BPH - Benign Prostatic Hyperplasia

BPH affects... Risk Factors

50% of men over 50 40-50% of men ages 51-60 80%+ men ages 80 95% of men are unhappy 51% interferes w/ life 49% sexual problems associated w/ LUTS Age Chronic Disease/Enduring D. Internal damage (7) Dietary/alcohol intake Obesity High BMI Lack of exercise

SP and KI Yang Def SSx

urinary frequency urgency incontinece *forceless urination cold sensation in scrotum cold extremities fatigue back px/knee px loose stools T: pale, enlarged, thin/white c P: weak/fine

Prostate Gland

- Walnut size at the base of bladder in males - Surrounds urethra - Produces fluids (transports sperm) - Grows to its normal adult size in early 20s' - grows in 40s again

Prostate conditions

1) Benign Prostatic Hyperplasia/Hypertrophy (BPH) 2) Prostatitis 3) Prostate Cancer

Disease Mechanism 1) Sp and Ki 2) Obstruction 3) Damp Heat

1) qi def. may lead to lack of force in dispelling fluids from body 2) blockage due to qi stag., blood stasis, phlegm obstructoin 3) descends to lower burner causing obst. and pain

BPH stands for...

Benign = not cancerous Prostatic = relating to prostate Hyperplasia = more cells than normal "AKA enlarged prostate" - normal 1.5 inch in diameter

*T/F* BPH doesnt casue prostate cancer

True

*T/F* BPH is not prostate cancer

True

*T/F* BPH may co-exists w/ prostate cancer

True

*T/F* BPH symptoms are similar to those of cancer

True

*T/F* Prostate-specific antigen (PSA) levels alone do not distinguish BPH from prostate cancer. Both BPH and prostate cancer can cause elevated PSA levels

True

DH Tx and Points

clear heat transform damp move blood SP 6 SP 9 UB 54 REN 1 REN 3

Liv Qi Stag Tx and Points

free course liver rectify qi transform phlegm LIV 3 LIV 8 SP 6 REN 1 REN 3

DH SSx

frequent short urinaiton urinary urgency and pain feeling of needing to urinate turbid, cloudy, dark yellow urine dribbling dry, bound stools bitter taste in mouth T: purple t, yellow/slimy coat P: Wiry, slippery, rapid

BPH SSx

frequent urination during day/night sudden urge to urinate burning/px urination weak urine flow sensation the bladder isnt empty after urination inability to urinate trouble starting/stop

Qi Stag. Tx and Points

move qi and blood LI 4 SP 6 REN 1 REN 3 REN 4

Qi Stagnation Ssx

perineal px discomfort in lower abd thigh discomfort incomplete urination inhibited urination dribbling abd distention/fullness T: dark t w/ stasis spots P: wiry, slippery, choppy

Sp and Ki Yang Def. Tx and Points

ton spleen ton qi nourish kid supplement yang SP 6 UB23 REN 4 REN 1

Liv Qi Stag SSx

urinary strangury worse w/ stress lower abd distention irritability insomnia flatulence T: normal, slightly dark P: wiry, slippery