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 dizziness, feeling of heat and sticky vaginal discharge in the pattern “Damp-Heat”. 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.

Korean Mint (Huo Xiang) is the king ingredient for Huo Xiang Zheng Qi San, a formula used for Damp-Heat

Damp-Heat

Pulse type(s): Soggy (Ru)

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

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 Huo Xiang Zheng Qi San, a herbal formula made of 11 herbs (including Korean Mint - Huo Xiang - as a key herb). Huo Xiang Zheng Qi San belongs to the category of "formulas that transform dampness and harmonize stomach", which might be why it is often recommended for this pattern. Its main action as a formula is: "Releases the Exterior".

Read more about Damp-Heat here

Greater Yang Accumulation of Blood

Pulse type(s): Deep (Chen), Rapid (Shu), Fine (Xi)

In addition to blood in urine, other symptoms associated with Greater Yang Accumulation of Blood include restlessness, hypogastric distention and hypogastric fullness.

Greater Yang Accumulation of Blood is often treated with Tao He Cheng Qi Tang, a herbal formula made of 5 herbs (including Peach Kernels - Tao Ren - as a key herb). Tao He Cheng Qi Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dispels Heat and".

Read more about Greater Yang Accumulation of Blood here

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 burning urination.

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

Heat victorious agitating Blood

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

In addition to blood in urine, other symptoms associated with Heat victorious agitating Blood include bloody stools, vomiting of blood and epistaxis.

Heat victorious agitating Blood is often treated with Xi Jiao Di Huang Tang, a herbal formula made of 4 herbs (including Water Buffalo Horns - Shui Niu Jiao - as a key herb). Xi Jiao Di Huang Tang belongs to the category of "formulas that clear nutritive-level heat", which might be why it is often recommended for this pattern. Its main action as a formula is: "Treats severe fevers and Heat in the Blood system".

Read more about Heat victorious agitating 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, insomnia and feeling of heat.

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

Five herbal formulas that might help with blood in urine

Ba Zheng San

Source date: 1107 AD

Number of ingredients: 9 herbs

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

Why might Ba Zheng San 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 Ba Zheng San here

Tao He Cheng Qi Tang

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Dispels Heat and. Eliminates Blood Stagnation.

Why might Tao He Cheng Qi Tang help with blood in urine?

Because it is a formula often recommended to treat the pattern 'Greater Yang Accumulation of Blood' of which blood in urine is a symptom.

Other symptoms characteristic of Greater Yang Accumulation Of Blood include restlessness, hypogastric distention and hypogastric fullness.

Read more about Tao He Cheng Qi Tang here

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 burning urination.

Read more about Dao Chi San here

Xi Jiao Di Huang Tang

Source date: 650 AD

Number of ingredients: 4 herbs

Key actions: Treats severe fevers and Heat in the Blood system. Removes Blood Stagnation.

Why might Xi Jiao Di Huang Tang help with blood in urine?

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

Other symptoms characteristic of Heat Victorious Agitating Blood include bloody stools, vomiting of blood and epistaxis.

Read more about Xi Jiao Di Huang 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

Acupuncture points used for blood in urine

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

Why might Chinese Pink Herb (Qu Mai) help with blood in urine?

Because it is both specifically indicated to treat blood in urine and also because it is an ingredient in herbal formulas known to treat blood in urine as a symptom (such as Ba Zheng San for instance).

Chinese Pink Herbs is a Cold herb that tastes Bitter. It targets the Bladder, the Heart and the Small intestine.

Its main actions are: Encourages urination and expels Damp-Heat. Dissolves Blood Stasis and assists blocked menstruation.

Read more about Chinese Pink Herbs here

Why might Liquorice (Gan Cao) help with blood in urine?

Because Liquorice is an ingredient in several formulas indicated to treat blood in urine as a symptom, like Tao He Cheng Qi Tang or Liu Yi San for instance.

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

Why might Mudan Peony Bark (Mu Dan Pi) help with blood in urine?

Because Mudan Peony Bark is an ingredient in several formulas indicated to treat blood in urine as a symptom, like Liu Wei Di Huang Wan or Zhi Bo Di Huang Wan for instance.

Mudan Peony Bark is a Cool herb that tastes Bitter and Pungent. It targets the Heart, the Kidney and the Liver.

Its main actions are: Cools the Blood, activates Blood circulation and resolves Blood stasis.

Read more about Mudan Peony Bark here

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 Unprepared Rehmannia (Di Huang) help with blood in urine?

Because Unprepared Rehmannia is an ingredient in several formulas indicated to treat blood in urine as a symptom, like Dao Chi San or Xi Jiao Di Huang Tang for instance.

Unprepared Rehmannia is a Cold herb that tastes Sweet. It targets the Heart, the Kidney and the Liver.

Its main actions are: Expels Heat by Cooling Blood. Tonifies Yin by promoting Fluid production. Soothes the Heart by calming Blazing Fire. Cools and nourishes.

Read more about Unprepared Rehmannia here

Conditions associated with blood in urine

Abnormal vaginal discharge