SP-6 Sanyinjiao to pacify the Liver.KI-3 Taixi and BL-23 Shenshu to tonify the Kidneys.This patient's condition was cleared in 8 treatments as this type of
Painful-Urination Syndrome usually responds very quickly to treatment.
She continued to receive occasional treatment after that to treat the
underlying Kidney deficiency.Case History 20.5
Painful-Urination Syndrome: Stagnation of Liver-Qi-Female, Age 70
A 70-year-old woman had been suffering from painful urination for 2 years. She experienced
pain before or during urination and also had pain and distension over the hypogastrium. The
micturition was sometimes "reluctant" and the urine was rather dark. All urine and blood tests
had proven negative. One year before her consultation she had had an acute episode of urinary
retention and had to go to hospital for catheterization. She also suffered from lower backache,
and a sore and "tired throat" which was also dry at night. Her tongue was Dark-Red, dry with
some cracks and the root had red spots and yellow coating. Her pulse was Deep and Wiry,
particularly so on the left-Rear position.
Diagnosis This is a combination of two types of Painful-Urination Syndrome: Qi
(of the Excess variety) and Heat Painful-Urination Syndrome against a
background of Kidney-Yin deficiency. The symptoms of Qi
Painful-Urination Syndrome are pain before urination, pain and
distension of the hypogastrium and a Wiry pulse. The symptoms of Heat
Painful-Urination Syndrome, in this case Damp-Heat, are pain during
micturition, slight retention of urine (from Dampness obstructing the
Water passages) and a yellow coating and red spots on the root of the
tongue. The symptoms of Kidney-Yin deficiency are a dry throat at
night, backache and a Red, dry and cracked tongue.
Treatment principle This patient was treated only with acupuncture. The principle of
treatment adopted was to clear Bladder-Heat, resolve Dampness, move
Qi, eliminate stagnation and nourish Kidney-Yin.
Acupuncture The main points used, using reinforcing method to nourish Kidney-Yin
and even method to clear Damp-Heat and move Qi, were chosen from
the following:
SP-9 Yinlingquan and SP-6 Sanyinjiao to resolve Damp-Heat from the
urinary passages.LIV-5 Ligou and LIV-3 Taichong to move Qi and eliminate stagnation
from the urinary passages.