Benign Prostatic Hyperplasia, as a common disease in the male urinary system, has traditionally been considered to have the basic pathogenesis of kidney deficiency and blood stasis. However, this disease involves many pathological factors such as "damp-heat", leading to confusion and difficulty in resolving the condition. "Fen Xiao Zou Xie" is an important treatment method used by Ye Tianshi to address damp-heat patterns and is now widely applied in the diagnosis and treatment of urinary system diseases. "Fen Xiao" refers to the removal of pathogenic factors through different pathways, while "Zou Xie" means using medications that promote excretion and do not stay, allowing the elimination of pathogenic factors from the body. The concept of "Clearing Up and Draining Down" is derived from the theory of "clearing and turbidity" in the Huang Di Nei Jing, suggesting that Qi, blood, water, and damp toxins blockages in the body are difficult to clear, leading to disorder in the ascending and descending of Triple Energizer Qi, causing obstruction or poor flow in the channels, and consequently resulting in abnormal urination. Exploring the application of the "Clearing Upward and Draining Downward" perspective in the use of "Fen Xiao Zou Xie" in the treatment of benign prostatic hyperplasia provides new insights for the clinical diagnosis and treatment of BPH.

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