Koenisburg Test

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Latest Edit: Iva Lloyd, ND 2013-07-13 (EDT)

The Koenisburg tests is a screening urine test for hypertension management and adrenal function.

Check out Lab Tests for other tests used by NDs.


The following are the general uses of the Koenisburg test.[1]

  • The Koenisburg test measures the amount of urinary chloride in the urine.
  • Low adrenal function (hyoadrenia) result in lowered aldosterone levels which results in extra sodium spilling into the urine. This results in a high number of drops (over 25)
  • Hyper-adrenal state results in increased aldosterone output which can result in the body retaining sodium. This can result in lower than normal number of drops (less than 17).


The following is the optimal procedure when doing a Koenisburg test:[1]

  • Collect a clean urine sample in urine cup. First morning urine sample is preferably. A urine sample with a specific gravity between 1.015 and 1.020 will yield the most accurate results.
  • 24 hours prior to the test your practitioner may recommend that you eliminate the use of salt as much as possible and that you avoid taking nutritional supplements.
  • Place 10 drops of urine in a test tube.
  • Add 1 drop of Indicator. Mix the solution - it will have a yellowish colour.
  • Add the titrating reagent, drop by drop, mixing the solution periodically, observe for a colour change - red-orange to brick-red.
  • Results


  1. 1.0 1.1 [1] Revive Life Labs