Chyluria (Gao Lin)
Lin syndrome refers to a group of disorders caused by factors such as improper diet, overexertion, and invasion by dampness-heat. Its main pathomechanisms are kidney deficiency, dampness-heat in the urinary bladder, and impaired qi transformation. It is characterized clinically by frequent, urgent urination; dribbling or incomplete emptying; urethral soreness or pain; lower abdominal cramping; and pain radiating to the lower back and abdomen. Lin syndrome is also called linli or the five lin patterns, and is abbreviated as lin. Different names are used according to the clinical presentation, including heat lin, blood lin, qi lin, stone lin (sand lin), Gao Lin (turbid lin), taxation lin, and cold lin. When onset is sudden, it is called acute lin or sudden-onset lin. Lin occurring during pregnancy or after childbirth is called pregnancy lin or postpartum lin. In older adults, it is called senile lin. In Western medicine, urinary tract infections, urinary stones, urinary tuberculosis, urinary tract tumors, chyluria, prostatitis, and benign prostatic hyperplasia may be considered in pattern differentiation and treatment according to this section when urinary tract irritative symptoms are present.
TCM Pattern Differentiation and Medication Reference
|Common Symptoms
Clinical description:
Urine is cloudy, like rice-washing water; the urethra feels hot, rough, and painful during urination; the tongue is red with a yellow, greasy coating; the pulse is soggy and rapid.
In plain language:
- The urine is cloudy, like water used to rinse rice, rather than clear.
- During urination, the urethra feels hot and irritated, with uncomfortable pain.
- The tongue appears red, with a bright-red color.
- The tongue coating is yellow and sticky, and may appear thick.
- The pulse feels soft and relatively rapid, with a weak force on palpation.
|Treatment Approach
Clinical description:
Clear heat and drain dampness; separate the clear from the turbid and discharge turbidity.
In plain language:
- Help clear internal heat and promote the elimination of dampness and turbidity, easing discomforts such as feverish sensations, restlessness, a heavy feeling in the body, or scanty, dark urine.
- Help separate clear fluids from turbid substances and promote their excretion, easing signs such as cloudy urine, frequent and painful urination, or difficulty urinating.
|Related Products
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
A prolonged illness with recurring episodes; the urine is turbid and oily; dizziness and weakness; soreness and weakness in the lower back and knees; a pale tongue with a greasy coating; a fine, weak pulse lacking force.
In plain language:
- The condition persists over time and recurs repeatedly.
- The urine is cloudy and appears oily.
- Dizziness and fatigue, with low energy.
- Soreness and weakness in the lower back and knees, with weakness in the limbs.
- The tongue appears pale, with a greasy coating.
- The pulse is fine, weak, and lacking force.
|Treatment Approach
Clinical description:
Tonify deficiency and secure what is lost.
In plain language:
- Help nourish and support a weakened constitution, easing discomforts such as fatigue, shortness of breath, a pale complexion, or spontaneous or night sweating.
- Help astringe and secure, easing signs such as frequent urination, seminal emission, or persistent diarrhea.
|Related Products
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
References
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- Wu Mianhua, Wang Xinyue. Internal Medicine of Traditional Chinese Medicine [M]. 9th ed. Beijing: China Press of Traditional Chinese Medicine, 2012.
- Wang Jiyao. Internal Medicine [M]. 2nd ed. Beijing: People’s Medical Publishing House, 2010.
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