小便不利，表不解，若干呕发热而咳，少腹满者，小青龙汤去麻黄加茯苓也。（方论见效。）若汗下后，
仍项强发热，心下满痛者，桂枝去桂加茯苓白术。（方论见项强。）
小便不利，胸胁满，若往来寒热，未汗下者，小柴胡去黄芩加茯苓；汗下后者，加柴胡、桂、姜。（方论见往
来寒热。）若烦惊谵语，身重不可转侧者，柴胡汤加龙骨、牡蛎也。（论见不得卧。）
小便不利，大便乍难乍易，喘急不能卧者，大承气汤。（论见不得卧条）
小便不利而渴，若脉浮数发热者，五苓散加猪苓汤。（方论见渴）若头汗者，柴胡桂姜汤加茵陈蒿汤。（方论见发
黄。）
小便不利，关节疼痛，若痛不得屈伸，汗出恶风，身肿者，属风湿，宜甘草附子汤；若脉沉缓，大便反快
者，属湿痹，《活人》用五苓散也。（方论见身痛。）
小便不利，头汗，若胁满者，柴胡姜桂也。（方论见往来寒热。）
若发黄者，茵陈蒿汤也。小便不利，身发黄。（方论俱见发黄。）
大下后复发汗，小便不利者，亡津液故也，勿治之，得小便利，必自愈。（《活人》云∶若大渴引饮，须利之。）
小便不利，但欲寐者，属少阴，若腹满下利脓血者，用桃花汤。腹痛下利，四肢重痛者，用真武汤也。（方
论见下利。）若四逆者，用四逆散加茯苓。（方论见但欲寐。）
阳明病，小便不利， 然汗出者，若欲食者愈；不能食者，欲作痼瘕。痼瘕者，寒气积结也。
小便排出不畅，若伴有表证未解，出现干呕、发热及咳嗽，且少腹部胀满的，使用小青龙汤去掉麻黄，加入茯苓。（方剂论述及疗效见相关章节。）若在发汗或攻下治疗后，仍然出现项部僵硬、发热，以及胃脘部胀满疼痛的，使用桂枝去桂加茯苓白术汤。（方剂论述见“项强”条。）
小便排出不畅，伴有胸胁部胀满，若有寒热往来症状，且未经过发汗或攻下治疗的，用小柴胡汤去掉黄芩，加入茯苓；若已经经过发汗或攻下治疗的，则增加柴胡、桂枝、生姜的用量。（方剂论述见“寒热往来”条。）若出现烦躁、惊悸、说胡话，身体沉重无法转侧的，使用柴胡加龙骨牡蛎汤。（论述见“不得卧”条。）
小便排出不畅，大便时而困难时而容易，气喘急促不能平卧的，使用大承气汤。（论述见“不得卧”条。）
小便排出不畅且口渴，若脉象浮数、发热的，使用五苓散合猪苓汤。（方剂论述见“渴”条。）若仅有头部出汗的，使用柴胡桂姜汤合茵陈蒿汤。（方剂论述见“发黄”条。）
小便排出不畅，关节疼痛，若疼痛导致关节不能屈伸，伴有出汗、怕风、身体浮肿的，属于风湿病，适宜用甘草附子汤；若脉象沉缓，大便反而通畅的，属于湿痹，《活人书》主张使用五苓散。（方剂论述见“身痛”条。）
小便排出不畅，头部出汗，若伴有胁肋部胀满的，使用柴胡桂姜汤。（方剂论述见“寒热往来”条。）
若出现黄疸发黄的，使用茵陈蒿汤。小便排出不畅，身体发黄。（方剂论述均见“发黄”条。）
在大面积攻下后又再次发汗，导致小便不利的，这是因为津液耗损的缘故，不要强行利尿治疗，待小便自然通利后，疾病必定自愈。（《活人书》云：如果极度口渴想喝水，则需要利尿。）
小便排出不畅，精神萎靡只想睡觉的，属于少阴病；若伴有腹部胀满、下利脓血的，使用桃花汤。腹痛下利，四肢沉重疼痛的，使用真武汤。（方剂论述见“下利”条。）若出现四肢厥冷的，使用四逆散加入茯苓。（方剂论述见“但欲寐”条。）
阳明病，小便排出不畅，全身微微出汗的，若能进食则预示痊愈；若不能进食的，预示着将要形成痼瘕。所谓痼瘕，是指寒气积结而成的病证。
Impaired urination, if accompanied by unresolved exterior syndrome, dry retching, fever, cough, and fullness in the lower abdomen, is treated with Xiao Qing Long Tang (Minor Blue Dragon Decoction) with Mahuang removed and Fuling added. (Discussion on the formula and its efficacy is found in the relevant section.) If after sweating or purging, neck stiffness, fever, and fullness and pain in the epigastrium persist, Guizhi Qu Gui Jia Fuling Baizhu Tang (Cinnamon Twig Decoction without Cinnamon Twig plus Poria and Atractylodes Macrocephala Decoction) is used. (Discussion on the formula is found under "Neck Stiffness".)
Impaired urination with chest and hypochondriac fullness, if accompanied by alternating chills and fever, and not yet subjected to sweating or purging, is treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction) with Huangqin removed and Fuling added; if already subjected to sweating or purging, the dosages of Chaihu, Guizhi, and Shengjiang are increased. (Discussion on the formula is found under "Alternating Chills and Fever".) If irritability, fright, delirium, and body heaviness preventing turning over occur, Chai Hu Jia Long Gu Mu Li Tang (Bupleurum Decoction plus Dragon Bone and Oyster Shell) is used. (Discussion is found under "Inability to Sleep".)
Impaired urination with stool that is alternatively difficult and easy, wheezing, urgency, and inability to lie flat, is treated with Da Cheng Qi Tang (Major Order the Qi Decoction). (Discussion is found under "Inability to Sleep".)
Impaired urination with thirst, if the pulse is floating and rapid with fever, is treated with Wu Ling San (Five-Ingredient Powder with Poria) combined with Zhu Ling Tang (Poria Decoction). (Discussion on the formula is found under "Thirst".) If there is only sweating on the head, Chai Hu Gui Jiang Tang (Bupleurum, Cinnamon Twig, and Ginger Decoction) combined with Yin Chen Hao Tang (Artemisia Capillaris Decoction) is used. (Discussion on the formula is found under "Jaundice".)
Impaired urination with joint pain, if the pain prevents flexion and extension, accompanied by sweating, aversion to wind, and bodily edema, belongs to Wind-Dampness, and Gancao Fuzi Tang (Licorice and Aconite Decoction) is appropriate; if the pulse is deep and slow, and the stool is surprisingly loose, it belongs to Damp Bi Syndrome, and *Huo Ren* recommends using Wu Ling San (Five-Ingredient Powder with Poria). (Discussion on the formula is found under "Body Pain".)
Impaired urination with sweating on the head, if accompanied by hypochondriac fullness, is treated with Chai Hu Gui Jiang Tang (Bupleurum, Cinnamon Twig, and Ginger Decoction). (Discussion on the formula is found under "Alternating Chills and Fever".)
If jaundice occurs, Yin Chen Hao Tang (Artemisia Capillaris Decoction) is used. Impaired urination with yellowing of the body. (Discussions on the formulas are all found under "Jaundice".)
After severe purging followed by repeated sweating, if impaired urination occurs, it is due to the loss of body fluids; do not treat it directly. Once urination becomes normal, the condition will heal spontaneously. (*Huo Ren* states: If there is extreme thirst with a desire to drink, diuresis is necessary.)
Impaired urination with drowsiness and a desire to sleep belongs to Shaoyin disease; if accompanied by abdominal fullness and dysentery with pus and blood, Taohua Tang (Peach Seed Decoction) is used. Abdominal pain with dysentery and heavy, painful limbs are treated with Zhen Wu Tang (True Warrior Decoction). (Discussion on the formula is found under "Dysentery".) If cold extremities occur, Sini San (Recover the Extremities Powder) with Fuling added is used. (Discussion on the formula is found under "Desire to Sleep".)
Yangming disease with impaired urination and slight general sweating: if the patient can eat, recovery is indicated; if unable to eat, it indicates the impending formation of Gu Jia (stubborn masses). Gu Jia refers to pathological accumulation caused by cold qi.