Jin Gui Shen Qi Wan and Wu Ling San
(Golden Chest Kidney-Qi Pill and Five "Ling" Powder)
Explanation
These two formulae, already explained in this chapter, tonify and warm Kidney-Yang and
resolve Dampness.
Patent Remedy
Te Xiao Pai Shi Wan
(Especially-Effective Discharging Stones Pill)
Explanation
This pill, already mentioned above, is specific to drain Damp-Heat and either expel or dissolve
urinary stones.
The tongue presentation appropriate to this remedy is a sticky-yellow coating and red spots on
the root.
Prognosis
The successful expulsion of stones depends on the location, shape and size of the stone, the
timing of treatment and the body condition.
Location
Generally, the higher the stone the more difficult it is to expel. If the stone is in the upper ureter
and there is hydronephrosis (swelling of the kidney), it will be difficult to expel. If it is in the
middle-lower ureter or bladder it will be easier to expel.
Shape and Size
If the stone is rounded it will be easier to expel even if it is big, but not if it is larger than 1 cm. If
the stone is irregularly shaped it will be difficult to expel even if it is small.
If the stone moves downwards, which can be gauged by the movement of the pain, and then
impacts in the ureter blocking it, there will be severe pain. In this case add KI-7 Fuliu and KI-3
Taixi manipulated with vigorous reducing method to change the position of the stone.