Profuse urination at night

Also profuse urination at night. Waking two, three, or more times a night to urinate, and passing in the night a quarter or more of the whole day’s urine; a sign of kidney yáng debilitation or spleen-kidney yáng vacuity.

Patterns

Kidney yáng debilitation (肾阳虚惫 shèn yáng xū bèi): Profuse urination at night due to kidney yáng debilitation is marked by frequent urination, dribble after voiding or even enuresis or incontinence and is accompanied by tinnitus, hearing impairment, lumbar and back pain, seminal efflux, premature ejaculation, pale enlarged tongue with thin white fur, and sunken fine weak pulse.

Acumoxatherapy: Base treatment mainly on back transport points, CV, and SP. Select BL-23 (Kidney Transport, 肾俞 shèn shù), BL-28 (Bladder Transport, 膀胱俞 páng guāng shù), CV-3 (Central Pole, 中极 zhōng jí), CV-4 (Pass Head, 关元 guān yuán), KI-3 (Great Ravine, 太溪 tài xī), GV-4 (Life Gate, 命门 mìng mén), and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo); needle with supplementation and moxa.

Spleen-kidney yáng vacuity (脾肾阳虚 pí shèn yáng xū): Profuse urination at night due to spleen-kidney yáng vacuity is associated with physical cold, cold limbs, physical fatigue and lassitude of spirit, dizziness and tinnitus, limp aching lumbus and knees, reduced food intake, sloppy stool or clear-grain diarrhea, frequent urination, pale enlarged tongue with white fur, and sunken weak pulse.

Medicinal therapy: For debilitation of kidney yáng patterns, boost qì and secure the bladder with formulas such as Mantis Egg-Case Powder (桑螵蛸散 sāng piāo xiāo sǎn). For spleen-kidney yáng vacuity patterns, use warming yáng complemented with securing astriction, using formulas such as Bladder-Securing Pill (固脬丸 gù pāo wán).

Acumoxatherapy: Base treatment mainly on BL and CV. Select BL-20 (Spleen Transport, 脾俞 pí shù), BL-23 (Kidney Transport, 肾俞 shèn shù), BL-28 (Bladder Transport, 膀胱俞 páng guāng shù), CV-3 (Central Pole, 中极 zhōng jí), CV-4 (Pass Head, 关元 guān yuán), CV-6 (Sea of Qì, 气海 qì hǎi), and ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ); needle with supplementation and moxa. For spleen vacuity fall, add GV-20 (Hundred Convergences, 百会 bǎi huì).