"I believe that the wholistic approach of Traditional Chinese Medicine is essential to foster true healing of body mind and spirit. TCM is a worthy reflection of the essence of humankind. It has given me powerful tools which I can use to grow, lead, and succeed in the cultivation of wellness for persons that become a part of my journey."
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Internal Medicine
– Kidney Disorders
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Internal Medicine Home Page
Click below for information…
Diabetes
Enuresis
Impotence
Lin Syndrome
(Urinary Tract Infection)
Retention Of Urine
Seminal Emission
Important: as with all items posted
on TCM Health-info, it is very strongly recommended that you seek proper advise from your healthcare professional before
administering any form of treatment to yourself. This website is for informational
purposes and does not replace the proper diagnosis of your physician.
Overview Of Kidney Function:
The kidneys are referred
to as the root of Qi. This is
because the kidneys store both the post-haven Qi and pre-haven Qi. Pre-haven Qi is derived from our parents
and given to us prior to our birth.
Post-haven Qi is received through the food we eat and the air we breath. We can
easily produce more post-haven Qi but it is extremely difficult to
manipulate and strengthen our pre-haven Qi.
Kidney Yin energy is responsible for our birth, growth and
reproduction while our kidney Yang energy is responsible for all of our
physiological processes. The kidneys
produce marrow which fills the brain, spinal cord and controls our
bones. The kidneys also govern water
by transforming and transporting different types of fluids which are found
in our bodies. The kidneys also
control the bodies two lower orifices. Therefore
if the kidneys are weak the possible symptoms would be frequent urination
or incontinence, nocturnal emissions, diarrhea
and possible prolapsed anus. The kidneys Qi is a burning energy or a fire
found in the lower gates of vitality.
It is commonly called the minister fire (the heart fire is called
the king fire) and it’s heat is the source of fire
for all the internal organs. This
heat helps separate different fluids in the body and it also warms the
stomach and spleen to aid in their digestion functions. The warmth also keeps the bodies essence
warm aiding in all sexual functions keeping fertility healthy and
menstruation regular. When the
kidneys are deficient they represent disorders such as diabetes, enuresis,
retention of urine, impotence, seminal emission and
urinary tract infections.
Click here for more TCM Kidney Foundations: Functions of the TCM Kidneys
Diabetes – Wasting Thirst Disorder – Xiao Ke
Top of the
Document
3 more – 1 less (eat, drink, urinate more –
lose weight/emaciation less).
Person can eat & drink a lot but not quench thirst or gain
weight. No matter how much is the
patient drinks the same amount of urine is passed. The main pathogenesis is Yin ↓ w/
dry Heat. This syndrome is closely
related to Diabetes type 1 (early onset insulin dependant).
Pathogenesis:
Dry Lung
Stomach Yin Deficiency
Kidney Yin Deficiency
Kidney Yin/Yang Deficiency
Lung Dryness
(Upper Jiao)
Very thirsty, drink lots of fluids but
still has dry mouth & tongue, frequent large amount of urine, irritable
T
– red, thin dry coat P
– thin, rapid
Treatment: clear upper jiao heat and purge
fire to promote production of body fluids
Formula Xiao
Ke fang
Stomach Yin
Deficiency (Middle Jiao)
Hungry, will not stay full after meals,
need to eat or get dizzy, extreme emaciation, constipation with dry stools
T
– red, scanty dry coat P
– thin, rapid
Treatment: Clear Stomach fire and nourish middle jiao
yin
Formula Yu
Nu Jian + Da Huang / Mang Xiao (constipation)
Kidney Yin
Deficiency (Lower Jiao)
Frequent cloudy/thick urination, urine is
oily or greasy, thirsty, night sweats, dizzy, tinnitus, seminal emission,
insomnia
T
– red, thin coat P
– thin, rapid
Treatment: Nourish
Kidney yin and clear deficient heat.
Formula Liu
Wei Di Huang Wan
Kidney Yin &
Yang Deficiency (Lower Jiao)
Frequent cloudy oily urination, trouble
holding urine, 5-centre heat sensation, thirsty, coldness, aversion to
cold, weak lower back and knees, impotence, amenorrhea, night sweat,
spontaneous sweat, dry/dull complexion
T
– scanty coat P
– thin, deep weak
Treatment: Tonify
Kidney yin and yang
Formula Jing Gui Shen
Qi Wan + Er Xian Tang
Enuresis – Yi Niao
Top of the
Document
Yi Niao is the
inability to control the urge to urinate especially while in bed. Mainly caused by Kidney & Bladder
disorders usually caused by Deficiency Cold.
Yi Niao is common in babies, geriatrics or
during post delivery in men. Yi Niao is commonly called incontinence if urination
occurs while patient is awake.
Western Medicine
Neurological dysfunction, urinary tract
disorders, brain disorders, (meningitis, stroke, tumour) prostate
disorders, kidney dysfunction.
All 5 Zang organs
can cause Yi Niao
Lung Qi Def. -lung regulates water passages- def qi
allows lung to loose it’s governing function there
fore impairing the Bladders function.
SP. Qi Def. -spleen transports/transforms fluids which
controls fluid movement –spleen qi sinking
allows the spleen to loose control of these fluids.
Weak Kid. -kidney controls the gates – when
kidney is weak it looses control of the gate allowing urine to leak
out.
Kid. Yang def. –kidney looses
transforming fluids function, it is unable to help bladder retail fluids
Liver Qi stag. & Damp Heat – liver will loose it’s
soothing & regulating function – this causes the muscles to become
flaccid allowing leakage.
Liver Yin Def. –liver impairs DU meridian function
Heart Qi Def. -heart connects to S.I. & KD– when heart Qi is deficient it
impacts the S.I. function so it will not absorb all the water and the KD
will
not be able to
balance the water.
Causes:
Deficiency cold
Accumulation
of damp heat
Accumulation
of blood stasis in lower Jiao (trauma ie.
Post pregnancy)
Differentiation / Treatment
Kidney Yang Qi Def. (def. cold in lower Jiao)
Large amount of clear urine, general kd def. cold sympt. Cold,
tired, knee & lower back weakness/ache
T-pale P-deep
thin
Treatment: warm
kidney, induce astringent, consolidate kidney Qi
Formula Tu Si Zi Wan
Lung & Spleen Qi Def.
Prolapse feeling in Lower abdomen, urine
leaks out when coughing/talking, frequent urgent urination, grey pale
complexion, short of breath, over-worked / over-worry / over-thinking
(sad/worried/tired)
T-pale P-weak
Treatment: nourish
spleen/lung Qi to control urine
Formula Bu
Zhong Yi Qi Tang + astringent herbs Long Go, Mu Li
Heart & Kidney Qi Def.
Dreaming with enuresis, canker sores, poor
sleep, irritable, general yin def. symptoms.
T-red
tip/strawberry’s P-thin/rapid/deep(kd)
Treatment: nourish
& harmonize Heart and Kidney
Formula Sang
Piao Xiao San + Jiao Tai Wan
Accumulation of Damp Heat in Lower Jiao
Smelly, yellow, frequent, hot
urine, (NO PAIN)
T-red/yellow/
greasy coat P-thin/slippery/rapid
Treatment: induce diuresis to clear heat
Formula Ba Zheng
San
Blood Stasis
Usually has traumatic injury, possible
fever (infection=dark urine), masses in abdomen, more incontinence than
enuresis.
T-red/purple P-uneven/rapid
Treatment: remove blood stasis from lower jiao,
clear heat
Formula Shao
Fu Zhu Yu Tang+clear heat herbs Zhi Zi, Huang Lian, Huang Bai
Du Meridian Def. / Kidney Essence Def.
Dizziness, blurred vision, reproductive
disorders (impotence/infertility), general kidney essence def. symptoms.
T-thin,
weak P-wiry
Treatment: nourish
Kidney & DU essence
Formula Shen Shi Tu Si Zi Wan
Impotence – Yang Wei
Top of the
Document
Impotence (inability to achieve full
erection) & premature ejaculation during ages of regular sexual
practices (16-64 +/-). This is
usually due to KI ↓
but can also be caused by external factors. Chronic illness, stress, & depression
seem to be very common in these individuals.
Western Medicine:
Three
Causes: Psychological (function impotence)
Faulty
Genitals (anatomic impotence)
Neuromuscular
dysfunction (atonic impotence)
Pathogenesis:
Ming
Men Fire(Qi & essence) Deficiency
Heart
and Spleen Deficiency
Kidney
Qi Deficiency due to shock
Damp
Heat in L. Jiao
Ming Men Fire
Deficiency
Infertility, thin clear looking sperm,
Kidney Yang deficient symptoms, lower back weakness, coldness, fatigue
T
– pale, puffy P
– deep, weak
Treatment: Warm
ming men fire to tonify Kidney essence
Formula You
Gui Wan
Heart & Spleen
Deficiency
Insomnia,
palpitations, poor appetite, fatigue, soft stools
T
– Pale P
– thin
Treatment: Nourish
Heart and Spleen
Formula Gui Pi Tang + Qi Fu Yin
Kidney Qi
Deficiency Due To Shock
Long term fears, sudden shock, timid person,
insomnia with excess dreams, palpitations
T
– red, greasy coat P
– thin, wiry
Treatment: Nourish Kidney and calm spirit
Formula Da Yu Tang + Kidney tonics
Damp Heat In Lower
Jiao
Skin disorders around genitals (wet/soft
types), dark scanty yellow hot urine, possible odor,
possible constipation
T
– red, greasy yellow coat P
– slippery, rapid
Treatment: induce diuresis to clear heat and transform dampness
Formula Long
Dan Xie Gan Tang
Lin Syndrome – Urinary Tract Infection
Top of the
Document
Frequent, Urgent, Painful, dripping, dark urination
caused by damp heat in the Bladder. Urine may contain stones,
blood or a milky/greasy substance.
Western Medicine:
Chyluria, Prostatitis, T.B. of Kidney, Cancer
May be caused by :
Shi
Lin - stone (heat coagulates
urine into stones)
Re
Lin - heat
(toxic damp heat attacks bladder – burning pain)
Xue Lin -
blood (heat pushes blood out of
damaged vessels)
Gao Lin
- Chyluria
(heat injures meridians impairing transform/transport)
Lao
Lin - kidney def. (kd
can’t help bladder transform urine or control gate)
Qi Lin
-liver qi/blood stagnation fire travels
down liver meridian impairing bladder)
Differentiate between?
Long
Bi – retention of urine – not urgent, no pain, no blood
Blood
Urine – blood in the urine – not urgent, no pain, mainly blood
Jing Zuo – pee with spermies during urination, usually after ejaculation.
Re Lin (excess)
Mainly
caused by damp heat
Frequent dribbling, urgent burning
urination with bitter taste, fever, aversion to cold and other general damp
heat accumulation symptoms.
Tongue
– red, yellow coat Pulse –
soft, slippery, rapid
Treatment: induce
dieresis to clear damp heat
Formula: Ba Zheng San
Re Lin (deficient kidney Yin)
Deficient
kidney fire
All symptoms above but less severe –
mild/dull pain, lower back/knee pain & weakness, chronic
Tongue
– red, scanty coat Pulse
– thin, rapid
Treatment: nourish
kidney, clear heat
Formula Zhi
Bai Di Huang Wan
Xue Lin (excess)
Frequent dribbling, urgent burning
urination with bitter taste, fever, aversion to cold and redness in urine
(blood in urine)
Tongue
– red, yellow coat Pulse
– rapid
Treatment: clear
heat, induce dieresis, cool blood to stop bleeding
Formula Xiao
Ji Yin Zi
Xue Lin (deficient kidney yin)
Frequent dribbling, urgent urination with
mild/ dull pain, lower back/knee pain & weakness, chronic with slight
red or pink colour
Tongue
– red, scanty coat Pulse
– thin, rapid
Treatment: Nourish
kidney, clear heat, stop bleeding
Formula Zhi
Bai Di Huang Wan + Gui Ban + E Jiao +Han Lian Cao
Qi Lin (excess – Liver Qi Stagnation)
Frequent dribbling, urgent, painful
urination with pain in the lower abdomen, distended pain, aggravated by
stress / emotion, unfinished feeling after urination
Tongue
– red or normal Pulse
– Wiry, deep
Treatment: regulate
Qi & Blood, induce dieresis
Formula Chen
Xiang San
Qi Lin (deficient spleen Qi sinking)
Frequent, dribbling, urgent urination, agg-when tired, pulling feeling in lower abdomen, amel-pressure, general Qi deficient symptoms.
Tongue
– pale Pulse
– weak
Treatment: strengthen
spleen Qi
Formula Bu
Zhong Yi Qi Tang
Shi Lin (excess)
Frequent dribbling, urgent, painful
urination with pain and stones, flow suddenly stops in mid stream, over
whelming urge to go with severe pain, worse for men, if stones in kidneys
severe lower back pain, stones may injure vessels = blood in urine
Tongue
– red yellow coat Pulse
– wiry
Treatment: induce
dieresis to eliminate stones
Formula Ba Zheng San + Shi Wei San (stones)
Shi Lin (complicated excess / deficient)
Frequent dribbling, urgent, painful
urination, chronic stones, fatigue, dull pain, lower back aching.
Tongue
- Pulse
– weak
Treatment: strengthen
kidney, induce dieresis to eliminate stones
Formula Zhi
Bai Di Huang Wan + Shi
Wei San (stones)
Gao Lin (excess) Chyluria
Frequent dribbling urgent, painful
urination, cloudy urine with floaters at surface, burning pain
Tongue-
red, yellow coat Pulse
– rapid
Treatment: eliminate
damp heat, promote separation of waste body fluids
Formula Bei Xie Fen Qing Yin
Gao Lin (deficient kidney Qi)
Chronic frequent,
dribbling, urgent, painful urination with cloudy urine, emaciation
Tongue- Pulse
-
Treatment: nourish kidney to reinforce gate
Formula Liu Wei Di
Huang Wan + Jin Suo Gu Jing Wan
Lao Lin (kidney deficiency)
Chronic frequent, dribbling, urgent,
painful urination induced by over strained sexual activity, general kidney
deficiency symptoms.
Tongue - Pulse
– thin
Treatment: nourish deficiency
Formula Kid-yin def. Liu Wei Di
Huang Wan
Kid-Qi def. Tu Si Zi Tang
Kid-Yang
def. Shen Qi Wan
Lao Lin (heart
deficiency)
Frequent,
dribbling, urgent, painful urination accompanied by deficient heart
symptoms
Treatment: nourish deficiency, induce dieresis
Formula Tu Si Zi Tang + Qin Xin Lian Zi Yin
Lao Lin (spleen)
Frequent,
dribbling, urgent, painful urination accompanied by over work, fatigued,
general heaviness
Treatment: Nourish deficiency
Formula Shen Qi
Wan
Retention of Urine – Long Bi
Top of the
Document
Significant decrease of urine or no passing
of urine at all. Usually caused by
lower jiao or bladder disorders relating back to
other organs. (no pain)
Western Medicine
Retention of urine, Anuria
(unable to urinate), blockages, injury of urinary tract, enlarged prostate,
bladder/sphincter spasm, neurological disorders … … …
Aetiology / Pathogenesis
Damp Heat (most common)
– accumulates in mid./lower Jiao, impairing spleen/kidney
transformation/transportation functions of urine, damp heat will also block
the bladder
Lung Heat -lung
is the upper source of water, lung heat will not allow descending function
of water from the lung to the bladder.
Spleen Qi Def. –looses
transforming/transporting function, spleen can not separate or descend
clear and turbid fluids
Kidney Essence Def. –causes ming
men fire deficiency, yang Qi can’t transform to produce yin (with ought yin
there is no yang)
Liver Qi Stag. –can’t soothe or regulate san Jiao
functions the san jiao looses it’s steaming
transformation function
Obstruction - stones, tumour, injury, blood stasis
Principle of Treatment:
Always
induce Diuresis
Differentiation / Treatment
Excess Damp Heat in Bladder
Dark, smelly, burning sensation with
fullness in lower abdomen, thirsty with no desire to drink, bitter taste,
general feeling of being sticky, possibly constipated
T-red,
greasy coat P-slippery,
rapid
Treatment: induce diresis
to clear heat
Formula Ba Zheng
San
Excess Heat in Lung
Sore and dry throat, respiratory symptoms –dyspnea, dry cough, wheezing retention of urine
symptoms
T-
red, yellow coat P-rapid
Treatment: clear
lung heat, induce diresis
Formula Qing
Fei Yin
Stagnation of Liver Qi
Starts
with emotional anger, chest/hypochondriac pain or fullness
T-red,
thin/yellow coat P-wiry
Treatment: soothe liver Qi stagnation, induce diresis
Formula Chen Xiang
San
Obstruction of Urinary Tract
Possible scanty or narrow stream during
urination, pain/distension of lower abdomen
T-dark
purple P-uneven
Treatment: promote
blood circulation, remove obstruction
Formula Xiao
Fu Jue Yu Tang (traditional)
Dai
Di Dang Wan (more
widely used)
Middle Jiao Qi Sinking- Spleen
Prolapsed feeling in abdomen, fatigue,
short of breath, bloating, other spleen Qi deficiency symptoms, over work,
over worry
T-pale P-deep
thin
Treatment: strengthen
spleen to Ascend clear Qi and Descend turbid
Formula Bu
Zhong Yi Qi Tang + induce
diresis Chun Ze Tang
Kidney Yang Deficiency (ming-men
fire def.)
No force to push urine out, pale,
fatigue, lower back & knee weakness or cold
T-pale P-deep
thin
Treatment: warm up kidney yang to strengthen
kidney Qi
Formula Shen Qi
Wan
Kidney Yin deficiency
General yin deficiency symptoms – 5 centre
heat sensation, night sweat, zygomatic flush
T-red P-thin,
rapid
Treatment: nourish
kidney yin & induce diresis
Formula Liu
Wei Di Huang Wan & Zhu Ling Tang
Seminal Emission – Yi Jing
Top of the
Document
Seminal emission (Yi Jing)
is the passing of seminal fluid during ones sleep or when they are awake
without sexual excitement.
Pathogenesis:
Heart & Kidney Disharmony -Kidney looses control over lower gate
allowing seminal fluid to leak out.
Kidney Yin Deficiency
Liver Heat
Damp Heat in L.Jiao
Kidney Qi Deficiency
Phlegm Fire
Heart & Kidney
Disharmony
Seminal emission comes with dreams,
insomnia, palpitations, yellow short urine,
KD yin deficient symptoms.
T
- red P
– rapid
Treatment: Clear Heart heat (king fire) and nourish Kidney.
Formula San
Cai Feng Shui Dan + clear heat herbs
Kidney Yin
Deficiency
Seminal
emission without dreams or palpitations, KD yin deficient symptoms.
T
– red, thin coat P
– thin, rapid
Treatment: Nourish
Kidney yin, clear minister fire
Formula Zhi
Bai Di Huang Wan
Liver Heat
Seminal emission without dreams, prolonged
erections during daytime, liver fire symptoms, vexation, bitter taste
T
– red P
– rapid
Treatment: Purge liver fire
Formula Long
Dan Xie Gan tang
Damp Heat in Lower
Jiao
Seminal emissions at night, eruptions
around genitalia, possible semen in urine, damp/heat symptoms
T
– red, thick yellow coat P
– rapid, slippery
Treatment: induce dieresis to clear heat and transform dampness
Formula Bi
Xie Fen Qing Yin
Kidney Qi
Deficiency
Seminal emission when awake, pale puffy
complexion, lassitude, KD Qi def. symptoms & possible SP Qi def.
symptoms
T
- pale P
– deep, weak
Treatment: Nourish
Kidney Qi and consolidate essence
Formula Jing Shi Shen Qi Wan + Mi Jing Wan (+ Gui Pi Tang if SP Def.)
Phlegm Fire
Seminal emission, selling in lower jiao, fullness/distention in
chest, dark hot scanty difficult urine, cough with phlegm, bitter taste,
thirst with no desire to drink.
T
– red, yellow greasy coating P
– red, slippery
Treatment: Clear fire and remove phlegm
Formula Zhu
Ling Wan
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