Treatment of female stress incontinence based on the"brain-kidney-bladder"axis,conception vessel,and governor vessel
10.3969/j.issn.1006-2157.2025.05.009
- VernacularTitle:基于"脑-肾-膀胱"轴及任脉、督脉论治女性压力性尿失禁
- Author:
Changchang ZHANG
1
;
Yuan YAO
;
Yanru WANG
;
Wanchun HU
;
Tianhui TAN
;
Zhuoxin YANG
;
Xuemei CAO
Author Information
1. 广州中医药大学第四临床医学院 深圳 518033
- Publication Type:Journal Article
- Keywords:
stress incontinence;
"brain-kidney-bladder"axis;
conception vessel;
governor vessel
- From:
Journal of Beijing University of Traditional Chinese Medicine
2025;48(5):658-663
- CountryChina
- Language:Chinese
-
Abstract:
Guided by the theory of"kidney generating marrow"and"kidney associating with bladder",the concept of"brain-kidney-bladder"axis was proposed.From the perspective of meridian circulation and physiological function,the conception vessel and governor vessel are the links of the"brain-kidney-bladder"axis.Kidney essence deficiency,brain spirit losing,and dysfunction of bladder are the core pathogenesis of female stress incontinence.From the dysfunction of the"brain-kidney-bladder"axis and the deficiency of conception vessel and governor vessel,an integrated model of"one acupunture,two medication,and three daoyin therapy"was proposed for the treatment of female stress incontinence."One acupunture"is based on the theoretical guidance of"treating on the bone,and even under the navel ying"in Gukong Lun in Suwen,and the regulating conception vessel and dredging governor vessel acupuncture method is used to harmonize yin and yang,replenish qi,and consolidate bladder,using governor vessel points such as Baihui(DU20),Shenting(DU24),Mingmen(DU4),and conception vessel points such as Qihai(RN6),Guanyuan(RN64),Zhongji(RN3),and cooperating with Baliao points(BL31,BL32,BL33,and BL34)of the bladder meridian."Two medication"is guided by the theory that"dispersing conditions should be astringed,and deficient conditions should be warmed"in Zhizhenyao Dalun in Suwen;the treatment method focuses on consolidating conception vessel,dredging governor vessel,and harmonizing and nourishing qi and blood,and the Guren Tongdu Formula is selected."Three daoyin therapy",that is,using the abdominal contraction and anal lifting exercise,the Mawangdui daoyin therapy,and pelvic floor muscle training to cultivate qi,preserve spirit,and maintain the unity of body and mind.
