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Prostatitis
Chapter 39
Prostatitis Summary Essence: Local stagnation favors inflammation and/or infection of the prostate, often asymptomatic unless presenting with pelvic pain Terrain: (1) Hyperandrogenism favoring dihydrotestosterone (DHT) resulting in (2) Focalized hypermetabolism of the prostate soliciting (3) Pelvic congestion with stagnation fragilizing the prostate, favoring (4a) Inflammation and/or (4b) Infection of the prostate from local translocation or acquired sexually resulting in (5) Actue prostatitis which can evolve over time to (6) Chronic prostatitis with various urinary and pelvic symptoms, especially pain in either case.
Treatment goals Symptomatic: Pelvic drainage, antimicrobial medicinal plants, antibiotics Terrain: Varies based on origin of congestion and stagnation ● ●
●
●
●
●
ANS: Resolve spasmophilia: ⇓ Para and Alpha, ⇑ Beta GONADO: Readapt LH-Androgen equilibrium for Endobiogenic terrain of patient (cf. Chapter 38: Prostate enlargement); Adapt FSH and its nutritional congesting role on tissues THYRO: Varies, adapt to avoid inflammation and insufficient utilization of immune elements SOMATO: Varies, adapt to avoid desynchronization and thus inflammation, but also adenoidal and hypertrophic conditions CORTICO: Varies, adapt cortisol regulation LH, histamines, and thyrotropic sensibilization DRAIN: 1°-Pelvis/Splanchnic bed, 2°-Pancreas, 3°-Liver
Sample treatment Month 1: 1. Oligo: a. Mg: 1 dose BID b. Cu-Ag-Au: 1 dose QID × 1 week, then TID × 1 week, then BID × 2 weeks The Theory of Endobiogeny. https://doi.org/10.1016/B978-0-12-816965-0.00039-1 © 2020 Elsevier Inc. All rights reserved.
2. Rectal application: suppository or infusion: AM, before bed (cf. Exemplary prescriptions in the end of the chapter) 3. Pelvic drainage, Antimicrobial: Ribes nigrum GM 60 mL, Achillea millefolium MT 60 mL, Matricaria recutita MT 60 mL, Hamamelis virginiana MT 60 mL + Melaleuca leucadendron EO 3 mL, Lavender EO 2 mL: 4 mL BID (Table 39.4) 4. Diet: per BoF and PAP/PSA ratio 5. Lifestyle (Table 39.6)
Month 2–3: 1. Rectal application: suppository or infusion (cf. end of the chapter) 2. Pelvic drainage, Antimicrobial: Ribes nigrum GM 60 mL, Achillea millefolium MT 60 mL, Matricaria recutita MT 60 mL, Hamamelis virginiana MT 60 mL + Melaleuca leucadendron EO 3 mL, Lavandula angustifolia EO 2 mL: 4 mL BID 3. Neuroendocrine: Lithospermum officinale MT 60 mL, Medicago sativa MT 60 mL, Salvia sclarea MT 60 mL, Achillea millefolium MT 60 mL: 4 mL BID (Table 39.5) 4. Diet: per BoF and PAP/PSA ratio 5. Lifestyle (Table 39.6)
Terrain in detail Precritical terrain The precritical terrain is similar to the critical terrain of prostatic enlargement (cf. Chapter 38: Prostate enlargement) with elevated DHT. This targets the prostate for congestion and stagnation to meet metabolic demands. The configuration of the remaining endocrine axes is highly variable (cf. also The Theory of Endobiogeny, Volume 3, Chapter 7: Prostate disorders). This determines the vector of fragilization toward congestion, stagnation, inflammation, and immune competency. In addition, there are various metabolic (Table 39.1) and anatomical (Table 39.2) factors that fragilize the pelvis and prostate for inflammation and infection. In the face of all these possible factors, there are two key elements that can be addressed to bring a patient with 259
260 SECTION | C Assessment and treatment of common disorders
TABLE 39.1 Metabolic structuro-functional and functional elements of terrain favoring prostatitis. Factor
Element
Consequence
↑πΣ
Nutritional congestion: Pelvis, Prostate
Hyperemia ➔ distention of tissues, compression: lymphatics, venous outflow
↑αΣ
Vascular congestion: Pelvis, Prostate
Delayed egress of blood ➔ edema, compression: lymphatics, venous outflow
↑FSH, ↑αΣ
Mucosal congestion: urinary bladder, urethra, descending colon
Stasis, favors bacterial overgrowth
↑Thyrotropic
Inflammation
Capillary/Lymphatic leak ➔ translocation of microbial agents
↑Insulin ↑Cortisol
3. Microbial: a. Gram negative > positive: Escherichia. coli, Enterococcus ssp., Pseudomonas ssp., Chlamydia trachomatis, Ureaplasma ssp., Trichomonas vaginalis b. Fungi, Virus: rule out immune compromise, autoimmune disorders
Critical terrain The critical terrain is highly variable based on the precritical terrain. What is key is that the autonomic portion of the response aggravates the precritical congestive and stagnating condition, and the endocrine response dysadapts the immune response. 1. ANS: Hyper elevated Alpha > Elevated Para 2. Emunctory and vasculature (in order of importance): a. Pelvic basin congestion b. Exocrine pancreas oversolicited c. Liver congestion
Mechanisms TABLE 39.2 Anatomic structural and functional elements of terrain favoring prostatitis. Category
Example
Structuro-functional
Urinary bladder voiding dysfunction Bladder neck obstruction Ejaculatory duct obstruction Pelvic side wall tension
Immune compromise
HIV, Iatrogenic (radiation therapy, chemotherapy, post-surgical)
Inflammation and/or sequestered space for microbial growth and/or colonization of prostatic tissue, irritation of local nerves, irritation of aspect of bladder contiguous with prostate.
Result Prostatitis, often silent, but with various urinary symptoms and/or pelvic pain
History and BoF findings chronic prostatitis out of a latency for recurrent infection or inflammation: 1. ANS: a. Metabolic: Elevated Para > Elevated Alpha b. Vascular: Spasmophilia: Elevated Alpha > Para 2. Emunctory and vasculature (in order of importance): a. Pelvic basin congestion b. Exocrine pancreas oversolicited c. Liver congestion
Acute and chronic prostatitis is often silent and thus is diagnosed when there are symptoms. Symptom groups 1–4 may present in acute cases, symptom groups 1–5 in chronic prostatitis. 1. Pain: pelvic, abdominal, low back 2. Urinary: dysuria, lower urinary tract obstruction (cf. Chapter 38: Prostatic enlargement) 3. Systemic, infectious: fever, chills, malaise 4. Systemic, Immune: arthralgias, myalgias 5. Penile: Ejaculatory pain, erectile dysfunction
Agent
Physical exam and BoF findings
The agent with be a critical factor of vulnerability that results in a liminal threshold of inflammation and/or presence of virulent organisms.
Specific exam findings and BoF findings are discussed in Chapter 38: Prostate enlargement. See also The Theory of Endobiogeny, Volume 3, Chapter 7: Prostate disorders).
1. Endocrine: Table 39.1 2. Anatomical: Table 39.2
1. Localized pain in pelvic basin, lower abdomen or low back
Prostatitis Chapter | 39 261
2. Prostate, digital palpation via rectum: a. Acute: prostate hot, boggy b. Chronic: unremarkable, or, nodular and tender to palpation
Treatment Antibiotics are particularly suited for cases that are severe, chronic and/or in immunocompromised patients (cf. The Theory of Endobiogeny, Volume 3, Chapter 7: Prostate disorders). The following medicinal plants can be used according to an Endobiogenic reflection of the terrain: 1. Symptomatic (Table 39.3): a. Antimicrobial i. Plants with genitourinary tropism ii. Cu-Au-Ag oligoelement
b. Anti-inflammatory, anticongestive plants with pelvic tropism c. Antalgics, analgesics 2. Neuroendocrine (Table 39.5): a. ANS: Spasmolytics i. Genitourinary muscular antispasmodics ii. Pelvic circulatory tropism b. Endocrine: Depends on the terrain (cf. Chapter 38: Prostate enlargement) 3. Oligoelements: Mg: muscular spasmolysis to relieve the congesting tendency 4. Diet: See Chapter 38: Prostate enlargement for a full discussion a. General avoidance: Alcohol, coffee, spicy foods, creamy cheeses, fried food, red meat, animal fats
TABLE 39.3 Polyvalent symptomatic medicinal plants for prostatitis. Medicinal plant
Antihist.
Antialler.
Achillea millefolium
Anti-inflam.
Anti-infect.a
Emunctory
Other
•
•
Drainage: pelvic
Vagolytic
Drainage: hepatopancreatic (exocrine, endocrine), portal
↑ Para (indirect)
Agrimonia eupatoria
•
Arnica montana
•
•
Artemisia dracunculus
•
•
•
Drainage: Pelvic, splanchnic, pancreatic
Neurologic antispasmodic
Eucalyptus globulus
•
•
•
Drainage: exocrine pancreas
Antalgic
Hamamelis virginiana
•
•
•
Drainage: pelvis, splanchnic bed
Mild Alpha-mimetic to overcome stagnation
•
Juniperus communis
•
Lavandula angustifolia
•
Matricaria recutita
•
•
•
Syzygium aromaticum Thymus vulgaris
Drainage: Urinary, Hepatorenal (GM) •
•
Melaleuca leucadendron Plantago major
Sympatholytic
•
•
•
•
•
•
•
•
•
Drainage: pelvis
↑ Alpha, Beta, Para
Drainage: pelvic, splanchnic, hepatic
↑ Alpha and Para
Drainage: pelvis
Neuromuscular antispasmodic, ↑ Alpha and Para
Drainage: hepatopancreatic (exocrine, endocrine), ↑ Alpha and Para, Antalgic Drainage: Urinary
Parasympatholytic, Analgesic
(–): inhibits; Aller.: Allergic; ANS: Autonomic nervous system; GM: gemmomacerate preparation; Hist.: Histaminic; Infect.: infectious; Inflam.: inflammatory. a Refers to specific genitourinary tropism.
262 SECTION | C Assessment and treatment of common disorders
b. PAP>PSA—vegan/alkaline diet—avoid red meat, dairy, gluten c. PSA>PAP—Regulation of insulin with medicinal plants and dietary glycemic control measures 5. Lifestyle: avoid activities that promote inflammation or irritation of the prostate (Table 39.6) By far, the most efficient plants are essential oils of Eucalyptus ssp. and Melaleuca leucadendron, and rectal administration is far more efficient than oral administration. See The Theory of Endobiogeny, Volume 3, Chapter 7: Prostate disorders for a discussion of rectal efficiency of administration.
Months 2–3: 1. Rectal application: suppository or infusion (cf. below: Local application of essential oils) 2. Pelvic drainage, Antimicrobial: Ribes nigrum GM 60 mL, Achillea millefolium MT 60 mL, Matricaria recutita MT 60 mL, Hamamelis virginiana MT 60 mL + Melaleuca leucadendron EO 3 mL, Lavandula angustifolia EO 2 mL: 4 mL BID 3. Neuroendocrine: Lithospermum officinale MT 60 mL, Medicago sativa MT 60 mL, Salvia sclarea MT 60 mL, Achillea millefolium MT 60 mL: 4 mL BID (Table 39.5) 4. Diet: per BoF and PAP/PSA ratio 5. Lifestyle (Table 39.6) Local application of essential oils
Exemplary prescriptions Based on an Endobiogenic approach to prostatitis, a general 3-month prescription protocol is presented for acute prostatitis.
TABLE 39.5 Neuroendocrine prescription.
Month 1:
Lithospermum officinale MT 60 mL
Lycopus europaeus MT
Medicago sativa MT 60 mL
Alchemilla vulgaris MT, Pygeum africanum MT
Salvia sclarea MT 60 mL
Salvia officinalis MT, Angelica archangelica MT 30 mL + Avena sativa MT 30 mL
Achillea millefolium MT 60 mL
Alchemilla vulgaris MT
1. Oligo: a. Mg: 1 dose BID b. Cu-Ag-Au: 1 dose QID × 1 week, then TID × 1 week, then BID × 2 weeks 2. Rectal application: suppository or infusion: AM, before bed (cf. below: Local application of essential oils) 3. Pelvic drainage, Antimicrobial: Ribes nigrum GM 60 mL, Achillea millefolium MT 60 mL, Matricaria recutita MT 60 mL, Hamamelis virginiana MT 60 mL + Melaleuca leucadendron EO 3 mL, Lavender EO 2 mL: 4 mL BID (Table 39.4) 4. Diet: per BoF and PAP/PSA ratio 5. Lifestyle (Table 39.6)
TABLE 39.4 Pelvic drainage-antimicrobial prescription. Medicinal plant
Replacements and alternatives
Ribes nigrum GM 60 mL
Fragaria vesca MT
Achillea millefolium MT 60 mL
Alchemilla vulgaris MT
Matricaria recutita MT 60 mL
Hamamelis virginiana MT
Hamamelis virginiana MT 60 mL
Achillea millefolium MT
Melaleuca leucadendron EO 3 mL
Eucalyptus ssp. EO 2 mL + Achillea millefolium EO 1 mL
Lavandula angustifolia EO 2 mL
Matricaria recutita EO 1 mL + Eucalyptus ssp. EO 1 mL
Key: EO: essential oil, MT: mother tincture.
Medicinal plant
Replacements and alternatives
Key: EO: essential oil, MT: mother tincture, GM: gemmomacerate.
TABLE 39.6 Lifestyle recommendations. Category
Principle
Example
Avoid
Inflammation
Tobacco products
Prostate irritation or injury
Horseback, bicycle riding; constipation
Prostate overactivity
Excessive sexual activity
Diminishes perineal flow
Prolonged sitting
Frequent standing
For every 55 min of sitting, walk for 5 min
Exercise
Aerobic exercise: walking, running, elliptical
Prostate emptying
Moderate sexual activity (2–3 times per week)—the more semen demanded, the more pelvic congestion
Encourage
Prostatitis Chapter | 39 263
1. Rectal Suppository formula: Melaleuca leucadendron EO 5%, Lavandula angustifolia EO 5%, Achillea millefolium EO 3%, Syzygium aromaticum EO 0.5% in a base of Shea butter 2. Rectal infusion: Melaleuca leucadendron EO 5 mL, Lavandula angustifolia EO 3.5 mL, Achillea millefolium EO
1 mL, Syzygium aromaticum EO 0.5 mL in 60 mL of mother tincture with pelvic tropism (e.g., Hamamelis virginiana, Achillea millefolium, etc.). Shake well, draw 5–10 mL with a bulb syringe. Lying flat with a folded towel under hips, slowly infuse over 2–5 min. Contract gluteal muscles, wait 15 min or longer before standing erect.
Prostatitis Summary Essence: Local stagnation favors inflammation and/or infection of the prostate, often asymptomatic unless presenting with pelvic pain Terrain: (1) Hyperandrogenism favoring dihydrotestosterone (DHT) resulting in (2) Focalized hypermetabolism of the prostate soliciting (3) Pelvic congestion with stagnation fragilizing the prostate, favoring (4a) Inflammation and/or (4b) Infection of the prostate from local translocation or acquired sexually resulting in (5) Actue prostatitis which can evolve over time to (6) Chronic prostatitis with various urinary and pelvic symptoms, especially pain in either case.
Treatment goals Symptomatic: Pelvic drainage, antimicrobial medicinal plants, antibiotics Terrain: Varies based on origin of congestion and stagnation ● ●
●
●
●
●
ANS: Resolve spasmophilia: ⇓ Para and Alpha, ⇑ Beta GONADO: Readapt LH-Androgen equilibrium for Endobiogenic terrain of patient (cf. Chapter 38: Prostate enlargement); Adapt FSH and its nutritional congesting role on tissues THYRO: Varies, adapt to avoid inflammation and insufficient utilization of immune elements SOMATO: Varies, adapt to avoid desynchronization and thus inflammation, but also adenoidal and hypertrophic conditions CORTICO: Varies, adapt cortisol regulation LH, histamines, and thyrotropic sensibilization DRAIN: 1°-Pelvis/Splanchnic bed, 2°-Pancreas, 3°-Liver
Sample treatment Month 1: 1. Oligo: a. Mg: 1 dose BID b. Cu-Ag-Au: 1 dose QID × 1 week, then TID × 1 week, then BID × 2 weeks The Theory of Endobiogeny. https://doi.org/10.1016/B978-0-12-816965-0.00039-1 © 2020 Elsevier Inc. All rights reserved.
2. Rectal application: suppository or infusion: AM, before bed (cf. Exemplary prescriptions in the end of the chapter) 3. Pelvic drainage, Antimicrobial: Ribes nigrum GM 60 mL, Achillea millefolium MT 60 mL, Matricaria recutita MT 60 mL, Hamamelis virginiana MT 60 mL + Melaleuca leucadendron EO 3 mL, Lavender EO 2 mL: 4 mL BID (Table 39.4) 4. Diet: per BoF and PAP/PSA ratio 5. Lifestyle (Table 39.6)
Month 2–3: 1. Rectal application: suppository or infusion (cf. end of the chapter) 2. Pelvic drainage, Antimicrobial: Ribes nigrum GM 60 mL, Achillea millefolium MT 60 mL, Matricaria recutita MT 60 mL, Hamamelis virginiana MT 60 mL + Melaleuca leucadendron EO 3 mL, Lavandula angustifolia EO 2 mL: 4 mL BID 3. Neuroendocrine: Lithospermum officinale MT 60 mL, Medicago sativa MT 60 mL, Salvia sclarea MT 60 mL, Achillea millefolium MT 60 mL: 4 mL BID (Table 39.5) 4. Diet: per BoF and PAP/PSA ratio 5. Lifestyle (Table 39.6)
Terrain in detail Precritical terrain The precritical terrain is similar to the critical terrain of prostatic enlargement (cf. Chapter 38: Prostate enlargement) with elevated DHT. This targets the prostate for congestion and stagnation to meet metabolic demands. The configuration of the remaining endocrine axes is highly variable (cf. also The Theory of Endobiogeny, Volume 3, Chapter 7: Prostate disorders). This determines the vector of fragilization toward congestion, stagnation, inflammation, and immune competency. In addition, there are various metabolic (Table 39.1) and anatomical (Table 39.2) factors that fragilize the pelvis and prostate for inflammation and infection. In the face of all these possible factors, there are two key elements that can be addressed to bring a patient with 259
260 SECTION | C Assessment and treatment of common disorders
TABLE 39.1 Metabolic structuro-functional and functional elements of terrain favoring prostatitis. Factor
Element
Consequence
↑πΣ
Nutritional congestion: Pelvis, Prostate
Hyperemia ➔ distention of tissues, compression: lymphatics, venous outflow
↑αΣ
Vascular congestion: Pelvis, Prostate
Delayed egress of blood ➔ edema, compression: lymphatics, venous outflow
↑FSH, ↑αΣ
Mucosal congestion: urinary bladder, urethra, descending colon
Stasis, favors bacterial overgrowth
↑Thyrotropic
Inflammation
Capillary/Lymphatic leak ➔ translocation of microbial agents
↑Insulin ↑Cortisol
3. Microbial: a. Gram negative > positive: Escherichia. coli, Enterococcus ssp., Pseudomonas ssp., Chlamydia trachomatis, Ureaplasma ssp., Trichomonas vaginalis b. Fungi, Virus: rule out immune compromise, autoimmune disorders
Critical terrain The critical terrain is highly variable based on the precritical terrain. What is key is that the autonomic portion of the response aggravates the precritical congestive and stagnating condition, and the endocrine response dysadapts the immune response. 1. ANS: Hyper elevated Alpha > Elevated Para 2. Emunctory and vasculature (in order of importance): a. Pelvic basin congestion b. Exocrine pancreas oversolicited c. Liver congestion
Mechanisms TABLE 39.2 Anatomic structural and functional elements of terrain favoring prostatitis. Category
Example
Structuro-functional
Urinary bladder voiding dysfunction Bladder neck obstruction Ejaculatory duct obstruction Pelvic side wall tension
Immune compromise
HIV, Iatrogenic (radiation therapy, chemotherapy, post-surgical)
Inflammation and/or sequestered space for microbial growth and/or colonization of prostatic tissue, irritation of local nerves, irritation of aspect of bladder contiguous with prostate.
Result Prostatitis, often silent, but with various urinary symptoms and/or pelvic pain
History and BoF findings chronic prostatitis out of a latency for recurrent infection or inflammation: 1. ANS: a. Metabolic: Elevated Para > Elevated Alpha b. Vascular: Spasmophilia: Elevated Alpha > Para 2. Emunctory and vasculature (in order of importance): a. Pelvic basin congestion b. Exocrine pancreas oversolicited c. Liver congestion
Acute and chronic prostatitis is often silent and thus is diagnosed when there are symptoms. Symptom groups 1–4 may present in acute cases, symptom groups 1–5 in chronic prostatitis. 1. Pain: pelvic, abdominal, low back 2. Urinary: dysuria, lower urinary tract obstruction (cf. Chapter 38: Prostatic enlargement) 3. Systemic, infectious: fever, chills, malaise 4. Systemic, Immune: arthralgias, myalgias 5. Penile: Ejaculatory pain, erectile dysfunction
Agent
Physical exam and BoF findings
The agent with be a critical factor of vulnerability that results in a liminal threshold of inflammation and/or presence of virulent organisms.
Specific exam findings and BoF findings are discussed in Chapter 38: Prostate enlargement. See also The Theory of Endobiogeny, Volume 3, Chapter 7: Prostate disorders).
1. Endocrine: Table 39.1 2. Anatomical: Table 39.2
1. Localized pain in pelvic basin, lower abdomen or low back
Prostatitis Chapter | 39 261
2. Prostate, digital palpation via rectum: a. Acute: prostate hot, boggy b. Chronic: unremarkable, or, nodular and tender to palpation
Treatment Antibiotics are particularly suited for cases that are severe, chronic and/or in immunocompromised patients (cf. The Theory of Endobiogeny, Volume 3, Chapter 7: Prostate disorders). The following medicinal plants can be used according to an Endobiogenic reflection of the terrain: 1. Symptomatic (Table 39.3): a. Antimicrobial i. Plants with genitourinary tropism ii. Cu-Au-Ag oligoelement
b. Anti-inflammatory, anticongestive plants with pelvic tropism c. Antalgics, analgesics 2. Neuroendocrine (Table 39.5): a. ANS: Spasmolytics i. Genitourinary muscular antispasmodics ii. Pelvic circulatory tropism b. Endocrine: Depends on the terrain (cf. Chapter 38: Prostate enlargement) 3. Oligoelements: Mg: muscular spasmolysis to relieve the congesting tendency 4. Diet: See Chapter 38: Prostate enlargement for a full discussion a. General avoidance: Alcohol, coffee, spicy foods, creamy cheeses, fried food, red meat, animal fats
TABLE 39.3 Polyvalent symptomatic medicinal plants for prostatitis. Medicinal plant
Antihist.
Antialler.
Achillea millefolium
Anti-inflam.
Anti-infect.a
Emunctory
Other
•
•
Drainage: pelvic
Vagolytic
Drainage: hepatopancreatic (exocrine, endocrine), portal
↑ Para (indirect)
Agrimonia eupatoria
•
Arnica montana
•
•
Artemisia dracunculus
•
•
•
Drainage: Pelvic, splanchnic, pancreatic
Neurologic antispasmodic
Eucalyptus globulus
•
•
•
Drainage: exocrine pancreas
Antalgic
Hamamelis virginiana
•
•
•
Drainage: pelvis, splanchnic bed
Mild Alpha-mimetic to overcome stagnation
•
Juniperus communis
•
Lavandula angustifolia
•
Matricaria recutita
•
•
•
Syzygium aromaticum Thymus vulgaris
Drainage: Urinary, Hepatorenal (GM) •
•
Melaleuca leucadendron Plantago major
Sympatholytic
•
•
•
•
•
•
•
•
•
Drainage: pelvis
↑ Alpha, Beta, Para
Drainage: pelvic, splanchnic, hepatic
↑ Alpha and Para
Drainage: pelvis
Neuromuscular antispasmodic, ↑ Alpha and Para
Drainage: hepatopancreatic (exocrine, endocrine), ↑ Alpha and Para, Antalgic Drainage: Urinary
Parasympatholytic, Analgesic
(–): inhibits; Aller.: Allergic; ANS: Autonomic nervous system; GM: gemmomacerate preparation; Hist.: Histaminic; Infect.: infectious; Inflam.: inflammatory. a Refers to specific genitourinary tropism.
262 SECTION | C Assessment and treatment of common disorders
b. PAP>PSA—vegan/alkaline diet—avoid red meat, dairy, gluten c. PSA>PAP—Regulation of insulin with medicinal plants and dietary glycemic control measures 5. Lifestyle: avoid activities that promote inflammation or irritation of the prostate (Table 39.6) By far, the most efficient plants are essential oils of Eucalyptus ssp. and Melaleuca leucadendron, and rectal administration is far more efficient than oral administration. See The Theory of Endobiogeny, Volume 3, Chapter 7: Prostate disorders for a discussion of rectal efficiency of administration.
Months 2–3: 1. Rectal application: suppository or infusion (cf. below: Local application of essential oils) 2. Pelvic drainage, Antimicrobial: Ribes nigrum GM 60 mL, Achillea millefolium MT 60 mL, Matricaria recutita MT 60 mL, Hamamelis virginiana MT 60 mL + Melaleuca leucadendron EO 3 mL, Lavandula angustifolia EO 2 mL: 4 mL BID 3. Neuroendocrine: Lithospermum officinale MT 60 mL, Medicago sativa MT 60 mL, Salvia sclarea MT 60 mL, Achillea millefolium MT 60 mL: 4 mL BID (Table 39.5) 4. Diet: per BoF and PAP/PSA ratio 5. Lifestyle (Table 39.6) Local application of essential oils
Exemplary prescriptions Based on an Endobiogenic approach to prostatitis, a general 3-month prescription protocol is presented for acute prostatitis.
TABLE 39.5 Neuroendocrine prescription.
Month 1:
Lithospermum officinale MT 60 mL
Lycopus europaeus MT
Medicago sativa MT 60 mL
Alchemilla vulgaris MT, Pygeum africanum MT
Salvia sclarea MT 60 mL
Salvia officinalis MT, Angelica archangelica MT 30 mL + Avena sativa MT 30 mL
Achillea millefolium MT 60 mL
Alchemilla vulgaris MT
1. Oligo: a. Mg: 1 dose BID b. Cu-Ag-Au: 1 dose QID × 1 week, then TID × 1 week, then BID × 2 weeks 2. Rectal application: suppository or infusion: AM, before bed (cf. below: Local application of essential oils) 3. Pelvic drainage, Antimicrobial: Ribes nigrum GM 60 mL, Achillea millefolium MT 60 mL, Matricaria recutita MT 60 mL, Hamamelis virginiana MT 60 mL + Melaleuca leucadendron EO 3 mL, Lavender EO 2 mL: 4 mL BID (Table 39.4) 4. Diet: per BoF and PAP/PSA ratio 5. Lifestyle (Table 39.6)
TABLE 39.4 Pelvic drainage-antimicrobial prescription. Medicinal plant
Replacements and alternatives
Ribes nigrum GM 60 mL
Fragaria vesca MT
Achillea millefolium MT 60 mL
Alchemilla vulgaris MT
Matricaria recutita MT 60 mL
Hamamelis virginiana MT
Hamamelis virginiana MT 60 mL
Achillea millefolium MT
Melaleuca leucadendron EO 3 mL
Eucalyptus ssp. EO 2 mL + Achillea millefolium EO 1 mL
Lavandula angustifolia EO 2 mL
Matricaria recutita EO 1 mL + Eucalyptus ssp. EO 1 mL
Key: EO: essential oil, MT: mother tincture.
Medicinal plant
Replacements and alternatives
Key: EO: essential oil, MT: mother tincture, GM: gemmomacerate.
TABLE 39.6 Lifestyle recommendations. Category
Principle
Example
Avoid
Inflammation
Tobacco products
Prostate irritation or injury
Horseback, bicycle riding; constipation
Prostate overactivity
Excessive sexual activity
Diminishes perineal flow
Prolonged sitting
Frequent standing
For every 55 min of sitting, walk for 5 min
Exercise
Aerobic exercise: walking, running, elliptical
Prostate emptying
Moderate sexual activity (2–3 times per week)—the more semen demanded, the more pelvic congestion
Encourage
Prostatitis Chapter | 39 263
1. Rectal Suppository formula: Melaleuca leucadendron EO 5%, Lavandula angustifolia EO 5%, Achillea millefolium EO 3%, Syzygium aromaticum EO 0.5% in a base of Shea butter 2. Rectal infusion: Melaleuca leucadendron EO 5 mL, Lavandula angustifolia EO 3.5 mL, Achillea millefolium EO
1 mL, Syzygium aromaticum EO 0.5 mL in 60 mL of mother tincture with pelvic tropism (e.g., Hamamelis virginiana, Achillea millefolium, etc.). Shake well, draw 5–10 mL with a bulb syringe. Lying flat with a folded towel under hips, slowly infuse over 2–5 min. Contract gluteal muscles, wait 15 min or longer before standing erect.