Damp-Heat in the Bladder

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Pattern factsheet

Chinese name: 膀胱湿热

Pinyin name: Páng Guāng Shī Rè

Associated TCM concepts: Dampness Heat/Fire evil Bladder

Related conditions: Cystitis Heatstroke Urethritis and eight other conditions

Diagnosis

Common symptoms: Fever Dark Urine Turbid urine Blood in urine Feeling of heat and nine other symptoms

Pulse type(s): Rapid (Shu), Slippery (Hua), Wiry (Xian)

Tongue coating: Yellow coating

This is an Excess Heat and Dampness pattern which obstructs the smooth flow of Fluids in the Lower Burner. The obstruction gives rise to difficult urination, urgent urination and turbid urine. 

The Heat causes burning and other Heat sensations.

In extreme cases, Dampness can materialize into urinary stones.

Related conditions

Cystitis Heatstroke Stomach flu Gastroenteritis Urethritis Urinary stones Vaginal discharge Cloudy urine Dark urine Frequent urination Painful urination

Diagnosing Damp-Heat in the Bladder

The Bladder is a so-called "Fu" Organ. Learn more about the Bladder in Chinese Medicine

Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners.

In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors. Here patients with Damp-Heat in the Bladder will tend to exhibit rapid (Shu), slippery (Hua) or wiry (Xian) pulses as well as a tongue with yellow coating.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Damp-Heat in the Bladder might experience symptoms like frequent and urgent urination, burning urination, urination stopping in the middle of flow and dark urine (full list here above).

Herbal formulas used to treat Damp-Heat in the Bladder

Ba Zheng San

Source date: 1107 AD

Number of ingredients: 9 herbs

Key actions: Clears Heat and Fire. Promotes urination. Unblocks painful urinary dribbling.

Formula summary

Ba Zheng San is a 9-ingredient Chinese Medicine formula with Chinese Pink Herbs (Qu Mai) and Knotgrass (Bian Xu) as principal ingredients. Invented in 1107 AD, it belongs to the category of formulas that clear Heat and expel dampness.

Besides Damp-Heat in the Bladder, Ba Zheng San is also used to treat Damp-Cold in the Bladder or Damp-Heat.

Read more about Ba Zheng San

Liu Yi San

Source date: 1172 AD

Number of ingredients: 2 herbs

Key actions: Clears Summer-Heat. Drains Dampness. Supplements Qi.

Formula summary

Liu Yi San is a 2-ingredient Chinese Medicine formula with Talc (Hua Shi) as a principal ingredient. Invented in 1172 AD, it belongs to the category of formulas that dispel Summer-Heat and facilitate resolution of Dampness.

Besides Damp-Heat in the Bladder, Liu Yi San is also used to treat Summer Heat.

Read more about Liu Yi San

Bi Xie Fen Qing Yin

Source date: 1732 AD

Number of ingredients: 4 herbs

Key actions: Clears Heat. Warms the Kidneys. Drains Dampness. Separates the clear from the turbid.

Formula summary

Bi Xie Fen Qing Yin is a 4-ingredient Chinese Medicine formula with Fish-Poison Yam (Bi Xie) as a principal ingredient. Invented in 1732 AD, it belongs to the category of formulas that warm and transform water and Dampness.

Besides Damp-Heat in the Bladder, Bi Xie Fen Qing Yin is also used to treat Spleen Deficiency with Dampness.

Read more about Bi Xie Fen Qing Yin

Diet recommendations

Try to avoid too much exposure to damp, cold and humid environments. You might consider purchasing a dehumidifier if your home or office space is affected.