Frequent Urinationaccording to TCM

What is Frequent Urination?

Frequent urination involves the need to urinate more often than usual, disrupting normal activities and sleep patterns. It can signal underlying health issues or simply result from increased fluid intake. The condition spans various forms, including nocturia (nighttime urination) and frequent pale or urgent urination, affecting individuals differently.

How does TCM View Frequent Urination?

Traditional Chinese Medicine (TCM) perceives frequent urination as a symptom of imbalance within the body's energetic systems, particularly the Kidney and Bladder. TCM emphasizes the importance of identifying the underlying pattern of disharmony—be it a deficiency, excess, or stagnation—to tailor an effective treatment plan.

Root Causes of Frequent Urination in TCM

TCM attributes frequent urination to several patterns, notably Kidney Yang Deficiency and Qi Deficiency. Kidney Yang Deficiency may present with symptoms like coldness, weakness, and a pale complexion, suggesting a decline in the body's warming and functional activities.

Qi Deficiency, especially of the Bladder, manifests through symptoms like pale, abundant urination, and a feeling of cold, indicating a lack of the vital energy necessary for maintaining normal urinary function.

Explore below more details about what might cause Frequent urination according to TCM.

  • By Syndrome
  • By Organ
  • Yang Deficiency
  • Cold
  • Qi Deficiency
  • Dampness
  • Yin Deficiency
  • Qi Sinking
  • Heat
  • Yang Collapse
  • Yang Excess
  • Yin Excess
  • Phlegm
Detailed description of the cause

Yang Deficiency

Yang deficiency in TCM refers to a state where the body's Yang energy, which is responsible for warmth, activity, and function, is weakened or diminished. This pattern of disharmony often arises from chronic illness, aging, or inherent constitutional weakness. Symptoms of Yang deficiency are typically associated with cold and sluggishness, such as a feeling of coldness, cold extremities, pale complexion, low energy or fatigue, and a desire for warmth. Digestive issues like poor appetite, loose stools, and water retention can also be indicative of Yang deficiency.... see more

Yang Deficiency Patterns That Can Lead to Frequent Urination

Common Symptoms: Chills Generalized Fatigue Diarrhea Cold Extremities General Weakness Depression Pale Face Dizziness

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yang Deficiency Frequent urination, Night time urination, Lower back pain, Dizziness, Tinnitus, Weak and cold knees, Lower back coldness, Chills, Weak legs, Bright pale face, Generalized fatigue, General weakness, Leg edema, Female infertility, Diarrhea, Depression, Erectile dysfunction, Premature ejaculation, Oligospermia, Low sex drive, Pale and abudant urination, Constipation... see more Wu Zi Yan Zong Wan | Ba Wei Di Huang Wan | Er Xian Tang | You Gui Wan | Tu Si Zi Wan | Shen Qi Wan | Ji Chuan Jian
Lung Yang Deficiency Frequent urination, Coughing and wheezing with copious sputum, Cold extremities, Spontaneous sweat, Frequent colds or flu, Pale face, Generalized fatigue, Shortness of breath, Absence of thirst, Wheezing, Weak voice... see more Gan Cao Gan Jiang Tang | Si Jun Zi Tang | Sheng Mai San
Yang Deficiency or Empty Yang Frequent urination, Night time urination, Chills, General cold feeling, Pale urine, Undigested food in stools, General weakness, Abdominal pain relieved by pressure and warmth, Polyuria, Nocturia, White vaginal discharge... see more Ba Wei Di Huang Wan | Ban Liu Wan | You Gui Wan
Lesser Yin Cold Transformation Frequent pale urination, Chills, Diarrhea, Absence of thirst, Desire to lie down curled up, Low energy, Hypersomnia, Cold extremities... see more Si Ni Tang
Kidney and Spleen Yang Deficiency Urination at night, Lower back pain, Weak and cold knees, Back cold sensation, Chills, Weak legs, Bright pale face, Erectile dysfunction, Premature ejaculation, Oligospermia, Watery ejaculate, Low sex drive, Generalized fatigue, General weakness, Clear urination, Nocturia, Apathy, Leg edema, Female infertility, Diarrhea, Depression, Lack of appetite, Slight abdominal distention, Desire to lie down... see more Li Zhong Wan
Deficiency of both the Kidney Yin and Yang Frequent urination, Menopausal symptoms, Hypertension, Irregular periods, Menopausal hot flashes, Excessive sweating, Irritability, Generalized fatigue, General weakness, Depression, Palpitations... see more Er Xian Tang | Er Zhi Wan
Spleen or Kidney Yang Deficiency Frequent urination, Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema, Diarrhea, Palpitations, Coughing, Vomit... see more Gu Ben Zhi Beng Tang
Spleen and Kidney Yang Deficiency Frequent urination, Pale face, Facial edema, Oedema of limbs, Abdominal distention, Cold extremities, Shortness of breath, Diarrhea, Lupus... see more Wu Ling San
Detailed description of the cause

Cold

In TCM "Cold" as a pattern of disharmony refers to a specific type of imbalance within the body's systems, often linked to a deficiency or weakness. It's not about feeling physically cold or having a common cold, but rather a metaphorical description of certain symptoms and underlying conditions. When a TCM practitioner says someone suffers from "Cold," it usually implies that the body's Yang energy, which is warm and active, is insufficient or overpowered by Yin energy, which is cool and passive. Symptoms of Cold in TCM can include a general feeling of coldness, cold limbs, pale complexion, low energy, slow metabolism, and a preference for warmth. ... see more

Cold Patterns That Can Lead to Frequent Urination

Common Symptoms: Chills Dizziness Cold Extremities Diarrhea Urinary Or Fecal Incontinence Enuresis Lower Back Pain Nocturia

Pattern Name Relevant Symptoms Relevant Formulas
Bladder Deficient and Cold Frequent urination, Nocturia, Pale and abudant urination, Urinary or fecal incontinence, Enuresis, Lower back pain, Dizziness, White urethral discharge, Chills... see more Sang Piao Xiao San | Suo Quan Wan
Empty-Cold Frequent urination, Chills, Cold extremities, Pale face, Absence of thirst, Low energy, Excessive sweating, Diarrhea, Clear urination... see more Huang Qi Jian Zhong Tang | Da Jian Zhong Tang | Ban Liu Wan
Cold in the Uterus Frequent urination, Diarrhea, Lack of appetite, Generalized fatigue, General weakness, Thin vaginal discharge... see more Wen Jing Tang | Shao Fu Zhu Yu Tang | Wen Qi Hua Shi Tang
Lesser Yin Cold Transformation Frequent pale urination, Chills, Diarrhea, Absence of thirst, Desire to lie down curled up, Low energy, Hypersomnia, Cold extremities... see more Si Ni Tang
Damp-Cold in the Bladder Frequent and urgent urination, Urination stopping in the middle of flow, Upper abdominal heaviness, Urethral heaviness, Cloudy urine, Pale urine... see more Ba Zheng San | Wu Lin San | Shi Wei San
Bladder Deficiency with Cold Frequent urination, Confusion, Poor memory, Urinary or fecal incontinence, Lower back pain, Dizziness, White urethral discharge, Chills, Cloudy urine, Pediatric nocturnal enuresis, Diabetes... see more Sang Piao Xiao San
Detailed description of the cause

Qi Deficiency

Qi Deficiency in TCM is like running low on battery power. Qi is the vital energy that powers every function in your body. When there's a Qi Deficiency, it means your body doesn't have enough of this essential energy. This can make you feel tired all the time, weak, or even cause shortness of breath. It's similar to how you feel when you haven't had enough sleep or nutritious food. Your body just doesn't have the energy it needs to perform at its best. Unlike modern medicine, which often focuses on specific physical causes for fatigue and weakness, TCM views Qi Deficiency as an overall energy depletion that affects your entire well-being, and it seeks to replenish and balance this vital energy.... see more

Qi Deficiency Patterns That Can Lead to Frequent Urination

Common Symptoms: Dizziness Generalized Fatigue Back Pain Nocturia Premature Ejaculation Excessive Menstruation Lower Back Pain Lower Back Weakness

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Qi Deficiency Frequent urination, Urination at night, Hearing loss, Dizziness, Tinnitus, Back pain, Nocturia, Premature ejaculation, Excessive menstruation... see more Qing E Wan
Kidney Qi not Firm Frequent urination, Lower back pain, Lower back weakness, Polyuria, Weak urine stream, Enuresis, Nocturnal emission, Generalized fatigue, Chills, Cold extremities, White vaginal discharge, Bearing down sensation in abdomen, Recurrent miscarriage... see more Qing E Wan | You Gui Wan | Jin Suo Gu Jing Wan | Fu Tu Dan | Tu Si Zi Wan
Qi Deficiency Frequent urination, General weakness, Weak voice, Generalized fatigue, Low energy, Reluctance to speak, Spontaneous sweat, Frequent colds or flu, Lack of appetite, Diarrhea, Shortness of breath... see more Si Jun Zi Tang | Liu Jun Zi Tang
Spleen or Kidney Qi Deficiency Frequent night urination, Early menstruation, Pale menstrual flow, Lower back pain, Dizziness, Chills, Nocturia, Thin menstrual blood, Shortness of breath, Palpitations, Spontaneous sweat... see more He Che Da Zao Wan | Bu Zhong Yi Qi Tang | Gui Pi Tang
Detailed description of the cause

Dampness

"Dampness" in TCM is a concept that describes a pattern of disharmony where the body accumulates excess moisture. Imagine the heavy, sticky feeling you get on a very humid day; that's similar to what dampness feels like internally. It can manifest as a sense of heaviness, bloating, sluggishness, or even a foggy mind. This condition is often thought to arise from environmental factors like living in a damp place, dietary habits that promote moisture in the body, or internal imbalances that hinder the body's ability to process fluids properly. In TCM, dampness can obstruct the normal flow of energy and fluids in the body, leading to various symptoms.... see more

Dampness Patterns That Can Lead to Frequent Urination

Common Symptoms: Fever Feeling Of Heat Leukorrhea Hematuria Frequent And Urgent Urination Urination Stopping In The Middle Of Flow Cloudy Urine Neck Gland Swelling

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Heat Frequent urination, Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst, Feeling of heat, Feeling of heaviness, Bitter taste in the mouth, Acne... see more Long Dan Xie Gan Tang | Yi Huang Tang
Damp-Cold in the Bladder Frequent and urgent urination, Urination stopping in the middle of flow, Upper abdominal heaviness, Urethral heaviness, Cloudy urine, Pale urine... see more Ba Zheng San | Wu Lin San | Shi Wei San
Damp-Heat in the Bladder Frequent and urgent urination, Urinary burning, Urination stopping in the middle of flow, Dark urine, Cloudy urine, Hematuria, Fever, Dry mouth without desire to drink, Lower abdominal fullness and pain, Feeling of heat... see more Ba Zheng San
Detailed description of the cause

Yin Deficiency

Yin deficiency in TCM is a pattern of disharmony characterized by a depletion of the body's Yin energy, which represents the cooling, moistening, and nurturing aspects of our physiology. This condition often arises from factors like chronic stress, overwork, insufficient rest, or prolonged illness. Symptoms of Yin deficiency can include a sensation of heat, especially in the afternoon or evening, night sweats, insomnia, a dry mouth or throat, and a red tongue with little coating. There might also be a general feeling of restlessness or irritability. Since Yin is essential for balancing the body's active and warm Yang energy, its deficiency leads to a relative excess of Yang, manifesting as heat or dryness symptoms.... see more

Yin Deficiency Patterns That Can Lead to Frequent Urination

Common Symptoms: Cold Extremities Night Sweats Chills Back Pain Dizziness Tinnitus Menopausal Symptoms Hypertension

Pattern Name Relevant Symptoms Relevant Formulas
Deficiency of both the Kidney Yin and Yang Frequent urination, Menopausal symptoms, Hypertension, Irregular periods, Menopausal hot flashes, Excessive sweating, Irritability, Generalized fatigue, General weakness, Depression, Palpitations... see more Er Xian Tang | Er Zhi Wan
Kidney-Deficiency Frequent urination, Scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Late menstruation, Chills, Cold extremities, Pale face... see more Dang Gui Di Huang Yin | Shi Quan Da Bu Tang | He Che Da Zao Wan
Detailed description of the cause

Qi Sinking

Qi Sinking is a pattern of disharmony in TCM where the body's energy, or Qi, is thought to "sink" or drop down. Imagine a balloon slowly deflating and falling; that's similar to what happens with Qi Sinking. This can lead to feelings of heaviness, fatigue, and even physical symptoms like prolapse of organs or frequent urination. It's as if the body's energy, which usually supports and holds things in place, isn't able to do its job properly. TCM views this as an imbalance where the uplifting and supporting qualities of Qi are weakened.... see more

Qi Sinking Patterns That Can Lead to Frequent Urination

Common Symptoms: Lack Of Appetite Generalized Fatigue Diarrhea Depression Stomach Prolapse Uterine Prolapse Anus Prolapse Prolapsed Bladder

Pattern Name Relevant Symptoms Relevant Formulas
Spleen Qi Sinking Frequent urination, Lack of appetite, Slight abdominal distension after eating Bu Zhong Yi Qi Tang
Qi Collapsing or Qi Sinking Frequent and urgent urination, Uterine prolapse, Prolapsed bladder, Stomach prolapse, Nephroptosis, Anus prolapse, Bearing down sensation in abdomen, Hemorrhoids, Chronic diarrhea, Urinary incontinence, Generalized fatigue, Low energy, Intestines prolapse, Vaginal prolapse... see more Bu Zhong Yi Qi Tang | Du Shen Tang
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Frequent Urination

Common Symptoms: Fever Feeling Of Heat Leukorrhea Hematuria Neck Gland Swelling Headaches Tight Feeling In Chest And Stomach Sticky Taste In The Mouth

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Heat Frequent urination, Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst, Feeling of heat, Feeling of heaviness, Bitter taste in the mouth, Acne... see more Long Dan Xie Gan Tang | Yi Huang Tang
Damp-Heat in the Bladder Frequent and urgent urination, Urinary burning, Urination stopping in the middle of flow, Dark urine, Cloudy urine, Hematuria, Fever, Dry mouth without desire to drink, Lower abdominal fullness and pain, Feeling of heat... see more Ba Zheng San
Detailed description of the cause

Yang Collapse

Yang Collapse in TCM represents a severe and acute condition where the body's Yang energy, the driving force behind warmth and metabolic function, is drastically depleted. This state is more critical than a simple Yang deficiency and is considered an emergency in TCM. Symptoms of Yang Collapse include extreme coldness, especially in the limbs, a feeling of cold that is unrelieved by warmth, profuse cold sweating, shallow breathing, and a very weak and slow pulse. There may also be signs of severe metabolic slowing, such as lethargy, drowsiness, or even loss of consciousness, alongside pale or bluish complexion. Yang Collapse requires urgent treatment to rescue the patient from a potentially life-threatening state. The focus is on rapidly warming and reviving the Yang energy. ... see more

Yang Collapse Patterns That Can Lead to Frequent Urination

Pattern Name Relevant Symptoms Relevant Formulas
Collapse of Yang Frequent urination, Low energy, Chills, Cold extremities, Bright pale face, Sweating on forehead, Absence of thirst, Urinary or fecal incontinence, Diarrhea... see more Shen Fu Tang | Hui Yang Jiu Ji Tang
Detailed description of the cause

Yang Excess

Yang Excess in TCM refers to a state where there is an overabundance of Yang energy, leading to symptoms of heat and hyperactivity in the body. This pattern of disharmony often arises from factors like stress, excessive physical activity, overconsumption of spicy or heating foods, or an internal imbalance that causes Yang to flare up. Symptoms of Yang Excess include a feeling of heat, red face, irritability, restlessness, thirst, constipation, and a rapid, forceful pulse. Treatment in TCM for Yang Excess aims to cool down and subdue the excessive Yang while nurturing Yin energy to restore balance.... see more

Yang Excess Patterns That Can Lead to Frequent Urination

Pattern Name Relevant Symptoms Relevant Formulas
Bladder Deficiency with Cold Frequent urination, Confusion, Poor memory, Urinary or fecal incontinence, Lower back pain, Dizziness, White urethral discharge, Chills, Cloudy urine, Pediatric nocturnal enuresis, Diabetes... see more Sang Piao Xiao San
Detailed description of the cause

Yin Excess

Yin Excess in TCM is a pattern of disharmony characterized by an overabundance of Yin energy, leading to symptoms of dampness and coldness in the body. This condition often results from an imbalance where the cooling, moistening aspects of Yin overshadow the warm, active qualities of Yang energy. Symptoms can include a feeling of heaviness, lethargy, cold sensations, pale complexion, and possibly edema or fluid retention. Digestive issues such as poor appetite, bloating, and loose stools may also be present, reflecting the impact of excess Yin on the body's metabolic processes. Treatment in TCM for Yin Excess focuses on reducing the excess Yin and stimulating Yang energy to restore balance. ... see more

Yin Excess Patterns That Can Lead to Frequent Urination

Pattern Name Relevant Symptoms Relevant Formulas
Yin Excess Frequent urination, Absence of thirst, Slow and forceful movement, Epigastric pain worsen by pressure, Polyuria, Feeling of chest oppression, Nausea, Excessive vaginal discharge, Lack of appetite, Pain relieved by heat, Chills, Cold extremities, Pale urine... see more Wu Ling San | Wu Pi Yin
Detailed description of the cause

Phlegm

In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more

Phlegm Patterns That Can Lead to Frequent Urination

Pattern Name Relevant Symptoms Relevant Formulas
Phlegm in Kidneys or Gallbladder Frequent and urgent urination, Urinary dysfunction, Hematuria Si Ni San | Pai Shi Tang
Detailed description of the cause

Kidney

In TCM the Kidneys are regarded as the body's most fundamental reservoir of Essence, known as Jing, which influences growth, reproduction, and aging. They are not just organs for filtering blood, but a holistic system governing vital life forces. When the Kidneys malfunction in TCM, it can manifest as a variety of health issues, such as chronic fatigue, reproductive problems, imbalances in fluid metabolism leading to edema or dryness, lower back pain, and a sense of fear or insecurity.... see more

Kidney Patterns That Can Lead to Frequent Urination

Common Symptoms: Chills Back Pain Dizziness Generalized Fatigue Diarrhea Cold Extremities Lower Back Pain Tinnitus

Pattern Name Relevant Symptoms Relevant Formulas
Kidney Yang Deficiency Frequent urination, Night time urination, Lower back pain, Dizziness, Tinnitus, Weak and cold knees, Lower back coldness, Chills, Weak legs, Bright pale face, Generalized fatigue, General weakness, Leg edema, Female infertility, Diarrhea, Depression, Erectile dysfunction, Premature ejaculation, Oligospermia, Low sex drive, Pale and abudant urination, Constipation... see more Wu Zi Yan Zong Wan | Ba Wei Di Huang Wan | Er Xian Tang | You Gui Wan | Tu Si Zi Wan | Shen Qi Wan | Ji Chuan Jian
Kidney Qi Deficiency Frequent urination, Urination at night, Hearing loss, Dizziness, Tinnitus, Back pain, Nocturia, Premature ejaculation, Excessive menstruation... see more Qing E Wan
Kidney Qi not Firm Frequent urination, Lower back pain, Lower back weakness, Polyuria, Weak urine stream, Enuresis, Nocturnal emission, Generalized fatigue, Chills, Cold extremities, White vaginal discharge, Bearing down sensation in abdomen, Recurrent miscarriage... see more Qing E Wan | You Gui Wan | Jin Suo Gu Jing Wan | Fu Tu Dan | Tu Si Zi Wan
Lesser Yin Cold Transformation Frequent pale urination, Chills, Diarrhea, Absence of thirst, Desire to lie down curled up, Low energy, Hypersomnia, Cold extremities... see more Si Ni Tang
Phlegm in Kidneys or Gallbladder Frequent and urgent urination, Urinary dysfunction, Hematuria Si Ni San | Pai Shi Tang
Kidney and Spleen Yang Deficiency Urination at night, Lower back pain, Weak and cold knees, Back cold sensation, Chills, Weak legs, Bright pale face, Erectile dysfunction, Premature ejaculation, Oligospermia, Watery ejaculate, Low sex drive, Generalized fatigue, General weakness, Clear urination, Nocturia, Apathy, Leg edema, Female infertility, Diarrhea, Depression, Lack of appetite, Slight abdominal distention, Desire to lie down... see more Li Zhong Wan
Spleen or Kidney Yang Deficiency Frequent urination, Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema, Diarrhea, Palpitations, Coughing, Vomit... see more Gu Ben Zhi Beng Tang
Spleen and Kidney Yang Deficiency Frequent urination, Pale face, Facial edema, Oedema of limbs, Abdominal distention, Cold extremities, Shortness of breath, Diarrhea, Lupus... see more Wu Ling San
Kidney-Deficiency Frequent urination, Scanty menstruation, Pale menstrual flow, Back pain, Knee pain, Dizziness, Tinnitus, Late menstruation, Chills, Cold extremities, Pale face... see more Dang Gui Di Huang Yin | Shi Quan Da Bu Tang | He Che Da Zao Wan
Spleen or Kidney Qi Deficiency Frequent night urination, Early menstruation, Pale menstrual flow, Lower back pain, Dizziness, Chills, Nocturia, Thin menstrual blood, Shortness of breath, Palpitations, Spontaneous sweat... see more He Che Da Zao Wan | Bu Zhong Yi Qi Tang | Gui Pi Tang
Detailed description of the cause

Spleen

In TCM the Spleen plays a vital role in digestion and transformation, converting food into energy and nutrients, and overseeing the distribution of Qi and Blood. It's also crucial in maintaining the health of muscles and limbs and ensuring the blood remains within the vessels. When the Spleen malfunctions in TCM, it can lead to a variety of issues such as digestive disorders, fatigue, weak muscles, bloating, and a feeling of heaviness. It can also cause a pale complexion, poor appetite, and a tendency to bruise easily. Emotionally, a Spleen imbalance is often associated with excessive worry or overthinking, reflecting its role in the interplay between physical and mental health.... see more

Spleen Patterns That Can Lead to Frequent Urination

Common Symptoms: Diarrhea Generalized Fatigue Depression Chills Pale Face General Weakness Dizziness Palpitations

Pattern Name Relevant Symptoms Relevant Formulas
Spleen Qi Sinking Frequent urination, Lack of appetite, Slight abdominal distension after eating Bu Zhong Yi Qi Tang
Kidney and Spleen Yang Deficiency Urination at night, Lower back pain, Weak and cold knees, Back cold sensation, Chills, Weak legs, Bright pale face, Erectile dysfunction, Premature ejaculation, Oligospermia, Watery ejaculate, Low sex drive, Generalized fatigue, General weakness, Clear urination, Nocturia, Apathy, Leg edema, Female infertility, Diarrhea, Depression, Lack of appetite, Slight abdominal distention, Desire to lie down... see more Li Zhong Wan
Spleen or Kidney Yang Deficiency Frequent urination, Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema, Diarrhea, Palpitations, Coughing, Vomit... see more Gu Ben Zhi Beng Tang
Spleen and Kidney Yang Deficiency Frequent urination, Pale face, Facial edema, Oedema of limbs, Abdominal distention, Cold extremities, Shortness of breath, Diarrhea, Lupus... see more Wu Ling San
Spleen or Kidney Qi Deficiency Frequent night urination, Early menstruation, Pale menstrual flow, Lower back pain, Dizziness, Chills, Nocturia, Thin menstrual blood, Shortness of breath, Palpitations, Spontaneous sweat... see more He Che Da Zao Wan | Bu Zhong Yi Qi Tang | Gui Pi Tang
Detailed description of the cause

Bladder

In TCM the Bladder plays a crucial role beyond its basic function of storing and excreting urine. It is intimately connected with the Kidney system, helping to regulate the body's water balance and being a key component in the processing and elimination of fluids. The Bladder also influences the lower part of the body and the back. When it malfunctions or is imbalanced in TCM, it can lead to urinary issues like frequent urination, incontinence, or painful urination. Additionally, there may be problems related to its meridian pathway, such as lower back pain, stiffness, or weakness in the legs. The Bladder’s condition in TCM can also reflect emotional states, with imbalances potentially leading to feelings of fear or anxiety.... see more

Bladder Patterns That Can Lead to Frequent Urination

Common Symptoms: Cloudy Urine Urinary Or Fecal Incontinence Enuresis Lower Back Pain Dizziness Nocturia White Urethral Discharge Chills

Pattern Name Relevant Symptoms Relevant Formulas
Bladder Deficient and Cold Frequent urination, Nocturia, Pale and abudant urination, Urinary or fecal incontinence, Enuresis, Lower back pain, Dizziness, White urethral discharge, Chills... see more Sang Piao Xiao San | Suo Quan Wan
Damp-Cold in the Bladder Frequent and urgent urination, Urination stopping in the middle of flow, Upper abdominal heaviness, Urethral heaviness, Cloudy urine, Pale urine... see more Ba Zheng San | Wu Lin San | Shi Wei San
Damp-Heat in the Bladder Frequent and urgent urination, Urinary burning, Urination stopping in the middle of flow, Dark urine, Cloudy urine, Hematuria, Fever, Dry mouth without desire to drink, Lower abdominal fullness and pain, Feeling of heat... see more Ba Zheng San
Bladder Deficiency with Cold Frequent urination, Confusion, Poor memory, Urinary or fecal incontinence, Lower back pain, Dizziness, White urethral discharge, Chills, Cloudy urine, Pediatric nocturnal enuresis, Diabetes... see more Sang Piao Xiao San
Detailed description of the cause

Lung

In TCM the Lungs are seen as the organ responsible for controlling Qi and respiration, as well as being a key part of the body's defensive system. They are thought to maintain the balance and flow of air and moisture, and are closely linked to the skin and hair. When the Lungs are imbalanced or malfunctioning in TCM, it can lead to respiratory issues like coughing or asthma, a weakened immune system, dry skin, and emotional disturbances such as sadness or grief. These symptoms are believed to arise from disruptions in the Lungs' ability to regulate Qi and protect the body, highlighting their central role in maintaining overall health and well-being.... see more

Lung Patterns That Can Lead to Frequent Urination

Pattern Name Relevant Symptoms Relevant Formulas
Lung Yang Deficiency Frequent urination, Coughing and wheezing with copious sputum, Cold extremities, Spontaneous sweat, Frequent colds or flu, Pale face, Generalized fatigue, Shortness of breath, Absence of thirst, Wheezing, Weak voice... see more Gan Cao Gan Jiang Tang | Si Jun Zi Tang | Sheng Mai San
Detailed description of the cause

Uterus

In TCM the Uterus (or "Bao Gong") is not just a reproductive organ but a vital system closely linked to Kidney energy, responsible for menstrual health, fertility, and pregnancy. It's also connected to the Heart and Liver, reflecting the importance of emotional and blood health in reproductive wellness. In TCM, the Uterus is seen as a reservoir of Blood and Qi, crucial for reproductive health and general vitality. When the Uterus malfunctions or is imbalanced, it can lead to menstrual irregularities, infertility, miscarriages, or menopausal symptoms. Additionally, there might be symptoms like lower abdominal pain or emotional disturbances such as mood swings, often linked to Liver Qi stagnation. These manifestations highlight the TCM perspective that the health of the Uterus is intertwined with the overall balance of energy and blood in the body, as well as emotional well-being.... see more

Uterus Patterns That Can Lead to Frequent Urination

Pattern Name Relevant Symptoms Relevant Formulas
Cold in the Uterus Frequent urination, Diarrhea, Lack of appetite, Generalized fatigue, General weakness, Thin vaginal discharge... see more Wen Jing Tang | Shao Fu Zhu Yu Tang | Wen Qi Hua Shi Tang
Detailed description of the cause

Gallbladder

In TCM the Gallbladder has a unique role in storing and excreting bile, but more importantly, it's seen as crucial for decision-making and courage. It's closely connected to the Liver, assisting in the smooth flow of Qi (vital energy) and supporting the Liver's role in maintaining emotional balance. When the Gallbladder malfunctions or is imbalanced in TCM, it can lead to physical symptoms like gallstones, jaundice, or a bitter taste in the mouth. There might also be digestive disturbances, particularly related to fat metabolism. On an emotional level, a Gallbladder disorder can manifest as indecisiveness, timidity, or a tendency to easily succumb to stress. These symptoms highlight the TCM view of the Gallbladder as integral to both physical processes and emotional resilience.... see more

Gallbladder Patterns That Can Lead to Frequent Urination

Pattern Name Relevant Symptoms Relevant Formulas
Phlegm in Kidneys or Gallbladder Frequent and urgent urination, Urinary dysfunction, Hematuria Si Ni San | Pai Shi Tang

TCM Herbal Formulas for Frequent Urination

To address frequent urination, TCM practitioners may recommend formulas such as Wu Zi Yan Zong Wan for Kidney Yang Deficiency, which aims to warm and tonify Yang with herbs like Cuscuta seeds.

For Qi Deficiency leading to Bladder issues, Sang Piao Xiao San, containing Praying Mantis Egg-Cases, helps stabilize and bind to improve urinary function. Each herbal formula is selected based on the individual's specific symptoms and underlying pattern of imbalance.

Explore below some TCM herbal formulas used to address frequent urination, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Yang Deficiency
  • Cold
  • Qi Deficiency
  • Dampness
  • Yin Deficiency
  • Qi Sinking
  • Heat
  • Yang Collapse
  • Yang Excess
  • Yin Excess
  • Phlegm
  • Formulas that warm yang and tonify
  • Formulas that secure essence and stop enuresis
  • Formulas that rescue devastated yang
  • Formulas that warm the middle and dispel cold
  • Formulas that tonify qi
  • Formulas that clear heat and expel dampness
  • Formulas that tonify yin and yang
  • Formulas that nourish yin and tonify
  • Formulas that tonify qi and blood
  • Formulas that promote urination and leach out dampness
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that clear heat from the organs
  • Formulas that secure irregular uterine bleeding and stop vaginal discharge
  • Formulas that warm and transform water and dampness
  • Formulas that warm and purge
  • Formulas that moisten intestines and unblock bowels
  • Formulas that warm interior cold
  • Formulas that tonify blood
  • Formulas that harmonize liver-Spleen

All Formulas Recommended for Frequent Urination Caused by Yang Deficiency

Formula Patterns Suitable For
You Gui Wan Kidney Yang Deficiency, Yang Deficiency or Empty Yang
Ba Wei Di Huang Wan Kidney Yang Deficiency, Yang Deficiency or Empty Yang
Er Xian Tang Kidney Yang Deficiency, Deficiency of both the Kidney Yin and Yang
Tu Si Zi Wan Kidney Yang Deficiency
Si Jun Zi Tang Lung Yang Deficiency
Wu Ling San Spleen and Kidney Yang Deficiency
Ban Liu Wan Yang Deficiency or Empty Yang
Wu Zi Yan Zong Wan Kidney Yang Deficiency
Shen Qi Wan Kidney Yang Deficiency
Ji Chuan Jian Kidney Yang Deficiency
Er Zhi Wan Deficiency of both the Kidney Yin and Yang
Gu Ben Zhi Beng Tang Spleen or Kidney Yang Deficiency
Gan Cao Gan Jiang Tang Lung Yang Deficiency
Sheng Mai San Lung Yang Deficiency
Si Ni Tang Lesser Yin Cold Transformation
Li Zhong Wan Kidney and Spleen Yang Deficiency

All Formulas Recommended for Frequent Urination Caused by Cold

Formula Patterns Suitable For
Sang Piao Xiao San Bladder Deficient and Cold, Bladder Deficiency with Cold
Ban Liu Wan Empty-Cold
Ba Zheng San Damp-Cold in the Bladder
Suo Quan Wan Bladder Deficient and Cold
Huang Qi Jian Zhong Tang Empty-Cold
Da Jian Zhong Tang Empty-Cold
Wen Jing Tang Cold in the Uterus
Shao Fu Zhu Yu Tang Cold in the Uterus
Wen Qi Hua Shi Tang Cold in the Uterus
Si Ni Tang Lesser Yin Cold Transformation
Wu Lin San Damp-Cold in the Bladder
Shi Wei San Damp-Cold in the Bladder

All Formulas Recommended for Frequent Urination Caused by Qi Deficiency

Formula Patterns Suitable For
Qing E Wan Kidney Qi Deficiency, Kidney Qi not Firm
You Gui Wan Kidney Qi not Firm
Bu Zhong Yi Qi Tang Spleen or Kidney Qi Deficiency
Tu Si Zi Wan Kidney Qi not Firm
Si Jun Zi Tang Qi Deficiency
He Che Da Zao Wan Spleen or Kidney Qi Deficiency
Jin Suo Gu Jing Wan Kidney Qi not Firm
Fu Tu Dan Kidney Qi not Firm
Liu Jun Zi Tang Qi Deficiency
Gui Pi Tang Spleen or Kidney Qi Deficiency

All Formulas Recommended for Frequent Urination Caused by Dampness

Formula Patterns Suitable For
Ba Zheng San Damp-Cold in the Bladder, Damp-Heat in the Bladder
Long Dan Xie Gan Tang Damp-Heat
Yi Huang Tang Damp-Heat
Wu Lin San Damp-Cold in the Bladder
Shi Wei San Damp-Cold in the Bladder

All Formulas Recommended for Frequent Urination Caused by Yin Deficiency

Formula Patterns Suitable For
Er Xian Tang Deficiency of both the Kidney Yin and Yang
He Che Da Zao Wan Kidney-Deficiency
Er Zhi Wan Deficiency of both the Kidney Yin and Yang
Dang Gui Di Huang Yin Kidney-Deficiency
Shi Quan Da Bu Tang Kidney-Deficiency

All Formulas Recommended for Frequent Urination Caused by Qi Sinking

Formula Patterns Suitable For
Bu Zhong Yi Qi Tang Spleen Qi Sinking, Qi Collapsing or Qi Sinking
Du Shen Tang Qi Collapsing or Qi Sinking

All Formulas Recommended for Frequent Urination Caused by Heat

Formula Patterns Suitable For
Ba Zheng San Damp-Heat in the Bladder
Long Dan Xie Gan Tang Damp-Heat
Yi Huang Tang Damp-Heat

All Formulas Recommended for Frequent Urination Caused by Yang Collapse

Formula Patterns Suitable For
Shen Fu Tang Collapse of Yang
Hui Yang Jiu Ji Tang Collapse of Yang

All Formulas Recommended for Frequent Urination Caused by Yin Excess

Formula Patterns Suitable For
Wu Ling San Yin Excess
Wu Pi Yin Yin Excess

All Formulas Recommended for Frequent Urination Caused by Phlegm

Formula Patterns Suitable For
Si Ni San Phlegm in Kidneys or Gallbladder
Pai Shi Tang Phlegm in Kidneys or Gallbladder

All "formulas that tonify qi" recommended for frequent urination

Formula Patterns Suitable For (if applicable)
Bu Zhong Yi Qi Tang Spleen Qi Sinking, Qi Collapsing or Qi Sinking, Spleen or Kidney Qi Deficiency
Si Jun Zi Tang Lung Yang Deficiency, Qi Deficiency
Sheng Mai San Lung Yang Deficiency
Liu Jun Zi Tang Qi Deficiency

All "formulas that warm yang and tonify" recommended for frequent urination

Formula Patterns Suitable For (if applicable)
You Gui Wan Kidney Qi not Firm, Kidney Yang Deficiency, Yang Deficiency or Empty Yang
Qing E Wan Kidney Qi Deficiency, Kidney Qi not Firm
Tu Si Zi Wan Kidney Qi not Firm, Kidney Yang Deficiency
Wu Zi Yan Zong Wan Kidney Yang Deficiency
Shen Qi Wan Kidney Yang Deficiency

All "formulas that tonify yin and yang" recommended for frequent urination

Formula Patterns Suitable For (if applicable)
Er Xian Tang Deficiency of both the Kidney Yin and Yang, Kidney Yang Deficiency
He Che Da Zao Wan Kidney-Deficiency, Spleen or Kidney Qi Deficiency
Shi Quan Da Bu Tang Kidney-Deficiency

All "formulas that secure essence and stop enuresis" recommended for frequent urination

Formula Patterns Suitable For (if applicable)
Sang Piao Xiao San Bladder Deficient and Cold, Bladder Deficiency with Cold
Suo Quan Wan Bladder Deficient and Cold
Jin Suo Gu Jing Wan Kidney Qi not Firm
Fu Tu Dan Kidney Qi not Firm

All "formulas that rescue devastated yang" recommended for frequent urination

Formula Patterns Suitable For (if applicable)
Shen Fu Tang Collapse of Yang
Hui Yang Jiu Ji Tang Collapse of Yang
Si Ni Tang Lesser Yin Cold Transformation
Du Shen Tang Qi Collapsing or Qi Sinking

All "formulas that warm the middle and dispel cold" recommended for frequent urination

Formula Patterns Suitable For (if applicable)
Huang Qi Jian Zhong Tang Empty-Cold
Da Jian Zhong Tang Empty-Cold
Wen Qi Hua Shi Tang Cold in the Uterus
Li Zhong Wan Kidney and Spleen Yang Deficiency

All "formulas that clear heat and expel dampness" recommended for frequent urination

Formula Patterns Suitable For (if applicable)
Ba Zheng San Damp-Cold in the Bladder, Damp-Heat in the Bladder
Wu Lin San Damp-Cold in the Bladder
Shi Wei San Damp-Cold in the Bladder
Pai Shi Tang Phlegm in Kidneys or Gallbladder

All "formulas that nourish yin and tonify" recommended for frequent urination

Formula Patterns Suitable For (if applicable)
Ba Wei Di Huang Wan Kidney Yang Deficiency, Yang Deficiency or Empty Yang
Er Zhi Wan Deficiency of both the Kidney Yin and Yang

All "formulas that tonify qi and blood" recommended for frequent urination

Formula Patterns Suitable For (if applicable)
Gu Ben Zhi Beng Tang Spleen or Kidney Yang Deficiency
Gui Pi Tang Spleen or Kidney Qi Deficiency

All "formulas that promote urination and leach out dampness" recommended for frequent urination

Formula Patterns Suitable For (if applicable)
Wu Ling San Spleen and Kidney Yang Deficiency, Yin Excess
Wu Pi Yin Yin Excess

All "formulas that invigorate blood and dispel blood stagnation" recommended for frequent urination

Formula Patterns Suitable For (if applicable)
Wen Jing Tang Cold in the Uterus
Shao Fu Zhu Yu Tang Cold in the Uterus

Acupoints for Frequent Urination

In managing frequent urination, TCM acupoint therapy plays a crucial role. Points like Guanyuan (REN-4) and Qihai (REN-6) are pivotal for nourishing Blood and Yin, strengthening Kidney and Bladder functions, and enhancing Qi flow. Governing Vessel points such as Dazhui (DU-14) and Mingmen (DU-4) are utilized to tonify Yang and dispel Cold, addressing root causes of frequent urination from a TCM perspective.

Explore below some acupoints used to address frequent urination, organized by meridian.

  • By Meridian
  • Directing Vessel
  • Governing Vessel
  • Bladder Channel
  • Lung Channel
  • Liver Channel
  • Kidney Channel
  • Stomach Channel
Zhongji REN-3

Zhongji REN-3

On the anterior midline, 4 cun below the umbilicus, 1 cun above Qugu REN-2, which is located at the upper border of the symphysis pubis.

Guanyuan REN-4

Guanyuan REN-4

On the midline of the abdomen, 3 cun below the umbilicus.

Qihai REN-6

Qihai REN-6

On the midline of the abdomen, 1.5 cun below the umbilicus.

Mingmen DU-4

Mingmen DU-4

On the lower back midline, in the depression below the spinous process of the 2nd lumber vertebra (L2).

Baihui DU-20

Baihui DU-20

At the vertex, at the junction of a line connecting the apex of the ears and the midline, in the depression 7 cun above the posterior hairline and 5 cun behind the anterior hairline.

Shenshu BL-23

Shenshu BL-23

1.5 cun lateral to the lower border of the spinous process of the 2nd lumber vertebra (L2).

Guanyuanshu BL-26

Guanyuanshu BL-26

1.5 cun lateral to the lower border of the spinous process of the 5th lumber vertebra (L5).

Chize LU-5

Chize LU-5

On the cubital crease, on the redial aspect of the biceps tendon. It can be easily identified when the elbow is slightly flexed.

Dadun LIV-1

Dadun LIV-1

On the lateral side of the dorsum of the great toe terminal phalanx, between the lateral corner of the nail and interphalangeal joint.

Taixi KID-3

Taixi KID-3

In the depression between the medial malleolus tip and Achilles tendon (Calcaneal tendon), level with the tip of the medial malleolus.

Guilai ST-29

Guilai ST-29

4 cun below the umbilicus, 2 cun lateral to the anterior midline.