Symptomatic Diagnosis: Elimination
Tenesmus (sense of incomplete bowel movement)
Constipation
Incontinence of feces
Incontinence of urine
Cloudy urination
Frequent urination
Oliguria, or difficult urination
Seminal fluid in urine
28. Tenesmus
-
Accumulation of damp, heat, and toxic heat
Clinical manifestations
- Tenesmus, diarrhea, abdominal pain, blood and mucus in stool.
- Pus and burning sensation in anus, possible fever
- Yellow scanty urine
- T: Red with yellow coat
- P: Slippery and rapid
Formula
- Dang Gui Shao Yao Tang (Angelica and Peony Decoction)
29. Constipation
-
Yang Ming Heat (Yang Ming Organ=L.I.)
Clinical manifestations
- Fever, constipation, abdominal discomfort,
- dislikes palpation
- feels mass in abdomen
- P: Deep, strong and slow due to stagnation
Treatment Principle
- Purge heat and stagnation
Formula
- Da Cheng Qi Tang (Major Order the Qi Decoction)
-
Qi Stagnation
Clinical manifestations
- Constipation
- depression, easily angered, chest congestion discomfort in hypochondria,
- distention and discomfort in breast, water retention (due to digestive problems,
secondary to the stagnation)
Formula
- Chai Hu Shu Gan Tang (Bupleurum and Cyperus Combination) + lubricative herbs such as Tao Ren (Sm. Persicae) or Huo Ma Ren (Fr. Cannabis).
-
Qi deficiency
Clinical manifestations
- Constipation, sometimes loose
- extreme fatigue especially after a bowel movement
- Weak voice
- possible rectal prolapse
- T: Pale with white coat
- P: Weak
Formula
- Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction)
-
Blood and yin deficiency
Clinical manifestations
- Chronic, old age patients
- Constipation, emaciation, dry skin
- palpitations, pale complexion
- T: Pale, or Red or Narrow
- P: Thready and rapid
Herbs:
- Dang Gui (Rx. Angelicae Sinensis), Sheng Di Huang (Rx. Rehmanniae), Rou Cong Rong (Hb. Cistanches)
Formula
- Wu Ren Wan (Five Seed Pills)
30. Incontinence of Feces (all serious conditions)
-
Accumulation of heat and toxins.
Clinical manifestations
- Blood level heat and toxin
- High fever, delirium
- Semi consciousness, coma, XS diarrhea with pus and blood
- T: Red with yellow coat
- P: Rapid
Treatment Principle
- Clear blood level heat
Formula
- Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction)
-
Spleen, Kidney yang deficiency
Clinical manifestations
- Chronic Diarrhea/dysentery
- Diarrhea with mucus, incontinence of feces
- Fatigue, cold, low back pain,
- T: Pale
- P: Deep, thready, weak
Formula
- Zhen Ren Yang Zang Tang (Immortal’s Decoction to Nourish the Organs)
-
Spleen Qi Sinking (Extreme weak condition)
Clinical manifestations
- Incontinence of feces, rectal prolapse, tired disoriented
- T: Pale
- P: Feeble
Formula
- Shen Fu Tang (Ginseng and Prepared Aconite Decoction)
31. Incontinence of urine
-
Kidney Qi Deficiency
Common among the elderly and those recovering for serious illness.
Clinical Manifestations
- Frequent urination and incontinence, mostly in the evening.
- Kidney qi and/or yang deficiency symptoms
- T: Pale
- P: Deep, weak especially in the kidney positions.
-
Lung and Spleen qi deficiency
The problem begins with Spleen qi sinking and is worsened by the spasmodic action of the abdomen with coughing.
32. Cloudy Urination
-
Accumulation of damp Heat (excess turbid damp, acute)
Clinical Manifestations
- Cloudy urine with white or yellow urine.
- Frequent, burning, urgent, painful urination
- fever, thirst
- T: Red with yellow coat
- P: Wiry and thready
Formula
- Ba Zheng San (Eight Herb Powder for Rectification) + Shi Chang Pu (Rz. Acori Tatarinowii)
- Bei Xie Fen Qing Yin (Dioscorea Hypoglauca Decoction to Separate the Clear)
-
Kidney yin or yang deficiency (deficiency syndrome in which the essence leaks out with the urine)
Clinical Manifestations
- Chronic cloudy urine
- yin deficiency symptoms,
- Scanty yellow urine
- T: Red
- P: Thready and rapid
- or yang deficiency symptoms
- Copious clear urine
- T: Pale
- P: Deep and weak
-
Kidneys are unable to govern the essence in the Kidneys
Treatment principle
- Tonify kidneys
- Astringe essence
Formulas
- For Kidney yin deficiency
- Zhi Bai Di Huang Wan (Anemarrhena, Phellodendron, and Rehmannia Pill) + Pi Xia, Fu Pen Zi (Fr. Rubi), Wu Wei Zi (Fr. Schisandrae), Tu Si Zi (Sm. Cuscutae) (all astringents)
- For Kidney yang deficiency
- You Gui Yin (Restore the Right (Kidney) Decoction) or Wan (pills)+ Fu Pen Zi (Fr. Rubi), Wu Wei Zi (Fr. Schisandrae), Tu Si Zi (Sm. Cuscutae) (all astringents)
33. Frequent Urination in Evening
often found in the elderly
-
Kidney qi deficiency
-
Kidney yang deficiency
Formulas
- Sang Piao Xiao San (Mantis Egg-Case Powder) + You Gui Yin (Restore the Right (Kidney) Decoction)
- for prostate problems: Kai Kit Wan (Pre-made formula)
34. Oliguria, or difficult urination
-
Damp heat
- Clinical Manifestations
- Cloudy yellow urine
- Frequent, burning, urgent, painful urination
- incontinence
Formula
- Ba Zheng San (Eight Herb Powder for Rectification) + Shi Chang Pu (Rz. Acori Tatarinowii)
- Bei Xie Fen Qing Yin (Dioscorea Hypoglauca Decoction to Separate the Clear)
-
Lung qi Stagnation (Lungs unable to descend the water)
Clinical Manifestations
- Cough, dyspnea, chest congestion, constipation
- T: Red
- P: Soft and rapid
-
Zhong qi deficiency (Spleen Qi Sinking)
Clinical Manifestations
- Urination lacking strength, sluggish stream
- fatigue, bearing down sense
- Urine, frequent but small amounts
- Loose stool
- T: Pale
- P: Thready and weak
Formula
- Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction)
-
Kidney qi deficiency
Clinical Manifestations
- difficult urination, sluggish stream, incontinence.
- frequent urination
- Kidney problems in Western medicine.
Treatment Principle
- Tonify Kidney
Formula
- Jin Gui Shen Qi Wan (Kidney Qi Pill from the Golden Cabinet)
-
Stagnation of Urinary Tract (common after abdominal surgery or trauma)
- Sluggish, difficult urination
- Abdominal distention of pain
- T: Purple, possible with raised purple bumps
- P: Choppy
Clinical Manifestations
35. Seminal Fluid in Urine
-
Accumulation of Damp Heat
This section is what the Western world would call a STD, or sexually transmitted disease.
Clinical Manifestations
- Frequent, cloudy, sluggish, burning urine
- White sticky discharge following urination
- Bitter taste in mouth
- Thirst, chest congestion, sluggish BM
- T: Red with Yellow greasy coat
- P: Soft and rapid (if more damp), or Slippery and rapid (if more heat)
Treatment Principle
- Dry damp, clear heat
Formula
- Bei Xie Fen Qing Yin (Dioscorea Hypoglauca Decoction to Separate the Clear)
-
Kidney yin deficiency with empty heat
Clinical Manifestations
- Frequent, cloudy, burning urine
- White or red discharge after urination
- Dizziness, vertigo, insomnia, restlessness
- Tidal fever, yin deficiency symptoms
- T: Red with dry coat
- P: Thready and rapid
Treatment Principle
- Tonify yin and jing
Formula
- Zhi Bai Di Huang Wan (Anemarrhena, Phellodendron, and Rehmannia Pill) + astringents such as Tu Si Zi (Sm. Cuscutae), Jin Ying Zi (Fr. Rosae Laevigatae), Wu Wei Zi (Fr. Schisandrae).
-
Kidney qi or yang deficiency (very weak people, not an STD)
Clinical Manifestations
- Frequent, copious, clear urine
- seminal fluid discharge following urination
- Premature ejaculation, impotence, nocturnal emissions.
- T: Pale
- P: Deep and weak
Formula
- You Gui Yin (Restore the Right (Kidney) Decoction) plus astringents
Last modified: August 26, 2009 
Tags: Diagnosis, Formulas В· Posted in: Symptomatic Diagnosis
