Treatment of frequent urination, urgent and pain urination and
by Traditional Chinese Medicine
Many people have had an experience of various levels of frequent
urination, urgent urination, and pain during urination,
especially in women. The real reasons for such irritable bladder
syndrome could be due to the urine tract, urine bladder, kidney;
to uterus, vagina, ovary or to the any disease in the pelvic
cavity. It can also be due to the press from enlarged uterus
during a pregnancy. For elderly women, it can also be simply a
urine leakage. In male, the most reasons for the irritable urine
bladder syndrome could be due to improper and too frequent sex
activity or to enlarged prostate, or prostatitis.
Traditional Chinese Medicine (TCM) works very well for the
release of such irritable bladder syndrome. We normally use
either Chinese herbal therapy, or acupuncture, or both the same
time. However, Chinese medicine doctor needs to make a Chinese
medicine diagnosis for each patient, so as to decide the proper
her bal formula to use and proper way of acupuncture to apply.
It does not mean that every person with an irritable urine
bladder syndrome would get the same herbal tea or same way of
acupuncture for the treatment. Chinese medicine works according
to the TCM diagnosis, not to the conventional medicine
To make the TCM diagnosis, we pay more attention to if the
irritable urine bladder syndrome is an acute problem or a
chronic problem; to if the person have only the irritable
bladder syndrome as the only symptoms or the syndrome is a part
of a whole body symptoms.
If the irritable bladder syndrome is due to an acute cystitis,
and if the patient has even blood in urine, we normally use
herbal formula Ba Zheng San, or Xiao Ji Yin Zi, or Liu Yi San,
or Ma Xing Shi Gan Tang.
If the patient has frequent urine, urgent urine, bloating
feeling in the lower stomach area after urination, and if the
person usually feels tired very easily, or has hot feeling in
the body but likes to drink warm water, we use Bu Zhong Yi Qi
If the person with the irritable bladder syndrome has also
apparent dry in mouth and throat, feels very thirsty, we may use
herbal formula Wu Ling San, Zhu Ling Tang, or Ba Zheng Sang. We
need further more distinguishing diagnosis to make more specific
choice for these herbal formula.
If at the same time the patient has also reduced sex desire or
sexual ability, has impotency, premature ejaculation, or
nocturnal emission, feels easy to have tired, loss of hair,
lower spirit, we use Gui Zhi Long Gu Mu Li Tang. If such patient
has had previous history of scared, and is easy to feel scared
especially upon sexual activity, feels pressure and tightness on
the chest, short of breath, heavy feeling in the body, we use
Chai Hu Long Gu Mu Li Tang.
If people has such irritable bladder syndrome, and also anxiety,
irritability, stress, frustrated, poor sleep, hot feeling in the
urine, we may use Qing Xin Lian Zi Yin, Si Ni San, Mei He Si Ni
San, or Gui Qi Si Ni San. If the person feels more cold and
tired, we may use Si Ni San Sheng San.
If the patient’s face is red in color, feels hot in the face and
bloating feeling in the lower stomach, he or she might need the
treatment by herbal formula Wu Ji San. If patient feels cold in
the body, dry in mouth lips, dry and hot in the hands and feet,
we may need to use Wen Jing Tang.
If the problem is mostly a urine
leakage, we use Jin Kui Shen Qi Wan, or Gua Lu Ju Mai Wan, or
Huang Qi Gui Zhi Wu Wo Tang plus herb Sheng Ma.
If the problem is mostly the pain
in the urine tract or vagina, we use Gan Cao Xie Xin Tang or
Shao Yao Gan Cao Tang.
herbal formula above are the basic formula we normally use for
the treatment of irritable urine bladder syndrome. If the reason
already known is stone, add herb Hu Po in these formula; if
there is bleeding in the urine, add Qian Cao; if the urine is
harsh, no-smooth, add Hua Shi.
is information only, for which herbal formula we may consider to
use. For each given patient, our TCM doctor need to know more
detail about the history of the irritable bladder syndrome, the
feeling of the patient for his/her diet, sleeping, hot or cold
feeling in the body, emotion, sexual ability, etc. By this way,
the TCM doctor would be able to decide more specific herbal
formula to use.
应该知道，有些病人的膀胱刺激症状是由于多次腹腔手术损伤，或膀胱手术损伤后形成的疤痕组织， 或长期的子宫内膜异位症形成的疤痕组织的牵拉所导致。这些情况下，中医也很难有好办法。所以，中医也不是万能的。要避免这种情况，就需要在选择西医手术治疗某些疾病的时候多考虑可能的手术后遗症，不要压下葫芦飘起瓢，手术治好一种病却导致另外一种难以解决的疾病 –这是常见的医源性疾病的原因之一。
should know that, the irritable bladder syndrome of some
patients is due to the scar tissue that is again due to a
surgical operation in the abdomen, in urine bladder, or due to a
chronic endometriosis. In such case, it is also hard for Chinese
medicine to solve the syndrome. To avoid such consequence, we
need to consider carefully whenever the conventional medicine
suggests a surgical operation, especially a repeated surgical
operation to a patient. We should not solve the current problem
but create a new problem that is more difficult to be solved
time, people will drink more, even much more, water with the
hope to let the more water drink to produce more urine to clean
the urine tract. If you have tried so, you in deed had more
urine, but the irritable bladder syndrome remains no change, it
means this way does not work. You should stop to do so and
remember to tell your TCM doctor (no use to tell your
conventional medicine doctor). It means that your problem is not
caused by less drink of water, but because the water
distribution in not even in the body. Your TCM doctors know how
to solve it.
People with the irritable urine bladder syndrome should
definitely have a break from heavy labor or mental work, and
from any more sexual activity. If you feel thirsty, you should
drink, if you do not feel thirsty, you should not push yourself
to drink more water. Extra water may cause new trouble inside
the body. Nothing should be too much or too less in the body,
including vitamins, minerals, water and oxygen.
Beside the herbal therapy, we normally also use acupuncture the
same time for our clients in our clinic. By this way, it starts
to work much faster and much better to solve the irritable
The commonly used
acupuncture points are Yin Jiao, Qi Hai, Guan Yuan, Da Zhui,
Pang Guang Shu, Shen Shu, Tai Xi, Zhao Hai, San Yin Jiao, Yin
ling Quan, etc. Acupuncture needs to be down once every day or
once every two days, depending on the severity of the problem.
Each acupuncturist may choose different acupuncture points or
use different way to manipulate the needles, but, generally
speaking, acupuncture works. In most cases, acupuncture needs
one to two months. Some people may think that this is too long
time for the treatment and may cost some amount of money. If you
give one to two months for your conventional medicine to try and
if it does not work, would you accept the idea of one to two
months given to the acupuncturists to try?
对于长期的,慢性的膀胱刺激症, 如果病人体弱怕冷, 小腹不适, 我们也会用艾灸疗法.艾灸就是将草药点燃, 用点燃后的温热刺激针灸穴位. 艾灸分直接灸和间接灸两大类. 直接灸就是在皮肤上放上一片生姜或切薄大蒜片, 再放上艾炷, 点燃, 让热直接穿过姜片或蒜片接触皮肤. 间接灸就是将一根长长的艾条点燃, 对准穴位烤, 但艾炷不接触皮肤. 艾灸对于虚寒性的疾病疗效很好.
For long term and chronic
irritable bladder syndrome, and if the patient feel cold in the
lower abdomen, and the body constitution is weak, we also use
moxibustion therapy. It is to burn a pile or a column of herbal
leaves (make as cotton like). Allow the warm from the burning
herbs to stimulate the acupuncture for healing. Moxibusion can
be direct or indirect moxibustion. Direct moxibustion means to
put a thin layer of ginger or garlic on to the skin first, then
put a pyramid-shaped herb cotton on the ginger or garlic. Burn
the herb pile. Indirect moxibustion means to burn a long roll of
herb cotton. Allow the warm from the burning roll towards the
acupuncture point. The burning herbal roll does not touch the
skin. Moxibustion works well for weak-cold condition.