In a combined disease of the three yang channels, presenting with abdominal fullness, heaviness of the body making turning difficult, numbness in the mouth (loss of taste sensation), facial greasiness, delirium, enuresis, and spontaneous sweating, sweating methods and purgative methods are contraindicated. It is appropriate to administer a small amount of Baihu Tang (White Tiger Decoction) (see "Heaviness of Body").

In Fengwen disease (Wind-Warmth disease), with floating pulse, spontaneous sweating, heavy body, and somnolence, if purgatives are mistakenly used, it will lead to difficulty in urination, staring fixedly, and loss of control over both urine and stool (see "Fengwen").

Yang Shiyin said: When urine stagnates in the bladder and the lower jiao fails to secure it, enuresis also occurs. The Classic states: When pathogenic factors attack the lower jiao, yin qi trembles, leading to coldness in the feet and knees and involuntary discharge of urine and feces. In such cases, Sini Tang (Frigid Extremities Decoction) should be used. For blood stasis accumulating in the lower jiao, characterized by urgency and tightness in the lower abdomen with free urination but incontinence, Tao Ren Chengqi Tang (Peach Kernel and Rhubarb Decoction) is used for mild cases, and Didang Tang (Definitely Invading Decoction) for severe cases.

The pulse at the cunkou (inch position) is faint and choppy. Faint indicates that Wei Qi (Defensive Qi) does not circulate freely; choppy indicates that Ying Qi (Nutritive Qi) fails to reach its destination. Ying and Wei cannot coordinate with each other, and the three jiao have no support, resulting in bodily numbness and insensitivity. Deficiency of Ying Qi causes irritability and pain, and difficulty in speaking; deficiency of Wei Qi causes aversion to cold and frequent yawning. When the Qi of the three jiao fails to return to its proper location: if the Upper Jiao Qi fails to return, belching and acid regurgitation occur; if the Middle Jiao Qi fails to return, inability to digest grain and food stagnation occur; if the Lower Jiao Qi fails to return, enuresis, coughing, and patent urination occur. If urination seems lost or uncontrollable, sweating methods are contraindicated; inducing sweat would lead to cold extremities. In Taiyang disease, if the back is scorched with hot irons causing profuse sweating, followed by delirium, and after more than ten days, trembling, diarrhea, desire to urinate but inability to do so, vomiting, and loss of control over urine and stool occur, this indicates that the disease is about to resolve (see "Delirium"). However, if enuresis, wild talking, and eyes staring fixedly upward occur, this indicates the exhaustion of Kidney Qi.

Wu Kun said: Enuresis refers to the involuntary leakage of urine without awareness. If enuresis is caused by excessive heat and confusion of the spirit, it is treatable. If it is caused by Yin syndrome with lower cold and reversed coldness, with a deep and faint pulse, it is mostly difficult to treat. One should use Fuzi Tang (Aconite Decoction) plus Ganjiang (Dried Ginger) and Yizhiren (Bitter Almond Seed) to warm the lower jiao. In Jueyin disease, presenting with retraction of the scrotum, cold extremities, faint pulse, and enuresis, Sini Tang plus Wuzhuyu Tang (Evodia Decoction) should be used to warm the body; if Yang Qi does not return, death ensues. Generally, after sweating or purging in Shanghan (Cold Damage), if heat persists due to Yin deficiency and hyperactive fire causing enuresis, Renshen Sanbai Tang (Ginseng Three Whites Decoction) plus Zhimu (Anemarrhena Rhizome) and Huangbai (Phellodendron Bark), or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Zhimu, Huangbai, Maidong (Ophiopogon Tuber), Shengdi Huang (Rehmannia Root), and Wuweizi (Schisandra Berry) should be used as the main treatment. If wild talking, staring, delirium, and enuresis occur, this indicates kidney exhaustion. The Inner Canon states: Obstruction of the bladder leads to strangury; lack of restraint leads to enuresis. It also states: Unceasing flow of water (urine) indicates the bladder's failure to store essence. The Kidney and Bladder are exterior-interior related; Kidney deficiency leads to the bladder's inability to constrain, thus causing enuresis. The key lies in tonifying the Qi of the bladder. Li Dongyuan stated that loss of urine and stool is due to deficiency of Lung Metal, and thus Lung Qi should be tonified. Generally, enuresis due to Lung deficiency, Kidney deficiency, or excessive heat is treatable. Only enuresis due to Kidney exhaustion is untreatable, because this results from the exhaustion of lower jiao Qi and its failure to return to its proper location.