Ze Xie Rhizoma Alismatis orientalis
Mu Tong Caulis Akebiae
Che Qian Zi Semen Plantaginis
Sheng Di Huang Radix Rehmanniae glutinosae
Dang Gui Radix Angelicae sinensis
Chai Hu Radix Bupleuri
Gan Cao Radix Glycyrrhizae uralensisExplanation
This pill drains Liver-Fire in the Upper and Lower Burners. It is suitable to treat Heat
Painful-Urination Syndrome deriving from Liver-Fire.
The tongue presentation appropriate to this remedy is a Red body, with redder sides and a
sticky-yellow coating and red spots on the root.
Case History 20.1
Painful-Urination Syndrome: Heart-Fire-Female, Age 30
A 30-year-old woman had been suffering from what had been diagnosed as recurring cystitis.
During the attacks her micturition was very frequent and scanty, with a burning pain during
urination. The urine was darker than normal. She had been prescribed antibiotics which helped
for a while but then the attacks returned. She had lost her father the year before and felt very sad.
Her tongue was slightly Red, with a markedly redder tip with red points, and the root had a
yellow coating with red spots (Plate 20.1(424)). Her pulse was slightly Rapid, slightly Wiry on
the left-Rear position and slightly Overflowing in the left-Front position.
Diagnosis This is a case of Heat Painful-Urination Syndrome from Heart-Fire
affecting the Small Intestine and, from this organ, infusing down to the
Bladder. Heart-Fire is evident from the red tip of the tongue with red
points and the Overflowing pulse on the Heart position. The condition
of Heart-Fire obviously developed from the sadness and grief following
her father's death as although these two emotions dissolve Qi, they can
also lead to stagnation of Qi in the chest and, in the long run, stagnant
Qi can implode to cause Heart-Fire. The Heat in the Bladder is very
evident from the burning on urination, the dark urine and the red spots
and yellow coating on the root of the tongue.
Treatment principle The treatment principle adopted was to clear Heart-Fire, calm the Mind,
clear Bladder Heat, resolve Dampness, moderate urgency and stop pain.
She was treated only with acupuncture.
Acupuncture The main points used, with reducing method, were selected from the