Stranguria Flashcards
What is Stranguria?
Stranguria is manifested by frequency of urination, painful urination, and dribbling or incontinence of urination.
What are the main etiologies of Stranguria?
External invasion of Damp-Heat
Improper Diet
Emotions
Congenital Deficiency
What are the main causes of Stranguria?
Stranguria results mainly from accumulation of heat in the bladder, and sometimes also from emotional factors and deficiency of the kidney.
______ in Western Med, is strongly related to Stranguria in TCM?
UTI
Urinary Track Infection
What is the difference between Long Bi + Stranguria
Long Bi:
Frequency of urine- scanty
Volume- less than normal
Pain- no pain but possible distension/fullness in lower abdomen
Stranguria:
Frequency of urine- more than 10x/day
Volume- normal
Pain- pain + urgency, possible referred pain to lumbar
What are the five kinds of urination disturbances according to clinic manifestations?
- Dysuria caused by calculi (stone)
- Dysuria caused by qi dysfunction
- Dysuria with milky urine
- Dysuria caused by overstrain
- Painful urination with blood
What is dysuria caused by stone or calculi?
Dysuria caused by the presence of stones in the urinary tract.
What is dysuria caused by qi dysfunction?
Dysuria resulting from an imbalance or dysfunction in the body’s qi.
What is dysuria with milky urine?
Dysuria characterized by the presence of milky appearance in the urine.
What is dysuria caused by overstrain?
Dysuria that occurs due to excessive physical or emotional strain.
What is painful urination with blood?
Dysuria that is accompanied by pain and the presence of blood in the urine.
The following are S/sx of Stranguria due to ________________.
Occasional presence of stones in the urine, dysuria, dark yellow turbid urine, or sudden interruption of urination, unbearable pricking pain during urination, pain of the lumbus and abdomen, or presence of blood in the urine
T: Red w/ moist coating
P: Rapid + Slippery
Dysuria caused by Stone (Damp-Heat)
The following are S/sx of Stranguria due to ________________.
Difficult and hesitant urination, fullness and pain of the lower abdomen
T: thin, white coating
P: Wiry
Qi Xu
The following are S/sx of Stranguria due to ________________.
Hematuria with pain and urgency of micturition, burning
sensation and pricking pain in urination
T: Thin, yellow coating
P: Rapid + Forceful
Dysuria with blood
The following are S/sx of Stranguria due to ________________.
Cloudy urine with milky or creamy appearance, urethral burning pain in urination, phlegm blockage (fat metabolism issue)
T: Red w/ sticky coating
P: Rapid + thready
Dysuria with milky urine
The following are S/sx of Stranguria due to ________________.
Difficulty in urination with dribbling of urine, occurring off and on, exacerbated after overwork, and usually refractory to treatment, painful when discharging urine
T: non-specific
P: Weak
Dysuria caused by overstrain
What are the main treatment points for Stranguria?
REN-3 + ST-28 + SP-9
What are the supplementary points to treat Stranguria?
Stone-
Clear Heat + Resolve dampness BL-39
Qi Stagnation-
Soothe LR Qi LR-2 + LR-3
Blood-
Cool Blood SP-6 + SP-10
Milky urine- Gao Li
Tonify KI BL-23 + KI-6 + KI-3
Overstrain SP + KI
Generate Qi DU-20 + REN-4 + REN-6 + ST-36
