Frequent Urination

 What is Frequent Urination?

Frequent urination involves the need to urinate more often than usual, disrupting normal activities and sleep patterns. It can signal underlying health issues or simply result from increased fluid intake. The condition spans various forms, including nocturia (nighttime urination) and frequent pale or urgent urination, affecting individuals differently. Below we listed 11 imbalances, it's symptoms and the principle treatment.

 

1-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 If there is incontinence, the urine may be scanty, dark and strong smelling There may be suprapubic fullness and discomfort Fullness and discomfort in the chest and diaphragm Anorexia Nausea Bitter taste in the mouth A tendency to constipation or Alternating loose and sluggish stools Chronic cases: Burning and pain may be mild or absent or Maybe a sense of urethral irritation or A of feeling of constantly needing to urinate In Damp-Heat Pouring Downward there may also be: Fever Thirst with little desire to drink A sticky, 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 and slimy P: Slippery and rapid or Soft and rapid

Treatment Principle

Clear Heat Eliminate Dampness by diuresis

2-Clinical Manifestations

Urinary frequency that is initiated by stress or emotional upset Urination feels incomplete or hesitant Fullness in the lower abdomen Tightness or fullness in the chest Difficulty getting a satisfying breath Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Hypochondriac discomfort or tightness Dizziness Occasional fatigue, better with exercise Abdominal distention Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Menstrual lower abdominal distention and pain Breast distention and pain before and during menses Premenstrual syndrome Flatulence Alternating diarrhea and constipation T: Pink or Dark and slightly enlarged C: Thin and white or White and slimy P: Wiry

Treatment Principle

Soothe the Liver Clear Stagnation Resolve Dampness Disinhibit urination

3-Clinical Manifestations

Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Frequent, clear urination Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak

Treatment Principle

Warm the Center Dispel Cold

4-Clinical Manifestations	Frequent, dark colored urination Dry, hard stools Maybe abdominal fullness T: Dry C: Dry and yellow P: Excess
Treatment Principle	Moisten the Intestines Drain Heat Circulate Qi Free the bowels

5-Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Frequent urination Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold

6-Clinical Manifestations

Frequent urination Frequent nocturia Copious amounts of clear urine A lusterless complexion Torpid intake Abdominal distention A tendency to loose stools A sticky feeling in the mouth A bland taste in the mouth Incontinence of urine Enuresis Either a tendency towards being too hot of too cold Shortness of breath No thirst or thirst with no desire to drink Asthma Cold limbs Low back soreness and pain Weak back and knees T: Pale with teethmarks C: White P: Deep, weak and possibly tight

Treatment Principle

Strengthen the Spleen Tonify the Kidneys

7-Clinical Manifestations

Body cold Limbs icy Complexion white and shiny or withered, yellow Lassitude Lack of strength Anorexia Dizziness Tinnitus Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Aversion to Cold Edema of face and limbs Edema of the body A sticky sensation in the mouth A bland taste in the mouth Frequent, clear nighttime urination or Scanty urination Dysuria Severe: Abdominal ascites T: Pale, tender, moist and swollen maybe with teethmarks C: Thin and white or White and greasy P: Deep and weak or Deep, thready, weak and maybe slow

Treatment Principle

Warm and Reinforce the Spleen and Kidneys

 

8-Clinical Manifestations	Frequent, painful urination Purple, dark-colored turbid urine Lower abdominal distention and pain Pain worse with pressure T: Dark with Stasis spots or maculae C: Thin and white P: Choppy
Treatment Principle	Invigorate the Blood Transform Stasis Disinhibit urine

9-Clinical Manifestations

Frequent, scanty, yellow urine Maybe with a sense of Heat or irritation Later stage: Maybe incontinence Dizziness Vertigo Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back and knees Steaming bones Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth and throat Thirst Night sweats Five sole Heat Malar flush Facial flushing Red lips Low grade fever in the afternoon Restlessness Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Heightened libido Vexation 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

 

10-Clinical Manifestations

Frequent urination Copious amounts of clear urine Incontinence of urine Enuresis Nocturia Either a tendency towards being too hot of too cold A bright white facial complexion Dizziness Shortness of breath Asthma Aversion to Cold Cold limbs Edema in the lower limbs Lassitude Lower back and knees weak and painful Lingering tinnitus or deafness Seminal emission Impotence Sterility Fatigue Lack of strength Maybe anorexia Maybe loose stools T: Pale C: White P: Deep, weak and possibly tight or Thready and weak or Deep, weak and slow or Deep, thready and weak

Treatment Principle

Tonify Kidney Qi Warm Kidney Yang Nourish Jing and Blood Two formulas are combined for this imbalance 6 Cherry Rehmanniae and Cherry Rehmanniae Rehmanniae

 

11-Clinical Manifestations

Frequent, copious, clear urine or Incontinence or enuresis Worse with exertion and fatigue or when sneezing or coughing Protracted, incessant cough or Cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Soft, low voice or Reluctance to speak Asthma Pale complexion and lips Mild edema of the eyelids or fingers which is worse in the morning Facial edema Dizziness Chest oppression Four limbs tired Anorexia General lassitude Cold body Fatigue Lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily T: Pale C: White P: Weak or Thready and weak

Treatment Principle

Reinforce the Spleen Benefit the Lungs Aid ascent of Yang Warm and transform Phlegm-Dampness Astragalus Tangerine Peeling modification is listed below

For frequent urination or urinary incontinence due to Lung and Spleen Qi/ Energy Deficiency:
+ 6g Rz. Zingiberis
6g Fr. Alpiniae Oxyphyllae
+ 15g Concha Ostreae
+ 6g Fr. Schisandrae