Objective: Benign prostatic hyperplasia (BPH) is a high-risk disease in elderly men, and its incidence continues to rise with aging. Traditional western medicine treatment has a bottleneck in efficacy and a risk of adverse reactions. This article systematically reviews the pathogenesis and clinical treatment of BPH, focusing on the combination of Chinese and Western medicine treatment strategies. Results: The pathogenesis is the imbalance of sex hormones and the abnormal activation of growth factors, which jointly drive the proliferation of prostate cells. In the treatment of western medicine, although -receptor blockers can quickly improve symptoms, they can easily cause dizziness and hypotension. 5- reductase inhibitors reduce prostate volume, but there are limitations such as insufficient short-term efficacy and increased nocturia. In terms of combined treatment of traditional Chinese and Western medicine, the clinical effective rate of Huang 'e capsule combined with tamsulosin/dutasteride increased to 68.13 %. Qianlie Shutong capsule combined with western medicine, can improve bladder function, which is better than single western medicine treatment. Conclusion: The combination of Chinese and Western medicine provides a new path for BPH to enhance efficacy and reduce toxicity. In the future, it is necessary to deeply analyze the targets of active components of traditional Chinese medicine (TCM) and establish a standardized joint program.
Yi‐Ching Su (Wed,) studied this question.
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