Cystitis in Traditional Chinese Medicine

Understanding different cystitis patterns according to TCM theory

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7
TCM Patterns
12
Formulas
Overview
What causes it 7 TCM patterns documented
How to recognize Symptoms specific to each cystitis pattern
Classical remedies 12 herbal formulas documented
Related conditions

Traditional Chinese Medicine (TCM) considers cystitis as a disruption of the body's natural harmony and balance. Unlike Western medicine, which often focuses on the infection, TCM looks at cystitis as a symptom caused by various patterns of disharmony such as Damp-Heat in the Bladder or Blood Stagnation.

The goal of TCM is to identify and correct the specific pattern affecting the individual, thereby alleviating the symptom through restoring the body’s energetic equilibrium.

TCM Patterns for Cystitis

Blood Stasis

Blood that is no longer flowing smoothly through the vessels

Causes: Lower abdominal pain, Night fever, Delirious speech, Irritability, Restlnessness, Thirst, Amenorrhea, Dysmenorrhea

1 variation documented
Onset Gradual (trauma=sudden)
Location Often local, can be systemic
Features Fixed/stabbing pain • Purple/dark coloration • Masses/tumors • Pain worse at night

Blood Stasis represents blood that is no longer flowing smoothly through the vessels, either moving too slowly, pooling in certain areas, or congealing into clots. It's one of the most important pathological conditions in Traditional Chinese Medicine and can be both a result of disease and a cause of further illness.

Heat and Blood Stagnation in the Lower Burner
How it presents with cystitis

Lower abdominal pain, Night fever, Delirious speech, Irritability, Restlnessness, Thirst, Amenorrhea, Dysmenorrhea

Qi Deficiency

Insufficient vital energy causing fatigue, weakness, poor digestion, and reduced function of organs and protective systems

Causes: Edema, General sensation of heaviness, Diarrhea, Urinary difficulty

1 variation documented
Onset Gradual
Location Systemic
Features Fatigue • Weak voice • Shortness of breath • Spontaneous sweating • Poor appetite

Qi Deficiency is a fundamental pattern in Traditional Chinese Medicine where the body's vital energy is insufficient to maintain normal physiological functions, leading to weakness, fatigue, and various organ dysfunctions.

Spleen Deficiency with Dampness
How it presents with cystitis

Edema, General sensation of heaviness, Diarrhea, Urinary difficulty

Phlegm

Thick, sticky pathological fluid that obstructs body functions and can manifest anywhere in the body

Causes: Throbbing pulsations just below the umbilicus, Vomiting frothy saliva, Vertigo, Shortness of breath, Coughing, Feeling of oppression of the chest, Muzziness of the head, Dizziness

2 variations documented
Onset Gradual
Location Local or systemic
Features Nodules/lumps • Heavy sensation • Mucus/expectoration • Mental confusion (if affecting mind)

Phlegm is both a pathological product and a pathogenic factor in Traditional Chinese Medicine. It results from impaired fluid metabolism when the body's transformative functions fail, particularly affecting the Spleen, Lungs, and Kidneys. Classical texts emphasize that "the Spleen is the source of phlegm production, while the Lungs are the storage vessel for phlegm."

Phlegm in the Lower Burner
How it presents with cystitis

Throbbing pulsations just below the umbilicus, Vomiting frothy saliva, Vertigo, Shortness of breath, Coughing

Phlegm
How it presents with cystitis

Feeling of oppression of the chest, Muzziness of the head, Dizziness

Damp-Heat in the Lower Burner

Causes: Scanty and yellow urine, Lower back pain, Weakness of the lower extremities, Red and swollen feet, Red and swollen knees, Thick yellow smelly vaginal discharge, Sores on the lower extremities, Scanty and dark urine, Painful urination, Dry mouth, Dry throat, Urinary retention, Lower abdominal pain, Frequent and urgent urination, Difficult urination, Incomplete urination, Urinary dribbling, Turbid urine, Dark Urine, Lower abdomen distension

1 variation documented
Damp-Heat in the Lower Burner
How it presents with cystitis

Scanty and yellow urine, Lower back pain, Weakness of the lower extremities, Red and swollen feet, Red and swollen knees, Thick yellow smelly vaginal discharge, Sores on the lower extremities, Scanty and dark urine, Painful urination, Dry mouth, Dry throat, Urinary retention, Lower abdominal pain, Frequent and urgent urination, Difficult urination, Incomplete urination, Urinary dribbling, Turbid urine, Dark Urine, Lower abdomen distension

Yang Deficiency

Insufficient yang qi causing coldness, fatigue, and diminished physiological functions throughout the body

Causes: Lower back pain, Dizziness, Tinnitus, Cold and weak knees, Sensation of cold in the lower back, Feeling of cold, Weak legs, Bright-white complexion, Fatigue, Lassitude, Oedema of legs, Infertility in women, Loose stools, Depression, Impotence, Premature ejaculation, Low sperm count, Decreased libido, Pale and abudant urination, Sore lower back, Constipation

1 variation documented
Onset Gradual
Location Systemic
Features Always cold • Fatigue • Pale face • Prefers warmth • Cold limbs

Yang Deficiency represents a fundamental weakness of the body's yang qi in Traditional Chinese Medicine. It manifests as an inability to warm the body, transform substances, and maintain normal physiological activities, resulting in various cold-type symptoms and functional decline.

Kidney Yang Deficiency
How it presents with cystitis

Lower back pain, Dizziness, Tinnitus, Cold and weak knees, Sensation of cold in the lower back, Feeling of cold, Weak legs, Bright-white complexion, Fatigue, Lassitude, Oedema of legs, Infertility in women, Loose stools, Depression, Impotence, Premature ejaculation, Low sperm count, Decreased libido, Pale and abudant urination, Sore lower back, Constipation

Damp-Heat in the Bladder

Causes: Frequent and urgent urination, Burning urination, Urination stopping in the middle of flow, Dark Urine, Turbid urine, Blood in urine, Fever, Thirst with no desire to drink, Hypogastric fullness and pain, Feeling of heat

1 variation documented
Damp-Heat in the Bladder
How it presents with cystitis

Frequent and urgent urination, Burning urination, Urination stopping in the middle of flow, Dark Urine, Turbid urine, Blood in urine, Fever, Thirst with no desire to drink, Hypogastric fullness and pain, Feeling of heat

Summer-Heat

Causes: Fever, Aversion to cold, Sweating, Headaches, Feeling of heaviness, Uncomfortable sensation in the epigastrium, Irritability, Thirst

1 variation documented
Summer-Heat
How it presents with cystitis

Fever, Aversion to cold, Sweating, Headaches, Feeling of heaviness, Uncomfortable sensation in the epigastrium, Irritability, Thirst

Herbal Formulas for Cystitis

Traditional Chinese Medicine formulas used to address cystitis

Ba Wei Di Huang Wan

Traditional formula for cystitis

Ba Zheng San

Traditional formula for cystitis

Dao Chi San

Traditional formula for cystitis

Liu Yi San

Traditional formula for cystitis

Shi Wei San

Traditional formula for cystitis

Tao He Cheng Qi Tang

Traditional formula for cystitis

Wu Lin San

Traditional formula for cystitis

Wu Ling San

Traditional formula for cystitis

Zhi Zi Chi Tang

Traditional formula for cystitis