L.I.-11 Quchi and KI-2 Rangu to clear Heat and cool Blood.KI-6 Zhaohai and Ren-4 Guanyuan to nourish Kidney-Yin and soothe
the throat.LU-7 Lieque and KI-6 Zhaohai in combination to open the Directing
vessel which will move Qi in the Lower Burner, nourish Kidney-Yin
and soothe the throat.BL-63 Jinmen and LIV-6 Zhongdu, both Accumulation points, to stop
pain and remove obstructions from the channels.This patient was treated for 3 months at fortnightly intervals. There was
a very marked improvement in her condition after 6 treatments and she
continued to receive treatment every 3 months to maintain the
improvement and continue nourishing Kidney-Yin.Case History 20.6
Painful-Urination Syndrome: Stagnation of Liver-Qi-Male, Age 35
A 35-year-old man had been suffering from painful urination for 1 year. Before and during
micturition he had a stinging pain which extended to the tip of the penis. He also had a feeling of
distension in the hypogastrium and a tingling in the left big toe. A week before his urinary
problem started, he had sciatica with pain at the back of the left leg. Two years before the
consultation he had suffered from depression for which he took antidepressants. His tongue was
slightly Red on the sides and had a yellow coating on the root. His pulse was slightly Rapid,
Wiry on the left side, more so on the left-Rear position which was also Tight.
Diagnosis This is a combination of Qi and Heat Painful-Urination Syndromes with
predominance of the former. The symptoms of the former are the pain
before micturition extending to the penis, the feeling of distension of the
hypogastrium, the tingling of the left big toe (Liver channel) and the
Wiry pulse. Symptoms of Heat Painful-Urination Syndrome are the pain
during micturition, the yellow coating on the root of the tongue, and the
Wiry-Tight pulse on the left-Rear position indicating Heat in the
Bladder. Normally the Tight pulse quality indicates Cold, but when it is
combined with a Wiry quality and the pulse is Rapid, it can indicate
Heat in an organ.
Treatment principle The principle of treatment adopted was to pacify the Liver, eliminate
stagnation and clear Bladder-Heat. This patient was treated only with
acupuncture.
Acupuncture The points used (with even method) were selected from the following: