TRADITIONAL INTERNAL MEDICINE – DISEASES & FORMULAS
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.
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. Potassium nitrate taken in whey.
8. Crabs, roasted and dried, then powdered and taken with wine.
9. Dove’s or Rooster dung, taken in wine (Syrian ‘Book of Medicine‘)
10. Amber, Cyperus rotundus, Black Pepper (equal parts), boil and take in spoonful doses. (Secrets of Alexis)
11. Cardamon, Bergenia ligulata, Pepper, Tribulus, Shilajit, Honey (Ayurveda)
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. Cucumber seed, Agrimony taken in Powder
3. Tabasheer, Tribulus, Sugar Candy, taken with Ghee. (Ayurveda)
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)
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
