Recently, we often see some middle-aged and elderly women, their main pain is unable to hold urine, urinary urgency, frequent urination, a little urine can not wait to go to the toilet, can not sleep at night, irritable; day dare not go out of the house, depressed; to the hospital examination can not find any clear cause, so they feel very uneasy and frightened, seriously affect work and life. In particular, some knowledgeable women are afraid that the lower part is unclean and repeatedly rinse the perineum or vagina, which results in aggravating the condition instead. In fact, the inability to hold urine is a manifestation of clinical incontinence. Urinary incontinence is the result of intermittent and persistent involuntary overflow of urine caused by various reasons, and bladder function is involved. We know that the bladder is an important organ for the temporary storage of urine in every person, and incontinence is essentially a manifestation of bladder storage dysfunction caused by various causes. In addition to other diseases caused by the nervous system, the main causes of urinary incontinence in middle-aged and elderly women are urge incontinence, stress incontinence, and mixed incontinence where both exist together. Eager incontinence in the middle-aged and elderly is a feeling of urgency to go to the toilet, otherwise instant leakage, can not be self-control, the reason is that the bladder is over-sensitive, there is an abnormal contraction, the formation of “bladder overactivity”, bladder overactivity is mostly primary, and the bladder urethra part of the neuromuscular dysfunction; pressure Urinary incontinence is when some movements increase abdominal pressure (such as laughing, coughing, running, etc.), urine will not freely seep out, mainly due to the relaxation of the pelvic floor muscles, resulting in reduced control of the urethral orifice, usually occurs in women who have given birth several times or after menopause, obese or long-term cough. In addition, the decrease in estrogen due to aging leads to a decrease in the resistance of the vagina, resulting in infections and a chronic process; repeated douching of the perineum or vagina leads to a decrease in the “self-cleaning” effect of the vagina, which is also one of the factors that cause more frequent urinary urgency and frequency. According to traditional Chinese medicine, menopause usually occurs in women around the age of 50, with symptoms such as “kidney deficiency”, amenorrhea, low libido, irritability, anxiety, and paranoia. Where dampness and heat accumulate in the lower jiao, resulting in the kidney and bladder Qi-transformation disorder and unfavorable watercourses, causing frequent urination, dripping, astringent pain in the urethra, abdominal constriction, pain leading to the waist and abdomen as the main symptoms of a type of disease called gonorrhea. The main causes of gonorrhea are damp-heat in the bladder, emotional disorders, and deficiency of the spleen and kidneys. Pathogenesis: The kidney is the master of water and the opening and closing of the two yin, while the bladder is the official of the continent and the master of qi and dampness. The kidney and the bladder are one yin and one yang, mutually exclusive, and both are coordinated to perform the functions of qi-transformation, water circulation, and water-dampness. If the diet is not disciplined, over-eating sweet, fatty, spicy or too much alcohol, breeding damp-heat, down to the bladder; or the lower yin is unclean, filthy evil invade the bladder, breeding damp-heat, then the water channel is not conducive to the development of gonorrhea; if the mood is not smooth, anger injury to the liver, liver depression, qi stagnation, affecting the bladder’s qi-transformation, qi-transformation failure, the less abdominal distension, urination is difficult, the remaining leachate is not clean, the development of gonorrhea; if the spleen and stomach deficiency, or because of long gonorrhea, damp-heat depletion of the right qi, as well as old age, weakness, fatigue, strain and fat. If the spleen and stomach are deficient, or if the dampness and heat consume the vital energy, or if old age, weakness, overwork, or indiscipline in sexual intercourse can lead to deficiency of the spleen and kidney, and if the spleen is deficient, the middle qi will sink, and if the kidney is deficient, the lower element will not be fixed, and thus the urine will not drip. In summary, the causes of urinary urgency, frequent urination is more complex, and the clinical treatment is mainly a combination of Chinese and Western medicine is more effective, and should be diagnosed and treated early. Except for severe urinary incontinence requiring surgery, we generally give treatment according to the following types of gonorrhea. 1, hot gonorrhea: short urine, burning and stinging, yellow and red urine, abdominal constriction and swelling, or cold and heat, bitter mouth, or constipation. Tongue coating yellow and greasy, pulse slippery. Treatment: Clearing heat, relieving dampness and promoting drenching. Remedy: Bazheng San plus or minus. 2.Qi gonorrhea: In actual cases, urine is astringent and dripping, less abdominal distension and pain or fullness and urgency, with thin white fur and sunken string pulse. Deficiency, urine is not smooth, urine has residual dripping, less abdominal swelling, face s white, tongue is light, moss is thin white, pulse is thin or thin and astringent. Treatment: In the case of actual evidence, it is beneficial to the Qi and laxative, and in the case of deficiency evidence, it is beneficial to the Qi and laxative. The actual evidence with sinkiang san, deficiency evidence with tonic benefit qi soup. If the deficiency is accompanied by blood deficiency and kidney deficiency, use Bajhen Tang and Liuwei Dihuang Tang with addition and reduction to benefit qi and nourish yin, and double tonify the spleen and kidney. 3, labor gonorrhea: dripping urine, stopping at times, immediately after labor, but not very astringent and painful, soreness and weakness of the waist and knees, fatigue. Pale tongue, thin white coating, weak pulse or fine count. Treatment: Strengthening the spleen and benefiting the kidney. Remedy: Incomparable yam pill with addition and subtraction. Prevention and care Middle-aged and elderly women must pay attention to rest; eat a light diet, drink more water, eat more fruits, avoid spicy, tobacco, alcohol and fatty products, and consume more duck meat, turtle, lotus root, lily of the valley, wolfberry, fungus, grapes, mulberry and other foods in the diet, which can reduce insomnia and anxiety and help focus attention; keep a smooth mood, chat with family members and close friends and confide in them more often to relieve the heart If possible, some gentle and restful taijiquan exercises can bring us good benefits, this exercise takes the waist as the pivot and is very suitable for people with kidney deficiency; be hygienic and keep the lower vagina clean, but never repeatedly douche the vagina, which destroys the self-cleaning function of the vagina and aggravates the occurrence of infection; moderate sex and anal exercise exercises are also very important for the maintenance of the body’s health; rub the feet regularly to keep the body healthy. It is also important to rub the heart of the feet regularly to benefit the essence and kidneys, prevent premature aging, and also have a certain effect on insomnia and back pain caused by kidney deficiency.