2025 Guide: Chinese Herbs for Urinary Incontinence

The second aspect to urinary incontinence is the constant urge to urinate that can be hard to control. This usually has to do with the smooth muscle on the wall of the bladder. This muscle, called the detrusor muscle, is often overactive or not working optimally in a situation of Urge Urinary Incontinence (UUI). 

There are many Chinese herbs known for their ability to treat urinary incontinence. Some of these herbs are very effective at reducing stress incontinence; others are better at treating urge incontinence. 

There is the concept of Mixed Urinary Incontinence (MUI). This is when someone suffers from both Stress Incontinence and Urge Incontinence. There are herbal formulas that are able to treat MUI – one example would be Ba Jiao Dan, 

If you want to learn about the Chinese herbs for urinary incontinence that can naturally support your healing, read on!

Chinese herbs have been used for centuries to address urinary incontinence through various mechanisms. Below are 3 key areas that herbal treatment makes a difference: 

Muscarinic Receptor Antagonism: Some herbs contain natural compounds that block muscarinic receptors, which play an important role in bladder contractions.

For example, Alpinia Oxyphylla can inhibit contractions triggered by acetylcholine, helping to reduce feelings of urgency and the need to urinate frequently.

Antispasmodic Effects: Many traditional herbs also have antispasmodic properties, meaning they can relax the bladder muscles. This relaxation helps alleviate involuntary contractions, which can lead to sudden urges and leaks.

For example, Artemisia Monosperma is an herb that is recognized for its antispasmodic effects, which then helps in putting a lid on bladder overactivity.

Synergistic Formulations: In Traditional Chinese Medicine (TCM), herbs are often used in combination to enhance their therapeutic effects. This synergistic approach is seen in the treatment of overactive bladder (OAB), where more than one pathway is being activated, which creates a more holistic and comprehensive therapeutic effect.

Several medicinal plants have shown promise in treating urinary incontinence. For example, Alpinia oxyphylla for its ability to decrease urinary frequency and urgency by blocking muscarinic receptors.

We will elaborate more in the rest of the article. Please read on.

1. Fu Pen Zi (Raspberry)

Raspberries are known to our palate as a delicious fruit, but in TCM, Fu Pen Zi, a variety of raspberry, plays a key role in helping manage urinary incontinence. Fu Pen Zi is a relative of the  goldenleaf raspberry. It is native to China, and has been used for centuries to help with urinary issues — especially incontinence.

Fu Pen Zi is packed with powerful natural compounds like terpenoids, flavonoids, alkaloids, phenolic acids, polysaccharides, and steroids.. These are the goodies that give it antioxidant and anti-inflammatory powers. In fact, it’s so potent that it even has anti-tumor properties, which is quite impressive for such a humble berry.

In TCM, Fu Pen Zi is known for strengthening the kidneys and controlling the loss of essential fluids. It helps your body hold onto what it needs and stops unnecessary leaks—whether that’s fluid or energy. When it comes to urinary incontinence, Fu Pen Zi works by tonifying the kidneys and helping your bladder function better, so those annoying leaks and frequent trips to the bathroom happen less often.

A study from Singapore’s National University Hospital showed that women who consumed raspberry extract had significant improvements in bladder control. The antioxidants and phytochemicals in Fu Pen Zi help to strengthen your bladder muscles and improve overall urinary function. It’s especially helpful for women dealing with urinary incontinence after having a baby or as they get older.

2. Wu Wei Zi (Schisandra)

Wu Wei Zi, or Schisandra, is another powerful herb in TCM known for its adaptogenic properties. In simple terms, an adaptogen is something that helps your body deal with stress—super useful when it comes to bladder health, which can be impacted by stress.

Studies show that Wu Wei Zi helps with overactive bladder symptoms, reducing both the urgency and frequency of needing to go. It’s often used in combination with other herbs to strengthen overall urinary function, making it a solid choice if you experience stress-related bladder issues. If your bladder seems to overreact to everything, Wu Wei Zi might be a good option for you. 

3. Sang Piao Xiao (Mantis Egg Case)

Sang Piao Xiao may sound unusual—after all, it’s derived from the egg cases of a praying mantis—but it’s an incredibly valuable herb in TCM for treating urinary incontinence, especially when both the heart and kidneys are involved.

This herb is thought to strengthen the bladder and improve the pressure within the urethra, helping to prevent leaks. Research has shown that Sang Piao Xiao can improve outcomes for women dealing with stress urinary incontinence, which often occurs during activities like coughing, sneezing, or exercise.

If you’re struggling with bladder leaks that seem to come out of nowhere, Sang Piao Xiao can help by improving bladder control. It works particularly well when kidney or heart deficiencies are involved in the cause of incontinence.

4. Gui Zhi (Cassia Twig)

Ramulus Cinnamomi, or Cassia Twig, is commonly used to treat digestive issues, arthritis, and respiratory problems. Lately, it’s being explored for its potential in helping with urinary incontinence, which is exciting for those looking for natural solutions.

The magic behind Cassia Twig lies in its active compound: cinnamaldehyde. This compound helps increase the contractility of the urethra while reducing the contraction of blood vessels, which boosts urethral pressure. This mechanism is crucial for keeping the bladder closed and preventing those annoying leaks, especially when there’s physical pressure on the bladder.

Research shows cinnamaldehyde has anti-inflammatory properties, reducing inflammation that may cause urinary dysfunction and balancing nitric oxide levels. This helps improve bladder function by reducing local inflammation.

5. Yi Zhi Ren (Alpinia Oxyphylla)

Alpinia oxyphylla is known for being able to treat urinary issues like frequent urination, urgency, and nocturia (waking up to pee at night). According to research, the flavonoid Izalpinin, found in this plant, has been studied for its effect on bladder function. 

Interestingly, it seems to help reduce bladder contractions by blocking certain receptors, making it useful for those dealing with overactive bladder symptoms.

6. Ai Ye (Artemisia Vulgaris)

Artemisia vulgaris, or Mugwort, grows all over the world, from Asia to Europe and the Americas. It’s been traditionally used in Chinese, Hindu, and European medicine for digestive issues and women’s health problems. 

What’s fascinating about Mugwort is how it helps relax smooth muscles. Research has shown that this herb can inhibit bladder contractions, suggesting it may be helpful for managing an overactive bladder by acting on both muscarinic receptors and calcium channels.

The combined action on muscarinic receptors and calcium channels makes Mugwort a promising natural remedy for managing urinary issues such as overactive bladder. Its traditional use in various cultural and medical practices underscores its potential as a complementary therapy for improving bladder function and reducing symptoms of urinary dysfunction

7. Huang Qi (Astragalus Membranaceus)

Astragalus is a well-known TCM herb that has been co-opted into use by Naturopaths and Functional Medicine practitioners alike. It’s used to boost overall wellness, key active ingredient Astragaloside IV has been studied for its effect on bladder health. 

Research suggests that Astragalus can improve urinary function by supporting bladder lining repair, making it an intriguing option for managing conditions like overactive bladder.

Astragalus is also recognized for its antioxidant and anti-inflammatory properties, which contribute to its overall effectiveness in promoting wellness. The herb’s ability to strengthen the immune system and reduce inflammation further supports its use in TCM and modern herbal medicine.

8. Bai Ji (Bletilla Striata)

Bletilla striata is found throughout East Asia and has been a staple in Traditional Chinese Medicine for thousands of years. Aside from its use in wound healing, Bletilla is also gaining attention for its potential benefits in treating bladder issues. 

Studies have shown that it may help with polyuria, while increasing bladder capacity. This makes Bai Ji a crucial herb to consider when prescribing a herbal formulation for overactive bladder symptoms.

9. Nan Gua Zi (Cucurbita Pepo)

Pumpkin seed is used in Chinese Medicine, but the oil extract is more commonly used to treat urinary disorders. Studies have shown how pumpkin seed oil is able to reduce bladder pressure and improve symptoms of overactive bladder. 

It’s also been studied in men with benign prostatic hyperplasia (BPH), where it has been found to alleviate symptoms without side effects.

In addition to its use in treating overactive bladder, pumpkin seed oil has also been studied in men with benign prostatic hyperplasia (BPH). Research indicates that it can alleviate symptoms of BPH, such as urinary frequency and nocturia, without causing significant side effects. This makes pumpkin seed oil a valuable option for managing BPH symptoms.

10. Ling Zhi (Ganoderma Lucidum)

Widely known as Reishi in Japan and Líng zhī in China, this medicinal mushroom has been used for thousands of years in East Asia for its health-promoting properties. A study on 50 male volunteers showed that Ganoderma lucidum improved lower urinary tract symptoms (LUTS) without significant side effects. Animal models demonstrated its antioxidant effects, suggesting a protective role in bladder health.

11. Zi Su (Perilla Frutescens)

This aromatic plant, native to East Asia, is an important component of Japanese cuisine, but also has long been used in China as medicine. Studies showed that perilla extract reduced urinary frequency in hypertensive rats without affecting bladder pressure. 

The therapeutic effects of perilla are believed to stem from its anti-inflammatory properties, which contribute to the preservation of bladder lining integrity. Inflammation is often a contributing factor in urinary disorders, and by reducing inflammatory markers such as nerve growth factor (NGF) and tumor necrosis factor-alpha (TNF-α), perilla extract may support the health of the urothelium.

This is crucial because a healthy bladder lining can improve overall urinary function and reduce symptoms associated with conditions like OAB. Additionally, the increased expression of uroplakin 3A, a protein important for bladder barrier function, further indicates the protective effects of perilla on bladder health.

12. Lv Cha (Camellia Sinensis)

Camellia Sinensis is otherwise known as green tea. We all know green tea for its anti-inflammatory and antioxidant effects. Green tea may promote increased urination, but its key compound, epigallocatechin gallate (EGCG), has also been shown to improve bladder function. 

We know from animal studies that green tea helps by reducing inflammation and preventing fibrosis, which is particularly helpful in managing bladder conditions that can arise during menopause.

13. Gou Teng (Uncariae Ramulus)

Uncariae Ramulus, also known as Gou Teng, has a long-standing history of use in traditional Chinese and Japanese medicine, particularly for promoting bladder health.

The key active component of this herb, rhynchophylline, has been shown to effectively relax bladder muscles by modulating calcium channel function. By harmonizing calcium channel activity, rhynchophylline reduces the occurrence of sudden and undesired bladder contractions commonly associated with overactive bladder (OAB). This mechanism not only helps in alleviating urinary urgency but also contributes to overall bladder stability.

Gou Teng is also recognized for its calming properties, making it particularly beneficial for individuals experiencing incontinence alongside anxiety and insomnia.

Research supporting the efficacy of Uncariae Ramulus highlights its potential as a natural remedy for urinary disorders. Studies indicate that rhynchophylline not only inhibits involuntary bladder contractions but also enhances the overall function of the urinary system.

14. Ge Gen (Puerariae)

Gegen has been used in Traditional Chinese Medicine for a range of ailments, including diarrhea and upper respiratory infections. Research indicates that Gegen extract can relax the detrusor muscle and reduce bladder overactivity, thus reducing incidence of urge incontinence.

Ba-Wei-Di-Huang-Wan (BWDHW)

Ba-Wei-Di-Huang-Wan (BWDHW) is one of the oldest and most trusted herbal formulas in TCM. It was created over 1,800 years ago by Zhang Zhongjing and has been helping people ever since! This formula contains a blend of herbs like rehmannia root, dogwood fruit, and cinnamon bark, to name a few.

BWDHW is all about warming up your kidney yang (your body’s energy reserve), which helps to improve organ function, bringing relief to those suffering from urinary incontinence. For cold body types, this formula manages bladder overactivity by calming down the bladder’s sensory pathways (animal studies support this).

This formula is beneficial for stress urinary incontinence in people with kidney yang deficient cold, as it helps to warm kidney yang and improves physiological  function of the kidneys and the bladder.

Ji-Sheng-Shen-Qi-Wan (JSSQW)

Next up, we have Ji-Sheng-Shen-Qi-Wan (JSSQW). This is actually a variation of BWDHW that also targets stress urinary incontinence but with a few extra herbs thrown into the mix, like Achyranthes root and Plantain seed. 

In addition to nourishing your kidneys, JSSQW gets to the root of the problem by calming down the receptors in your bladder that are overreacting. Specifically, it targets receptors that make your bladder extra sensitive and keeps them in check, so you don’t feel like you need to rush to the bathroom all the time.

Suo-Quan-Wan (SQW)

Now let’s dive into Suo-Quan-Wan (SQW). This is a simpler formula with just three main herbs: Alpinia, Lindera root, and Chinese Yam. But don’t let its simplicity fool you—these herbs work wonders for your bladder!

SQW is particularly effective for treating urge urinary incontinence. Alpinia inhibits smooth muscle contraction in the bladder, Lindera enhances circulation around the bladder, while Chinese Yam builds up overall function in the body by reducing inflammation and oxidative stress. All three act in concert to help your bladder keep urine in without frequent leaks. 

Bu-Zhong-Yi-Qi-Tang (BZYQT)

Bu-Zhong-Yi-Qi-Tang (BZYQT) is a centuries-old herbal formula that comes from a medical text written back in 1249 AD. According to research, this remedy is designed to boost the spleen and stomach and it has been shown to be effective in treating overactive bladder (OAB) and Urge Urinary Incontinence (UUI). 

This formula gives your body an extra boost of energy, which enhances overall metabolism, improves digestive function and helps prevent urine leakage. Crucial herbs in this formula include Astragalus and Ginseng, among others.

Modified Wu-Zi-Yan-Zong-Wan (WZYZW)

WZYZQ is a formula made from the seeds and fruits of five berries, including Lycium chinense and Schisandra chinensis. A modified version of this formula developed in South Korea is called Modified Ojayeonjonghwan. This formula has shown promise in treating bladder problems caused by partial bladder outlet obstruction (BOO). In animal studies, this berry mixture works similarly to some modern medications by reducing inflammation and oxidative stress, which helps to calm overactive bladder symptoms.

Fang-Ji-Huang-Qi-Tang (FHT)

FHT is a simple but powerful blend of four herbs, including huáng qí (Radix Astragali Mongolici) and bái zhú (Rhizoma Atractylodis Macrocephalae). For over 1,800 years, it has been a go-to remedy for treating issues like urinary problems and swelling. 

Research on rats with benign prostatic hyperplasia (BPH) showed that FHT can improve lower urinary tract symptoms without shrinking the prostate. It likely works by calming the bladder muscles, possibly through ingredients that block calcium channels, which play a part in smooth muscle contraction.

Sang-Piao-Xiao-San (Mantis Formula)

Sang-Piao-Xiao-San, or Mantis Formula, has been used since the Northern Song Dynasty to address issues of urinary incontinence, especially in people with both heart and kidney deficiencies. 

The main herb in this formula is Mantidis ootheca, which has been shown to help relax smooth muscles and improve bladder function. Studies have even found that combining this formula with other treatments can reduce urinary urgency and incontinence while improving overall bladder health.

Maintaining bladder health with Chinese herbs can be simple and effective. Here are a few easy ways to incorporate them into your routine:

1. Herbal Teas and Infusions

A great way to support your kidneys and bladder is by drinking tea made from dried raspberry leaves or fruit. It helps tone the bladder muscles and keep things stable. A cup or two a day can go a long way in reducing incontinence symptoms. Also, if stress is impacting your bladder, Schisandra berry tea or tinctures might be your answer. This herb helps manage stress and can improve overall bladder control when taken regularly.

2. Dietary Changes

Foods that are greasy or spicy can irritate the bladder and lead to imbalances. TCM recommends cutting down on bladder irritants such as caffeine and alcohol.

3. Lifestyle Modifications

TCM also recognizes the role of lifestyle in managing bladder health. Relaxation techniques like meditation and deep breathing can support overall bladder function by reducing stress. 

Strengthening the pelvic floor muscles through exercises like Kegels can make a significant difference.

Kegels are simple, can be done at home, and are a great way to prevent urinary incontinence. But did you know that you can achieve the same results as Kegels without any exercise at all?

With advancements in HIFEM technology, we now have the Kegel machine, which takes pelvic floor exercises to the next level by delivering stronger contractions than you could achieve on your own. Imagine doing a hundred Kegels in just a few minutes—it’s that powerful!

Unlike traditional Kegel exercises that require effort and movement, our Kegel Throne uses high-intensity focused electromagnetic fields to stimulate muscle contractions, strengthening your pelvic floor without any physical strain.

Even better, this machine can deliver the equivalent of a cardio workout in just minutes. While you might manage about 200 Kegel contractions in 30 minutes, the Kegel machine can produce over 20,000 contractions in the same time frame!

At Soma Clinic, we offer a comprehensive urinary incontinence treatment package that includes a TCM consultation and the option to use the Kegel Throne. This convenient, non-invasive procedure strengthens your pelvic muscles without breaking a sweat, simulating the effects of 10,000 Kegel exercises in just one session.

For an even more effective solution, pair the Kegel machine with Traditional Chinese Medicine (TCM) herbs! While the machine strengthens your pelvic muscles, TCM herbs nourish your bladder and kidneys, addressing the underlying imbalances that contribute to urinary issues. Together, they provide a holistic approach to managing urinary incontinence, enhancing both your physical strength and internal health!

If you’re looking for natural ways to manage how to treat urinary incontinence, Chinese herbal medicine offers effective solutions. Combining ancient wisdom with modern understanding, Chinese herbs can help strengthen the bladder, improve urinary function, and address underlying causes of incontinence, such as nerve or muscle weakness. One of the key benefits of using Chinese herbs for urinary infections is their ability to restore balance to the body’s systems and promote overall health.

How to treat urinary incontinence using Chinese herbs often involves a tailored approach. Some of the most commonly used herbs include Cornus (Shan Zhu Yu), which tonifies the kidneys and strengthens bladder function, and Dandelion (Pu Gong Ying), known for its ability to clear heat and promote urination. These herbs help balance fluid metabolism, support the bladder’s control mechanisms, and reduce inflammation.

In addition to treating incontinence, Chinese herbs for urinary infections such as Bearberry (Wu Wei Xiao Du) and Rehmannia (Shu Di Huang) are used to clear infections, alleviate discomfort, and prevent recurring issues. By combining the benefits of both bladder-strengthening herbs and infection-fighting herbs, this holistic approach addresses both the symptoms and the root causes of urinary incontinence and infections.

When considering how to treat urinary incontinence, incorporating Chinese herbs for urinary infections can provide a comprehensive and natural solution for improved bladder health and overall well-being.

If you’re seeking a natural way to manage urinary incontinence, Ayurvedic medicine for urinary incontinence offers a holistic approach that targets the root causes of the condition. This traditional system of healing uses herbs, dietary changes, and lifestyle modifications to balance the body’s energies and strengthen the urinary system. Ayurvedic remedies are particularly effective in treating the underlying imbalances that contribute to urinary incontinence, such as weakened muscles, nerve dysfunction, or hormonal disturbances.

Ayurvedic medicine for urinary incontinence typically includes herbs like Gokshura (Tribulus terrestris), which is known to strengthen the bladder and improve urinary function, and Ashwagandha, which helps to tone the muscles and calm the nervous system. These herbs work together to enhance bladder control, improve pelvic floor strength, and support overall urinary health.

In addition to herbal treatments, medicine for urinary incontinence in Ayurveda also includes dietary recommendations to reduce excess heat or cold in the body, promote detoxification, and improve kidney and bladder function. Ayurvedic therapies like Kegel exercises, meditation, and yoga may also help support bladder control and reduce incontinence episodes.

By using Ayurvedic medicine for urinary incontinence alongside other natural therapies, you can find a comprehensive and effective way to manage and improve bladder health. If you’re looking for an alternative to pharmaceutical options, medicine for urinary incontinence rooted in Ayurveda offers a personalized and holistic solution.