TRADITIONAL INTERNAL MEDICINE – DISEASES & FORMULAS

Painful and Obstructed Urine

Dysuria & Stranguria

Strangury: obstructed Urine with little passed
Dysuria: obstructed Urine with pain or burning Urine

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.


Western Tradition

Urine Retention from Cold & Damp

1. Vervain boiled in wine
2. Decoct Radish roots in white wine. “There is nothing that provokes the urine more mightily than a Radish root”. (The Treasury of Health, 1550)
“The Syrup of Radishes, of Fernelius his Prescriptions, given to two ounces at a time, is very excellent”. (The Practice of Physick, 1663)
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. Potassium nitrate taken in whey.
8. Crabs, roasted and dried, then powdered and taken with wine.
9. Three Cantharides (heads and wings removed), mixed with Goat Milk and taken, relieves Strangury. (NOTE: this dose would not be repeated today)
10. Oil of Scorpions 5 or 6 drops in broth or wine.
11. Pill Millipede in wine is excellent.
12. Dove’s or Rooster dung, taken in wine (Syrian ‘Book of Medicine‘)
13. Amber, Cyperus rotundus, Black Pepper (equal parts), boil in wine and take in spoonful doses. (Secrets of Alexis)
​14. Cardamon, Bergenia ligulata, Pepper, Tribulus, Shilajit, Honey (Ayurveda)
15. Apply Galbanum as plaster below the navel, it causes abundant urine.

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)
Electuary of Sulphur (Unani)
Pills for Retention of Urine (Wirtzung)
Oil of Scorpions
Aloeswood 8 Water Transformer (Ar brgyad chu bsgyur)
Betel Nut 28 (Go yu nyer brgyad)
Cardamon 19 (Sug smel bcu dgu) (Tibetan)
Greater Salt Combination (Tshwa sbyor chen mo)

Urine Retention from Heat & Damp

1. Purslane seed in powder, taken with wine.
2. “The leaves of Plantain which’ grow near the root, being drunk heals all difficulties of the Bladder”. (The Treasury of Health, 1550)
3. “Arnoldus Villa novanus commends the Wine of Winter Cherries”
4. Camomile boiled in Milk cured an old man of Dysuria. (Forestus)
5. Decoction of Mallows with Syrup of Violet (for Dysuria)
6. Egg White beaten with Rose water cured some of Dysuria.
7. Cucumber seed, Agrimony taken in Powder
8. Tabasheer, Tribulus, Sugar Candy, taken with Ghee. (Ayurveda)
9. Troches of Winter Cherries was commended for Dysuria.

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 GordonPills 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, 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
Chronic urinary retention, incontinence, night sweats, fats and weak pulse
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


Special Formulas:

THIS POTION IS EXCELLENT
    Benedicta Laxativa                    ½ oz.
    Troches of Myrrh                        2 scruples
    Decoction of Savin                     3 oz.
Make a potion for a dose.
“By this a woman was presently cured of the Stoppage of Urine”. (The Practice of Physick, 1663)

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