Dark urine according to Chinese Medicine

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Dark 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 dark 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 dark urine is often associated with dizziness, feeling of heat and restlessness in the pattern “Damp-Heat”. As you will see below, we have in record five patterns that can cause dark urine.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of dark 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 dark urine.

The five "patterns of disharmony" that can cause dark urine

In Chinese Medicine dark 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 dark urine, other symptoms associated with Damp-Heat include dizziness, feeling of heat and restlessness.

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

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

Damp-Heat in the Bladder

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

Tongue coating: Yellow coating

In addition to dark urine, other symptoms associated with Damp-Heat in the Bladder include feeling of heat, fever and blood in urine.

Damp-Heat in the Bladder is often treated with Ba Zheng San, a herbal formula made of 9 herbs (including Chinese Pink Herbs - Qu Mai - as a key herb). Ba Zheng San belongs to the category of "formulas that clear heat and expel dampness", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Heat and Fire".

Read more about Damp-Heat in the Bladder here

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

Bright Yang Fire in Stomach and Intestines

Pulse type(s): Deep (Chen), Rapid (Shu), Slippery (Hua), Full (Shi)

In addition to dark urine, other symptoms associated with Bright Yang Fire in Stomach and Intestines include constipation, irritability and dry stools.

Bright Yang Fire in Stomach and Intestines is often treated with Tiao Wei Cheng Qi Tang, a herbal formula made of 3 herbs (including Rhubarb - Da Huang - as a key herb). Tiao Wei Cheng Qi Tang belongs to the category of "formulas that purge heat accumulation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Removes Heat and Dryness in the Lower Burner".

Read more about Bright Yang Fire in Stomach and Intestines here

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

Damp-Heat in the Liver

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

Tongue coating: Sticky coating, Yellow coating

Tongue color: Red

This pattern is caused by excessive Heat in the Liver and Dampness due to Spleen Deficiency. Dampness can cause the formation of Phlegm.  Patients often have a feeling of fullness. It is often caused by bad diet and lifestyle, hot and damp environment and emotional stress such as anger.

In addition to dark urine, other symptoms associated with Damp-Heat in the Liver include poor appetite, fever and bitter taste in the mouth.

Damp-Heat in the Liver is often treated with Long Dan Xie Gan Tang, a herbal formula made of 10 herbs (including Chinese Gentian - Long Dan Cao - as a key herb). Long Dan Xie Gan Tang 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 Heat and Fire from the Liver and Gallbladder".

Read more about Damp-Heat in the Liver here

Water Buffalo Horns (Shui Niu Jiao) is the king ingredient for Xi Jiao Di Huang Tang, a formula used for Heat in the Blood

Heat in the Blood

Pulse type(s): Rapid (Shu)

Tongue color: Red

Heat in the Blood (or Blood-Heat) refers to a condition whereby Heat, as a so-called "Pernicious Influence", entered the Blood. This invasion tends to accelerate Blood flow (leading to a faster pulse) and to manifest itself in various types of bleeding as well as other symptoms.

In addition to dark urine, other symptoms associated with Heat in the Blood include dizziness, tinnitus and constipation.

From a Western Medicine standpoint Heat in the Blood is associated with health issues such as Early Menstruation or Abnormal Uterine Bleeding.

Heat in the 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 in the Blood here

Five herbal formulas that might help with dark 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 dark urine?

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

According to Chinese Medicine, Damp-Heat can contribute to many health issues, including Intermenstrual Bleeding.

Read more about Ba Zheng San here

Liu Yi San

Source date: 1172 AD

Number of ingredients: 2 herbs

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

Why might Liu Yi San help with dark urine?

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

Other symptoms characteristic of Damp-Heat In The Bladder include feeling of heat, fever and blood in urine.

Read more about Liu Yi San here

Tiao Wei Cheng Qi Tang

Source date: 220 AD

Number of ingredients: 3 herbs

Key actions: Removes Heat and Dryness in the Lower Burner. Removes constipation.

Why might Tiao Wei Cheng Qi Tang help with dark urine?

Because it is a formula often recommended to treat the pattern 'Bright Yang Fire in Stomach and Intestines' of which dark urine is a symptom.

Other symptoms characteristic of Bright Yang Fire In Stomach And Intestines include constipation, irritability and dry stools.

Read more about Tiao Wei Cheng Qi Tang here

Yin Chen Hao Tang

Source date: 220 AD

Number of ingredients: 3 herbs

Key actions: Clears heat. Resolves dampness. Reduces jaundice.

Why might Yin Chen Hao Tang help with dark urine?

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

Other symptoms characteristic of Damp-Heat In The Liver include poor appetite, fever and bitter taste in the mouth.

Read more about Yin Chen Hao 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 dark urine?

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

According to Chinese Medicine, Heat in the Blood can contribute to many health issues, including Early Menstruation.

Read more about Long Dan Xie Gan Tang here

Acupuncture points used for dark urine

The five Chinese Medicinal herbs most likely to help treat dark urine

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

Because it is both specifically indicated to treat dark urine and also because it is an ingredient in herbal formulas known to treat dark 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 dark urine?

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

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

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 Cape Jasmine Fruit (Zhi Zi) help with dark urine?

Because Cape Jasmine Fruit is an ingredient in several formulas indicated to treat dark urine as a symptom, like Yin Chen Hao Tang or Long Dan Xie Gan Tang for instance.

Cape Jasmine Fruits is a Cold herb that tastes Bitter. It targets the Gallbladder, the Heart, the Lung and the Sanjiao.

Its main actions are: Clears Heat and calms spirit. Drains Damp-Heat affecting the Liver and Gallbladder. Clears Heat in the Blood and stops bleeding. Anti-inflammatory.

Read more about Cape Jasmine Fruits here

Why might Baikal Skullcap Root (Huang Qin) help with dark urine?

Because Baikal Skullcap Root is an ingredient in several formulas indicated to treat dark urine as a symptom, like Qing Re Gu Jing Tang or Long Dan Xie Gan Tang for instance.

Baikal Skullcap Roots is a Cold herb that tastes Bitter. It targets the Gallbladder, the Heart, the Large intestine, the Lung, the Small intestine and the Spleen.

Its main actions are: Expels Heat and Dampness. Clears Upper Burner Heat, especially of the Lung. Clears Heat and stops reckless movement of Blood. Clears pathogenic Heat which is upsetting the fetus. Cools the Liver, reducing Liver Yang rising syndrome.

Read more about Baikal Skullcap Roots here

Why might Unprepared Rehmannia (Di Huang) help with dark urine?

Because Unprepared Rehmannia is an ingredient in several formulas indicated to treat dark urine as a symptom, like Liang Di Tang 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