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, abdominal pain and tongue ulcers in the pattern “Full Heat in the Small Intestine”. As you will see below, we have in record five 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 five 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 five "patterns of disharmony" that can cause blood in urine

In Chinese Medicine blood in urine is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.

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

Full Heat in the Small Intestine

Pulse type(s): Overflowing (Hong), Rapid (Shu)

In addition to blood in urine, other symptoms associated with Full Heat in the Small Intestine include insomnia, abdominal pain and tongue ulcers.

Full Heat in the Small Intestine is often treated with Dao Chi San, a herbal formula made of 4 herbs (including Akebia Stems - Mu Tong - as a key herb). Dao Chi San belongs to the category of "formulas that clear heat from the organs", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears the Heart".

Read more about Full Heat in the Small Intestine 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

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

Kidney Yin Deficiency

Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)

Tongue coating: Complete absence of coating

Tongue color: Red

Tongue shape: Cracked

Kidney Yin Deficiency causes false Heat symptoms, such as night sweats, thirst and five palm heat. These signs are from a depletion of Body Fluids and Essence. It can be caused by prolonged overwork, excessive sexual activity, chronic long term illnesses, consumption of Body Fluids by Heat, prolonged blood loss, overdosage of Kidney Yang tonics herbs, smoking and Kidney depleting foods such as coffee, alcohol, sugar, and fruit juices.

In addition to blood in urine, other symptoms associated with Kidney Yin Deficiency include dizziness, tinnitus and night sweats.

From a Western Medicine standpoint Kidney Yin Deficiency is associated with health issues such as Menopausal Syndrome, Prolonged Periods or Irregular Menstruation.

Kidney Yin Deficiency is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".

Read more about Kidney Yin Deficiency here

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 tongue ulcers.

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

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

Five herbal formulas that might help with blood in urine

Dao Chi San

Source date: 1119 AD

Number of ingredients: 4 herbs

Key actions: Clears the Heart. Promotes urination.

Why might Dao Chi San help with blood in urine?

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

Other symptoms characteristic of Full Heat In The Small Intestine include insomnia, abdominal pain and tongue ulcers.

Read more about Dao Chi San 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

Liu Wei Di Huang Wan

Source date: 1119 AD

Number of ingredients: 6 herbs

Key actions: Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system).

Why might Liu Wei Di Huang Wan help with blood in urine?

Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which blood in urine is a symptom.

According to Chinese Medicine, Kidney Yin Deficiency can contribute to many health issues, including Abnormal Vaginal Discharge.

Read more about Liu Wei Di Huang Wan here

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 tongue ulcers.

Read more about Xie Xin 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 Long Dan Xie Gan Tang or Yi Huang 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 Prepared Rehmannia (Shu Di Huang) help with blood in urine?

Because it is a key herb in Liu Wei Di Huang Wan, a herbal formula indicated to treat the pattern 'Kidney Yin Deficiency' (a pattern with blood in urine as a symptom)

Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.

Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.

Read more about Prepared Rehmannia here

Why might Akebia Stem (Mu Tong) help with blood in urine?

Because it is a key herb in Dao Chi San, a herbal formula indicated to treat the pattern 'Full Heat in the Small Intestine' (a pattern with blood in urine as a symptom)

Akebia Stems is a Cold herb that tastes Bitter. It targets the Heart, the Lung and the Small intestine.

Its main actions are: Encourages urination and clears Heat. Clears Heat and inflammation of the Heart. Promotes lactation. Moves and smoothes the flow of Blood. Used for painful obstruction associated with either Dampness, Blood Stagnation, Wind or Heat.

Read more about Akebia Stems here

Why might Yam (Shan Yao) 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)

Yam is a Neutral herb that tastes Sweet. It targets the Spleen, the Kidney and the Lung.

Its main actions are: Tonifies the Spleen and Stomach. Tonifies the Lung Qi and nourishes the Lung Yin. Nourishes the Kidneys and consolidates Jing.

Read more about Yam here

Why might Liquorice (Gan Cao) 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)

Liquorice is a Neutral herb that tastes Sweet. It targets the Spleen, the Stomach, the Heart and the Lung.

Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.

Read more about Liquorice here

Conditions associated with blood in urine

Abnormal vaginal discharge