(BENIGN) PROSTATIC HYPERTROPHY, BPH, PROSTOMEGALY

GENERAL

Clinical Manifestations	Hesitating and straining to urinate Reduced urinary stream Enlarged prostate Acute urinary retention Uremia following prolonged obstruction Frequent nocturnal urination Increased thirst Continued urge to urinate
Treatment Principle
Nutrition	Zinc - 50mg Linseed oil - 1 tablespoon twice a day Avoid: Dairy Grease Fat Rich food Alcohol Coffee Smoking Eat: Pumpkin seeds Tangerines Cherries Figs Mangoes Sunflower seeds Seaweeds
Herb Formulas
Points	KI-3, KI-7, REN-2, REN-3, REN-4, ST-28, ST-29, ST-30, UB-25, UB-28, UB-63 Electro GB-28 - REN-2 Ear: Shenmen, Bladder, Kidney, Subcortex, Urethra, Heel

WIND-COLD INVASION WITH DAMP ACCUMULATION

Clinical Manifestations	Itching or tickling in the throat Wheezing Sneezing Gasping Cough with expectoration of thin, watery or frothy white sputum General body aches No thirst Dyspnea Headache Body aches A sensation of heaviness Chills with low grade fever Maybe asthma Intolerance of Cold Anhidrosis Blocked and/or runny nose with watery nasal discharge Chest discomfort Neck stiffness Irritability T: Pink C: Thin, white and moist P: Superficial and tight
Treatment Principle	Disperse Wind-Cold Induce diaphoresis Dispel Dampness
Herb Formulas	Ma Huang Jia Zhu Tang Ma Huang Tang
Points	DU-16, GB-20, UB-12, LI-4, SJ-5 (Sedating technique), UB-13, LU-7, REN-17, SP-6, SP-9, Moxa REN-4, REN-6, DU-4

LUNG HEAT

Clinical Manifestations	Dripping urine Irritability High fever No chills Aversion to Heat Weak cough Asthma Restlessness Thirst with a desire to drink Dark yellow urine Dyspnea Chest pain Shortness of breath Phlegm (thick yellow) T: Red C: Thick yellow, maybe dry and sticky or Greasy P: Rapid, maybe slippery, maybe forceful or Slippery and rapid
Treatment Principle	Clear Heat Promote water metabolism Dredge Lung Qi
Herb Formulas	Qing Fei Ying Qing Fei Tang
Points	LI-11, LU-7, REN-3, UB-28 Electro GB-28 - REN-2 Ear: Shenmen, Bladder, Kidney, Subcortex, Urethra, Heel

LUNG HEAT WITH QI STAGNATION

Clinical Manifestations	Uneasy, inhibited urination Drips and drops, but lack of free flow Lower abdominal distention and pain A dry throat with a desire to drink Vexation and chest oppression Uneasy respiration Maybe cough Maybe Phlegm panting T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Lung Heat Move Qi Disinhibit water
Herb Formulas	Huang Qin Qing Fei Yin Jia Wei BPH #2 For less Lung Heat and more urinary disorder: Pi Pa Ye Qing Fei Tang
Points	LI-4, LU-5, REN-3, SP-6, SP-9 For Heart Fire with severe vexation: + HT-5 With Lung Yin Deficiency: + UB-13, UB-43 With constipation: + SJ-6

CENTRAL QI SINKING

Clinical Manifestations	Frequent, scanty, forceless and inhibited urination Maybe a desire to urinate without success Fatigue Lassitude Weakness A weak voice Sagging and distention in the lower abdomen and perineal area Sallow complexion Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even or Soft and thready or Thready and weak
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang
Points	DU-20, REN-1, REN-4, REN-6, SP-6, ST-36 For inhibited urination or desire to urinate without success: + SP-9 For dribbling urination: + UB-52 For accompanying Damp-Heat: + SP-9, ST-44 For sagging pain in the genitals: + moxa LIV-1 For distention and pain in the lower abdomen, groin and genitals: + LIV-8 For Food Stagnation : + ST-21 For accompanying Kidney Qi Deficiency: + KI-3 For accompanying Kidney Yin Deficiency: + KI-7 For Heart and Spleen Deficiency: + HT-7 For severe Qi Deficiency: + SP-3

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold, weak and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Maybe constipation Edema of face and limbs Dysuria Urinary frequency and urgency Urinary incontinence Urinary dribbling Forceless urination with a thin stream Nocturia Clear or turbid white urination Maybe a cool scrotum Maybe impotence or decreased sexual desire Fatigue Severe: Abdominal ascites T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Huang Qi Fu Pen Tang Bu Shen Li Niao Tang
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 REN-1, moxa or moxa needle REN-4, SP-6, UB-23 For continuous terminal dribbling and nocturia: + UB-52 For severe Kidney Yang Deficiency: + moxa or moxa needle DU-4 For low back pain: + KI-7 For fatigue and lassitude : + SP-3 For decreased sexual desire or impotence: + DU-4 For loose stools: + SP-4 With Damp-Heat: + SP-9 For more severe Blood Stasis: + SP-10

HEART FIRE

Clinical Manifestations	Irritability with a sensation of Heat in the chest Thirst with a desire to drink cold beverages Red face Fever May be sores around the mouth Dark, scanty urine Rough urination Fidgeting Warm sensations in the chest Sores on the tongue Painful urination (stabbing) Urination short and hesitant Hematuria Oliguria Maybe blood in the urine Sluggish urination Irritability Fatigue Insomnia T: Red P: Rapid
Treatment Principle	Clear Heart Nourish Yin Promote urination Relieve Lin Syndrome
Herb Formulas	Dao Chi San
Points	HT-7, HT-8, PC-7, PC-8, UB-15

HEART FIRE WITH KIDNEY YIN DEFICIENCY AND DAMP-HEAT IN THE LOWER JIAO

Clinical Manifestations	Restlessness Irritability Thirst Nocturnal emission Insomnia Dream disturbed sleep Lack of spirit Fatigue Low back pain Tinnitus Dysuria Depression Turbid urine Abnormal uterine bleeding Polyuria Enuresis Seminal emission Leukorrhea Blood tinged leukorrhea Anorexia Dry mouth Five Sole Heat Fever Physical and mental overexertion T: Red and dry C: Little or None P: Deep and rapid
Treatment Principle	Clear Heart Fire Disperse Damp-Heat Benefit Qi and Yin Promote urination
Herb Formulas	Qing Xin Lian Zi Yin
Points

LACK OF COMMUNICATION BETWEEN THE HEART AND KIDNEYS

Clinical Manifestations	Insomnia with much dreaming Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make the Hear and Kidneys communicate.
Herb Formulas	Gui Zhi Jia Long Gu Mu Li Tang
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

LIVER QI STAGNATION

Clinical Manifestations	Frequent urination Urgent urination Acute urinary incontinence Rough urination Hypochondriac pain and distention Alternating fever and chills Depression Dysphoria Easily angered Chest fullness Bitter taste in mouth Susceptibility to rage Fidgeting Abdominal pain and cramps distending pain in the lower abdomen Breast distention and pain Irritability T: Pink or Red C: Thin and white P: Wiry or Tight
Treatment Principle	Dredge the Liver Promote Qi circulation
Herb Formulas	Chai Hu Shu Gan Tang + Chen Xiang Tang Chen Xiang San
Points	LIV-3, REN-3, SJ-6, SP-6, SP-9, ST-36. UB-28 Electro GB-28 - REN-2 Ear: Shenmen, Bladder, Kidney, Subcortex, Urethra, Heel

LIVER QI STAGNATION WITH PHLEGM NODULATION

Clinical Manifestations	Urinary strangury and obstruction which is worse with emotional upset or stress Lower abdominal distention Irritability A quick temper Insomnia Maybe flatulence T: Normal or Slightly dark C: White and slimy P: wiry and slippery
Treatment Principle	Dredge the Liver Regulate Qi Transform Phlegm Scatter nodulation
Herb Formulas	Shu Gan San Jie Fang
Points	LIV-3, LIV-8, REN-1, REN-3, SP-6 With severe Blood Stasis: +SP-10 With Damp-Heat: + SP-9 With more pronounced Heat: + LIV-2, ST-44 With more pronounced Cold: + moxa REN-1, REN-4, REN-5 With hematuria: + SP-10 With a stabbing pain in the genitals: + LIV-1 With a stabbing or piercing pain during urination: + ST-28, UB-54 With difficult urination: + SP-9, UB-54 With Kidney Yin Deficiency: + KI-7 With Kidney Yang Deficiency: + KI-3 With Qi Deficiency: + SP-3 With constipation or dry stools: + SJ-6

LIVER AND SPLEEN DEFICIENCY WITH BLOOD STAGNATION DUE TO DAMPNESS

Clinical Manifestations	Itching or tickling in the throat Wheezing Sneezing Gasping Cough with expectoration of thin, watery or frothy white sputum General body aches No thirst Dyspnea Headache Body aches A sensation of heaviness Chills with low grade fever Maybe asthma Intolerance of Cold Anhidrosis Blocked and/or runny nose with watery nasal discharge Chest discomfort Neck stiffness Irritability T: Pink C: Thin, white and moist P: Superficial and tight
Treatment Principle	Disperse Wind-Cold Induce diaphoresis Dispel Dampness
Herb Formulas	Ma Huang Jia Zhu Tang
Points	DU-16, GB-20, UB-12, LI-4, SJ-5 (Sedating technique), UB-13, LU-7, REN-17, SP-6, SP-9, Moxa REN-4, REN-6, DU-4

KIDNEY YIN DEFICIENCY

Clinical Manifestations	This syndrome is frequently complicated with diabetes. Recurrence occurs after overstrain Powerless discharge of urine Frequent, scanty, yellow or brown urine Frequent nocturia or Dripping urination Maybe with a sense of Heat or irritation Later stage: Maybe incontinence Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back and knees Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth and throat Thirst Nightsweats Five Sole Heat Malar flush Facial flushing Low grade fever in the afternoon Restlessness Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Heightened libido If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Kidney Yin Clear Deficiency Heat Transform Qi to drain Dampness
Herb Formulas	Zhi Bai Di Huang Wan Chinese patent medicines: Liu Wei Di Huang Wan Zhi Bai Di Huang Wan Da Bu Yin Wan
Points	KI-2, KI-3, KI-6, REN-4, SP-6, UB-23, UB-53 KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Aversion to Cold Cold extremities Scanty urination Abdominal distention Edema of the legs Cold sensations in the lower body Sensory numbness Low back pain Severe pitting edema Fatigue Urinary difficulties T: Pale and swollen with teeth marks C: White and slippery P: Deep and wiry
Treatment Principle	Warm Yang Tonify the Kidneys Aid water transformation Promote urination Reduce edema
Herb Formulas	Ji Sheng Shen Qi Wan modified Jing Gui Shen Qi Wan You Gui Wan Sang Piao Xiao San modified Niu Che Shen Qi Wan With water flooding: Zhen Wu Tang Jia Wei Shen Qi Wan With Wind-Cold: Ma Hua Fu Zi Xi Xin Tang modified For severely deficient Kidney Yang with "Water Toxin" (very scanty urination, or anuria, dizziness, vomiting of clear Fluids, anorexia, restlessness): Fu Zi Li Zhong Wan + Wu Zhu Yu Tang modified Chinese Patent Medicines: Jin Gui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan Jin Suo Gu Jing Wan * The last formula is usually taken with one of the first three.
Points	Moxa KI-3, REN-3, UB-23, UB-28 DU-26, KI-7, REN-3, SP-6, moxa or moxa needle DU-4, REN-6, REN-9, UB-23, UB-53 Electro GB-28 - REN-2 Ear: Shenmen, Bladder, Kidney, Subcortex, Urethra, Heel

KIDNEY YANG DEFICIENCY WITH WATER FLOODING

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready With Water Flooding the Lungs: Cough with copious, thin watery phlegm Asthma with phlegmy sound (wheezing) Dyspnea Facial edema Edema of limbs Dysuria T: Pale and swollen C: White and moist or White and greasy P: Superficial and tight
Treatment Principle	Warm Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

KIDNEY YANG DEFICIENCY WITH BLOOD STASIS AND DAMPNESS

Clinical Manifestations	Oppressive pain in the prostate, Dysuria or Dripping urination Nocturnal polyuria Powerless discharge of urine or Spontaneous urination which is out of control Pallor Timidity and weakness Aversion to Cold Cold limbs Aching and weakness of low back and knees Cold and painful sensations in low back and knees Impotence Loose stools or Constipation due to Deficiency T: Pale or Echymoses C: White and greasy P: Deep, weak, thready and choppy
Treatment Principle	Nourish the Kidneys Remove Stasis Promote diuresis
Herb Formulas	Ba Wei Di Huang Wan modified
Points

KIDNEY QI DEFICIENCY

Clinical Manifestations	Difficult urination No power in urination Dribbling urine Frequent nocturnal urination Pale face Lack of spirit Lower back pain Knee pain Maybe a dull pain on urination Urge to urinate when tired or after exertion T: Pale C: Little or none P: Deep and rapid For pronounced Kidney Yang Deficiency: Pallor Pale urine Chilliness T: Pale and maybe swollen For pronounced Kidney Yin Deficiency: Scant, yellow urine Urgent urination Maybe hematuria Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Warm Yang Nourish Yin Nourish the Kidneys Promote urination
Herb Formulas	Jing Gui Shen Qi Wan modified Liu Wei Di Huang Wan modified
Points	KI-3, KI-7, REN-4, REN-6, UB-25, UB-28 For pronounced Kidney Yang Deficiency: + moxa or moxa needle For pronounced Kidney Yin Deficiency: + KI-2, KI-6

DAMP-HEAT IN THE URINARY BLADDER

Clinical Manifestations	Urinary frequency Urinary urgency Painful urination or Continuous dripping of urine or Sudden interruption to the urinary stream Turbid urine or Pus and blood in the urine or Sand and stones in the urine In Damp-Heat Pouring Downward there may also be: Fever Thirst Dry mouth Low back pain In Damp-Heat Crystallizes in Urinary Bladder there may also be: Colicky pain in the low back, possibly radiating to the groin T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	Xiao Ji Yin Zi Ba Zheng San
Points	KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 For retention of urine: 1. REN-3, SP-6, SP-9, UB-28 2. REN-3, SP-6, SP-9, UB-39 For Blood Lin: 1. KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 2. KI-1, KI-7, LIV-3, REN-3, SP-10, UB-17, UB-23, UB-27 For Stone Lin: 1. KI-2, KI-3, LIV-2, REN-3, SP-9, UB-28, UB-39 2. KI-1, LIV-1, REN-4, UB-23, UB-28, UB-40 For Milky Lin: 1. KI-3, KI-6, LIV-2, REN-3, SP-9, UB-23, UB-28 2. REN-4, REN-6, SP-6, SP-9, UB-22, UB-27, UB-28

YIN DEFICIENCY WITH EXCESS FIRE

Clinical Manifestations	Frequent, scanty inhibited urination Painful urination Urinary dribbling worse with taxation Yellow urine Thirst with a desire to drink Fever Cough Low back pain Nausea/vomiting Dizziness Tinnitus Impotence Seminal emission Irritability Insomnia Restlessness Diarrhea Anxiety Edema Lower abdominal distention and pain Maybe hematuria Dry skin Sunken eyes Afternoon fever Constipation Night sweats T: Red or Dark red and dry C: Yellow, thin or none P: Thready and rapid or Forceful and rapid or Rapid and forceless
Treatment Principle	Promote urination Clear Heat Nourish the Yin
Herb Formulas	Zhi Bai Di Huang Tang + Zhu Ling Tang Zhi Bai Di Huang Tang modified
Points	KI-3, REN-3, UB-23, UB-28 KI-7, REN-1, REN-4, SP-6, UB-23 For continuous terminal dribbling and nocturia: + UB-52 For severe Kidney Yang Deficiency: + moxa or moxa needle DU-4 For low back pain: + KI-7 For fatigue and lassitude : + SP-3 For decreased sexual desire or impotence: + DU-4 For loose stools: + SP-4 With Damp-Heat: + SP-9 For more severe Blood Stasis: + SP-10 Electro GB-28 - REN-2 Ear: Shenmen, Bladder, Kidney, Subcortex, Urethra, Heel

YANG DEFICIENCY WITH COLD STAGNATION

Clinical Manifestations	Localized painful swellings without a head that bleed into the surrounding tissues and do not affect the color or texture of the skin The swellings are not hot to the touch No thirst Swollen and painful joints Wasting of the muscles of the thigh and calf T: Very pale or Pale-pink C: White P: Thready and forceless or Deep and slow
Treatment Principle	Warm the Yang Tonify the Blood Disperse Cold Eliminate Stagnation
Herb Formulas	Yang He Tang modified
Points

QI STAGNATION

Clinical Manifestations	Urinary retention Discomfort before urination Distention and pain in the lower abdomen, relieved by urination and made worse by stress Urine color is normal T: Normal C: White P: Wiry and deep
Treatment Principle	Circulate Qi
Herb Formulas
Points	GB-34, LI-4, LIV-3, LIV-5, REN-3, REN-6, ST-36

QI, PHLEGM AND BLOOD STAGNATION

Clinical Manifestations	Pain and discomfort which may radiate to the lower abdomen and upper thighs Inhibited urination Urination with a thin or cleft stream Frequent urination Incomplete urination Dribbling urination Lower abdominal distention, fullness and discomfort T: Dark with possible static macules or spots C: White P: Slippery, wiry and choppy
Treatment Principle	Move Qi Invigorate the Blood Transform Phlegm Disperse nodules
Herb Formulas	Ju He Wan Qi, Blood and Phlegm Stagnation #1
Points	LI-4, REN-1, REN-4, REN-5, SP-6 With severe Blood Stasis: + LIV-8, SP-10 With Damp-Heat: + SP-9 With more pronounced Heat: + LIV-2, ST-44 With more pronounced Cold: + moxa REN-1, REN-4, REN-5 With hematuria: + SP-10 With a stabbing pain in the genitals: + LIV-1 With a stabbing or piercing pain during urination: + ST-28, UB-54 With difficult urination: + SP-9, UB-54 With lower abdominal, groin and genital pain: + LIV-8 With Kidney Yin Deficiency: + KI-7 With Kidney Yang Deficiency: + KI-3 With Qi Deficiency: + SP-3 With constipation or dry stools: + SJ-6

QI DEFICIENCY WITH DAMPNESS

Clinical Manifestations	Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath Maybe edema in limbs, especially lower limbs Maybe anasarca Physical and mental fatigue T: Pale and flabby - may have teeth marks C: White or White and moist P: Even, forceless and Deficient or Soft and even
Treatment Principle	Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Bu Zhong Yi Qi Tang Wu Ling San Si Ling San
Points	DU-20, REN-3, REN-6, ST-36. UB-28 Electro GB-28 - REN-2 Ear: Shenmen, Bladder, Kidney, Subcortex, Urethra, Heel

QI AND YIN DEFICIENCY

Clinical Manifestations	Urinary frequency, urgency and dribbling which is worse with exertion Forceless urination with a thin stream Fatigue Lassitude Weakness Symptoms worse with fatigue Dizziness Low back and knee weakness and pain Five Sole Heat Insomnia Malar flushing A dry mouth and throat T: Fat, dry and red C: Little or None Thready and rapid or Soft and rapid Note* This pattern includes Damp-Heat consuming Yin and Qi with Blood stagnation
Treatment Principle	Strengthen the Spleen Tonify Qi Enrich Yin Drain Heat
Herb Formulas	BPH #1
Points	KI-7, REN-1, REN-4, ST-36, UB-23 For continuous terminal dribbling and nocturia: + UB-52 For severe Kidney Yang Deficiency: + moxa or moxa needle DU-4 For fatigue and lassitude : + SP-3 For decreased sexual desire or impotence: + DU-4 For loose stools: + SP-4 For more severe Blood Stasis: + SP-10 For inhibited urination or desire to urinate without success: + SP-9 For accompanying Damp-Heat: + SP-9, ST-44 For sagging pain in the genitals: + moxa LIV-1 For distention and pain in the lower abdomen, groin and genitals: + LIV-8 For Food Stagnation : + ST-21 For accompanying Kidney Qi Deficiency: + KI-3 For Heart and Spleen Deficiency: + HT-7 For severe Qi Deficiency: + SP-3

BLOOD DEFICIENCY

Clinical Manifestations	Postpartum emaciation and weakness Persistent, tight abdominal pain Abdominal pain with spasms or radiates to back and waist Cannot eat Shortness of breath Dyspnea Pale face Intermittent spasmodic abdominal pain which is better with Heat and pressure Epigastric pain Lusterless complexion Fidgeting Reduced appetite Maybe low-grade fever Palpitations Irritability Cold and sore extremities Nonspecific discomfort Dry mouth and throat Nocturnal emission Five sole Heat	Debilitated constitution in children Enuresis in children Insomnia Fatigue Anemia Bleeding Abdominal weakness Epistaxis Habitual constipation Maybe warm extremities Night sweats Tired limbs Frequent urination Night crying Diarrhea in children Habitual headache in children Hernia pain in children Chronic constipation Purpura Asthma T: Pale C: White. P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle	Warm and tonify the Spleen and Stomach Relieve spasmodic pain
Herb Formulas	Dang Gui Jian Zhong Tang
Points

BLOOD STASIS

Clinical Manifestations	Decreased urination or Interrupted urination or Constant urination or Anuria Hematuria Maybe fixed, stabbing pain on urination Lower abdominal fullness Lower abdominal pain which may radiate to the genitals Inhibited dripping urination Threadlike urination Tumor formation A hard, palpable sensation in the swollen prostate Purple urine with blood clots Abdominal spasms and tension Suprapubic fullness, distention and pain Maybe lower abdominal masses Pain in the iliac fossa on palpation Soider naevi on the abdomen, inner ankle and inner knee Headache Sinus congestion Constipation Lower back ache Nervousness Fatigue Skin eruptions Scaly, dry skin Headache Shoulder stiffness Vertigo Cold low body and feet Flushed face T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Wiry or Tense, deep and slow or Thin or Deep and choppy or Slow and choppy
Treatment Principle	Invigorate the Blood Transform Blood Stasis Soften lumps Reduce fixed abdominal pain
Herb Formulas	Gui Zhi Fu Ling Wan Di Dang Tang Dai Di Dang Wan modified Xue Fu Zhu Yu Tang Shao Fu Zhu Yu Tang With Qi Deficiency: Bu Yang Huan Wu Tang Chinese Patent Medicines: Tao He Cheng Qi Tang Sheng Tian Qi Pian Yan Hu Suo Zhi Tong Pian Fu Ke Wu Jin Wan
Points	LIV-3, SP-6, SP-10 GB-25, LI-4, LIV-3, REN-3, SP-10, ST-29, ST-30, UB-17, UB-30, UB-47

BLOOD STASIS DUE TO COLD WITH DEFICIENCY COLD OF THE CHONG AND REN CHANNELS

Clinical Manifestations	Pain Lower abdominal distention Lower abdominal Cold Lower abdominal pain Dry lips Dry mouth Spermatorrhea Pale complexion Low grade fever at dusk Irritability Five sole Heat No desire to drink Low back coldness and pain Loose stools Cold limbs Aversion to Cold T: Purple with petechiae P: Thready and choppy
Treatment Principle	Dispel Cold Warm the channels Nourish the Blood Dispel Blood Stasis
Herb Formulas	Wen Jing Tang
Points	Electro GB-28 - REN-2 Ear: Shenmen, Bladder, Kidney, Subcortex, Urethra, Heel

COLD-DAMP RETENTION

Clinical Manifestations	Turbid, pale urine Urination stops and starts Terminal dribbling Symptoms are better with Heat and worse with Cold Dragging down sensation in the lower abdomen Lower abdominal ache Fatigue T: Normal C: Sticky or Greasy at the root P: Slippery
Treatment Principle	Warm Cold Eliminate Dampness
Herb Formulas
Points	Moxa or moxa needle REN-3, REN-12, SP-6, SP-9, ST-36, UB-20, UB-22, UB-25, UB-28

INTERNAL HEAT

Clinical Manifestations	Lower abdominal distention and pain (usually on right) Pain increases on pressure with rebound tenderness Guarding of the abdominal musculature Groin pain resembling urinary dysfunction without urinary difficulty Groin pain relieved by flexing hip and knee Groin pain intensified by extending hip Perspiration Irregular or intermittent fever followed by chills and perspiration May be mass in lower right quadrant of abdomen Aversion to Cold Hard lumps T: Pink C: Thin, white or yellow and greasy P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle	Drain Heat Break up Blood Stasis Invigorate the Blood Disperse nodules Reduce swelling
Herb Formulas	Da Huang Mu Dan Pi Tang
Points	REN-6, SP-6, SP-9, SP-10, LU-9, KI-3 UB-28, UB-23, REN-2, SP-6

DAMP-HEAT

Clinical Manifestations	Frequent, dark, turbid, scanty, difficult, urgent and painful urination or Blockage of urine Urination may be red Terminal dribbling or Whitish turbid dripping of urine Maybe fever Sores in mouth, on tongue or throat Dry mouth and throat Maybe urinary retention (severe) Maybe lower abdominal distention and pain (severe) Thirst with a desire to drink A parched throat	Severe sore throat Maybe total obstruction Maybe anuria (severe) Dribbling urination Pain in the perineum Maybe be urinary calculi Constipation Eye redness and pain Epistaxis Distending lower back pain Irritability Scorched lips A bitter, sticky taste in the mouth T: Red C: Thick, yellow and greasy P: Slippery and rapid or Smooth and rapid
Treatment Principle	Clear Heat Relieve Dampness
Herb Formulas	Dao Chi San + Ba Zheng San Zhi Zhuo Gu Ben Wan Ba Zheng San modified Wu Lin San modified + Ba Zheng San With hematuria: Xiao Ji Yin Zi
Points	LIV-8, REN-3, REN-12, SP-6, SP-9, ST-36, UB-20, UB-22, UB-28, UB-39, UB-63 REN-3, SP-6, SP-9, UB-28 Electro GB-28 - REN-2 Ear: Shenmen, Bladder, Kidney, Subcortex, Urethra, Heel

DAMP-HEAT WITH BLOOD STAGNATION IN THE LOWER JIAO

Clinical Manifestations	Numerous, frequent short, choppy urinations Urinary urgency Urinary pain A constant feeling of the need to urinate Turbid, cloudy or yellow urine Possible nocturia Urinary stoppages with lower abdominal pain and distension (severe) Lower abdominal and perineal discomfort and pain Dry, bound stools Abdominal distention Dry, scaly skin Tightness Absence of thirst Maybe an aversion to drinks No fever Condition fails to improve Cold extremities A gray or pale complexion T: Purple C: Greasy and yellow P: Wiry, slippery and rapid
Treatment Principle	Clear Heat Disinhibit Dampness Invigorate the Blood Unblock the channels
Herb Formulas	Teng Long Tang Yan Shi Qian Lie Xian Fang
Points	REN-1, REN-3, SP-6, SP-9, UB-54 With dry mouth from Damp-Heat damaging the Yin: + KI-7 With hematuria: + SP-10 With spasmodic pain: + LI-4, LIV-3 With genital pain: + LIV-1 With an itchy, damp scrotum: + LIV-5 With nausea and abdominal distention: + REN-12, ST-25 With Qi Stagnation: + LIV-3, LIV-8 With lower abdominal pain and distention: + LIV-8, ST-29 With Qi Deficiency: + SP-3 With constipation or dry stools: + SJ-6 With insomnia and restlessness: + HT-5

FIRE TOXIN LEADING TO BLOOD STASIS

Clinical Manifestations	Extreme pain Local inflammation and swelling There may be copious discharge of pus from the ulcers A burning sensation Fever Thirst T: Red C: Normal P: Rapid
Treatment Principle	Clear Heat Resolve toxicity Nourish Yin Invigorate the Blood Alleviate pain
Herb Formulas	Si Miao Yong An Tang
Points	Electro GB-28 - REN-2 Ear: Shenmen, Bladder, Kidney, Subcortex, Urethra, Heel

MIDDLE JIAO QI DEFICIENCY

Clinical Manifestations	Chronic disease Much retention of urine Moderate or serious hydrocele in the Kidneys or Functional deficiency of Kidneys Sagging and distending sensation in the lower abdomen Occasional undischarged urination or Scanty and unsmooth urination Mental fatigue Poor appetite Shortness of breath with no desire to speak Low voice Prolapse due to sagging of Qi T: Pale C: Thin and white P: Thready weak
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang Descend turbidity Drain Dampness
Herb Formulas	Bu Zhong Yi Qi Tang modified
Points	DU-20, REN-1, REN-4, REN-6, SP-6, ST-36 For inhibited urination or desire to urinate without success: + SP-9 For dribbling urination: + UB-52 For accompanying Damp-Heat: + SP-9, ST-44 For sagging pain in the genitals: + moxa LIV-1 For distention and pain in the lower abdomen, groin and genitals: + LIV-8 For Food Stagnation : + ST-21 For accompanying Kidney Qi Deficiency: + KI-3 For accompanying Kidney Yin Deficiency: + KI-7 For Heart and Spleen Deficiency: + HT-7 For severe Qi Deficiency: + SP-3

LOWER JIAO BLOOD STAGNATION WITH HEAT

Clinical Manifestations	Acute lower abdominal pain Incontinence of urine Night fevers Delirious speech Irritability Restlessness Thirst May be mania (severe) Dysmenorrhea Amenorrhea Hard stool Dark red complexion Headache Vertigo Tinnitus Insomnia Palpitations Constipation Frequent urination Emotional instability Chills in the waist and feet Tremors Excruciating abdominal pain with cold Black stool May be chills and fever Hemoptysis Hematuria Red eyes Pain and distention of the head Toothache Irregular menstruation Lochioschesis Severe wheezing Distention of the chest T: Red and dry C: Yellow P: Deep and forceful or Choppy
Treatment Principle	Drain Heat Break up Blood Stasis
Herb Formulas	Tao He Cheng Qi Tang
Points

COLD-DAMPNESS IN THE LOWER JIAO

Clinical Manifestations	Cold pain in the lower back and body Sciatica Copious urination Extreme heavy sensation in the lower back Absence of thirst T: Pale C: White P: Deep, thready and moderate
Treatment Principle	Warm Yang Strengthen the Spleen Dispel Cold Eliminate Dampness
Herb Formulas	Gan Cao Gan Jiang Fu Ling Bai Zhu Tang
Points

TUMOR-MASS

Clinical Manifestations	Tumor or mass
Treatment Principle	Invigorate the Blood Break up Blood Stasis
Herb Formulas	Di Dang Wan #1 Ge Xia Zhu Yu Tang Gui Zhi Fu Ling Wan
Points	REN-3, SP-6, SP-10, UB-28 Electro GB-28 - REN-2 Ear: Shenmen, Bladder, Kidney, Subcortex, Urethra, Heel

(BENIGN) PROSTATIC HYPERTROPHY, BPH, PROSTOMEGALY

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