Pediatric enuresis is defined as involuntary urination ≥2 times during sleep in children ≥5 years of age. w It can be divided into organic and functional, and most of them are functional. According to foreign statistics, about 15% to 20% of children suffer from this disease. Chronic enuresis can predispose children to urinary tract infections, cause mental stress and pain to the children and mental burden and worry to parents. Classical treatments at home and abroad include behavioral and pharmacological interventions, but the efficacy of these treatments is still controversial. Functional enuresis in children is due to the dysfunction of the subcortical centers of the brain. The common causes of functional enuresis include psychological and psychiatric factors, reduced bladder capacity, and deep sleep. Psychological and psychiatric disorders are the most common causes of functional enuresis. In most cases, children with enuresis do not have too many emotional and behavioral problems and should not be misunderstood as a counter-judgment or disruptive behavior to avoid harsh measures. Individual psychotherapy combined with family psychotherapy and chlorpromazine can be used to treat enuresis, which is not only effective but also has a low recurrence rate. Diagnostic criteria for functional enuresis: ① Involuntary or conscious bedwetting during the day or night; ② Urine loss at least twice a month in children 5 to 6 years old, and at least once a month in older children; ③ The actual age of the child is at least 5 years old, and the intellectual age is at least 4 years old; ④ Exclusion of organic factors such as diabetes, urinary tract infection, congenital malformation or epilepsy. Behavioral treatment of comprehensive functional enuresis can strengthen the training of voluntary voiding function, so that the child can learn to increase the bladder capacity and be sensitive to the sensation of bladder fullness, in order to help the child’s cerebral cortex to establish alert points for bladder stimulation during sleep. After sleep, the child is regularly awakened to urinate, forming a time-conditioned reflex, so that he or she can wake up in time to urinate automatically. Behavioral therapy is the only way to correct the urination behavior through successful learning, so the efficacy is consolidated; at the same time, it is supplemented by medication, promethazine hydrochloride, which mainly acts on the bladder to relax the detrusor muscle and inhibit urination; it can also reduce the depth of sleep and strengthen the voluntary control of the sphincter muscle, which helps the success of the voluntary urination function training. The psychological factors of the children have a greater impact on the condition, they are ashamed to talk about bedwetting and have a heavy burden of thought, so we should pay attention to the psychological factors at the same time of treatment, talk more with the children to relieve their inferiority complex, eliminate worries and overcome mental tension. In addition, daytime activities need to be moderate, do not overwork the child; after the evening without a liquid diet, reduce the amount of salt in the meal, drink less water to reduce the amount of urine. Chinese medicine treatment method; Chinese medicine identifies spleen and kidney qi deficiency as the main cause, because of the congenital deficiency of endowment, or the lack of regulation, and the child’s diet does not know how to control, resulting in the spleen and kidney Yang deficiency, the lower yuan deficiency cold, bladder loss of contract and urination. Urine loss is greatly related to the deficiency of the spleen, lungs and kidneys, so the treatment focuses on the kidneys. The kidney is the main sealer, and the bladder restrains urination, all depending on the kidney yang to open and close. If the kidney yang is deficient, the bladder will lose its contract and urination will occur. Therefore, the treatment of pediatric enuresis should first emphasize the warming of the kidney and consolidation of the essence, and the basic formula emphasizes the use of mulberry cuttlebone, cuscuta and raspberry to tonify the kidney and warm the yang and consolidate the essence. The kidney is a water organ and is connected to the heart, so the child is always confused at night and does not wake up, so the formula is supplemented by the method of waking up the mind. Kidney yang deficiency, the spleen yang loss of warmth, the spleen transport function is weakened, it is the lack of the essence of the source of transformation, the upper does not fill the lung, the lower does not glory kidney, can lead to deficiency of lung qi, but also can aggravate the kidney yang deficiency, so in addition to the treatment focus on warming the kidney yang, but also must strengthen the spleen and benefit the qi, so the formula selects the party ginseng, white atractylodes, huai yam to strengthen the spleen and benefit the qi. The combination of all these medicines will make the qi flow, normalize the transmission of water and fluid, and stop the urine loss due to bladder restraint. The basic formula is 12g of mulberry cuttlebone, 10g of raspberry, 10g of codonopsis, 6g of calamus, 6g of Yuanzhi, 7g of puzzle nut, 7g of ephedra, 10g of Radix Codonopsis, 10g of Atractylodes Macrocephala, and the dosage is reduced according to age. For deficiency of spleen and kidney qi with spontaneous sweating and shortness of breath, add Astragalus 10g; for deficiency of spleen and kidney yang with cold and distended abdomen, loose stools and diarrhea, add Bacopa monniera 10g, Xianling spleen 10g; for deficiency of urination and incomplete urination, add Jinzhuozi 10g, Deer antler cream 10g, fried paper 6g; for deficiency of spleen and kidney appetite, add Ginseng 4g, Astragalus 10g, Yam 10g, the above medicine is taken with water decoction, 1 dose/d, 5d as a course of treatment.