Lin Syndrome – Urinary Tract Infection Frequent, Urgent, Painful, dripping, dark urination caused by damp heat in the Bladder. Urine may contain stones, blood or a milky/greasy substance. Western Medicine: Chyluria, Prostatitis, T.B. of Kidney, Cancer May be caused by : Shi Lin - stone (heat coagulates urine into stones) Re Lin - heat (toxic damp heat attacks bladder – burning pain)

Xue Lin - blood (heat pushes blood out of damaged vessels) Gao Lin - Chyluria (heat injures meridians impairing transform/transport) Lao Lin - kidney def. (kd can’t help bladder transform urine or control gate)

Qi Lin -liver qi/blood stagnation fire travels down liver meridian impairing bladder) Differentiate between? Long Bi – retention of urine – not urgent, no pain, no blood Blood Urine – blood in the urine – not urgent, no pain, mainly blood Jing Zuo – pee with spermies during urination, usually after ejaculation. Re Lin (excess) Mainly caused by damp heat

Frequent dribbling, urgent burning urination with bitter taste, fever, aversion to cold and other general damp heat accumulation symptoms. Tongue – red, yellow coat Pulse – soft, slippery, rapid Treatment: induce dieresis to clear damp heat Formula: Ba Zheng San

Re Lin (deficient kidney Yin) Deficient kidney fire

All symptoms above but less severe – mild/dull pain, lower back/knee pain & weakness, chronic Tongue – red, scanty coat Pulse – thin, rapid Treatment: nourish kidney, clear heat Formula Zhi Bai Di Huang Wan

Xue Lin (excess)

Frequent dribbling, urgent burning urination with bitter taste, fever, aversion to cold and redness in urine (blood in urine) Tongue – red, yellow coat Pulse – rapid Treatment: clear heat, induce dieresis, cool blood to stop bleeding Formula Xiao Ji Yin Zi

Xue Lin (deficient kidney yin)

Frequent dribbling, urgent urination with mild/ dull pain, lower back/knee pain & weakness, chronic with slight red or pink colour Tongue – red, scanty coat Pulse – thin, rapid Treatment: Nourish kidney, clear heat, stop bleeding Formula Zhi Bai Di Huang Wan + Gui Ban + E Jiao +Han Lian Cao

Qi Lin (excess – Liver Qi Stagnation)

Frequent dribbling, urgent, painful urination with pain in the lower abdomen, distended pain, aggravated by stress / emotion, unfinished feeling after urination Tongue – red or normal Pulse – Wiry, deep Treatment: regulate Qi & Blood, induce dieresis Formula Chen Xiang San

Qi Lin (deficient spleen Qi sinking) Frequent, dribbling, urgent urination, agg-when tired, pulling feeling in lower abdomen, amel-pressure, general Qi deficient symptoms. Tongue – pale Pulse – weak Treatment: strengthen spleen Qi Formula Bu Zhong Yi Qi Tang

Shi Lin (excess)

Frequent dribbling, urgent, painful urination with pain and stones, flow suddenly stops in mid stream, over whelming urge to go with severe pain, worse for men, if stones in kidneys severe lower back pain, stones may injure vessels = blood in urine Tongue – red yellow coat Pulse – wiry Treatment: induce dieresis to eliminate stones Formula Ba Zheng San + Shi Wei San (stones)

Shi Lin (complicated excess / deficient)

Frequent dribbling, urgent, painful urination, chronic stones, fatigue, dull pain, lower back aching. Tongue - Pulse – weak Treatment: strengthen kidney, induce dieresis to eliminate stones Formula Zhi Bai Di Huang Wan + Shi Wei San (stones)

Gao Lin (excess) Chyluria

Frequent dribbling urgent, painful urination, cloudy urine with floaters at surface, burning pain Tongue- red, yellow coat Pulse – rapid Treatment: eliminate damp heat, promote separation of waste body fluids Formula Bei Xie Fen Qing Yin

Gao Lin (deficient kidney Qi)

Chronic frequent, dribbling, urgent, painful urination with cloudy urine, emaciation Tongue- Pulse - Treatment: nourish kidney to reinforce gate Formula Liu Wei Di Huang Wan + Jin Suo Gu Jing Wan

Lao Lin (kidney deficiency)

Chronic frequent, dribbling, urgent, painful urination induced by over strained sexual activity, general kidney deficiency symptoms.

Tongue - Pulse – thin Treatment: nourish deficiency Formula Kid-yin def. Liu Wei Di Huang Wan Kid-Qi def. Tu Si Zi Tang Kid-Yang def. Shen Qi Wan Lao Lin (heart deficiency)

Frequent, dribbling, urgent, painful urination accompanied by deficient heart symptoms Treatment: nourish deficiency, induce dieresis Formula Tu Si Zi Tang + Qin Xin Lian Zi Yin

Lao Lin (spleen)

Frequent, dribbling, urgent, painful urination accompanied by over work, fatigued, general heaviness Treatment: Nourish deficiency Formula Shen Qi Wan