Normal adults urinate 4-6 times during the day and 0-2 times at night, with a significant increase in frequency known as frequent urination. An increase in nocturnal urination frequency is known as' waking up '. Kidney qi is sufficient, the retention function is normal, and urine stored in the bladder can be excreted in a moderate manner. If the kidney qi is weak and there is no control over retention, symptoms of frequent urination can occur. At night, Yang declines and Yin is abundant, and the body also has weak Yang Qi. Therefore, the symptoms of frequent nocturia in patients with kidney deficiency are more obvious.
Western medicine believes that waking up late is an early manifestation of impaired kidney function. If it is a male, Western medicine may say that it is an enlarged prostate. If a person gets older, it is a degenerative change and can be taken medication, but there are no good methods.
In principle, the kidneys have abundant blood vessels. When lying flat at night, the kidneys carry more blood than when standing upright during the day. Therefore, when kidney function is impaired, the "purification" function of the kidneys decreases and urine significantly increases. The "purification" effect of the kidney mainly relies on the filtration effect of abundant capillaries, especially in patients with hypertension. Long term hypertension causes changes in vascular endothelium, which affects the purification effect of the kidney and increases the production of urine. So when hypertensive patients experience increased nocturia, it is important to pay attention to kidney protection. The cause of increased nocturia is also caused by inflammatory stimuli, such as cystitis, urethritis, vulvar inflammation, etc., which are generally accompanied by frequent urination, urgency, and pain in urination; Furthermore, there are psychological and neurological factors. Some people may experience increased nocturia due to emotional tension and anxiety, commonly known as "neurotic urination frequency".
Traditional Chinese medicine treatment for frequent nocturia often starts with insufficient kidney qi, tonifying kidney qi, firming and stopping urination. There are many such formulas, so we won't introduce them one by one here. Because prescriptions are prescribed by traditional Chinese medicine doctors after syndrome differentiation and treatment, and each person's situation is different, it is irresponsible to casually prescribe and recommend drugs. And in the treatment, combined with other symptoms of targeted medication, Chinese medicine, acupuncture and moxibustion, massage and other methods are very effective.