Interstitial Cystitis, Herb Therapy 間質性膀胱炎
by: Joe Hing Kwok Chu 按此看中文
Clinical observation:
Urinary urgency, frequency and lower abdominal pain not caused by infections or tumors.
The auto-immune dysfunction has been suspected as the main cause of interstitial cystitis. There is no established traditional treatment for interstitial cystitis. Usually supportive treatments are being used.
A drug called Suplatast Tosilate (IPD-1151T), a TH2 cytokine inhibitor, made by Taisho Pharmaceutical (大 正制药株式会社)﹐ the second largest pharmaceutical company in the world, has been tried on interstitial cystitis patients and has produced beneficial result. This points to the possibility that auto-immune dysfunction can be the main cause of interstitial cystitis.
The side effects of long term usage of this drug have not been established.
The author has had good success in correcting the auto-immune dysfunction with certain combinations of qigong training.
Other syndromes caused by auto immune dysfunction include asthma, rheumatoid arthritis, non infection chronic inflammation of prostates, non infection chronic fatigue, systemic lupus erythematosus (SLE), scleroderma, idiopathic thrombocytopenic purpura (ITP), etc.
The editor has observed that many patients with interstitial cystitis also have depression and stressful lives. This may be caused by the higher levels interleukin 1 alpha which causes the auto-immune dysfunction.
Prescription:
che qian cao 15 g, jin qian cao 15 g, bai hua she she cao 10 g, hu po powder 3 g, bai shao 10 g, chi shao 10 g, gan cao 10 g, ze xie 10 g, dan pi 10 g, fu ling 10, gui zhi 3 g, tu fu ling 15 g, xia ku cao 15 g.
Boil with water. One prescription per day. Divide into 3 servings. Use 7 to 15 prescriptions.
Adjust the formula according to zheng (syndrome) using traditional Chinese medical diagnostics.
For those diagnosed with shenyinxu (kidney yin deficient):
when symptoms disappear, use liu wei di huang wan and lu dou tang (mung bean soup) regularly to maintain health of bladder.
Source of formulae:
Editor's note: The formula contains 15 grams of xia ku cao, but if the patient is seriously in the condition of shenyangxu, the herb may be too cold for the patient. Xia ku cao possesses relatively high large quantity of potassium salt which may not be suitable for IC sufferers who have the condition of shenyangxu. The delimma is that xia ku cao possesses autoimmune suppressing effect which may be suitable for the disease.
Warning: Lu dou tang and liu wei di huang wan are not suitable for shenyangxu IC sufferers.
After syndromes have subsided, shenyangxu (kidney yang deficient) IC sufferers can use jin gui shen qi wan or shi quan da bu tang to improve health.
Most of chronic IC sufferers are of shenyangxu type.
Note:
Phaseolus aureus is the botanical name for mung bean or lu dou.
lu dou tang:
Raise about 30 grams of mung bean and 3 grams of chen pi. Simmer in about 1200 c.c. of water for 1 hour. Use as porridge. See full description of mung bean.
(Warning: this soup is not suitable for kidney yang deficient patients). It is suspected that most IC sufferers may be kidney yang deficient.
Avoid consuming:
spicy food, sugar or fruit juices, coffee, chocolate, alcohol, and avoid products containing ephedra (ma huang), ephedrine or pseudoephedrine. If the body is shenyangxu (kidney yang deficient) type, avoid food high in potassium, like citrus, bananas, mung bean sprouts, grapes, spinach, and mustard green.
Important: Click here to see explanation of formulae in Traditional Chinese Medicine (TCM) page.
If auto-immune dysfunction is suspected qigong therapy can be used as main therapy if other methods fail.
jin qian cao, (Lysimachia nummularia L.)
Properties: acrid, cool, bitter and non toxic.
Uses: rid of infection, promote urination, inhibition coughing, for jaundice, for stones in kidneys or bladders, spitting of blood, skin rash. See full description of jin qian cao.
Click here to go back to Herb Therapy.
hu po (fossil of amber) is the rosin fossil of pine trees.
Uses: rid of blood clots, calming, for epilepsy, insomnia, blood in urine, to promote urination.
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chen pi
Chen pi is the dried and semi fermented peel of citrus reticulata Blanco, citrus tangerina Hort. et Tanaka, or citrus erythrosa Tanaka . See full description of chen pi here.
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xia ku cao
xia ku cao is the dry flower of Prunella vulgaris Linn. Uses: treating red and painful eye due to infection, swollen glands, scrofula (TB infection of lymph nodes), goiter, dull headache /dizziness due to hypertension. See full description of xia ku cao here.
間質性膀胱炎
大正製药 株式会社(Taisho Pharmaceutical )所製造消炎药甲 磺司特(Suplatast Tosilate) 為白细胞介質抑制劑，作為支氣管哮喘、過敏性鼻炎及特應性皮炎治療藥已經上市。
早期的臨床研究结果已經表明，本品對間質性膀胱炎有治療效果。由此臨床研究﹐可推及間質性膀胱炎主要致病原因可能是自體免疫機能過敏。
本文作者曾經以辨証法配合幾種氣功減輕自體免疫機能過敏﹐相當有效。
自體免疫機能過敏可引起各種症狀﹔包括﹕哮喘﹐類風濕關節炎﹐非感染性前列腺炎﹐非感 染性長期疲倦﹐紅斑性狼瘡﹐硬皮病﹐自發性血小板減少紫瘢等。
處方﹕
車前草15 克﹐ 金錢草15克﹐紫草15克﹐土 茯苓15克﹐白花蛇舌草10克﹐琥 珀粉3克(另包)﹐白芍10克﹐赤 芍10克﹐甘草10克﹐澤瀉10克 ﹐丹皮10克﹐茯苓10克﹐夏 枯草 15 克﹐桂枝3克。
先將各藥(除琥珀粉)用水洗淨。各藥連同琥珀粉加水六大碗﹐煎成兩碗。每日一劑 分三 次溫服。
連用7 至15 劑。痊癒後。腎陰虛者可用六味地黃 丸 和綠豆湯 調理。
出處﹕
間質性膀胱炎病人 。如腎陽虛情形嚴重﹐免 疫抑制作用也許有用。
須避免用﹕辣椒﹐香料﹐咖啡﹐酒精﹐巧克力, 可可﹐麻黃﹐含麻黃素之西藥。
體質屬於腎陽虛型者 少 吃高鉀食物﹔如柑桔﹐柚﹐西柚﹐香蕉﹐葡萄﹐菠菜﹐芥菜, 等。
如懷疑是自體免疫機能致病﹐可用氣功治 療。
金錢草
性味： 味辛苦，性寒，無毒。
功效： 清熱，利尿，鎮咳。治黃疸、結石、
吐血、溼疹。
紫草
屬紫草科多年生草本植物。根入藥，有活血、涼血、清熱解毒、利尿、滑腸等功效
琥珀
琥珀為古代松科植物的樹脂埋藏地下經久凝結而成。
功用﹕散瘀止血；鎮驚安神，治驚風癲癇，驚悸失眠；利水通淋，治血便血尿。
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