Main symptoms and signs: Frequent and urgent urination, burning pain of urethra, bearing-down distension of lower abdomen, chills, fever, bitter taste, sticky mouth, thirst without the desire for drink, red tongue with yellowish and greasy fur, slippery and rapid pulse and purple superficial venule of index fingers.
Therapeutic methods: Clearing away heat, removing toxin and inducing diuresis to treat stranguria.
Prescription and drugs: The prescription used is the modified Bazheng Powder composed of 15 g of Bianxu (Herba Polygoni Avicularis), 10 g of Qumai (Herba Dianthi), 10 g of Zhizi (Fructus Gardeniae), 3 g of Mutong (Caulis Clematidis Armandii), 12 g of Huashi (Talcum) (to be wrapped), 10 g of Cheqianzi (Semen Plantaginis) (to be wrapped), 6 g of Gancaoshao (Radix Glycyrrhizae), 6 g of Danzhuye (Herba Lophatheri) and 10 g of Shengdihuang (Radix Rehmanniae).
Modification: For the patients with fever and chills, 8 g of Chaihu ( Radix Bupleuri) and 10 g of Huangqin (Radix Scutellariae) are added; for the patients with nausea and vomiting, 6 g of Zhuru (Caulis Bambusae in Taeniam) and 6 g of Huoxiang (Herba Agastachis) are added.
2. Qi deficiency of the spleen and kidney
Main symptoms and signs: Longer course of disease, unsmooth and painful urination, lassitude, short breath without the desire for speaking, poor appetite, cold body, aversion to cold, loose stools, pale tongue with whitish and thin fur, deep and thready pulse without force, and light red superficial venule of index fingers.
Therapeutic methods: Strengthening the spleen and tonifying the kidney assisted by eliminating dampness.
Prescription and drugs: The prescription used is the modified Sijunzi Decoction (Decoction of Four Noble Drugs) in combination with Jisheng Shenqi Pill composed of 10 g of Dangshen (Radix Codonopsis Pilosulae), 10 g of Baizhu (Rhizoma Atractylodis Macrocephalae), 10 g of Fuling (Poria), 3 g of Gancao (Radix Glycyrrhizae), 10 g of Shengdihuang (Radix Rehmanniae), 10 g of Shanzhuyu (Fructus Corni), 10 g of Cheqianzi (Semen Plantaginis) (to be wrapped), 10 g of Shanyao (Rhizo- ma Dioscoreae) and 8 g of Niuxi (Radix Achyranthis Bidentatae).
3. Deficiency of the kidney yin
Main symptoms and signs: Frequent and scanty urine, low fever, night sweat, dry throat and lips, poor sleep, restlessness, dizziness, tinnitus, red tongue with a little or no fur, thready and rapid pulse, dark red superficial venule of index finger.
Therapeutic methods Nourishing yin and tonifying the kidney.
Prescription and drugs: The prescription used is the modified Zhibai Dihuang Pill (Pill of Anemarrhena, Phellodendron and Rehmannia) composed of 10 g of Mudanpi (Cortex Me, tan Radicis), 10 g of Fuling (Poria), 8 g of Zexie (Rhizoma Alismatis), 10 g of Shanyao (Rhizoma Dioscoreae), 10 g of Shengdihuang (Radix Rehmanniae), 8 g of Zhimu (Rhizoma Anemarrhenae) and 6 g of Huangbai (Cortex Phellodendri).
Modification: For the patients with asthenic fire impairing collaterals accompanied by hematuria, 10 g of Baimaogen (Rhizoma Imperatae), 10 g of Qiancao (Radix Rubiae) and 10 g of Yimucao (Herba Leonuri) are added; for the patients with unsmooth and frequent urination and turbid urine, 10 g of Cheqianzi (Semen Plantaginis) and 10 g of Shiwei ( Folium Pyrrosiae) accordingly are included.
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source: http://www.tcmadvisory.com/
