One case of frequent urination

[Guest guest]

I was reminded of this case from the discussion of nocturia:

Many years ago- maybe 18- I had a patient with a dx of prostatitis. My

patient had obvious qi deficiency, and damp cold. I prescribed- erroneously-

some variation of jin suo gu jing tang/ jin gui shen qi wan. ( I can¹t

recall his tongue/ pulse or the exact formula) Some version of a kidney

formula. When he did not improve, I went over his case again.

I re-wrote the formula based on bu zhong yi qi tang. His situation

improved. I was on track. But upon a slow and careful inquiry of his

symptoms, what he said was that it felt like, at the end of urination, his

bladder spasmed. And then he could not fully empty his bladder. I modified

the formula with shao yao gan cao tang. This dui yao is ubiquitously

referred to for muscle spasm. But we tend to think of for, say, leg or

abdominal cramps. But I heard spasm and went with that.

Voila. Cured.

 

My point is- supporting both Sharon¹s and Jason¹s position, that we must

listen closely, not be wedded to reductionist patterns that are offered in

virtually every textbook. We must think independently, slowly, openly. And

of course, we must know our herbs.

 

Hope this is useful.

 

Cara