Woman urine and stool syndromes:an introduction of the woman urine and stool syndromes in various types.


 TCM Knowledge:Gynecology Syndromes,Women Syndromes ✵Gynecology of TCM is a branch to study the physiological and pathological characteristics of women and to prevent and treat syndromes specific to women. Gynecology of TCM research scope including irregular menstruation, amenia, metrorrhagia, infertility, postpartum syndromes, breast syndromes, and miscellaneous syndromes, etc.

Woman urine and stool syndromes:an introduction of the woman urine and stool syndromes in various types.
Woman urine and stool syndromes 
 ✵Woman urine and stool syndromes are also known as woman syndromes related to urination and defecation, the related syndromes are introduced: enuresis, encopresis, jiao chang, hematuria, frequent urination, gonorrhoea, constipation, diarrhea dysentery, loose bowels, red white dysentery, hemafecia or bloody stool, diarrhea during menses, diarrhea before dawn during menses, Cuo Chan during menses, diarrhea around menses, etc.

 ✦In TCM system, the pathogenic reasons of the woman urine and stool syndromes were understood due to various reasons, the woman stomach syndrome of various types are introduced.

Woman enuresis syndrome.
Woman enuresis syndrome 
 ✵The woman enuresis syndrome is a syndrome that passing urine involuntarily, its pathogenic reasons are mainly due to middle Qi deficiency, heart Qi not clear, urinary bladder deficiency, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman or unmarried girl suffer from enuresis, what is it? It is due to the reasons such as middle Qi deficiency, the heart Qi not clear, etc." [02].

 "As the book Nei Jing(the Yellow Emperor's Inner Cannon) said: the urinary bladder lost regulation, then pass urine involuntarily. It is the condition that the heart Qi and the kidney Qi, lost its regular orders...,Ling Shu said: the foot Tai Yang, ...regulate the lower energizer, if (it is) excess then there is difficulty in urination, if (it is) deficient then passes urine involuntarily." [03].Different types of enuresis are introduced:
 ⑴.A woman suffers from enuresis or passing urine involuntarily, deficiency heat in the liver and kidney, degraded of the Ting Kong(ancient term, means the meatus urinarius); ⑵...., Yang deficiency and lassitude or tiredness, cold pathogen accumulated in the urinary bladder; ⑶...., Deficiency and weakness of the spleen Qi, could not regulate; ⑷...., Deficiency cold of the lung;



Woman encopresis syndrome.
 
 ✵The woman encopresis syndrome is a syndrome that passing stool involuntarily, its pathogenic reasons are mainly due to the life-gate fire deficiency, etc. The woman encopresis syndrome here only refers to the syndrome that passing stool involuntarily occasionally, not the same as the complete fecal incontinence syndrome.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman or unmarried girl suffer from Yi Shi(encopresis), what is it? It is due to the reasons such as life-gate fire deficiency(as the kidney viscus regulates the urination and defecation), and no fire in the large intestine, etc." [02].



Woman Jiao Chang syndrome.
 
 ✵The woman Jiao Chang syndrome is a syndrome of TCM, it is such a syndrome that feces occasionally passing from the urethra, and known as Jiao Chang syndrome, mainly due to disorder in transporting function, urine and stool are transported mistakenly.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman suffers from Jiao Chang, what is it? It is due to the reasons disorder in transporting function, urine and stool are transported mistakenly." [02].



Woman hematuria syndrome.
 
 ✵The woman hematuria syndrome is a syndrome of that passing blood with urine, and it is known as bloody urine syndrome, mainly due to the heat flowing down of the triple energizer, blood heat, etc. Hematuria is also known as urine bleeding, the presence of blood in the urine, it is often a symptom of urinary tract disease.

 ✦In TCM system, the pathogenic reasons of the hematuria were understood due to greasy food, sex activity in a drunken state, or strains from the diet, or seven emotions and six exogenous pathogens, as a result, deficiency of the primordial Qi and could not govern the blood return to the origin. Thus, the hematuria could be classified to various types: hematuria of the liver fire type, hematuria of the liver heat type, hematuria of the blood deficiency type, hematuria of the greasy food and heat accumulation, hematuria of the sexual strain, hematuria of the wind and heat pathogen type, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 (1)."A woman suffer from hematuria, what is it? It is due to the reasons fire of the triple energizer flow downward or collapses." [02].

 "Passing blood with urine: the heart viscus regulates blood, circulate it in meridians and collaterals, flow and cycle in Zang and Fu viscera... In the condition affection from heat then it flows randomly, lost its normal orders, then passing and penetrating the Pao(ancient term, means the urinary bladder), then blood passing with urine." [03].Different types of hematuria are introduced:
 ⑴.A woman suffers from hematuria or passing blood with urine, blood heat in the liver; ⑵...., blood is hurt from anger; ⑶...., liver is hurt from wind and heat; ⑷...., deficiency of Qi and blood; ⑸...., accumulated heat from the diet of fat meat and fine grains; ⑹...., stomach is hurt from wind and heat; ⑺...., stomach Qi could not regulate blood; ⑻...., spleen is hurt from depression(stagnation), could not regulate blood;



 ✵Hematuria of the sexual strain type: the hematuria of the sexual strain type is mainly due to sexual strain, its symptoms are primordial Qi deficiency, Qi deficiency, and other symptoms observed.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman pass blood in urine, because of anger, cold and heat, symptoms observed are cephalea(headache, or pain in the head), distension in hypochondria, depression and anger, pain in the lower abdomen, insomnia or loss of sleep whole night, not quiet in the mind, etc. This is the condition of Yang deficiency, triggered by anger and depression, hurt from diet and spleen deficiency." [06].



 ✵Hematuria of blood deficiency type: the hematuria of blood deficiency type is mainly due to blood deficiency, its symptoms are sallow complexion(looks sallow yellow on face), fatigue and tiredness in body and limbs, not tasty in diet, fever and thirst, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman pass blood in urine, take recipes of cold nature herbs and hemostatic herbs, symptoms sallow complexion(looks yellow on face), tiredness in limbs(tiredness in hands and arms, feet and legs.), not tasty in diet, fever and thirst, almost three years yet, take previous recipes and then the spleen and stomach are hurt, Primordial Qi collapse and could not govern the blood." [06].



Woman frequent urination syndrome.
 
 ✵The woman frequent urination syndrome is a syndrome of passing urine frequently, and known as frequent urination syndrome, its pathogenic reasons are mainly due to the deficiency of the kidney and urinary bladder, affection from heat pathogens, or dampness, or Qi deficiency, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Frequent urination:...the kidney and urinary bladder deficiency and subjugating by heat pathogen, then difficulty in urination, deficiency then frequent urination." [03].Different types of frequent urination are introduced:
 ⑴.A woman suffers from frequent urination, deficiency of the kidney and urinary bladder, fire of the liver is motivated; ⑵...., deficiency of the kidney and urinary bladder, fire of the urinary bladder is motivated; ⑶...., dampness and heat are accumulated in the liver and kidney; ⑷...., the liver and spleen is hurt from depression; ⑸...., Qi deficiency of the liver, spleen, and lung; ⑹...., blood deficiency of the liver; ⑺...., kidney Qi deficiency and collapse;



Woman gonorrhoea syndrome.
 
 ✵The woman gonorrhea syndrome is a syndrome of passing white turbid frequently, it is clear cold thick and sticky, and known as gonorrhea or white turbid syndrome, its pathogenic reasons are mainly due to the deficiency of the lower primordial Qi, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman suffers from gonorrhea and white turbid often passing down, clear cold thick and sticky, or dripping several drops after urine, is the condition of primordial Qi deficiency and hurt..." [04].



Woman constipation syndrome.
 
 ✵The woman constipation syndrome is a syndrome irregular and infrequent or difficult evacuation of the bowels, it is known as difficulty in defecation syndrome, mainly due to disorder of Zang and Fu viscera, cold and heat accumulation in the intestines and stomach, loss of body fluid, much menses, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Constipation: for cases of constipation, due to the disorder of Zang and Fu viscera, cold and heat pathogen accumulation in the intestine and stomach, or much menses, loss of body fluid, etc." [03].Different types of constipation or difficulty in defecation are introduced:
 ⑴.A woman suffers from constipation or difficulty in defecation, the disorder of Zang and Fu viscera, cold and heat accumulation in the intestine and stomach, much menses, loss of body fluid; ⑵...., dryness of body fluid in the large intestine, blood deficiency and excessive fire, increased appetite, fullness and distension in the abdomen; ⑶...., deficiency of Qi and blood; ⑷...., blood is hurt from drying recipes; ⑸...., Qi is hurt from discharging methods; ⑹...., thirst from internal heat; ⑺...., excessive of liver and gallbladder, spleen disorder in transporting; ⑻...., Qi deficiency of stomach and intestine, dysfunction in transporting; ⑼...., heat accumulation and constipated, dryness of heat, or dryness of wind, Yang binding or Yin binding, etc.



Woman diarrhea dysentery and constipation syndrome.
 
 ✵The woman diarrhea dysentery and constipation syndrome is a syndrome normally affect in summer days, suffers from diarrhea, dysentery, and difficulty in defecation or constipation, mainly due to wind hurt in spring days, dryness of body fluids, aging, Yin deficiency, depression, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Diarrhea dysentery and constipation: as Nei Jing(the Yellow Emperor's Inner Cannon) recorded, (one is) hurt by the wind in the spring days, will diarrhea in summer days...thus body fluid is dried and constipated, should not be treated only as wind...the affected syndromes are different (for different persons)." [03].Different types of diarrhea dysentery and constipation are introduced:
 ⑴.Woman suffers from diarrhea dysentery and constipation, deficiency of three Yin of the foot, fever and thirst, feel uncomfortable in the chest and diaphragm, good appetite and drink a lot, also emaciated and thin, yang color on the face(yellow complexion), pulse large and feeble, lassitude and tiredness; ⑵...., Qi deficiency of the spleen and lung viscera; ⑶...., depression(stagnancy) binding of the spleen; ⑷...., deficiency of Qi and blood; ⑸...., body fluid insufficiency of the kidney; ⑹...., body fluid exhaustion from stomach fire; ⑺...., liver wood subjugating spleen earth; ⑻...., often take a diet of fat meat and fine grain, heat accumulation;



Woman diarrhea and loose bowels syndrome.
 
 ✵The woman diarrhea and loose bowels syndrome is a syndrome normally affect in summer days, suffers from diarrhea, loose bowels, mainly due to wind hurt in spring days, deficiency cold of the intestine stomach, and affection from exogenous pathogens, etc.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Diarrhea and loose bowels: due to deficiency and cold of the intestine and stomach, affected by exogenous pathogens. As the work Nei Jing(the Yellow Emperor's Inner Cannon) recorded, (one is) hurt by the wind in spring days, surely diarrhea in summer days. In general, Qi hurt the liver, liver wood excess and subjugating the spleen earth, belong to exogenous pathogens; if the disorder of seven emotions, hurt Qi of Zang viscera, it belongs to endogenous pathogens; if hurt from taking raw and cold diet drink, it belongs to non-exogenous non-endogenous pathogens." [03].Different types of diarrhea and loose bowels are introduced:
 ⑴.A woman suffers from diarrhea and loose bowels, hurt from raw and cold diet drink; ⑵...., hurt from spicy hot diet drink; ⑶...., hurt from rice food, or hurt from wheat food; ⑷...., hurt from improper food time; ⑸...., hurt from overtaking food or take too much food; ⑹...., hurt from retention of food and drink; ⑺...., deficiency and weakness of spleen Qi; ⑻...., deficiency and cold of spleen Qi; ⑼...., liver wood subjugating the spleen; ⑽...., liver fire restrict the spleen; ⑾...., middle Qi deficiency and collapse; ⑿...., spleen hurt from depression(stagnancy); ⒀...., kidney Qi deficiency; ⒁...., spleen Qi deficiency; ⒂...., deficiency of the spleen and kidney; ⒃...., fire decline at life-gate; ⒄...., deficiency and decline of the primordial Yang; ⒅...., deficiency and coldness of Zang and Fu viscera; ⒆...., reverse cold of hands and feet; etc.



Woman diarrhea due to internal cold and superficial heat syndrome.
 
 ✵The woman diarrhea due to internal cold and superficial heat is a diarrhea syndrome, mainly due to internal cold and superficial heat, deficiency heat of the stomach, with symptoms diarrhea color red yellow, with undigested food, thirst and vomit, urine is inhibited, vexation, etc. It is also known as Xie Re Xia Li(diarrhea due to superficial heat).
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Xie Re Xia Li(diarrhea due to superficial heat): diarrhea color is red yellow, with undigested food, thirst and vomit, urine inhibited(difficulty in urine), irritable(vexation, fidget), pulse is feeble large and rapid. This is due to deficiency heat of the stomach, fluid and saliva could not be separated, combined in the large intestines." [03].Different types of diarrhea due to superficial heat are introduced:
 ⑴.A woman suffers from diarrhea due to superficial heat, deficiency and weakness of the stomach Qi; ⑵...., liver wood subjugating spleen earth; ⑶...., spleen hurt from depression bind; ⑷...., deficiency and fire decline of the life gate; etc.



Woman red white dysentery syndrome.
 
 ✵The woman red white dysentery is a syndrome passing red or white dysentery, mainly due to wind hurt the liver, liver wood subjugating spleen earth, reverse cold, deficiency, etc. It is also known as Zhi Xia(red white dysentery).
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Zhi Xia: as the book Nei Jing(the Yellow Emperor's Inner Cannon) recorded: (one is) hurt by the wind in spring days, diarrhea in summer days. In general, wind prefers to hurt the liver. But in spring days, liver wood subjugating the spleen earth, as a result, red and white dysentery, tenesmus." [03].Different types of red white dysentery syndrome are introduced:
 ⑴.A woman suffers from red white dysentery, liver subjugating the spleen in spring days; ⑵...., polydipsia(vexation, thirst) and abdominal pain, red urine, and difficulty in urination, pulse is large and rapid, it belongs to heat syndrome; pulse is feeble and weak, it belongs to insidious summer-heat pathogen; ⑶...., passing blood due to wind pathogen, is the stomach wind syndrome; ⑷...., abdominal pain and vomit retching, cold in hands and feet, six pulses are feeble and fine, is the syndrome deficiency cold of Zang and Fu viscera; ⑸...., due to Jue Yin, pulse is sinking and feeble, reverse cold in hands and feet; ⑹...., body is cold and spontaneous perspiration, pulse is feeble and vomit; ⑺...., pulse is swift and body move(irritable, uneasy), sounding in bowels; ⑻...., pulse is sinking and body quiet, could not take food or drink; ⑼...., body is heavy, could not lift limbs(could not lift or move arms, legs); ⑽...., retention of food and drink; ⑾...., deficiency of stomach and collapse of stomach Qi; ⑿...., phlegm is accumulated in the middle; ⒀...., suffers for a long period, tenesmus, abdominal pain and archoptosis; ⒁...., heat in the stomach, diarrhea and unstoppable, abdominal pain;



Woman hemafecia or bloody stool syndrome.
 
 ✵The woman hemafecia is a syndrome passing blood in stools, mainly due to endogenous hurt of Zang and Fu viscera, affection from exogenous pathogenic cold and wind hurt, seven emotions disorder, greasy diet, etc. It is also known as Bian Xue(hemafecia, hematochezia, bloody stool).
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Bian Xue: a woman suffers from the hurt of Zang and Fu viscera, affection from wind pathogen, lead to passing blood in the stool, or similar to bean juice, or pain in the abdomen... It is due to various reasons including diet and daily life, the disorder of seven emotions and six pathogens, deficiency hurt of primordial Qi, external hurt of the Yang collaterals..." [03].Different types of woman hemafecia or bloody stool syndrome are introduced:
 ⑴. A woman suffers from hemafecia or bloody stool, due to fat meat and fine grain, heat accumulation; ⑵...., liver is hurt from anger; ⑶...., spleen is hurt from depression binding(stagnancy binding); ⑷...., spleen Qi deficiency and weak; ⑸...., heart is hurt from worry and thinking; ⑹...., large intestine is hurt from wind-heat; ⑺...., blood heat of the large intestine; ⑻...., middle Qi collapse, heart and spleen could not govern the blood;



Diarrhea during menses.
Diarrhea during menses 
 ✵Diarrhea during menses is a syndrome diarrhea during menses, it is normally due to kidney deficiency.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman suffers from diarrhea during menses, normally diarrhea before dawn, appearance is similar to the urine of a nursing infant(a baby in nursing milk period), is the condition of kidney deficiency..." [04].



Diarrhea before dawn during menses.
 
 ✵Diarrhea before dawn during menses is a syndrome diarrhea before dawn time(around five in the morning) during menses, pathogenic reasons are normally due to kidney deficiency.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman suffers from diarrhea before dawn during menses, (its appearance) looks like baby stool. It is a condition due to kidney deficiency..." [05].



Cuo Chan during menses.
 
 ✵Cuo Chan during menses is a syndrome that urine and stool all passing out during menses, it is a special syndrome in TCM, its pathogenic reasons are normally due to take much hot food for a long period.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "A woman suffers from urine and stool all passing out during menses, it is known as Cuo Chan. It is a condition due to take too much hot food, accumulated for a long period, and lead to this syndrome..." [05].



Dysentery around menses.
 
 ✵Dysentery around menses is a syndrome dysentery before menses(or after menses), it is normally due to heat toxins.
 ✵Ancient herbalists who hold a syndrome differentiation viewpoint with similar explain of pathogenic reasons, and the relevant representative work are introduced and quoted:

 "Menses will come, a woman got hurt from taking pepper, ginger and other toxic food which nature is hot and spicy, the heat pathogen attack five Zang-viscera, lead to dysentery, take many recipes but not effective..." [04].



References:
  • 01.Woman urine and stool syndromes:an introduction of the woman urine and stool syndromes in various types.
  • 02.Fù Kē Bǎi Biàn(the Differentiations in Hundred Syndromes of Gynaecology).By 庄履严(Zhuāng Lǚyán)[Ming].
  • 03.Nǚ Ke Bǎi Xiào Quán Shū(the Efficacious Complete Book of Gynaecology).By 龚居中(Gōng Jūzhōng)[Ming,1630].
  • 04.Ye Shi Nǚ Ke Zhèng Zhì(the Syndromes and Therapeutics of Ye's Gynaecology).By 叶桂(Yè Guì)[1817].
  • 05.Fù Kē Bèi Kǎo(the References of Gynaecology).By 何应豫(Hé Yīngyù)[1820].
  • 06.Nǚ Ke Cuo Yao(the Synopsis of Gynaecology).By 薛己(Xuē Jǐ)[Ming].

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