Bladder damp-heat

Also damp-heat brewing in the bladder; damp-heat pouring down into the bladder (downpour of damp-heat into the bladder). A disease pattern that arises when damp-heat causes inhibited bladder qì transformation and that manifests in frequent urination, urinary urgency, inhibited urination, painful urination, red or yellow murky urine, or bloody urine. Other signs of bladder damp-heat include heat effusion, lumbar pain, and sand or stones in the urine. The tongue is red with slimy yellow fur. The pulse is rapid and slippery.

Biomedical correspondence: observed in acute urinary tract infections or urinary calculus.

Medicinal therapy: Clear heat and disinhibit dampness; disinhibit water and free strangury. Commonly used medicinals include trifoliate akebia (Akebiae Trifoliatae Caulis, 木通 mù tōng), plantago (Plantaginis Herba, 车前 chē qián), knotgrass (Polygoni Avicularis Herba, 萹蓄 biǎn xù), talcum (Talcum, 滑石 huá shí), dianthus (Dianthi Herba, 瞿麦 qū mài), gardenia (Gardeniae Fructus, 山栀子 shān zhī zǐ), moneywort (Lysimachiae Herba, 金钱草 jīn qián cǎo), field thistle (Cirsii Herba, 小蓟 xiǎo jì), typha pollen (Typhae Pollen, 蒲黄 pú huáng), polyporus (Polyporus, 猪苓 zhū líng), alisma (Alismatis Rhizoma, 泽泻 zé xiè), and fish poison yam (Dioscoreae Hypoglaucae seu Semptemlobae Rhizoma, 萆薢 bì xiè). A general formula is Eight Corrections Powder (八正散 bā zhèng sǎn). Pyrrosia Powder (石苇散 shí wéi sǎn) and its variations can be used to treat sand and stone strangury.

Acumoxatherapy: Base treatment mainly on BL and CV. Select CV-3 (Central Pole, 中极 zhōng jí), BL-28 (Bladder Transport, 膀胱俞 páng guāng shù), SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán), and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo); needle with drainage. For short voidings of reddish urine, add GV-27 (Extremity of the Mouth, 兑端 duì duān). For pain on urination, add LR-5 (Woodworm Canal, 蠡沟 lǐ gōu), and LR-2 (Moving Between, 行间 xíng jiān). For bloody urine, add SP-10 (Sea of Blood, 血海 xuè hǎi) and BL-60 (Kunlun Mountains, 昆仑 kūn lún).

See strangury.