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E & P iii with MIchelle > Urinary Syndrome > Flashcards

Urinary Syndrome Flashcards

1
Q

a condition of urinary dysfunction characterized by frequency, scanty or excessive urine, dribbling, pain, urgency and difficulty.
Pain is not always present.
SP, KID, LU, BL, LV, TW, SI

A

Lin Syndrome

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2
Q

:TCM: Painful Urination

Common, acute, intense burning pain upon urination. Heat thought to be present in all acute cases of urinary syndrome, Damp Heat or Fire

A

Heat

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3
Q

TCM: Painful Urination

: urinary calculi or gravel, intense pain radiating, obstructed urination depending upon location of stones

A

Stone or sand

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4
Q

TCM: Painful Urination

: Deficiency of Spleen, follows chronic Heat types poorly treated by antibiotics or very cold herbs. Dragging discomfort relieved by pressure, or a feeling of burning that is improves with warmth and pressure. Excess is Qi stagnation exacerbated by mental/emotional

A

Qi:

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5
Q

TCM: Painful Urination

urination with bleeding

A

Blood:

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6
Q

TCM: Painful Urination

cloudy or milky urine

A

Cloudy:

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7
Q

TCM: Painful Urination

chronic, recurrent, initiated or aggravated by sex, overexertion, when fatigued. Incomplete or dribbling urination, lumbar pain and weakness, mild pain often worse after urination.

A

Exhaustion

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8
Q

URINARY SYNDROME pathology

Common factor; internal or external; settles into lower Jiao, obstructing passages; causing pain; clouding urine. With Heat, burning urination

A

Dampness and Damp Heat

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9
Q

URINARY SYNDROME pathology

LIV channel; TW keeping passages open and free;
Pain before urination; dysfunction; hypogastric distention

A

Qi Stagnation

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10
Q

URINARY SYNDROME pathology

Qi sinking; LU Qi def. not communicating with KID/BL

A

Qi Deficiency

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11
Q

URINARY SYNDROME pathology

Yang: dribbling, frequency, damp. Yin: scanty, chronic

A

Kidney Deficiency

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12
Q 
External Dampness
Diet
Excessive sexual activity
Old age, chronic illness
Emotional stress
Excessive lifting or standing
A

URINARY SYNDROME etiology

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13
Q

COLOR of Urine:

Dark, concentrated

A

Heat, damp heat or Yin def.

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14
Q

COLOR of Urine:

Pale:

A

KD Yang def., SP Qi def., or Qi stagnation

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15
Q

COLOR of Urine:

Cloudy and murky:

A

Damp or Damp Heat

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16
Q

COLOR of Urine:

Pale pink to bright red or purple:

A

Bleeding due to Fire, Damp Heat, Blood stasis, KD yin def. or stones

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17
Q

PAIN

Burning:

A

Heat or Damp Heat (severe ‘like passing glass’) or Yin def. (mild)

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18
Q

PAIN

Stabbing, localized; w or w/o blood flecks:

A

Blood stagnation or urinary stones

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19
Q

PAIN

Mild or dragging, empty discomfort after urinating

A

Qi deficiency

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20
Q

FREQUENCY

Frequent, urgent, concentrated

A

Heat or Damp Heat

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21
Q

FREQUENCY

Frequent, pale:

A

KD Yang or Qi def.

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22
Q

FREQUENCY

Frequent, pale, broken stream:

A

KD Yang def,

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23
Q

TIMING of PAIN (test question)

During urination

A

Excess condition

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24
Q

TIMING of PAIN (test question)

Before urination:

A

Qi Stagnation (excess condition)

25
Q

TIMING of PAIN (test question)

After Urination:

A

Deficient condition

26
Q

Frequent, scanty and difficult urination, burning pain on urination, dark urine with a strong smell, hypogastric pain, bitter taste, nausea, pain on the sacrum, constipation, thirst. Most common clinically, damp or fire.
T: yellow sticky coat on root, red spots
P: Slippery on left rear and slightly rapid

A

HEAT URINARY SYNDROME

LIVER FIRE: irritability, h/a, dizziness, tinnitus; T: red; P: Wiry rapid
HEART FIRE: insomnia, tongue ulcers, mental restlessness; T: red, redder tip P: overflowing

27
Q

TX: Clear Heat, drain Damp, open waterways
Liver Fire: soothe Liver, drain Fire
Heart Fire: drain Heart Fire, calm Mind
EPI: release exterior, expel wind, open waterways
Points:
CV 3, BL 28, BL 22, ST 28, SP 9, BL 66, BL 63, LI 11
LIV 2, SP 6
HT 8, SI 2
LI 4, LU 7, TW 5
Maclean: Damp: CV 3, LIV 5, 2; HT 8, SP 9, 6; BL 28, if ‘shao yang’ condition add TW 5/GB 39. HT Fire: CV 3, ST 28, SP 6, HT 8, SP 9,
PC 8, KD 6, PC 6, Yin Tang. LIV Fire: BL 28, CV 3, TW 6, LIV 5,3,2.

A

HEAT URINARY SYNDROME cont….

28
Q

Stones or sand in the urine, difficulty urination which may stop suddenly, hypogastric pain, sacral pain, blood in urine
T: Red, thick sticky coat on root
P: Wiry on left rear, rapid

A

STONE URINARY SYNDROME

TX: Clear Heat, drain Damp, open waterways, expel stones
BL 22, ST 28, SP 9, CV 6, CV 3, BL 28, BL 63, BL 39, KD 2

29
Q

STONE URINARY SYNDROME Maclean

BL 23 - to SP 9 +, EA, on same side
Aux.: BL 28, KD 6, ST 25, GB 25

A

Kidney Stones:

30
Q

STONE URINARY SYNDROME Maclean

UPPER: BL 23 - to BL 28 +, EA, on same side
Aux: CV 6, BL 22
LOWER: BL 23 – TO ST 28 +, EA, on same side
Aux: CV 3, BL 32

A

Ureter Stones:

31
Q

STONE URINARY SYNDROME Maclean

CV 4 or 3 – to ST 28 + or SP 6 +, EA
Aux: KD 8, SP 14, PC 6; Ear: KD, BL, Shen Men, subcortex. Strong manual or electro-stimulation

A

Bladder or Urethra stones:

32
Q

difficult painful urination, hypogastric pain and distention, irritability. P: Wiry, deep

A

QI URINARY SYNDROME

Full:
TX: move Qi, open waterways

33
Q

difficult urination, weak stream, slight hypogastric distention, tiredness. P:weak
T: pale

A

QI URINARY SYNDROME

Empty:
TX: tonify, raise Qi, open waterways
CV 3, CV 5, BL 28, LIV 3, LIV 5, LIV 8,BL 64, SP 6, ST 36, CV 6, GV 20, LU 7, KID 6, SI 3, BL 62
Maclean: PC 6, BL 18, BL 22, LV 5,3; BL 28, CV 5, ST 30

34
Q

difficult urination, burning pain on urination, blood in urine (small clots), fullness an pain in hypogastrium, mental restlessness
T: Red P: Rapid, full in middle

A

BLOOD URINARY SYNDROME

Blood Heat

TX: Clear Heat, cool Blood, stop bleeding

35
Q

pale blood in urine, slight discomfort on urination, not much pain, sore back, depression, heat in evening. T: red, no coat. P: rapid , floating empty

A

BLOOD URINARY SYNDROME

Empty Heat:

TX: Clear Empty heat, cool Blood, nourish Yin, stop bleeding, open waterways
LIV 3, KD 2, CV 3, BL 28, BL 63, SP 10, BL 17, SP 6, CV 4, KD 6. Maclean: CV 3, SP 6, 10; BL 17, 28; HT 8,

36
Q

May follow acute trauma to the groin, lower back or pelvis. Sharp stabbing pain, rough pain during urination, w/o burning; purple urine or with purple clots; fixed stabbing pain in lower jiao; palpable masses; spider naevi on trunk or around inner ankle and knee; dark ashen complexion, dark or purplish lips, dark rings under eyes.
T: purple or with brown/purple spots
P: Thready and choppy

A

BLOOD STASIS

TX: Invigorate Blood, eliminate stasis, Warm Yang, break through painful obstruction
BL 28, CV 3, SP 10, SP 1, ST 29, CV 4, SP 6, BL 17

37
Q

: turbid, cloudy urine; possible blood or sediment, difficult urination. Urine is either scanty and cloudy like rice water or cloudy and yellow. T: sticky coat P: full slippery

A

STICKY URINARY SYNDROME

DAMP:
TX: drain Damp, clear Heat, separate clear/turbid
Maclean: BL 28, 22; CV 3, SP 9, 6; ST 28, GB 34, ST 40, KD 7

38
Q

cloudy or turbid urine, slight difficulty in urination, tiredness, dizziness, lower backache.
T: pale, sticky coat P: soggy

A

STICKY URINARY SYNDROME

Qi DEF.:
TX: tonify Qi, Kidneys, separate clear/turbid, drain dampness, open waterways
Giovanni: CV 3, BL 22, BL 28, BL 23, KD 7, CV 6, CV 9, ST 28, SP 9, SP 6
Maclean: BL 28, CV 3, CV 4, SP 9, KD 3, DV 6, GV 20, ST 40, Si Feng

39
Q

Difficult urination coming in bouts, no burning, frequency, dribbling after micturition, dragging feeling in hypogastrium, exhaustion, sore back, depression, feeling cold
Chronic condition with Kidney Yang deficiency
T: Pale
P: Weak

A

FATIGUE URINARY SYNDROME

TX: Tonify, raise Qi, tonify KD, open waterways
BL 23, CV 4, BL 28, GV 20, ST 36, SP 6, SP 9, CV 6, KD 3,
GV 4
Maclean: Yang: GV 4, BL 23, 28; KD 3,6,7; CV 4, SP 6, LU 7.

40
Q

Mild low back ache, frequent urination that feels hot, occasional irritation or discomfort, heat in 5 palms. T: red, little or no coat. P: thready, rapid

A

Exhaustion Painful Urination Syndrome…Maclean

Kidney Yin Deficiency
BL 23, 28; CV 2, KD 3, 2, 6.

41
Q

Lower abdominal discomfort, better with warmth, low back ache, weakness, clear urine, pale complexion, edema of lower extremities T: pale, thin coat P: deep, thready

A

Exhaustion Painful Urination Syndrome…Maclean

Kidney Qi Deficiency
GV 4, BL 23, 28; KD 3, 6, 7; CV 4, SP 6, LU 7

42
Q

Same as KD Qi def. with added Cold signs, lower abdm. better with warmth, cold extremities, intolerance to cold. T: pale, swollen, toothmarks. P: slow

A

Exhaustion Painful Urination Syndrome…Maclean

Kidney Yang Deficiency
GV 4, BL 23, 28; KD 3,6,7; CV 4, SP 6, LU 7

43
Q

‘A dull abdominal pain, difficulty and pain on micturition and emaciation indicate urinary stones…caused by Qi deficiency and Heat…formation is similar to the evaporation of sea water by fire to produce salt.’ Classic of the Central Organ
Urinary stones or sand derive from Dampness, precipitated into solid stones by Heat.
Calcium (cheese and milk)
Uric acid (liver, kidney, fish roe, sardines)
Oxalate (spinach, rhubarb)
Phosphates ( in foodstuffs)

A

URINARY CALCULI

44
Q 
Etiology
Excessive sexual activity
Diet
Lack of exercise
Loss of fluids
A

URINARY CALCULI

45
Q

Pathology

Pain, lateral abdominal region, groin or urethra depending upon location of stone

A

URINARY CALCULI

Acute stage

46
Q

Pathology

Damp Heat, KD Yin Deficiency and KD Yang deficiency

A

URINARY CALCULI

Chronic stage

47
Q

Pain, lateral abdominal region, groin of urethra depending upon location of stone. Pain is colicky in nature, very intense, coming in waves; restless, sweats, may appear as if in shock; burning pain upon micturition, frequency, urgency, blood in urine, dark urine
T: thick yellow coat with red spots on root
P: Rapid, wiry on left rear

A

Acute Stage

TX: Expel stones, stop Pain
BL 23, ST 25, CV 6, SP 9, LIV 3, KD 3. Local points

48
Q

burning urination, difficulty, dark urine, T: yellow sticky coat P: Slippery

A

Chronic Stage

Damp Heat: BL 22, ST 28, SP 9, ST 36

49
Q

repeated attacks, dull ache in back , dark urine, prickly pain in urethra, insomnia, dry mouth, night sweats T: red, no coat P: Floating empty

A

Chronic Stage

Kidney Yin deficiency: BL 23, 25; SP 6, LIV 3, KD 6

50
Q

repeated attacks, sore back, chilliness, depression, exhaustion T: pale P: Weak, deep

A

Chronic Stage

Kidney Yang deficiency

51
Q

EA; LIV 5, 2; HT 8, TW 5, GB 39

A

Maclean Tx for Stones…

Damp Heat

52
Q

EA; SP 10, ST 29, BL 32

A

Maclean Tx for Stones

Blood Stagnation

53
Q

EA; ST 36, CV 4

A

Maclean Tx for Stones…

Kidney Qi deficiency

54
Q

EA; KD 6, KD 3. Gentle EA stimulation for deficient

A

Maclean Tx for Stones…

Kidney Qi deficiency

55
Q

EA: BL 23 to SP 9, same side of body

Aux. pts.: BL 28, KD 6, ST 25, GB 25

A

…Kidney Stones

56
Q

EA: BL 23 to KD 6, same side of body

Aux. pts.: CV 6, BL 22

A

Upper Ureter Stones

57
Q

EA: BL 23 to ST 28, same side of body

Aux. pts.: CV 3, BL 32

A

Lower Ureter Stones

58
Q

EA: CV 4 or CV 3 to ST 28, same side of body

Aux. pts.: KD 8, SP 14, PC 6; EAR: KD, BL, Shen Men, Subcortex with strong manual stimulation of EA.

A

Bladder or Urethra Stones

E & P iii with MIchelle (9 decks)

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