Chronic Prostatitis - Spleen Deficiency with Dampness Pattern
TCM differentiation and treatment for chronic prostatitis
Chronic Prostatitis · Spleen Deficiency with Dampness Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Pelvis
Pattern Overview
Spleen Deficiency with Dampness is a chronic pattern in chronic
prostatitis, characterized by **chronic inflammation with immune
dysfunction, fatigue, perineal heaviness, poor appetite, and loose
stools. The core pathogenesis is Spleen deficiency causing Dampness
accumulation**, leading to chronic inflammation, immune dysfunction, and
prostate symptoms.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
|---|
| Primary Symptoms |
|---|
heaviness, poor appetite |
| Associated Symptoms |
|---|
sticky mouth |
| Tongue and Pulse |
|---|
coating, soft and weak pulse |
| Pathogenesis | Spleen deficiency with Dampness accumulation |
|---|
| Etiology |
|---|
Spleen deficiency |
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| Pishu (BL20) | Lower back, 1.5 cun lateral to T11 |
|---|
of Spleen meridian; strengthens Spleen-Qi |
| Zusanli (ST36) |
|---|
to the tibial crest | Strengthens Spleen and Stomach; tonifies Qi |
| Yinlingquan (SP9) | Below the medial condyle of the tibia |
|---|
Transforms Dampness and promotes diuresis |
| Zhongji (RN3) | 4 cun below the umbilicus |
|---|
Bladder meridian; regulates urination |
Clinical Recommendation: Filament needle, reinforcing method;
moxibustion may be applied at Pishu and Zusanli to warm and tonify
Spleen-Qi.
Herbal Formula
Base Formula: Shen Ling Bai Zhu San (参苓白术散) + Bi Xie Fen Qing
Yin (萆薢分清饮)
Composition:
Ginseng (Ren Shen), Atractylodes (Bai Zhu), Poria (Fu Ling), Dioscorea
(Shan Yao), Hyacinth Bean (Bian Dou), Coix Seed (Yi Yi Ren), Dioscorea
Hypoglauca (Bi Xie), Licorice (Gan Cao)
Action: Strengthens Spleen, drains Dampness, and reduces chronic
inflammation.
Modifications
| Associated Symptoms | Additions/Subtractions |
|---|
| Perineal heaviness | Add Bi Xie, Yi Yi Ren to drain Dampness |
|---|
| Fatigue | Add Huang Qi to enhance Qi supplementation |
|---|
| Poor appetite | Add Sha Ren, Mu Xiang to harmonize the Stomach |
|---|
| Loose stools |
|---|
diarrhea |
| Chronic inflammation |
|---|
function |
Western Mechanism Reference
Chronic inflammation with immune dysfunction, impaired cellular
immunity, and chronic low-grade inflammation. Spleen Deficiency with
Dampness corresponds to chronic prostatitis with immune dysfunction,
where impaired cellular immunity and chronic low-grade inflammation
contribute to persistent prostate symptoms.
References
1. Surgery of TCM - Chronic Prostatitis with Spleen Deficiency with
Dampness.
2. WHO. (2023). Urological health. World Health Organization.
Explore More
- Find your solution at MendGod.com –
Personalized herbal protocols and acupressure tools for prostate health.
- Deepen your knowledge at TcmCIO.com – Full
research papers and clinical case studies on TCM urology.
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.