↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Burning or stinging pain during urination; dark yellow or cloudy urine; a strong urge with scanty output; lower abdominal fullness; thirst with little desire to drink.
Tongue: Red, yellow greasy coat. Pulse: Slippery and rapid.
Treatment principle: Clears Heat and drains Fire, promotes urination and clears Damp-Heat from the Lower Burner.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Bladder slide.
Clinical manifestations: A weak, dribbling stream with incomplete emptying; frequent urination especially at night; clear, copious urine; cold lower back and knees; general fatigue and low spirits.
Tongue: Pale, puffy, tender, teeth-marked, wet white coat. Pulse: Deep, slow, weak.
Treatment principle: Tonifies Kidney Yang, warms Yang and transforms Qi, warms the Gate of Life Fire.
Note: moxa is strongly indicated.
Clinical manifestations: Burning or sharp urinary pain; hypochondriac distension worsening with emotional stress, anger or frustration; irritability; bitter taste; dark yellow urine.
Tongue: Red with redder sides, yellow coat. Pulse: Wiry and rapid, forceful at the left middle position.
Treatment principle: Drains Liver Fire, clears Damp-Heat from the Lower Burner and clears Liver channel Heat.
Note: no moxa.
Clinical manifestations: Sharp, fixed, stabbing lower abdominal pain; dark or bloody urine; pain worsens at night; a palpable hard mass in the lower abdomen.
Tongue: Purple or dusky with stasis spots and distended dark sublingual veins. Pulse: Choppy or wiry.
Treatment principle: Invigorates Blood and dispels stasis, moves Qi and alleviates pain, opens the chest and disperses stagnation.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule.
Clinical manifestations: Pale, cloudy urine resembling rice water; a heavy, cold lower abdominal sensation; absence of burning heat; urination stopping mid-stream; cold hands and feet with general heaviness.
Tongue: Pale, swollen, teeth-marked, white greasy slippery coat, wet surface. Pulse: Slow, slippery, deep.
Treatment principle: Warms the interior and dispels Cold, strengthens the Spleen and resolves Dampness, percolates Dampness to stop obstruction.
Note: moxa is strongly indicated. Linked to this site's own Damp-Cold-in-the-Bladder slide.