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Detrusor Areflexia

How Chinese medicine differentiates detrusor areflexia — a bladder muscle too weak to contract — into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Urinary Retention page. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. An inability to urinate, or a painfully full bladder, needs urgent medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for detrusor areflexia — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
DU-4Tonifies Kidney-Yang and warms the Gate of Life. Tonifies the Original Qi.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys. Benefits the Bladder.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Benefits urination.
DU-20Raises Yang. Benefits the Brain and the sense organs.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
BL-28Regulates the Bladder. Resolves Dampness in the Lower Burner.
REN-3Resolves Dampness from the Lower Burner. Promotes the Bladder function of Qi transformation.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Dull aching cold pain in the lower back and knees, cold sensation in the lower abdomen and legs, frequent night urination with clear copious urine, weak interrupted urine stream or urinary retention, feeling cold all over.
Tongue: Pale, puffy, tender with teeth marks and wet white coating. Pulse: Deep, slow, and weak, especially at the Chi (third) position.
Treatment principle: Warms Kidney-Yang and strengthens the Gate of Life Fire to restore the Bladder's contracting power.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.

2. Kidney Qi Not Firm View full pattern →

Clinical manifestations: Frequent urination with clear dilute urine, dribbling after urination or incontinence, increased nighttime urination, sore and weak lower back and knees, fatigue and lack of strength.
Tongue: Pale, puffy, moist body with thin white coat and possible tooth marks. Pulse: Deep, weak, and fine, especially at both Chi positions.
Treatment principle: Restores the Bladder's ability to stay closed and hold urine appropriately.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Kidney-Qi-not-Firm slide.

3. Spleen and Kidney Qi Deficiency View full pattern →

Clinical manifestations: Weak urine stream, feeling of incomplete emptying, chronic fatigue and low stamina, poor appetite and loose stools, lower back and knee soreness, frequent urination especially at night.
Tongue: Pale, swollen with teeth marks and white moist coating. Pulse: Deep, weak, and fine, especially at the right Guan (Spleen) and both Chi (Kidney) positions.
Treatment principle: When both are deficient, the Qi that should power the detrusor muscle sinks and becomes too weak to contract effectively.
Note: moxa applicable on ST-36. Linked to this site's own Kidney-and-Spleen-Yang-deficiency slide, the closest match, with the plain-Qi-deficiency framing here (no explicit Cold signs) flagged against that slide's Yang-deficiency framing — the same nuance already established on this site's Urinary Tract Infection page.

4. Damp-Heat in the Bladder View full pattern →

Clinical manifestations: Burning or stinging during urination, dark yellow or cloudy urine, lower abdominal fullness and distension, thirst with little desire to drink.
Tongue: Red body with yellow, greasy coating thickest at the root. Pulse: Slippery and rapid.
Treatment principle: A sticky, inflammatory combination congests the Bladder and damages the Qi mechanism that powers the detrusor muscle.
Note: no moxa. Direct exact-name match with this site's own Damp-Heat-in-the-Bladder slide.

5. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain in the lower abdomen or perineum, pain worsens at night and with pressure, weak, hesitant, or interrupted urine stream, dark purplish urine or visible blood clots.
Tongue: Purple body with stasis spots, distended dark sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Stagnant Blood creates a physical blockage in the Bladder channel, preventing the detrusor muscle from contracting smoothly.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide via the established discoloration-marker rule.
Related conditions

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