Category: Psyche, nerves, insomnia, urology, kidney system, spleen system

Use of the formula according to Traditional Chinese Medicine:

• astringes kidney essence and fluids
• replenishes kidney Qi and Yang
• harmonises the relationship between the heart and kidneys – helps the heart to "guard" the gate of the kidneys
• strengthens the centre and the lifting function of the spleen

Description:

From the perspective of Western medicine, enuresis is characterised as involuntary bedwetting in a child over 5 years of age. The most common type is so-called primary nocturnal enuresis, which persists from birth, i.e., without a longer dry period, and is not accompanied by any other urological, neurological, psychiatric or endocrine disease. Alongside allergies and atopy, it is the second most common chronic indisposition in childhood. On average, 10% of children between 6 and 7 years of age suffer from bedwetting. If enuresis is not treated, it tends to resolve spontaneously. Without treatment, about 15% of children stop bedwetting each year. However, it is alarming that about 1% of healthy adults (i.e., people between 18 and 64 years of age) regularly wet the bed at night. Many enuretic children remain enuretics for their entire lives. Primary nocturnal enuresis also has a hereditary basis: if one parent suffered from bedwetting in childhood, the frequency of occurrence in the child is up to 3 times higher, or 7 times higher if both parents were affected. Modern medicine recognises three causes for why bedwetting occurs: 1) Disturbance of the arousal response; 2) Nocturnal polyuria: the level of vasopressin (antidiuretic hormone) does not rise as it should during sleep, and more urine is produced at night, which is, however, less concentrated; 3) nocturnal bladder instability, where there is higher activity of the bladder muscles during sleep and its capacity is therefore smaller than it should be.

From the perspective of Chinese medicine, several causes can also contribute to childhood bedwetting. The most common cause is an imbalance between the kidneys and the heart, where the heart should "guard" the gate of the kidneys during sleep, and when the bladder fills, the child should wake up and go to the toilet, but this does not happen. Furthermore, the astringent function of the kidneys and their Yang may be weakened (a large amount of poorly concentrated urine is produced), or the lifting function of the spleen is insufficient – these children tend to be pale and tire more quickly than others. The Zhi Xiao Er Yi Niao Tang mixture addresses all these conditions. It combines two traditional formulas: Bu Zhong Yi Qi Tang, which strongly strengthens the spleen and supports its lifting function (a classic formula intended, for example, for the treatment of incontinence), and Suo Quan Wan, which strengthens the active Yang function of the kidneys (replenishes Qi and Yang), thereby astringing and preventing urine leakage. Furthermore, herbs have been added to the mixture that harmonise the imbalance between the heart and kidneys, and others that strengthen the astringent and retentive function of the bladder. The number of dry nights increases, and both the child and the family are freer and more satisfied.

Indications:

• bedwetting in children, mainly at night – enuresis
• recurrent nocturnal urination
• frequent urination
• mild fatigue / hyperactivity
• paleness
• spontaneous sweating

Modern use:

• nocturnal bedwetting, mainly in children
• enuresis – nocturnal urination
• frequent urination

Tongue:

• variable
• mostly paler
• swollen

Pulse:

• variable
• in case of deficiency (xu)
• xi
• chen
• ruo (empty, fine, deep, weak)

Contraindications:

• none known

Notes:

• the mixture is not effective if administered immediately before sleep.
• for best efficacy, we recommend an interval of approx. 2 hours before sleep when administered in the evening

Composition of the formula: