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KMID : 1003219950010010085
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Journal of Korean Oriental Chronic Disease
1995 Volume.1 No. 1 p.85 ~ p.112
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The study of Oriental and Occidental Benign prostate hypertrophy
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安永敏/Ahn, Young Min
安世永/曺東鉉/杜鎬京/Ahn, Sae Young/Cho, Dong Hyun/Do, Ho Kyung
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Abstract
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BPH (Benign prostatic hyperplasia, Benign prostatic hypertrophy) mainly occurs in over fifties and more in the western than in the estern. But the aflection of the disease in Korea is increasing step by step in accordance with current clothing, food, housing and living enviornmental improvement, the increasing of the old population and the increasing information on this disease. So after studying many books on the cause of this ailment, clinical symptom, diagnosis, and treatment in terms of Western medicine and pathologic mechanism, identification of the patterns of BPH in terms of Oriental medicine, which is the most frequent cause of dysuria, I have come to the conclusion as the following,
1. BPH mostly occurs in over fifties and affects about 80% of over eighties.
2. The accurate cause of the disease has not been known yet, but is considered age-inducing Estrogen and Testosteron disharmony and the change of the interaction between interstitium and epithelium. TURP(transurethral prostatic resection), which occupies 95% of Western therapy, has serious side effect like bleeding, shock, and sequential death.
Operation therapy is controversial because most affected pations are the old accompanying Hypertention, DM, cranial and cardiac vascular disease and chronic pulmonary disease. So patients´ intrinsic adjusting ability and anesthetic problem, operating effectiveness are important factors in operation.
α-adrenergic receptor blocker or Anti-androgen agent is used as medication but is not recomendable as long-term therapy, because of the side effect like hypertention, anaphrodisia, orthostatic impotence, gynecomastia and so on. All the more, the symptom might reapper if patients stop taking the medicine. So it is important and urgent to develop a new therapy.
4. BPH could be classified into Yung-Pae, Sobyonbultong, Sobyonbulli, Limbyong and is caused by the function disorder of Triple burners, which are composed of spleen, lung, kidney, or Liver Qj stagnant, or Blood stagnant Blood pocculusive obstruction.
5. The type could be classified into Kidney Yang deficiency, Kidney Yin deficiency, Middle burner Energy deficiency, Damp-Heat in the bladder Lung Hot Qj Stagnant, Liver Qj stagnant.
6. Available are Warming and tonifying Kidney Yang, improving Qj and Water circulation, moisturing and cooling Emptg-fire blazing tonifying Middle burner energy, cooling and improving Fluid circulation, improving Qj circulation, Cooling and emitting Lung hot as treating priciples.
7. And we can applied Acup-Tx, Qj-Kong Tx, Manipulation therapy, Kinesitheraphy, Attachment therapy, fumigation and sitz-bath therapy after watching symptoms and finding the cause, implemeting identification of patterns.
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