Enuresis according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Enuresis factsheet
Possible causes and remedies:
Heat in Yang brightness Organs
Symptoms: Flatulence Focal distention Abdominal fullness and three other symptoms
Recommended formula: Da Cheng Qi Tang
Recommended formula: Da Cheng Qi Tang
In Chinese Medicine, enuresis can be associated with four so-called "patterns of disharmony". Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted. It is not equivalent to the Western concept of "disease", as a matter of fact here enuresis can be caused by four different patterns.
To understand whether someone's enuresis might be caused by a given pattern, one needs to look for signs and symptoms associated with the pattern beyond what one might typically experience from enuresis alone. For instance when enuresis is caused by the pattern Heat in Yang brightness Organs, patients also experience symptoms such as severe constipation, flatulence, focal distention and abdominal fullness. Similarly, patients with Heat in Yang brightness Organs typically exhibit full (Shi) pulses as well as a tongue with grey or black coating, yellow coating.
We've listed below a description of the four patterns associated with enuresis so that you can start to get an understanding of the various possibilities according to Chinese Medicine.
Once identified, patterns are often treated using herbal formulas. Drinking herbal infusions is the most common remedy in Chinese Medicine, together with acupuncture. Here we detail below eight formulas that can help treat the various patterns associated with enuresis, depending on which pattern fits your profile.
The four "patterns of disharmony" associated with enuresis
Rhubarb (Da Huang) is the key herb for Da Cheng Qi Tang, a formula used for Heat in Yang brightness Organs
Heat in Yang brightness Organs
Pulse type(s): Full (Shi)
Tongue coating: Grey or black coating, Yellow coating
Recommended herbal formula: Da Cheng Qi Tang
Symptoms: Flatulence Focal distention Abdominal fullness Severe constipation Tense and firm abdomen Abdominal pain that increases upon pressure
Enuresis might be due to Heat in Yang brightness Organs if the condition is paired with typical pattern symptoms such as severe constipation, flatulence, focal distention and abdominal fullness. Similarly, patients with Heat in Yang brightness Organs typically exhibit full (Shi) pulses as well as a tongue with grey or black coating, yellow coating.
Rhubarb (Da Huang) is the key herb for Da Cheng Qi Tang, a formula used for Yang Excess
Yang Excess
Recommended herbal formula: Da Cheng Qi Tang
Enuresis might be due to Yang Excess if the condition is paired with typical pattern symptoms such as .
The Bladder is a so-called "Fu" Organ. Learn more about the Bladder in Chinese Medicine
Bladder Deficiency with Cold
Pulse type(s): Deep (Chen), Weak (Ruo)
Tongue coating: Thin white coating
Tongue color: Pale
Recommended herbal formula: Sang Piao Xiao San
Symptoms: Dizziness Incontinence Forgetfulness Disorientation Lower back pain Feeling of cold Frequent urination White urethral discharge Urine the color of rice water - grey and cloudy
Enuresis might be due to Bladder Deficiency with Cold if the condition is paired with typical pattern symptoms such as disorientation, forgetfulness, incontinence and lower back pain. Similarly, patients with Bladder Deficiency with Cold typically exhibit deep (Chen) or weak (Ruo) pulses as well as a pale tongue with thin white coating.
Ephedra (Ma Huang) is the key herb for Xiao Qing Long Tang, a formula used for Phlegm-Fluids above the diaphragm
Phlegm-Fluids above the diaphragm
Pulse type(s): Floating (Fu), Tight (Jin)
Tongue coating: Thick white coating
Tongue shape: Swollen
Recommended herbal formula: Xiao Qing Long Tang
Symptoms: Wheezing No thirst Absence of sweating Generalized body pain Alternating fever and chills General sensation of heaviness Stifling sensation in the chest Coughing of copious thin and white sputum
Enuresis might be due to Phlegm-Fluids above the diaphragm if the condition is paired with typical pattern symptoms such as alternating fever and chills, absence of sweating, wheezing and stifling sensation in the chest. Similarly, patients with Phlegm-Fluids above the diaphragm typically exhibit floating (Fu) or tight (Jin) pulses as well as a tongue with thick white coating.
The eight herbal formulas that might help with enuresis
Da Cheng Qi Tang
Source date: 220 AD
Number of ingredients: 4 herbs
Key actions: Purges Heat from the Stomach and Intestines. Relieves constipation.
Why might Da Cheng Qi Tang help with enuresis?
Because it is a formula often recommended to help with the patterns Heat in Yang brightness Organs and Yang Excess which are sometimes associated with enuresis. If any of these patterns look like something you might suffer from, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Sang Piao Xiao San
Source date: 1116 AD
Number of ingredients: 8 herbs
Key actions: Regulates and tonifies the Heart and Kidneys. Stabilizes the Essence. Stops leakage.
Why might Sang Piao Xiao San help with enuresis?
Because it is a formula often recommended to help treat Bladder Deficiency with Cold, a pattern sometimes associated with enuresis. If it looks like you might suffer from Bladder Deficiency with Cold, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Xiao Qing Long Tang
Source date: 220 AD
Number of ingredients: 8 herbs
Key actions: Releases the Exterior. Transforms Phlegm-Fluids. Warms the Lungs. Directs Rebellious Qi downward.
Why might Xiao Qing Long Tang help with enuresis?
Because it is a formula often recommended to help treat Phlegm-Fluids above the diaphragm, a pattern sometimes associated with enuresis. If it looks like you might suffer from Phlegm-Fluids above the diaphragm, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Gui Zhi Jia Long Gu Mu Li Tang
Source date: 220 AD
Number of ingredients: 7 herbs
Key actions: Rectifies relationship between Yin and Yang. Harmonizes Heart and Kidney. Stabilizes and secures Essence.
Why might Gui Zhi Jia Long Gu Mu Li Tang help with enuresis?
Because it is a formula often recommended to help treat , a pattern sometimes associated with enuresis. If it looks like you might suffer from , this formula might help (although please seek confirmation with a professional practitioner beforehand).
Si Ni San
Source date: 220 AD
Number of ingredients: 4 herbs
Key actions: Regulates Liver and Spleen. Eliminates Internal Heat.
Why might Si Ni San help with enuresis?
Because it is a formula often recommended to help treat , a pattern sometimes associated with enuresis. If it looks like you might suffer from , this formula might help (although please seek confirmation with a professional practitioner beforehand).
