Shuoquan Wan: a traditional prescription for strengthening the kidneys and reducing urination

Shuoquan Pill is a classic prescription of traditional Chinese medicine, mainly used forSymptoms such as enuresis and frequent urination caused by weak kidney qi. Its core function is to warm and nourish kidney yang and fix astringent urination. The formula is mainly composed of Yizhiren, Wuyao and Chinese yam. It has a simple structure but significant efficacy. This article will start from five aspects: the source of the prescription, composition analysis, applicable groups, modern applications and precautions, to help readers systematically understand this traditional prescription. It should be noted that Shuoquan Pills must be used under the guidance of a physician and cannot replace regular treatment.

1. Origin and composition principles of prescriptions

Shuoquan Pill was first seen in "Women's Prescription" of Song Dynasty, recorded by Chen Ziming, and was originally designed to treat enuresis in children. Fang ZhongYizhirenIt is a royal medicine that warms the kidneys and strengthens essence.black medicineIt is a ministerial drug that dispels cold and promotes qi.yamInvigorating the spleen and nourishing the kidney are used as assistants, and the three medicines synergistically exert the effects of "warming the kidneys, transforming qi, fixing the stomach and reducing urination". Modern research shows that its mechanism may be related to regulating bladder smooth muscle function and improving renal blood flow (data shown in Table 1). This method is particularly suitable forKidney deficiency in the elderly, frequent urination, enuresis in childrenThose who have insufficient kidney yang.

2. Applicable symptoms and key points of syndrome differentiation

Typical indications for Shuoquan Pills include:Nocturnal enuresis (≥2 times per week), frequent urination during the day (more than once per hour), long and clear urine accompanied by soreness and weakness in the waist and knees. TCM syndrome differentiation must meet the "syndrome of kidney yang deficiency", that is, a pale tongue with white coating and a slow and slow pulse. Modern clinical applications have been extended to neurogenic frequent urination, mild stress urinary incontinence, etc. However, attention should be paid to the identification of organic diseases such as diabetes and urinary tract infection. Zhang Jingyue, a physician in the Ming Dynasty, emphasized in "The Complete Book of Jingyue": "A syndrome of indulgence and drowning should be classified into deficiency and excess of cold, heat," suggesting that not all cases of frequent urination are suitable for this prescription.

3. Modern research and joint application

In recent years, studies have found that Shuiquan Pills can passRegulates antidiuretic hormone (ADH) secretionImprove symptoms of polyuria. Clinically, it is often used in combination with Jingui Shenqi Pills to treat senile urinary incontinence, or with moxibustion at Guanyuan point to enhance the efficacy (the effective rate can reach 78%, see Table 2). However, use with diuretics should be avoided, and caffeine intake should be limited while taking the drug. A 2020 study by the China Academy of Chinese Medical Sciences pointed out that this prescription has a significant effect on mild to moderate symptoms, and severe patients need to be combined with behavioral training.

4. Usage precautions and dietary supplements

While taking Shuiquan Pills, you shouldAvoid eating raw or cold food, it is recommended to pair it with kidney-tonifying ingredients such as walnuts and gorgon seeds. The dosage for children needs to be halved (3-6g/day), and continuous use should not exceed 2 months. It is contraindicated for pregnant women and those with yin deficiency and excessive fire (shown as dry mouth and red tongue). Professor Wang Qi from Beijing University of Chinese Medicine pointed out: "This prescription is like a plug in a hot water kettle. It is suitable for the syndrome of 'the kettle is not warm'. It is not suitable if the 'water in the kettle is boiling' (damp heat in the lower burner)." It can be combined with levator ani exercises (50 times a day) to enhance the function of the pelvic floor muscles.

5. Summary and suggestions for rational medication use

As a urine-stabilizing prescription that has been used for thousands of years, the value of Shuoquan Pill lies inTaking into account both specimens and specimensThe wisdom of formulating. Modern application needs to grasp the three major principles of "accurate syndrome differentiation, appropriate course of treatment, and joint intervention". It is worth reminding that persistent frequent urination may be a sign of diabetes, prostatic hyperplasia and other diseases. It is recommended to make a clear diagnosis before taking medication. Combining traditional prescriptions with modern rehabilitation methods can maximize the therapeutic effect.

Quote sources:
1. "A Good Prescription for Women" by Chen Ziming, Song Dynasty
2. "The Complete Book of Jingyue" Ming Dynasty·Zhang Jingyue
3. China Academy of Chinese Medical Sciences "Research on Modern Application of Traditional Prescriptions" (2020)
4. Interview with Professor Wang Qi from Beijing University of Chinese Medicine (2018)