(4) Patient lies prone. Press and massage Shenshu (BL23) and Pangguangshu (BL28) with thumbs for 1 minute each.
(5) Press and massage Sanyinjiao (SP6) for 1–3 minutes.
2. Modifications Based on Pattern
(1) Qi Deficiency Pattern
Symptoms: Frequent urination or dribbling, pale and clear urine, pale complexion, cold limbs, abdominal chill, shortness of breath, reluctance to speak, poor appetite, pale tongue with thin white coating. Commonly added techniques:
① Tonify the lung meridian 300 times.
② Perform spinal捏脊 (spinal捏脊) 5–10 times.③ Press and knead both Spleen Shu points for 1 minute each.
④ Press and knead Baihui point for 1 minute.
⑤ Rub the lower back horizontally for 1 minute.
(2) Yin Deficiency Pattern
Symptoms: Frequent urination or incontinence, dark urine, nighttime heat with dry mouth, palms and soles feeling hot, red cheeks, red tongue with little coating.Add to standard techniques:
① Press and knead Baihui point for 1–3 minutes.
② Perform "Two Riders Mounting a Horse" technique 50 times.
③ Increase kidney meridian tonification to 500 times.
④ Pinch Yinlingquan point 3–5 times.
Massage Method Two
1. Common Techniques
(1) Patient seated or supine; use thumb to press and knead Baihui point for 1–3 minutes.
(2) Rub Erren Shangma point 30–50 times.
(3) Patient supine; place hypothenar eminence on lower abdomen and rub clockwise around Dantian point for 2–5 minutes.
(4) Press and knead the Shenshu acupoint for 3 minutes, combined with local transverse friction until warmth is felt.
(5) Apply transverse friction to the upper chest and vertical friction to the back down to the lumbosacral region, both until warmth is felt.
(6) Press and knead the Zusanli and Sanyinjiao acupoints for 1 minute each.
(7) Rub the Yongquan acupoint 20 times.
Massage Method Three
1. Common Techniques
(1) Patient supine: Use the pad of the middle finger to press and rub the Qihai point clockwise 20 times, then press and rub the Zhongji point for 1 minute.
(2) Patient prone: Perform spinal捏脊 (spinal捏脊) 10–15 times.
(3) Use the heel of the palm to press, rub, and friction the sacral region until warmth is felt.

(4) Press and knead Yinlingquan and Sanyinjiao acupoints for 1 minute each.
Acupuncture Therapy for Frequent Urination
Traditional Chinese Medicine theory holds that the kidneys govern water metabolism and regulate opening and closing functions, while the bladder stores urine. Thus, nocturnal polyuria and frequent urination are often attributed to kidney and bladder dysfunction, fundamentally caused by deficiency of yang qi.Inherent yang deficiency or prolonged illness in the elderly leads to insufficient kidney yang, impairing its storage function. This causes bladder dysfunction and loss of control over urine retention. Alternatively, weakened gate of life fire fails to warm and nourish spleen yang, or spleen yang deficiency cannot adequately nourish kidney yang, resulting in dual spleen-kidney deficiency. This compromises the lower energizer's warming and retaining functions, all contributing to increased nocturnal urination. Moxibustion therapy yields satisfactory results.
The therapeutic principle centers on simultaneously tonifying the spleen and kidney, warming yang, and consolidating涩 (dampness). Acupoints selected include Guanyuan (CV4), Qihai (CV6), and Shenque (CV8). During treatment, the patient assumes a comfortable supine position on the treatment bed with the acupoint areas fully exposed.The practitioner holds the moxa stick in the right hand as if writing, maintaining a 45-degree angle between the stick and the skin. The lit end is directed toward the acupoint, positioned approximately one cun (about 3 cm) above the skin. Heat is applied until the area feels warm and reddens, but without causing burns.
Apply mild moxibustion in the sequence: Guanyuan, Qihai, Shenshu, moving upward from bottom to top. Each point receives 15 minutes of treatment. Perform once daily for a 15-session course. Note: After moxibustion on Shenshu, firmly press the palm over the point for over 10 minutes to prevent chilling.
Traditional Chinese Massage for Frequent Urination
Each night after lying down, relax your body in a supine position with legs extended straight. Locate the Guanyuan point (3 cun below the navel) and the Zhongji point (4 cun below the navel). Close your eyes and take deep breaths for 5 minutes. Then rub your hands until warm. Press the index and middle fingers of both hands together, placing the right hand on Guanyuan and the left hand on Zhongji for massage.Massage in both clockwise and counterclockwise directions, ideally for several minutes each. In cold weather, applying a hot water bottle directly to Guanyuan and the Qihai point (directly below the navel) provides effective warmth.
Another method involves rubbing the waist points, specifically the Shenshu acupoint on the kidney meridian. Located along the meridian encircling the waist—roughly at the level of the second lumbar vertebra—this point corresponds to the kidney's position.The Kidney Shu point thrives on warmth and fears cold. Therefore, warm your palms before rubbing the waist. This not only warms the waist area and treats frequent urination but also enhances kidney function and unblocks meridians. Consistent application can also be highly beneficial for kidney deficiency-related lower back pain.
If frequent urination symptoms are severe, seek medical attention promptly.