Qì strangury

Strangury (painful dribbling urination) attributed either to qì vacuity or to qì stagnation, and characterized in either case by pronounced smaller abdominal distension and fullness.

Qì vacuity (气虚 qì xū) patterns are attributed to insufficiency of center qì and are characterized by sagging distension in the lesser abdomen (attributed to center qì fall), forceless discharge of urine, dribble after voiding, bright-white facial complexion, pale tongue, and forceless vacuous weak pulse.

Qì stagnation (气滞 qì zhì) (repletion) patterns are attributed to depressed liver qì and are characterized by a tongue with a green-blue tinge, and a stringlike sunken pulse.

Medicinal therapy: Treat qì vacuity patterns with Center-Supplementing Qì-Boosting Decoction (补中益气汤 bǔ zhōng yì qì tāng) or Eight-Gem Decoction (八珍汤 bā zhēn tāng) plus eucommia (Eucommiae Cortex, 杜仲 dù zhòng) and achyranthes (Achyranthis Bidentatae Radix, 牛膝 niú xī). Treat qì stagnation patterns with Aquilaria Powder (沉香散 chén xiāng sǎn).

Acumoxatherapy: Base treatment mainly on the three yīn channels of the foot and alarm and back transport points of BL ( CV-3 and BL-28). Main points: 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), LR-2 (Moving Between, 行间 xíng jiān), and KI-3 (Great Ravine, 太溪 tài xī). For vacuity patterns of insufficiency of center qì, add BL-20 (Spleen Transport, 脾俞 pí shù), CV-6 (Sea of Qì, 气海 qì hǎi), and ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and needle with supplementation. For repletion patterns of qì stagnation, add PC-6 (Inner Pass, 内关 nèi guān), LR-3 (Supreme Surge, 太冲 tài chōng), and GB-34 (Yáng Mound Spring, 阳陵泉 yáng líng quán), and needle with drainage.

See strangury.