《病源论》云∶遗尿者,此由膀胱虚冷,不能约(求俱反,救也)于水故也。
防己 防风(各三分) 葵子(二分)
冶,末,服方寸匕。一方防己三升。
又方∶矾石、牡蛎分等,冶合,以黍粥服方寸匕,日三。
《令李方》治遗尿夕药散方∶
白薇(一两) 夕药(一两)
凡二物,冶合,下筛,酒若水服方寸匕,日三。
《龙门方》治遗尿不禁方∶
取燕巢中蓐(乳属反,兹也,席也)烧灰。服一钱匕,日三,七日瘥。
今按∶《本草拾遗》云∶水进方寸匕,亦主哕。
《录验方》治遗尿龙骨散方∶
桑茸(三两) 矾石(二两) 牡蛎(二两) 龙骨(三两)
凡四物,合冶,下筛,服方寸匕,日三。
《千金方》治遗尿、小便涩方∶
木防己(二两) 葵子(二两) 防风(二两)
三味,水五升,煮取二升半,分三服,散亦服佳。
《短剧方》治遗尿灸穴∶
灸遗道,在侠玉泉五分,随年壮。
又方∶灸阳陵泉、阴陵泉,随年壮。在膝下一寸。
《病源论》云∶人有于眠睡不觉尿出者,是其禀质阴气偏盛,阳气偏虚者,则膀胱肾气
俱冷,不能温制于水,则小便偏多,或不禁而遗失。
《新录方》治尿床方∶
大麻根皮切三升,以水五升,煮取一升八合,去滓,分二服,小儿减之。
又方∶大豆叶三升,水五升,煮取二升,分三服。
《诸病源候论》说:遗尿,这是由于膀胱虚寒,不能约束尿液所致。
防己、防风(各三分),葵子(二分)。
将药物捣碎研成细末,每次服用一方寸匕。另一版本中防己用量为三升。
又一方:矾石、牡蛎等分,捣碎混合,用黍米粥送服一方寸匕,每日三次。
《令李方》治疗遗尿的夕药散方:
白薇(一两),夕药(一两)。
以上两味药,捣碎混合,过筛,用酒或水送服一方寸匕,每日三次。
《龙门方》治疗遗尿不禁的方子:
取燕子巢中的垫草(乳属反,意为席子),烧成灰。每次服用一钱匕,每日三次,七天痊愈。
现在按语:《本草拾遗》说:用水调服一方寸匕,也能主治呃逆。
《录验方》治疗遗尿的龙骨散方:
桑茸(三两),矾石(二两),牡蛎(二两),龙骨(三两)。
以上四味药,混合捣碎,过筛,每次服用一方寸匕,每日三次。
《千金方》治疗遗尿、小便涩滞的方子:
木防己(二两),葵子(二两),防风(二两)。
这三味药,加水五升,煮取二升半,分三次服用,若用散剂服用效果更佳。
《短剧方》治疗遗尿的灸穴:
灸遗道穴,位于玉泉穴旁五分处,根据患者年龄决定壮数(随年壮)。
又一方:灸阳陵泉穴、阴陵泉穴,根据患者年龄决定壮数。位置在膝下一寸处。
《诸病源候论》说:有人在睡眠中不知不觉尿床,这是因为其体质阴气偏盛,阳气偏虚,导致膀胱和肾气都寒冷,不能温煦制约水液,所以小便偏多,或者无法控制而遗失。
《新录方》治疗尿床的方子:
大麻根皮切三升,加水五升,煮取一升八合,去渣,分两次服用,小儿减量。
又一方:大豆叶三升,加水五升,煮取二升,分三次服用。
The *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) states: Enuresis is caused by deficiency-cold of the Bladder, which fails to restrain urine.
Stephania tetrandra (Fangji), Saposhnikovia divaricata (Fengfeng) (each 3 fen), Abelmoschus manihot seed (Kuizi) (2 fen).
Pulverize and sieve into a fine powder; take one fangcun bi (a square-inch measure) per dose. Another version specifies Fangji at 3 sheng.
Another prescription: Alumen (Fanshi) and Ostrea concha (Muli) in equal parts, pulverized and mixed; take one fangcun bi with millet gruel, three times daily.
The *Ling Li Fang* treats enuresis with Xi Yao Powder:
Cynanchum atratum root (Baiwei) (1 liang), Cynanchum paniculatum root (Xi Yao) (1 liang).
These two herbs are pulverized, mixed, and sieved; take one fangcun bi with wine or water, three times daily.
The *Long Men Fang* treats uncontrollable enuresis:
Take the nesting material from a swallow's nest, burn it to ash. Take one qian bi (a coin-sized measure) per dose, three times daily; recovery occurs within seven days.
Note: The *Bencao Shiyi* (Supplement to Materia Medica) states that taking one fangcun bi with water also treats hiccups.
The *Lu Yan Fang* treats enuresis with Long Gu Powder:
Mulberry fruit stalks (Sangrong) (3 liang), Alumen (Fanshi) (2 liang), Ostrea concha (Muli) (2 liang), Dragon bone (Longgu) (3 liang).
These four substances are mixed, pulverized, and sieved; take one fangcun bi per dose, three times daily.
The *Qian Jin Fang* treats enuresis and dysuria (scanty, painful urination):
Stephania tetrandra (Mu Fangji) (2 liang), Abelmoschus manihot seed (Kuizi) (2 liang), Saposhnikovia divaricata (Fengfeng) (2 liang).
These three herbs are decocted in five sheng of water until two and a half sheng remain; divide into three doses. Taking them as a powder is also effective.
The *Duan Ju Fang* indicates moxibustion points for enuresis:
Moxibustion on Yidao point, located 5 fen lateral to Yuquan point, based on the patient's age (moxa cones corresponding to years of age).
Another prescription: Moxibustion on Yanglingquan (GB34) and Yinlingquan (SP9), based on the patient's age. Located one cun below the knee.
The *Zhu Bing Yuan Hou Lun* states: When a person wets the bed during sleep without awareness, it is due to a constitution where Yin qi is excessive and Yang qi is deficient. This results in coldness of both the Bladder and Kidney Qi, failing to warm and control fluids, leading to polyuria or involuntary leakage.
The *Xin Lu Fang* treats bedwetting:
Cut Hemp root bark (Dama Gen Pi) to 3 sheng, decoct in five sheng of water until one sheng and eight he remain; strain and divide into two doses, reducing the amount for children.
Another prescription: Soybean leaves (Da Dou Ye) 3 sheng, decoct in five sheng of water until two sheng remain; divide into three doses.