URINATION

URINATION

Chapter contents

DARK URINE

Interrogation, Chapter 31

Damp-Heat in the Bladder

Dark urine, frequent and urgent urination, burning on urination, difficult urination, dark-yellow/turbid urine, thirst with no desire to drink, hypogastric fullness and pain, feeling of heat, thick, sticky yellow coating on the tongue root with red spots, Slippery-Rapid pulse.

Kidney-Yin deficiency with Empty-Heat

Dark and scanty urine, slight burning on urination, dizziness, tinnitus, hardness of hearing, night sweating, dry mouth at night, five-palm heat, a feeling of heat in the evening, malar flush, thirst with a desire to drink in small sips, lower backache, insomnia, Red tongue without coating, Floating-Empty and Rapid pulse.

Heat in the Heart and Small Intestine

Dark urine which may contain blood, burning on urination, a feeling of heat, anxiety, red face, insomnia, palpitations, tongue ulcers, excessive dreaming, Red tongue with redder tip and yellow coating, Rapid-Overflowing pulse.

Damp-Heat in the Liver

Dark and scanty urine, urinary difficulty, burning on urination, fullness of the hypochondrium, abdomen or hypogastrium, bitter taste, nausea, a feeling of heaviness of the body, yellow vaginal discharge, vaginal itching, mid-cycle bleeding/pain, genital papular or vesicular shin rashes and itching, Red tongue with redder sides and sticky yellow coating, Slippery-Wiry-Rapid pulse.

Heat in the Intestines

Dark and scanty urine, thirst, abdominal pain, constipation, abdominal fullness, Red tongue with dry yellow coating, Overflowing-Rapid pulse.

Cold-Dampness in the Intestines

Dark and turbid urine coloured like tea, not scanty, difficulty in urination, mucus in the stools, abdominal fullness and pain, pale complexion, a feeling of heaviness, cold limbs, sticky white tongue coating on the root, Slippery-Slow pulse.

In this pattern, it is the Dampness, rather than the Cold, that makes the urine darkish and turbid.

• In women it is often difficult to establish the colour of the urine as they often do not look after micturition to take notice of the colour.

PALE AND ABUNDANT URINE

Interrogation, Chapter 31

Kidney-Yang deficiency

Pale and abundant urine, urination at night, lower backache, cold knees, feeling cold, bright-white complexion, weak knees, tiredness, lassitude, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse.

Cold in the Bladder

Pale and abundant urine, a feeling of cold, cold limbs, lower backache, central-lower abdominal pain that is alleviated by the application of heat, Pale tongue, Deep-Weak pulse.

TURBID URINE

Interrogation, Chapter 31

Dampness in the Bladder

Turbid urine like rice soup, difficult urination, pain on urination, a feeling of heaviness, sticky tongue coating on the root, Slippery pulse.

Other symptoms and signs depend on whether the Dampness is associated with Cold or Heat.

Kidney-Yin deficiency

Turbid and dilute urine like a sauce, scanty urine, dizziness, tinnitus, hardness of hearing, poor memory, night sweating, dry mouth and throat at night, lower backache, constipation, tiredness, normal-coloured tongue without coating, Floating-Empty pulse.

Kidney-Yang deficiency

Turbid and abundant urine, dribbling after urination, urination at night, lower backache, cold knees, a feeling of cold, bright-white complexion, weak knees, tiredness, lassitude, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse.

Spleen-Qi deficiency

Turbid urine, dribbling after urination, poor appetite, slight abdominal distension after eating, tiredness, pale complexion, weakness of the limbs, loose stools, Pale tongue, Empty pulse.

PAINFUL URINATION

Interrogation, Chapter 31

‘Painful urination’ comes under the Chinese medicine heading of Lin disease, which, by definition, is characterized by painful urination. There are six types of Lin diseases: Heat, Stone, Qi, Blood, Sticky and Fatigue Lin, all of which present with painful and difficult urination.

Damp-Heat in the Bladder

Pain during urination, difficult urination, burning on urination, dark urine, turbid urine, frequent and urgent urination, thirst with no desire to drink, hypogastric fullness and pain, a feeling of heat, thick, sticky yellow coating on the root with red spots, Slippery-Rapid pulse.

Heart-Fire

Pain during urination, burning on urination, dark urine, occasionally blood in the urine, palpitations, thirst, mouth and tongue ulcers, mental restlessness, feeling agitated, insomnia, dream-disturbed sleep, a feeling of heat, red face, bitter taste, Red tongue with redder tip and yellow coating, Overflowing-Rapid pulse.

Liver-Fire

Burning pain during urination, dark urine, hypogastric distension, headache, red face, dizziness, tinnitus,irritability, propensity to outbursts of anger, thirst, bitter taste, constipation, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse.

Liver-Qi stagnation

Pain before urination, hypogastric distension, hypochondrial or epigastric distension, irritability, moodiness, a feeling of a lump in the throat, premenstrual tension, Wiry pulse.

Stasis of Blood in the Bladder

Painful before urination, blood in the urine, stabbing hypogastric pain, lower abdominal pain, Purple tongue, Wiry pulse.

Kidney-Yin deficiency with Empty-Heat

Slight pain during urination, scanty and dark urine, dizziness, tinnitus, hardness of hearing, night sweating, dry mouth at night, five-palm heat, a feeling of heat in the evening, malar flush, thirst with a desire to drink in small sips, lower backache, scanty dark urine, insomnia, Red tongue without coating, Floating-Empty and Rapid pulse.

SCANTY AND DIFFICULT URINATION

Interrogation, Chapter 31

Damp-Heat in the Bladder

Scanty, difficult and painful urination, dark urine, turbid urine, frequent and urgent urination, thirst with no desire to drink, hypogastric fullness and pain, a feeling of heat, thick, sticky yellow coating on the root with red spots, Slippery-Rapid pulse.

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Tags: Diagnosis in Chinese Medicine A Comprehensive Guide

Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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