Children’s enuresis, Chinese medicine has a coup
What is infantile enuresis
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Traditional Chinese medicine believes that the cause of enuresis in children is mainly due to lack of congenital endowment, acquired Disorders due to chronic illness; insufficiency of lung, spleen and kidney functions; heart-kidney incompatibility, liver meridian damp-heat betting, etc. The main pathogenesis is the loss of Sanjiao qi transformation, and the bladder restraint is unfavorable. From the perspective of viscera, it is closely related to the bladder, kidney, spleen, lung, liver, etc. that we talk about in traditional Chinese medicine.
Pediatric enuresis refers to a condition in which children over 3 years old urinate on their own in deep sleep and wake up after waking up. clinical condition. The domestic epidemiological survey showed that the prevalence of functional enuresis in children was 2.3%, the highest in the 6-year-old group, and the ratio of male to female was 1.6:1. Pediatric enuresis is divided into primary and secondary enuresis. Primary enuresis accounts for the majority, and nocturnal enuresis is the most common. About half of those with nocturnal enuresis wet the bed every night. Often increases the frequency of enuresis. Children with enuresis are often accompanied by night terrors, sleepwalking, hyperactivity or other behavioral disorders, which also have a great impact on children’s psychology and their families.
The disease of enuresis was first seen in “Internal Classics”, “the bladder is not about drowning”. , “Plain Questions: Meridian Differentiation” says: “Drinking into the stomach, escaping essence and qi, transporting upward to the spleen, dispersing the spleen, returning to the lungs, regulating the water channels, and transporting the bladder downward”, it can be seen that this disease is related to other viscera and organs. There are also connections. Traditional Chinese medicine syndrome differentiation in children with enuresis is mostly due to lack of congenital endowment and acquired dystrophy of the spleen and stomach. In addition, the physiological characteristics of childhood are childish yin and childish yang, the growth and development and physiological functions of various organs of the body are not perfect, and the qi of the five zang-organs and six fu-organs is not yet full, especially the deficiency of the three zang organs of the lung, spleen and kidney is the most obvious.
Causes of enuresis in children
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01 Genetic factors
According to incomplete statistics, many Children with enuresis have a history of bedwetting in their father or mother and even close relatives.
02 Physiological factors
For example, the development of brain arousal centers in children is delayed, and sleep is too late. Deep, difficult to wake up, and mostly wet the bed in dreams. Due to growth retardation, the secretion of antidiuretic hormone that controls urination decreases at night, the urine cannot be concentrated, and the bladder capacity is small, resulting in enuresis.
03 Psychological factors
such as environmental changes, shock Factors such as urination, punishment, severe criticism, or chronic anxiety and stress may lead to changes in urination habits or changes in the ability to regulate and control urination.
04 Other factors
Disease factors such as Lower urinary tract deformity or infection, diabetes, congenital spina bifida, etc. can also cause enuresis. In addition, constipation, long-term use of diapers, frequent sleep snoring, apnea, etc.
Treatment of enuresis in traditional Chinese medicine Tips
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3.1 Traditional Chinese Medicine:
According to Differential treatment of each patient’s constitution. Each person has a target, so if the dialectical is accurate, the curative effect will naturally be achieved, and the child’s physique will also be improved.
3.2 Acupuncture:
< span>The acupoints on the meridians such as Foot Shaoyin Kidney Meridian, Foot Taiyang Bladder Meridian and Ren Meridian are often selected. Commonly used acupoints are Qihai, Guanyuan, Zhongji, Sanyinjiao, etc. Acupuncture aims to treat children with enuresis by cultivating the essence, strengthening the body, regulating Chongren, and nourishing the kidney and essence. If it is convenient to go to the hospital, a course of acupuncture and moxibustion can be carried out continuously, usually 7-10 days; 20 days -30 days of treatment once.
3.3 Auricular point pressing method:
The commonly used auricular points are subcortical, spleen, bladder, kidney, lung, etc. Stick the auricular points on the above points, press 3-5 times a day, and change them every 3-5 days.
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Daily Care
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After traditional Chinese medicine treatment and home nursing intervention, most children Curable. During the treatment of enuresis, physicians, children and their families should participate together.
4.1 Cultivate children’s reasonable living and eating habits, work and rest on time, do not play excessively, avoid excessive fatigue and mental tension, and do not watch cartoons before going to bed , TV, movies, playing thrilling games, etc.
4.2 Change clothes and quilts in time after urinating at night, keep dry and genitals clean, and develop good hygiene habits.
4.3 Patient education, no corporal punishment, no scolding, eliminate tension, build confidence, and actively treat.
4.4 In terms of diet, eat more foods rich in fiber, avoid foods or drinks containing alkalis and caffeine, and 2 before going to bed It is not recommended to drink water during the hour. If there is traditional Chinese medicine, it should be taken during the day.
4.5 Encourage children to defecate regularly every day, and children with constipation should also actively treat constipation. Avoid getting cold, especially pay attention to the warmth of the feet, waist and abdomen.
Source: Comprehensive arrangement of traditional Chinese medicine nursing from the Second Hospital of Hebei Medical University, Henan Provincial Hospital of Traditional Chinese Medicine
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