Urogenital Microbiome
Urogenital microbiome signs
Inhibited urination, dizziness, history of kidney stones, sweating on the insides of the legs, athletes foot, yeast infections, constipation or loose stools, low libido, toenail fungus, dry skin on the legs especially when seen with toenail fungus, pimples on legs, edema, heavier vaginal discharge. Signs of endocrine or hormone imbalances when accompanied with signs of gut dysbiosis.
Key Questions: Uti, lower body fungi, vaginal discharge
This is where many TCM textbooks say, “Long dan xie gan”. I used to use this as well. You get fast results and the medicine is too strong for this demographic. According to Jin Zhao. “Almost no one in this era should be using Long dan xie gan.”
It’s very rare that someone in this demographic will have signs of dysbiosis in the urogenital microbiome without their also being signs in the GI and respiratory microbiomes. Start with these and then use “Aquada” pills (Er miao wan) as an add on.
This combination is particularly effective when combined with “Warm Hearth” tea (er chen er zhu with huo xiang)
Start with Gut-brain microbiome and add “Aquada” pills if these signs are present.
Menstrual history
light periods, quantity deceased, light color, PCOS, dysmenorrhea which is worse with cold, amenorrhea, infertility, PMS that is worse with poor dietary choices.
Emotionally there is a lot of fear and shame wrapped up in this area. People may dream of rotting basements or underworld demons when they have latent pathogens in the urogenital microbiome or lower region of the body. This can also cause sexual dysfunction and lowered libido.
Prognosis
Every formula we use addresses all three of the main microbiomes, they just have slightly different areas of strength. Because of this there will be increased urination and defecation. This tends to cause looser stools for the first 1-3 days as the body is reorganizing. It can also cause increases in gas. This is a good sign as pathogenic gases must escape in order to bioremediate the body. After this symptoms steadily decrease. The average time to see effect is at the 2 week mark so scheduling patients to return every week or so is a good idea. You are reevaluating to determine what you will adjust between the cooler formulas or the warmer and whether it’s time to switch from an emptying strategy of moving gas out, to a nourishing strategy of moving it in.