↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Frequent, clear, copious urination; nocturnal bedwetting; a sore, weak lower back and knees; a cold feeling especially in the lower body; fatigue and lack of strength.
Tongue: Pale, puffy, thin white coat, tooth marks. Pulse: Deep, weak, fine, pronounced at the rear positions.
Treatment principle: Tonifies Kidney Yang, disperses Cold, secures Essence and stops enuresis.
Note: moxibustion is emphasized.
Clinical manifestations: Copious, pale, clear urine; a cold sensation in the lower back and abdomen; leakage worsening with cold exposure or exhaustion; nighttime urination; no burning or urgency.
Tongue: Pale, puffy, wet, thin white slippery coat. Pulse: Deep, weak, slow, especially feeble at the rear position.
Treatment principle: Warms Kidney Yang, dispels Cold and restores the bladder's holding capacity.
Note: moxibustion is critical.
Clinical manifestations: Urine leaks with coughing, sneezing or lifting; a bearing-down or sagging sensation in the lower abdomen; chronic fatigue; poor appetite; loose stools; dizziness.
Tongue: Pale, puffy, teeth-marked, thin white coating. Pulse: Weak and deep, especially at the right middle position.
Treatment principle: Tonifies Spleen Qi, raises sunken Qi and restores bladder support from above.
Note: moxibustion is used.
Clinical manifestations: A sudden, urgent urge with premature leakage; burning or stinging urination; dark, yellow, cloudy, strong-smelling urine; an incomplete-emptying sensation; lower abdominal fullness.
Tongue: Red with yellow greasy coating thickest at the root. Pulse: Slippery and rapid.
Treatment principle: Clears Heat, drains Dampness, promotes urination and resolves Lower Burner irritation.
Note: no moxa.
Clinical manifestations: Leakage worsening with coughing or sneezing; poor appetite; loose stools; a chronic, weak cough with thin phlegm; fatigue; shortness of breath; a pale, puffy face without luster.
Tongue: Pale, puffy, tender, teeth-marked, thin white slippery coating. Pulse: Weak overall, empty and forceless at the right front and right middle positions.
Treatment principle: Tonifies Spleen and Lung Qi to restore the upper and middle body's grip on the lower orifices.
Note: moxa is appropriate.