Can Pulse Diagnosis Detect Prostatitis?

Date:2024-05-27 click:0

Prostatitis is a relatively common disease in andrology, manifesting with clinical symptoms such as urinary abnormalities, pelvic pain, and sexual dysfunction. In clinical practice, prostatitis can be diagnosed through various methods. However, can it be detected through pulse-taking?


Pulse-taking, also known as feeling the pulse, is one of the traditional diagnostic techniques in traditional Chinese medicine. It is primarily used to infer the body's condition by assessing the frequency, intensity, and rhythm of the pulse. While certain disease states may cause abnormalities in the pulse, prostatitis does not directly reflect in the pulse characteristics. Consequently, relying solely on pulse-taking is insufficient for accurately diagnosing prostatitis; a definitive diagnosis requires the integration of symptoms and relevant examinations.

Prostatitis usually refers to inflammation caused by infection of the prostate, which can cause congestion and swelling of the prostate. While pulse-taking can provide an initial assessment of prostatitis, it cannot definitively diagnose that.

In Traditional Chinese Medicine, diagnosis relies on four examinations: observation, listening and smelling, inquiry, and palpation. Pulse-taking is just one aspect of diagnosing a disease. To accurately determine if it is prostatitis, the patient's medical history, clinical symptoms, prostate fluid examination, ultrasound, and other comprehensive evaluations must be integrated.

1. Patient's medical history: Prostatitis may be caused by factors such as pathogenic infections, urinary tract infections, irregular sexual activities, and prolonged excessive alcohol consumption. Patients may have a history of prolonged sitting work, cycling, or indwelling urinary catheters prior to the onset of the disease, which could potentially trigger prostate inflammation.

2. Clinical symptoms: Prostatitis patients may suffer symptoms such as frequent urination, urgency, difficulty in urination, and pain in the perineal and lower abdominal areas. 

Additionally, they may experience mental aberrations such as anxiety and depression due to pain. Furthermore, as a result of pathogen infection, the semen may become thin, potentially leading to a decrease in sperm motility. A blood routine examination may reveal an elevated white blood cell count in the blood.

3. Prostate fluid examination: By massaging the prostate gland to obtain its secretions for laboratory examination, it is possible to determine whether there is an increase in white blood cells or a decrease in lecithin bodies, thereby assessing the likelihood of prostatitis. 

However, this method is seldomly used in clinical due to the diverse pathogens that can cause the condition, including bacteria, mycoplasma, and chlamydia. Prostate massage merely extracts a portion of the inflammatory secretions and does not effectively treat the infection.

4. Ultrasound: Through ultrasound examination, it is possible to detect whether there are localized or diffuse inflammatory changes in the prostate tissue. If such changes are present, it can be definitively diagnosed as prostatitis.

It should be noted that when diagnosing prostatitis, irritating foods and drinks should be avoided so as not to affect the doctor's judgment of the condition. At the same time, regular follow-up examinations are recommended to monitor the progress of the disease and to receive treatment as prescribed.

The treatment is mainly antibiotic therapy, including levofloxacin, azithromycin, etc., which can help control the infection. In addition, patients can take hot sitz baths and local physiotherapy to relieve symptoms. If the drug treatment effect is not good, patients can take Diuretic and Anti-inflammatory Pill to relieve the symptoms. The herbal ingredients in them can clear heat and detoxify, diuretics, and drenching.

Pulse is a means of diagnosing disease, and the same is true for prostatitis. It is not scientific to judge whether there is prostatitis simply by taking the pulse. Only by combining the patient's clinical symptoms and other aspects of the situation and conducting a comprehensive analysis can prostatitis be correctly diagnosed and targeted medication treatment carried out.

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