Long Bi Flashcards
What does Long Bi mean?
Difficult urination, usually a chronic condition
Long means dribbling
Bi means no urine at all
Main clinical features of Long Bi?
- Dribbling
- Difficult urination
- Distention in the abdomen
Western Medical conditions that could cause Long Bi?
- 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
3 main areas to consider with Long Bi?
Bladder, prostate or nerves
What are the 3 major organs that control water passages?
KI, LU, SP
What are the common patterns for Long Bi?
Deficiency: SP and KI Xu
Excess: Damp heat, heat in lung, liver qi stagnation, and direct blockage of urinary tract
Chief organs for Long Bi?
BL, KI, LU, SP, LV, SJ
How are Lin Syndrome and Long Bi similar?
Both involve difficult urination
How are Lin Syndrome and Long Bi different?
- 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
What are the 3 questions to help differentiate patterns for Long Bi?
- Focus on chief symptoms
- Excess from deficient
- Severity and length
What are the general treatment principles for zang organs?
Nourish and tonify, store essence and zhen qi
General treatment principle for fu organs?
Circulate, need to keep them moving
What is the overall general POT for Long Bi?
Circulate UB to promote urination
What should you do for deficiency Long Bi?
Focus on KI and SP, qi xu tonify qi, if yang deficiency warm the yang and restore the UB qi transformation
What is the most common pattern of Long Bi?
Damp heat in the UB
Retention of fluids in the MJ can cause…
Retention in the MJ also… and fails to moisten the mouth creating thirst.
… thirst with no desire to drink.
…blocks the qi ascending function
What are the 3 problems that create thirst without desire to drink?
Phlegm, retained fluids and blood stasis.
Moxa for Long Bi
Moxa Back shu, Front Mu for 15-20 min
Electro specs
1-2 pairs, moderate, intermittent wave for 20 min
Auricular points
LU, SP, KI, UB, urethra, abdomen, LV, SJ, sympathetic, subcortex, if heat bleed ear apex
Hot salt complex
RN3, RN4, RN8 for half an hour to an hour, for kidney yang xu especially good, combing heat and salt
For liver qi stagnation one can do what to help with urination?
Use music or turn on tap water
Herbal external application
Garlic and green onion, make a paste and put it on the umbilicus
Education
- Regular physical exercise to build up zhen qi
- Regulate emotion, especially for LV qi stagnation patterns
- Prevent EPF invasion
- Do not “hold it in” when you have to go to the bathroom, try to respond to urgency right away
- Overeating greasy, sweet, alcohol, spicy food
- Excessive sexual activity (damage kidney, produce damp-heat)
