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【Chinese Medicine】Medical record: Difficulty urinating

By tianke  •  0 comments  •   2 minute read

【Chinese Medicine】Medical record: Difficulty urinating
A 74-year-old female patient had occasional wind-cold symptoms and difficulty in urinating. Although she did not reach the level of incompetence, she had a small amount of urination and felt uncomfortable with abdominal distension.

Immediate diagnosis: fatigue, poor mood, pale mouth without thirst, slight chills, normal body temperature, no stiffness and pain in the head and neck, pale tongue with slightly white fur, red tongue edge, thready and tight pulse, long string on the right foot, no obvious floating phenomenon.

Syndrome differentiation: Taiyin disease, interior cold syndrome. The kidney and the bladder are on the outside and the inside, and the lungs and the bladder are not connected, so it is proposed to warm the kidney and diuresis, and remove the shell and cover.

Prescription: Modified Zhenwu Decoction

10 grams of black aconite, 3 slices of ginger (about 15 grams), 20 grams of raw Atractylodes macrocephala, 20 grams of poria cocos, 30 grams of white peony, 10 grams of plantain, 10 grams of Alisma, 15 grams of cassia twig, 10 grams of tangerine peel

Prescribe two doses, decoct in water

Feedback: After taking a decoction, you can urinate immediately, and you will basically recover after taking one dose. Take the second dose to consolidate again, and the symptoms disappear completely.

Insufficiency, the name of a disease in traditional Chinese medicine. Also known as dysuria; urine retention. A disease characterized by small amounts of urination, dripping out, or even blockage. If the condition is mild, it is called insufficiency, and in severe cases, there is no drip, which is called closed. Dysentery can be divided into deficiency and excess. The excess syndrome is mostly due to damp heat, qi stagnation, and blood stasis hindering the operation of qi transformation; Clinically, due to the obstruction of spermatorrhea, genital surgery, etc., the bladder gasification fails, the waterway is unfavorable, and the urine volume is small, dripping, or even blocked. Is a kidney disease and urinary disorders. Modern medicine is called urinary retention.

"Lingshu.Benshu" is called closed infirmity. "Classic Syndrome Treatment. Closed Insufficiency and Leftover": "The closed person has difficulty urinating, and the insufficiency has difficulty in urinating." Anyone who urinates little or no urine discharge is collectively referred to as insufficiency.
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