dysuria Flashcards

1
Q

dysuria patterns

A

Exc
1- DH in LJ
2- exc H in LU
3- LR qi stag
4- blockage of urinary tract
Def
5- SP fail to ascend
6- KI yang def

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2
Q

Dysuria from DH in LJ
formula?

A

ba ZHENG san

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3
Q

Dysuria from Exc H in LU
formula?

A

Qing fei yin

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4
Q

Dysuria from LR Qi Stag
formula?

A

chen xiang san

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5
Q

Dysuria from Blockage in Urinary Tract
formula?

A

Dai di dang wan

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6
Q

Dysuria from SP Qi fail to Ascend
formula?

A

Bu zhong yi qi tang
+
chun ze tang

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7
Q

Dysuria from KI yang def
formula?

A

Ji sheng shen qi wan

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8
Q

Dysuria from DH in LJ
tongue
pulse?

A

red, sticky yellow root
rapid

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9
Q

Dysuria from Exc H in LU
tongue
pulse?

A

thin yellow coat
rapid

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10
Q

Dysuria from LR Qi Stag
tongue
pulse?

A

red, thin white or yellow coat
taut

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11
Q

Dysuria from Blockage of Urinary Tract
tongue
pulse?

A

dark purple, or purple spots
hesitant

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12
Q

Dysuria from SP Qi fail to Ascend
tongue
pulse?

A

Pale, thin coat
thready, weak

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13
Q

Dysuria from KI yang def
tongue
pulse?

A

pale, white coat
deep, thready, weak

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14
Q

Dysuria from DH in LJ
SS triad?

A

burning
NO desire to drink
disten lower abdo

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15
Q

Dysuria from Exc H in LU
SS triad

A

dry throat
DESIRE to drink
SOB or cough

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16
Q

Dysuria from LR Qi Stag
SS triad?

A

irritable, depressed
distend hypo
distend abdo

17
Q

Dysuria from Blocked Urinary Tract
SS triad?

A

urine stream - drip or fine as thread
distend full PAIN lower abdo
anuresis severe cases

18
Q

Dysuria from SP fail to Ascend
SS triad?

A

poor appetite
weight feeling lower abdo
SOB

19
Q

Dysuria from KI Yang def
SS triad?

A

urine stream - weak
feeling cold
weak sore lumbar and knees

20
Q

pathogenesis
Dysuria from DH in LJ

A
  1. DH of MJ > move down to UB
    or
  2. KI Heat > transmit to UB

> impair control of urination
> dysuria

21
Q

pathogenesis
Dysuria from Exc H in LU

A

Lungs are the Upper SOURCE OF WATER, and reg WATER PASSAGES

  1. Heat retained in LU > LU qi can’t decend > impairs water reg funct&raquo_space;dysuria
  2. Excessive Heat in LU > move down to UB > block of UJ and LJ due to Heat&raquo_space; dysuria
22
Q

pathogenesis
Dysuria from LR qi stag

A
  1. emotional trauma > LR qi stag > impair free flow qi > affect ability of SJ to transport, transform and reg BODY FLUIDS
    » dysuria
  2. Liver Meridian curves around external genitalia and passes through lower abdo
    disorders of Liver Meridian&raquo_space; dysuria
23
Q

pathogenesis
Dysuria from Block in Urinary Tract

A

Stag Bld
Lumps
Stones
> block Urinary tract
» dysuria

24
Q

pathogenesis
Dysuria from SP Qi fail to Ascend

A

Stress
improper diet
prolonged illness
> SP def
> Clear qi can’t Ascend, turbid Yin can’t descend
» dysuria

25
Q

pathogenesis
Dysuria from KI Def

A
  1. elderly patient, prolonged illness
    > KI Yang def
    > declining of fire at Ming Men (life gate)
    > impair Qihua function of UB
    » dysuria
  2. prolonged accum of Heat in LJ
    > consume BF
    > KI yin def
    » dysuria
26
Q

DDX
dysuria vs stranguria

A

dysuria
- no pain
- total amount passed LESS than normal, or even NONE at all

stranguria
- pain
- frequent
total amount passed NORMAL

27
Q

treatment should focus first on_ then _

A

first determin Exc or Def
then
remove any obstructions, bec Fu organs funct better when unobstructed

28
Q

Organs
Dysuria is associated with

A
  • primarily UB

unobstructed urine relies on normal funct of
- SJ in reg BODY FLUIDS

further guaranteedd by the
- LU
- SP
- KI