Frequent Urination and Bladder Discomfort: Insights from Traditional Chinese Medicine - Traditional Chinese Medicine

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Frequent urination and bladder discomfort?


Hello, doctor.
I visited a traditional Chinese medicine practitioner yesterday due to my frequent urination issue.
Although the problem of small urine volume has slightly improved, the frequency of urination in the morning has increased.
I drink about 800 milliliters of water daily, with each intake being around 100 to 200 milliliters.
However, I feel the urge to urinate 10 to 20 minutes after drinking, and I cannot urinate immediately; I need to wait for about 5 seconds.
I go to the bathroom 2 to 3 times an hour.
My urine is clear and slightly yellow, with a volume of about 120 milliliters each time.
However, I always feel like I haven't completely emptied my bladder, and there is some discomfort in my bladder.
The urine flow is slightly slower compared to before.

Polly, 10~19 year old female. Ask Date: 2016/08/30

Dr. Yan Sumei reply Traditional Chinese Medicine


Dear online friend Polly: The issue of frequent urination is indeed troubling for you, isn't it? I apologize for not knowing how to help you resolve this problem.
I suggest you seek assistance from both traditional Chinese medicine and Western medicine practitioners.
Wishing you health and peace! Sincerely, Yen Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2016/08/30

More Info


Frequent urination and bladder discomfort can be distressing symptoms that significantly impact daily life. Your experience of needing to urinate frequently, feeling a sense of incomplete emptying, and the discomfort in your bladder can be indicative of various underlying conditions. Traditional Chinese Medicine (TCM) offers a unique perspective on these issues, focusing on the balance of bodily systems and the flow of Qi (energy).

In TCM, the kidneys and bladder are closely related, and their health is crucial for proper urinary function. The kidneys are considered the source of Yin and Yang in the body, and any imbalance can lead to symptoms such as frequent urination. The bladder is responsible for storing urine and expelling it when necessary. If there is a deficiency in kidney Qi or Yin, it can lead to an overactive bladder, resulting in frequent urges to urinate, even with small volumes of urine.

From your description, it seems that you are experiencing a combination of symptoms that could be attributed to a deficiency in kidney Yin or Qi, possibly coupled with damp-heat accumulation in the bladder. The feeling of incomplete urination and discomfort may suggest that there is some stagnation or blockage in the urinary tract, which can be addressed through TCM approaches.

In TCM, treatment often involves herbal remedies, acupuncture, and dietary adjustments. Herbal formulas may include ingredients that tonify the kidneys, clear heat, and promote urination. For instance, herbs like Fu Ling (Poria) can help drain dampness, while Shan Yao (Chinese yam) can tonify the kidneys and spleen. Ze Xie (Water Plantain) is often used to promote urination and clear heat from the bladder.
Acupuncture can also be beneficial in regulating the flow of Qi and alleviating symptoms. Specific acupuncture points may be targeted to strengthen kidney function, relieve bladder discomfort, and improve overall urinary health. Points such as Ren 3 (Zhongji) and Bladder 28 (Pangguangshu) are commonly used for bladder-related issues.

Dietary changes can also play a significant role in managing your symptoms. It is advisable to avoid spicy, greasy, or overly salty foods, as these can contribute to heat and dampness in the body. Instead, focus on consuming foods that nourish the kidneys and promote fluid balance, such as black beans, walnuts, and pears. Staying hydrated is essential, but it may be beneficial to monitor your fluid intake to find a balance that does not exacerbate your symptoms.

It is important to note that while TCM can provide relief and address underlying imbalances, it is crucial to work closely with a qualified practitioner who can tailor treatments to your specific condition. Additionally, if your symptoms persist or worsen, it may be necessary to consult with a Western medicine specialist to rule out any serious underlying conditions, such as urinary tract infections, interstitial cystitis, or prostate issues in men.

In conclusion, frequent urination and bladder discomfort can be effectively approached through TCM by addressing the root causes of your symptoms. By combining herbal remedies, acupuncture, and dietary adjustments, you may find relief and improve your overall urinary health. However, ongoing communication with healthcare providers from both TCM and Western medicine is essential to ensure a comprehensive approach to your health.

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