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Prostate Disorders

How Chinese medicine differentiates prostate disorders into the five patterns described for them, and the points for each. Distinct from this site's Prostatitis and Benign Prostatic Hyperplasia pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Blood in the urine, inability to pass urine, fever with urinary symptoms, bone pain, or a raised PSA needs prompt urological assessment. Acupuncture is a supportive adjunct only.
General Acupuncture Points

Acupuncture points traditionally used for prostate disorders — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
REN-4Nourishes Blood and Yin. Strengthens the Kidneys. Strengthens the Uterus and regulates menstruation.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
BL-23Tonifies the Kidneys and nourishes the Kidney-Essence. Consolidates Kidney-Qi. Strengthens the lower back.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Frequent night-time urination; weak, thin stream; coldness in the lower back and knees; low libido; fatigue.
Tongue: Pale, puffy, tooth-marked, wet white coat. Pulse: Deep, slow and weak.
Treatment principle: Warms and tonifies Kidney Yang to restore the Bladder's transformative fire.
Note: moxa is strongly indicated.

2. Spleen and Kidney Qi Deficiency View full pattern →

Clinical manifestations: Urine dribbles; incomplete emptying; profound fatigue; poor appetite; loose stools; pale complexion; weak lower back and knees.
Tongue: Pale, swollen, tooth-marked, white moist coat. Pulse: Deep, weak and fine.
Treatment principle: Tonifies Spleen and Kidney Qi to restore lifting and holding power.
Note: moxa is appropriate. Linked to this site's Kidney-and-Spleen-Yang-deficiency slide; it names Yang rather than Qi, so treat as a partial match.

3. Kidney Yin Deficiency View full pattern →

Clinical manifestations: Scanty dark hot urine; dry mouth and throat at night; night sweats; heat in the palms, soles and chest; dizziness; tinnitus; weak sore lower back and knees.
Tongue: Red, thin, dry, little coat. Pulse: Fine and rapid, weak at the left rear position.
Treatment principle: Nourishes Kidney Yin and clears Empty-Heat irritating the urinary tract.
Note: no moxa (Yin deficiency with heat signs).

4. Damp-Heat in the Lower Burner View full pattern →

Clinical manifestations: Burning or stinging urination; frequent, urgent, small-volume urination; cloudy or dark yellow urine; heaviness in the legs; scrotal dampness or itching.
Tongue: Red, slightly swollen, thick yellow greasy coat, thickest at the root. Pulse: Slippery and rapid.
Treatment principle: Clears Heat and drains Dampness from the Lower Burner to relieve obstruction.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Bladder slide, its established Lower-Burner Damp-Heat convention.

5. Qi and Blood Stagnation

Clinical manifestations: Stabbing, fixed pain in the lower abdomen or perineum, worse with pressure; thin, hesitant, interrupted stream; occasional blood in the urine; irritability.
Tongue: Dark purple with stasis spots, distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Moves stagnant Qi and invigorates Blood to restore passage and relieve pain.
Note: no moxa. No combined Qi-and-Blood-stagnation slide exists on this site's decks — no pattern link is given here.
Related conditions

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