ENURESIS

Clinical Manifestations
  • Enuresis is a type of urinary incontinence, usually referring to involuntary discharge of urine during sleep at night (nocturnal enuresis or bed-wetting), such as in a child beyond the age when bladder control should have been achieved. It can occur as a result of such organic conditions as structural defects or infections of the urinary tract, neurological deficit and resultant loss of control, nocturnal epilepsy, diabetes mellitus and diabetes insipidus, which increase urine flow, and renal disorders that impair the kidney's ability to concentrate urine. If no organic basis can be found for bed-wetting, psychogenic factors are considered.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Itching or tickling in the throat
  • Cough with expectoration of thin, watery or frothy white sputum
  • Chills with low grade fever
  • Anhidrosis
  • No thirst
  • Headache
  • Aversion to Wind
  • Blocked and / or runny nose with clear, watery nasal discharge
  • Sneezing
  • General body aches
  • Maybe asthma
  • T: Pink
  • C: Thin, white and moist
  • P: Superficial and tight
Treatment Principle
  • Expel Wind
  • Dispel Cold
  • Ventilate the Lungs
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Wind
  • Mild, or severe chills
  • Fever which may be persistent
  • Uneasiness from fever
  • Spontaneous perspiration
  • Headache
  • Nausea
  • Nasal irritation
  • Nasal obstruction
  • Tendency to snore
  • Itchy throat
  • T: Normal
  • C: Thin and white
  • P: Superficial and slow or Moderate and maybe weak
Treatment Principle
  • Create sweat to relieve the Exterior and expel Wind
  • Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas
Points
Clinical Manifestations
  • Enuresis
  • An enduring soft, weak cough with clear thin sputum
  • Physical and mental exhaustion
  • Soft, weak voice
  • Reluctance to speak
  • Shortness of breath
  • Pale face
  • Vomiting of foamy drool
  • With Wei Qi Deficiency:
    Spontaneous perspiration (daytime)
    Low resistance to common cold
    Tendency to a blocked nose
  • T: Pale
  • C: Thin and white
  • P: Weak
Treatment Principle
  • Reinforce the Lungs
  • Strengthen Qi
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Four limbs tired
  • Anorexia
  • Borborygmus
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Indigestion
  • Loose stools
  • Severe cases:
    Frightens easily
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Warm and transform Phlegm-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Fever
  • Sweet sticky taste or bitter taste in mouth
  • T: Pink
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
Clinical Manifestations
  • Enuresis when overworked or fatigued
  • Disinclination to speak
  • Somnolence
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • Possible prolapse of rectum or uterus
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and deficient
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Secure the Bladder
Herb Formulas
Points
Clinical Manifestations
  • Milky, turbid spermatorrhea
  • Listlessness
  • Fatigue
  • A shiny, white complexion
  • Anorexia or
  • Increased food intake
  • Restlessness
  • Vaginal discharge
  • Diarrhea
  • Dryness of the external ears
  • Dizziness
  • Enuresis
  • Copious urination
  • Thirst
  • Premature ejaculation
  • Lumbago
  • T: Pale
  • C: White
  • P: Deep and frail
Treatment Principle
  • Tonify the Kidneys
  • Stabilize Jing
  • Stop leakage
  • Strengthen the Spleen
  • Drain Dampness
Herb Formulas
Points
Clinical Manifestations
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Enuresis
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Abdominal pain and fullness after meals
  • Nausea
  • Vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Restlessness
  • Irritability
  • Thirst
  • Nocturnal emission
  • Insomnia
  • Dream disturbed sleep
  • Lack of spirit
  • Fatigue
  • Low back pain
  • Tinnitus
  • Dysuria
  • Depression
  • Turbid urine
  • Abnormal uterine bleeding
  • Polyuria
  • Enuresis
  • Seminal emission
  • Leukorrhea
  • Blood tinged leukorrhea
  • Anorexia
  • Dry mouth
  • Dry Tongue
  • Five Sole Heat
  • Fever
  • Physical and mental overexertion
  • T: Red
  • C: Little or None
  • P: Deep and rapid
Treatment Principle
  • Clear Heart Fire
  • Disperse Damp-Heat
  • Benefit Qi and Yin
  • Promote urination
Herb Formulas
Points
Clinical Manifestations
  • Absent-mindedness
  • Frequent feelings of extreme sadness with an urge to cry
  • Inability to control one's emotions
  • Depression
  • Restless sleep
  • May be night sweats
  • Lack of mental focus
  • Tight abdominal muscles
  • Irritability
  • Abnormal speech or behavior
  • Disorientation
  • Frequent yawning
  • Sadness
  • Overly sensitive or self-conscious
  • Insomnia
  • T: Red or pale red
  • C: Scanty
  • P: Thready and rapid
Treatment Principle
  • Nourish the Heart
  • Calm the Shen
  • Harmonize the Middle Jiao
  • Relax tension
  • Tonify Spleen Qi
Herb Formulas
Points
Clinical Manifestations
  • Frequent urination
  • Cloudy urine that resembles rice-water
  • Seminal emissions
  • Enuresis
  • Disorientation
  • Constipation
  • Forgetfulness
  • Fatigue
  • Anorexia
  • T: Pale or Light pink
  • C: Thin and white
  • P: Thin, slow and frail or Deep and weak
Treatment Principle
  • Regulate and tonify the Heart and Kidneys
  • Stabilize Jing
  • Stop enuresis
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Anxiety
  • Insomnia
  • Dream disturbed sleep
  • Nightmares
  • Hair loss
  • Spontaneous perspiration
  • Amnesia
  • Infantile night crying
  • Dreams of sexual intercourse in women
  • A cold sensation on the tip of the penis
  • Loss of appetite
  • Dizziness
  • Depression
  • Lack of motivation
  • Night sweats
  • Spermatorrhea
  • Nocturnal emissions
  • Lower abdominal contraction and pain
  • Occasional watery diarrhea
  • T: Slightly pale
  • P: Hollow and slow or Hollow and slightly tight
Treatment Principle
  • Tonify Yin and Yang
  • Harmonize the Ying and Wei
  • Astringe Jing and urine
Herb Formulas
Points
Clinical Manifestations
  • Enuresis which gets worse with emotional stress
  • Possible dribbling and dripping
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Vertigo
  • Belching
  • Headache
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Enuresis in nervous, anxious, hyperactive or excitable children
  • Frequent urination in an energetic child with a ruddy complexion
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or
  • Sudden deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness at night
  • Nightmares
  • Constipation or dry stools
  • Maybe rib pain
  • Yellow urine
  • Maybe a sore or inflamed urinary tract
  • In severe cases:
    Mania
    Hemoptysis
    Hematemesis
    Epistaxis
  • Liver Fire Attacks the Lungs:
    Hemoptysis
    Rib pain which is severe when coughing
  • Liver Fire Attacks the Stomach:
    Hematemesis
  • T: Red or Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Enuresis
  • Frequent short, dark and hot urination
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five Sole Heat
  • Malar flush
  • Red lips
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Heightened libido
  • If Heart Fire also Flares:
    Insomnia
    Frequent dreams
    Palpitations
  • If Liver Yang also Rises:
    Dizziness
    Blurred vision
  • T: Red
  • C: Little or None
  • P: Thready and rapid or Floating and large
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Enuresis or
  • Urinary incontinence
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Low back and knees aching and weak
  • Hearing deficit
  • Jing Gate Not Consolidated:
    Spermatorrhea
    Premature ejaculation
    Vaginal discharge
    Infertility
  • Urinary disorder:
    Frequent, clear, abundant urination
    Dribbling after urination
    Incontinence of urine
  • T: Pale and swollen with teethmarks
  • C: Thin white
  • P: Deep and thready
Treatment Principle
  • Consolidate the Kidneys
  • Conserve Qi
Herb Formulas
Points
Clinical Manifestations
  • Amenorrhea
  • Irregular menstruation
  • Hot flashes
  • Dizziness
  • Tinnitus
  • Night sweats
  • Perspiration
  • Nervousness
  • Muscular flaccidity
  • Fatigue
  • Mood swings
  • Cold feet
  • Lassitude
  • Frequent, clear urine
  • Irritability
  • Headache
  • Palpitations
  • Insomnia
  • T: Pale
  • C: Thin and white
  • P: Thready and rapid
Treatment Principle
  • Replenish Kidney Yin and Yang
  • Tonify Kidney Jing
  • Purge Deficiency Fire
  • Regulate the Chong and Ren
Herb Formulas
Points
Clinical Manifestations
  • Frequent urination
  • Copious amounts of clear urine
  • Incontinence of urine
  • Enuresis
  • Nocturia
  • Either a tendency towards being too hot of too cold
  • A bright white facial complexion
  • Dizziness
  • Shortness of breath
  • Asthma
  • Aversion to Cold
  • Cold limbs
  • Edema in the lower limbs
  • Lassitude
  • Lower back and knees weak and painful
  • Lingering tinnitus or deafness
  • Seminal emission
  • Impotence
  • Sterility
  • Fatigue
  • Lack of strength
  • Maybe anorexia
  • Maybe loose stools
  • T: Pale
  • C: White
  • P: Deep, weak and possibly tight or Thready and weak or Deep, weak and slow or Deep, thready and weak
Treatment Principle
  • Tonify Kidney Qi
  • Warm Kidney Yang
  • Nourish Jing and Blood
Herb Formulas
Points
  • Moxa or moxa needle REN-4, REN-6, tonify UB-23, UB-52
    With panting: + KI-2
    With dribbling urination: + UB-28
    With frequent nocturia: + KI-6
    With clear, thin vaginal discharge: + GB-26
    With premature ejaculation: + KI-12
Clinical Manifestations
  • Dribbling urination
  • Enuresis
  • Frequent, long clear urination
  • Fatigue
  • Lassitude
  • Upper and lower back pain and aching
  • Cold limbs
  • T: Pale
  • C: White
  • P: Deep and thready
Treatment Principle
  • Warm the Kidneys
  • Secure the Bladder
Herb Formulas
Points
Clinical Manifestations
  • Occasional enuresis
  • Urinary frequency
  • Urinary urgency
  • Painful urination or
  • Continuous dripping of urine or
  • Sudden interruption to the urinary stream
  • Turbid urine or
  • Pus and blood in the urine or
  • Sand and stones in the urine
  • In Damp-Heat Pouring Downward there may also be:
    Fever
    Thirst
    Dry mouth
    Low back pain
  • In Damp-Heat Crystallizes in Urinary Bladder there may also be:
    Colicky pain in the low back, possibly radiating to the groin
  • T: Red
  • C: Yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Eliminate Dampness by diuresis
Herb Formulas
Points
Clinical Manifestations
  • Mild, persistent uterine bleeding of purple and black blood during pregnancy
  • Abdominal pain that is worse with pressure
  • Abdominal spasms and tension
  • Immobile masses in the lower abdomen with pain and tenderness
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Headache
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense, deep and slow
Treatment Principle
  • Invigorate the Blood
  • Transform Blood Stasis
  • Soften lumps
  • Reduce fixed abdominal pain
Herb Formulas
Points
Clinical Manifestations
  • Cold pain in the lower back and body
  • Sciatica
  • Copious urination
  • Extreme heavy sensation in the lower back
  • Absence of thirst
  • T: Pale
  • C: White
  • P: Deep, thready and moderate
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Dispel Cold
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • Enuresis
  • Fatigue
  • Heavy and painful lower back
  • Dream-disturbed sleep
  • General weakness
  • Lack of interest in food or drink
  • Fever
  • Night sweats
  • Seminal emission
  • Forgetfulness
  • Toothache
  • Dizziness
  • Gum swelling
  • General pitted edema which is worse in the lower body
  • Vaginal discharge
  • Discharge of rice-water like urination without dysuria
  • Aversion to Cold
  • Impotence
  • Decreased libido
  • Emaciation
  • Loose teeth
  • Signs of premature aging
  • Abdominal Cold
  • Easily frightened
  • T: Pale or Pale and thick
  • C: Smooth and white
  • P: Moderate and weak or Deep and weak
Treatment Principle
  • Tonify the Spleen and Kidneys
  • Nourish the Heart
  • Enrich Yin
  • Nourish the Blood and Yang
  • Augment Qi
Herb Formulas
Points
Clinical Manifestations
  • Enuresis
  • Recurrent anal itching especially in children
  • Itching is worse at night
  • Pinworms in the anus and stools during attack
  • Restless sleep
  • Poor appetite
  • Nausea
  • Vomiting
  • Loose stools
  • Emaciation
  • Abdominal pain
  • A tendency toward nail biting
  • Agitation
  • Vexation
  • Night fright
Treatment Principle
  • Kill the worms
  • Stop itching
Herb Formulas
Points