遗尿
Alias小儿尿床
Traditional Chinese Medicine Definition
In traditional Chinese medicine, enuresis, also known as "nighttime incontinence," refers to a condition where children involuntarily urinate during sleep. According to internal medicine in traditional Chinese medicine, enuresis is often attributed to insufficient kidney Qi and the loss of bladder control. The kidney is considered the root of primordial Qi, responsible for fluid metabolism. When kidney Qi is weak, the bladder loses its ability to retain urine, leading to nocturnal enuresis.
In clinical practice of traditional Chinese medicine, the core pathogenesis of enuresis is considered to be insufficient kidney Qi and the loss of bladder control. Common precipitating factors include inherent deficiencies, abnormal endowment, emotional disharmony, and irregular diet. During diagnosis, attention should be paid to the following key points:
1. Cold and heat, deficiency and excess: Insufficient kidney Qi often manifests as nocturnal enuresis, clear urine, fatigue, and cold limbs; while spleen and lung Qi deficiency manifests as nocturnal enuresis, lack of energy, and poor appetite.
2. The relationship between the kidney and bladder: The kidney governs fluid metabolism, and the bladder is the official of waterways. If kidney Qi is weak and bladder control is lost, enuresis is more likely to occur.
Overall treatment direction: In clinical practice of traditional Chinese medicine, the treatment of enuresis primarily focuses on warming the kidney Yang and consolidating urine. For spleen and lung Qi deficiency, it is necessary to tonify the lung and spleen, and consolidate urine. Traditional Chinese medicine believes that by adjusting the functions of the internal organs and enhancing the body's resistance, the treatment of enuresis can be achieved.
Common Syndrome Types and Key Points of Differentiation
肾气不足证
Main Manifestations：夜间遗尿，小便清长，神疲肢冷
Management Approach：温补肾阳，固涩缩尿
脾肺气虚证
Main Manifestations：夜间遗尿，少气懒言，食欲不振
Management Approach：补肺健脾，固涩止遗
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
The physician's insight: Children with enuresis often suffer from insufficient kidney Qi, and warming the kidney Yang and consolidating urine are the key points of treatment.
— 李明久 中医执业医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)