The Two Lower Orifices I: Urinary Tract Infection
December 7th, 2010In the theory of TCM, the human body connects to the outside world through apertures we call orifices: the nose, mouth, ear, anus, urethral opening etc. The anal and urethral openings are referred as the lower orifices; it is where urinary tract infection (UTI) often occurs.
Urinary tract infection (UTI) is inflammation in the urinary system. Associated symptoms include irritation in the urethral opening, bladder and even the kidney. Due to relatively short and straight anatomy of the female urethra, women experience higher risk of UTI. The first sign of UTI is irregular urine discharge; patients of UTI will experience burning sensation and sharp pain in the urethra when the urine is released. With higher frequency and minimal quantity, the colour of the urine is slightly yellow and may even appear red. When accompanied by bladder inflammation, UTI will also result in soreness and pain in the lower abdomen. In TCM, such urination disturbance is termed stranguria. The most typical is heat stranguria, but UTI may also come with blood in urine discharge or even struvite, in such cases they are respectively termed hematostranguria and stone stranguria.
For the most part, modified Ba Zheng San is prescribed for patients suffering from heat stranguria. Upon suffering from a common cold, Ms. Cheng had developed signs of nephritis and UTI; she was experiencing lower back pain and chest tightness when she came to seek for treatment. At the time, modified Ba Zheng San was prescribed for her. In addition, acupuncture was performed on her San Yin Jiao, Yin Ling Quan, as well as Sha Sun Hung of Tung’s. Her symptoms showed immediate relief and she was able to urinate more smoothly again. Aside from the intake of modified Ba Zheng San, Ms. Cheng was also advised to avoid juice related food product. From past experiences, the cranberry juice remedy recommended by naturopaths for UTI does no good but harm; at times it could lead to weak bladder detrusor muscle and even result in urinary incontinence.
In order to maintain a healthy urinary system, immense water intake and urinating often are important: water can speed up your metabolism whereas urinating helps in expunging the toxic substances out of your body. The average water consumption is approximately 2 L per capita per day. Hence, immense water intake and urination often keeps the urinary system alkaline thus preventing bacterial growth. In addition, avoid staying up late and holding your urine at all times as fatigue can lower the immune system, thereby increasing the likeliness of bacterial invasion. Suppressing the urge to void is a common problem among the working class. After all, why not get the job done when I can hold? Having said that, there are hundreds of symbiotic bacteria living in our body. Long term exposure to hot and sweaty working environment with insufficient water intake will definitely weaken the urinary system and result in an autoinfection. So at the end of each day, ask yourself, “Have you hydrated yourself today?”