Overactive Bladder

Overactive bladder is a syndrome characterized by the frequent and sudden urge to urinate. Some people will feel a constant fullness and discomfort in their bladder.  The syndrome can seriously disrupt your life disturbing both work and social situations.

Acupuncture and Chinese medicine can help.  Acupuncture has been treating syndromes of frequent urination for over 2000 years.

Causes of Overactive Bladder

The precise cause of overactive bladder is often unknown.  Like many other syndromes, the search for the single cause is often impossible as the condition arises from a complex interaction within the body.  For overactive bladder,  the syndrome probably involved many of the organs and muscles involved in urination.

Urination is a complex action involving the nervous system, smooth muscles of the bladder, the urinary sphincters, and pelvic floor muscles.  The symptoms of overactive bladder may be from any one of these functions: involuntary bladder spasms creating the sudden need to urinate or a feeling of urination when the bladder is filling, although it is not totally full, or contraction of the pelvic floor muscles.

The symptoms of overactive bladder are serious, yet the syndrome itself does not pose a threat to your health.  But in rare cases it can be due to a growth or obstruction or a neurological disorders such as Parkinson’s disease, strokes, and multiple sclerosis.  So it is important to check in with your physician about these symptoms.

Acupuncture and Overactive Bladder

Acupuncture offers a holistic approach to address overactive bladder.  Acupuncture views the body as an interconnected whole.  Rather than examining the body to find a specific organ, muscle, or tissue that is diseased, Acupuncture seeks to understand the imbalance of the interactions between the organs, muscles, and tissues.  Once the imbalance is corrected, the root of the problem is improved and body can work to heal itself.

Overactive bladder is very similar to the acupuncture syndrome of frequent urination.  This can be caused by many factors such as an injury to the pelvic floor while giving birth, congenital issues, an injury, and factors in your life, such as stress, grief, and pain.

The root of this imbalance can be in the kidneys, spleen, urinary bladder, or liver, and, more often than not, these imbalances are interconnected.  Please note that while the organ names and some of the functions are the same in both Chinese medicine and Western medicine, a dysfunction of the Chinese medicine kidney, spleen, and liver does not mean a disease in the western medicine organ.

In Chinese medicine, the kidneys are said to “govern water.”   In other words, the kidneys are in charge of water metabolism and urination.  Just like in western medicine, the kidneys filter out the urine.  But unlike western medicine, kidney qi (or energy) also contributes to the ability to hold urine in the bladder.  So problems with the kidney qi may cause overactive bladder.

The functions of the kidney can be described in terms of yin and yang.  Yin and yang are metaphors for describing different qualities.  They can also be used to describe functions in the body.  The ability for the bladder to sufficiently hold urine is a yin function.  When there is too little kidney yin, the bladder cannot hold urine and may result in overactive bladder symptoms, such as the frequent and sudden need to urinate, which is called urge incontinence.   Weak kidney yin can also cause stress incontinence, which is when urine leaks while laughing, coughing, or sneezing.  Other symptoms of kidney yin deficiency are night sweats, hot flashes, a red face, thirst, frequent nighttime urination, a rapid pulse, and a red tongue.

The spleen is also an important organ in overactive bladder.  If the overactive bladder is accompanied by extreme fatigue especially in the morning, loose stools, poor digestion, and a pale swollen tongue, the imbalance may be in the spleen.  Often, the spleen problem is combined with an imbalance in the liver.

The liver is said to “govern the muscles and sinews,” which means the liver reflects the general health of the muscles in the body.  Because the many different muscles are the key to having the ability to hold urination, imbalances in the liver can lead to overactive bladder.    Another sign of liver involvement is when the condition is worsened by stress or anger.

A Holistic Treatment with Acupuncture and Chinese Herbs

The acupuncture and Chinese herbal treatment are focused on correcting the root imbalance in the body.  The treatment is usually once or twice a week with acupuncture and a treatment series is usually 10-12 sessions.  For some people this may be shorter and for others it may take longer.  The treatment should increase one’s ability hold urination, decrease number of times one urinates at night, decrease urinary urgency, and create a smoother urine flow.

Acupuncture points such as Ren 4 and 6 on the lower abdomen as well as Bladder 23 and Du 4 on the lower back all tonify the Kidney.  Kidney 7 can be added to tonify the yang, while Kidney 2 will be used if there is more yin deficiency with heat. Other points, such as Ren 3 and Bladder 64 can directly tonify the Bladder and help with incontinence. If the spleen is involved, Spleen 3 and 9 will be helpful.  If the liver is in disharmony, Liver 5, 3, or 2 can help move the qi and open the channels in the genitals.

Chinese Herbal Formulas

Chinese herbal medicine can also be effective for Overactive Bladder.  When taking Chinese herbs, it is very important to get diagnosed and treated by a trained practitioner of Chinese medicine.  Herbal formulas such as liu wei di huang tang can be used for kidney yin deficiency, while ba wei di huang tang is effective for yang deficiency.  If the root imbalance is in the spleen, wu ling san or bu zhong yi qi tang can be effective

Research on Acupuncture or Overactive Bladder

There is some research into acupuncture for overactive bladder.  In one randomized controlled trial, women with overactive bladder who received acupuncture once a week for 4 weeks saw a decrease in urge incontinence and urinary frequency.

If you have questions about acupuncture for Overactive Bladder, call us 917-887-4946 or click below to make an appointment online.

References

1. Emmons SL, Otto L. Acupuncture for overactive bladder: a randomized controlled trial.  Obstet Gynecol. 2005 Jul;106(1):138-43.

written by Joseph Alban, L.Ac.

Last Edited 2/20/2012