Blood in urine according to Chinese Medicine

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Blood in urine can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.

Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like blood in urine here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.

A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here blood in urine is often associated with insomnia, dark urine and palpitations in the pattern “Heart Fire blazing”. As you will see below, we have in record three patterns that can cause blood in urine.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of blood in urine we’ve identified four herbal formulas that may help treat patterns behind the symptom.

We’ve also selected below the five medicinal herbs that we think are most likely to help treat blood in urine.

The three "patterns of disharmony" that can cause blood in urine

In Chinese Medicine blood in urine is a symptom for 3 patterns that we have on record. Below is a small explanation for each of them with links for more details.

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

Heart Fire blazing

Pulse type(s): Overflowing (Hong), Rapid (Shu), Full (Shi), Hasty (Cu)

In addition to blood in urine, other symptoms associated with Heart Fire blazing include insomnia, dark urine and palpitations.

Heart Fire blazing is often treated with Xie Xin Tang, a herbal formula made of 3 herbs (including Rhubarb - Da Huang - as a key herb). Xie Xin Tang belongs to the category of "formulas that clear heat and resolve toxicity", which might be why it is often recommended for this pattern. Its main action as a formula is: "Drains Fire".

Read more about Heart Fire blazing here

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

Spleen not controlling Blood

Pulse type(s): Weak (Ruo), Fine (Xi)

In addition to blood in urine, other symptoms associated with Spleen not controlling Blood include abnormal uterine bleeding, poor appetite and loose stools.

Spleen not controlling Blood is often treated with Gui Pi Tang, a herbal formula made of 12 herbs (including Ginseng - Ren Shen - as a key herb). Gui Pi Tang belongs to the category of "formulas that tonify qi and blood", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies and nourish Qi and Blood".

Read more about Spleen not controlling Blood here

Phellodendron Bark (Huang Bo) is the king ingredient for Er Miao San, a formula used for Damp-Heat

Damp-Heat

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

Tongue coating: Sticky coating, Yellow coating

Tongue color: Red

In addition to blood in urine, other symptoms associated with Damp-Heat include dizziness, sticky vaginal discharge and poor appetite.

From a Western Medicine standpoint Damp-Heat is associated with health issues such as Menstrual Cramps, Intermenstrual Bleeding or Abnormal Vaginal Discharge.

Damp-Heat is often treated with Er Miao San, a herbal formula made of 2 herbs (including Phellodendron Bark - Huang Bo - as a key herb). Er Miao San belongs to the category of "formulas that expel dampness", which might be why it is often recommended for this pattern. Its main action as a formula is: "Expels Dampness from the Lower Burner".

Read more about Damp-Heat here

Four herbal formulas that might help with blood in urine

Xie Xin Tang

Source date: 220 AD

Number of ingredients: 3 herbs

Key actions: Drains Fire. Resolves Toxicity. Dries Dampness.

Why might Xie Xin Tang help with blood in urine?

Because it is a formula often recommended to treat the pattern 'Heart Fire blazing' of which blood in urine is a symptom.

Other symptoms characteristic of Heart Fire Blazing include insomnia, dark urine and palpitations.

Read more about Xie Xin Tang here

Gui Pi Tang

Source date: 1529 AD

Number of ingredients: 12 herbs

Key actions: Tonifies and nourish Qi and Blood. Tonifies Heart and Spleen.

Why might Gui Pi Tang help with blood in urine?

Because it is a formula often recommended to treat the pattern 'Spleen not controlling Blood' of which blood in urine is a symptom.

Other symptoms characteristic of Spleen Not Controlling Blood include abnormal uterine bleeding, poor appetite and loose stools.

Read more about Gui Pi Tang here

Yi Huang Tang

Source date: 1826 AD

Number of ingredients: 5 herbs

Key actions: Strengthens the Spleen. Dries Dampness. Clears Heat. Stops vaginal discharge.

Why might Yi Huang Tang help with blood in urine?

Because it is a formula often recommended to treat the pattern 'Damp-Heat' of which blood in urine is a symptom.

According to Chinese Medicine, Damp-Heat can contribute to many health issues, including Abnormal Vaginal Discharge.

Read more about Yi Huang Tang here

Long Dan Xie Gan Tang

Source date: 1682 AD

Number of ingredients: 10 herbs

Key actions: Clears Heat and Fire from the Liver and Gallbladder. Clears and drains Damp-Heat from the Lower Burner.

Why might Long Dan Xie Gan Tang help with blood in urine?

Because it is a formula often recommended to treat the pattern 'Damp-Heat' of which blood in urine is a symptom.

According to Chinese Medicine, Damp-Heat can contribute to many health issues, including Abnormal Vaginal Discharge.

Read more about Long Dan Xie Gan Tang here

The five Chinese Medicinal herbs most likely to help treat blood in urine

Why might Plantain Seed (Che Qian Zi) help with blood in urine?

Because Plantain Seed is an ingredient in several formulas indicated to treat blood in urine as a symptom, like Yi Huang Tang or Long Dan Xie Gan Tang for instance.

Plantain Seeds is a Cool herb that tastes Sweet. It targets the Kidney, the Liver, the Lung and the Small intestine.

Its main actions are: Encourages urination and clears Heat. Stops diarrhea by expelling water through urination. Brightens the eyes, used in combination either for Deficiency or Heat. Reduces inflammation of infections. Arrests cough and expectorates Phlegm.

Read more about Plantain Seeds here

Why might Atractylodes Rhizome (Bai Zhu) help with blood in urine?

Because it is a key herb in Gui Pi Tang, a herbal formula indicated to treat the pattern 'Spleen not controlling Blood' (a pattern with blood in urine as a symptom)

Atractylodes Rhizomes is a Warm herb that tastes Bitter and Sweet. It targets the Spleen and the Stomach.

Its main actions are: Tonifies the Spleen Qi. Fortifies the Spleen Yang and dispels Damp through urination. Tonifies Qi and stops sweating. Calms restless fetus when due to Deficiency of Spleen Qi.

Read more about Atractylodes Rhizomes here

Why might Chinese Gentian (Long Dan Cao) help with blood in urine?

Because it is a key herb in Long Dan Xie Gan Tang, a herbal formula indicated to treat the pattern '' (a pattern with blood in urine as a symptom)

Chinese Gentian is a Cold herb that tastes Bitter. It targets the Gallbladder, the Heart, the Large intestine, the Liver and the Lung.

Its main actions are: Expels Damp-Heat especially in the Liver and Gallbladder Meridians. Clears Liver-Fire. Clears Liver-Wind.

Read more about Chinese Gentian here

Why might Rhubarb (Da Huang) help with blood in urine?

Because it is a key herb in Xie Xin Tang, a herbal formula indicated to treat the pattern 'Heart Fire blazing' (a pattern with blood in urine as a symptom)

Rhubarb is a Cold herb that tastes Bitter. It targets the Spleen, the Stomach, the Large intestine, the Liver and the Pericardium.

Its main actions are: Drains Excess Heat and eliminates Dampness, especially when in the Sunlight Yang stage. Cools the Blood and stops bleeding. Invigorates Blood, breaks up Stasis and relieves pain. Clears Heat and toxins from Excess. Applied topically for Hot sores and Blood Stasis.

Read more about Rhubarb here

Why might Foxnut Seed (Qian Shi) help with blood in urine?

Because it is a key herb in Yi Huang Tang, a herbal formula indicated to treat the pattern '' (a pattern with blood in urine as a symptom)

Foxnut Seeds is a Neutral herb that tastes Sour and Sweet. It targets the Spleen and the Kidney.

Its main actions are: Tonifies the Spleen and stops diarrhea. Strengthens the Kidneys and restrains Essence. Dispels Dampness and relieves leukorrhea.

Read more about Foxnut Seeds here

Conditions associated with blood in urine

Abnormal vaginal discharge