Author: Dr. Richard Zeng Acupuncturist Melbounrne TCM Doctor
Abstract
We present a case of a 55 year old male patient with benign prostatic hyperplasia (BPH), elevated PSA, and mild renal–hepatic function impairment who received a combined treatment of acupuncture and Chinese herbal medicine over a two-month period. Significant improvements were observed in PSA levels, renal and liver function markers, and urinary symptoms.
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Introduction
Benign prostatic hyperplasia (BPH) is a common condition in ageing men, often associated with lower urinary tract symptoms and elevated prostate-specific antigen (PSA). In Traditional Chinese Medicine (TCM), BPH is frequently attributed to kidney deficiency, damp-heat accumulation, and blood stasis in the lower burner. Integrative approaches combining acupuncture and Chinese herbal medicine have been used clinically to improve urinary symptoms and modulate systemic function, but documented case reports remain valuable for illustrating individualized care and measurable outcomes.
Case Presentation
Patient: 55 year old Male
Presenting concerns: Night-time frequency, painful urination (especially after holding urine), history of BPH with elevated PSA, left wrist pain (De Quervain’s tenosynovitis).
Past Medical History:
Diagnosed with Benign Prostatic Hyperplasia(BPH), previously prescribed Boubluts. Patient stopped due to mood changes and other side-effect. His PSA has been raising sharply from 5.67 in January 2025 to 8.66 in July 2025. His urologist raise the concern and wanted him to have further medical check including MRI and biopsy.
Ultrasound confirmed prostate enlargement.
Lab results (10 July 2025):
- PSA: 8.66 µg/L (↑; normal <4.51) eGFR: 48 (↓; normal >59)
- Creatinine: 134 µmol/L (↑)
- GGT: 58 U/L (↑; normal <50)
Tongue: Pale red with thin white coat
Pulse: Wiry
Intervention
The patient received weekly acupuncture treatments focusing on Kidney and Bladder meridians, regulating lower burner qi and improving local circulation. Cupping and moxibustion were added in selected sessions.
In addition, he was prescribed customised Chinese herbal formulas (7–8 packs per round) based on Liu Wei Di Huang Wan with modifications for heat-clearing, detoxification, and blood circulation:
Key ingredients: Rehmannia glutinosa (Shu Di), Cornus officinalis (Shan Zhu Yu), Dioscorea (Shan Yao), Poria, Alisma, Moutan cortex, White peony, Cinnamon twig, Curcuma, Hedyotis diffusa, Schisandra chinensis.
Functions: Nourish liver and kidney, clear heat, resolve dampness, activate blood, support prostate health.
Outcomes
After 4 weeks:
- Nocturia reduced to once per night.
- Hand pain markedly improved.
- Pain during urination only after prolonged holding; otherwise resolved.
- Sleep improved (8:30–9 pm to 4:30 am).
After 8 weeks (mid-September 2025):
- PSA decreased from 8.66 → 4.07 µg/L
- Creatinine decreased from 134 → 119 µmol/L
- GGT decreased from 58 → 42 U/L
- EGFR increased from 48 → 55 mL/min/1.73m2
- Urinary symptoms remained stable with overall well-being improved.
Patient planned to undergo prostate MRI and follow up with urologist in October.
Discussion
This case highlights the potential of acupuncture combined with individualised Chinese herbal prescriptions in managing BPH and systemic metabolic parameters.
PSA reduction suggests improvement in prostate inflammation and volume. Kidney and liver function markers improved concurrently, supporting the TCM principle of “treating the root and branch”. Clinically, this aligns with research showing acupuncture and herbs can regulate endocrine function, modulate inflammation, and enhance circulation in the pelvic region.
Conclusion
Integrative TCM interventions may offer clinically meaningful benefits for patients with BPH and mild renal–hepatic impairment. Individualized diagnosis and regular monitoring of biomarkers are essential to optimise safety and outcomes. Further controlled studies are warranted.
Keywords
Benign prostatic hyperplasia; acupuncture; Chinese herbal medicine; PSA; liver function; kidney function; case report; integrative medicine; Melbourne; Men’s health
Note:
This case report presents the treatment and outcomes of an individual patient. As each person’s condition is unique, results may vary. This report is for clinical and educational purposes only. Patients should consult qualified healthcare professionals for personalised advice.