Retention of Urine
Retention of urine is a disease manifested by difficult urination , distending
pain in the lower abdomen and even blockage of urine . The mild case refers to
difficulty in urination and dripping of urine , while the severe case to failure
in urination with distension and feeling of urgency .
This disease results from dysfunction of qi in the bladder . As said in
Internal Classics : The bladder is in charge of storing liquid . Normal
urination suggests the qi is in function . Its dysfunction causes retention of
urine .
Etiology and Pathogenesis
Heat accumulates in the bladder , or heat of the kidney shifts to the
bladder . Accumulation of heat in the bladder impedes the qi function and leads
to retention of urine .
The kidney and the bladder are exteriorly - interiorly related . The function
of the bladder depends upon the warming function of the kidney yang . In case
of weakness of the kidney yang and decline of Mingmen fire , the bladder may be
too weak to discharge the urine .
Traumatic injury or surgical operation hindering the qi of the meridians or
damaging the zang organs , causes retention of urine too .
Differentiation
Accumulation of heat in the bladder :
Main manifestations : Scanty hot urine or retention of urine , distension
and fullness of the lower abdomen , thirst but without desire to drink ,
constipation , red tongue with yellow coating , rapid pulse .
Analysis : In case of accumulation of heat in the bladder , scanty hot
urine or retention of urine appears . When water and heat combined together ,
impair the function of the bladder , distension and fullness of the lower
abdomen occur . Since the body fluid fails to be normally distributed , thirst
results but there is no desire to drink . Red tongue with yellow coating ,
rapid pulse , or constipation are due to accumulation of heat in the lower
jiao .
Decline of Mingmen fire :
Main manifestations : Dribbling urination , attenuating in force of the
urine discharge , pallor , listlessness , chilliness below the lumbus , weakness
of the loins and knees , pale tongue , deep , thready pulse weak at the chi
region .
Analysis : Dribbling urination , attenuating in force of the urine
discharge is due to deficiency of the kidney yang which affects the
transmitting function . Pallor , listlessness and pale tongue are due to
decline of the Mingmen fire and failure of qi in reaching the bladder .
Damage of the qi of the meridian :
Main manifestations : Dribbling urination or retention of urine ,
distension and dull pain in the lower abdomen , purplish spots on the
tongue , hesitant , rapid pulse .
Analysis : After a traumatic injury or surgical operation on the lower
abdomen , the qi of the Bladder Meridian is damaged and blood stasis
occurs , so there appear dribbling urination , retention of urine ,
distension and pain in the lower abdomen . Purplish spots on the tongue ,
hesitant , rapid pulse are the signs of blood stasis .
Treatment
Accumulation of heat in the bladder :
Method : The Back - ( Shu ) points and Front - ( Mu ) points are selected as the
principal points . Reducing method is applied to remove heat and promote
diuresis .
Prescription : Pangguangshu ( B 28 ) , Zhongji ( Ren 3 ) , Sanyinjiao ( Sp 6 ) ,
Weiyang ( B 39 ) .
Explanation : Pangguangshu ( B 28 ) , the Back - ( Shu ) point of the bladder ,
and Zhongji ( Ren 3 ) , the Front - ( Mu ) point of the bladder , are needled to
reduce heat from the bladder and adjust its function . Sanyinjiao ( Sp 6 ) may
dispel heat from the lower jiao . Weiyang ( B 39 ) , the Lower He - ( Sea ) point of
sanjiao , promotes the circulation of water . These points , used together ,
reduce heat and promote diuresis .
Decline of the Mingmen Fire :
Method : The points relating to the Kidney Meridian are selected as the
principal points . Reinforcing or moxi - bustion is applied to warm the kidney
yang .
Prescription : Mingmen ( Du 4 ) , Shenshu ( B 23 ) , Baihui ( Du 20 ) , Guanyuan ( Ren
4 ) , Yangchi ( S J 4 ) .
Explanation : In case of deficiency of the kidney qi and decline of the
Mingmen fire , the kidney qi should be reinforced , ?^ Mingmen ( Du 4 ) and
Shenshu ( B 23 ) are needled to reinforce the kidney yang . Moxibustion to
Baihui ( Du 20 ) and Gua - nyuan ( Ren 4 ) is to invigorate the kidney qi .
Urination will be free in smooth qi circulation . Since deficiency of the
kidney qi makes sanjiao fail to promote the circulation of water , Yangchi ( S
J 4 ) , the Yuan - ( Primary ) point of sanjiao , is needled to strengthen the
function of sanjiao and promote circulation of water .
Damage of the qi in the meridian :
Method : The Front - ( Mu ) point of the bladder is selected as the principal
point . Even movement is applied to promote circulation of the qi in the
meridian and restore the function of the bladder .
Prescription : Zhongji ( Ren 3 ) , Sanyinjiao ( Sp 6 ) , Shuidao ( S 28 ) ,
Shuiquan ( K 5 ) .
Explanation : A traumatic injury or surgical operation can injure the
blood vessels and impede the activity of the bladder , thus urodialysis
appears . Zhongji ( Ren 3 ) , the Front - ( Mu ) point of the bladder , is needled to
adjust the function of the bladder and promote urination . Sanyinjiao ( Sp 6 )
may promote the circulation of blood and qi in the meridian . Shuiquan ( K 5 ) ,
the Xi - ( Cleft ) point of the Kidney Meridian of Foot - Shaoyin , combined with
Shuidao ( S 28 ) , may promote urination , and relieve distension and pain .
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