following:HE-8 Shaofu and S.I.-2 Qiangu to clear Heart-Fire and Small-Intestine
Heat. HE-8 also calms the Mind.SP-9 Yinlingquan to drain Damp-Heat and open the water passages.Ren-3 Zhongji, Front-Collecting point of the Bladder, to clear
Bladder-Heat and open the water passages.BL-63 Jinmen, Accumulation point of the Bladder, to clear
Bladder-Heat, moderate urgency and stop pain.This patient's problem was cleared after 6 treatments, but she continued
to receive treatment, at longer intervals, for a further 6 months to deal
with her sadness and grief following the death of her father.Case History 20.2
Painful-Urination Syndrome: Bladder Damp-Heat-Male, Age 51
A 51-year-old man had been suffering from painful micturition for 18 months. His urination was
frequent and there was intense burning during micturition; the urine was dark and there were
traces of blood. Just a few days before he came for the consultation, a carcinoma of the bladder
had been diagnosed. Apart from the above symptoms, he also experienced a pronounced feeling
of heat and thirst and he was often constipated. His tongue was Reddish-Purple with a
thick-yellow and sticky coating all over, but thicker on the root. His pulse was very Full,
Slippery and Wiry.
Diagnosis This is a clear example of Heat Painful-Urination Syndrome with
Damp-Heat in the Bladder and Fire in general. There was also some
stasis of Blood as shown by the Purple colour of the tongue: the
carcinoma of the bladder evidently is of Blood-stasis type.
Treatment principle My treatment was combined and coordinated with the treatment he was
receiving from the hospital. This consisted in administration of the BCG
vaccine which provokes a shedding of the bladder's mucosa. At the time
of consultation he had not yet started this treatment and my treatment
principle was therefore to drain Fire, resolve Damp-Heat, move Blood
and soften hardness.
Herbal treatment The formula used was a variation of Ba Zheng Tang Eight Corrections
Decoction:
Che Qian Zi Semen Plantaginis 9 g
Bian Xu Herba Polygoni avicularis 6 g
Da Huang Rhizoma Rhei 6 g