Edema/Nocturnal Enuresis/Urinary Disturbance/Retention/Impotence/Seminal Emission

Question 1

Abrupt onset of edema with puffy face & eyelids, then anasarca (general swelling), lustrous skin, chills, fever, thirst, cough, asthma, reduced urine output

T: Thin, white coat

P: Superficial or rolling, rapid

Answer 1

Edema (Yang)

LU ₇ / LI _{4 / 6} / SP ₉ / UB ₃₉

Question 2

Insidious onset of edema, first pedis dorsum or eyelids, then over the entire body, especially remarkable below the lumbar region, sallow complexion, aversion to cold, cold limbs, sore back & loins, general weakness, epigastric fullness, abdominal distention, loss of appetite, loose stools

T: Pale, white coat

P: Deep, thready

Answer 2

Edema (Yin)

UB _{20 / 23} / REN _{9 / 4} / KD ₇ / ST ₃₆

Question 3

Insidious onset of edema, first pedis dorsum or eyelids, then over the entire body, especially remarkable below the lumbar region, sallow complexion, aversion to cold, cold limbs, sore back & loins, general weakness, epigastric fullness, abdominal distention, loss of appetite, loose stools

Facial Puffiness

T: Pale, white coat

P: Deep, thready

Answer 3

Edema (Yin)

UB _{20 / 23} / REN _{9 / 4} / KD ₇ / ST ₃₆

Facial Puffiness: DU ₂₆

Question 4

Insidious onset of edema, first pedis dorsum or eyelids, then over the entire body, especially remarkable below the lumbar region, sallow complexion, aversion to cold, cold limbs, sore back & loins, general weakness, epigastric fullness, abdominal distention, loss of appetite, loose stools

Edema on pedis dorsum

T: Pale, white coat

P: Deep, thready

Answer 4

Edema (Yin)

UB _{20 / 23} / REN _{9 / 4} / KD ₇ / ST ₃₆

Edema on pedis dorsum: GB ₄₁ / SP ₅

Question 5

Involuntary micturition during sleep with dreams, once every night in mild cases, or several times a night in severe cases, sallow complexion, loss of appetite, weakness in prolonged cases

T: Pale, white coat

P: Thready, weak at the chi region

Answer 5

Nocturnal Enuresis

UB _{23 / 28} / REN ₃ / SP ₆ / LV ₁

Question 6

Involuntary micturition during sleep with dreams, once every night in mild cases, or several times a night in severe cases, sallow complexion, loss of appetite, weakness in prolonged cases

With dreams

T: Pale, white coat

P: Thready, weak at the chi region

Answer 6

Nocturnal Enuresis

UB _{23 / 28} / REN ₃ / SP ₆ / LV ₁

With dreams: HT ₇

Question 7

Involuntary micturition during sleep with dreams, once every night in mild cases, or several times a night in severe cases, sallow complexion, loss of appetite, weakness in prolonged cases

Loss of appetite

T: Pale, white coat

P: Thready, weak at the chi region

Answer 7

Nocturnal Enuresis

UB _{23 / 28} / REN ₃ / SP ₆ / LV ₁

Loss of appetite: UB ₂₀ / ST ₃₆

Question 8

Occasional presence of calculi in the urine, dysuria, dark yellow turbid urine, or sudden interruption of urination, unbearable pricking pain during urination, abdominal & lumbar pain, blood in the urine

T: Normal coat

P: –

Answer 8

Urinary Disturbance (caused by Calculi)

UB ₂₈ / REN ₃ / SP ₉

UB ₃₉

Question 9

Difficult & hesitant urination, fullness & pain of the lower abdomen

T: Thin, white coat

P: Deep, string-taut

Answer 9

Urinary Disturbance (caused by Qi Dysfunction)

UB ₂₈ / REN ₃ / SP ₉

LV ₂

Question 10

Hematuria with pain & urgency of micturition, burning sensation & pricking pain during urination

T: Thin, yellow coat

P: Rapid, forceful

Answer 10

Urinary Disturbance (Painful Urination with Blood)

UB ₂₈ / REN ₃ / SP ₉

SP _{10 / 6}

Question 11

Cloudy urine with milky or creamy appearance,

urethral burning, pain during urination

T: Red, stiacky coat

P: Thready, rapid

Answer 11

Urinary Disturbance (Dysuria with Milky Urine)

UB ₂₈ / REN ₃ / SP ₉

Ub ₂₃ / KD ₆

Question 12

Difficulty in urination with dribbling of urine, occurring off & on, exacerbated after overwork, usually refractory to treatment

T: –

P: Weak

Answer 12

Urinary Disturbance (Caused by Over strain)

UB ₂₈ / REN ₃ / SP ₉

DU ₂₀ / ST ₃₆ / REN ₆

Question 13

Scanty hot urine or retention of urine, distension & fullness of the lower abdomen, thirst without desire to drink, constipation

T: Red, yellow coat

P: Rapid

Answer 13

Retention of Urine (Heat Accumulation in the UB)

UB _{28 / 39} / REN ₃ / SP ₆

Question 14

Dribbling urination, attenuating in force of the urine discharge, chilliness below the lumbus, weakness of the loins & knees, pallor, listlessness

T: Pale

P: Deep, thready, weak at chi level

Answer 14

Retention of Urine (Decline of the Mingmen Fire)

DU _{4 / 20} / REN ₄ / SJ ₄ / UB ₂₃

Question 15

Dribbling urination or retention of urine, Distension & dull pain in the lower abdomen

T: Purplish spots

P: Hesitant, rapid

Answer 15

Retention of Urine (Damage of the Meridian Qi)

REN ₃ / SP ₆ / ST ₂₈ / KD ₅

Question 16

Failure of the penis in erection, or weak erection, pallor, cold extremities, dizziness, listlessness, soreness & weakness of the loins & knees, frequent urination

T: Pale, white coat

P: Deep, thready

Answer 16

Impotence (Decline of the Mingmen Fire)

REN ₄ / DU ₄ / UB ₂₃ / KD ₃

Question 17

Failure of the penis in erection, or weak erection, pallor, cold extremities, dizziness, listlessness, soreness & weakness of the loins & knees, frequent urination

Palpitations & Insomnia

T: Pale, white coat

P: Deep, thready

Answer 17

Impotence (Decline of the Mingmen Fire)

REN ₄ / DU ₄ / UB ₂₃ / KD ₃

Palpitations & Insomnia: UB ₁₅ / HT ₇ / SP ₆

Question 18

Inability of the penis to erect complicated with bitter taste in the mouth, thirst, hot & dark red urine, soreness & weakness of the lower extremities

T: Yellow, sticky coat

P: Soft, rapid

Answer 18

Impotence (Downward Flowing of Damp Heat)

REN ₃ / SP _{6 / 9} / ST ₃₆

Question 19

Nocturnal emission due to over contemplation or excessive sexual activities, which lead to disharmony between the Ht / Kd, could have dizziness, palpitations, listlessness, lassitude, scanty yellow urinationHH

T: Red

P: Thready, rapid

Answer 19

Seminal Emission (Nocturnal)

HT ₇ / UB _{15 / 52} / KD ₃

Question 20

Spermatorrhea due to damage of the Kd after a prolonged illness, indulgent sexual activity, or stubborn nocturnal emission, frequent spermatorrhea during the day or night particularly if there is desire for sex, pallor lassitude, listlessness

T: Pale

P: Deep, thready

Answer 20

Seminal Emission (Spermatorrhea)

UB ₂₃ / KD ₁₂ / SP ₆ / REN _{4 / 6}