Chinese Medicine

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© Springer Nature Switzerland AG 2020
B. Yang, S. Foley (eds.)Female Urinary Tract Infections in Clinical PracticeIn Clinical Practice

10. Traditional Chinese Medicine

Cecilia Yu1 and Bob Yang2  

Southend University Hospital, Essex, UK

Royal Berkshire Hospital, Reading, GB, UK



Bob Yang

  • Traditional Chinese medicine (TCM), has over 2000 years of history of treating UTIs

  • The Chinese herbal formulas used in treating UTIs are:

    • Ba Zheng(also known as Ba Zheng San UTflow™, 八正片 )

    • Er Xian Tang(also known as Er Xian Wan, Menofine™, 二仙片)

    • San Jin Pian(also known as UTIGold™, 三金丸)

  • A 2015 Cochrane review of TCM for recurrent UTIs found some preliminary supportive data for herbal interventions

  • The studies were limited by small patient numbers, poor methodology, risk of bias and lack of standardisation in how to prepare the TCM itself

  • Acupuncture has also shown potential as a prophylaxis for uncomplicated recurrent UTIs and may also reduce post void residuals in women

10.1 Introduction and Mechanism of Action

Traditional Chinese medicine (TCM) has over 2000 years of history in treating UTIs with recent research suggesting a potential role in the management of acute UTIs and as prophylaxis for recurrent UTIs.

TCM believes that the kidneys play a central role in the metabolism of the “water” within the body. All subsequent problems of the bladder, ureter and prostate are therefore related to the kidneys. UTIs in TCM are known as Lin Syndrome (淋证), with the main characteristics being painful urination and dribbling. The most common cause is the kidneys failure to regulate the ‘dampness’ and ‘heat’ of the bladder. Accordingly, the main treatment principle is to clear heat, remove dampness and promote urination. Chinese herbal formula Ba Zheng (also known as Ba Zheng San UTflow™, 八正片), Er Xian Tang (also known as Er Xian Wan, Menofine™, 二仙片) and San Jin Pian (also known as UTIGold™, 三金丸) have been widely used in China by TCM practitioners or as an over-the-counter formula to treat UTIs.

10.2 Formulations

Below we summarise the formations of Ba Zheng (Ba Zheng San UTflow™, 八正片), Er Xian Tang (Er Xian Wan, Menofine™, 二仙片) and San Jin Pian (UTIGold™, 三金丸).

Please note, there are often variabilities in the actual formation between different TCM practitioners if a bespoke medicine is made (Table 10.1).

Table 10.1

Formulations for Ba Zheng (Ba Zheng San UTflow™, 八正片), Er Xian Tang (Er Xian Wan, Menofine™, 二仙片) and San Jin Pian (UTIGold™, 三金丸)

Er Xian Tang (二仙片)

Ba Zheng (八正片)

San Jin Pian (三金丸)

Curculigo orchioides Gaertn. (Xian Mao)

Epimedium grandiflorum var. thunbergianum (Miq.)

Nakai (Xian Ling Pi)

Morinda officinalis F.C.How (Ba Ji Tian)

Anemarrhena asphodeloides Bunge (Zhi Mu)

Phellodendron amurense Rupr. (Huang Bai)

Angelica sinensis (Oliv.) Diels (Dang Gui) Taraxacum mongolicum Hand-Mazz. (Pu Gong Ying)

Viola philippica Cav. (Zi Hua Di Ding)

Plantago Seed (Che qian zi)

Caulis Akebiae (Mu tong)

Herba Dianthi (Qu mai)

Polygonum herb (Bian xu)

Talcum (Hua shi)

Licorice (Gan cao)

Gardenia Fruit (Zhi zi)

Rhubarb (Da huang)

Juncus effusus pith (Deng xin cao)

Radix Rosa laevigata Michx. (Jin Ying Gen), Rhizoma Smilax china L. (Ba Qia)

Herba Lygodium japonicum (Thunb.)

Sw. (Hai Jin Sha)

Herba Centella asiatica (L.)

Urb. (Ji Xue Cao), Lysimachia christinae Hance (Gold Coin Grass, Jin Qian Cao)

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Mar 23, 2021 | Posted by in UROLOGY | Comments Off on Chinese Medicine

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