Patient's question:
Half a year, three and a half years old, frequent urination at night (three times), bedwetting once a day, is it enuresis?Doctor's answer:
The treatment of enuresis is divided into drug therapy, physical therapy, and device correction. Drug therapy is further categorized into traditional Chinese medicine (TCM) treatment and Western medicine treatment.Recommendation: TCM treatment is based on syndrome differentiation and can be classified into patterns such as lower jiao deficiency-cold, lung-spleen qi deficiency, heart-kidney deficiency, kidney-du deficiency, lower jiao damp-heat, and lower jiao damp-heat. Treatment is adjusted accordingly using formulas such as Jisheng Tusizi Pills, Buzhong Yiqi Decoction, Koushi Sangliaoza Powder, Shenshi Tusizi Pills, Ba Zheng San, or Daididing Wan. From clinical observations, about half of the patients may see efficacy, and some may be cured, provided the syndrome differentiation is accurate and the treatment is adhered to. The drawbacks are the difficulty in adherence and the challenge of accurately identifying the syndrome in most patients.
Lifestyle Management:
Home remedies for enuresis:
① Apply Dinggui Nuqitie (a warm patch) to the Shenque acupoint (navel) once a night. It is convenient to use, available at pharmacies, and is also a simple, affordable, and cost-effective acupoint patch.
② Boil 3–10 grams of ma huang in water and drink the decoction. Some reports suggest short-term effectiveness, but it should not be taken long-term.
③ Grind 10 grams of buguaizhi, stir-fry it with eggs, and eat for 10 consecutive days. Buguaizhi in TCM tonifies the kidneys and warms the spleen, primarily used for enuresis caused by kidney yang deficiency. Side effects may include reduced appetite, anemia, leukopenia, and toxic hepatitis. Therefore, it should be avoided in patients with diabetes, SLE, porphyria, or impaired liver function. For prolonged outdoor activities, discontinue internal medication three days before the activity. Avoid consuming acidic oranges, celery, mustard greens, carrots, etc., during treatment.
④ Eat 5–7 ripe ginkgo nuts daily for 10 days. Ginkgo is slightly toxic and should not be taken long-term.