How is bowel incontinence treated with Chinese medicine? Bowel incontinence, also known as anal incontinence, refers to the inability to voluntarily control bowel movements or gas due to various reasons, leading to autonomous control issues at the anus. In Traditional Chinese Medicine (TCM), treatment is divided into herbal medicine therapies and non-medicinal treatments. Herbal medicine treatment can be classified into several types, primarily the Qi Deficiency and Sinking type and the Spleen and Kidney Deficiency type. Each type utilizes different herbs. The Qi Deficiency and Sinking type, characterized by inability to control bowel movement and gas, anal prolapse, fatigue, poor appetite, a thin white tongue coating, and a fine pulse, is typically treated with Bu Zhong Yi Qi Tang. The Spleen and Kidney Deficiency type, which includes symptoms such as difficulty in controlling bowel and gas, sensation of dullness, dizziness, tinnitus, sore waist and knees, a thin white tongue coating, and a weak and fine pulse, is mainly treated with Jin Gui Shen Qi Wan, with an added dose of Bu Zhong Yi Qi Tang, indicating a somewhat more severe condition compared to the Qi Deficiency and Sinking type. Medications should be used under the guidance of a physician.