A Case Report on Treatment of Frequent Urination and Nocturia Due to Benign Prostatic Hyperplasia (BPH) with Cai-Hu-Based Decoction and Acupuncture Therapy
Benign prostate hyperplasia (BPH) is a common prostate disease in men over the age of fifty, and the prevalence raises with age. Prostate gland is located below the bladder and encases the junction of bladder and urethra. The enlarging prostate gland compresses urethra as the glandular cells over-proliferate with age, leading to some symptoms of lower urinary tract such as frequent urination, nocturia, urgency, difficult urination and slow urination rate. These symptoms may disrupt daily life of patients. This is a 75-year-old man with medical history of obstructive sleep apnea, stroke, and myocardial infarction. He has suffered from frequent urination for ten years; however, the symptom has exacerbated in recent two years, accompanied with nocturia so that has disrupted sleep. He also complained his incomplete emptying of bladder, slow urination, and low urine volume. Considering his symptoms, "stagnation of liver, dysfunction of Shao-Yang, and blood stasis" were suspected as the primary impression. After several months of treatment with acupuncture and traditional Chinese medicine, which contained Cai Hu Shu Gan decoction, his symptoms improved so that held on Dutasteride and Desmopressin. This case report is presented to offer an alternative facet toward managing benign prostate hyperplasia.
【Keywords】
Benign prostate hyperplasia ; Dysregulation of Qi of Shao-Yang ; frequent urination ; Cai Hu Shu Gan decoction