2. Summarize the name of the disease [1]. See World Effective Prescriptions for Medicine, Volume VIII. Also known as Shalin (see the Han and Tibetan classics "On the Disadvantages of Urinating"), namely Shilin [1]. It refers to stranguria [2][ 1], which is mainly manifested by sand discharged from urine, or sudden interruption of urination, urethral distress and pain, and abdominal cramps.
The Origin of Miscellaneous Diseases: "Light is sand, heavy is stone."
Stone shower is the name of this disease. One of the shower rooms [3]. Also known as sand shower (on the disadvantages of urine leakage), sand shower (see "World Famous Doctors' Prescriptions", Volume 8). It refers to stranguria, which is mainly manifested by sand discharged from urine, or sudden interruption of urination, urethral distress and pain, and unbearable abdominal cramps [2]. It is mostly caused by the accumulation of heat in coke and boiling water [3]. Damp-heat accumulates, brewing into stone, so there is gravel in urine, which leads to obstruction of urination, unbearable tingling or less abdominal cramps, or hematuria [4].
Drops of urine's disadvantages are discussed in Tibetan Scripture: "The person suffering from sand stranguria has dull pain in the abdomen and umbilicus, and it is difficult to urinate. The pain is unbearable, and it looks like gravel when urinating. Some people are as big as soap, or red or white (one is yellow), and the color is uncertain. "
Sand stranguria is equivalent to urinary calculi in western medicine [2].
3 Etiology and pathogenesis of sand and gravel stranguria Most sand and gravel stranguria is caused by heat accumulation in the lower coke and decoction [3].
On Etiology and Stone Stagnation: "Stone drenching, stone drenching. Kidney governs water, and water turns into stone, so kidney is a guest of sand and stone. Kidney deficiency is heat, and heat is stranguria. Symptoms of this disease include pain in the stem when urinating, inability to urinate, pain leading to smaller abdomen, urgency of bladder urination, sand and stones coming out of small sidewalks, and even suffocating pain. "
4 Symptoms of sand shower Patients with sand shower have sand grains in their urine, difficulty in micturition, or sudden interruption of micturition, urethral distress and pain, less abdominal cramps, or unbearable abdominal cramps, resulting in less abdomen, hematuria, red tongue, thin yellow fur and thin or thin pulse. If the gravel does not go away after a long illness, it may be accompanied by pallor, listlessness, shortness of breath and fatigue, light teeth marks on the edge of the tongue, thin and weak pulse, or dull pain in the waist and abdomen, fever in hands and feet, red tongue with little fur and rapid pulse. [5][6][7]
Lin: "People suffering from stone stranguria have dull pain in their umbilicus and abdomen, difficulty in urination and unbearable pain. Like gravel, or yellow pool or turbid, the color is uncertain. Like a soup bottle that has been boiled for a long time, the bottom is white and alkaline. It is advisable to clear its accumulated heat and clean its gravel. "
Syndrome analysis: Damp-heat accumulates in the lower jiao, but turns into stones after a long time: Damp-heat pours down, urine boils and turns into gravel, so it is called stone stranguria. Sand and gravel can't be discharged with urine, so it is difficult and painful to urinate; If the sand is large and blocks the urinary tract, it will suddenly stop urination, and the pain is unbearable due to obstruction. If a stone damages a vein, you will see blood in the urine. At the beginning, yin and blood are not deficient, and damp heat is excessive, so the tongue is red, the coating is thin and yellow, and the pulse is string or band. After a long time, yin blood will fail, and vital qi will be injured, either yin deficiency or qi deficiency, which is manifested as a syndrome of excess and deficiency. Patients with yin deficiency have backache and fatigue, fever in hands and feet, red tongue with little coating, and rapid pulse. Qi deficiency, pale complexion, listlessness, qi deficiency and fatigue, pale tongue with teeth marks, thin and weak pulse. [5][6][7]
6. Syndrome Differentiation of Sandstorm 6. 1 Damp-heat type stone stranguria [2] refers to damp-heat accumulation in the lower jiao, abdominal cramps, astringent pain in urination, hematuria, or interruption of urination, unbearable tingling, dry stool, body heat, thirst and red tongue.
6.2 Syndrome of qi stagnation and blood stasis in lower energizer due to stranguria [2] refers to stranguria due to blood stasis and qi stagnation, which is characterized by low back pain, abdominal pain, blood clots or dark red urine, poor solution, dark purple tongue or ecchymosis and thready pulse [8].
6.3 Kidney-qi deficiency type stone stranguria [2] refers to kidney-qi deficiency type stone stranguria, which is characterized by dull pain in the waist and abdomen, dysuria, abdominal distension and fatigue, even facial edema, chills and cold limbs, pale and fat tongue and weak pulse [8].
6.4 Kidney-yin deficiency type stone stranguria [2] refers to endogenous stone stranguria due to kidney-yin deficiency and excessive fire, with dull pain in the waist and abdomen, dysuria, dizziness and tinnitus, sore throat, soreness in the waist and knees, red tongue, little fur and rapid pulse as common symptoms [8].
7. Treating sand and stone stranguria 7. 1 Treating sand and stone stranguria should clear away heat and promote diuresis, dredge stranguria and expel stones [5].
The treatment of stranguria caused by sand stones should be clearing away heat and promoting diuresis, and stranguria can remove stones [7].
7.2 Prescription treatment 7.2. 1 Prescription A Shashilin can be treated with Shiwei Powder [Remarks] Shiwei Powder (syndrome-treating tonic): Folium Pyrrosiae, Malvaceae, Dianthus Dianthi, Talcum and Plantaginis as the main prescriptions. Pyrrosia powder has the effects of clearing away heat, promoting diuresis, relieving stranguria and removing calculus, and can be added with Lysimachia christinae, Spora Lygodii, Endothelium Corneum Gigeriae Galli, etc. Strengthen the effect of removing stones and eliminating hardness. For lumbago and abdominal colic, Radix Paeoniae Alba and Radix Glycyrrhizae can be added to relieve pain. If there is blood in the urine, Cirsium japonicum, Radix Rehmanniae and Nodus Nelumbinis can be added to cool the blood and stop bleeding. If fever occurs at the same time, Herba Taraxaci, Cortex Phellodendri and Radix et Rhizoma Rhei can be added to clear away heat and purge fire. If gonorrhea lasts for a long time, the symptoms are mixed with excess and deficiency. If the specimen is deficient in both qi and blood, Er Shen Powder [Remarks] Er Shen Powder (miscellaneous rhinoceros candle): Lygodium japonicum, talc and Bazhen Decoction [Remarks] Bazhen Decoction (proper Yao Lei): Ginseng, Atractylodis Macrocephala, Poria, Glycyrrhiza, Angelica, Radix Paeoniae Alba, Chuanxiong and Radix Rehmanniae Preparata. For patients with vaginal fluid consumption, Liuwei Dihuang Pill [Remarks] Liuwei Dihuang Pill (a direct formula for children): Radix Rehmanniae Preparata, Rhizoma Dioscoreae, Poria, Cortex Moutan, Alismatis Rhizoma, Cornus officinalis, and Folium Pyrrosiae Powder [Remarks] Folium Pyrrosiae Powder (Zhengbu): Folium Pyrrosiae, Malvaceae, Dianmai, Talcum and Plantaginis. [5]
7.2.2 The second main prescription: Shiwei Powder (Li's "Zheng Zhi Bu")
The prescription of addition and subtraction: Pyrrosia, Malvacea, Dianthus, Plantaginis each 65,438 05g, Lysimachia christinae and Talcum each 30g, Lygodium japonicum, Akebia Akebia, Endothelium Corneum Gigeriae Galli each 65,438 02g, and Glycyrrhiza 6g. Decoct with water. If there is hematuria, add 30g of Cirsium japonicum, 30g of Lotus Root and 0/5g of Rehmannia glutinosa/kloc-. For patients with fever, dandelion 30g, phellodendron amurense 12g and rhubarb 12g are added. 20-30g of Astragalus membranaceus is added to patients with chronic qi deficiency.
7.2.3 Chinese patent medicine Shilintong tablets, 5 tablets each time, 3 times a day.
7.2.4 Prescription of Unilateral Jinlong Paishi Decoction (Lai et al.' New Prescription for Clinical Efficacy'): 9 g of Endothelium Corneum Gigeriae Galli, 9 g of Glycyrrhiza uralensis Fisch, 30 g of Lysimachia christinae, 30 g of talc, 30 g of Radix Paeoniae Alba, 65,438+02 g of Achyranthes bidentata and Lumbricus, 6 g of mirabilite (orally), 4 g of borax (orally) and 65,44 g of Poria. Decoct with water.
7.3 Dietotherapy 7.3. 1 Recommended ingredients Patients with sand drenching recommend eating Semen Plantaginis, Herba Plantaginis, Herba Lysimachiae Christinae, Endothelium Corneum Gigeriae Galli, Herba Taraxaci, Flos Sophorae Immaturus, Poria, Coicis Semen and Semen Phaseoli [7].
7.3.2 Recommended diet prescription 1. Tonglin Paishi Decoction: Plantago asiatica 15 ~ 30g, Cirsium japonicum 16 ~ 30g, Glycyrrhiza uralensis Fisch 10g, Endothelium Corneum Gigeriae Galli 15 ~ 30g, Nelumbo nucifera 100g, and wax gourd. [7]
2. Heat-clearing tea: honeysuckle 10g, Sophora japonica 10g, soaked in water instead of tea. [7]
3. Money Coix seed tea: 50 grams of Lysimachia christinae, 60 grams of Coix seed, 20 grams of Endothelium Corneum Gigeriae Galli, decoct in water to get juice, and add appropriate amount of sugar to drink tea.
7.4 Acupuncture treatment 7.4. 1 prescription 1 [6]
Acupoint selection: the bladder meridian of Foot Taiyang and the kidney meridian of Foot Shaoyin are the main acupoints. Take the bladder meridian Shu, Zhongwan, Rank-Edge Penetrating Meridian, Weiyang,. Lymphatic syndrome is mainly due to the disadvantage of bladder qi machine, so bladder Shu and middle pole are chosen to benefit bladder qi machine. Rank-edge meridian penetration, Weiyang and Gu Ran have the functions of relieving stranguria, expelling stones and relieving pain.
Acupoint selection based on syndrome: For patients with acute pain in waist and abdomen caused by stones, puncture groove is added. Those with yin deficiency should prick Shenshu and Taixi points. For patients with qi deficiency, add acupuncture at Zusanli and Qihai.
Acupuncture and moxibustion: needles are used to tonify deficiency and stop diarrhea.
7.4.2 Formula 2 mainly selects acupoints such as Bladder Meridian, Zhongji Acupoint, Yinlingquan Acupoint, Intermediate Acupoint and Taixi Acupoint [4]. Stone forest poplar, triangle book and [4].
7.5 Moxibustion Therapy [9]
Acupoints: Weiyang, Shenshu, Bladder Shu, Sanjiao Shu and Sanyinjiao.
Moxibustion with moxa sticks: Moxibustion with moxa sticks lasts for 65,438+05 minutes at each point, with local redness, swelling and burning as the degree, 65,438+0 times a day, and 65,438+00 times is 65,438+0 courses of treatment, which can generally be combined with calculus-expelling drugs and acupuncture treatment.
8 About stranguria (stranguria [10] [1 1]) is the name of the disease [4][ 12]. It refers to diseases characterized by frequent urination, endless dripping, painful urethra, abdominal tightness, and lumbago and abdominal pain [10][ 1 1]. Also known as leaching [4].
The main cause of stranguria is damp-heat in bladder, and the disease is located in kidney and bladder. At first, there were many evidences, but after a long illness, it turned from excess to deficiency, and it could also present syndromes of excess and deficiency. There are two kinds of clinical symptoms, one is caused by bladder gasification disorder; One is the special symptoms of various gonorrhea syndromes. The former is the basis for diagnosing gonorrhea syndromes, and the latter is the characteristic for distinguishing different gonorrhea syndromes. Diseases that should be differentiated from stranguria include stranguria, hematuria and turbid urine. [5]
According to the different etiology, pathogenesis and symptoms, stranguria can be divided into six types: heat stranguria, stranguria, gas stranguria, blood stranguria, ointment stranguria and stranguria. In syndrome differentiation, we should not only distinguish the characteristics of different gonorrhea syndromes, but also examine the deficiency and excess of syndromes. It is true that the early onset of damp-heat accumulation leads to the loss of bladder gasification function, so the treatment should be based on clearing heat, promoting diuresis and treating stranguria, supplemented by promoting qi circulation. Spleen and kidney deficiency due to long-term illness and insufficient bladder gasification should be supplemented. Those who are mixed with excess and deficiency should treat both the symptoms and root causes. According to the characteristics of each stranguria syndrome, it can be used to stop bleeding, remove stones or drain turbidity. Acupuncture can quickly relieve pain in the acute stage of this disease. For middle and lower urinary calculi, acupuncture has a better effect of removing stones, while for upper urinary calculi, renal pelvis and calyx calculi, comprehensive treatment should be taken. If gonorrhea is complicated with serious infection, renal function is damaged, or it is found that the stones are large and acupuncture is difficult to work, other treatments are used. Those who are drenched with ointment and stranguria should be matched with traditional Chinese medicine for invigorating qi and nourishing blood. [6][5]
There is a certain relationship between various gonorrhea syndromes, which is manifested in the outcome. First, there is mutual transformation between different gonorrhea syndromes and the same gonorrhea syndrome itself. The second is the mutual transformation between various gonorrhea syndromes. You can also see two kinds of stranguria or excess and deficiency at the same time. Understanding this change has practical guiding significance for clinic. [5]
Some diseases in modern medicine, such as urinary tract infection, calculus, tuberculosis, acute and chronic prostatitis, chyluria and so on. There are symptoms similar to gonorrhea, which can be treated with reference to gonorrhea [4].
Please refer to the article on gonorrhea for details.
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