Abstract：
Chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS) is a common urological disease with complex etiology. The treatment effect of western medicine is not satisfactory, and the course of the disease is protracted, which brings great trouble to patients. Traditional Chinese medicine(TCM) has a variety of treatment methods based on syndrome differentiation and treatment, including internal treatment with TCM, acupuncture and massage, and other external treatment methods for comprehensive treatment, with significant effect. This study summarized the etiology and pathogenesis of CP/CPPS and found that western medicine cannot fully explain the etiology and pathogenesis of CP/CPPS. It was believed that CP/CPPS was mainly related to many factors such as special pathogen infection, voiding dysfunction, mental and psychological abnormalities, neuroendocrine abnormalities, immune abnormalities, excessive oxidative stress, pelvic diseases, and heredity. TCM believed that CP/CPPS was caused by damp heat, blood stasis, Qi stagnation, and poisoning and was closely related to the organs of the liver, spleen, kidney, lung, stomach, bladder, and meridians of Chong and Ren channels and three yin channels of the foot. In the treatment of TCM, multiple comprehensive treatment plans are currently used, including internal treatment with TCM(decoction, proprietary Chinese medicine, and unique therapies of famous doctors), acupuncture and massage treatment, and other external treatment methods(rectal administration, topical application of TCM, and ear acupoint pressure). Comprehensive regulation has significant clinical efficacy and prominent characteristics of TCM, and it is worth clinical promotion. This study aims to provide a reference for clinical prevention and treatment of CP/CPPS and points out potential directions for future research in this field.
摘要：
慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)是常见的泌尿系疾病,病因复杂。西医治疗效果不理想,疾病的进程是漫长的，这给患者带来了很大的麻烦。中医有多种辨证论治的治疗方法,包括中医内部治疗，针灸和按摩，和其他综合治疗的外部治疗方法，具有显著的效果。本研究总结了CP/CPPS的病因病机,发现西医不能完全解释CP/CPPS的病因病机。认为CP/CPPS主要与特殊病原体感染等多种因素有关,排尿功能障碍,精神和心理异常，神经内分泌异常,免疫异常，过度的氧化应激，盆腔疾病,和遗传。中医认为CP/CPPS是由湿热引起的,血瘀,气滞，和中毒，与肝脏器官密切相关，脾,脾肾,肺，胃,膀胱,经脉的冲和仁道和三个阴道的脚。在中医治疗中,目前采用多种综合治疗方案,包括中医内服治疗(汤剂，中成药,和著名医生的独特疗法)，针灸和按摩治疗，和其他外部治疗方法（直肠给药，中药的局部应用，和耳穴压力）。综合调理具有显著的临床疗效和突出的中医特色,值得临床推广。本研究旨在为临床预防和治疗CP/CPPS提供参考,并为该领域未来的研究指明可能的方向。
