CURE FOR KIDNEY DISEASES.

research witnessed by SMITH

Internal Medicine Kidney Disorders
Important: as with all items posted on TCM Health-info, it is very strongly recommended that you seek proper advise from your healthcare professional before administering any form of treatment to yourself. This website is for informational purposes and does not replace the proper diagnosis of your physician.

Overview Of Kidney Function:

The kidneys are referred to as the root of Qi. This is because the kidneys store both the post-haven Qi and pre-haven Qi. Pre-haven Qi is derived from our parents and given to us prior to our birth. Post-haven Qi is received through the food we eat and the air we breath. We can easily produce more post-haven Qi but it is extremely difficult to manipulate and strengthen our pre-haven Qi. Kidney Yin energy is responsible for our birth, growth and reproduction while our kidney Yang energy is responsible for all of our physiological processes. The kidneys produce marrow which fills the brain, spinal cord and controls our bones. The kidneys also govern water by transforming and transporting different types of fluids which are found in our bodies. The kidneys also control the bodies two lower orifices. Therefore if the kidneys are weak the possible symptoms would be frequent urination or incontinence, nocturnal emissions, diarrhea and possible prolapsed anus. The kidneys Qi is a burning energy or a fire found in the lower gates of vitality. It is commonly called the minister fire (the heart fire is called the king fire) and its heat is the source of fire for all the internal organs. This heat helps separate different fluids in the body and it also warms the stomach and spleen to aid in their digestion functions. The warmth also keeps the bodies essence warm aiding in all sexual functions keeping fertility healthy and menstruation regular. When the kidneys are deficient they represent disorders such as diabetes, enuresis, retention of urine, impotence, seminal emission and urinary tract infections.

Diabetes Wasting Thirst Disorder Xiao Ke

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3 more 1 less (eat, drink, urinate more lose weight/emaciation less). Person can eat & drink a lot but not quench thirst or gain weight. No matter how much is the patient drinks the same amount of urine is passed. The main pathogenesis is Yin w/ dry Heat. This syndrome is closely related to Diabetes type 1 (early onset insulin dependant).

Pathogenesis: Dry Lung Stomach Yin Deficiency Kidney Yin Deficiency Kidney Yin/Yang Deficiency

Lung Dryness (Upper Jiao) Very thirsty, drink lots of fluids but still has dry mouth & tongue, frequent large amount of urine, irritable T red, thin dry coat P thin, rapid Treatment: clear upper jiao heat and purge fire to promote production of body fluids Formula Xiao Ke fang

Stomach Yin Deficiency (Middle Jiao) Hungry, will not stay full after meals, need to eat or get dizzy, extreme emaciation, constipation with dry stools T red, scanty dry coat P thin, rapid Treatment: Clear Stomach fire and nourish middle jiao yin Formula Yu Nu Jian + Da Huang / Mang Xiao (constipation)

Kidney Yin Deficiency (Lower Jiao) Frequent cloudy/thick urination, urine is oily or greasy, thirsty, night sweats, dizzy, tinnitus, seminal emission, insomnia T red, thin coat Treatment: Formula P thin, rapid

Nourish Kidney yin and clear deficient heat. Liu Wei Di Huang Wan

Kidney Yin & Yang Deficiency (Lower Jiao) Frequent cloudy oily urination, trouble holding urine, 5-centre heat sensation, thirsty, coldness, aversion to cold, weak lower back and knees, impotence, amenorrhea, night sweat, spontaneous sweat, dry/dull complexion T scanty coat Treatment: Formula Tonify Kidney yin and yang Jing Gui Shen Qi Wan + Er Xian Tang P thin, deep weak

Enuresis Yi Niao
Yi Niao is the inability to control the urge to urinate especially while in bed. Mainly caused by Kidney & Bladder disorders usually caused by Deficiency Cold. Yi Niao is common in babies, geriatrics or during post delivery in men. Yi Niao is commonly called incontinence if urination occurs while patient is awake.

Western Medicine
Neurological dysfunction, urinary tract disorders, brain disorders, (meningitis, stroke, tumour) prostate disorders, kidney dysfunction.

All 5 Zang organs can cause Yi Niao Lung Qi Def. -lung regulates water passages- def qi allows lung to loose its governing function there fore impairing the Bladders function. SP. Qi Def. -spleen transports/transforms fluids which controls fluid movement spleen qi sinking allows the spleen to loose control of these fluids. Weak Kid. -kidney controls the gates when kidney is weak it looses control of the gate allowing urine to leak out. Kid. Yang def. kidney looses transforming fluids function, it is unable to help bladder retail fluids Liver Qi stag. & Damp Heat liver will loose its soothing & regulating function this causes the muscles to become flaccid allowing leakage. Liver Yin Def. liver impairs DU meridian function Heart Qi Def. -heart connects to S.I. & KD when heart Qi is deficient it impacts the S.I. function so it will not absorb all the water and the KD will not be able to balance the water. Causes: Deficiency cold Accumulation of damp heat Accumulation of blood stasis in lower Jiao (trauma ie. Post pregnancy)

Differentiation / Treatment
Kidney Yang Qi Def. (def. cold in lower Jiao) Large amount of clear urine, general kd def. cold sympt. Cold, tired, knee & lower back weakness/ache T-pale P-deep thin Treatment: warm kidney, induce astringent, consolidate kidney Qi Formula Tu Si Zi Wan

Lung & Spleen Qi Def. Prolapse feeling in Lower abdomen, urine leaks out when coughing/talking, frequent urgent urination, grey pale complexion, short of breath, over-worked / over-worry / overthinking (sad/worried/tired) T-pale Treatment: Formula P-weak nourish spleen/lung Qi to control urine

Bu Zhong Yi Qi Tang + astringent herbs Long Go, Mu Li

Heart & Kidney Qi Def. Dreaming with enuresis, canker sores, poor sleep, irritable, general yin def. symptoms. T-red tip/strawberrys Treatment: Formula P-thin/rapid/deep(kd)

nourish & harmonize Heart and Kidney

Sang Piao Xiao San + Jiao Tai Wan

Accumulation of Damp Heat in Lower Jiao Smelly, yellow, frequent, hot urine, (NO PAIN) T-red/yellow/ greasy coat Treatment: Formula Blood Stasis Usually has traumatic injury, possible fever (infection=dark urine), masses in abdomen, more incontinence than enuresis. T-red/purple Treatment: Formula P-uneven/rapid remove blood stasis from lower jiao, clear heat induce diuresis to clear heat Ba Zheng San P-thin/slippery/rapid

Shao Fu Zhu Yu Tang+clear heat herbs Zhi Zi, Huang Lian, Huang Bai

Du Meridian Def. / Kidney Essence Def. Dizziness, blurred vision, reproductive disorders (impotence/infertility), general kidney essence def. symptoms. T-thin, weak Treatment: Formula P-wiry nourish Kidney & DU essence

Shen Shi Tu Si Zi Wan

Impotence Yang Wei

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Impotence (inability to achieve full erection) & premature ejaculation during ages of regular sexual practices (16-64 +/-). This is usually due to KI but can also be caused by external factors. Chronic illness, stress, & depression seem to be very common in these individuals.

Western Medicine: Three Causes: Psychological (function impotence) Faulty Genitals (anatomic impotence) Neuromuscular dysfunction (atonic impotence)

Pathogenesis: Ming Men Fire(Qi & essence) Deficiency

Heart and Spleen Deficiency Kidney Qi Deficiency due to shock Damp Heat in L. Jiao

Ming Men Fire Deficiency Infertility, thin clear looking sperm, Kidney Yang deficient symptoms, lower back weakness, coldness, fatigue T pale, puffy Treatment: Formula P deep, weak

Warm ming men fire to tonify Kidney essence You Gui Wan

Heart & Spleen Deficiency Insomnia, palpitations, poor appetite, fatigue, soft stools T Pale Treatment: Formula Nourish Heart and Spleen Gui Pi Tang + Qi Fu Yin P thin

Kidney Qi Deficiency Due To Shock Long term fears, sudden shock, timid person, insomnia with excess dreams, palpitations T red, greasy coat P thin, wiry Treatment: Nourish Kidney and calm spirit Formula Da Yu Tang + Kidney tonics

Damp Heat In Lower Jiao

Skin disorders around genitals (wet/soft types), dark scanty yellow hot urine, possible odor, possible constipation T red, greasy yellow coat P slippery, rapid Treatment: induce diuresis to clear heat and transform dampness Formula Long Dan Xie Gan Tang

Lin Syndrome Urinary Tract Infection

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Frequent, Urgent, Painful, dripping, dark urination caused by damp heat in the Bladder. Urine may contain stones, blood or a milky/greasy substance.

Western Medicine: Chyluria, Prostatitis, T.B. of Kidney, Cancer

May be caused by : Shi Lin - stone (heat coagulates urine into stones) Re Lin - heat (toxic damp heat attacks bladder burning pain) Xue Lin - blood (heat pushes blood out of damaged vessels) Gao Lin - Chyluria (heat injures meridians impairing transform/transport) Lao Lin - kidney def. (kd cant help bladder transform urine or control gate) Qi Lin -liver qi/blood stagnation fire travels down liver meridian impairing bladder)

Differentiate between? Long Bi retention of urine not urgent, no pain, no blood Blood Urine blood in the urine not urgent, no pain, mainly blood Jing Zuo pee with spermies during urination, usually after ejaculation.

Re Lin (excess) Mainly caused by damp heat Frequent dribbling, urgent burning urination with bitter taste, fever, aversion to cold and other general damp heat accumulation symptoms. Tongue red, yellow coat Pulse soft, slippery, rapid Treatment: induce dieresis to clear damp heat Formula: Ba Zheng San

Re Lin (deficient kidney Yin) Deficient kidney fire All symptoms above but less severe mild/dull pain, lower back/knee pain & weakness, chronic Tongue red, scanty coat Pulse thin, rapid Treatment: nourish kidney, clear heat Formula Zhi Bai Di Huang Wan

Xue Lin (excess) Frequent dribbling, urgent burning urination with bitter taste, fever, aversion to cold and redness in urine (blood in urine) Tongue red, yellow coat Pulse rapid Treatment: clear heat, induce dieresis, cool blood to stop bleeding Formula Xiao Ji Yin Zi

Xue Lin (deficient kidney yin) Frequent dribbling, urgent urination with mild/ dull pain, lower back/knee pain & weakness, chronic with slight red or pink colour Tongue red, scanty coat Pulse thin, rapid Treatment: Nourish kidney, clear heat, stop bleeding Formula Zhi Bai Di Huang Wan + Gui Ban + E Jiao +Han Lian Cao

Qi Lin (excess Liver Qi Stagnation) Frequent dribbling, urgent, painful urination with pain in the lower abdomen, distended pain, aggravated by stress / emotion, unfinished feeling after urination Tongue red or normal Pulse Wiry, deep Treatment: regulate Qi & Blood, induce dieresis Formula Chen Xiang San

Qi Lin (deficient spleen Qi sinking) Frequent, dribbling, urgent urination, agg-when tired, pulling feeling in lower abdomen, amel-pressure, general Qi deficient symptoms. Tongue pale Pulse weak Treatment: strengthen spleen Qi Formula Bu Zhong Yi Qi Tang

Shi Lin (excess) Frequent dribbling, urgent, painful urination with pain and stones, flow suddenly stops in mid stream, over whelming urge to go with severe pain, worse for men, if stones in kidneys severe lower back pain, stones may injure vessels = blood in urine Tongue red yellow coat Pulse wiry Treatment: induce dieresis to eliminate stones Formula Ba Zheng San + Shi Wei San (stones)

Shi Lin (complicated excess / deficient)

Frequent dribbling, urgent, painful urination, chronic stones, fatigue, dull pain, lower back aching. Tongue Pulse weak Treatment: strengthen kidney, induce dieresis to eliminate stones Formula Zhi Bai Di Huang Wan + Shi Wei San (stones)

Gao Lin (excess) Chyluria Frequent dribbling urgent, painful urination, cloudy urine with floaters at surface, burning pain Tongue- red, yellow coat Pulse rapid Treatment: eliminate damp heat, promote separation of waste body fluids Formula Bei Xie Fen Qing Yin

Gao Lin (deficient kidney Qi) Chronic frequent, dribbling, urgent, painful urination with cloudy urine, emaciation TonguePulse Treatment: nourish kidney to reinforce gate Formula Liu Wei Di Huang Wan + Jin Suo Gu Jing Wan

Lao Lin (kidney deficiency) Chronic frequent, dribbling, urgent, painful urination induced by over strained sexual activity, general kidney deficiency symptoms. Tongue Treatment: Formula nourish deficiency Kid-yin def. Kid-Qi def. Kid-Yang def. Liu Wei Di Huang Wan Tu Si Zi Tang Shen Qi Wan Pulse thin

Lao Lin (heart deficiency)

Frequent, dribbling, urgent, painful urination accompanied by deficient heart symptoms Treatment: nourish deficiency, induce dieresis Formula Tu Si Zi Tang + Qin Xin Lian Zi Yin

Lao Lin (spleen) Frequent, dribbling, urgent, painful urination accompanied by over work, fatigued, general heaviness Treatment: Formula Nourish deficiency Shen Qi Wan

Retention of Urine Long Bi

Significant decrease of urine or no passing of urine at all. Usually caused by lower jiao or bladder disorders relating back to other organs. (no pain)

Western Medicine
Retention of urine, Anuria (unable to urinate), blockages, injury of urinary tract, enlarged prostate, bladder/sphincter spasm, neurological disorders Aetiology / Pathogenesis Damp Heat (most common) accumulates in mid./lower Jiao, impairing spleen/kidney transformation/transportation functions of urine, damp heat will also block the bladder Lung Heat -lung is the upper source of water, lung heat will not allow descending function of water from the lung to the bladder. Spleen Qi Def. looses transforming/transporting function, spleen can not separate or descend clear and turbid fluids Kidney Essence Def. causes ming men fire deficiency, yang Qi cant transform to produce yin (with ought yin there is no yang)

Liver Qi Stag. cant soothe or regulate san Jiao functions the san jiao looses its steaming transformation function Obstruction - stones, tumour, injury, blood stasis

Principle of Treatment: Always induce Diuresis

Differentiation / Treatment Excess Damp Heat in Bladder

Dark, smelly, burning sensation with fullness in lower abdomen, thirsty with no desire to drink, bitter taste, general feeling of being sticky, possibly constipated T-red, greasy coat Treatment: Formula induce diresis to clear heat Ba Zheng San P-slippery, rapid

Excess Heat in Lung

Sore and dry throat, respiratory symptoms dyspnea, dry cough, wheezing retention of urine symptoms T- red, yellow coat P-rapid Treatment: clear lung heat, induce diresis Formula Qing Fei Yin

Stagnation of Liver Qi

Starts with emotional anger, chest/hypochondriac pain or fullness T-red, thin/yellow coat Treatment: Formula P-wiry

soothe liver Qi stagnation, induce diresis Chen Xiang San

Obstruction of Urinary Tract

Possible scanty or narrow stream during urination, pain/distension of lower abdomen T-dark purple P-uneven Treatment: promote blood circulation, remove obstruction Formula Xiao Fu Jue Yu Tang (traditional) Dai Di Dang Wan (more widely used)

Middle Jiao Qi Sinking- Spleen

Prolapsed feeling in abdomen, fatigue, short of breath, bloating, other spleen Qi deficiency symptoms, over work, over worry T-pale P-deep thin Treatment: strengthen spleen to Ascend clear Qi and Descend turbid Formula Bu Zhong Yi Qi Tang + induce diresis Chun Ze Tang

Kidney Yang Deficiency (ming-men fire def.) No force to push urine out, pale, fatigue, lower back & knee weakness or cold T-pale Treatment: Formula P-deep thin warm up kidney yang to strengthen kidney Qi Shen Qi Wan

Kidney Yin deficiency

General yin deficiency symptoms 5 centre heat sensation, night sweat, zygomatic flush T-red P-thin, rapid Treatment: nourish kidney yin & induce diresis Formula Liu Wei Di Huang Wan & Zhu Ling Tang

Seminal Emission Yi Jing

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Seminal emission (Yi Jing) is the passing of seminal fluid during ones sleep or when they are awake without sexual excitement.

Pathogenesis: Heart & Kidney Disharmony -Kidney looses control over lower gate allowing seminal fluid to leak out. Kidney Yin Deficiency Liver Heat Damp Heat in L.Jiao Kidney Qi Deficiency Phlegm Fire

Heart & Kidney Disharmony Seminal emission comes with dreams, insomnia, palpitations, yellow short urine, KD yin deficient symptoms. T - red P rapid Treatment: Clear Heart heat (king fire) and nourish Kidney. Formula San Cai Feng Shui Dan + clear heat herbs

Kidney Yin Deficiency Seminal emission without dreams or palpitations, KD yin deficient symptoms. T red, thin coat Treatment: Formula P thin, rapid

Nourish Kidney yin, clear minister fire Zhi Bai Di Huang Wan

Liver Heat Seminal emission without dreams, prolonged erections during daytime, liver fire symptoms, vexation, bitter taste T red P rapid Treatment: Purge liver fire Formula Long Dan Xie Gan tang

Damp Heat in Lower Jiao Seminal emissions at night, eruptions around genitalia, possible semen in urine, damp/heat symptoms T red, thick yellow coat P rapid, slippery Treatment: induce dieresis to clear heat and transform dampness Formula Bi Xie Fen Qing Yin

Kidney Qi Deficiency Seminal emission when awake, pale puffy complexion, lassitude, KD Qi def. symptoms & possible SP Qi def. symptoms T - pale Treatment: Formula P deep, weak Nourish Kidney Qi and consolidate essence Jing Shi Shen Qi Wan + Mi Jing Wan
(+ Gui Pi Tang if SP Def.)

Phlegm Fire Seminal emission, selling in lower jiao, fullness/distention in chest, dark hot scanty difficult urine, cough with phlegm, bitter taste, thirst with no desire to drink. T red, yellow greasy coating P red, slippery Treatment: Clear fire and remove phlegm Formula Zhu Ling Wan