Urinary Syndrome During Pregnancy

CHAPTER 40 Urinary Syndrome During Pregnancy



AETIOLOGY 529

PATHOLOGY 529

IDENTIFICATION OF PATTERNS AND TREATMENT 529
Heart-Fire 529

Damp-Heat in the Bladder 530

Kidney-Yin deficiency and Empty-Heat 531

PROGNOSIS AND PREVENTION 532

WESTERN VIEW 532

This condition includes frequency, pain and urgency of urination. It was called zi lin, i.e. ‘lin’ disease in pregnancy, ‘lin’ being Urinary Syndrome.



Aetiology




Emotional problems


Anger, worry, frustration, resentment and hatred may all lead to stagnation of Qi: this may affect the Bladder function directly or stagnant Qi may turn into Fire, specifically Heart- and Liver-Fire which may infuse down to the Bladder.



Overwork


Overwork injures Yin and may cause Kidney-Yin deficiency: this leads to Empty-Heat which may affect the Bladder causing Urinary Syndrome.



Irregular diet


Excessive consumption of dairy or greasy foods injures the Spleen and leads to Dampness: Dampness infuses downwards to the Bladder and may cause Urinary Syndrome.



Excessive sexual activity during pregnancy


Excessive sexual activity, especially in the first or third trimester, may lead to stagnation of Qi in the lower genital system and to Urinary Syndrome.



Pathology


The pathology of urinary problems in pregnancy is usually related to Heat: this can be either Full-Heat, in the form of Heart-Fire or Bladder Damp-Heat, or Empty-Heat from Yin deficiency. Heart-Fire causes Urinary Syndrome when it is transmitted to the Small Intestine, to which the Heart is connected within the Fire element, and from the Small Intestine to the Bladder, to which the Small Intestine is connected within the Greater Yang channel system.



Identification of patterns and treatment


The patterns discussed are:


• Heart-Fire

• Damp-Heat in the Bladder

• Kidney-Yin deficiency and Empty-Heat.


Heart-Fire



Clinical manifestations


Scanty, dark urine, burning on urination, difficult urination, red face, thirst, insomnia, mental restlessness, agitation. Tongue: Red with redder tip or normal coloured with a Red tip; in both cases there may be Red points on the tip. Pulse: Overflowing on the left Front position.



Treatment principle


Drain Heart-Fire and Small Intestine-Fire, clear Heat in the Bladder, calm the fetus.



Acupuncture


HE-8 Shaofu, S.I.-2 Qiangu, S.I.-5 Yanggu, BL-28 Pangguangshu, BL-32 Ciliao, BL-15 Xinshu, BL-27 Xiaochangshu, SP-9 Yinlingquan. All with even method. No moxa.




Explanation


– HE-8 and BL-15 clear Heart-Fire.

– S.I.-2, S.I.-5 and BL-27 clear Small Intestine-Heat.

– BL-28 and BL-32 clear Bladder-Heat.

– SP-9 clears Heat and resolves Dampness from the Lower Burner.


Herbal treatment



Prescription



– DAO CHI SAN

– Eliminating Redness Powder


Explanation

This formula drains Heart-Fire and resolves Damp-Heat in the Bladder.


– Sheng Di Huang clears Heat and cools Blood.

– Mu Tong clears Heart-Heat and also Bladder Damp-Heat. This herb is supposed to be contraindicated in pregnancy: in addition to that, its use is illegal in Europe and the USA. It should be replaced with Tong Cao Medulla Tetrapanacis.

– Gan Cao resolves Toxic-Heat and stops pain.

– Zhu Ye clears Heart-Heat.


Summary

Related posts:

  1. Collapse after Childbirth
  2. Prolapse of the Uterus
  3. Acupuncture and Herbal Treatment in Midwifery
  4. Endometriosis

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Jun 6, 2016 | Posted by in GYNECOLOGY | Comments Off on Urinary Syndrome During Pregnancy

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