辽宁石××，年三十二岁，于仲冬得小便不通证。
病因 晚饭之后，食梨一颗，至夜站岗又受寒过甚，遂致小便不通。
证候 病初得时，先入西医院治疗。西医治以引溺管小便通出，
有顷小便复存蓄若干，西医又纳以橡皮引溺管，使久在其中有尿即通出。乃初虽稍利，继则小便
仍不出，遂求为延医。其脉弦细沉微，不足四至，自言下焦疼甚且凉甚，知其小便
因受寒而凝滞也，斯当以温热之药通之。
处方 野党参（五钱） 椒目（五钱炒捣） 怀牛膝（五钱） 乌附子（三钱）
广肉桂（三钱） 当归（三钱） 干姜（二钱） 小茴香（二钱）
生明没药（二钱） 威灵仙（二钱） 甘草（二钱）
共煎一大盅，温服。
方解 方中之义，人参、灵仙并用，可治气虚小便不通。椒目与桂、附、干姜并用，可治因寒
小便不通。又佐以当归、牛膝、茴香、没药、甘草诸药，或润而滑之，或引而下之，或
辛香以透窍，或温通以开瘀，或和中以止疼，众药相济为功，自当随手奏效也。
效果 将药煎服一剂，小便通下，服至三剂，腹疼觉凉全愈，脉
已复常。俾停服汤药，日用生硫黄钱许研细，分作两次服，以善其后。
帮助 诸家本草，皆谓硫黄之性能使大便润小便长，用于此证，
其暖而能通之性适与此证相宜也。
辽宁石××，三十二岁，在仲冬时节患上小便不通的病症。
病因 晚饭后，吃了一个梨，到了夜里站岗时又受了严重的寒气，从而导致小便不通。
证候 病初起时，先去了西医院治疗。西医采用插入导尿管的方法使小便排出，过了一会儿，膀胱内又蓄积了若干尿液，西医再次插入橡皮导尿管，使其长时间留置体内，有尿即排出。起初虽然稍见通畅，但随后小便仍然无法排出，于是请求我为其诊治。他的脉象弦细沉微，每息不足四至（脉搏缓慢），自己诉说下焦疼痛剧烈且感觉非常寒冷，由此判断他的小便因受寒而凝滞，此时应当用温热的药物来通利小便。
处方 野党参（五钱） 椒目（五钱，炒后捣碎） 怀牛膝（五钱） 乌附子（三钱） 广肉桂（三钱） 当归（三钱） 干姜（二钱） 小茴香（二钱） 生明没药（二钱） 威灵仙（二钱） 甘草（二钱）
共煎煮一大盅，温服。
方解 本方的用意在于：人参和威灵仙并用，可以治疗气虚导致的小便不通；椒目与肉桂、附子、干姜并用，可以治疗因寒邪导致的小便不通。另外辅以当归、牛膝、茴香、没药、甘草等药物，有的起到滋润滑利的作用，有的引导药力下行，有的利用辛香之性透达窍道，有的通过温通作用消散瘀滞，有的调和脾胃以止痛，各种药物相互配合发挥作用，自然能够随手奏效。
效果 将药煎服一剂后，小便得以通畅，服用至三剂，腹痛及腹部发凉的感觉完全痊愈，脉象也已恢复正常。嘱咐停止服用汤药，每日取约一钱的生硫黄研成细粉，分两次服用，以巩固疗效。
帮助 各家本草著作，都记载硫黄的药性能使大便润燥、小便通长，用于此证，其温暖而能通利的特性正与此证相适宜。
Liaoning resident Shi XX, aged thirty-two, contracted a syndrome of urinary retention in the middle of winter.
Etiology After dinner, he ate one pear. Later that night, while standing guard, he was severely exposed to cold, which subsequently led to urinary retention.
Clinical Manifestations At the onset of the illness, he first sought treatment at a Western hospital. The Western physicians employed a catheter to drain urine. After a short while, a certain amount of urine accumulated again in the bladder, so the physicians inserted a rubber catheter and left it in place for an extended period to ensure immediate drainage whenever urine was produced. Although there was slight relief initially, urination eventually ceased completely. He then requested my medical consultation. His pulse was wiry, fine, deep, and faint (Xian Xi Chen Wei), with fewer than four beats per respiration. He reported severe pain and intense cold sensation in the lower jiao. This indicated that his urinary retention was caused by cold-induced stagnation; therefore, warm-natured herbs should be used to promote urination.
Prescription Wild Codonopsis Root (Dangshen) - 5 qian; Zanthoxylum Seed (Jiaomu) - 5 qian (stir-fried and crushed); Huai Achyranthes Root (Huainiuxi) - 5 qian; Prepared Aconite Root (Wufuzi) - 3 qian; Guang Cassia Bark (Guangrougui) - 3 qian; Angelica Sinensis Root (Danggui) - 3 qian; Dried Ginger (Ganjiang) - 2 qian; Small Fennel Fruit (Xiaohuixiang) - 2 qian; Raw Myrrh (Shengming Moyao) - 2 qian; Clematis Root (Weilingxian) - 2 qian; Licorice Root (Gancao) - 2 qian.
Decoct together in a large cup of water and take warm.
Formula Analysis The rationale of this formula is as follows: The combination of Ginseng Radix et Rhizoma (Renshen) and Clematis Root (Weilingxian) can treat urinary retention due to Qi deficiency. The combination of Zanthoxylum Seed (Jiaomu) with Cassia Bark (Rougui), Aconite Root (Fuzi), and Dried Ginger (Ganjiang) can treat urinary retention due to cold. Additionally, herbs such as Angelica Sinensis Root (Danggui), Achyranthes Root (Niuxi), Fennel Fruit (Huixiang), Myrrh (Moyao), and Licorice Root (Gancao) are added as adjuvants. Some provide moistening and lubricating effects, some guide the action downward, some use acrid-aromatic properties to penetrate orifices, some use warming and unblocking actions to resolve stasis, and some harmonize the middle jiao to relieve pain. Through the synergistic effect of these herbs, efficacy is expected to be achieved promptly.
Outcome After taking one dose, urination became patent. After three doses, abdominal pain and the sensation of cold in the abdomen were completely resolved, and the pulse returned to normal. It was advised to stop taking the decoction. Instead, approximately one qian of raw Sulfur (Liuhuang) should be ground into fine powder daily and taken in two divided doses to consolidate the recovery.
Commentary Various materia medica texts state that Sulfur (Liuhuang) has the property of moistening the bowels and promoting urination. Its warming and unblocking nature is particularly suitable for this syndrome.