overactive-bladder.jpg
Urinary dysfunction-TCM

Sources
The Treatment of Disease in Tcm: Diseases of the Urogenital System & Proctology
By Philippe Sionneau, Lü Gang p.191-195
TCM Pathology :Urogenital Disorders Sharon Zhao, Ph.D., L.Ac. 2008-2009 pp. 4-7
Maciocia, J; Diagnosis in Chinese Medicine, a Comprehensive Guide: pages 275, 757

DESCRIPTION ON CONDITION
Urinary incontinence is seen comparable in Western medicine to the condition of overactive bladder. The major symptom is not being able to control the urine output or flow. The bladder is in a state of excess, and that's why it leaks. Traditional Chinese medicine has a different perception of this condition.
To solve this problem, you need to increase Kidney function to an extent. To treat only the Bladder is to treat the symptom, but to treat the Kidney is to treat the root cause of the problem. Another problem can stem from other internal organ disharmonies such as the the Kidneys and Liver disconnecting. These organs have a "mother/child" relationship, meaning the Kidney supports and nourishes the Liver energetically. The Liver is the "child" of the Kidney, and if it is not functioning well, it can drain energy from the Kidney, it's "mother."

Categories of Disharmony
From the TCM point of view, when an individual has such a problem, the bladder may seem to be working in a state of excess, but really it is of a deficient matter. The bladder itself can be viewed as a dam, and a proper amount of energy, or qi, needs to be supplied in order to open and/or close the gates of flow. When the energy is unavailable to perform this, the flow of urine can't always be controlled and it finds a way to leak out. Also, this happens to occur more often when there is an infection in the bladder or when the person gets older.
Kidney Qi Deficiency
Lung & Spleen Qi Deficiency
Damp-Heat in the Bladder
Liver & Kidney Disharmony


Clinical Manifestations
Kidney Qi Deficiency-Urination worse after sex, clear frequent urination, weak-stream during urination, soreness and weakness of lower back and knees, premature ejaculation, prolapse of uterus, tiredness, feeling of cold limbs
Tongue: Pale
Pulse: Deep, Weak

Lung & Spleen Qi Deficiency-Poor appetite, slight abdominal distention after eating, tiredness, pale complexion, loose stools, shortness of breath, weak voice, spontaneous sweating
Tongue:Pale
Pulse:Empty

Damp-Heat in the Bladder-Scanty dark urination, burning on urination, thirst, dry yellow coating
Tongue:Dry, yellow coating
Pulse:Wiry on left rear position, rapid

Liver & Kidney Disharmony-scanty dark urine, dizziness, tinnitus, weak knees and lower back, difficulty hearing, insomnia, dry eyes, blurred vision, dry hair and skin, night sweats
Tongue:no coating
Pulse:Floating, empty pulse



Treatment Principles
Kidney Qi Deficiency-Tonify kidney qi, Warm the life gate (ming men) fire of the kidney. tonify, warm, stimulate the Kidneys ability to receive the Qi.
Lung & Spleen Qi Deficiency-restore balance, Tonify Lung and Spleen Qi
Damp-Heat in the Bladder-resolve dampness in the bladder, calm the heat in bladder
Liver & Kidney Disharmony-nourish the kidney and liver qi, Nourish Liver and Kidney Yin, move Liver Qi


Treatment Strategies/Plan:

Kidney Qi Deficiency
KI7 strength the Kidney’s ability to receive Qi.
KI3 tonifies the Qi.
LU7 and KI6 descend the Lung Qi and enhance the kidneys reception of qi.
ST 36 tonifies the Qi
BL23 is used for Kidney Yang
CV6 descend qi to the abdomen.
CV17 tonifies and descends Qi.
KD25 improve breathing.
DU12 and BL13-tonify the Lung Qi.
CV4/KI13-kidneys to receive the Qi.

Lung & Spleen Qi Deficiency
LU7 and LI4-ascending and descending of qi

LI20, BL2 & Yintang-open sinuses to descend lung qi
St36, PC6 and BL20- tonifies Spleen Qi
Ren12- tonifies Lung Qi
BL13 -tonifies Lung Qi

Damp-Heat in the Bladder
cv3,cv4, st28, st36, sp6, sp9, bl64, kd2, kd3, kd6, cv12

Liver and Kidney Deficiency

KD3, CV4, BL23, SP6 - to tonify the kidneys and nourish yin
LV8, BL18 - to tonify the liver
SI3, BL62 - to strengthen

LV3, GB20 - to subdue liver wind
Du4--Mingmen to tonify the fire of the Gate of Vitality and Kidney- Yang



PATIENT EDUCATION / RECOMMENDATIONS-
Qigong builds and balances your Qi. This is a great because it makes the function of your organs more efficient. Also it is also helpful because it creates a peaceful, centered state of being. Include foods in your diet that build the Kidney, such as seafood, particularly shellfish, black beans and walnuts. Generate a lot of energy from the Kidney by saving energy, lifestyle is very important. You have to live in a way that conserves energy. Kidney energy is lost during sex. Have sex in moderation, keeping in mind your age, state of health and constitution. Take time to get adequate rest and relaxation.

Prognosis
Left untreated, incontinence can cause physical and emotional upheaval. Individuals with long-term incontinence suffer from urinary tract infections, and skin rashes and sores. Incontinence can also affect their self-esteem and cause depression and social withdrawal. They frequently stop participating in physical activities they once enjoyed because of the risk of embarrassing "accidents." However, with the wide variety of treatment options for incontinence available today, the prognosis for incontinent patients is promising. If incontinence cannot be stopped, it can be improved in the majority of cases.