Bladder damp-heat

　　1. This condition is often caused by external invasion of damp-heat pathogens, attacking the bladder; or irregular diet, excessive intake of spicy food, generating damp-heat, flowing downward to the bladder, leading to the unsmooth flow of bladder Qi.

　　2. Bladder damp-heat leads to the blockage of Qi transformation, causing frequent urination, urgency, burning sensation during urination, and涩痛 during micturition. Damp-heat boils, causing the consumption of body fluid, resulting in short and yellow urine. Damp-heat injures the blood vessels, forcing blood to flow erratically, leading to hematuria. Prolonged damp-heat retention boils the turbid urine into sand and stones, which can be seen in the urine or X-ray examination. Bladder damp-heat affects the lower abdomen and腰部, causing disharmony of Qi, leading to abdominal and lower back pain. Fever, thirst, red tongue, greasy yellow fur, and slippery rapid pulse are signs of internal damp-heat retention.

　　Fever may occur, affecting the kidneys, leading to back pain. Heat injures the Yin collaterals, causing hematuria. Prolonged damp-heat retention, boiling the impurities in urine into sand and stones. If there are obvious systemic symptoms, back pain, and elevated body temperature, it indicates the presence of pyelonephritis or other acute infections.

　　Pyelonephritis:It refers to pyelonephritis, mainly caused by bacterial infection. Pyelonephritis is also known as upper urinary tract infection, usually accompanied by inflammation of the lower urinary tract, and it is difficult to distinguish strictly in clinical practice. Acute pyelonephritis often occurs in women of childbearing age, with symptoms such as back pain, renal area tenderness, percussion tenderness, accompanied by chills, fever, headache, nausea, and vomiting, as well as bladder irritation signs such as frequent urination, urgency, and dysuria. Blood tests may show an increase in white blood cells. Generally, there is no hypertension or azotemia. The patient's urine is turbid, and gross hematuria may occur. Urinalysis shows a large number of white blood cells or pus cells, with a few red blood cells and casts, and a small to moderate amount of protein.

　　Clinical manifestations include frequent urination, urgency, urethral burning, yellow and short urine, abdominal distension, or accompanied by fever and back pain, or hematuria, or sand-like stones in urine, dry stool, red tongue with yellow greasy fur, and rapid pulse. The main points of damp-heat syndrome in the bladder are frequent urination, urgency, dysuria, and yellow urine. Damp-heat invades the bladder, causing abnormal Qi transformation. Heat drives the urethra, resulting in frequent urination, burning pain, abdominal distension, and yellow and short urine. Damp-heat stagnation, red tongue with yellow greasy fur, and rapid pulse, are signs of damp-heat.

　　Cleaning is the most important thing that cannot be ignored. Take a bath and change your underwear before going to bed every day, as the skin and underwear will be contaminated by coliform bacteria after each excretion.

　　1, Do not use scented bath products, as this may cause unnecessary chemical stimulation to the bladder lining.

　　2, Both men and women should be thoroughly cleaned before and after sexual intercourse.

　　3, Urinate immediately before and after sexual intercourse.

　　4, People with multiple sexual partners or those who have just changed sexual partners have a higher incidence rate, so they need to pay extra attention.

　　5, Generally speaking, it is very normal for women to want to urinate frequently. In fact, as long as water intake increases, urine output will necessarily increase, but it is not possible to hold urine for a long time. When feeling urgency, urine should be excreted in time without waiting too long. And each time, it is necessary to pay attention to whether the urine has been completely excreted.

　　6, Drink more water, preferably two liters a day.

　　7, Do not wear tight clothing, jeans, T-backs, and other similar clothing.

　　8, Be careful to use contraception methods; women who use diaphragms have a higher chance of developing cystitis.

　　9, Be careful when choosing toilet paper, try not to use bleached toilet paper. Remember that the wiping action should be from front to back.

　　10, Sitting on the toilet seat is easier to clear urine than half-squatting.

　　11, Overfatigue is also one of the causes of the disease.

　　Based on the medical history of frequent urination, urgency, and dysuria, routine urine examination can show red blood cells and pus cells. A urine bacterial culture with a bacterial count exceeding 100,000 per milliliter of urine can make a clear diagnosis.

　　Routine urine examination:The content includes the color, transparency, acidity, red blood cells, white blood cells, epithelial cells, casts, protein, specific gravity, and qualitative determination of glucose in urine. During routine urine examination, the first thing to observe should be whether the color of the urine is normal. Normal urine is light yellow in color, and abnormal urine color can change due to factors such as food, drugs, pigments, and blood. Red blood cells and a few white blood cells, as well as small round epithelial cells, may occasionally be found in the urine of normal people. If a large number of red blood cells, a large number of white blood cells, and many small round epithelial cells appear in the urine, it is a sign of reproductive infection diseases. There are no casts in normal urine, or only a few transparent casts are occasionally seen, containing only a tiny amount of albumin. Generally, the amount of protein excreted by normal people each day is relatively small, and the qualitative detection in routine urine examination is often negative.

　　Due to the retention of damp-heat in the bladder, urine is boiled and transformed into sand and stones over time, forming calculus stranguria. In addition to internal medication and acupuncture treatment, it is often combined with physical therapy, such as jumping exercises. Drink plenty of water, 1000-2000 milliliters of water per day. In addition, you can also pay attention to the selection of diet according to the composition of the stones. If the urinary stones are composed of phosphate, you can eat a lot of acidic foods with high acidity, and vegetables with low calcium content or low alkaline value, such as beans, brassica, asparagus, pumpkin, etc.; avoid eating foods with high calcium content such as milk, egg yolks, shrimp shells, tofu, spinach, and amaranthus. If the stones are composed of uric acid and calcium oxalate, you should choose more alkaline foods, such as vegetables and fruits.

　　Treatment Method: Clearing and benefiting the bladder damp-heat

　　1. Formula: Ba Zheng San.

　　2. This formula uses rhubarb and capsularis to clear heat and relieve fire; herba polygoni, herba eupatorii, herba euryales, semen plantaginis, and talcum to promote diuresis and clear heat; licorice to detoxify and relieve pain. For those with severe heat, add bupleurum, scutellaria, herba taraxaci, and herba hesperidium to clear heat, detoxify, and promote diuresis. For those with nausea and vomiting, add pinellia to relieve nausea and vomiting. For those with a sinking and distending pain in the lower abdomen, add herba cyperi and semen auriculae to regulate qi and relieve pain. For those with blood in the urine, add herba Imperatae and herba epimedii to clear heat and stop bleeding.

　　3. External heat can also be combined with the following methods for synergistic treatment. In terms of drugs: Bupleurum Injection, 2-4ml each time, intramuscular injection, once or twice a day; or Shuanghuanglian Powder for Injection, 3g each time, dissolved in 500ml of 10% glucose solution or glucose saline, intravenous infusion, once a day; or Qingkailing Injection, 40-60ml each time, added to 500ml of 10% glucose solution, intravenous infusion, or Chuanhuning Injection, 400mg each time, added to 500ml of 5% or 10% glucose solution, intravenous infusion, once a day.

　　4. You can also use compound heat-reducing nasal drops (made from forsythia, flos magnoliae, artemisia, etc.) to drop the nose, 3-4 drops on each side of the nasal cavity each time, once every 30-40 minutes.

　　5. You can also choose drugs that clear heat and detoxify or promote bowel defecation and relieve heat, such as rhubarb, gypsum, forsythia, and flos magnoliae, and decoct them into a decoction for enema to clear heat. Or choose alcohol, cold water, ice packs, and other things to wipe and apply to the forehead, armpits, inguinal area, and other parts for physical cooling.