LI Xuejun,DING Ying,ZHANG Xia,et al.Exploring Diagnostic and Therapeutic Approaches for Enuresis in Children Based on the Theory of the Five Zang Organs Storing the Spirit[J].Journal of Traditional Chinese Medicine,2025,66(19):1995-1999.
LI Xuejun,DING Ying,ZHANG Xia,et al.Exploring Diagnostic and Therapeutic Approaches for Enuresis in Children Based on the Theory of the Five Zang Organs Storing the Spirit[J].Journal of Traditional Chinese Medicine,2025,66(19):1995-1999.DOI: 10.13288/j.11-2166/r.2025.19.006.
Exploring Diagnostic and Therapeutic Approaches for Enuresis in Children Based on the Theory of the Five Zang Organs Storing the Spirit
(《黄帝内经》), it is believed that the dysfunction of the five
zang
organs in storing spirit is the key pathogenesis of enuresis in children, and thus the therapeutic principle and method of "regulating spirit through the five
zang
organs" are proposed. For patients with heart
qi
insufficiency, heart spirit failing to store, dysfunction of bladder
qi
transformation, the treatment should focus on regulating heart spirit, with modified
Guipi Decoction
(归脾汤) as the recommended prescription; for patients with lung failing to disperse or descend, corporeal soul of lungs failing to store, and unregulated flow of body fluids, the treatment should emphasize calming lung corporeal soul, using modified
Yupingfeng Powder
(玉屏风散) plus
Changpu Yujin Pill
(菖蒲郁金丸); for patients with spleen deficiency leading to dysfunction in transportation and transformation, failure of the spleen to store idea (one of the five spirits corresponding to the spleen), and inability to govern and regulate body fluids, the treatment should nourish spleen idea, adopting modified
Buzhong Yiqi Decoction
(补中益气汤) plus
Tusizi Powder
(菟丝子散); for patients with liver failure in dredging and dispersing, reckless stirring of liver soul (one of the five spirits corresponding to the liver), and abnormal accumulation and overflow of water-dampness, the tr
eatment should focus on calming liver soul, using
Longdan Xiegan Decoction
(龙胆泻肝汤) supplemented with herbs resolving depression and calming the spirit; for patients with kidney
qi
deficiency, insufficient kidney will (one of the five spirits corresponding to the kidney), and weakness in controlling the bladder, the treatment should replenish kidney will, using the modified self-prescribed
Yiniao Decoction
(遗尿方). Meanwhile, throughout the entire treatment process, herbs that awaken the mind and open the orifices are combined to assist in regulating the spirit.
AMIRI S , SHAFIEE-KANDIANI AR , NAGHINEZHAD R , et al . Comorbid psychiatric disorders in children and adolescents with nocturnal enuresis [J]. Urol J , 2017 , 14 ( 1 ): 2968 - 2972 .
ZHANG Q , ZHU W , WANG C , et al . Nocturnal bladder function and sleep in the children with refractory nocturnal enuresis:a prospective study [J]. Urology , 2023 , 182 : 218 - 224 . doi: 10.1016/j.urology.2023.08.032 http://dx.doi.org/10.1016/j.urology.2023.08.032 .
SHREERAM S , HE JP , KALAYDJIAN A , et al . Prevalence of enuresis and its association with attention-deficit/hyperactivity disorder among U.S.children: results from a nationally representative study [J]. J Am Acad Child Adolesc Psychiatry , 2009 , 48 ( 1 ): 35 - 41 .