Overview
Enuresis in children is a kind of disease defined as the children above 3 years old have frequent involuntary discharge of urine during sleeping and become aware of it after waking up. Occasional Enuresis, which is caused by tiredness or drinking too much water, is not ill condition. Abnormal living habit, constitutional insufficiency, physical weakness after suffering disease, lead to insufficiency of kidney qi and cold of deficiency type of the lower origin, decline of the kidney's reserving function, and bladder qi transformation is disorder and cannot constrain fluids. Or qi deficiency of the lung and spleen, lead to inhibited management and bladder cannot constrain. Then urine is involuntarily discharged. Therapeutic principle is warming kidney and securing urine, supplementing lung and boosting spleen.

Treatment
1. Guanyuan (RN 4)
① Acupuncture-therapy: let the patients lay on the back, with routine sterilization, needle perpendicularly at the depth of about 0.5 cun with 1 cun 30 gauge filiform needles (should empty the bladder). After obtaining the qi, choose seeting the mountain on fire method to make locally hot feeling. Retain the needle for 30 minutes and manipulate the needle 3 times. Treatment is done once every other day and 10 times makes up a course of therapy. Take a rest for 3-5 days before next therapy courses.

② Moxibustion-therapy: let the patients lay on the back, Smear a little Vaseline on the skin, so that the moxa cones can stick to the point. Then put the moxa cone (the size is just like a mung bean) on the point, kindle it, and use the nipper to move it to change a new one when the moxa cone only has 2/ 5 or 1/4 left and the patient feels a little burning pain. This method is done with 3-7 cones, which cause the skin appear to blush without blebbing. Treatment is done once every other day and 10 times makes up a course of therapy. Take a rest for 3-5 days before therapy course.

2. Baihui (DU 20)
① Acupuncture-therapy: let the patient lay on the back, with routine sterilization, needle quickly into the skin with 1 cun 30 gauge filiform needle (the needle tip and the epicranium makes a included angle of 30). When the needle tip reach to aponeurosis of occipitofron talis muscle, acupuncturist may feel the force of resistance diminishes, then manipulate with twirling and rotating methods into 0.5 cun, and rotate quickly at the speed of 200 cycles per minute and continuously for 2 minutes. Then withdraw the needle. Treatment is done once every other day and 10 times make up a course of therapy. Take a rest for 3-5 days before the next therapy course.

② Moxibustion-therapy: shave patient's hair on the top of head, let the patient lays on the back or sitting position, do moxibustion with a moxa stick for 15-20 minutes, which will result in the skin to blush. Treatment is done once every day, and 10 times make up a course of treatment. Take a rest for 3-5 days before the next therapy course.

Note
Acupuncture and moxibustion therapy is the effective way to treat enuresis in children. Empty the urine before needle. Avoid drinking too much water before sleeping. Wake up the patient, who discharges urine involuntarily every night, to urinate. Encourage patient to relax emotion and create confidence.