How to treat urinary incontinence in the elderly with Chinese medicine

  In daily life we often encounter some elderly friends who report that they are prone to urinary incontinence, especially when coughing, sneezing, laughing there is a small amount of urine involuntarily discharged, embarrassing, I wonder what good treatment Chinese medicine has.  Symptoms and causes: Urinary incontinence in the elderly is often manifested as involuntary wetting of underwear, especially when coughing, sneezing, laughing and other increases in abdominal pressure accompanied by urinary incontinence, which is completely beyond their control. In mild cases, only a few drops occasionally come out, while in severe cases, the dripping is incomplete. This condition is mainly caused by the decline in neurological and endocrine function and urethral sphincter function in the elderly, and the ability to control urine excretion is reduced. Determined by its own physiological characteristics, the disease is particularly common in older women, with a prevalence of about 50% among middle-aged and older women in China. The presence of this condition in older men can be seen as an early sign of prostate enlargement. Urinary incontinence in the elderly is mostly due to old age, weakness of the spleen and lungs, deficiency of Qi, deficiency of the kidneys, weakness of consolidation, incompetence of the bladder gasification function, so Chinese medicine treatment is also mostly from the lungs, spleen, kidneys, bladder treatment.  Pay attention to reducing unnecessary bed time, limiting fluid intake in moderation (especially at night), urinating regularly during the day, limiting the intake of xanthines such as xanthine-containing coffee or tea, keeping the perineum clean and hygienic, and preventing urinary tract infections. You can exercise the pelvic floor muscle groups, can be very good to prevent incontinence, such as 50-100 times a day before going to bed and when you get up in the morning each do contraction exercise, rhythmic repetition of contraction and diastole, so that the pelvic floor muscle groups to exercise, long-term adherence will maximize the reduction of abdominal pressure, the maximum prevention of incontinence. Chinese medicine treatment is appropriate to tonify the middle and benefit the qi, benefit the kidneys to shrink urine. Commonly used Chinese medicines are tonifying and benefiting qi pill, Jin Kui kidney qi pill, shrinking spring pill, mulberry cuttlebone, etc.. However, the specific treatment should also be differentiated into types of treatment.  1, the lung and spleen qi deficiency type witness to see s white, frequent urination, occasional urine from the omission, shortness of breath and cough, small abdominal cramps, light red tongue, weak and feeble pulse. Treatment is appropriate to nourish the lung and strengthen the spleen. The medicine uses Astragalus, Atractylodes, Chen Pi, Radix Codonopsis, Radix Angelicae Sinensis, Sheng Ma, Chai Hu, Oyster, Wu Wei Zi.  2, deficiency of kidney qi type symptoms are seen in urination, tiredness, lumbar and knee weakness, palpitation, shortness of breath, shortness of breath when moving, light red tongue, thin white tongue coating, sunken and weak pulse. The treatment is to tonify the kidney and benefit the qi, astringent urine and stop the loss of urine. Ginseng, poria, mulberry cuttlebone, oyster, samphire, Chuanbao, cow’s knee, yam, eucommia, etc. are used.  3. Kidney Yang deficiency type: cold pain in the waist and knees, cold fear, cold extremities, clear and long urine, incomplete urination, light tongue, sunken and slow pulse. The treatment is to warm the kidney and help Yang, and consolidate the urine. The medicine used is Radix et Rhizoma, Cinnamon, Radix Rehmanniae, Deer antler, Yam, Cornu Cervi Pantotrichum, Poria, Semen Cuscutae, Cuttlebone, Fructus Cervi Pantotrichum, Boneset, etc.  4, lower jiao damp-heat type, see frequent urination, sometimes urine from the omission, urine hot urine red, dripping, bitter mouth and dry, red tongue, tongue coating yellow greasy, smooth pulse. Treatment is to clear heat and dampness. The medicine is Qu Mai, Q Cun, Da Huang, Gardenia, Jin Yin Hua, Che Qian Zi, Mu Tong, Slippery Stone, Lantern Cao, etc.  In addition, it can be combined with acupuncture and massage methods: commonly used acupuncture points are Zhongji, Guan Yuan, Foot San Li, Yinlingquan, Sanyinjiao and other points. Press or acupuncture the above points 1-2 times a day. Moxibustion of Shen Que, Guan Yuan, Zhong Ji and Yong Quan with moxa once a day.  Some prescriptions can also be tried: 1. 15 grams of longan meat, 12 grams of fried sour dates, 10 grams of gorgonian, 10 grams of gold cherry, add appropriate amount of water decoction, drink as tea. It has the effect of nourishing blood and tranquilizing the mind, benefiting the kidneys and fixing the essence of urine shrinkage, and can treat the elderly heart and yin deficiency, insomnia and urinary incontinence caused by the heart and kidneys.  2, take 2 fresh eggs, Chinese wolfberry 20 grams, 4 jujube, put into a casserole with water and fry. After the egg is cooked, remove the shell, put back the egg and cook for a few moments, eat the egg and drink the soup. Once every other day, take it for 3 times to get significant effect. Suitable for old age and kidney deficiency of urinary incontinence.  3.Gorgon fruit 30 grams, 30 grams of yam, 30 grams of walnut meat, 5 jujube, boil porridge, once every other day. It is suitable for those with urinary incontinence due to deficiency of spleen and kidney.  4. 20 grams of Radix Codonopsis, 15 grams of walnut, add appropriate amount of water to thickly decoct, drink soup and eat walnut. It has the effect of benefiting qi and fixing kidney.