2 Dysuria caused by English reference gas sequence [Xiangya Medical Dictionary]
Conclusion Qi stagnation is the name of disease syndrome, that is, qi stranguria [1]. Treatise on Febrile Diseases Volume 49: "Kidney deficiency bladder is affected by lung heat. ..... also called Qi. "
Syndrome of stranguria is alienated by qi [2], and qi stranguria [3] is the name of the disease [4]. See the Pulse Sutra, Volume 8. One of the showers. It is also famous [4]. Refers to stranguria, small abdominal distension, painful urination and endless urine [3][2].
4 Reasons for Qi Stagnation "On the Etiology of Gonorrhea in Various Diseases": "Qi stranguria, kidney deficiency, bladder fever, flatulence."
"Summary of Shengji": "Kidney deficiency can't make urine, and bladder heat can make the waterway astringent. Kidney deficiency and bladder fever can lead to intra-cellular flatulence, small abdominal distension and fullness, resulting in stranguria. It is also a matter of waiting for happiness and less urine. "
5 Symptoms of qi stagnation Patients with qi stagnation have excessive urine volume [4]. It can be seen that micturition is weak, micturition is difficult and painful, residual fluid is endless after micturition, abdominal swelling, pale complexion, pale tongue and weak pulse [3][5].
Deficiency of kidney qi is more common in the elderly, with difficulty in urination and endless drainage; Due to qi stagnation, urinary obstruction, abdominal pain [6].
Empirical patients: dysuria, less abdominal pain, thin white fur and heavy pulse [7][8].
Patients with deficiency syndrome: abdominal distension, weak urine, pale face, pale tongue and weak pulse [7][8].
Syndrome analysis: Qi deficiency of spleen and kidney, poor lower energizer: less abdomen is the place where the liver meridian of foot-jueyin runs, the liver is depressed and qi is stagnant, and bladder gasification is unfavorable, so urination is unfavorable, and abdominal pain is caused. A heavy pulse is a sign of liver depression. This is an empirical study of gas shower. If the disease lasts for a long time, or if you use products that relieve exterior symptoms by bitter cold, it will hurt the middle qi, and the qi deficiency will sink, and you will see the abdomen swelling. If the qi deficiency cannot be absorbed, you will urinate more. Face? Pale and white tongue and weak and thin pulse are all symptoms of qi and blood deficiency. This is a syndrome of deficiency of qi drenching. [7][8][5]
7 Treatment of Qi Stagnation Syndrome 7. 1 Prescription Treatment 7. 1. 1 Patients treated with Qi Stagnation Syndrome should benefit from the dredging of Qi in the case of excess syndrome, and should replenish middle energizer in the case of deficiency syndrome [7].
7. 1.2 Prescription can be used to treat qi stagnation [Remarks] Aquilaria Resinatum Powder (Golden Chamber I): Aquilaria Resinatum, Pyrrosia, Talcum, Angelica sinensis, Pericarpium Citri Tangerinae, Radix Paeoniae Alba, Semen Vaccariae, Glycyrrhrizae Radix and Semen Vaccariae, and the prescription contains Aquilaria Resinatum and Pericarpium Citri Tangerinae for invigorating qi; Angelica sinensis and Radix Paeoniae Alba soften the liver; Licorice clears away heat; Pyrrosia, talc, Malva seed and Vaccaria seed are used for diuresis and stranguria. For those with chest distress and hypochondriac fullness, Pericarpium Citri Reticulatae Viride, Linderae and Foeniculum vulgare can be added to dredge liver qi; Carthami Flos, Radix Paeoniae Rubra and Radix Cyathulae can be added to promote blood circulation and remove blood stasis for a long time. Buzhong Yiqi Decoction for Deficiency Syndrome [Remarks] Buzhong Yiqi Decoction (selected from Spleen and Stomach Theory (ten kinds of medical books in Li Dongyuan) (selected from ten kinds of medical books in Li Dongyuan)): Ginseng, Astragalus, Atractylodis Macrocephala, Glycyrrhiza uralensis, Angelica sinensis, Pericarpium Citri Tangerinae, Cimicifuga rhizome and Bupleurum root are used to tonify the middle qi. If blood deficiency and kidney deficiency exist at the same time, it can be treated with Bazhen Decoction [Remarks]: Ginseng, Atractylodes macrocephala, Poria, Glycyrrhiza, Angelica, Radix Paeoniae Alba, Chuanxiong, Radix Rehmanniae Preparata, Ginger, Jujube, Poria, Eucommia ulmoides, Lycium barbarum and Achyranthes bidentata can invigorate qi and nourish blood, and nourish spleen and kidney. [7]
7. 1.3 the second main prescription: Sean powder (especially "synopsis of the golden chamber" in synopsis of the golden chamber), plus or minus prescriptions: tangerine peel 10g, angelica sinensis, white peony root 12g, pyrrosia 15g, cowherb seed and licorice. Decoct with water. For those who suffer from qi deficiency for a long time, can't absorb it, and have excessive urination, Buzhong Yiqi Decoction is used to add and subtract.
7. 1.4 The prescription of "three qi periods" should clear away heat and replenish qi, and add and subtract Aquilaria Resinatum powder (the wings of the golden chamber: Aquilaria Resinatum, Pyrrosia, Talcum, Angelica sinensis, Pericarpium Citri Tangerinae, Radix Paeoniae Alba, Malvaceae, Glycyrrhiza uralensis and Vaccaria Vaccariae). There are qi stagnation and qi deficiency and weakness. In patients with qi stagnation, the urine is astringent and painful, and the fullness under the umbilicus is particularly severe. The prescriptions used are Sean Powder, Qumai Decoction and Shiwei Powder. For patients with qi deficiency, abdominal swelling and weak urination often lead to endless discharge. Use Buzhong Yiqi Decoction or Bazhen Decoction plus Eucommia ulmoides Oliv. And Achyranthes bidentata. [4]
7. 1.5 Buzhong Yiqi Pill, each time 10g, three times a day. Used for patients with chronic diseases and qi deficiency.
7.2 Dietotherapy 7.2. 1 Treating patients with qi stagnation should strengthen the spleen and tonify the kidney and facilitate urination [5].
7.2.2 It is recommended that patients with food stagnation should eat Radix Codonopsis, Rhizoma Polygonati, Radix Astragali, Pericarpium Citri Tangerinae, Fructus Foeniculi, Fructus Lycii, Mulberry, Rhizoma Dioscoreae, Herba Plantaginis and Coicis Semen [5].
7.2.3 Recommended dietotherapy prescription [5]
1. Huangzao decoction: Polygonatum sibiricum15-30g, Pericarpium Citri Reticulatae 15g, 6-8 Chinese dates, Codonopsis pilosula 15g, and 50g of Chinese waxgourd peel. Boil the above food in a pot for more than 30 minutes, and the decocted juice can be eaten.
2. Ginseng jujube tea: Codonopsis pilosula 10g, 5 jujubes, soaked in water instead of tea.
7.3 Acupuncture Treatment 7.3. 1 Prescription 1 [8]
Treatment: excess syndrome should be supplemented with qi and dredge, and deficiency syndrome should be supplemented with qi.
Acupoint selection: the bladder meridian of Foot Taiyang is the main point. Take bladder meridian, middle pole and rank side meridian.
Acupoint matching: For those with excess syndrome, Ganshu, Qimen and intermittent rescue should be added. For patients with deficiency syndrome, Guanyuan, Zusanli and Pishu should be pricked.
Acupuncture and moxibustion: needles are used to tonify deficiency and stop diarrhea; Or the excess syndrome can lead to diarrhea, and the deficiency syndrome can supplement it.
7.3.2 Prescription 2 mainly selects bladder meridian Shu, Zhongwan, Yinlingquan, Zhongzhong and Taixi [6]. Ganshu and Taichong are also used for patients with stranguria and qi stagnation [6].
7.4 Moxibustion Therapy [9]
Acupoints: bladder meridian, Taichong, Yinlingquan, Qihai and Pishu.
Moxibustion method: Moxibustion with moxa sticks is mild, each point 15 minutes, until the local face is warm, 1 time a day, 1 time is 1 course of treatment, and it will be consolidated after recovery1course of treatment.
About stranguria (stranguria [3][2]) is the name of the disease [6][ 10]. It refers to a disease characterized by frequent urination, endless dripping, astringent pain in urethra, abdominal tightness and low back pain [3][2]. Also known as leaching [6].
The main cause of stranguria is damp-heat in bladder, and the disease is located in kidney and bladder. At first, there were many evidences, but after a long illness, it turned from excess to deficiency, and it could also present syndromes of excess and deficiency. There are two kinds of clinical symptoms, one is caused by bladder gasification disorder; One is the special symptoms of various gonorrhea syndromes. The former is the basis for diagnosing gonorrhea syndromes, and the latter is the characteristic for distinguishing different gonorrhea syndromes. Diseases that should be differentiated from stranguria include stranguria, hematuria and turbid urine. [7]
According to the different etiology, pathogenesis and symptoms, stranguria can be divided into six types: heat stranguria, stranguria, gas stranguria, blood stranguria, ointment stranguria and stranguria. In syndrome differentiation, we should not only distinguish the characteristics of different gonorrhea syndromes, but also examine the deficiency and excess of syndromes. It is true that the early onset of damp-heat accumulation leads to the loss of bladder gasification function, so the treatment should be based on clearing heat, promoting diuresis and treating stranguria, supplemented by promoting qi circulation. Spleen and kidney deficiency due to long-term illness and insufficient bladder gasification should be supplemented. Those who are mixed with excess and deficiency should treat both the symptoms and root causes. According to the characteristics of each stranguria syndrome, it can be used to stop bleeding, remove stones or drain turbidity. Acupuncture can quickly relieve pain in the acute stage of this disease. For middle and lower urinary calculi, acupuncture has a better effect of removing stones, while for upper urinary calculi, renal pelvis and calyx calculi, comprehensive treatment should be taken. If gonorrhea is complicated with serious infection, renal function is damaged, or it is found that the stones are large and acupuncture is difficult to work, other treatments are used. Those who are drenched with ointment and stranguria should be matched with traditional Chinese medicine for invigorating qi and nourishing blood. [8][7]
There is a certain relationship between various gonorrhea syndromes, which is manifested in the outcome. First, there is mutual transformation between different gonorrhea syndromes and the same gonorrhea syndrome itself. The second is the mutual transformation between various gonorrhea syndromes. You can also see two kinds of stranguria or excess and deficiency at the same time. Understanding this change has practical guiding significance for clinic. [7]
Some diseases in modern medicine, such as urinary tract infection, calculus, tuberculosis, acute and chronic prostatitis, chyluria and so on. There are symptoms similar to gonorrhea, which can be treated with reference to gonorrhea [6].
Please refer to the article on gonorrhea for details.
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