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Postpartum inhibited urination
产后小便不利 〔產後小便不利〕 chǎn hòu xiǎo biàn bù lì
Inhibited urination (difficulty voiding and scant urine) occurring after childbirth. Three pathomechanisms exist: a) damage to qì and blood and spleen-lung qì vacuity causing inhibited flow through the waterways; b) damage to kidney qì through childbirth causing impairment of the qì transformation; c) depressed liver qì due to constrained emotions affecting general qì dynamic and supply of warmth to the bladder.
Patterns
Spleen-lung qì vacuity (脾肺气虚 pí fèi qì xū) signs include listlessness essence-spirit and laziness to speak.
Medicinal therapy: Treat by supplementing qì and moistening the lung, supported by moving water. Use formulas such as
Kidney vacuity (肾虚 shèn xū) signs include aching lumbus and knees, forgetfulness, and dark facial complexion.
Medicinal therapy: Warm yáng, promote qì transformation, and move water. Use formulas such as
Stagnant qì dynamic (气机阻滞 qì jī zǔ zhì) patterns are characterized emotional depression, distending pain in the rib-side, and vexation and agitation.
Medicinal therapy: Treat by rectifying qì and moving stagnation supported by disinhibiting water. Use formulas such
Acumoxatherapy: Moxibustion on crushed scallion mounted on the umbilicus filled with salt. Burn until the pain becomes unbearable.
Acumoxatherapy: Base treatment mainly on KI, SP, and back transport points. Main points: BL-23 (Kidney Transport, 肾俞 shèn shù), BL-22 (Triple Burner Transport, 三焦俞 sān jiāo shù), CV-4 (Pass Head, 关元 guān yuán), CV-6 (Sea of Qì, 气海 qì hǎi), KI-10 (Yīn Valley, 阴谷 yīn gǔ), and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo).
- For spleen-lung qì vacuity, add BL-20 (Spleen Transport, 脾俞 pí shù), BL-13 (Lung Transport, 肺俞 fèi shù), SP-3 (Supreme White, 太白 tài bái), and LU-9 (Great Abyss, 太渊 tài yuān), needling with supplementation and adding moxa.
- For kidney vacuity, add GV-4 (Life Gate, 命门 mìng mén), KI-3 (Great Ravine, 太溪 tài xī), and KI-7 (Recover Flow, 复溜 fù liū), needling with supplementation and moxa, and adding GV-3 (Lumbar Yáng Pass, 腰阳关 yāo yáng guān) for aching lumbus and knees.
- For stagnant qì dynamic, add PC-6 (Inner Pass, 内关 nèi guān), LR-3 (Supreme Surge, 太冲 tài chōng), BL-18 (Liver Transport, 肝俞 gān shù), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and GB-34 (Yáng Mound Spring, 阳陵泉 yáng líng quán), needling with even supplementation and drainage or with drainage and, if appropriate, adding moxa. Alternatively, apply finger pressure at the diuretic point between CV-8 (Spirit Gate Tower, 神阙 shén què) and CV-2 (Curved Bone, 曲骨 qū gǔ).