Bedwetting” is the scientific name for urine loss in children over 3 years of age who unknowingly urinate in bed during sleep, from once a night in mild cases to several times a night in severe cases. Pediatric enuresis is more common clinically, and most of them are functional. According to Chinese medicine, this disease is caused by deficiency of kidney qi, weakness of the lower yuan or weakness after illness, deficiency of the spleen and lung qi, resulting in unfavorable qi transformation in the triple jiao, failure to consolidate the qi of the lung, spleen and kidney meridians, and loss of bladder contract. In a small number of children, this is caused by damp-heat in the liver meridian, abnormal drainage, internal compulsion of fire-heat, heat pressing on the bladder, and the bladder not hiding.
The main acupuncture points for bedwetting are: rubbing Dantian, rubbing Kidney acupoint, rubbing Guiwei, and pressing and rubbing Sanyinjiao, in order to regulate the Qi of the Directing Vessel, consolidate the lower yuan, and stop urine loss. Dr. Liu handed you a few tricks in terms of clinical manifestations and acupuncture point methods.
1, kidney qi deficiency: urine clear and frequent, urine loss in every sleep, 1-2 times per night or more; like warm stomach cold, waist and knees sore and weak, limbs less warm; deep sleep, not easy to wake up; pale face, mental retardation; stool or diarrhea, light tongue with white fur.
Treatment: Warming and tonifying the Kidney Qi.
Acupuncture point operation.
(1) tonic kidney meridian: massage the infant palm facing up, with the thumb end of the other hand, from the root of the pinky finger to the tip of the pinky finger direction push the threaded surface of the end of the pinky finger palm 50 to 100 times.
(2) supplementing the lung meridian: the masseur makes the infant palm upward, and pushes the threaded surface of the terminal palm of the ring finger 50 to 100 times with the threaded surface of the thumb of the other hand from the tip of the ring finger to the transverse line of the second interphalangeal joint.
(3) pushing the three guan: the massager to hold the infant’s hand with one hand, with the other hand thumb finger no infant forearm radial side from the transverse wrist to the transverse elbow line, that is, Yangchi to Quchi 50 to 100 times
(4) press the Dantian (Guan Yuan): the massager press the infant Dantian Department (3 inches below the umbilicus), exhale when the pressure, inhalation with the abdominal wall to lift, repeated 5 to 10 times. Full palm massage lower abdomen to make it feel warm.
(5) straight pushing lumbosacral: the massager with the palm of the hand force from the bottom to the upper pushing and rubbing infants and children lumbosacral, in order to have a sense of heat under the hands.
(6) press and rub Sanyinjiao: massage practitioner with the right thumb to rub the infant Sanyinjiao point (3 inches on the inner ankle) 50 to 100 times.
2, spleen and lung Qi deficiency: dripping urine, frequent urination and small amount; sleepy limbs, thin body; pale and less florid face, poor appetite; loose stools, thin white or white greasy tongue coating, slow pulse, light fingerprints.
Treatment: Strengthening the spleen and benefiting the Qi, tonifying the Qi deficiency in the spleen and lung.
Acupuncture points: main acupuncture point plus tonifying the spleen meridian, lung meridian, pushing San Guan and rubbing the spleen acupoint to strengthen the spleen and benefit Qi.
(1) Tonic spleen meridian: massage the infant palm up, with the other thumb from the infant thumb tip to the direction of the root, that is, along the thumb radial side of the red and white meat interval straight push 50 to 100 times.
(2) supplement the lung meridian: the masseur makes the infant palm upward, with the other hand thumb threaded surface from the infant ring finger finger tip to the second interphalangeal joint transverse line pushing the ring finger end metacarpal threaded surface 50 to 100 times.
(3) pushing the three guan: the massager to hold the infant’s hand with one hand, with the other thumb finger along the radial side of the infant’s forearm from the transverse wrist stripe, pushing the elbow transverse stripe that is Yang Chi to 50-100 times.
(4) Pressing and rubbing the spleen yu: infants and toddlers in a sitting or prone position, the massager can use the end of the thumb to rub the infant’s spleen yu point (under the spinous process of the 11th thoracic vertebra, 1.5 inches next to the opening) for 3 to 5 minutes.
(5) Pressing and rubbing the lung yu: the massage therapist can use the end of the thumb to rub the infant lung yu point (under the spinous process of the 3rd thoracic vertebra, next to open 1.5 inches) for 3 to 5 minutes. Plus kneading Dantian, rubbing the kidney acupuncture point, rubbing the tail of the turtle, pressing the three yin jiao
3. Dampness and heat in the liver meridian: frequent urination during the day, urine loss in bed at night, yellow urine; red face and lips, irritability; hands and feet like to be exposed outside the body; thin yellow tongue coating, slippery pulse and purple fingerprints.
Treatment: Eliminate Liver and Dampness.
Acupuncture points: main acupuncture point plus clearing the Liver meridian, clearing the Tianheshui, clearing the small intestine, and rubbing the liver acupuncture point to clear the liver and dampness to stop enuresis.
(1) Clear the liver meridian (flat liver meridian): massage the infant palm upward, with the other hand thumb thread surface from the root of the infant’s index finger to the tip of the index finger to push the end of the index finger metacarpal thread surface, 50 to 100 times.
(2) clear the small intestine: the massager holds the infant’s palm with one hand, the other hand thumb threaded surface or radial side, along the ulnar edge of the infant’s pinky finger from the root of the pinky finger straight to the direction of the fingertip, 50 to 100 times
(3) clear Tianheshui: the massager makes the infant palm upward, from the midpoint of the transverse wrist line to the elbow transverse line. Together with rubbing the Dantian, rubbing the kidney acupoint, rubbing the tail of the turtle, and pressing and rubbing the Sanyinjiao.
For children with enuresis, patient education is needed to encourage the child to eliminate shyness and nervousness and to build confidence in overcoming the disease. We should also pay attention to controlling the amount of water consumed after dinner and meals, making the child empty his urine before going to bed, and paying attention to the time when the child urinates after going to sleep, so that he can wake up on time to urinate and gradually develop the habit of urinating on his own. Do not let the child get too excited before bedtime, and try to let the child fall asleep quietly.
If a child wakes up regularly to urinate because of sleepiness or laziness, no treatment is needed. If the bedwetting is caused by inflammation of the bladder, urethra and nearby organs, encopresis, pinworms, myelitis, cerebral hypoplasia, recessive spina bifida, etc., the original cause should be actively treated.