Prostatitis is a condition in which the prostate gland is inflamed. It can be acute or chronic and it also can be infective and non-infective. Chronic nonbacterial prostatitis is most common. It happens to about 20% men. About 90% men with chronic prostatitis have chronic prostatitis/chronic pelvic pain syndrome(CPPS). Chronic bacterial prostatitis is much less compared with chronic prostatitis/CPPS. The main symptom is pelvic and perineal pain lasting longer than 3 month. Pain can be in the perineum, testicles, tip of penis, pubic or bladder area and may spread out to the back and rectum. Post ejaculatory pain may be present. The cause of CP/CPPs is not clear, but it may be related to hormonal changes, autonomic nervous system imbalance , abnormal local or systemic inflammation, altered immune function and genetic factors. Stress could be a contributing factor for CP/CPPS. The treatments can be challenging with limited success. Pain killers such as paracetamol and ibuprofen can be used to help relieve pain. Alpha blockers help to relax the muscles in the prostate gland and the base of the bladder to help improving with urination problems. Exercises, physiotherapy and relaxation techniques are used to help to reduce stress and release overtensed muscles in the pelvic and anal area.
In China acupuncture is used to treat CP/CPPS effectively. In the acupuncture treatment of CP/CPPS, the classical TCM therapeutic methods such as unblocking meridians and collaterals, soothing qi and activating blood, invigorating spleen and eliminating dampness and tonifying liver and kidney are used. From the prospective of meridian distribution in Chinese medicine, the prostate is closely related to the conception, thoroughfare and governor vessels, kidney meridian, bladder meridian and liver meridian. Among them, the three vessels originate from the perineum. The kidney meridian ascends along the spine and enters the abdomen, which pertains to the kidney and connects the bladder. The bladder meridian passes through the buttock, which pertains to the bladder and connects the kidney. The liver meridian runs around the external genitalia and crosses the midline up to the lower abdomen. The spleen meridian also passes the prostate. The distributions of these meridians are correlated to the prostate. So the points used to treat CP/CPPS are chosen from these meridians.
The idea of acupuncture treatment for CP/CPPS has been accepted in Western countries. Capodice JL et al in USA investigated the effect of acupuncture on CP/CPPS. There were 10 men aged between 18-65 participated the study. They have been diagnosed with chronic prostatitis for greater 6 months, had at least 1 conventional therapy antibiotics, anti-inflammatory agents, 5-α reductase inhibitors or α-1 blockers), scoring >4 on the pain subset of the NIH-CPSI which was used to assess the severity of the CP/CPPS. After 3 weeks, 6 weeks of acupuncture treatment and 6 weeks of followup the NIH-CPSI scores were significantly decreased. Pain and urinary symptoms and quality of life were also significantly improved. No side effects were reported. They suggested that acupuncture cold be the effective treatment option for patients with CP/CPPS.
A case report: Acupuncture and TCM for the treatment of a 35 year old man with chronic prostatitis with chronic pelvic pain syndrome. A 35 year old man had chronic prostatitis with chronic pelvic pain syndrome. This man’s symptoms are very severe. He had 38 out of 43 scores on the NIH?CPSI which is the National Institutes of Health/Chronic Prostatis Symptom In dex. The Index is used for rating pain, urinary symptoms and quality of life impact. He also had experienced recurrent episodes of nonbacterial prostatitis over 3 years. This patient was given 8 acupuncture treatments over 8 weeks and plus some herb medicine Ba Zheng San and Yi Guan Jian daily. His symptoms scored 9 on the NIH/CPSI. After this he was advised to drink green tea. 4 months later his symptoms scored 4; 8 month later scored 2; and 1 year later scored 0. This patient had long term relief from chronic prostatitis with chronic pelvic pain syndrome benefited from 8 sessions of acupuncture treatments and herbs. This suggested acupuncture and herb medicine could be a treatment option for chronic prostatitis and chronic pelvic pain syndrome.
Why can acupuncture be used to treat chronic prostatitis/CPPS?
Acupuncture has been proved in effectively treating chronic prostatitis/CPPS. The mechanisms are also studied in current research to provide scientific evidence for the treatment and it is suggested that acupuncture reduces local inflammation and improves local microcirculation. Acupuncture was seen to increase immunoglobulin A in the prostatic fluids and improve local immune function of the prostate. It was also seen that interleukin-2 and testosterone, tumor necrosis factor-α (TNF-α) and the expression of intercellular adhesion molecule 1 (ICAM-1) were altered which were involved in inflammatory reaction. For example a recent study participated by 47 patients with CP/CPPS. After received acupuncture treatments pain or discomfort score decreased remarkably as compared with that before treatment. The levels of IL-8, IL-10 and TNF-alpha which were inflammatory markers were lower than those before treatment. The positive correlation was obtained between IL-10 level and pain score. They suggested that acupuncture has significant efficacy on CP/CPPS through reducing IL-10 level to ease pain, and reducing the levels of IL-8 and TNF-alpha to relieve inflammatory reaction.
Recently, a small sample clinic trial was conducted to investigate the mechanism of acupuncture underlying the treatment of chronic prostatitis/CPPS. 12 patients participated the study. Immune function tests were performed before and after 10 weeks acupuncture treatment. At the end of study 67% responded the treatments. The acupuncture group averaged a 5% increase in natural killer cell levels compared to control group. Similarly, patients randomized to acupuncture reported a reduction in other white blood cell parameters examined. This study supported the possibility that immunity might be important in the pathophysiology of CP/CPPS and suggested potential mechanism of acupuncture treatment.
Yang ZX et al Zhong Xi Yi Jie He Xue Bao (2012) 10:293-7
Capodice JL et al Chin Med (2007) 2:1
Yuan SY et al Zhongguo Zhen Jiu (2011) 31:11-4
Ohlsen BA J Chiropr Med (2013) 12:182-90
Lee SW et al Complement Ther Med (2014) 22:965-9
Welcome to my blog
Acupuncture specialist for Fertility, Facial rejuvenation, Pain relief.
Based at Kensington and Harley Street Central London.Qualified as a medical doctor in Western medicine in China with a Medical degree from Beijing, China and a PhD degree from the UK. Over 25 year research and clinical experiences
Doctor who is passionate about acupuncture
I love what I do, I am good at it and I am always there for my patients. If you come and see me, you will know why I am standing out.
This blog is to introduce latest development and research of acupuncture and offer a chance of awareness of more treatment options for your condition. The blog is for information purpose only.
- My specialised areas include fertility, facial rejuvenation, acne, various pain conditions, chronic fatigue, menopause and hormone regulation with acupuncture treatment.
Practice contact for appointments and addresses
Kensington: for appointments at Anamaya center Kensington (Mondays, Tuesdays, Thursdays, Fridays, Saturdays) please call at 02030110355 or email at email@example.com
Address: 1 Adam and Eve Mews, Kensington, London W8 6UG
2 min walk from High Street Kensington underground stationHarley Street: for appointments at Harley Street (Wednesdays) please call ALO clinic at 02076368845 or email at firstname.lastname@example.orgAddressSuite 3 Harmont House20 Harley Street, London W1G 9PH5 min walk from Oxford Circus underground stationMy background: I became a qualified medical doctor 25 years ago in Western medicine in China and was well trained in Western medicine together with Chinese medicine in the best Medical University in Beijing, China. Particularly I was trained with Dr Zheren Xuan--famous orthopedics expert and founder of soft tissue surgery in China. Furthermore I had training in dermatology and oral and maxilofacial surgery in China. I am dedicated to treat patients with acupuncture and am recognized as one of the world leading acupuncture specialists.
I obtained a PhD degree in the University of Leeds in the UK.
I had post doctoral training and worked as a senior researcher in St George's hospital, London, UK.
I had frequently presented my research findings in the top international conferences in the field.
I have many publications including ebooks and articles.
I have many year clinical experiences. Over the years of practicing, I have developed unique treatment approaches for infertility, skin aging, acne, vulvodynia, neck pain, headache, migraine, shoulder pain, back pain, fatigue, hot flushes, Parkison's disease etc to achieve best treatment results. My devotion and skills are highly praised by my patients. These are examples that my patients say.
- My books--Know your ovary to get pregnant
- ----------------Get pregnant fast naturally
- ----------------Facial Aging, Facial Rejuvenation Acupuncture
- ---------------Acne treatment with acupuncture
- ---------------Vulvodynia, is vulval pain in your mind?
- ---------------Energy, fatigue and acupuncture
- ---------------Headaches, Neck pain and Shoulder pain