Jie Shi Ling
Opens the Waterways, Clears Heat, Dries Dampness, Dissolves Stones
Damp-heat accumulation in the lower burner leading to shi lin, "stony, painful urinary dysfunction" and the formation of urinary tract calculi occurring in the kidneys, ureters, bladder or urethra. 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. Tongue: red with a greasy yellow coat Pulse: slippery, rapid
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. Stone formula shrinks and breaks down larger stones and eliminates small ones. It smoothes the jagged edges of stone 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 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.
1 packet, 2 x day.
Administer half an hour before or one hour after eating. In severe cases or in the initial phases of treatment, dosage may be increased to 1-1 ½ packets 2 times per day, then reduced to a maintenance dose as the treatment takes effect. One course of treatment is four weeks. Several treatment courses may be required. May be used long-term for several weeks to several months. May be used safely as needed for acute episodes of pain over the course of several years. Often administered in rotation to prevent stone formation. Monitor for signs of Yin or Spleen Qi deficiency.
Desmodium styracifolium herb, Poria cocos fungus, Plantago asiatica herb, Luffa cylindrica sponge, Abutilon theophrastii seed, Achyranthes bidentata root, Lygodium japonicum spore, Citrus aurantium fruit-immature, Clematis armandi stem, Microcrystalline cellulose, Botanical wax, Activated carbon, Talcum. - Guang jin qian cao, Fu ling, Che qian cao, Si gua luo, Qing ma zi, Huai niu xi, Hai jin sha, Zhi shi, Mu tong (Chuan), Microcrystalline cellulose, Botanical wax, Activated carbon, Talcum.
Contraindicated during pregnancy. Contraindicated while nursing. Contraindicated for diarrhea due to Spleen Qi deficiency. Use with caution in patients concurrently taking diuretic medication.
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 ureter, 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.