PYELONEPHRITIS, PYELITIS

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Severe chills
  • Mild or no fever
  • Headache
  • Generalized discomfort
  • Stiff neck and shoulders
  • Body aches
  • Joint ache
  • Nausea
  • Vomiting
  • Hiccups
  • Anhidrosis
  • Gasping
  • Stabbing joint pain
  • Itchy throat
  • Cough
  • Asthma
  • Aversion to Wind and Cold
  • Maybe low back pain
  • Maybe frozen shoulder
  • Maybe dyspnea
  • Maybe epistaxis (severe)
  • T: Normal
  • C: Thin and white
  • P: Floating and tight
Treatment Principle
  • Relieve the Exterior
  • Expel Cold
  • Disperse the Lungs
  • Stop asthma
Herb Formulas
Points
Clinical Manifestations
  • Chills and fever
  • Achiness
  • Stiff neck and shoulders
  • Anhidrosis
  • Headache
  • Stabbing joint pain
  • Itchy throat
  • Cough
  • Asthma
  • Aversion to Cold
  • Maybe frozen shoulder
  • * The Tai Yang symptoms remain for 2-3 days
  • Thirst with no desire to drink
  • May have vomiting immediately after drinking
  • Difficult urination
  • May have upper body edema
  • T: Normal
  • C: White
  • P: Floating and slippery
Treatment Principle
  • Promote urination
  • Dispel Dampness
  • Expel Wind
Herb Formulas
Points
Clinical Manifestations
  • Cough
  • Asthma
  • Shortness of breath which is worse when lying down
  • Abdominal distention with water retention
  • Edema in the lower extremities
  • Facial edema
  • T: White bubbles
  • C: Thick, greasy and white
  • P: Thready
Treatment Principle
  • Regulate the Lungs
  • Purge Yin
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Restlessness
  • Irritability
  • Anorexia
  • Sometimes fatigue
  • Nausea
  • Occasional vomiting
  • Headaches (side of head)
  • Hypochondriac pain
  • Rib pain
  • Achiness
  • Ear infection
  • Hearing difficulty
  • Red eyes
  • Stiff shoulders
  • Throat pain
  • Hip pain
  • T: Normal with bumps or dots on side
  • C: Thin white
  • P: Wiry
Treatment Principle
  • Harmonize the Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Thirst
  • A bitter taste in the mouth
  • Anorexia
  • Edema
  • Vomiting and diarrhea with water intake
  • Dysuria
  • Fullness and oppression in the chest and hypochondrium
  • Diarrhea
  • T: Pink
  • C: White
  • P: Superficial and wiry
Treatment Principle
  • Harmonize the Exterior and the Interior
  • Relieve the Shao Yang
  • Dispel Water Accumulation
  • Resolve Phlegm Accumulation
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Unblock the bowels
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Urinary difficulty
  • Thirst with a desire to drink
  • Fever worse at night
  • Cough
  • Nausea/vomiting
  • Irritability
  • Insomnia
  • Restlessness
  • Diarrhea
  • Anxiety
  • Edema
  • Lower abdominal distention and pain
  • Maybe hematuria
  • Painful urination with Yin Deficiency
  • Urinary dribbling
  • Decreased urination
  • Dry skin
  • Sunken eyes
  • Dry throat and/or mouth
  • Chronic sore throat (not acute)
  • Restlessness
  • Malar flush
  • Insomnia
  • Disturbed speech
  • Low grade fever, worse in afternoon
  • Yellow urine
  • Irritability with a sensation of Heat in the chest
  • Palpitations with anxiety
  • Sores in the mouth or on the tongue
  • More Heat than in Yin Deficiency (chronic low grade fever)
  • T: Red or Dark red and dry
  • C: None or Thin and yellow
  • P: Deep, thready and rapid or Thready and rapid or forceful and rapid
Treatment Principle
  • Promote urination
  • Clear Heat
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • Generalized body aches and pains
  • Irritability
  • Heavy sensation in the shoulder and back
  • Discomfort or a constricted sensation in the area of the chest and diaphragm
  • Multiple sores, carbuncles furuncles or abscesses
  • Redness
  • Itching
  • Persistent swelling
  • Chest pain
  • Fever
  • Thirst
  • Aching and painful extremities
  • Aching and painful joints
  • Unbearable swelling and pain of the lower extremities
  • Shoulder stiffness
  • T: Normal
  • C: Greasy and slightly yellow
  • P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle
  • Resolve Dampness
  • Clear Heat
  • Disperse Wind
  • Stop pain
  • Invigorate the Blood
  • Tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Profuse sweat
  • Generalized weakness
  • Severe chills
  • Aversion to Heat
  • Sore throat
  • Productive cough
  • Red face
  • Severe thirst with a strong desire to drink
  • Irritability
  • Anxiety
  • Pruritis
  • Headache
  • Toothache
  • Gum bleeding
  • Epistaxis
  • Dry lips
  • Dry tongue
  • Dry mouth
  • May be sensitive to Cold in the upper back
  • Polyuria
  • Delusions
  • Eye congestion
  • Burning sensation on the skin
  • Abdominal fullness without resistance
  • Dry, course skin
  • May be heavy labored breathing
  • Delirious speech (serious cases)
  • T: Red tip and sides
  • C: Yellow, dry or white
  • P:Flooding and forceful or Large and forceless or Slippery and rapid
Treatment Principle
  • Clear Qi Stage Heat
  • Drain Stomach Fire
  • Generate Fluids
  • Alleviate thirst
  • Transform Phlegm
  • Disseminate Lung Qi
  • Relieve coughing
Herb Formulas
Points
Clinical Manifestations
  • Edema in limbs, especially lower limbs
  • Maybe anasarca
  • Maybe abdominal distention
  • Loose stools
  • Physical and mental fatigue
  • T: Pale
  • C: White and moist
  • P: Soft and even
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Benefit Qi
  • Move water
Herb Formulas
Points
Clinical Manifestations
  • Burning, painful, concentrated, urgent and frequent urination
  • A red complexion
  • Mouth and tongue ulcers, particularly on the tip of the tongue
  • Thirst with a desire for cold drinks
  • A sensation of Heat in the chest
  • Irritability
  • Restlessness
  • Agitation
  • Anxiety
  • Palpitations
  • Insomnia
  • Dream-disturbed sleep
  • T: Red with a redder tip, may have ulcers on the tip
  • C: Dry and yellow
  • P: Rapid and big, especially in the distal position
Treatment Principle
  • Clear Heat from the Heart
  • Promote urination
Herb Formulas
  • Dao Chi San modified
  • With hematuria: Xiao Ji Yin Zi  modified
    Chinese patent medicines:
    Te Xiao Pai Shi Wan
    Long Dan Xie Gan Wan
    Qian Lie Xian Wan
    Chuan Xin Lian
    Kang Yan Pian
    Yun Nan Bai Yao
    (should be take along with any of the above formulas)
Points
Clinical Manifestations
  • Restlessness
  • Irritability
  • Thirst
  • Nocturnal emission
  • Insomnia
  • Dream disturbed sleep
  • Lack of spirit
  • Fatigue
  • Low back pain
  • Tinnitus
  • Dysuria
  • Depression
  • Turbid urine
  • Abnormal uterine bleeding
  • Polyuria
  • Enuresis
  • Seminal emission
  • Leukorrhea
  • Blood tinged leukorrhea
  • Anorexia
  • Dry mouth
  • Dry Tongue
  • Five Sole Heat
  • Fever
  • Physical and mental overexertion
  • T: Red
  • C: Little or None
  • P: Deep and rapid
Treatment Principle
  • Clear Heart Fire
  • Disperse Damp-Heat
  • Benefit Qi and Yin
  • Promote urination
Herb Formulas
Points

Clinical Manifestations
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Dizziness
  • Nausea
  • Vomiting
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of Breath
  • T: Normal
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry
Treatment Principle
  • Warm and Dissolve Tan Yin
Herb Formulas
Points
Clinical Manifestations
  • Burning, painful, concentrated, urgent and/or frequent urination
  • Extreme irritability
  • Angry outbursts
  • Dizziness
  • Tinnitus
  • Bloodshot, painful eyes
  • Temporal headache
  • Thirst
  • A dry throat
  • Constipation
  • Hypochondriac, tension, discomfort and pain
  • Ulcerations
  • A tendency toward herpes genitalia
  • Eczema on the groin and genitals
  • T: Red or Red edges
  • C; Thick yellow and dry
  • P: Wiry, rapid and strong
Treatment Principle
  • Drain Liver Fire
  • Promote urination
Herb Formulas
  • Chinese Patent Medicines:
    Long Dan Xie Gan Wan
    Qian Lie Xian Wan

    Chuan Xin Lian Kang Yan Pian
    Te Xiao Pai Shi Wan
    With hematuria: Yun Nan Bai Yao (take along with any of the above formulas)
Points
Clinical Manifestations
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • 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
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five Sole Heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Heightened libido
  • 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 Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea
  • Irregular menstruation
  • Hot flashes
  • Dizziness
  • Tinnitus
  • Night sweats
  • Perspiration
  • Nervousness
  • Muscular flaccidity
  • Fatigue
  • Mood swings
  • Cold feet
  • Lassitude
  • Frequent, clear urine
  • Irritability
  • Headache
  • Palpitations
  • Insomnia
  • T: Pale
  • C: Thin and white
  • P: Thready and rapid
Treatment Principle
  • Replenish Kidney Yin and Yang
  • Tonify Kidney Jing
  • Purge Deficiency Fire
  • Regulate the Chong and Ren
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
  • In Damp-Heat Pouring Downward there may also be:
    Fever
    Thirst
    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
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Eliminate Dampness by diuresis
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Cough which may be productive or non-productive
  • Dyspnea
  • Night sweats
  • Hemoptysis
  • Sore throat
  • Throat sores
  • Facial flushing
  • Constipation
  • A dry mouth and throat
  • Wheezing
  • Steaming bones
  • Hoarseness
  • Thirst
  • T: Red, dry and cracked
  • C: Little or None
  • P: Thready and rapid or Thready, rapid and weak
Treatment Principle
  • Nourish Yin
  • Descend Fire
  • Tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal distention and pain (usually on right)
  • Pain increases on pressure with rebound tenderness
  • Guarding of the abdominal musculature
  • Groin pain resembling urinary dysfunction without urinary difficulty
  • Groin pain relieved by flexing hip and knee
  • Groin pain intensified by extending hip
  • Perspiration
  • Irregular or intermittent fever followed by chills and perspiration
  • May be mass in lower right quadrant of abdomen
  • Aversion to Cold
  • Hard lumps
  • T: Pink
  • C: Thin, white or yellow and greasy
  • P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
  • Invigorate the Blood
  • Disperse nodules
  • Reduce swelling
Herb Formulas
Points
Clinical Manifestations
  • Generalized yellowing
  • Aversion to Cold
  • Fever
  • Anhidrosis
  • Body aches
  • Aversion to Wind
  • Thirst
  • Nasal congestion
  • Sore throat
  • Edema
  • Constipation
  • Sneezing with clear watery nasal discharge
  • Itchy throat
  • Irritability
  • A stifling sensation in the chest
  • Heat in the joints with pain and swelling
  • Itching
  • Dysuria
  • Expectoration of yellow Phlegm
  • Dark, scanty urination or bloody urination
  • T: Red
  • C: Yellow
  • P: Floating or Slippery and rapid
Treatment Principle
  • Resolve the Exterior
  • Dissipate Toxins
  • Clear Heat
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • Chills
  • Afternoon fever
  • Heavy sensation in the body
  • Generalized pain
  • Pale yellow (sallow) complexion
  • Stifling sensation in chest
  • Loss of appetite
  • Feverishness and pain of the body
  • Fatigue
  • Lack of thirst or thirst with no desire to drink
  • Chest and abdominal fullness
  • Maybe aversion to Cold
  • Nausea
  • Heaviness of the head
  • T: Normal
  • C: White or Greasy and white
  • P: Wiry, thin and soggy or soft or Superficial and soft
Treatment Principle
  • Spread Qi
  • Facilitate Qi
  • Clear Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • Profuse vaginal discharge that is white or pale-yellow
  • The discharge is thin in consistency, not foul smelling and usually continuous
  • Fatigue
  • Lethargy
  • A shiny, pale complexion
  • Loose stools
  • Diarrhea
  • T: Pale
  • C: White
  • P: Soggy and frail or Moderate or Slow or Soft and floating
Treatment Principle
  • Tonify the Spleen
  • Tonify the Middle Jiao
  • Disperse Liver Qi Stagnation
  • Transform Dampness
  • Stop vaginal discharge
Herb Formulas
Points
Clinical Manifestations
  • Heaviness
  • Swollen extremities
  • Pain in the extremities
  • Sluggish urination
  • Aversion to Cold
  • Fever
  • Anhidrosis
  • Cough
  • Asthma with Phlegm
  • T: Swollen
  • C: Greasy and white
  • P: Tight and wiry
Treatment Principle
  • Warm Yang
  • Benefit water
  • Dispel exogenous pathogens
Herb Formulas
Points
Clinical Manifestations
  • More Heat symptoms than Damp symptoms
  • Thicker Fluid
  • Feverish
  • Chest discomfort
  • Cough
  • Nausea
  • Vomiting
  • T: Normal
  • C: Greasy and white or Greasy and yellow
  • P: Slippery and maybe rapid
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • Afternoon fever
  • Tremors
  • Excruciating abdominal pain with cold
  • Black stool
  • May be chills and fever
  • Hemoptysis
  • Hematuria
  • Red eyes
  • Pain and distention of the head
  • Toothache
  • Irregular menstruation
  • Lochioschesis
  • Severe wheezing
  • Distention of the chest
  • T: Red and dry
  • C: Yellow
  • P: Deep and forceful or Choppy
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Painful urination
  • Difficult, scanty urination
  • Heavy headache
  • Thirst with no desire to drink
  • Oliguria
  • Maybe constipation
  • Lower abdominal fullness and distention
  • Dizziness
  • Maybe urolithiasis
  • T: Normal or Red
  • C: White or Yellow
  • P: Soft and maybe rapid
Treatment Principle
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Dizziness
  • Nausea
  • Vomiting
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of Breath
  • T: Normal
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry
Treatment Principle
  • Warm and Dissolve Tan Yin
Herb Formulas
Points
Clinical Manifestations
  • Heaviness
  • Swollen extremities
  • Pain in the extremities
  • Pitting edema
  • Chest edema
  • Hypochondriac edema
  • Sluggish urination
  • Aversion to Cold
  • Fever
  • Anhidrosis
  • Cough
  • Asthma with Phlegm
  • T: Swollen
  • C: Greasy and white
  • P: Tight and wiry
Treatment Principle
  • Warm Yang
  • Benefit water
  • Dispel exogenous pathogens
Herb Formulas
Points
Clinical Manifestations
  • Cough
  • Asthma
  • Shortness of breath which is worse when lying down
  • Abdominal distention with water retention
  • Edema in the lower extremities
  • Facial edema
  • T: White bubbles
  • C: Thick, greasy and white
  • P: Thready
Treatment Principle
  • Regulate the Lungs
  • Purge Yin
Herb Formulas
Points