wk12 - urine

Question 1

What is normal urine like?

Answer 1

· 5-7x daily
· no night urination
· light, straw colored (except first urine of day)
· odorless or mild odor (except first urine of day)

Question 2

What are some abnormal urine conditions?

Answer 2

·  lack
·  excess
·  painful
·  color
·  blood
·  incontinence

Question 3

A patient with excess frequency of and/or volume of urine, and no odor, has what pathology? Explain.

Answer 3

· KD Yang Vacuity
· frequency bc the holding fxn of Yang is compromised
· volume bc the transformation fx is compromised
· often seen in pregnant women & elderly

Question 4

A patient with excess frequency but NOT volume of urine, and some odor, has what pathology? How does the color and odor vary depending on the severity of the condition?

Answer 4

· KD Yin Vacuity
· KD’s ability to secure is affected, therefore urinating frequently in small streams
· color ranges from straw-colored to dark depending on severity of Yin Deficiency (heat increases dilution & odor)

Question 5

A patient with excess frequency but NOT volume of urine could also have what pathology (besides KD Yin Vacuity)? Explain.

Answer 5

· Excess Heat in the lower burner (LI, SI, UB)

· heat speeds up movement but dries fluids, so there is increased frequency but less volume

Question 6

A patient with excess frequency of urine, more voluminous output, and clear urine has what pathology?

Answer 6

Cold Excess

Question 7

A patient with cloudy and/or oily urine has what pathology?

Answer 7

Damp

Question 8

A patient with excess frequency of urine, pain/burning sensation, and urgency has what pathology? What are some accompanying sx?

Answer 8

· HT Heat transferring to LI (in biomedicine, recurrent UTI or irritable bladder syndrome)
· increased frequency of urination but not necessarily large volume
· tongue tip red, rapid heart rate, palpitations

Question 9

Very generally, a patient with incontinence has what kind of condition?

Answer 9

a chronic long-term condition that’s related to the securing function of KD

Question 10

More specifically, a patient with incontinence may have what possible pathologies?

Answer 10

· KD Yang Vacuity
· KD Yin Vacuity
· KD Essence Vacuity

Question 11

A patient with lack of urination has what pathology? Is this more or less serious than incontinence? Who might have this condition?

Answer 11

· KD Yang Vacuity – due to failure to transform fluids
· more serious than incontinence
· may see it in patients with edema or pregnant women

Question 12

A patient with bladder blockage has what pathology? Explain.

Answer 12

· Damp (Cold or Hot) – that accumulates, stagnates, and causes blockage in the urinary bladder system
· Wiseman describes this as “stranguary” – painful, frequent urination of small volumes that are expelled slowly only by straining and despite a severe sense of urgency, usually with a residual feeling of incomplete emptying

Question 13

A patient with blood in the urine may have what pathologies?

Answer 13

· Heat (bright red blood) – heat causes blood to become chaotic & leave the vessels
· SP Qi Vacuity – SP’s fxn of holding blood in the vessels is compromised