patterns causing enuresis. There is a Kidney deficiency manifesting with

a Pale tongue: this deficiency was probably due to fright (which may

even have occurred in utero) as the bluish tinge on her chin shows.

Besides this, there is some Liver-Fire and Damp-Heat in the Bladder,

manifesting with the red points along the left side and on the root and

the Wiry pulse on the left. The cystitis episode she had when she was 5

would seem to confirm this.

Treatment principle The treatment principle adopted was to tonify the Kidneys, absorb
leakages, calm the Mind, settle the Ethereal Soul and pacify the Liver.
She was treated with acupuncture and patent remedies.

Acupuncture The acupuncture points used (with even method to pacify the Liver and
reinforcing method to tonify the Kidneys) were selected from the
following:

HE-7 Shenmen to calm the Mind.

LIV-2 Xingjian to clear Liver-Fire and settle the Ethereal Soul.

SP-6 Sanyinjiao, KI-3 Taixi, Ren-4 Guanyuan and BL-23 Shenshu to

tonify the Kidneys.

Herbal treatment The patent remedies used were Zhen Zhu San Pearl Powder to clam the
Mind and settle the Ethereal Soul and Jin Suo Gu Jing Wan Golden
Lock Consolidating the Essence Pill to absorb leakages.

This girl was treated for 3 months (once a week) and this produced an

improvement of 80%. She also became calmer and, at the same time,

more confident.

Prognosis

Acupuncture and herbs can give good results in the treatment of enuresis and incontinence.

As for enuresis in children, if the child is under 10, a brief course of acupuncture may sometimes
suffice to produce a cure; if the child is over 10, enuresis is more difficult to treat. Of the two
types of enuresis, the Deficiency type is easier to treat than the Excess one from Liver-Fire.

As for incontinence, it usually responds to treatment with acupuncture and herbs in a few
months, unless it is due to a neurological disease such as multiple sclerosis, in which case it may
not respond to treatment at all or may respond only very slowly.