Dribble after voiding

Also post-voiding dribble. A dribbling discharge of urine after urination. Dribble after voiding falls into three basic patterns: kidney vacuity, insufficiency of center qì, and bladder damp-heat.

Kidney vacuity (肾虚 shèn xū) dribble after voiding is associated with frequent long voidings of clear urine, lassitude of spirit and general fatigue, limp aching back and lumbus, lack of warmth in the extremities, pale tongue with white tongue fur, and a fine sunken pulse, especially at the cubit position. This is observed most commonly in old age.

Medicinal therapy: Warm the kidney and promote astriction. Use variations of Golden Cabinet Kidney Qì Pill (金匮肾气丸 jīn guì shèn qì wán) combined with Mantis Egg-Case Powder (桑螵蛸散 sāng piāo xiāo sǎn).

Insufficiency of center qì (中气不足 zhōng qì bù zú) is characterized intermittent post-voiding dribble often brought on by taxation, and characterized by bright-white facial complexion, reduced food intake, sloppy stool, sagging distension in the lesser abdomen, pale tongue with white fur, and a moderate soggy or weak fine pulse.

Medicinal therapy: Supplement the center and boost qì. Use Center-Supplementing Qì-Boosting Decoction (补中益气汤 bǔ zhōng yì qì tāng).

Bladder damp-heat (膀胱湿热 páng guāng shī rè) is characterized by frequent urination, yellow, sometimes murky urine, burning sensation in the urethra, red tongue with slimy yellow tongue fur, and a soggy rapid pulse.

Medicinal therapy: Clear heat and disinhibit dampness using formulas such as Eight Corrections Powder (八正散 bā zhèng sǎn).

See urine.