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Kidney Stone

 

Internal Medicine – Kidney Stone

 
 Kidney Stone  




Stone Formula targets shi lin, or “stony, painful urinary dysfunction”. In this pattern damp-heat accumulates in the lower burner, eventually leading to a drying of fluids and finally congeals into urinary tract calculi. The pathogenesis of damp-heat includes the excessive consumption of hot, spicy, heavy, greasy and sweet foods, excessive amounts of alcohol, eating irregularities such as eating in a hurry, worrying while eating, or skipping meals, emotional disturbances resulting in Liver Qi stagnation, as well as the external invasion of damp-heat. In some chronic cases damp-heat is a result of other organ dysfunction, frequently Kidney Yin deficiency. In this case, concurrent treatment with a constitutional formula is recommended.

Mechanism:

Stone Formula targets damp-heat accumulation in the lower burner. The buildup of pathogenic factors in this region leads to shi ling, "stony, painful urinary dysfunction" and the formation of urinary tract calculus. Stone formula targets calculi occurring in the kidneys, ureters, bladder or urethra. It shrinks and breaks down larger stones and eliminates small ones. Stone formula smoothes the jagged edges of stones broken down by lithotripsy and reduces complications from this procedure. By promoting peristalsis in the urinary tract, it helps ease the passage of smaller stones and prevents new stones from forming or recurring. In TCM terms, Stone formula is indicated for damp-heat in the lower jiao accumulating to form stones.

Symptoms:

presenting with lower abdominal pain or distention, difficult, painful or burning urination with a strong smell, frequent, scanty or obstructed urinary flow, dark, cloudy or bloody urine, dry mouth and throat, thirst, possibly fever or alternating fever and chills.
 

T– Red,  greasy yellow coat
P- Slippery, Rapid

Formula:

Jie Shi Ling
 

 


Action:

Opens the Waterways, Clears Heat, Dries
Dampness, Dissolves Stones

Clinicaly notes:

Most calculi originate within the kidney and proceed distally, creating various degrees of urinary obstruction and pain as they become lodged in narrow areas, including the ureteropelvic junction, pelvic brim, and ureterovesical junction. Renal calculi are hardened mineral deposits that form when urine becomes supersaturated with a salt that is capable of forming solid crystals. The crystals separate from the urine and build up microscopic particles on the inner surfaces of the kidney that over time develop into stones. Normally, urine contains chemicals that inhibit the crystal formation. These inhibitors do not seem to function optimally for everyone, however, so some people form stones. If the crystals remain tiny enough, they may travel through the urinary tract and pass out of the body through the urine without being noticed. However, even small stones can cause some discomfort as they pass out of the body. Regardless of size, stones may pass out of the kidney and become lodged in the urethra, resulting in spasm of the muscular walls of the ureter. Location and quality of pain are related to position of the stone within the urinary tract. Severity of pain is related to the degree of obstruction, presence of ureteral spasm, and presence of any associated infection. Although approximately 80-85% of stones pass spontaneously, approximately 20% of patients require hospital admission because of unrelenting pain, inability to retain enteral fluids, proximal urinary tract infection (UTI), or inability to pass the stone. Peak onset of symptomatic nephrolithiasis is in the third and fourth decades of life. Men tend to be affected more frequently than women, by a ratio of approximately 3:1








 * These statements have not been evaluated by the Food and Drug Administration. These products and statements are not intended to diagnose, treat, cure or prevent disease. This information is provided to assist trained practitioners of traditional Chinese medicine with selection of products. If you are not familiar with these formulas or concepts please consult a licensed practitioner of Chinese herbal medicine and/or more in-depth reference materials