Benign Prostatic Hyperplasia - Damp-Heat Downpour Pattern

TCM differentiation and treatment for benign prostatic

Benign Prostatic Hyperplasia · Damp-Heat Downpour Pattern

Updated: June 23, 2026

Reviewed by: Dr. Li Wei, DACM

Reading Time: 7 min

Body Area: Pelvis


Pattern Overview

Damp-Heat Downpour is a common pattern in benign prostatic hyperplasia

(BPH), characterized by **prostatic inflammation with urinary

obstruction, difficult urination, burning sensation, yellow urine, and

frequent urination. The core pathogenesis is accumulation of

Damp-Heat in the lower Jiao**, causing prostatic inflammation, edema,

and urethral obstruction.


Key Symptoms and Differentiation Points

Differentiation Dimension Manifestations
Primary Symptoms

frequent urination, yellow urine |

Associated Symptoms

feverishness, irritability |

Tongue and Pulse

and rapid pulse |

Pathogenesis Damp-Heat accumulating in the lower Jiao
Etiology

urinary tract infection |


Acupuncture Point Prescription

Point Location Function
Zhongji (RN3) 4 cun below the umbilicus

Bladder meridian; regulates urination |

Pangguangshu (BL28) Lower back, 1.5 cun lateral to S2

point of Bladder meridian; regulates bladder function |

Yinlingquan (SP9) Below the medial condyle of the tibia

Transforms Dampness and drains Heat |

Qugu (RN2) 5 cun below the umbilicus

relieves lower abdominal distension |

Clinical Recommendation: Filament needle, reducing method; may

combine with moxibustion on Zhongji to promote urination.


Herbal Formula

Base Formula: Ba Zheng San (八正散) + Niu Xi (牛膝)

Composition:

Plantago (Che Qian Zi), Akebia (Mu Tong), Polyporus (Zhu Ling), Alisma

(Ze Xie), Rhubarb (Da Huang), Gardenia (Zhi Zi), Achyranthes (Niu Xi),

Licorice (Gan Cao)

Action: Clears Damp-Heat, promotes diuresis, and reduces prostatic

inflammation.

Modifications

Associated Symptoms Additions/Subtractions
Severe burning sensation

and detoxify |

Urinary obstruction

urination |

Lower abdominal distension

relieve distension |

Feverishness Add Shi Gao, Zhi Mu to clear Heat and generate fluids

Western Mechanism Reference

Prostatic inflammation with urinary obstruction, bacterial colonization,

and inflammatory edema causing urethral compression. Damp-Heat Downpour

corresponds to BPH with acute urinary retention and inflammatory

component, where prostatic inflammation and edema contribute to urethral

obstruction.


References

1. Surgery of TCM - BPH with Damp-Heat Downpour.

2. WHO. (2023). Urological health. World Health Organization.


Explore More

Personalized herbal protocols and acupressure tools for prostate health.

research papers and clinical case studies on TCM urology.


Last reviewed: June 2026 | Lead author: Dr. Li Wei, DACM | Content updated: Monthly

Disclaimer: This guide is for educational purposes only and does not constitute medical advice. Consult a licensed healthcare provider before starting any treatment.