Chronic Prostatitis - Damp-Heat Downpour Pattern
TCM differentiation and treatment for chronic prostatitis
Chronic Prostatitis · 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 chronic prostatitis,
characterized by **prostatic inflammation with bacterial colonization,
perineal pain, burning urination, yellow or purulent urethral discharge,
and urinary frequency. The core pathogenesis is accumulation of
Damp-Heat in the lower Jiao**, causing prostatic inflammation, bacterial
colonization, and urethral irritation.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
|---|
| Primary Symptoms |
|---|
discharge, urinary frequency |
| Associated Symptoms |
|---|
feverishness, irritability |
| Tongue and Pulse |
|---|
and rapid pulse |
| Pathogenesis | Damp-Heat accumulating in the lower Jiao |
|---|
| Etiology |
|---|
sexual activity |
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 |
| Taichong (LR3) |
|---|
metatarsals | Clears Liver Heat and regulates Qi |
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 |
|---|
| Purulent discharge |
|---|
detoxify |
| Perineal pain |
|---|
pain |
| Burning urination | Add Huang Qin, Huang Lian to clear Heat |
|---|
| Feverishness | Add Shi Gao, Zhi Mu to clear Heat and generate fluids |
|---|
Western Mechanism Reference
Prostatic inflammation with bacterial colonization, elevated
inflammatory cytokines, and urethral irritation. Damp-Heat Downpour
corresponds to chronic bacterial prostatitis, where bacterial
colonization and elevated inflammatory cytokines contribute to prostatic
inflammation and urethral irritation.
References
1. Surgery of TCM - Chronic Prostatitis with Damp-Heat Downpour.
2. WHO. (2023). Urological health. World Health Organization.
Explore More
- Find your solution at MendGod.com –
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Related TCM Patterns for Chronic Prostatitis
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.