URINGARY SYSTEM DISEASES


[ Edema ]


Edema refers to retention of fluid in the body , resulting in puffiness of the face, eyelids, limbs, abdomen and even the general body.
It can be divided into Yang type edema and Yin type edema in terms of etiology and pathogenesis in traditional Chinese medicine .
Edema can be caused by acute and chronic nephritis, congestive heart failure , en-docrine disorder and dystrophy in modern medicine.
Differentiation and treatment in traditional Chinese medicine can be refers to
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1. Yang type edema
This type of edema , mostly acute in nature, is characterized by incipient puffiness of the face, eyelids, and limbs affecting the general body, lustrous skin , swelling of the scrotum, and dysuria . Depressions appearing up-on hand pressing may rebound quickly. The ac-companying symptoms and signs include fullness sensation in the chest, cough, uneven breathing, soreness and aching of the limbs.
White slippery tongue coating with moisture, superficial slippery or superficial rapid pulse.
2. Yin type edema
This type of edema is characterized by a slow onset , light swelling of the face in the incipient stage which then spreads to the abdomen and the whole body, especially the areas below the waist. Depressions appearing upon hand pressing rebound slowly. The accompanying symptoms and signs include scant urine, epigastric distention, loose stools, lassitude, aversion to cold, weak limbs .
Pale tongue proper with white coating, deep thready or deep slow pulse.

[ Urinary system infection—Lin syndrome ]

Urinary system infection—Lin syndrome refers to a condition characterized by frequent, incontinent urinary discharge with pain, spasm of the lower abdomen and umbilical pain.
According to the different etiology and pathogenesis in traditional Chinese medicine . It is divided into five types ; heat , stone , blood , Qi , turbid .
Uri-nary system diseases with abnormal stimulation or infections of the urethra, such as pyelonephritis, cystitis, renal tuberculosis, stones in the urinary bladder and chylous urine.
Differentiation and treatment in traditional Chinese medicine can be refers to
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1, Heat type
Rapid onset of urinary dripping, frequent urina-tion, dark yellow urine with feverish and painful sensation, pain involving the umbilicus, or fever with aversion to cold ,bit-ter taste in the mouth, Red tongue with yel-low greasy coating and rapid soft pulse .
2, Stone type
Difficult urination with occasional sandy substance in the urine, dysuria with pain involving the lower abdomen hard to tolerate, or on and off urinary discharge with stabbing lumbar pain that involves both the lower abdomen and external genitalia, oc-casional bloody urine .
Thin white or yellow tongue coating, wiry or rapid pulse.
3, Blood type
Short reddish urine or with dark purplish clots, se-vere burning pain, difficulty in discharging the urine, distending pain in the uretha in severe cases which involves the umbilicus.
Red tongue tip, thin yellow coating, rapid forceful pulse.
4 Qi type
Distending pain in the lower abdomen and pubic re-gion, weakness in discharge of urine, frequent dripping of clear urine, reluctant speech, poor spirit, lumbar soreness.
Pale tongue with thin white coating and weak thready pulse.
5, Turbid type
Turbid milky urine that soon sediments with catkin substance at the bottom, fatty oily substance at the surface of the urine container with coagulation, bloody difficult urinary discharge with feverish pain, soreness in the lumbar region and knees, dizziness, fatigue .
Red tongue proper, slightly white greasy coating, soft rapid or rapid thready pulse.

[ Enuresis –Bed wetting ]

Enuresis refers to involuntary passage of urine , especially during sleeping at night. The victim is not aware of it until he or she is awake. So it is also called bed-wetting.
Traditional Chinese medicine holds that the major causes of the disease are deficiency of kidney Yang energy , insufficiency of both the spleen and lung after illness and loss of retaining power due to deficiency of Qi.
It is often seen in children and adults with neural dysfunction and pathological changes of the urinary system in terms of modern medicine .
Differentiation and treatment in traditional Chinese medicine can be refers to
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1. Deficiency of Kidney Yang energy
Enuresis during sleep, emaciation, lassitude, cold limbs, pallor complexion, soreness and weakness of the lumbar region and knees, Pale tongue , deep slow weak pulse.
2. Qi Deficiency of the Lung and spleen
Enuresis, pallor complexion, shortness of breath, lassitude, weakness of the four limbs, poor ap-petite, loose stools. Pale tongue and slow or deep thready pulse

[ Urinary Incontinence ]

Urinary incontinence refers to involuntary uri-nary discharge when the patient is conscious of it. It is mostly seen in aged patients, women patients or patients who survived some morbid condition.
In modern medicine, it is often seen in urinary in-continence caused by disorder of nervous function, chronic diseases of the urinary system as well as cerebrovascular accident, cerebritis and spinal cord injury. Differentiation and treatment in traditional Chinese medicine can be refers to
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1. Deficiency of Kidney Yang energy
Urinary incontinence or frequent urination with dripping of urine, emaciation, lassitude, cold limbs, pallor complexion, soreness and weakness of the lumbar region and knees. Pale tongue and deep slow weak pulse.

2. Qi Deficiency of the Lung and Spleen
Urinary incontinence, pallor complexion, short-ness of breath, lassitude, weakness of the four limbs, poor appetite, loose stools. Pale tongue and slow or deep thready pulse.
3. Downward Flowing of Damp-heat
Urinary incontinence, frequent urination with burning sensation in the urethra, short scanty urine with odour, dripping urine, lumbar sore-ness, low grade fever. Thin greasy tongue coat-ing, and rapid thready pulse.
4. Blood Stasis in the lower-jiao
Dripping of urine and urinary incontinence, abdominal distention with dull pain, masses felt by palpating.
Dark purplish tongue and hesitant or rapid thready pulse.

[ Retention of Urine ]

Retention of urine refers to difficult urination even blockage of urine , distending pain in the lower abdomen . It clinically includes the mild condition of difficult urinary discharge with drip-ping and obstructed urinary discharge with distend-ing and urgent feeling in severe cases.
It can be seen in uroschesis due to various causes in modern medicine.
Differentiation and treatment in traditional Chinese medicine can be refers to
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1. Deficiency of Kidney Qi
Forceless dribbling of urine, pallor complexion, listlessness, lumbar soreness, weakness of limbs. Pale tongue and deep thready pulse
2. Damp-heat Retention in Urinary Bladd
Obstructed discharge of urine or short scanty urine, distention in the lower abdomen, thirst with no desire for drinking Red tongue , yellow coating and rapid pulse.
3. Obstruction of Blood Stasis
Obstruction of urine, pain and distention in the lower abdomen. Purplish spots on the tongue and hestitant pulse.

[ Chronic Nephritis ]

Chronic nephritis is an allergic disease caused by a wide variety of etiological factors. The disease is common in young middle age people.
In traditional Chinese medicine the disease is categorized as " edema", " consumptive disease", "lumbago", etc.

[ Cystitis ]

Cystitis is an acute bacteria caused inflammation of the internal wall of the urinary bladder. Acute cystitis is marked by sudden onset of lower abdominal pain and frequent, dripping and painful urination, accompanied by macroscopic blood in the urine . Frequency of urination during the day more than at night. The manifestation of chronic cystitis are similar to or milder than those of acute cystitis and recur frequently.

In traditional Chinese medicine classifies cystitis as " lin syndrome".

[ Epididymitis ]

Epididymitis is an acute or chronic inflammation of the epididymides caused primarily by urogenital infection spreading to the epididymides through the spermatic ducts. Acute epididymitis occurs mainly in young people usually unilaterally. It is marked by sudden swelling and sinking pain in the affected testicle, the pain radiating to the low-er abdomen and groin. Accompanying general symptoms include chills and fever. Chronic epi-didymitis is marked by persistent dull pain and sinking sensation in the affected testicle with peri-odic acute attacks. There is usually a history of chronic prostatitis, acute epididymitis or long-term indwelling catheter.


[ Prostatitis ]

Prostatitis is an acute or chronic inflammation of the prostate gland. Acute prostatitis occurs mainly in young people and is marked by fre-quent , painful, or dripping urination , sudden high fever, chills, and distending or severe pain in the sacral region and perineum. It is usually caused by overindulgence in alcohol, excessive sex-ual activity, suppression of ejaculation, injury of the perineum , or the common cold. Chronic prostatitis is marked by increased frequency of urination, burning sensation during urination, turbid terminal urine, and sinking pain in the sacral region, perineum, and scro-tum. It may be accompanied by sexual dysfunction, impotence and neurosis.
Traditional Chinese medicine classifies prostatitis as "Lin syndrome".

[ Hyperplasia of the Prostate ]

Hyperplasia of the prostate is a common problem in older men. It is also a common cause of such disorders as retention of urine, urinary tract infec-tion, and uremia. It is marked in the initial stage by frequent urination, more severe at night . As the condition develops, difficulty in urination, weak urinary stream, urinary stuttering, or interrupted urination may oc-cur. In the advanced stage, there may be acute urinary retention or incontinence.
Traditional Chi-nese medicine classifies hyperplasia of the prostate as "Lin syndrome".

[Urinary Stones ]

Urinary stones occur in the urinary tract, in-cluding the kidney, urinary bladder, and urethra. Nephrolithiasis, or kidneys stones, are marked by persistent dull pain or paroxysmal col-icky pain in the lumbar region radiating to the back and lower abdomen. Ureterolithiasis, or ureter stones are marked by paroxysmal severe colicky pain radiating downward along the ureters to the perineum and medial side of the thighs, usually ac-companied by restlessness, nausea, vomiting, and profuse perspiration.
Urinary stones are referred to as " In syndrome—stone type" in traditional Chinese medicine.

[ Impotence ]

Impotence refers to weakness of the penis erect-ing during sexual intercourse. It is characterized by poor erecting or erection that lasts only for sec-onds. For impotence as a main symptom due to sexual neurasthenia or some other chronic dis-eases .
Differentiation and treatment in traditional Chinese medicine can be referred to
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1, Downward Flowing Damp-heat Inability of the penis to erect and wet scrotum with foul smell. It may be accompanied by bitter taste in the mouth, thirst, short scanty urine, soreness in the lower limbs, Greasy tongue coating, and rapid soft pulse.
2. Deficiency of Heart and Spleen
Failure of the penis in erection, weak erection accompanied with palpitation, shortness of breath listlessness, sallow complexion, loss of appetite .There will also be palpitation and insomnia . Pale tongue, thin and weak pulse.
3. Deficiency of Kidney Yang energy
Poor erecting of penis or erection that lasts only for seconds, pallor complexion, cold limbs, dizziness, blurring of vision, poor spirit, soreness in the lumbar region and knee joints, frequent urination. Pale tongue with white coating, and deep thready pulse.

[ Seminal Emission ]

Seminal emission refers to ejaculation in the male without sexual intercourse. Specially, nocturnal emission which happens during dreams in sleep. Spermatorrhea happens when the patient has no dreams during sleep.
For seminal emission caused by prostatitis, neurasthenia, seminal vesiculitis and other diseases in modern medicine.
Differentiation and treatment can be referred to.

1. Hyperactivity of Fire du to Yin Deficiency
Frequent emission, aversion to heat, restlessness, feverish sensation in palms and soles, flushed face, Red of margin and tip of the tongue, thready and rapid pulse.
2. Unconsolidation due to Kidney Deficiency
Frequent seminal emission which takes place in most cases when the patient is dreamless, spermatorrhea, accompanied with lassitude in the loins and legs, dizziness, tinnitus, Pale tongue with white fur, deep and weak pulse.