Can an unfavorable bladder qi cause thirst?

Unfavorable bladder qi is the term used in Chinese medicine, which is caused by bladder dysfunction and does not usually lead to thirst. According to TCM, the bladder is responsible for opening and closing the bladder, and has the function of storing and excreting urine, which is in phase with the kidneys. The bladder’s function of storing and excreting urine depends on the kidney’s consolidation and qiization. When the kidney’s consolidation and qi-chemistry functions are out of order, it will lead to bladder qi-chemistry malfunction, opening and closing malfunction, and symptoms such as dysuria (unsmooth urination), retention of urine (incomplete or incontinence of urine), frequency of urination, urgency of urination, and incontinence of urine will occur. Unfavorable bladder qi and chemistry will only have an effect on the function of urinary excretion, which has nothing to do with thirst and will not lead to thirst. However, if the Qi-chemistry function of the kidneys is out of order, affecting the efficacy of ascending the clear and descending the turbid (so that the clear qi rises and the turbid qi descends), and the fluid cannot be accommodated upwards in the mouth, the symptom of thirst will occur. Therefore, an unfavorable bladder qi will generally only affect urine excretion and will not lead to thirst.