POLYURIA(FREQUENT URINATION, OVERACTIVE BLADDER)

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Curls up a lot
  • Doesn't like to talk
  • Tired (disoriented)
  • No spirit
  • Dull Shen
  • Cold extremities
  • Diarrhea or loose stools or undigested food
  • Clear, frequent urine
  • Maybe nausea (wants to vomit but can't)
  • No thirst
  • Likes warm drinks
  • Severe edema in chest
  • T: Pale
  • C: White
  • P: Sinking and weak
Treatment Principle
  • Restore Yang
  • Reverse inward energy
  • Expel Cold
Herb Formulas
Points
Clinical Manifestations
  • Frequent, copious, clear urine or
  • Incontinence or enuresis
  • Worse with exertion and fatigue or when sneezing or coughing
  • Protracted, incessant cough or
  • Cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Soft, low voice or
  • Reluctance to speak
  • Asthma
  • Pale complexion and lips
  • Mild edema of the eyelids or fingers which is worse in the morning
  • Facial edema
  • Dizziness
  • Chest oppression
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Cold body
  • Fatigue
  • Lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Severe cases:
    Frightens easily
  • T: Pale
  • C: White
  • P: Weak or Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Aid ascent of Yang
  • Warm and transform Phlegm-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Constipation
  • Difficulty in passing stools
  • Dull pains and cold sensations in abdomen
  • Preference for warmth; dislike of Cold
  • Cold hands and feet
  • Abundant clear urine
  • T: Pale
  • C: Thick, white and moist
  • P: Deep and slow
Treatment Principle
  • Warm the Cold
  • Relieve constipation
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Frequent, clear urination
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Frequent, dark colored urination
  • Dry, hard stools
  • Maybe abdominal fullness
  • T: Dry
  • C: Dry and yellow
  • P: Excess
Treatment Principle
  • Moisten the Intestines
  • Drain Heat
  • Circulate Qi
  • Free the bowels
Herb Formulas
Points
Clinical Manifestations
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Abdominal pain and fullness after meals
  • Nausea
  • Vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Weakness
  • Sallow or pale, dull complexion
  • Frequent urination
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Frequent urination
  • Frequent nocturia
  • Copious amounts of clear urine
  • A lusterless complexion
  • Torpid intake
  • Abdominal distention
  • A tendency to loose stools
  • A sticky feeling in the mouth
  • A bland taste in the mouth
  • Incontinence of urine
  • Enuresis
  • Either a tendency towards being too hot of too cold
  • Shortness of breath
  • No thirst or thirst with no desire to drink
  • Asthma
  • Cold limbs
  • Low back soreness and pain
  • Weak back and knees
  • T: Pale with teethmarks
  • C: White
  • P: Deep, weak and possibly tight
Treatment Principle
  • Strengthen the Spleen
  • Tonify the Kidneys
Herb Formulas
Points
  • REN-4, SP-6, SP-9, UB-23
    For a stronger effect: + KI-7
    For severe edema and cold low back pain: + moxa DU-4
    For severe edema and cold low back pain and hematuria: + moxa DU-4, Xuechou
    For Heart palpitations and rapid panting: + LU-7, PC-6, REN-23
    For severe edema in the limbs: + ST-28
    For severe edema in the abdomen: + REN-9
Clinical Manifestations
  • Body cold
  • Limbs icy
  • Complexion white and shiny or withered, yellow
  • Lassitude
  • Lack of strength
  • Anorexia
  • Dizziness
  • Tinnitus
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Aversion to Cold
  • Edema of face and limbs
  • Edema of the body
  • A sticky sensation in the mouth
  • A bland taste in the mouth
  • Frequent, clear nighttime urination or
  • Scanty urination
  • Dysuria
  • Severe:
    Abdominal ascites
  • T: Pale, tender, moist and swollen maybe with teethmarks
  • C: Thin and white or White and greasy
  • P: Deep and weak or Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness and distention
  • No desire for food and drink
  • Frequent belching
  • Borborygmus
  • Loss of sensation of taste
  • Stools not solid
  • Urine clear and abundant
  • T: Pale
  • C: Thin and white
  • P: Weak and Deficient
Treatment Principle
  • Strengthen Qi
  • Invigorate the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Much dreaming
  • Easily startled
  • Frequent dark, scanty urine
  • Severe cases:
    Incoherent speech
    Crying and laughing without reason
    Manic agitation with irrational behavior
    May physically attack or abuse others
  • T: Red tip
  • C: Yellow and greasy
  • P: Slippery, Excess, rapid and maybe wiry
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Vague lower abdominal pain
  • Feelings of cold and heaviness
  • Fond of warmth and pressure
  • Abdominal fullness intermittently
  • Borborygmus
  • Unformed, loose stools or
  • Chronic, incessant diarrhea
  • Urinary frequency
  • T: Pale
  • C: Thin and white
  • P: Deep and even
Treatment Principle
  • Warm and Clear the Small Intestine
Herb Formulas
Points
Clinical Manifestations
  • Urinary frequency that is initiated by stress or emotional upset
  • Urination feels incomplete or hesitant
  • Fullness in the lower abdomen
  • Tightness or fullness in the chest
  • Difficulty getting a satisfying breath
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Hypochondriac discomfort or tightness
  • Dizziness
  • Occasional fatigue, better with exercise
  • Abdominal distention
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Menstrual lower abdominal distention and pain
  • Breast distention and pain before and during menses
  • Premenstrual syndrome
  • Flatulence
  • Alternating diarrhea and constipation
  • T: Pink or Dark and slightly enlarged
  • C: Thin and white or White and slimy
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
  • Resolve Dampness
  • Disinhibit urination
Herb Formulas
  • Chai Hu Shu Gan Tangmodified
  • Xiao Yao Sanmodified
  • Chinese patent medicines:
    Chen Xiang Hua Qi Wan
    Shu Gan Wan
    Ma Xing Shun Qi Wan

    Xiao Yao Wan
    Long Dan Xie Gan Wan
Points
Clinical Manifestations
  • Frequent, scanty, yellow urine
  • Maybe with a sense of Heat or irritation
  • Later stage: Maybe incontinence
  • Dizziness
  • Vertigo
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back and knees
  • Steaming bones
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the leg and heel
  • Dry mouth and throat
  • Thirst
  • Nightsweats
  • Five sole Heat
  • Malar flush
  • Facial flushing
  • Red lips
  • Low grade fever in the afternoon
  • Restlessness
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Heightened libido
  • Vexation
  • If Heart Fire also Flares:
    Insomnia
    Frequent dreams
    Palpitations
  • If Liver Yang also Rises:
    Dizziness
    Blurred vision
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Kidney Yin
  • Clear Deficiency Heat
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea
  • Irregular menstruation
  • Hot flashes
  • Dizziness
  • Tinnitus
  • Night sweats
  • Perspiration
  • Nervousness
  • Muscular flaccidity
  • Fatigue
  • Cold feet
  • Lassitude
  • Frequent, clear urine
  • Irritability
  • Headache
  • Palpitations
  • Insomnia
  • Mood swings
  • T: Pale
  • C: Thin and white
  • P: Thready and rapid
Treatment Principle
  • Replenish Kidney Yin and Yang
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Low back and knees feel cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale or waxy pale complexion
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Maybe incontinence
  • The urge to urinate may increase with exposure to Cold
  • The urge to urinate is worse with prolonged standing and lifting
  • Lower abdominal distention
  • Lassitude
  • Listlessness
  • Fatigue
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools or
  • Constipation
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen or Pale, moist and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow or Slow and weak
Treatment Principle
  • Warm and Reinforce Kidney Yang
  • Astringe fluids
Herb Formulas
Points
Clinical Manifestations
  • Low back and knees aching and weak
  • Hearing deficit
  • Jing Gate Not Consolidated:
    Spermatorrhea
    Premature ejaculation
    Vaginal discharge
    Infertility
  • Urinary disorder:
    Frequent, clear, abundant urination
    Dribbling after urination
    Incontinence of urine
  • T: Pale and swollen with teethmarks
  • C: Thin white
  • P: Deep and thready
Treatment Principle
  • Consolidate the Kidneys
  • Conserve Qi
Herb Formulas
Points
Clinical Manifestations
  • Frequent urination
  • Copious amounts of clear urine
  • Incontinence of urine
  • Enuresis
  • Nocturia
  • Either a tendency towards being too hot of too cold
  • A bright white facial complexion
  • Dizziness
  • Shortness of breath
  • Asthma
  • Aversion to Cold
  • Cold limbs
  • Edema in the lower limbs
  • Lassitude
  • Lower back and knees weak and painful
  • Lingering tinnitus or deafness
  • Seminal emission
  • Impotence
  • Sterility
  • Fatigue
  • Lack of strength
  • Maybe anorexia
  • Maybe loose stools
  • T: Pale
  • C: White
  • P: Deep, weak and possibly tight or Thready and weak or Deep, weak and slow or Deep, thready and weak
Treatment Principle
  • Tonify Kidney Qi
  • Warm Kidney Yang
  • Nourish Jing and Blood
Herb Formulas
Points
Clinical Manifestations
  • Frequent urination
  • Hair loss
  • Pale facial complexion
  • Cold limbs
  • Aversion to Cold
  • Dizziness
  • Tinnitus
  • Weak and sore low back and knees
  • Cold sensation in the glans penis
  • Loose teeth
  • Spontaneous emissions
  • Nocturnal emissions
  • T: Pale red with fissures
  • C: Little or none
  • P: Deep, thready and forceless
Treatment Principle
  • Enrich the Liver
  • Boost the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Dribbling urination
  • Enuresis
  • Frequent, long clear urination
  • Fatigue
  • Lassitude
  • Upper and lower back pain and aching
  • Cold limbs
  • T: Pale
  • C: White
  • P: Deep and thready
Treatment Principle
  • Warm the Kidneys
  • Secure the Bladder
Herb Formulas
Points
Clinical Manifestations
  • Urinary frequency
  • Urinary urgency
  • Painful urination or
  • Continuous dripping of urine or
  • Sudden interruption to the urinary stream
  • Turbid urine or
  • Pus and blood in the urine or
  • Sand and stones in the urine
  • If there is incontinence, the urine may be scanty, dark and strong smelling
  • There may be suprapubic fullness and discomfort
  • Fullness and discomfort in the chest and diaphragm
  • Anorexia
  • Nausea
  • Bitter taste in the mouth
  • A tendency to constipation or
  • Alternating loose and sluggish stools
  • Chronic cases:
    Burning and pain may be mild or absent or
    Maybe a sense of urethral irritation or
    A of feeling of constantly needing to urinate
  • In Damp-Heat Pouring Downward there may also be:
    Fever
    Thirst with little desire to drink
    A sticky, dry mouth
    Low back pain
  • In Damp-Heat Crystallizes in Urinary Bladder there may also be:
    Colicky pain in the low back, possibly radiating to the groin
  • T: Red
  • C: Yellow and slimy
  • P: Slippery and rapid or Soft and rapid
Treatment Principle
  • Clear Heat
  • Eliminate Dampness by diuresis
Herb Formulas
Points
Clinical Manifestations
  • A lusterless facial complexion
  • Fatigue
  • A generalized lack of strength
  • Shortness of breath on exertion
  • Low back and knee soreness and limpness
  • Torpid intake
  • A dry and/or sticky mouth
  • Little or no desire to drink water
  • The taste of urine in the mouth
  • Dry, bound stools
  • Scanty, yellow urine during the day
  • Profuse, clear urine at night
  • Five-sole Heat
  • T: Pale with teethmarks
  • C: Thin and white or Little or None
  • P: Thready
Treatment Principle
  • Tonify the Spleen
  • Augment Qi
  • Supplement the Kidneys
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • Postpartum emaciation and weakness
  • Persistent, tight abdominal pain
  • Abdominal pain with spasms or radiates to back and waist
  • Cannot eat
  • Shortness of breath
  • Dyspnea
  • Pale face
  • Intermittent spasmodic abdominal pain which is better with Heat and pressure
  • Epigastric pain
  • Lusterless complexion
  • Fidgeting
  • Reduced appetite
  • Maybe low-grade fever
  • Palpitations
  • Irritability
  • Cold and sore extremities
  • Nonspecific discomfort
  • Dry mouth and throat
  • Nocturnal emission
  • Five sole Heat
  • Debilitated constitution in children
  • Enuresis in children
  • Insomnia
  • Fatigue
  • Anemia
  • Bleeding
  • Abdominal weakness
  • Epistaxis
  • Habitual constipation
  • Maybe warm extremities
  • Night sweats
  • Tired limbs
  • Frequent urination
  • Night crying
  • Diarrhea in children
  • Habitual headache in children
  • Hernia pain in children
  • Chronic constipation
  • Purpura
  • Asthma
  • T: Pale
  • C: White
  • P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle
  • Warm and tonifies the Spleen and Stomach
  • Relieve spasmodic pain
Herb Formulas
Points
Clinical Manifestations
  • Frequent, painful urination
  • Purple, dark-colored turbid urine
  • Lower abdominal distention and pain
  • Pain worse with pressure
  • T: Dark with Stasis spots or maculae
  • C: Thin and white
  • P: Choppy
Treatment Principle
  • Invigorate the Blood
  • Transform Stasis
  • Disinhibit urine
Herb Formulas
Points
Clinical Manifestations
  • Oliguria or
  • Polyuria
  • Abdominal pain
  • Constipation
  • Hypochondriac pain
  • Chills
  • Low-grade fever
  • Cold hands and feet
  • Intolerance of Cold
  • Pain in the armpits
  • Unilateral pain in the abdomen and hypochondrium
  • Stiffness and spasms beside and below the umbilicus
  • Pain in the waist and legs
  • T: Normal
  • C: Greasy and white
  • P: Deep, tight and wiry
Treatment Principle
  • Warm the Interior
  • Disperse Cold
  • Alleviate pain
Herb Formulas
Points