《病源论》云∶小便难者,此亦是肾与膀胱热故也。
《录验方》治小便难淋沥方∶
通草(二两) 茯苓(二两) 葶苈子(二两,熬)
凡三物,下筛,以水服方寸匕,日三。
《新录单方》治小便不出、腹满气急者方∶
灸关元穴,在脐下三寸,依年壮。
又方∶车前草切三升,以水五升,煮取二升,分二服,日一。
又方∶甑带一枚,以水五升,煮取一升六合,再服。
又方∶大麻子三升,以水五升,煮麻子腹破,分二服。
又方∶煮滑石取汁,饮之立下。
又方∶葵子二升,以水四升,煮取一升六合,分三服。
又方∶茅根切二升,煮服依前,兼去渴,最妙。
《医门方》疗小便难方∶
以少盐纳茎孔中即通。
《病源论》云∶小便数者,膀胱与肾俱虚,而有客热乘之故也。
《范汪方》治小便一日一夜数十行方∶
菖蒲 黄连
二物,分等,冶筛,酒服方寸匕。
又方∶石膏半斤, 咀,以水一斗,煮取五升稍服。(以上《葛氏方》同之。)
《千金方》治小便利复非淋方∶
榆白皮二斤,水一斗,煮取五升,服三合,日三。
又方∶三年重鹊巢烧末,服之。
《葛氏方》∶治小便卒太数复非淋,一日数十过,令人疲瘦方∶
灸两足下第二指本节第一理七壮。
又方∶不中水猪膏如鸡子者一枚炙,承下取肥汁尽服之,不过三。此二方并治遗尿也。
又方∶鸡肠草一把,熟捣,酒一升渍一时,绞去滓,分再服。
《医门方》疗小便数日夜出无节度方∶
小豆苗叶,捣绞取汁,饮一二升,立止,极效。
《录验方》治疗小便困难、淋漓不畅的方子:
通草(二两) 茯苓(二两) 葶苈子(二两,炒制)
以上三味药,研成细末,用水送服一方寸匕的药量,每日三次。
《新录单方》治疗小便完全排不出、腹部胀满且气急的方子:
灸关元穴,位于脐下三寸处,艾灸的壮数根据患者的年龄而定。
另一个方子:车前草切碎三升,用水五升,煮取二升药液,分两次服用,每天一次。
又一个方子:甑带(蒸笼中的布带)一条,用水五升,煮取一升六合药液,分两次服用。
又一个方子:大麻子三升,用水五升,煮至麻子皮破裂,分两次服用。
又一个方子:煮滑石取汁饮用,小便即可立即通畅。
又一个方子:冬葵子二升,用水四升,煮取一升六合药液,分三次服用。
又一个方子:白茅根切碎二升,按前述方法煮后服用,兼能止渴,效果极佳。
《医门方》治疗小便困难的方子:
将少量盐纳入尿道口内,小便即通。
《诸病源候论》说:小便频数,是因为肾与膀胱都虚弱,且有外来的热邪乘虚侵袭所致。
《范汪方》治疗一天一夜小便数十次的方子:
石菖蒲 黄连
这两味药,等量混合,研磨筛细,用酒送服一方寸匕的药量。
另一个方子:石膏半斤,捣碎,用水一斗,煮取五升药液,稍缓服用。(以上方法与《葛氏方》相同。)
《千金方》治疗小便频利但并非淋证的方子:
榆白皮二斤,水一斗,煮取五升药液,每次服用三合,每日三次。
另一个方子:使用存放三年的喜鹊巢,烧成灰末,服用。
《葛氏方》:治疗小便突然极其频数且非淋证,一天几十次,使人疲乏消瘦的方子:
灸双足第二趾本节第一道横纹处,各七壮。
另一个方子:未经受水的猪脂膏如鸡蛋大小的一块,炙烤后承接流下的油脂汁液,全部服下,不超过三次。这两个方子也都用于治疗遗尿。
另一个方子:鸡肠草一把,煮熟捣烂,用一升酒浸泡一个时辰,绞去药渣,分两次服用。
The *Bing Yuan Lun* (Treatise on the Origins and Manifestations of Diseases) states: Difficulty in urination is also caused by heat in the Kidney and Bladder.
The *Lu Yan Fang* (Verified Formulas) for treating difficult and dribbling urination:
Tongcao (2 liang) Poria (2 liang) Sesamum Seed (2 liang, stir-fried)
These three substances are ground into fine powder. Take one fangcun bi (a square-inch measure) with water, three times a day.
The *Xin Lu Dan Fang* (Newly Recorded Simple Formulas) for treating complete urinary retention with abdominal distension and急促 breathing:
Moxibustion at Guanyuan (CV-4), located 3 cun below the umbilicus; the number of moxa cones should correspond to the patient's age.
Another formula: Cut 3 sheng of Plantago Leaf (Cheqian Cao), boil in 5 sheng of water until reduced to 2 sheng. Divide into two doses, taken once daily.
Another formula: Boil one steamer cloth (Zeng Dai) in 5 sheng of water until reduced to 1 sheng and 6 he. Take in two doses.
Another formula: Boil 3 sheng of Hemp Seed (Dama Zi) in 5 sheng of water until the seed coats break. Divide into two doses.
Another formula: Boil Talcum (Huashi) to extract the juice and drink it; urination will flow immediately.
Another formula: Boil 2 sheng of Okra Seed (Kuizi) in 4 sheng of water until reduced to 1 sheng and 6 he. Divide into three doses.
Another formula: Cut 2 sheng of Imperata Rhizome (Maogen) and boil as described above; it also relieves thirst and is most effective.
The *Yi Men Fang* (Medical Gate Formulas) for treating difficulty in urination:
Place a small amount of salt into the urethral orifice; urination will then flow freely.
The *Bing Yuan Lun* states: Frequent urination occurs because both the Kidney and Bladder are deficient, allowing exogenous heat to invade.
The *Fan Wang Fang* for treating urination dozens of times a day and night:
Acorus Rhizome (Changpu) Coptis Rhizome (Huanglian)
These two substances in equal parts are ground and sifted. Take one fangcun bi with wine.
Another formula: Calcined Gypsum (Shigao) 0.5 jin, crushed, boiled in 1 dou of water until reduced to 5 sheng. Take slowly. (This is the same as the *Ge Shi Fang*.)
The *Qian Jin Fang* (Thousand Gold Formulas) for treating frequent clear urination that is not dysuria:
Boehmeria Bark (Yu Bai Pi) 2 jin, boiled in 1 dou of water until reduced to 5 sheng. Take 3 ge per dose, three times a day.
Another formula: Burn the nest of a three-year-old magpie to ash, and take the powder.
The *Ge Shi Fang*: For treating sudden severe frequency of urination without dysuria, occurring dozens of times a day, leading to fatigue and emaciation:
Moxibustion on the first crease of the proximal interphalangeal joint of the second toe of both feet, seven cones each.
Another formula: Roast a piece of lard (pig fat) that has not been exposed to water, roughly the size of a chicken egg. Catch the melted fat and consume it entirely; do not exceed three doses. These two formulas also treat enuresis.
Another formula: Take one handful of Polygonum Multiflorum Vine (Jichang Cao), cook and crush it thoroughly. Soak in 1 sheng of wine for one shichen (two hours). Strain off the dregs and divide into two doses.
The *Yi Men Fang* for treating frequent urination day and night without regulation:
Crush and squeeze the juice from Mung Bean Sprouts (Xiaodou Miaoye). Drink 1–2 sheng; urination stops immediately. It is extremely effective.