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Painful and Obstructed Urine
Dysuria & Stranguria
Painful and Obstructed Urine can come from various causes. It should be divided into acute and chronic conditions.
Acute Cases are generally caused by Damp, combined either with Cold or Heat. Cold conditions pass little pale urine, with a heavy feeling rather than strong pain. Heat cases are with hot pain and burning sensations, and the urine is yellow or reddish.
Chronic cases can be caused by Kidney deficiency or Obstruction. There is little urine, urinary dribbling. When from Kidney deficiency there is lower back pain, while obstruction will have a desire to urinate by with difficulty. In elderly men, Obstructed Urine may often be associated with Prostatitis.
Medicines that clear Heat and Damp along with Diuretics are required for cases with Heat. Cold-types need Diuretics with Warming medicine. Kidney deficiency is treated with Tonics medicines along with those to promote Urine. Obstruction is treated with medicines that open obstruction along with Diuretics. Chronic obstruction requires blood-moving medicines and medicines that open obstruction, in conjuction with Diuretics.
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Western Tradition
Urine Retention from Cold & Damp
1. Vervain boiled in wine 2. Decoct Radish roots in white wine 3. Decoct Acorns and Myrrh 4. Decoct Onion or Garlic and Mallow in wine 5. Dill seed powder taken with water. 6. Pomegranate rind decocted. 7. Crabs, roasted and dried, then powdered and taken with wine. 8. Dove's or Rooster dung, taken in wine (Syrian 'Book of Medicine') Hydromel Mead Barley Water with Cinnamon Syrup of Vinegar Oxymel Compound Wine of Elecampane Electuary for a Duke (Nicholas) (taken with wine) Powder of Galangal (Diagalanga) (Mesue) Powder for Urinary Retention Powder Against Strangury Stone–Breaking Powder (Lithontripticon) (Nicholas) Antidotum Haemagogum (Nicholas) Pills for Retention of Urine (Wirtzung) Oil of Scorpions Betel Nut 28 (Go yu nyer brgyad) Urine Retention from Heat & Damp 1. Purslane seed in powder, taken with wine. 2. Cucumber seed, Agrimony taken in Powder Hydromel Barley Water Decoction Against Strangury and Burning Urine Electuary of Seeds Elegant Powder for Strangury (Renodeus) Halys Powder Troches of Winter Cherry (Trochisci Alkekengi) (Mes.) Troches of Winter Cherry (Unani) Troches of Gordon Pills for Stoppage of Urine (Unani) Barberry 8 Powder (Tibetan Medicine) Mild Medicine (Tibetan Medicine) |
TCM Classification
Painful Urine
Damp Heat frequent painful urination, lower back pain, fever or fever and chills, bitter taste, nausea, loss of appetite, thirst with little desire to drink, high colored urine. Ba Zheng San Long Dan Xie Gan Tang Liver Heat burning painful concentrated urine, fever, irritable, dizziness, tinnitus, red eyes, headaches, thirst, constipation Dan Zhi Xiao Yao San (add Plantago Che Qian Zi) Long Dan Xie Gan Tang Qi Stagnation painful & difficult urination, dizziness, irritability, abdominal distension, hypochondriac pain, lower abdomen pain radiates to thigh, alternating constipation and diarrhea. Chai Hu Shu Gan San Bu Zhong Yi Qi Tang Qi Deficiency frequent urine, discomfort around pubis, incontinence, pale face, fatigue, poor appetite, puffy eyelids, abdominal distension, loose stools Bu Zhong Yi Qi Tang Kidney Deficiency Chronic, recurrent painful urination, incontinence, lower back pain, night sweats, pitting edema, heat of the soles and palms, abdominal discomfort Liu Wei Di Huang Wan Zhi Bai Di Huang Wan Shen Qi Wan (Jin Gui Shen Qi Wan) (Rehmannia 8) Yin Deficient Heat Liu Wei Di Huang Wan Zhi Bai Di Huang Wan -------------------------------------- Painful Urine with Blood Heat and Damp painful frequent urination with blood, nausea, vomiting, bitter, fever or fever and chills, lower back pain, thirst, constipation Dao Chi San Zhi Bai Di Huang Wan Yin Deficient painful frequent urination with blood, thirst, night sweats, dry mouth, lower back pain Zhi Bai Di Huang Wan |