〔《活》〕阴症小便不利，手足厥冷，脉微细者，不宜服利小便冷滑药，但服返阴丹，并取脐下
石门穴灸之。（方论见阴毒返阴丹。）
〔《集》〕伤寒小便不通，取阴谷、阴陵泉。
伤寒后，小便不利。（见小便不通门。）
汗后小便难，若太阳发汗，遂漏不止者，则恶风，小便难，四肢难屈伸，宜桂枝附子汤也。（方论自汗。）
若太阳症中风，以火劫发汗，则邪风被火热，血气流溢，身黄，阳盛阴虚，欲衄，小便难也。（方论
见头汗。）若少阴以火劫汗者，则咳而下利，谵语，小便难也。（论见胁痛。）
下后小便难有二∶若脉迟浮弱，恶风寒，下之者则胁满，身黄，项强，小便难也。（见胁痛。）若阳明
胃实，发热恶寒，脉浮紧，下之者，则腹满，小便难也。（论见胃实。）
胁痛，身黄，小便难，若阳明胃实未下者，宜小柴胡汤；若下后不食，项强者，忌柴胡。（论见胁痛。）
少阴脉不至，肾气微，少精血，奔气促迫，上入胸膈，荣气反聚，血结心下，阳气退下，热归阴股，与阴
相动，令身不仁，此为尸厥，当刺期门。太阳病下之不愈，因复发汗，以此表里俱虚，其人因至冒，冒
家汗出自愈。所以然者，汗出表和故也。得里和，然后复下之。（“得里和”三字中间必有衍文脱简。
“得”字当是“若”字之误。“里和”当
是“里未和”，盖脱一“未”字也）
下利清谷，脉沉迟，其人面赤，身有微热者，必郁冒汗出解。（论见下利。）
小便不利，大便乍难乍易，喘冒不能卧者，大承气汤。（论见下利。）诸乘寒者则为厥，郁冒不仁，
口急不能言，战栗也。（论见大法。）眩冒，心下硬，若不汗下吐而项强者，为并病，宜刺大椎、肺 、
肝。（论见项强。）
若汗下吐后，脉微，气上冲咽者，成痿。（论见气上冲。）少阴病，但欲寐，下利止而眩冒者死。
（论见欲寐。）
【《活人书》】阴证出现小便不利，手足厥冷，脉象微细的，不宜服用通利小便且性味寒凉滑利的药物，只应服用返阴丹，并灸取脐下的石门穴。（方剂论述见“阴毒返阴丹”条。）
【《集验方》】伤寒导致小便不通，取阴谷穴、阴陵泉穴。
伤寒之后，出现小便不利。（参见“小便不通”门。）
发汗后出现小便困难，如果是太阳病发汗过度，导致汗漏不止，则会出现恶风、小便困难、四肢难以屈伸的症状，适宜用桂枝附子汤治疗。（方剂论述见“自汗”条。）
如果是太阳中风证，用火法强行发汗，那么邪风被火热之气所迫，气血运行溢出常态，身体发黄，阳盛阴虚，想要发生鼻衄，同时出现小便困难。（方剂论述见“头汗”条。）
如果是少阴病用火法强行发汗，则会出现咳嗽、腹泻、谵语、小便困难等症状。（论述见“胁痛”条。）
攻下之后出现小便困难有两种情况：如果脉象迟而浮弱，恶风寒，误用攻下法，则会出现胁部胀满、身体发黄、项部强直、小便困难。（参见“胁痛”条。）如果是阳明胃家实证，发热恶寒，脉象浮紧，误用攻下法，则会出现腹部胀满、小便困难。（论述见“胃实”条。）
胁痛、身体发黄、小便困难，如果是阳明胃家实证尚未攻下的，适宜用小柴胡汤；如果是攻下之后不能进食、项部强直的，忌用柴胡。（论述见“胁痛”条。）
少阴脉不至，肾气微弱，精血不足，奔豚之气急促逼迫，向上冲入胸膈，营气反而聚集，血液结聚在心下，阳气退居下行，热邪归于阴股，与阴气相互激荡，导致身体麻木不仁，这称为尸厥，应当针刺期门穴。太阳病误用攻下法未愈，又再次发汗，因此表里俱虚，病人因此出现昏冒，昏冒的病人通过出汗可以自愈。之所以这样，是因为汗出后表气调和的缘故。等到里气调和之后，然后再考虑攻下。（“得里和”三字中间必定有衍文或脱简。“得”字应该是“若”字的误写。“里和”应该是“里未和”，大概脱漏了一个“未”字。）
腹泻排出未消化的食物，脉象沉迟，病人面部发红，身体有轻微发热的，一定会因为郁冒后出汗而解病。（论述见“下利”条。）
小便不利，大便时而难时而易，气喘昏冒不能平卧的，用大承气汤。（论述见“下利”条。）凡是受寒邪侵袭的就会发生厥逆，出现郁冒、身体麻木不仁、口唇拘急不能说话、战栗发抖等症状。（论述见“大法”条。）眩晕昏冒，心下部硬满，如果不经过汗、下、吐法治疗而项部强直的，属于并病，适宜针刺大椎穴、肺俞穴、肝俞穴。（论述见“项强”条。）
如果在汗、下、吐法治疗后，脉象微细，气向上冲至咽喉的，会形成痿证。（论述见“气上冲”条。）少阴病，只想睡觉，如果腹泻停止却出现眩晕昏冒的，预后不良，主死。（论述见“欲寐”条。）
[From *Huoren Shu* (Book of Living Persons)] In Yin syndromes presenting with difficult urination, cold extremities, and a faint and fine pulse, one should not administer diuretic drugs that are cold and slippery in nature. Instead, only administer Fanyin Dan (Return to Yin Pill) and moxa the Shimen (Stone Gate, CV5) acupoint located below the umbilicus. (Formula discussion see "Yin Toxin Fanyin Dan".)
[From *Jiyan Fang* (Collection of Proven Prescriptions)] For Taiyang disease (Exterior Syndrome of the Hand-Taiyang Bladder Channel) presenting with urinary retention, select YinGu (Yin Valley, KI10) and YinLingQuan (Yin Mound Spring, SP9).
After Taiyang disease, if difficult urination occurs. (See section on "Urinary Retention".)
If difficult urination occurs after sweating: If Taiyang disease was treated with excessive sweating leading to continuous leakage of sweat, symptoms such as aversion to wind, difficult urination, and difficulty flexing/extending the limbs will arise; Guizhi Fuzi Tang (Cinnamon Twig and Aconite Decoction) is indicated. (Formula discussion see "Spontaneous Sweating".)
If Taiyang Wind-strike syndrome is treated with fire methods to force sweating, the pathogenic wind is constrained by the heat, causing blood and qi to overflow abnormally. Symptoms include yellowing of the body, excess Yang and deficiency of Yin, desire for epistaxis, and difficult urination. (Formula discussion see "Head Sweating".)
If Shaoyin disease (Interior Syndrome of the Hand-Shaoyin Heart Channel / Foot-Shaoyin Kidney Channel) is treated with fire methods to force sweating, symptoms such as cough, diarrhea, delirious speech, and difficult urination will occur. (Discussion see "Hypochondriac Pain".)
There are two types of difficult urination following purgation:
1. If the pulse is slow, floating, and weak, with aversion to wind and cold, and purgation is mistakenly applied, symptoms of hypochondriac fullness, jaundice, neck stiffness, and difficult urination will arise. (See "Hypochondriac Pain".)
2. If Yangming Stomach Excess syndrome presents with fever, aversion to cold, and a floating-tight pulse, and purgation is mistakenly applied, symptoms of abdominal fullness and difficult urination will arise. (Discussion see "Stomach Excess".)
For hypochondriac pain, jaundice, and difficult urination: If Yangming Stomach Excess has not yet been purged, Xiaochaihu Tang (Minor Bupleurum Decoction) is indicated. If purgation has already been applied and the patient cannot eat and has neck stiffness, Chaihu (Bupleuri Radix) is contraindicated. (Discussion see "Hypochondriac Pain".)
When the Shaoyin pulse is absent, Kidney Qi is weak, and essence and blood are deficient, rushing Qi (Ben-Qi) presses urgently upward into the chest and diaphragm. Ying-Qi (Nutritive Qi) gathers abnormally, and blood stagnates below the heart. Yang Qi retreats downward, and heat returns to the inner thighs. Interaction between heat and Yin causes insensibility of the body; this is called Corpse-Jue (Shi-Jue), and Qimen (Liver 14, LR14) should be needled.
If Taiyang disease is not cured by purgation and then sweating is reapplied, both exterior and interior become deficient. The patient may experience Mao (vertigo/fainting). Patients with Mao will recover spontaneously through sweating. This is because sweating harmonizes the exterior. Once the interior is harmonized, purgation may then be considered. (*Note*: There must be interpolations or missing text around "De Li He" [Obtain Interior Harmony]. "De" [Obtain] is likely a typo for "Ruo" [If]. "Li He" [Interior Harmonized] is likely "Li Wei He" [Interior Not Yet Harmonized], missing the character "Wei" [Not].)
If there is diarrhea with undigested food, a deep-slow pulse, facial redness, and slight body heat, recovery will occur through Du-Mao (depression and vertigo) followed by sweating. (Discussion see "Diarrhea".)
If there is difficult urination, alternating difficulty and ease of defecation, asthma, vertigo, and inability to lie down, Dachengqi Tang (Major Order the Qi Decoction) is indicated. (Discussion see "Diarrhea".)
All cases affected by Cold result in Jue (cold extremities/reversal), Du-Mao (depression/vertigo), insensibility, oral tension preventing speech, and tremors/shivering. (Discussion see "General Principles".)
If there is vertigo and Mao, hardness below the heart, and neck stiffness without prior treatment via sweating, purging, or vomiting, it is classified as Bing-Bing (Combined Disease); DaZhui (Governing Vessel 14, GV14), Fei-Shu (Bladder 13, BL13), and Gan-Shu (Bladder 18, BL18) should be needled. (Discussion see "Neck Stiffness".)
If after sweating, purging, or vomiting, the pulse is faint and Qi rushes upward to the throat, Wei (flaccidity syndrome) will form. (Discussion see "Qi Rushing Upward".)
In Shaoyin disease, if the patient desires sleep, and diarrhea stops but is followed by vertigo and Mao, the prognosis is fatal. (Discussion see "Desire to Sleep".)