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Differentiation and treatment of pediatric enuresis under the guidance of Zang-Fu organ extraordinary connection theory
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DOI   10.11656/j.issn.1673-9043.2026.05.01
Key Words   zang-fu organ extraordinary connection theory;homeostatic imbalance;dysregulation of ascending and descending;pediatric enuresis
Author NameAffiliationE-mail
ZHANG Weifang School of Pediatrics, Henan University of Traditional Chinese Medicine, Zhengzhou 451200, China  
DING Ying School of Pediatrics, Henan University of Traditional Chinese Medicine, Zhengzhou 451200, China
Department of Nephropathy and Purpura, Pediatrics Hospital, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450000, China 
dingying323@sina.com 
LI Xuejun School of Pediatrics, Henan University of Traditional Chinese Medicine, Zhengzhou 451200, China
Department of Nephropathy and Purpura, Pediatrics Hospital, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450000, China 
 
LI Donglin School of Pediatrics, Henan University of Traditional Chinese Medicine, Zhengzhou 451200, China  
WU Hongji School of Pediatrics, Henan University of Traditional Chinese Medicine, Zhengzhou 451200, China  
Abstract
    [Objective] To explore the clinical experience of National Traditional Chinese Medicine(TCM)Master Professor DING Ying in treating pediatric enuresis based on the zang-fu Organ Extraordinary Connection Theory. [Methods] This article applies this theory to explain the correlation between pediatric enuresis and the theory from the perspectives of the heart and gallbladder,lung and bladder,spleen and small intestine,and kidney and sanjiao (triple energizer). [Results] It proposes that dysfunction in any of these interconnected pairs—such as heart-gallbladder imbalance leading to mental disturbance,lung qi dysfunction causing loss of bladder restraint,impaired spleen transport affecting small intestine fluid regulation,or kidney yang deficiency resulting in sanjiao disharmony- can lead to pediatric enuresis. Consequently,more precise treatment methods are suggested:nourishing heart spirit and regulating gallbladder qi;supplementing lung qi and warming the bladder;strengthening spleen qi and regulating the small intestine;and tonifying kidney qi and unblocking the sanjiao. [Conclusion] These methods have demonstrated significant clinical efficacy,greatly enriching the clinical reasoning of TCM for pediatric enuresis. This article summarizes the clinical insights and experience as follows.

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