Cold-heat imbalance with frequent urination?
Hello, Traditional Chinese Medicine (TCM) doctor.
I am currently 25 years old.
Due to frequently holding my urine during middle school, I now experience symptoms of frequent urination, which has led me to dislike drinking water.
However, I often feel dry mouth and throat, and I frequently have mouth sores and bad breath.
Drinking more water or consuming cooler foods such as cabbage, white radish, citrus fruits, oranges, and watermelon exacerbates my frequent urination.
Additionally, I tend to urinate more when in air-conditioned rooms or during cold weather.
In cold weather, I also feel cold in my hands and feet.
If I consume tonics, I feel even drier in my mouth and throat, develop mouth sores, and sometimes experience a sore throat.
I visited a urologist, and the diagnosis was chronic interstitial cystitis, but the treatment has had limited effectiveness.
I now feel weak and unresponsive to tonics, have imbalances in hot and cold, and still frequently have mouth sores and excessive heat in my body, along with symptoms of frequent urination and weak urine flow.
I would like to ask how a TCM doctor would recommend I regulate my body or resolve these issues.
Also, which department should I visit in a TCM hospital? Thank you!
S Qie'e, 20~29 year old female. Ask Date: 2005/12/06
Dr. Yan Sumei reply Traditional Chinese Medicine
Dietary considerations for interstitial cystitis indicate the following results:
Dairy Products:
× Aged cheese, sour cream, yogurt, chocolate.
○ White chocolate, non-aged cheese (such as soft cheese, American frozen yogurt), milk.
Vegetables:
× Green peas, onions, tofu, tomatoes.
○ Other vegetables.
Fruits:
× Apples, bananas, pineapples, citrus fruits, grapes, peaches, plums, pomegranates, strawberries, apricots, pears, nectarines, rhubarb, or the aforementioned fruit juices.
○ Melons, European pears.
Starches and Grains:
× Rye and yeast bread, raw dough, potatoes, rice.
Meat and Fish:
× Expired canned goods, cured, smoked, or roasted meats and fish, shellfish, caviar, chicken liver, cured beef, meats containing sodium nitrate or nitrite.
○ Other poultry (turkey, chicken, duck), fish.
Nuts:
× Most nuts.
○ Almonds, cashews, pine nuts.
Beverages:
× Alcoholic beverages, beer, carbonated drinks, coffee, tea, wine, cranberry juice.
○ Decaffeinated, non-acidic coffee, tea, and herbal teas.
Condiments:
× Mayonnaise, monosodium glutamate, spicy foods (Cantonese, Indian, Mexican, Thai cuisines), soy sauce, salad dressings, vinegar.
○ Garlic and other seasonings.
Preservatives and Additives:
× Alcohol benzene, citric acid, granulated sugar, monosodium glutamate, foods containing artificial coloring.
Others:
× Tobacco, caffeine, alkaline meat foods, stimulants, medications containing ephedrine or pseudoephedrine.
Reply Date: 2005/12/06
More Info
Managing frequent urination and the associated symptoms you are experiencing can be quite challenging, especially when conventional treatments have not provided significant relief. In Traditional Chinese Medicine (TCM), your symptoms suggest a potential imbalance in the body's internal systems, particularly involving the kidneys, bladder, and possibly the spleen and stomach.
From your description, it seems you are dealing with a combination of symptoms: frequent urination, dry mouth, oral ulcers, and a sensation of cold in your extremities. TCM views these symptoms as indicative of a deficiency or imbalance, particularly in the kidney and spleen systems.
Understanding Your Symptoms in TCM
1. Frequent Urination: This can be attributed to a deficiency in the kidney yang or an imbalance in the bladder's ability to store and expel urine. In TCM, the kidneys are responsible for the storage of essence and the regulation of water metabolism. A deficiency in kidney yang can lead to symptoms of coldness and frequent urination.
2. Dry Mouth and Oral Ulcers: These symptoms may indicate heat in the body, which can arise from various factors, including dietary choices (e.g., consuming too many spicy or hot foods) or internal imbalances. The spleen plays a crucial role in fluid metabolism, and a deficiency here can lead to dryness.
3. Cold Extremities: This is often a sign of a deficiency in yang energy, which is responsible for warming the body. When yang is deficient, it can lead to a sensation of cold, particularly in the hands and feet.
4. Sensitivity to Temperature: Your increased frequency of urination in cold environments suggests that your body may be reacting to external temperatures due to an underlying deficiency.
TCM Treatment Approaches
1. Herbal Medicine: A TCM practitioner may prescribe a formula that tonifies the kidney yang, nourishes the spleen, and clears heat. Common herbs that may be included are:
- Shan Yao (Chinese Yam): Nourishes the spleen and kidneys.
- Fu Ling (Poria): Strengthens the spleen and promotes urination.
- Ze Xie (Alisma): Drains dampness and promotes urination.
- Huang Bai (Phellodendron): Clears heat and drains dampness.
2. Dietary Adjustments: Since you mentioned that certain foods exacerbate your symptoms, it would be wise to avoid overly cold or raw foods, as well as spicy foods that can generate heat. Instead, focus on warm, nourishing foods that support the spleen and kidneys, such as:
- Cooked grains (rice, quinoa)
- Soups and broths
- Steamed vegetables (carrots, squash)
- Lean proteins (chicken, fish)
3. Acupuncture: This can help to balance the body's energy, improve circulation, and alleviate symptoms. Points that may be targeted include those that strengthen the kidneys and spleen, as well as points that help to clear heat.
4. Lifestyle Modifications:
- Hydration: While you may be hesitant to drink water due to frequent urination, staying adequately hydrated is essential. Consider sipping warm water throughout the day rather than large amounts at once.
- Stress Management: Practices such as tai chi, qi gong, or meditation can help to balance your internal energy and reduce stress, which may contribute to your symptoms.
Seeking Professional Help
Given your complex symptoms and the diagnosis of chronic interstitial cystitis from Western medicine, it would be advisable to consult a licensed TCM practitioner who specializes in urology or internal medicine. They can provide a comprehensive evaluation and tailor a treatment plan specific to your needs.
In summary, managing your symptoms through TCM involves a holistic approach that includes herbal medicine, dietary changes, acupuncture, and lifestyle modifications. By addressing the underlying imbalances in your body, you may find relief from your symptoms and improve your overall well-being.
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