ABSTRACT

Until now, urologists admitted that in men over 50 years of age, the prostate gland enlarges (prostatic hypertrophy), extending into the urinary bladder forming a pouch that retains urine, compressing, distorting the urethra, causing obstruction the outflow of urine. Consequently, great difficulty and frequent in urination gradually develop, and finally the patient is unable to empty at all the urine (urine retention). In addition, due to over flow of small quantities of urine (inability to control micturition), bladder overactive there may be incontinence. This oversight assumption leads to serious consequences: dangerous and risky treatments (prostatecomy), damage of urethral sphincters, and loss of sexual activity, money, even death. As a matter of fact,

1- The digital rectal exam cannot conclude that the prostate enlargement causes the urination problems. In addition, high Prostate-specific Antigen (PSA) index is not a good predictor; it does not indicate the prostate problem.

2- The urination problems (dysuria, ability to pass only a few drops of urine, difficulty in voiding or starting the flow, burning, scalding, frequent or painful urination) are not due to the prostate enlargement, because in women the same clinical manifestations occur too. Women have no prostate! The term “Urinary tract infection” is used instead!!

3- Relaxing the bladder muscle to distract the urethral sphincters and bladder irritation can temporarily treat the urine retention; this means that there is nothing to deal with the prostate enlargement (see text). Do not use catheter that may cause infection.

4- The HOA MAI herbal product # 16 reduces to zero the risk of the urination problems, difficulty in starting the flow, pain and discomfort in a few days. Hence, there is nothing to deal with the prostate enlargement.

5- The disease is due to an acute or chronic attack at the “Trigone” and urethral sphincters (internal and external) by waste acids from incomplete glucose metabolisms, or eat too much acidic foods and fruits (sour taste) leading to the partial or total closing of the urethral sphincters by irritation. “MINH-TRI syndrome”, see text.

6- The prostate is not a sphincter: Therefore, it cannot stop or obstruct the flow of a liquid (urine). The flow of urine only depends on the closing or opening of internal and external urethral sphincters

PROSTATE ENLARGEMENT? IS IT GUILTY OF THE URINARY PROBLEMS?

From the prostate viewpoint, the urinary disease is limited in dysuria, pain and discomfort when passing urine, difficulty in starting the flow, burning sensation, strong desire to urinate (strangury) and retention of urine, and the pain continues after the flow has ceased. Until now, urologists admitted that the most common cause of urination problems: dysuria, frequency, or difficulty in voiding (excluding mechanical urethral obstruction, e.g. stones) in men over 50 years old is due to the enlargement of the prostate gland. This gland extends upward into the urinary bladder forming a pouch that retains urine, compressing and distorting the urethra causing obstruction of the outflow of urine or difficulty in urination and a weak stream. This assumption has to be revised. In addition, the urinary problems also occur in women who have no prostate. Most urologists replaced this problem by the term “urinary tract infection” in women. The enlargement of the prostate by digital rectal exam cannot conclude the urinary disease.

According to Lowsley and Moore, the size of the normal prostate greatly increases after the twelfth year (development of sex organ) and the weight of the prostate varies from 16 to 24 gm.

Size and weight of the prostate depend on race, sexual activity; the following table only gives an idea on the growth of prostate:

Table 7 a

Age Long Wide Thick Average weight in gm

5 ~ 10 1.2 cm 1.5 cm 0.9 cm . . . . 10 gm

12 ~ 15 3 cm 3.8 cm 2.1 cm 16 ~ 20 gm

20 ~ 40 3.3 cm 4.1 cm 2.4 cm 20 ~ 25 40 ~ 60 3.6 cm 2.8 cm 1.9 cm 35 ~ 30

60 ~ 80 4.1 cm 1.6 cm 1.9 cm 30 ~ 35

Because of the sexual activity in men, the prostate, a gland and muscle, increases normally in size and weight with age (time). Hence, there is nothing wrong with the prostate enlargement. The only enlargement difference from one man to other man is due to the individual sexual activity, just like the physical exercise develops the muscles! The anatomy-physiology of the urinary system is summarized below, indispensable to follow the argument:

1- The prostate, a gland (thick, milky, slightly acidic secretion) and a muscle (ejaculation of seminal fluid + sperms), is situated immediately under the bladder and in front of the rectum.

2- Bulbourethral glands, located immediately below the prostate, each about the size of a pea, produce a clear, mucous-like, alkaline, lubricating secretion.

3- The higher brain centers in infants (under 2 years of age) are not yet sufficiently developed; the micturition is strictly a reflex act. A small amount of urine in the bladder will distend the bladder wall, stimulating stretch receptors (see figure 7.1) to discharge impulses via sensory neurons to the sacral spinal cord. Sensory neurons synapse with parasympathetic motor neurons (relaxation of the internal sphincter) and somatic motor neurons (opening of the external sphincter) causing the contraction of the bladder muscle coat (detrusor muscle) and the opening of the internal urethral sphincter, so urine is voided (figure 7.1).

In adults, the brain centers allow or inhibit the micturition reflex. When the urinary bladder receives enough urine (250-300 ml), the inhibition is removed. The distention of the bladder stimulates stretch receptors in the bladder wall sending impulses via sensory neurons to the sacral spinal cord to higher brain centers. In addition, sensory neurons synapse with parasympathetic neurons, discharge impulses to the detrusor muscle and with somatic motor neurons to the external urethral sphincter. Under the stimulation, the detrusor muscle contracts the bladder, the internal urethral sphincter is pulled open and with relaxation of the external urethral sphincter (voluntary control), urine enters the urethra. Remark that the reflex can be initiated voluntarily.

When irritated by waste acid products resulting from incomplete glucose metabolisms (see text The common cold, chapter 2) and by too much acidic foods (sour foods or fruits), the internal urethral sphincter contracts, shrinks the opening and inhibits the micturition in spite of the desire to void (external urethral sphincter has opened under voluntary control). The contraction of the internal and external urethral sphincters is more or less depending on the irritation.

Up to here, the urination mechanism in men and women are identical and the urination problems are common. Since women have no prostate, it can be seen that the prostate does not involve! Under continuous irritations by acids, internal- external urethral sphincters and the prostate become swollen and infected (called MINH-TRI syndrome). That is why the prostate is found swollen (enlarged) at the time of a rectal examination. Even swollen by irritation (not obstructed by infection), the prostate cannot stop the urine stream because it is not a sphincter! The prostate does not cause the urination problems.

To release the contraction (retention) relax the bladder muscle (detrusor muscle) and the internal urethral sphincter by passing only a few drops of urine for the first step then do something to distract the irritation (reading, watching TV). Be patient, not be nervous or worried. Second step, after about 5 minutes there is ability to pass more drops than that was on the first step. After four or five consecutive steps, at a few minutes interval, the irritation is less or removed, the contraction is released and the urination becomes almost normal. Hence, the urine retention is nothing to deal with the prostate enlargement.

The herbal product # 16 of HOA MAI Labs clears away waste acid products from the bladder and sphincters removes irritation and zeroes the risk of the urination problems in a few days. Therefore, there is nothing to deal with the prostate enlargement!

By irritation, swollen sphincters and prostate are infected by microbes leading to hematuria. HOA MAI product #42 reduces to zero the HEMATURIA in a few days.

In summary, the urination problems: dysuria, difficulty in voiding, increase urinary frequency, urinary retention, burning urinary sensation and hematuria are not due to the prostate enlargement.

TREATMENT

ACUPUNCTURE:

Ren 5. Location: On the midline of the abdomen, 2 inches below the umbilicus. Perpendicular puncture 0.5 to 0.8 inch.

Ear acupuncture: Cymba concha, point: Urinary bladder, Location: Lower border of inferior antihelix crus and above Small intestine point.

HERBS:

Dianthus chinensis L. (Cuø Maïch) Action: diuretic, anti-bacterial.

Gardenia jasminoides Ellis (Chi Töû) Action: to clear microbes and toxin from blood, treat urinary infection. Components: Gardenin, mannitol, crocetin, Iridoid.

Talcum (phaán Talc) Action: anti-bacterial, protection of the surface wound Mg₃(Si₄O₁₀) (OH)_2.

Linderae Radix (OÂ Döôïc) Action: Diuretic, anti-bacterial, anti-inflammatory, analgesic. Components: Coclaurine C₁₇H₁₉O₈N antagonistic action on acetycholine, muscle relaxant.

PREVENTION: Always keep the body temperature close to 37 ^o C or 98.6 ^o F

Avoid eating too much acidic foods (vinegar) and sour fruits.

Sometimes, drink Celery + Cucumber + Apple juice to clear up the acidic waste products.

REFERENCES

ARTHUR I. SAGALOWSKY/ JEAN D. WILSON: Prostatic Hyperplasia, Harrison’s Principles of Internal Medicine, McGraw-Hill Book Co., 298: 1582, 1987

HORTON R, COFFEY DS: Benign Prostatic Hyperplasia, Washington, DC. US Department of Health Education, and Welfare, in press, 1986

WALSH PC: Benign prostatic hyperplasia, in Campbell’s Urology, PC Walsh et al (eds), Philadelphia, Saunders, 1986, p 1248-1267

WILSON JD: The Pathogenesis of Prostatic Hyperplasia. Am J Med 68:745, 1980

WILLIAM SUNDERMAN F., FREDERICK BOERNER: Normal Values in Clinical Medicine, W. B. Saunders Co., Philadelphia & London, 1949, 44: 380, 64: 641