations	Usually asymptomatic until later stages Urinary outflow obstruction Elevated prostate-specific antigen (PSA)
Treatment Principle
Herb Formulas	Take a liquid extract of Hb. Erodii/Geranii Lao Guan Cao daily.
Points	KI-3, KI-7, REN-2, REN-3, REN-4, ST-28, ST-29, ST-30, UB-25, UB-28, UB-63

KIDNEY YIN DEFICIENCY WITH EMPTY FIRE RISING

Clinical Manifestations	Episodic hematuria with fresh pale or bright red Blood The bleeding may be mild or recurrent Mild urinary pain The urine may be concentrated Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back and knees Heel pain Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Irritability Restlessness Thirst Night sweats Five sole Heat Malar flush Facial flushing Low grade fever in the afternoon Dry mouth and throat, maybe recurrent sore throat Bone steaming fever Dry stools and/or Constipation Heightened libido Symptoms are worse in the afternoon If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Kidney Yin Subdue Fire Cool the Blood Stop bleeding
Herb Formulas	Zhi Bai Di Huang Wan modified Chinese patent medicines: Zhi Bai Di Huang Wan Da Bu Yin Wan Zhi Bai Ba Wei Wan Yun Nan Bai Yao (take this formula along with either of the above formulas)
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 KI-2, KI-3, KI-6, LU-7, REN-4, UB-23, UB-28 KI-6, KI-10, LIV-1, REN-3, REN-4, SP-1, SP-6, UB-23

KIDNEY QI DEFICIENCY

Clinical Manifestations	Difficult urination No power in urination Dribbling urine Frequent nocturnal urination Pale face Lack of spirit Lower back pain Knee pain Maybe a dull pain on urination Urge to urinate when tired or after exertion T: Pale C: Little or none P: Deep and rapid For pronounced Kidney Yang Deficiency: Pallor Pale urine Chilliness T: Pale and maybe swollen For pronounced Kidney Yin Deficiency: Scant, yellow urine Urgent urination Maybe hematuria Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Warm Yang Nourish Yin Nourish the Kidneys Promote urination
Herb Formulas	Jing Gui Shen Qi Wan modified Liu Wei Di Huang Wan modified
Points	KI-3, KI-7, REN-4, REN-6, UB-25, UB-28 For pronounced Kidney Yang Deficiency: + moxa or moxa needle For pronounced Kidney Yin Deficiency: + KI-2, KI-6

QI STAGNATION

Clinical Manifestations	Urinary retention Discomfort before urination Distention and pain in the lower abdomen, relieved by urination and made worse by stress Urine color is normal T: Normal C: White P: Wiry and deep
Treatment Principle	Circulate Qi
Herb Formulas
Points	GB-34, LI-4, LIV-3, LIV-5, REN-3, REN-6, ST-36

COLD-DAMP RETENTION

Clinical Manifestations	Turbid, pale urine Urination stops and starts Terminal dribbling Symptoms are better with Heat and worse with Cold Dragging down sensation in the lower abdomen Lower abdominal ache Fatigue T: Normal C: Sticky or Greasy at the root P: Slippery
Treatment Principle	Warm Cold Eliminate Dampness
Herb Formulas
Points	Moxa or moxa needle REN-3, REN-12, SP-6, SP-9, ST-36, UB-20, UB-22, UB-25, UB-28

DAMP-HEAT IN THE LOWER JIAO

Clinical Manifestations	Low back pain Lower abdominal fullness Difficult urination Bitter taste in the mouth Thirst, does not like to drink Constipation T: Red C: Yellow and greasy P: Rolling and rapid
Treatment Principle	Clear Heat Promote urination
Herb Formulas	Ba Zheng San modified Prostate Cancer #4 With Blood Stagnation: Prostate Cancer #1
Points	LIV-8, REN-3, REN-12, SP-6, SP-9, ST-36, UB-20, UB-22, UB-28, UB-39, UB-63

TOXIC HEAT

Clinical Manifestations	Usually asymptomatic until the later stages Low back pain Lower abdominal fullness Difficult urination Bitter taste in the mouth Thirst Local redness, swelling and pain Maybe fever and chills T: Normal C: Thin white or yellow P: Rapid and forceful
Treatment Principle	Clear Liver Fire Clear Heat Resolve toxicity Expel pus Reduce swellings Invigorate the Blood Promote urination
Herb Formulas	Prostate Cancer #2 Prostate Cancer #3
Points

BLOOD STAGNATION

Clinical Manifestations	Sharp, stabbing rough pain during urination without burning Decreased urination or Interrupted urination or Constant urination or Anuria Lower abdominal fullness Fixed, stabbing lower abdominal pain which may radiate to the genitals Maybe hematuria Palpable masses which may or may not be painful Purple urine with blood clots Dark or purplish spider naevi or broken vessels on the trunk , around the inner ankle and inner knee Dark, ashen, sallow or purplish facial complexion Dark or purplish lips and conjunctiva Dark rings under the eyes T: Dark purple or with brown or purplish echymosis spots and/or dark and distended sublingual veins C: Thin P: Slow and choppy or Thin or Deep and choppy or Thready and choppy
Treatment Principle	Relieve Stasis Shrink the tumor Promote urination Warm Yang
Herb Formulas	Shao Fu Zhu Yu Tang modified With Damp-Heat in the Lower Jiao: Prostate Cancer #1 For mild cases with Yin Deficiency, Heat and Phlegm: Qian Gen San modified For the elderly and other Qi deficient patients: Bu Zhong Yi Qi Tang modified Chinese Patent Medicines: Yun Nan Bai Yao to be taken along with Qi Li San Yun Nan Bai Yao to be taken along with Qi Li San Sheng Tian Qi Pian Yan Hu Suo Zhi Tong Pian Fu Ke Wan Jin Wan
Points	REN-3, REN-4, SP-1, SP-6, SP-10, ST-29, UB-17, UB-28 LIV-3, SP-6, SP-10

PHLEGM AND BLOOD STAGNATION

Clinical Manifestations	Noxious swellings Abscesses Flat abscesses Red face Chest pain Ulceration of the tumor Maybe a bloody secretion Foul odor Short urine T: Reddish purple C: Little or Yellow P: Wiry and rapid or Flooding or Tight or Thin
Treatment Principle
Herb Formulas	Prostate Cancer #5
Points