Treating Chronic Prostatitis from the Perspective of 'Removing Stagnation and Old Residue, and Cutting Grass Stems'
Abstract：Chronic prostatitis is a complex and common disease with a persistent and difficult-to-cure clinical course, seriously affecting patients' physical and mental health. Research on its theory and treatment has significant practical significance. From the perspective of the theory of 'removing stagnation and old residue, and cutting grass stems,' this article explores the key pathogenesis of its persistent and difficult-to-cure nature: 'stagnation and old residue' are difficult to remove, and 'grass stems' are difficult to cut. Adhering to the principle of combining syndrome differentiation with disease differentiation, and considering the characteristics of chronic prostatitis, we propose a staged treatment approach: in the initial stage or acute exacerbation phase, treatment should focus on clearing heat and dampness, while also promoting qi circulation and activating blood; during the stagnation phase, treatment should mainly focus on soothing the liver and activating blood, while also clearing heat and dispersing nodules; during the deficiency phase, treatment should focus on nourishing yin and reducing fire or tonifying the kidney and assisting yang, while also removing stasis and transforming dampness; during the stage where the disease has deeply entered the meridians, the key to treatment is to use pungent and moistening agents to unblock the meridians, and cleverly apply drugs that resolve stasis and unblock the meridians. Throughout the staged treatment, the theoretical connotation of 'removing stagnation and old residue, and cutting grass stems' is reflected, providing effective theoretical guidance and specific treatment methods for clinical practice. At the same time, the author also looks forward to the research direction of integrating the theory of 'removing stagnation and old residue, and cutting grass stems' with modern medicine.
Keywords：Chronic prostatitisRemoving stagnation and old residue, and cutting grass stemsDamp-heat (turbidity)Blood stasisActivating blood circulation and resolving stasisResolving dampness and transforming turbidityBalanced acupuncture
Publication Date：2025-04-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 369-375 )