《病源论》云∶小便不禁者,肾气虚,下焦受冷也。肾主水,其气下通于阴,肾虚下焦
冷,
《新录方》治小便不禁方∶
柏树白皮切三升,以水三升,煮取一升二合,分再服,相去十里。
又方∶故甑带,以水三升,煮取一升二合,分二服。
又方∶露蜂房灰,酒服方寸匕,日二。
又方∶石榴皮子灰,酒服方寸匕。
又方∶榆白皮切二升,水四升,煮取一升六合,二服。
《令李方》∶小便不禁数行方∶
当归(二两) 甘草(五分)
凡二物,冶下筛,酒服半钱匕,日三,一月瘥。夏月纳茯苓,阴肿痛纳黄 分等。
《极要方》疗小便不禁或如血色方∶
麦门冬(八两,去心) 蒺藜子(二两) 甘草(一两,炙) 干姜(四两) 桂心(二
两) 干地黄
上,水一斗,煮取二升半,分三服。
《僧深方》治膀胱急热、小便黄赤滑石汤方∶
滑石(八两,碎) 子芩〔(一名黄芩)三两〕 车前子(一升) 葵子(一升) 榆
皮(四两)
凡五物,以水七升,煮取三升,分三服。
《龙门方》疗人小便白稠方∶
取蜂房烧作灰,和水一服一匕,瘥。
《范汪方》治小便利多而或白精从尿后出方∶
栝蒌(三分) 滑石(二分) 石苇(一分)
三物,为散,麦粥服方寸匕,日三。
又云∶治小便白浊而多方∶
桑茸(三分) 甘草(五分)
二物,为散,以酢浆服方寸匕,日三。
又云∶治虚羸,少(小)便青黄白黑,白如米汁方∶
白善〔(一名白玉)六分〕 龙骨(五分) 牡蛎(二分) 小豆(三两,熬) 土瓜
根(二分)
凡五物,冶筛,以酒服一方寸匕,日三。
《诸病源候论》说:小便失禁,是由于肾气虚弱,下焦受寒所致。肾主管水液代谢,其经气向下通达于前阴;若肾虚且下焦寒冷,就会导致小便不禁。
《新录方》治疗小便失禁的方剂:
取柏树白皮切块三升,用水三升,煎煮至剩一升二合,分两次服用,两次服药间隔相当于步行十里路的时间。
另一个方子:
取旧的蒸笼带,用水三升,煎煮至剩一升二合,分两次服用。
又一个方子:
取露蜂房烧成灰,用酒送服一方寸匕,每日两次。
又一个方子:
取石榴皮和石榴籽烧成灰,用酒送服一方寸匕。
又一个方子:
取榆白皮切块二升,用水四升,煎煮至剩一升六合,分两次服用。
《令李方》治疗小便频数不禁的方剂:
当归(二两) 甘草(五分)
以上两味药,研磨过筛,用酒送服半钱匕,每日三次,一个月可痊愈。夏季加入茯苓;若伴有阴部肿痛,则加入黄芩,分量相等。
《极要方》治疗小便失禁或尿液呈血色的方剂:
麦门冬(八两,去心) 蒺藜子(二两) 甘草(一两,炙烤) 干姜(四两) 桂心(二两) 干地黄
以上药物,用水一斗,煎煮至剩二升半,分三次服用。
《僧深方》治疗膀胱拘急发热、小便黄赤的滑石汤方:
滑石(八两,捣碎) 黄芩(一名黄芩,三两) 车前子(一升) 葵子(一升) 榆皮(四两)
以上五味药,用水七升,煎煮至剩三升,分三次服用。
《龙门方》治疗小便白稠的方剂:
取蜂房烧成灰,和水送服一方寸匕,即可痊愈。
《范汪方》治疗小便频多且有时精液随尿后流出的方剂:
栝蒌(三分) 滑石(二分) 石苇(一分)
以上三味药,研成散剂,用麦粥送服一方寸匕,每日三次。
又说:治疗小便白浊的多个方剂:
桑茸(三分) 甘草(五分)
以上两味药,研成散剂,用醋浆送服一方寸匕,每日三次。
又说:治疗身体虚弱消瘦,小便颜色青、黄、白、黑,白色如米汁样的方剂:
白玉〔(一名白善)六分〕 龙骨(五分) 牡蛎(二分) 小豆(三两,炒熟) 土瓜根(二分)
以上五味药,研磨过筛,用酒送服一方寸匕,每日三次。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: Incontinence of urine is caused by deficiency of Kidney Qi and cold in the Lower Jiao. The Kidney governs water metabolism, and its Qi descends to connect with the external genitalia; when the Kidney is deficient and the Lower Jiao is cold, it leads to urinary incontinence.
The *Xinlu Fang* (Newly Recorded Prescriptions) for treating urinary incontinence:
Cut three sheng of white inner bark from a cypress tree, add three sheng of water, decoct until one sheng and two he remain. Divide into two doses. The interval between doses should be equivalent to walking ten li.
Another prescription:
Take an old steamer belt, add three sheng of water, decoct until one sheng and two he remain. Divide into two doses.
Another prescription:
Take ash from honeycomb nests (Fengfang), administer as a dose of fangcunbi with wine, twice daily.
Another prescription:
Take ash from pomegranate peel and seeds, administer as a dose of fangcunbi with wine.
Another prescription:
Cut two sheng of elm white bark, add four sheng of water, decoct until one sheng and six he remain. Divide into two doses.
The *Lingli Fang* for frequent urinary incontinence:
Danggui (Angelicae Sinensis Radix, 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen)
Grind these two herbs into powder and sift. Administer half a qianbi with wine, three times daily. Recovery occurs within one month. In summer, add Fuling (Poria); if accompanied by swelling and pain in the yin region, add Huangqin (Scutellariae Radix) in equal amounts.
The *Jiyao Fang* (Essential Prescriptions) for treating urinary incontinence or urine resembling blood:
Maimendong (Ophiopogonis Radix, 8 liang, heart removed) Jilizi (Tribuli Fructus, 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried) Ganjiang (Zingiberis Rhizoma, 4 liang) Guixin (Cinnamomi Ramulus, 2 liang) Dihuang (Rehmanniae Radix, dried)
Add ten dou of water, decoct until two sheng and five he remain. Divide into three doses.
The *Sengshen Fang* (Monk Shen's Prescriptions) for treating bladder urgency and heat, with yellow-red urine, Shihui Tang:
Shihui (Talcum, 8 liang, crushed) Huangqin (Scutellariae Radix, 3 liang) Cheqianzi (Plantaginis Semen, 1 sheng) Kuizi (Malvae Semen, 1 sheng) Yupi (Ulmus Cortex, 4 liang)
Decoct these five herbs in seven sheng of water until three sheng remain. Divide into three doses.
The *Longmen Fang* for treating thick white urine:
Burn honeycomb nests to ash, mix with water, and administer one fangcunbi per dose. This will cure the condition.
The *Fanwang Fang* for treating frequent urination with seminal fluid leaking after urination:
Gualou (Trichosanthis Fructus, 3 fen) Shihui (Talcum, 2 fen) Shiwei (Pyri Folium, 1 fen)
Grind these three herbs into powder. Administer one fangcunbi with millet gruel, three times daily.
It also states: Multiple prescriptions for treating turbid white urine:
Sangrong (Morus Alba Fruit, 3 fen) Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen)
Grind these two herbs into powder. Administer one fangcunbi with vinegar juice, three times daily.
It also states: A prescription for treating emaciation due to deficiency, with urine appearing blue, yellow, white, or black, where the white urine resembles rice wash:
Baishan (Baiyu/White Jade, 6 fen) Longgu (Fossilia Os Mastodi et Cornu, 5 fen) Moli (Concha Ostreae, 2 fen) Xiaodou (Phaseoli Radiatus Semen, 3 liang, roasted) Tugua Gen (Trichosanthes Kirilowii Root, 2 fen)
Grind and sift these five herbs. Administer one fangcunbi with wine, three times daily.