The Treatment of Modern Western - Biblio.nhat-nam.ru

73STRESS INCONTINENCEStress incontinence refers to the involuntary loss of urine oncoughing, straining, sneezing, lifting, or any maneuver thatsuddenly increases intra-abdominal pressure. While this conditionmay sometimes be seen in men after prostatectomy, itis the most common cause of involuntary loss of urine inwomen. It may be due to shortening of the urethra and lossof normal posterior urethrovesical angle resulting from pelvicrelaxation secondary to aging or multiparity.The Western medical diagnosis of this condition is based inthe patient’s history, pelvic examination, and demonstratingloss of urine with coughing or straining, which may bestopped by finger elevation of the paraurethral vaginal tissuesat the neck of the bladder. Mild cases of this condition mayrespond to pubococcygeal muscle exercises (i.e., Kegels) or tosympathomimetic drug therapy. Severe cases may requiresurgery.CHINESE DISEASE CATEGORIZATION: Urinaryincontinence is called niao shi jin, xiao bian bu jin, and xiaobian shi jin in Chinese.DISEASE CAUSES: Former heaven natural endowmentinsufficiency, aging, enduring diseases, multiparity, internaldamage by the seven affects, and unregulated eating anddrinkingDISEASE MECHANISMS: Because this condition is mostcommonly seen in the same age women as interstitial cystitisand both conditions have to do with abnormal discharge ofurine, their disease causes and mechanisms are essentially thesame. Although textbooks divide incontinence in generalinto lung-spleen qi vacuity, lower source vacuity cold (i.e.,kidney yang vacuity), and liver channel depressive fire types,according to most Chinese authorities, a spleen-kidney dualvacuity lies at the center of the overwhelming majority ofcases of stress incontinence. However, because of the interrelationshipsbetween the spleen and liver, qi and blood, andyin and yang, this core pattern may be complicated by liverdepression, blood stasis, and/or yin vacuity.TREATMENT BASED ON PATTERNDISCRIMINATION:SPLEEN-KIDNEY YANG VACUITY PATTERNMAIN SYMPTOMS: Female, mid-30s or older with involuntaryloss of urine when coughing, hiccuping, straining, orlaughing, frequent night-time urination, fatigue, lassitude ofthe spirit, lack of strength, cold hands and feet, dizzinessstanding up, possible chronic hemorrhoids, possible chronicvaginal tract discharge, low back and knee soreness and limpness,decreased sexual desire, a tendency to loose stools ordiarrhea, a fat, pale tongue with thin, white fur, and a deep,weak pulseTREATMENT PRINCIPLES: Fortify the spleen and boost theqi, supplement the kidneys and invigorate yangRX: Bu Zhong Yi Qi Tang (Supplement the Center & Boostthe Qi Decoction) & Suo Quan Wan (Stream-reducing Pills)INGREDIENTS:Huang Qi (Radix Astragali)18gDang Shen (Radix Codonopsitis)12gShan Yao (Radix Dioscoreae)12gYi Zhi Ren (Fructus Alpiniae Oxyphyllae) 9gWu Yao (Radix Linderae)9gBai Zhu (Rhizoma Atractylodis Macrocephalae) 9gDang Gui (Radix Angelicae Sinensis)6gChen Pi (Pericarpium Citri Reticulatae)6gmix-fried Gan Cao (Radix Glycyrrhizae) 6gSheng Ma (Rhizoma Cimicifugae) 4.5gChai Hu (Radix Bupleuri)3g