小便不通，有气虚、血虚、有痰、风闭、实热。气虚，用参、 、升麻等，先
服后吐，或参、 药中探吐之；
血虚，四物汤，先服后吐，或芎归汤中探吐亦可；痰多，二陈汤，先服后吐。以上皆用探
吐。若痰气闭塞，二陈汤加木通（一作木香）、香附探吐之，以提其气。气升则水自降下，盖
承载其水也。有实热者当利之，砂糖汤调牵牛末二三分，或山栀之类。有热、有湿、有气
于下，宜清、宜燥、宜升。有孕之妇，多患小便不通，胞被胎压下故也。《转胞论》用四物
参、术、半夏、陈皮、甘草，姜枣煎汤，空心服。一妇人脾疼后，患大小便不通，此是痰隔
中焦，气滞于下焦，以二陈汤加木通，初吃后，煎
〔附录〕肾主水，膀胱为之府，水潴于膀胱而泄于小肠，实相通也。然小肠独应于心者，
哉？盖阴不可以无阳，水不可以无火，水火既济，上下相交，此荣卫所以流行，而水窦开阖
所以不失其司耳。惟夫心肾不交，阴阳不调，故内外关格而水道涩，传送失度而水道滑，热
则不通，冷则不禁。其热盛者，小便闭而绝无；其热微者，小便难而仅有。肾与膀胱俱虚，
客热乘之，故不能制水。水挟热而行涩，为是以数起而溺有余沥；肾与膀胱俱冷，内气不
充，故胞中自滑，所出多而色白，为是以遇夜阴盛愈多矣。小便涩滑，又当调适其气欤。
附方
草蜜汤 治心肾有热，小便不通。
生车前草
捣取自然汁半盏，入蜜一匙，调下。
蒲黄汤 治心肾有热，小便不通。
赤茯苓 木通 车前子 桑白皮 荆芥 灯心 赤芍 甘草（炙） 生蒲黄 滑石（等分）
上为末。每服二钱，葱头一根，紫苏五叶，煎汤调服。
又方 治膀胱不利为癃。癃者，小便闭而不通。
八正散加木香以取效。或云滑石亦可。
又方 治小便不通，脐下满闷。
海金沙（一两） 腊茶（半两）
上为末。每服三钱，生姜甘草汤调下。
又方 治小便不通。
鸡子中黄一枚，服之不过三。
又方
炒盐热熨小腹，冷复易之。
又方 治忍小便久致胞转。
自取爪甲烧饮服之。
又方 以蒲黄裹患人肾，令头至地，三度即通。
又方 取陈久笔头一枚，烧为灰，和水服之。
芎归汤 见肠风类。
二陈汤 见中风。
八正散 见淋。
小便不通，可由气虚、血虚、痰阻、风邪闭塞或实热引起。若是气虚所致，使用人参、[原文缺字，据理推测为黄芪或白术等补气药]、升麻等药物，先服用后引发呕吐，或者在参、[同上]类药物中探吐；若是血虚所致，用四物汤，先服用后引发呕吐，或在芎归汤中探吐也可以；痰多者，用二陈汤，先服用后引发呕吐。以上情况都采用探吐法。如果是痰气闭塞，用二陈汤加木通（一说为木香）、香附进行探吐，以提举其气。气机上升则水液自然下降，这是因为气能承载水液。有实热的应当通利，用砂糖汤调服牵牛子末二三分，或者山栀之类。下焦有热、有湿、有气滞的，适宜清热、燥湿、升提。孕妇多患小便不通，是因为子宫被胎儿压迫向下所致。《转胞论》中用四物汤加人参、白术、半夏、陈皮、甘草，加生姜、大枣煎汤，空腹服用。有一位妇女脾疼之后，出现大小便不通，这是痰浊阻隔中焦，气机停滞于下焦，用二陈汤加木通，初服后，煎煮[原文此处似有脱漏，意指服药后的反应或后续处理]。
【附录】肾主水液代谢，膀胱是贮存尿液的府库，水液潴留在膀胱而排泄经过小肠，实际上是相通的。然而小肠单独对应心脏的原因是什么呢？大概是因为阴不能没有阳，水不能没有火，水火既济，上下相交，这就是营卫之气得以流行的原因，也是水窦开阖功能不失常度的关键。只有当心肾不交，阴阳不调时，才会导致内外关格而水道涩滞，传送失度而水道滑泄，热盛则小便不通，寒冷则小便不禁。热盛的，小便闭塞且完全没有；热轻微的，小便困难且仅有少量。肾与膀胱都虚弱，客热侵袭，所以不能制约水液。水挟带热而行涩，因此尿频且排尿有余沥；肾与膀胱都寒冷，内气不充实，所以膀胱自滑，尿量多且颜色白，因此遇到夜晚阴气盛时尿更多。小便涩滞或滑泄，又应当调理其气机。
附方
草蜜汤 治疗心肾有热，小便不通。
生车前草
捣取自然汁半盏，加入蜂蜜一匙，调匀服用。
蒲黄汤 治疗心肾有热，小便不通。
赤茯苓 木通 车前子 桑白皮 荆芥 灯心 赤芍 甘草（炙） 生蒲黄 滑石（各等分）
上述药物研为细末。每次服用二钱，用葱头一根，紫苏五叶，煎汤调服。
又一方 治疗膀胱不利导致的癃闭。癃，是指小便闭塞不通。
八正散加木香以取得疗效。有人说滑石也可以。
又一方 治疗小便不通，脐下满闷。
海金沙（一两） 腊茶（半两）
上述药物研为细末。每次服用三钱，用生姜甘草汤调服。
又一方 治疗小便不通。
鸡蛋黄一枚，服用，不超过三次即可。
又一方
炒盐加热熨烫小腹，冷了就更换。
又一方 治疗忍尿久致膀胱扭转。
自己取指甲烧成灰饮用服用。
又一方 将蒲黄包裹患者的肾脏部位，令患者头朝下，三次后即可通畅。
又一方 取陈旧已久的笔头一枚，烧成灰，和水服用。
芎归汤 见肠风类。
二陈汤 见中风。
八正散 见淋证。
Urinary retention may be caused by Qi deficiency, Blood deficiency, Phlegm obstruction, Wind closure, or Excess Heat. If due to Qi deficiency, use Ren Shen (Ginseng Radix), [character missing in original text, likely Huang Qi or Bai Zhu], Sheng Ma (Cimicifugae Rhizoma), etc., administer first and then induce vomiting, or induce vomiting by probing with Ren Shen and [same as above] decoctions; if due to Blood deficiency, use Si Wu Tang (Four Substances Decoction), administer first and then induce vomiting, or inducing vomiting within Xiong Gui Tang (Ligusticum and Angelica Decoction) is also acceptable; if there is much Phlegm, use Er Chen Tang (Two Aged Decoction), administer first and then induce vomiting. All the above cases employ the method of induced vomiting. If it is blockage due to Phlegm and Qi stagnation, use Er Chen Tang added with Mu Tong (Akebiae Caulis, one version says Mu Xiang Aucklandiae Radix) and Xiang Fu (Cyperi Rhizoma) to induce vomiting, thereby lifting the Qi. When Qi ascends, water naturally descends, because Qi carries water. For those with Excess Heat, purgation/drainage is indicated; use Sha Tang (Sugar Water) to mix with Qian Niu Zi (Pharbitidis Semen) powder, two or three fen, or Zhi Zi (Gardeniae Fructus) and similar herbs. For Heat, Dampness, and Qi stagnation in the Lower Jiao, clearing heat, drying dampness, and ascending are appropriate. Pregnant women often suffer from urinary retention because the uterus is pressed downward by the fetus. In "Zhuan Bao Lun" (Treatise on Displaced Bladder), Si Wu Tang is used with added Ren Shen, Bai Zhu, Ban Xia, Chen Pi, Gan Cao, decocted with Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus), taken on an empty stomach. One woman, after suffering from Spleen pain, developed urinary and fecal retention; this was due to Phlegm obstructing the Middle Jiao and Qi stagnating in the Lower Jiao. She was treated with Er Chen Tang added with Mu Tong. After the initial dose, [text seems incomplete here, implying subsequent treatment or reaction].
[Appendix] The Kidney governs water metabolism, and the Bladder is its fu organ. Water accumulates in the Bladder and is excreted via the Small Intestine; they are essentially connected. However, why does the Small Intestine correspond uniquely to the Heart? It is because Yin cannot exist without Yang, and water cannot exist without Fire. When Water and Fire interact harmoniously, Upper and Lower Jiao communicate, which is why Ying and Wei Qi circulate freely, and the opening and closing of the "Water Dou" (water passages) remain regulated. Only when Heart and Kidney fail to interact, and Yin and Yang are imbalanced, do internal and external obstructions occur, leading to sluggish water passages. When transmission is excessive, water passages become slippery; Heat causes obstruction, while Cold causes incontinence. In cases of severe Heat, urine is completely blocked; in mild Heat, urination is difficult and scanty. When both Kidney and Bladder are deficient, pathogenic Heat invades, so they cannot control water. Water carrying Heat flows sluggishly, resulting in frequent urination with dribbling; when both Kidney and Bladder are cold, internal Qi is insufficient, causing the bladder to slip spontaneously, resulting in copious, white urine, which increases further at night when Yin is dominant. For sluggish or slippery urination, one must regulate the Qi.
Attached Formulas
Cao Mi Tang (Plantain Honey Decoction) Treats Heat in Heart and Kidney causing urinary retention.
Sheng Che Qian Cao (Fresh Plantain Herb)
Crush to extract natural juice, half a cup, add one spoonful of honey, mix and take.
Pu Huang Tang (Sparganii Pollen Decoction) Treats Heat in Heart and Kidney causing urinary retention.
Chi Fu Ling (Poria Cocos with Red Cortex), Mu Tong (Akebiae Caulis), Che Qian Zi (Plantaginis Semen), Sang Bai Pi (Mori Cortex), Jing Jie (Schizonepetae Spica), Deng Xin Cao (Junci Medulla), Chi Shao (Paeoniae Radix Rubra), Gan Cao (Licorice Root, roasted), Sheng Pu Huang (Sparganii Pollen), Hua Shi (Talcum) (equal parts).
Grind the above into powder. Take two qian each time, decoct one scallion root and five Perilla leaves in water, and mix with the powder for administration.
Another Formula Treats Bladder dysfunction leading to Long Bi (strangury/retention). Long refers to complete urinary obstruction.
Ba Zheng San (Eight-Ingredient Powder for Rectification) added with Mu Xiang (Aucklandiae Radix) for efficacy. Some say Hua Shi (Talcum) is also effective.
Another Formula Treats urinary retention with fullness and stuffiness below the umbilicus.
Hai Jin Sha (Lygodii Spora) (one liang), La Cha (Preserved Tea) (half liang).
Grind the above into powder. Take three qian each time, mixed with Sheng Jiang Gan Cao Tang (Ginger and Licorice Decoction).
Another Formula Treats urinary retention.
One egg yolk, take it, no more than three doses.
Another Formula
Heat fried salt and apply hot compress to the lower abdomen; replace when cold.
Another Formula Treats bladder torsion caused by holding urine for a long time.
Take your own fingernails, burn them to ash, and swallow with water.
Another Formula Wrap Pu Huang (Sparganii Pollen) around the patient's kidney area, make the patient bend forward with head down, three times will result in patency.
Another Formula Take one old brush tip, burn to ash, mix with water and take.
Xiong Gui Tang See Intestinal Wind category.
Er Chen Tang See Stroke category.
Ba Zheng San See Lin Syndrome category.