Postpartum urinary incontinence (urinary leakage), 1 classic clinical prescription of traditional Chinese medicine, warming and tonifying the spleen and kidney, astringent bladder

Leakage of urine, clinically also known as urinary incontinence, refers to the involuntary flow of urine from the urethra, which can occur in any Season, but it is serious in autumn and winter. Urinary incontinence is a disease that people of any age and gender may suffer from, but women and the elderly are more common.

Urinary incontinence can be caused by mental factors, neurological diseases, childbirth, trauma, etc., mostly due to bladder , Caused by urethral dysfunction such as stress urinary incontinence, urgency urinary incontinence, overflow urinary incontinence, etc. Among them, stress urinary incontinence is the most common. Because the pelvic floor muscles of the patient have decreased ability to control the urethra, the strength of the urethral sphincter becomes weak, which cannot withstand the impact of increased pressure after the bladder accumulates urine, causing urine to flow out inadvertently, especially It is easy to occur when laughing, crying, coughing, sneezing, standing, and walking, and it is slightly relieved when quiet or lying down.

Chief complaint: The patient developed urinary incontinence after vaginal delivery, and was not taken seriously during the puerperium. Later, because the condition did not improve, he went to major hospitals for diagnosis and treatment, but no definite pathological changes were found, and rehabilitation treatment was recommended. He took western medicine repeatedly, but the effect was not obvious, which made the condition gradually worsen.

Symptoms: Whenever sudden exertion, such as coughing, sneezing, going up and down stairs or lifting heavy objects etc., can not help enuresis, chills, shallow sleep, sometimes dizziness, often back pain, diarrhea and other indigestion symptoms. Like hot food on weekdays, cold in winter. The physical examination report showed hyperlipidemia and arteriosclerosis.


Examination: body fat, pale complexion, light red tongue, thin white fur, Both pulses are weak.

Syndrome Differentiation: Kidney Deficiency Qi Disorder

Diagnosis: Urinary Incontinence (Spleen Kidney Yang Deficiency, Bladder Incontinence)

Treatment principles: warming and tonifying spleen and kidney, solidifying bladder


Condition analysis: Traditional Chinese medicine believes that theTherefore, the occurrence of urinary incontinence is due to the deficiency of kidney qi, and the depression of middle qi leads to unfavorable bladder restraint. Therefore, in the treatment, it is often used to replenish kidney qi and improve middle qi.


Recipe group: Aconite (fried first), Codonopsis pilosula, fried Atractylodes macrocephala, cinnamon, fennel, Yizhiren, dogwood, schisandra, astragalus, roasted licorice, ginger, jujube.

Usage: Take it with boiling water twice in the morning and evening.


This prescription is a classic prescription for warming the spleen and kidney. Adding Radix Astragali is intended to assist in ginseng and to invigorate the Qi of the spleen and stomach. Add Yizhi Ren to warm the spleen and appetizers, warm the kidneys and shrink urine; add cinnamon, which is hot and pure, and good at nourishing the fire of the gate of life, to bring back the fire; add pungent and warm fennel, warm the kidneys and expel cold, and help the main prescription strengthen the warming of the kidneys Power. In addition, cornus and schisandra are used to strengthen the function of strengthening the kidney and reducing urination with their sourness.


The combination of various medicines can nourish the kidney qi, strengthen the spleen and strengthen the spleen and kidney The qi is strong, and combined with local acupoint treatment, the chronic urinary incontinence disease of the past 20 years can be cured with one medicine.


Note: The article involves all kinds of compatibility, prescriptions, Prescriptions must be used for reference and application under the face-to-face syndrome differentiation guidance of Chinese medicine practitioners, do not try blindly! This article is only for the reference of professional Chinese medicine practitioners, and it cannot be used as a prescription. Please do not try the medicine blindly. This platform does not assume any responsibility arising therefrom!