中醫治療慢性非細菌性攝護腺炎／慢性骨盆腔疼痛症候群：病例報告及文獻回顧

TCM Treatment for Chronic Non-bacterial Prostatitis/ Chronic Pelvic Pain Syndrome (CP/CPPS): A Case Report and Literature Review

背景：男性慢性非細菌性攝護腺炎/慢性骨盆腔疼痛症候群（CP/CPPS）盛行率約為2%至10%，且其盛行率大多隨年齡增長而上升。臨床表現常見頻尿、排尿疼痛或不適，以及骨盆、會陰部疼痛，並可能伴隨焦慮或其他慢性疼痛狀態，進而明顯影響生活品質。現行常規治療包括α-受體阻斷劑、非類固醇消炎止痛藥、抗生素、骨盆底物理治療及多模式症狀導向治療；然而，整體療效仍具有個體差異，部分患者症狀改善有限。病案描述：本文藉由回顧一例CP/CPPS患者的病史、診療歷程與追蹤結果，闡述中醫藥介入此類疾病的治療策略與具體療效。同時，結合國內外相關臨床與藥理文獻，進一步探討中醫藥治療CP/CPPS的潛在機轉，並評估中西醫整合照護在臨床應用上的價值與潛力。結果：經中醫藥治療與追蹤後，患者的排尿不適與骨盆腔疼痛獲得顯著緩解，焦慮情緒亦隨之改善，整體生活品質大幅提升。在客觀評估上，美國國家衛生研究院慢性攝護腺炎症狀指數（National Institutes of Health Chronic Prostatitis Symptom Index, NIH-CPSI）由初始的31分顯著下降至6分。結論：本文旨在提供具體的臨床觀察與經驗分享，凸顯中醫藥在CP/CPPS照護上的潛在作用，並為未來的臨床研究提供參考。

Background: The prevalence of chronic non-bacterial prostatitis/chronic pelvic pain syndrome (CP/CPPS) in men ranges from 2% to 10%, with variable prevalence across age groups. Clinically, CP/CPPS is characterized by urinary frequency, dysuria, and pelvic or perineal pain. It is frequently associated with anxiety and other chronic pain conditions, leading to substantial impairment in quality of life. Current conventional treatments often includeα-blockers, nonsteroidal anti-inflammatory drugs, antibiotics, pelvic floor therapy, and multimodal symptom-based management; however, their clinical efficacy remains variable. Case Presentation: This article reports a detailed case of CP/CPPS to illustrate the diagnostic reasoning and potential therapeutic role of traditional Chinese Medicine (TCM). By integrating findings from relevant clinical and pharmacological studies, we discuss the potential mechanisms of Chinese herbal medicine and the possible benefits of an integrative East-West medical approach. Outcome: After TCM treatment and follow-up, the patient’s urinary discomfort and pelvic pain were markedly relieved, anxiety symptoms improved, and overall quality of life was substantially enhanced. The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) score decreased from 31 to 6. Conclusion: This report provides a concrete clinical observation and experiential perspective, highlighting the potential role of TCM in the management of CP/CPPS and offering a reference for future clinical research.