urinary strangury

Question 1

general description of urinary strangury

Answer 1

Lin Zheng is manifested by frequent, painful and dripping urination, contracture of lower abdomen, and pain involving waist and abdomen.

Question 2

differentiation for urinary strangury

Answer 2

1. heat
2. stone
3. qi
4. Stone
5. Grease stranguria
6. overstrain stranguria

Question 3

Heat stranguria

Answer 3

a. Manifestations: Frequent and scanty urination with burning and stabbing pain, dark yellow urine, distending sensation and pain in the lower abdomen
b. T: red tongue with yellow greasy coat
c. P: soft and rapid
d. Treatment principle: Clear away heat, drain dampness and promoting urination
e. Acupoint selection: BL28, REN3, SP9, SP6, SJ5

Question 4

Stone stranguria

Answer 4

a. Manifestations: Urine often complicated with stones, difficult urination, interruption of urination, pain or colic in the lower abdomen, lumbar and urethra, yellow turbid urine or urine with blood; red tongue, thin yellow coating, wiry and rapid pulse.
b. Treatment principle: Clear heat, promote urination and remove stones
c. Acupoint selection: BL28, REN3, SP9, BL39, KI2

Question 5

Qi stranguria

Answer 5

a. Manifestations:
b. Excessive case: difficult and dribbling urination, fullness and pain of the lower abdomen; thin white tongue coating, deep and wiry pulse.
c. Deficient case: dribbling urination with drops, distending sensation in the lower abdomen; pale tongue, weak and thready pulse.
d. Treatment principle:
i. Excessive: Promote movement of qi to promote urination
ii. Deficient: Tonify the spleen and replenish qi
e. Acupoint selection: BL28, REN3, SP9
i. Excessive: LR3, GB34, LR14
ii. Deficient: ST36, BL20, REN6

Question 6

Blood stranguria

Answer 6

a. Manifestations:
i. Excessive case: Difficulty in urination with stabbing and burning pain; dark yellow or red urine sometimes complicated with blood clots; yellow tongue coating, slippery and rapid pulse.
ii. Deficient case: Difficulty in urination with dull pain, pink urine; pinkish tongue, thready and rapid pulse.
b. Treatment principle:
i. Excessive: Clear heat to promote urination, remove heat from blood to stop bleeding
ii. Deficient: Nourish yin and remove heat, restore qi to arrest bleeding
c. Acupoint selection: BL28, REN3, SP9
i. Excessive: SP6, SP10
ii. Deficient: SP6, SP10, BL17

Question 7

Grease stranguria

Answer 7

a. Manifestations:
i. Excessive case: Turbid milky urine, cotton- like sediment with fatty oily substances at the surface of the urine, or complicated with coagulate of blood, painful, difficult and burning sensation in the urinary tract, red tongue with yellowish and greasy coating, soft and rapid pulse.
ii. Deficient case: lasting illness with repeated attack, turbid fatty oily substances in the urine; lessened difficulty and pain in urination, dizziness, lacking strength, soreness in loins and knees, pale tongue with greasy coating, thready and weak pulse.
b. Treatment principle:
i. Excessive: Remove heat to promote urination, separate essence from turbid substance
ii. Deficient: Tonify Kidney
c. Acupoint selection: BL28, REN3, SP9
i. Excessive: ST28, REN9
ii. Deficient: BL23, KI6

Question 8

Overstrain stranguria

Answer 8

a. Manifestations: Dribbling urination with mild pain, repeated attacks, aggravated by overstrain
b. T: pale tongue
c. P: weak pulse.
d. Treatment principle: Tonify Spleen and Kidney
e. Acupoint selection: BL28, REN3, SP9, REN6, ST36