The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Preliminary reading: What is a pattern? The concept of Dampness The concept of Cold The Bladder in Chinese Medicine
Key attributes
Chinese name: 膀胱湿寒 Pinyin name: Páng Guāng Shī Hán
Pattern nature: Full
Causes
Precursor patterns: Kidney Yang Deficiency Spleen Qi Deficiency
Common causes: Excessive exposure to exterior Dampness and Cold
Diagnosis
Common symptoms: Pale urine Turbid urine Frequent and urgent urination Feeling of heaviness in urethra Urination stopping in the middle of flow and one other symptoms
Pulse type(s): Slippery (Hua), Slow (Chi)
Tongue description: White sticky coating on root
Treatment
Treatment principle: Resolve Dampness, expel Cold and remove obstruction from the Lower Burner’s Water passages.
Common formulas: Ba Zheng San Wu Lin San Shi Wei San
This pattern is distinguished by the presence of Cold and Dampness in the Bladder.
The Coldness and Dampness obstruct the passages of Fluids in the Lower Burner and interfere with the Bladder functions.
The urgent and difficult urination as well as the feeling of heaviness are typical of Dampness. The 'dirty' nature of Dampness causes the urine to be turbid.
Precursor patterns: Damp-Cold in the Bladder can derive from Kidney Yang Deficiency Spleen Qi Deficiency
Excessive exposure to exterior Dampness and Cold: Exposure to Exterior Dampness and Cold, typically from humid and damp cold environments, may lead to this pattern
Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners. In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors as well as learn to read from a long list of seemingly unrelated symptoms.
Pulse type(s): Slippery (Hua) or slow (Chi)
Tongue description: White sticky coating on root
Main symptoms: Pale urine Turbid urine Frequent and urgent urination Feeling of heaviness in urethra Urination stopping in the middle of flow Feeling of heaviness in the hypogastrium
Diagnosis commentary: Difficult urination, a feeling of heaviness of the hypogastrium and pale urine are enough in and of themselves to diagnose Damp-Cold in the Bladder
Resolve Dampness, expel Cold and remove obstruction from the Lower Burner’s Water passages.
The top herbs in Ba Zheng San are Chinese Pink Herbs (Qu Mai), Knotgrass (Bian Xu) and Akebia Stems (Mu Tong)
Source date: 1107 AD
Number of ingredients: 9 herbs
Key actions: Clears Heat and Fire. Promotes urination. Unblocks painful urinary dribbling.
Ba Zheng San is a 9-ingredient Chinese Medicine formula. Invented in 1107 AD, it belongs to the category of formulas that clear Heat and expel dampness.
Besides Damp-Cold in the Bladder, Ba Zheng San is also used to treat Damp-Heat or Damp-Heat in the Bladder.
The top herbs in Wu Lin San are Cape Jasmine Fruits (Zhi Zi), Red Poria (Chi Fu Ling) and Red Peony Roots (Chi Shao)
Source date: 1107 AD
Number of ingredients: 5 herbs
Key actions: Clears heat. Cools the Blood. Promotes urination. Unblocks painful urinary dribbling.
Wu Lin San is a 5-ingredient Chinese Medicine formula. Invented in 1107 AD, it belongs to the category of formulas that clear Heat and expel dampness.
The top herbs in Shi Wei San are Pyrrosia Leaves (Shi Wei), Mallow Seeds (Dong Kui Zi) and Chinese Pink Herbs (Qu Mai)
Source date: 1687 AD
Number of ingredients: 5 herbs
Key actions: Clears heat. Promotes the resolution of Dampness. Unblocks painful urinary dribbling. Expels stones.
Shi Wei San is a 5-ingredient Chinese Medicine formula. Invented in 1687 AD, it belongs to the category of formulas that clear Heat and expel dampness.
Try to avoid excessive exposure to cold and damp environments
Damp-Cold in the Bladder obstructs the Lower Burner, which may lead to Kidney Yang Deficiency