Long Bi

Question 1

What does Long Bi mean?

Answer 1

Difficult urination, usually a chronic condition
Long means dribbling
Bi means no urine at all

Question 2

Main clinical features of Long Bi?

Answer 2

• Dribbling
• Difficult urination
• Distention in the abdomen

Question 3

Western Medical conditions that could cause Long Bi?

Answer 3

• Kidney stones blocking ureter
• Ureters blocked due to cancer
• Prostatitis or hypertrophy of prostate gland
• Nerve damage causing brain to fail to respond to urgency, eg. spinal injury causing urine retention or spina bifida.
• Neurogenic bladder (can cause excess urination or lack of)
• (Difficulty going after stomach surgery because patients do not feel comfortable using a bedpan. Acupuncture can help with this)
• STI’s

Question 4

3 main areas to consider with Long Bi?

Answer 4

Bladder, prostate or nerves

Question 5

What are the 3 major organs that control water passages?

Answer 5

KI, LU, SP

Question 6

What are the common patterns for Long Bi?

Answer 6

Deficiency: SP and KI Xu
Excess: Damp heat, heat in lung, liver qi stagnation, and direct blockage of urinary tract

Question 7

Chief organs for Long Bi?

Answer 7

BL, KI, LU, SP, LV, SJ

Question 8

How are Lin Syndrome and Long Bi similar?

Answer 8

Both involve difficult urination

Question 9

How are Lin Syndrome and Long Bi different?

Answer 9

• Lin syndrome frequent urination, painful and sense of urgency but because of frequency the total output is still normal, 1.5 L
• Long bi less than 100mL output, discharge there is usually not pain while urinating but there is underlying pain because of the distended bladder

Question 10

What are the 3 questions to help differentiate patterns for Long Bi?

Answer 10

1. Focus on chief symptoms
2. Excess from deficient
3. Severity and length

Question 11

What are the general treatment principles for zang organs?

Answer 11

Nourish and tonify, store essence and zhen qi

Question 12

General treatment principle for fu organs?

Answer 12

Circulate, need to keep them moving

Question 13

What is the overall general POT for Long Bi?

Answer 13

Circulate UB to promote urination

Question 14

What should you do for deficiency Long Bi?

Answer 14

Focus on KI and SP, qi xu tonify qi, if yang deficiency warm the yang and restore the UB qi transformation

Question 15

What is the most common pattern of Long Bi?

Answer 15

Damp heat in the UB

Question 16

Retention of fluids in the MJ can cause…

Retention in the MJ also… and fails to moisten the mouth creating thirst.

Answer 16

… thirst with no desire to drink.

…blocks the qi ascending function

Question 17

What are the 3 problems that create thirst without desire to drink?

Answer 17

Phlegm, retained fluids and blood stasis.

Question 18

Moxa for Long Bi

Answer 18

Moxa Back shu, Front Mu for 15-20 min

Question 19

Electro specs

Answer 19

1-2 pairs, moderate, intermittent wave for 20 min

Question 20

Auricular points

Answer 20

LU, SP, KI, UB, urethra, abdomen, LV, SJ, sympathetic, subcortex, if heat bleed ear apex

Question 21

Hot salt complex

Answer 21

RN3, RN4, RN8 for half an hour to an hour, for kidney yang xu especially good, combing heat and salt

Question 22

For liver qi stagnation one can do what to help with urination?

Answer 22

Use music or turn on tap water

Question 23

Herbal external application

Answer 23

Garlic and green onion, make a paste and put it on the umbilicus

Question 24

Education

Answer 24

1. Regular physical exercise to build up zhen qi
2. Regulate emotion, especially for LV qi stagnation patterns
3. Prevent EPF invasion
4. Do not “hold it in” when you have to go to the bathroom, try to respond to urgency right away
5. Overeating greasy, sweet, alcohol, spicy food
6. Excessive sexual activity (damage kidney, produce damp-heat)