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Stress Urinary Incontinence

How Chinese medicine differentiates stress urinary incontinence, the pattern you'll actually meet in practice, and the points for it. 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. Persistent or worsening leakage needs a urogynecological evaluation (pelvic floor weakness, prolapse) before acupuncture is considered.
General Acupuncture Points

Acupuncture points traditionally used for stress urinary incontinence — 3 key points, all working together for the one pattern below.

PointKey action
Du-20Extinguishes interior Wind. Subdues Liver-Yang. Raises Yang. Benefits the Brain.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
Ren-6Tonifies Qi and Yang. Raises sinking Qi. Tonifies Original Qi.
The Pattern

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen-Qi Sinking View full pattern →

Clinical manifestations: Urine leaks with coughing, sneezing or lifting; a bearing-down or sagging sensation in the lower abdomen; chronic fatigue and physical exhaustion; a poor appetite and loose stools; dizziness or lightheadedness.
Tongue: Pale, puffy, teeth marks, thin white coating. Pulse: Weak, Deep, especially at the right middle (Spleen) position.
Treatment principle: Tonify Spleen-Qi and raise sinking Qi, restoring the bladder's support from above rather than strengthening it directly.
Note: moxa applicable. Direct match with Spleen-Qi sinking — \"frequency and urgency of urination\" and a bearing-down sensation are named diagnostic symptoms there too. This source names four other overlapping patterns (Kidney-Qi not Firm, Bladder Deficient and Cold, Damp-Heat in the Bladder, Spleen and Lung Qi Deficiency — all already covered on the Overactive Bladder page) but identifies Spleen-Qi Sinking specifically as the mechanism behind classic stress-triggered leakage, so this page covers that one pattern rather than padding with the others.
Related conditions

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