Real Clinical Cases

ACUPUNCTURE

CURES

RETENTION OF URINE

Introduction

The patient has difficulties in passing urine. It is caused by

many pathogenic factors. In TCM, it is considered as Long

Bi.

Main symptoms

The patient has abdominal distention owing to the

retention of urine since he cannot pass water. A history of

operation, traumatic injury and windstroke is present.

Etiology and pathogenesis

Its root cause is kidney qi deficiency, failure in controlling opening and closing of bladder.

• The discharge of urine depends on the qi activity of bladder which relies on the warming of kidney. When kidney qi is deficient, the qi activity of bladder is not able to make the urine discharged.

• Qi stagnation, blood stasis and damp heat left by operation, traumatic injury or windstroke are also the inducing factors of retention of urine.

Example case

Liu x x, female, 49 years old, had retention of urine for 20 days

after operation for hemorrhoids. She had desire to pass urine but

could not urinate.

• Her tongue is slightly red with

white sticky coating and wiry

rapid pulse. Treated by Chinese

and western medicine, she was

not relieved. So she came for

acupuncture treatment.

TreatmentShenshu (BL 23), Pangguangshu (BL 28), Qihai (CV

6 ） ,Guanyuan (CV 4), Zhongji (CV 3), Shuidao (ST 28) and

Yinlingquan (SP 9) were selected. The abdominal points were

punctured obliquely downward to prevent penetrating the bladder.

• After the needling sensation came,

a moxa stick was used to do

moxibustion for 30 minutes. After

removing the needles, hot compress

was done at the lower abdomen.

• On the 3rd, the catheter was

removed because she could pass

urine. Five days later she was

cured.

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