Massage Therapy for Nocturnal Enuresis in Children: Techniques and Tips

November 21, 2023

Nocturnal enuresis in children refers to the phenomenon of bedwetting in children. Many parents do not pay much attention to the problem of nocturnal enuresis in children, thinking that it is not a disease. In fact, nocturnal enuresis in children is an abnormal behavior caused by the loss of control of urine, and it can be considered as a pathological phenomenon caused by certain diseases. Massage therapy can be used in the treatment of nocturnal enuresis. Below, I will teach you the massage technique for nocturnal enuresis in children.

Classification and Etiology of Nocturnal Enuresis in Children

Hypofunction of the Lower Yuan with Coldness

Due to congenital weakness, insufficient kidney energy, lower yuan weakness with coldness, inability to warm and nourish the bladder, dysfunction of bladder gasification, improper storage, and disordered water passage, resulting in enuresis.

Spleen and Lung Qi Deficiency

Due to other diseases causing spleen and lung deficiency, the deficient qi sinks, unable to stabilize and retain, resulting in enuresis.

Massage Therapy for Nocturnal Enuresis with Hypofunction of the Lower Yuan with Coldness

Main symptoms: frequent nocturnal enuresis, even several times a night, pale complexion, fatigue, slow mental development, sore and weak waist and legs, cold limbs, preference for warmth and aversion to cold, frequent urination, pale tongue with thin white coating, deep and weak pulse.

Treatment principle: Warm the kidneys and consolidate the bladder.

Massage prescription: Tonify the kidney meridian, knead Waiguan (SI5), knead Dantian (CV4), knead Shenshu (BL23), knead Mingmen (GV4), rub the lumbar and sacral region.

Massage explanation: Tonify the kidney meridian, knead Dantian, knead Shenshu, knead Mingmen, rub the lumbar and sacral region, warm and tonify kidney qi to strengthen Mingmen fire, consolidate the lower yuan; push San Guan (BL21, BL22, BL23), knead Waiguan, dispel cold and strengthen the kidney yang, stabilize the lower yuan.

Massage Therapy for Nocturnal Enuresis with Spleen and Lung Qi Deficiency

Main symptoms: enuresis after sleep, lack of energy, lethargy, emaciation, pale complexion, loss of appetite, loose stools, spontaneous sweating, pale tongue with thin white coating, weak and slow pulse.

Treatment principle: Tonify qi and consolidate the bladder.

Massage prescription: Tonify the kidney meridian, tonify the spleen meridian, knead Waiguan, knead Zhongji (CV3), press and knead Baihui (GV20), press and knead Pangguangshu (BL28).

Massage explanation: Tonify the spleen meridian, tonify the lung meridian to tonify the spleen and lung and replenish qi; knead Waiguan, press and knead Baihui to warm and lift yang; knead Zhongji, press and knead Pangguangshu to regulate the bladder gasification, consolidate and retain the water passage.

Modification: For loose stools, add tonify large intestine, knead Pishu (BL20); for loss of appetite, add manipulate Neiguan (PC6); for spontaneous sweating, add knead the kidney lines.

Nursing Tips for Nocturnal Enuresis in Children

1. From an early age, children should be trained to urinate on time, and they should be awakened 1-2 times at night to urinate.

2. Before going to bed, control the amount of water intake and avoid excessive drinking.

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