Enuresis is a condition in which you don't urinate involuntarily while sleeping. Bedwetting is common in children over 3 years of age. Pediatric enuresis is more common in preschool children, but a significant proportion of primary school students are also present. Physical weakness, excessive playfulness during the day, urogenital malformations, urinary tract infections, parasitic diseases, spinal or craniocerebral injuries, developmental and malnutrition, etc., can lead to dysfunction of the cerebral cortex and reflexes of the spinal cord, resulting in enuresis.

The main symptom is urination while asleep, mostly in the middle of the night or early morning, once a few times a few times a night in mild cases, and several times a night in severe cases. Patients with a long course of disease may have paleness, chlorosis, general weakness, cold limbs, mental dementia, mental retardation and other symptoms.

1. Methods and steps

See Figure 2-4-6.

Figure 2-4-6 Pediatric enuresis massage

(1) The patient is placed in a supine position, and the surgeon first gently rubs the child's lower abdomen with the fingertips of the index, middle and ring fingers of the right hand for 3~5 minutes, and the local skin feels warm, as shown in this figure (1).

(2) Immediately following the above method, the surgeon uses the middle finger of the right hand to rub the child's Qihai, Guan Yuan, Zhongji, and Yongquan acupoints for 3~5 minutes, and the force should not be too heavy, see this figure (2).

(3) The patient should be placed in the prone position, and the surgeon should rub the child's spine and both sides from top to bottom 3~5 times with the thenar part of the right hand, and the local skin should be slightly hot, and the skin should not be scratched, see this figure (3).

(4) The surgeon uses the right finger of the index, middle and ring fingers to knead the spine of the child from top to bottom for 3~5 minutes, especially the caudal sacral part should be slightly rubbed hard, see Figure (4).

2. Precautions

(1) Before treatment, X-ray can be done to examine the child's lumbosacral region to rule out congenital lumbosacral fissure.

(2) Actively guide and train children to develop the habit of urinating on time, and should not be overly excited and fatigued before going to bed.

(3) Children with enuresis should not drink more water before going to bed at night, and should drink less soup, juice and other beverages at dinner.

(4) Appropriately strengthen outdoor exercise to enhance the physical fitness of children.

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