(1) Herbal Therapy
1) Internal Medicine
Damp Heat in the Urinary Bladder
Therapeutic Methods:To induce diuresis, treat stranguria, clear away heat and remove toxic substances.
Prescription: Modified Bazheng San (Eight Health Restoring Powder).
(2) Impairment of Blood Vessels by Heat
Therapeutic Methods: To clear away heat, induce diuresis, cool blood to stop bleeding. Prescription: Modified Xiaoji Yinzi (Cirsii Decoction).
(3) Deficiency of Both the Spleen and Kidney
Therapeutic Methods: To strengthen the spleen and nourish the kidney.
Prescription: Modified Wubi Shanyao Wan (Powerful Dioscoreae Pill).
2) External Medicine
Houttuynia Cordata: Take dried Houttuynia cordata 10-30g (doubled amount for fresh ones), decoct it in the water and take a hip bath with it. It has the effect of clearing away heat, resolving toxin, resisting bacteria, diminishing inflammation and disinhibiting dampness. So, it has a certain curative effect on frequent micturition and painful urination caused by bacterial infection. What need to remind is decocting Houttuynia cordata in a short time until the water is boiling rather than for a long time decoct, because the Houttuynia cordata contains essential oil. This recipe is only applicable for women. What’s more, once the patient's condition is aggravated, patients should be treated in the hospital in time.
(2) Acupoints Massage
The principles for treating urinary infection by massage are to dredge the bladder qi activity, clear heat and dampness of lower burner. For sthenia syndrome, take focus on inducing diuresis and treating stranguria at first, while for asthenic syndrome, take tonifying the spleen and kidney as the most important.
1) Ask the patient to adopt the sitting position, pinch the bilateral Jianjing (GB21) and Fengchi (GB 20) by both thumbs, fore fingers and middle fingers for 3 minutes respectively.
2) Ask the patient to adopt a supine position, grasp and lift the belly muscles by five fingers of both hands, then relax, repeat this action for 30 times, then apply digital pressing to Xingjian (LR2) and Yinlingquan (SP9) by the finger tip of thumb for 30 times respectively.
3) Ask patient to adopt a prone position, apply pushing manipulation to bilateral Pangguangshu (BL 28), Shenshu (BL23), Dazhui (GV 14) and Mingmen (GV 4) on the back for one minute respectively; then apply digital manipulation with force to Weizhong (BL 40), Chengshan (BL57) by the finger tip of thumb for 30 times respectively until a local distention and pain sensation occur.
Add-minus according to the disease:
a. For symptom of urination with blood. Ask patient to adopt a supine position, press and knead to Xuehai (SP 10) and Sanyinjiao (SP6) by finger pulp of thumb for one minute respectively.
b. For symptom of the urination like paste. Ask patient to adopt a sitting position, press and knead Baihui (GV20) by the finger pulp of the thumb for 2 minutes; then adopt a supine position, press and knead Shenshu (BL23) for 2 minutes.
c. For symptom of pain in lower abdomen. Ask the patient to adopt a supine position, press and knead with palm on Shuidao (ST28), which is located 3 cun below the umbilicus and 2 cun lateral to the anterior midline, for 2 minutes, then press and knead Zusanli (ST 36) and Ququan (LR8) by finger pulp of thumb for 2 minutes respectively.
d. For symptom of easy to onset by overwork. Ask patient to adopt a supine position, press and knead with palm on Guanyuan (CV 4) and Qihaishu (BL24) for 2 minutes respectively; then press and knead Zusanli (ST 36) , Sanyinjiao (SP6) and Zhongji (CV3) by finger pulp of the thumb for 2 minutes respectively.
(3) Guasha Therapy
Head: Holographic acupoint zone --Three strings on the side of forehead (bilateral), one-third of the back apical string of the forehead.
Back: Urinary bladder channel --From bilateral sides of Sanjiaoshu (BL22) to Pangguangshu (BL 28).
Abdomen: Ren channel --From Qihaishu (BL24) to Zhongji (CV3). Kidney channel --- From bilateral sides of Shuidao (ST28) to Guilai (ST29).
Upper limbs: Tri-jiao channel --Bilateral sides of Huizong (TE7).
Lower limbs: Kidney channel –- Bilateral sides of Zhubin (KI 9), Taixi (KI3), Shuiquan (KI 5).
(4) Cupping Therapy
The cupping therapy is not suitable to patients at the acute stage. And it can be selected to use as appropriate at the chronic stage. Often select the abdomen, back and lower limbs to cupping.
Abdomen: the width of the incorporative forefinger and middle finger lateral to bilateral Shenque (CV 8), and every other the width of the incorporative forefinger and middle finger downward to the Shenque (CV 8).
Back: the width of the incorporative forefinger and middle finger lateral to bilateral Mingmen (GV 4), and every other the width of the incorporative forefinger and middle finger upward and downward of Mingmen (GV 4).
Lower limbs: the width of the incorporative forefinger and middle finger downward to Zusanli (ST 36), the width of the incorporative forefinger and middle finger downward to bilateral sides of Sanyinjiao (SP6).
