P-Support™

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TCM herbal formula for enlarged prostate with urinary difficulties — benign prostatic hyperplasia (BPH): prostate enlargement with urinary frequency, urgency, and nocturia; feeling of incomplete emptying, terminal dribbling, and pain with urination; varicocele with enlarged vein, pain within scrotum, and feeling of heaviness in the testicle(s); prostatitis with dysuria and pain or discomfort of the penis or testicle(s); lin zheng (dysuria syndrome) with urinary urgency, painful urination, and difficult urination with inflammation — clears damp-heat; promotes normal urination; tonifies qi, blood, and jing (essence); reduces prostate size; analgesic; anti-inflammatory; diuretic.

⚠️ Designed to treat mild to moderate prostate enlargement — NOT suitable for the treatment of prostate cancer; additional workup is necessary to confirm or rule out prostate cancer. Not designed for long-term use — discontinue when the desired effects are achieved.

CLINICAL APPLICATIONS

* Benign prostatic hyperplasia (BPH): prostate enlargement with urinary frequency, urgency, and nocturia; feeling of incomplete emptying, terminal dribbling, and pain with urination

* Varicocele with enlarged vein, pain within scrotum, and feeling of heaviness in the testicle(s)

* Prostatitis with dysuria and pain or discomfort of the penis or testicle(s)

* Lin zheng (dysuria syndrome) with urinary urgency, painful urination, and difficult urination with inflammation

Key herb-level clinical data:

— Huang Bo (Cortex Phellodendri): promotes relaxation and inhibits contraction of smooth muscle in the prostate; treats prostatic urethral obstruction; clears damp-heat; clinical: 90% effectiveness for chronic prostatitis in 108 patients

— Huang Qi (Radix Astragali): tonifies qi; regulates water circulation; clinical: 52 BPH patients — 38 complete remission, 13 improvement

— Hu Po (Succinum / Amber): breaks up blood stagnation; marked anti-inflammatory — reduces swelling and enlargement of the prostate gland

— Ru Xiang (Resina Olibanum / Frankincense): activates blood circulation; excellent analgesic; disperses masses throughout the entire body

— Mo Yao (Resina Commiphora / Myrrh): activates blood circulation; excellent analgesic and anti-inflammatory; disperses masses throughout the entire body

— Tong Cao (Medulla Tetrapanacis / Rice Paper Pith): disperses and reduces swelling and inflammation; helps restore healthy continuous urinary flow; diuretic

— Wang Bu Liu Xing (Semen Vaccariae / Vaccaria Seed): disperses and reduces swelling and inflammation; helps restore healthy continuous urinary flow

— Pu Gong Ying (Herba Taraxaci / Dandelion): clears damp-heat and toxic heat from the lower jiao; diuretic

WESTERN THERAPEUTIC ACTIONS

* Reduces prostate size — Huang Bo, Ru Xiang, Mo Yao, Chi Shao, Tao Ren, Hu Po, Tong Cao, Wang Bu Liu Xing

* Analgesic / anti-inflammatory — Ru Xiang, Mo Yao, Tao Ren, Tong Cao, Hu Po; clinical: 90% effectiveness for chronic prostatitis in 108 patients

* Diuretic / promotes normal urination — Fu Ling, Tong Cao, Pu Gong Ying, Hua Shi, Yi Yi Ren

CHINESE THERAPEUTIC ACTIONS

* Clears damp-heat and toxic heat from the lower jiao (Huang Bo, Pu Gong Ying)

* Breaks up blood stagnation; disperses masses; softens hardness (Ru Xiang, Mo Yao, Chi Shao, Tao Ren, Hu Po)

* Disperses and reduces swelling; restores urinary flow (Tong Cao, Wang Bu Liu Xing)

* Tonifies qi; regulates water circulation (Huang Qi, Fu Ling)

* Diuretic — promotes normal urination (Fu Ling, Hua Shi, Tong Cao, Yi Yi Ren, Pu Gong Ying)

DRUG-HERB INTERACTIONS

* Proscar (finasteride) / 5-alpha reductase inhibitors: Finasteride requires 3 months or more of continuous use before clinical benefit is seen. Known side effects include sexual dysfunction, impotence, decreased libido, and decreased ejaculate volume. P-Support may be used concurrently to address urinary symptoms during the latency period or as a standalone alternative for mild to moderate BPH.

* Minipress (prazosin) / alpha-adrenergic blockers: Alpha-blockers relax smooth muscle in the prostate and bladder neck to improve urinary flow but carry risks of orthostatic hypotension, dizziness, lightheadedness, syncope, and rebound hypertension upon discontinuation. P-Support herbs (Huang Bo, Huang Qi) also relax prostatic smooth muscle via damp-heat clearance and qi regulation — use cautiously in combination with alpha-blockers and monitor blood pressure.

DOSAGE

Standard: 3–4 capsules three times daily on an empty stomach with warm water. In acute conditions: increase to 8–10 capsules three times daily for no more than 4 days. Prevention or maintenance: 2 capsules twice daily.

Supplementary formulas: Varicocele — add Resolve (Lower) at a 3:1 ratio. Damp-heat with turbid, painful urination — use Gentiana Complex. Bacterial prostatitis or UTI — use V-Support or Herbal ABX. Kidney stones — add Dissolve (KS). Kidney yang deficiency with coldness or impotence — add Kidney Tonic (Yang). Kidney yin deficiency — add Kidney Tonic (Yin). Edema — add Herbal DRX. Blood stagnation — add Circulation (SJ).

Nutrition: Beneficial foods: pumpkin seeds, anise, tangerines, cherries, figs, litchis, sunflower seeds, mangos, seaweeds, organic fresh leafy vegetables, whole grains, raw wheat germ, carrots, citrus fruits, and tomatoes — natural enzymes support prostate health. Eat zinc-rich foods such as raw pumpkin seeds, pumpkin seed oil, and sunflower seeds — zinc deficiency is linked to prostate disorders. Phytoestrogens from soy and yams are beneficial for prostate health. Roast pumpkin seeds and boil as a tea — drink one large handful twice daily. Cook rhubarb root, peach kernels, winter melon seeds, pearl barley, and azuki beans as a corn silk tea — drink three times daily. Avoid watermelon and citrus of cold or sour nature. Avoid dairy, rich/fatty foods, stimulants, alcohol, caffeine, smoking, stress, tension, and meat late in the day. Avoid tobacco, junk food, and spicy food; reduce salt intake. High cholesterol is linked to prostate disorders — reduce blood cholesterol.

Lifestyle: Perform relaxation exercises to relieve tension and facilitate bladder emptying. Abstain from sexual intercourse until the condition is resolved; observe moderation thereafter.

CASE STUDIES

— 61-year-old male: Frequent urination with incomplete sensation; enlarged prostate. P-Support 4 caps 3x daily. Result: symptoms improved; urination easier and more complete.

— R.A., 78-year-old male: Frequent urination 3–4 times each night with urgency and difficulty in flow; BPH. P-Support 12 caps daily. Result: patient only needed to get up once each night.

Related Reading

Also see: Resolve (Lower) – for varicocele | Gentiana Complex – for damp-heat with turbid, painful urination | V-Support – for bacterial prostatitis or UTI | Herbal ABX – for bacterial infection | Dissolve (KS) – for kidney stones | Kidney Tonic (Yang) – for Kidney yang deficiency | Kidney Tonic (Yin) – for Kidney yin deficiency | Herbal DRX – for edema | Circulation (SJ) – for blood stagnation | Kidney & Urinary Health Collection | Men's Health & Vitality Collection.

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