urinary infection - traditional chinese medicine

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URINARY TRACT INFECTION

A TCM Perspective with a Western Medical description

SOURCES:

1. Foundations of Chinese Medicine (2nd Edition) Giovanni Maciocia. Pages 671-678

Pages 205, 206, 207

2. The Practice of Chinese Medicine (2nd Edition) Giovanni Maciocia. Pages 839, 840,

841, 842, 843, 844, 845, 846, 890-893

3. Chinese Acupuncture and Moxibustion (Revised Edition) Pages 440, 441, 442, 44 3,

444.

4. http://www.tcmpage.com/hpurinary_infect.html

DESCRIPTION AND CONDITION:

Urinary Tract Infection in the western vernacular, Is when the urinary tract, which is comprised of two

kidneys, two ureters, bladder and a urethra is infected by either bacteria (Escherichia Coli, E.Coli), a

virus (Herpes Simplex) or a fungus (Candida) causing the following symptoms, urinary retention,

pain ful urinatio n, p yuria and lower b ackp ain.

According to the TCM perspect ive the consumption of spicy foods, foods that are high in fat and sugar

can be attributed to causing two pattern presentations, Damp Heat pattern and Kidney Spleen

Deficiency patterns.

PATTERNS OF DISHARMONY/DIAGNOSIS:

Damp Heat in the Urinary Bladder

Kidney Yin Deficiency

Spleen Qi Deficiency

Liver-Fire Infusing downwards

Spleen Qi and Kidney Yang Deficiency with Dampness

Spleen Qi and Kidney Yang Deficiency with Fire

Spleen Qi and Kidney Yang Deficiency with Qi Stagnation

Kidney Yin Deficiency with Empty Heat

Urinary Infection - Traditional ChineseMedicine

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CLINICAL MANIFESTATIONS:

Damp Heat in the Urinary Bladder: (The Practice of Chinese Medicine) pg 891-892

This can be the cause urinary retention, scanty urine output, dysuria w/fullness in the hypogastrium.

Dampness can obstruct the water passages. When heat manifests, it can contribute to urinary retention

and when heat b ecomes present damages can destroy the fluids through condensing and concentrating

leading to dark urine.

T: Sticky-yellow coating that is thicker on the root.

P: Slippery-Rapid

Treatment Principle: Resolve Dampness, clear heat, promote urination.

Treatment Strategies:

Sp-9

Sp-6

Ren-3

St-28Ren-9

Bl-22

Bl-39 Lower He-Sea, regulates and promotes urination.

Note: All p oin ts reso lve dampness in the lower b urner.

Kidney Yin Deficiency: (The Practice of Chinese Medicine) pg 880-881

The incontinence of urine in scanty amounts is present, dribbling after urination and dark urine due to

the concentration of fluids is key when describing Kidney Yin Deficiency a (Empty Heat) condition

that can also affect the pericardium and triple burner.

T: No coating, if empty heat is present, the body will be red

P: Floating, empty.

Treatment principle: Tonify the Kidneys and nourish Yin.

Treatment strategies:

Nourish Kidne y Yin With:

Ren-4

Ki-3

Sp-6

Tonify Kidney Qi and strengthen bladder function.

Bl-23

Bl-28

Regulate Ren Mai

Lu-7

Kd-6


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Spleen Qi Deficiency: (The Foundation of Chinese Medicine) pg 877 -878

This Empty pattern causes no pain which ban be attributed to a weak constitution associated with old

age. This can present with a moderate incontinence with a frequent urge to urinate.

T: Pale

P: Weak

Treatment Principle: Tonify and raise Qi


Tonify Spleen Qi

Bl-20

St-36

Ren-12

Ren-6 Sea of Qi

Bl-23 Tonify the Kidneys

Bl-28 Tonify the Bladder

Bl-53 Strengthens Bladder

Liver-Fire Infusing Downwards: (The Foundation of Chinese Medicine) pg 882

Nocturnal enu resis in chi ldren, restless sleep, ni ghtmares with waking up and cryin g. Th is ca n be

classified in two categories.

a. Hyperactive and nervous children.

b. Quite and shy chil dren.

Liver-Fire would pertain to the first group due to the agitation of the Ethereal Soul (Hun).

T: Red with redder sides, yellow coating

P: Wiry, Rapid

Treatment Principle: Soothe the Liver, drain fire, calm the mind and settle Ethereal Soul


Lv-2 Drains Liver-fire

Ht-7 and yintang calm the mind

Sp-6 Regulates water passages and calms the mind

Bl-28 Strengthens the bladder function

Spleen Qi and Kidney Yang Deficiency with Dampness: (The Foundation of Chinese Medicine) pg

900-901

Frequency of urination, slight burning with a heightened since of urgency, dysuria, fullness in the

hypogastrium, irritation of the bladder wall, glomerulation, lower backpain, dizziness, lower

abdominal pain and tinnitus.

T: Pale with a thick-sticky coating

P: Soggy


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Treatment Principle: Tonify Spleen-Qi and Kidney-Yang. Resolve Dampness


Tonify the Spleen

Ren-12

St-36

Sp-6

Bl-22

Tonify the Kidneys

Bl-23

Ki-3

Ren-4

Bl-63 Regulates the Bladder and stops urinary pain

Resolves Dampness

Ren-3

Sp-9

St-28

Spleen Qi and Kidney Yang Deficiency with Yin Fire: (The Foundation of Chinese Medicine) pg

899-900


hypogastrium, irritation of the bladder wall, glomerulation, lower backpain, dizziness, lower

abdominal pain tinnitus, cold feeling all over the body but having manifested heat in the face.

T: Pale

P: Deep and Weak

Treatment Principle: Tonify the Spleen, Tonify and warm Kidney-Yang, Strengthen Original Qi,

Subdue Fire.


Strengthens Original Qi

Ren-4

Tonify the Kidney

Bl-23

Ki-3Regulates Ren Mai

Lu-7

Kd-6

Tonify Spleen Qi

St-36

Sp-6

Ren-12

Bl-20

Subdue Yin Fire

TH-5

Pc-7


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Bl-63 Regulates bladder and stops urinary pain

Spleen Qi and Kidney Yang Deficiency with Qi Stagnation: (The Practice of Chinese Medicine) pg

901


hypogastrium, irritation of the bladder wall, glomerulation, lower back pain, dizziness, lower

abdominal pain ,tinnitus, irritability, loose stools, dizziness symptoms aggravated by emotional

distress.

T: Slightly Red on the sides (Liver area)

P: Wiry, weak on both 3 rd positions

Treatment Principle: Tonify Spleen Qi and Kidney Yang, Move Qi, Soothe the Liver, Eliminate

stagnation, calm the mind.


Tonify the Spleen

Ren-12

St-36

Sp-6

Bl-20

Tonify the Kidneys

Bl-23

Ki-3

Ren-4

Bl-63 Regulate the Bladder and stops urinary pain

Moves Qi

Lv-3GB-34

Ren-3

Kidney Yin Deficiency with Empty Heat: (The Foundation of Chinese Medicine) pg 903

Signs and Symptoms present as frequency of urination, slight burning upon urination, dysuria,

urgency, Hunners ulcer on bladder wall, irritation of the bladder wall, tiredness, lower back pain,

dizziness, tinnitus, night sweating, feeling of heat in the evening.

T: Red without coating

P: Floating-Empty and Rapid

Treatment Principle: Nourish Kidney-Yin, Clear Empty Heat


Nourish Kidne y Yin

Ki-3

Ren-4

Sp-6


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Ren-3

Bl-63

Regulate Ren Mai and nourish Yin

Lu-7

Ki-6

Clears Heat

Kd-2

Patient Education:

Drink 8 full glasses of water daily with a diluted cranberry juice or extract.

Proper hygiene is essential

Prognosis:

A urinary tract infection is uncomfortable, but treatment is usually successful. Symptoms of a bladder

infection usually disappear within 24 - 48 hours after treatment begins. If you have a kidney infection,

it may take 1 week or longer for your symptoms to go away.
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