Question
How to treat a 7-year-old child with enuresis? The child shows bedwetting. They have been experiencing night sweats for three years. Currently, their appetite and sleep are normal. The tip of their tongue is red, the tongue coating is white, the pulse is thin and rapid. Previous treatment and effects: Poria 8, Alisma 8, Yam 10, Coix Seed 12, Euryale Seed 5, Mucronate Clam Shell 8, Acorus 4, Alisma Orientalis 8, Cornel Tree Fruit 6, Rhizoma Alismatis 6, Astragalus 10. Please ask a TCM expert to take a look at this formula and see if it can be used. Thank you.
Answer
Enuresis refers to the inability to suppress urination during the day or to wake up from a nap to urinate after the age of three. The following factors are related: hereditary factors from generations, deep sleep, delayed maturation of bladder function, nervousness, and disease factors. Asymptomatic bacteriuria and hypercalcemia can also lead to enuresis. For treatment, it is important to reduce fluid intake before bedtime as much as possible, encourage the child to urinate on time, and help build their confidence in overcoming the habit of bedwetting. Identify the approximate time the child wets the bed and wake them up before that. If this still does not work, it is necessary to use a combination of medications under a doctor’s guidance for treatment.