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1. A strangury pattern described in Sages’ Aid Records (Government publication, 圣济总录 shèng jì zǒng lù) as, It manifests first with cold shivering, then as urinary strangury. It is attributed to kidney vacuity and with cold qì settling in the lower burner.

Medicinal therapy: Treat by warming the kidney, plus freeing and disinhibiting. Use Cistanche Pill (肉苁蓉丸 ròu cōng róng wán) or Raw Aconite Powder (生附散 shēng fù 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). Select BL-28 (Bladder Transport, 膀胱俞 páng guāng shù), CV-3 (Central Pole, 中极 zhōng jí), SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán), KI-3 (Great Ravine, 太溪 tài xī), BL-23 (Kidney Transport, 肾俞 shèn shù), GV-4 (Life Gate, 命门 mìng mén), CV-4 (Pass Head, 关元 guān yuán), and KI-7 (Recover Flow, 复溜 fù liū); needle with supplementation and add moxa.

2. From Central Treasury Classic (中藏经 zhōng zàng jīng, lùn lín lì xiǎo biàn bù lì). A disease pattern marked by frequent urination with urine like rice water.

3. Blood strangury ascribed to vacuity cold of the lower origin marked by dribbling urination with urine dark with static blood.

Medicinal therapy: This pattern is exacerbated by the use of cold and cool medicinals. Use Golden Cabinet Kidney Qì Pill (金匮肾气丸 jīn guì shèn qì wán).

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). Select BL-28 (Bladder Transport, 膀胱俞 páng guāng shù), CV-3 (Central Pole, 中极 zhōng jí), SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán), LR-2 (Moving Between, 行间 xíng jiān), BL-20 (Spleen Transport, 脾俞 pí shù), BL-23 (Kidney Transport, 肾俞 shèn shù), GV-4 (Life Gate, 命门 mìng mén), CV-4 (Pass Head, 关元 guān yuán), and ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ); needle with drainage and add moxa.

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