Clinical Manifestations
  • Often asymptomatic
  • Flank pain and colic
  • Nausea
  • Vomiting
  • Abdominal distention
  • Hematuria
  • Chills
  • Fever
  • Bladder irritability
Treatment Principle
Herb Formulas
Clinical Manifestations
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Cold extremities
  • Abdominal distention
  • Thirst
  • Sweat
  • Anxiety
  • Stifling sensation of Heat in the chest
  • Restlessness
  • Disturbed speech
  • Gastric disturbances:
    Severe diarrhea
  • Dark, scanty urine
  • Maybe loss of consciousness
  • Maybe convulsions
  • T: Red tip and edges or Dark red and dry
  • C: Greasy white or yellow
  • P: Rapid and soft or Flooding and rapid or Thready and rapid or Slippery and rapid
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
  • Open the Orifices
Herb Formulas
Clinical Manifestations
  • Vague pain in the lower abdomen involving the low back
  • Pain radiates down into the testicle
  • Abdominal distention
  • Borborygmus
  • Relief after passing wind
  • Hernia pain in the scrotum
  • T: Pale
  • C: Thin and white
  • P: Deep and wiry or Wiry and tight
Treatment Principle
  • Move Qi
  • Expel knotting
Herb Formulas
Clinical Manifestations
  • Somewhat red, choppy urination
  • Dribbling and dripping that does not stop
  • Soreness or pain and weakness of the waist, low back and knees
  • Dizziness
  • Tinnitus
  • Frequent, clear urination
  • Recurrent attacks which tend to be brought on by over-taxation
  • Maybe fine sand or stones in the urine
  • Maybe slightly painful urination with a hollow, empty sensation of pain
  • Pain is better with pressure
  • Pain is worse with exertion or taxation
  • Fatigue
  • Lassitude
  • Weakness
  • Abdominal distention
  • Loose stools
  • T: Pale
  • C: Thin and white
  • P: Submerged and frail or Thready and weak
Treatment Principle
  • Strengthen the Spleen
  • Boost the Kidneys
  • Tonify Qi
  • Disperse stones
Herb Formulas
  • GB-25, ST-36, UB-23
    For occasional low back pain radiating to the lower abdomen and/or genitalia: + REN-4
    With sand or small stones: + electro acupuncture UB-25 - UB-28
    For severe Spleen Qi Deficiency: + SP-3
    For severe Kidney Qi Deficiency: + KI-3
    With Stomach and abdominal distention, flatulence, a poor appetite and nausea: + PC-6, SP-4
Clinical Manifestations
  • Low back and knees weak, sore and painful
  • Dripping and dribbling, unsmooth urination
  • Maybe sand or stones in the urine
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Red lips
  • Dizziness
  • Dry mouth
  • Parched throat
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Throat dry and painful
  • Five Sole Heat
  • Low-grade tidal fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Men:
  • Women:
    Irregular menses or
    Scanty menses or
    Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid or Deep, thready and rapid
Treatment Principle
  • Nourish and reinforce the Liver and Kidneys
  • Clear Heat
  • Disperse stones
Herb Formulas
Clinical Manifestations
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Fatigue
  • Weakness
  • Pale face
  • Urinary frequency with abundant, clear or turbid urine or
  • Oliguria with edema
  • Possible terminal dribbling and/or slight pain
  • Maybe occasional discharge of sand or stones
  • 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
  • Unblock the channels
  • Disperse stones
Herb Formulas
  • Moxa or moxa needle GB-25, KI-3, REN-4, UB-23
    For occasional low back pain radiating to the lower abdomen and/or genitalia: + KI-5
    For frequent, urgent, difficult urination: + SP-6
    With sand or small stones: + electro acupuncture UB-24 - UB-28
    With Spleen Qi Deficiency: + ST-36
    With severe Kidney Yin Deficiency: + KI-7
  • Moxa or moxa needle DU-4, KI-3, REN-4, UB-23
Clinical Manifestations
  • Urinary frequency
  • Urinary urgency
  • Painful urination or
  • Continuous dripping of urine or
  • Sudden interruption to the urinary stream
  • Turbid urine or
  • Bladder:
    Obstruction of the flow
  • Kidney:
    Slightly bloody urine
    Enlarged Kidney
  • Ureter:
    Slightly bloody urine
  • Urethra:
    Pain in the penis
  • Sand and stones in the urine
  • In Damp-Heat Pouring Downward there may also be:
    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 or Normal
  • C: Yellow or Yellow and sticky
  • P: Slippery and rapid or Deep and wiry or Rolling
Treatment Principle
  • Clear Heat
  • Eliminate Dampness by diuresis
  • Eliminate stones
Herb Formulas
Clinical Manifestations
  • Sharp, stabbing rough pain during urination without burning
  • Decreased urination or
  • Interrupted urination or
  • Constant urination or
  • Anuria
  • Lower abdominal fullness
  • Fixed, stabbing lower abdominal pain which may radiate to the genitals
  • Maybe hematuria
  • Palpable masses which may or may not be painful
  • Purple urine with blood clots
  • Dark or purplish spider naevi or broken vessels on the trunk , around the inner ankle and inner knee
  • Dark, ashen, sallow or purplish facial complexion
  • Dark or purplish lips and conjunctiva
  • Dark rings under the eyes
  • T: Dark purple or with brown or purplish echymosis spots and/or dark and distended sublingual veins
  • C: Thin
  • P: Slow and choppy or Thin or Deep and choppy or Thready and choppy
Treatment Principle
  • Relieve Stasis
  • Shrink the tumor
  • Promote urination
  • Warm Yang
Herb Formulas
  • Shao Fu Zhu Yu Tang modified
    With Blood Deficiency: + Dang Gui Jian Zhong Tang
  • Chinese Patent Medicines:
    Yun Nan Bai Yao to be taken along with Qi Li San
    Sheng Tian Qi Pian

    Yan Hu Suo Zhi Tong Pian
    Fu Ke Wan Jin Wan
Clinical Manifestations
  • Cold pain in the lower back and body
  • Sciatica
  • Copious urination
  • Extreme heavy sensation in the lower back
  • Absence of thirst
  • T: Pale
  • C: White
  • P: Deep, thready and moderate
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Dispel Cold
  • Eliminate Dampness
Herb Formulas
Clinical Manifestations
  • Choppy, stagnant urination which dribbles and drips uneasily
  • Blood clots or dark red Blood in the urine
  • Lower abdominal distention and pain or
  • Lancinating pain
  • Possible excruciatingly severe low back pain
  • T: Normal or Dark purplish with dark macules or spots
  • C: Normal
  • P: Deep, wiry and maybe choppy
Treatment Principle
  • Move Qi
  • Invigorate the Blood
  • Unblock the channels
  • Expel stones
Herb Formulas
  • GB-25, KI-2, UB-23, UB-39
    With extreme low back pain, radiating to the lower abdomen and/or genitalia: + strongly manipulate KI-5 for 30 minutes, then replace it with Yaotong #2
    With marked urinary tract infection due to Damp-Heat: + REN-3
    With less pain and more urinary symptoms: - KI-2, UB-39 + REN-3, UB-28
    After the crisis, if small stones or sand remain: - KI-2, UB-39 + ST-36
Clinical Manifestations
  • Frequent, urgent, painful urination
  • The lower back feels hot either to the patient or practitioner
  • Extreme pain in the low back possibly radiating to the lower abdomen and genitalia
  • Pain in the knees
  • The pain is aggravated by Heat, humid or rainy weather and is not improved by rest
  • Aches and pains in the bones and sinews
  • Weakness or atrophy of lower extremities
  • Scanty yellow or yellow-red or turbid urine
  • Choppy, stagnant unsmooth urination or
  • Dribbling urination with stops and starts or
  • Urination with pus, blood and sand or stones
  • Red, hot, swollen and painful feet or knees
  • Edema in lower legs
  • Leukorrhea (thick, yellow, foul-smelling)
  • Sores on lower extremities due to Damp
  • Redness, swelling and pain of the knees with burning sensations
  • Oliguria
  • Eczema
  • Irritability
  • Feverishness
  • Thirst
  • Fever and chills
  • A bitter taste in the mouth
  • Nausea and vomiting
  • Possible constipation
  • T: Normal
  • C: Yellow and greasy
  • P: Soft and rapid or Slippery and rapid
Treatment Principle
  • Clear Damp-Heat from the Lower Jiao
  • Ease the tendons
  • Stop pain
Herb Formulas
  • Ba Zheng San  modified
  • Er Miao San modified
  • With yellow, turbid, foul-smelling urine, a bitter taste in the mouth, Heart vexation, a quick temper and a wiry, slippery, rapid pulse: Long Dan Xie Gan Tang  modified
  • With Heat toxins entering the Blood and spreading throughout the San Jiao (emergency): Huang Lian Jie Du Tang + Wu Wei Xiao Du Yin modified
  • Chinese Patent Medicines:
    Qian Jin Zhi Dai Wan
    Yu Dai Wan
    Shi Lin Tong Pian
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