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Glossary of Painful Urination Syndrome

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Clinical Manifestations:
Frequent, scanty & difficult urination, burning pain, dark urine with strong smell, hypogastric pain, ~bitter taste, nausea, sacral pain, constipation, thirst

TC: Yellow-sticky on root
TB: red spots
Heat Lin
Damp Heat in Bladder with
Heat predominant

TP:
Clear Heat, Drain Dampness,
Open the Water Passages
Clinical Manifestations:
Frequent, scanty & difficult urination, burning pain, dark urine with strong smell, hypogastric pain, ~bitter taste, nausea, sacral pain, constipation, thirst, Irritability, anger, headache, dizziness, tinnitus
Heat Lin
with
Liver Fire

TP:
Clear heat, drain dampness,
Open the water passages,
soothe the Liver, & drain fire
Clinical Manifestations:
Frequent, scanty & difficult urination, burning pain, dark urine with strong smell, hypogastric pain, ~bitter taste, nausea, sacral pain, constipation, thirst, Insomnia, tongue ulcers, mental restlessness, palps.
Heat Lin
with
Heart-Fire

TP:
Clear heat, drain dampness,
open the water passages,
drain Heart-Fire, Calm the mind
Acupuncture:
Ren-3, BL-28:bladder shu/mu

BL-22: SJ shu

SP-9: drain damp-heat from LJ

BL-66: clear bladder heat

BL-63: xi cleft - stop pain in bladder

LI-11: clear heat & damp

Heat Lin
damp-heat in bladder
Treatment
Acupuncture:
Ren-3, BL-28:bladder shu/mu

BL-22: SJ shu

SP-9: drain damp-heat from LJ

BL-66: clear bladder heat

BL-63: xi cleft - stop pain in bladder

LI-11: clear heat & damp

LV-2
Heat Lin
with
Liver-Fire
Treatment
Acupuncture:
Ren-3, BL-28:bladder shu/mu

BL-22: SJ shu

SP-9: drain damp-heat from LJ

BL-66: clear bladder heat

BL-63: xi cleft - stop pain in bladder

LI-11: clear heat & damp

HE-8
Heat Lin
with
Heart Fire
Treatment
Clinical Manifestations:
Stones or sand in the urine, difficult urination which may stop suddenly, hypogastric pain, sacral pain, blood in urine

TB: Red
TC: thick sticky coat on root
P: Wiry & rapid (chronic: deep)
Stone Lin

TP:
Clear Heat, drain dampness,
Open the water passages,
expel the stones
Acupuncture:
BL-22: drain dampness from LJ

ST-28: promote transformation in LJ

SP-9, SP-6: drain damp-heat from LJ

Ren-6: move Qi in LJ (help transformation)

Ren-3 & BL-28: Bladder Mu/Shu (drain damp)
Treatment for
Stone Lin
Clinical Manifestations:
Difficult & painful urination, hypogastric pain & distention, irritability
P: wiry & deep
Qi Lin
Full Type

TP:
move qi, eliminate stagnation,
open the water passages
Clinical Manifestations
Difficult urination, weak stream, slight hypogastric distension, tiredness.
TB: pale
P: weak
Qi Lin
Empty Type

TP:
Tonify & raise qi,
Open the water passages
Acupuncture:
Ren-3, BL-28: Bladder Mu/Shu: regulate qi

Ren-5: SJ Mu- eliminate stagnation in LJ

LV-3: move LV qi, eliminate stagnation

LV-5: move LV qi in luo channel which flows to urethra & genitals

Treatment for
Qi Lin
Full Type
Clinical Manifestations:
Difficult urination, burning urination, hematuria ~with small clots, fullness & pain in hypogastrium, mental restlessness

TB Red
P: rapid, full at middle level
Blood Lin
Full Type
(Blood Heat)
Could indicate cancer

TP:
Clear Heat, cool Blood,
stop bleeding,
open the water passages
Clinical Manifestations:
hematuria with pale blood, slight discomfort on urination, not much pain, sore back, depression, feeling of heat in the evening

TB: Red
TC: peeled
P: rapid & floating-empty
Blood Lin
Empty Type
Indication of Cancer

TP:
Clear Empty-Heat, cool Blood,
Nourish Yin, stop bleeding,
open the Water Passages
Acupuncture:
Reduce!
LV-3 & KI-2: cold blood & open water passages

Ren-3 & BL-28: clear Bladder-Heat (shu)

BL-63:stop bleeding, clear heat(xi cleft)

SP-10 & BL-17: cool the blood

SP-6:
Treatment for
Bloody Lin
Full Type
Acupuncture:
Reduce!
LV-3 & KI-2: coold blood & open water passages

Ren-3 & BL-28: clear Bladder-Heat (shu)

BL-63:stop bleeding, clear heat(xi cleft)

SP-10 & BL-17: cool the blood

SP-6
Treatment for
Bloody Lin
(Empty heat from Yin Xu)
Clinical Manifestations:
Turbid or cloudy urine like rice soup; ~blood or a sediment looking like cotton wool after some time, difficult urination

TC: Sticky
P: full-slippery
Cloudy Lin
Full Type
(Excess Dampness)

TP:
drain Dampness, clear Heat,
separate the clear from the turbid,
open the water passages
Clinical Manifestations:
cloudy or turbid urine, slight difficulty in urination, tiredness, dizziness, lower back-ache

TB: pale
TC: sticky
P: weak-floating
Cloudy Lin
Empty Type
(Qi Xu with some dampness)

TP:
tonify Qi, strengthen the Kidneys,
separate the clear from the turbid,
drain Dampness &
open the water passages
Acupuncture:
Reduce!
Ren-3, BL-28: drain damp from Bladder (shu)

BL-22: (SJ sh) promote transformation of fluids & the separation of the clear from the turbid

Ren-6: move Qi in the Lower Burner & help transformatio
Treatment for
Cloudy Lin
Full Type
(Damp Shi)
Acupuncture:
Reinforce!
Ren-3, BL-28: drain damp from Bladder (shu)

BL-22: (SJ sh) promote transformation of fluids & the separation of the clear from the turbid

BL-23 & KI-7: strengthen Kidney & Bladder functi
Treatment for
Cloudy Lin
Empty Type
(Qi xu with some dampness)
Clinical Manifestations:
Difficult urination coming in bouts, no burning, frequency, dribbling after, dragging feeling in hypogastrium, exhaustion, sore back, depression, feeling cold

TB: pale, ~moist, ~swollen
P: weak
Fatigue Lin

TP:
Tonify & raise Qi,
strengthen Kidneys,
open the water passages
Acupuncture:
BL-23 & Ren-4: moxa. Kidney shu

BL-28: tonify Bladder, open water passages

Du-20: raise clear Qi

ST-36, SP-6: tonify qi, opens water passages & drains damp from LJ

SP-9: drain dampness
Treatment for
Fatigue Lin
Clinical Manifestations:
colicky pain (one loin, lateral abdominal region, the groin, or the urethra) intense & coming in waves, burning urination, interrupted flow, frequency, urgency, ~hematuria, urine is dark, shivering, fever, thirst, lumbag
Acute Stage
Urinary Calculii

TP:
Expel stones & stop pain
Acupuncture:
BL-23:

ST-25:

Ren-6:

SP-9:

LV-3:

KI-3:

Kidney: BL-23, BL-22, GB-25, BL-52

Upper Ureter: ST-25, SP-15, BL-23, BL-24

Middle/Lower Ureter: ST-27, ST-28
Treatment for
Acute Stage
Urinary Calculii
Clinical Manifestations:
burning on urination, difficult urination, dark urine

TC: sticky, ~yellow on root
TB: not important
P: rapid & slippery
Chronic Stage
Urinary Calculii
from
Damp Heat
Acupuncture:
Even or reduce
BL-22:

ST-28:

SP-9:

ST-36:

Ren-6:

Herbal:
Te Xiao Pai Shi Wan
Treatment for
Chronic Stage
Urinary Calculii
from Damp-Heat
Acupuncture:
Reinforce
BL-23:

Ren-6:

Ren-4:

SP-6:

KI-3:

Herbal:
Te Xiao Pai Shi Wan
Treatment for
Chronic Stage
Urinary Calculii
from Kidney Xu
Clinical Manifestations:
repeated attacks of urinary stones, pain, dull back ache, dark urine, prickly pain in urethra on urination, insomnia, dry mouth, night-sweats

TB: red
TC: none
P: floating-empty or thin-fine-weak
Chronic Stage
Urinary Calculii
from Kidney Yin Xu
Clinical Manifestations:
long history of repeated colicky attacks, sore back, chilliness, depression, exhaustion

P: weak-deep
TB: Red or perhaps pale depending
Urinary Calculii
with Kidney Yang Xu
(perhaps evolving from
Kidney Yin Xu)

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