↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Stress leakage with coughing, laughing or lifting; a cold sensation throughout the body, especially the lower back and legs; frequent nighttime urination; low energy; soreness and weakness in the lower back and knees.
Tongue: Pale, puffy, white coat, tooth marks. Pulse: Deep, slow, weak.
Treatment principle: Warms Kidney Yang to restore the bladder's closing gate.
Note: moxa is strongly indicated.
Clinical manifestations: Dribbling after urination; frequent, clear urination worse at night; lower back and knee weakness; fatigue without marked cold sensations.
Tongue: Pale, slightly puffy, possible tooth marks, thin white coat. Pulse: Deep and weak, especially at the rear positions.
Treatment principle: Tonifies Kidney Qi to secure the bladder gate firmly.
Note: moxa is appropriate. Linked to this site's own Kidney-Qi-not-Firm slide as the closest general match.
Clinical manifestations: Poor appetite; bloating after eating; loose or soft stools; fatigue and heaviness; leakage triggered by fatigue or after meals; stress incontinence with exertion.
Tongue: Pale, puffy, tender, tooth marks, thin white coat. Pulse: Weak, soft, at the right middle position.
Treatment principle: Tonifies Spleen Qi and lifts sinking Qi to restore upward holding force.
Note: moxa is appropriate.
4. Qi and Blood Deficiency
Clinical manifestations: Stress leakage; a pale or sallow complexion; dizziness and heart palpitations; profound fatigue; a history of childbirth or chronic illness; weakness throughout the body.
Tongue: Pale, possibly thin with tooth marks. Pulse: Fine and weak.
Treatment principle: Tonifies both Qi and Blood to rebuild pelvic floor strength and holding power.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.
Clinical manifestations: Urge incontinence with a burning sensation; frequent, urgent urination with small volume; cloudy, dark yellow urine; a heavy sensation in the lower abdomen and legs.
Tongue: Red, slightly swollen, yellow greasy coating thickest at the root. Pulse: Rapid and slippery.
Treatment principle: Clears Heat and drains Dampness to resolve bladder irritation and restore normal function.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Bladder slide.