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Beth Conroy Compendium - Urinary Infection - Traditional Chinese Medicine

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URINARYTRACTINFECTION
ATCMPerspectivewithaWesternMedicaldescription

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SOURCES:
1.FoundationsofChineseMedicine(2ndEdition)GiovanniMaciocia.Pages671678 Pages205,206,207 2.ThePracticeofChineseMedicine(2ndEdition)GiovanniMaciocia.Pages839,840, 841,842,843,844,845,846,890893 3.ChineseAcupunctureandMoxibustion(RevisedEdition)Pages440,441,442,443, 444. 4.http://www.tcmpage.com/hpurinary_infect.html

DESCRIPTIONANDCONDITION:
UrinaryTractInfectioninthewesternvernacular,Iswhentheurinarytract,whichiscomprisedoftwo kidneys,twoureters,bladderandaurethraisinfectedbyeitherbacteria(EscherichiaColi,E.Coli),a virus(HerpesSimplex)orafungus(Candida)causingthefollowingsymptoms,urinaryretention, painfulurination,pyuriaandlowerbackpain. AccordingtotheTCMperspectivetheconsumptionofspicyfoods,foodsthatarehighinfatandsugar canbeattributedtocausingtwopatternpresentations,DampHeatpatternandKidneySpleen Deficiencypatterns.

PATTERNSOFDISHARMONY/DIAGNOSIS:
DampHeatintheUrinaryBladder KidneyYinDeficiency SpleenQiDeficiency LiverFireInfusingdownwards SpleenQiandKidneyYangDeficiencywithDampness SpleenQiandKidneyYangDeficiencywithFire SpleenQiandKidneyYangDeficiencywithQiStagnation KidneyYinDeficiencywithEmptyHeat

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Beth Conroy Compendium - Urinary Infection - Traditional Chinese Medicine

CLINICALMANIFESTATIONS:
DampHeatintheUrinaryBladder:(ThePracticeofChineseMedicine)pg891892 Thiscanbethecauseurinaryretention,scantyurineoutput,dysuriaw/fullnessinthehypogastrium. Dampnesscanobstructthewaterpassages.Whenheatmanifests,itcancontributetourinaryretention andwhenheatbecomespresentdamagescandestroythefluidsthroughcondensingandconcentrating leadingtodarkurine. T:Stickyyellowcoatingthatisthickerontheroot. P:SlipperyRapid TreatmentPrinciple:ResolveDampness,clearheat,promoteurination. TreatmentStrategies: Sp9 Sp6 Ren3 St28 Ren9 Bl22 Bl39LowerHeSea,regulatesandpromotesurination. Note:Allpointsresolvedampnessinthelowerburner.

KidneyYinDeficiency:(ThePracticeofChineseMedicine)pg880881 Theincontinenceofurineinscantyamountsispresent,dribblingafterurinationanddarkurinedueto theconcentrationoffluidsiskeywhendescribingKidneyYinDeficiencya(EmptyHeat)condition thatcanalsoaffectthepericardiumandtripleburner. T:Nocoating,ifemptyheatispresent,thebodywillbered P:Floating,empty. Treatmentprinciple:TonifytheKidneysandnourishYin.

Treatmentstrategies: NourishKidneyYinWith: Ren4 Ki3 Sp6 TonifyKidneyQiandstrengthenbladderfunction. Bl23 Bl28 RegulateRenMai Lu7 Kd6

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Beth Conroy Compendium - Urinary Infection - Traditional Chinese Medicine

SpleenQiDeficiency:(TheFoundationofChineseMedicine)pg877878 ThisEmptypatterncausesnopainwhichbanbeattributedtoaweakconstitutionassociatedwithold age.Thiscanpresentwithamoderateincontinencewithafrequenturgetourinate. T:Pale P:Weak TreatmentPrinciple:TonifyandraiseQi TreatmentStrategies: TonifySpleenQi Bl20 St36 Ren12 Ren6SeaofQi Bl23TonifytheKidneys Bl28TonifytheBladder Bl53StrengthensBladder

LiverFireInfusingDownwards:(TheFoundationofChineseMedicine)pg882 Nocturnalenuresisinchildren,restlesssleep,nightmareswithwakingupandcrying.Thiscanbe classifiedintwocategories. a.Hyperactiveandnervouschildren. b.Quiteandshychildren. LiverFirewouldpertaintothefirstgroupduetotheagitationoftheEtherealSoul(Hun). T:Redwithreddersides,yellowcoating P:Wiry,Rapid TreatmentPrinciple:SoothetheLiver,drainfire,calmthemindandsettleEtherealSoul TreatmentStrategies: Lv2DrainsLiverfire Ht7andyintangcalmthemind Sp6Regulateswaterpassagesandcalmsthemind Bl28Strengthensthebladderfunction

SpleenQiandKidneyYangDeficiencywithDampness:(TheFoundationofChineseMedicine)pg 900901 Frequencyofurination,slightburningwithaheightenedsinceofurgency,dysuria,fullnessinthe hypogastrium,irritationofthebladderwall,glomerulation,lowerbackpain,dizziness,lower abdominalpainandtinnitus. T:Palewithathickstickycoating P:Soggy

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Beth Conroy Compendium - Urinary Infection - Traditional Chinese Medicine

TreatmentPrinciple:TonifySpleenQiandKidneyYang.ResolveDampness TreatmentStrategies: TonifytheSpleen Ren12 St36 Sp6 Bl22 TonifytheKidneys Bl23 Ki3 Ren4 Bl63RegulatestheBladderandstopsurinarypain ResolvesDampness Ren3 Sp9 St28

SpleenQiandKidneyYangDeficiencywithYinFire:(TheFoundationofChineseMedicine)pg 899900 Frequencyofurination,slightburningwithaheightenedsinceofurgency,dysuria,fullnessinthe hypogastrium,irritationofthebladderwall,glomerulation,lowerbackpain,dizziness,lower abdominalpaintinnitus,coldfeelingalloverthebodybuthavingmanifestedheatintheface. T:Pale P:DeepandWeak TreatmentPrinciple:TonifytheSpleen,TonifyandwarmKidneyYang,StrengthenOriginalQi, SubdueFire. TreatmentStrategies: StrengthensOriginalQi Ren4 TonifytheKidney Bl23 Ki3 RegulatesRenMai Lu7 Kd6 TonifySpleenQi St36 Sp6 Ren12 Bl20 SubdueYinFire TH5 Pc7 Bl63Regulatesbladderandstopsurinarypain

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Beth Conroy Compendium - Urinary Infection - Traditional Chinese Medicine

Bl63Regulatesbladderandstopsurinarypain

SpleenQiandKidneyYangDeficiencywithQiStagnation:(ThePracticeofChineseMedicine)pg 901 Frequencyofurination,slightburningwithaheightenedsinceofurgency,dysuria,fullnessinthe hypogastrium,irritationofthebladderwall,glomerulation,lowerbackpain,dizziness,lower abdominalpain,tinnitus,irritability,loosestools,dizzinesssymptomsaggravatedbyemotional distress. T:SlightlyRedonthesides(Liverarea) P:Wiry,weakonboth3rdpositions TreatmentPrinciple:TonifySpleenQiandKidneyYang,MoveQi,SoothetheLiver,Eliminate stagnation,calmthemind. TreatmentStrategies: TonifytheSpleen Ren12 St36 Sp6 Bl20 TonifytheKidneys Bl23 Ki3 Ren4 Bl63RegulatetheBladderandstopsurinarypain MovesQi Lv3 GB34 Ren3

KidneyYinDeficiencywithEmptyHeat:(TheFoundationofChineseMedicine)pg903 SignsandSymptomspresentasfrequencyofurination,slightburninguponurination,dysuria, urgency,Hunnersulceronbladderwall,irritationofthebladderwall,tiredness,lowerbackpain, dizziness,tinnitus,nightsweating,feelingofheatintheevening. T:Redwithoutcoating P:FloatingEmptyandRapid TreatmentPrinciple:NourishKidneyYin,ClearEmptyHeat TreatmentStrategies: NourishKidneyYin Ki3 Ren4 Sp6 Regulatethebladderandstopurinarypain
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Beth Conroy Compendium - Urinary Infection - Traditional Chinese Medicine

Regulatethebladderandstopurinarypain Ren3 Bl63 RegulateRenMaiandnourishYin Lu7 Ki6 ClearsHeat Kd2

PatientEducation:
Drink8fullglassesofwaterdailywithadilutedcranberryjuiceorextract. Properhygieneisessential

Prognosis:
Aurinarytractinfectionisuncomfortable,buttreatmentisusuallysuccessful.Symptomsofabladder infectionusuallydisappearwithin2448hoursaftertreatmentbegins.Ifyouhaveakidneyinfection, itmaytake1weekorlongerforyoursymptomstogoaway.

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