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).