熟地黄（八两） 山茱萸（去核） 山药（各四两） 牡丹皮 白茯苓（去皮） 泽泻
（各三两）
肉桂（炒） 附子（炮，去皮脐，各一两）
肾间水火俱虚，小便不调者，此方主之。
肾具水火，主二便，而司开阖。肾间之水竭，则火独治，能阖而不能开，令人病小便不
出。肾间之火熄，则水独治，能开而不能阖，令人小便不禁。是方也，以附子、肉桂之温热
益其火。以熟地、山萸之濡润壮其水。火欲实，则丹皮、泽泻之酸咸者可以收而泻之。水欲
实，则茯苓、山药之甘淡者可以制而渗之。水火既济，则开阖治矣。正考见虚损劳瘵门、渴
门。
人参 白术 茯苓 甘草（各三钱）
诸急病，遗尿不禁者，此方主之。
诸急病，谓卒然暴仆诸疾也。遗尿不禁者，形气将脱，无形之气不足以固有形之溺也。
甘温为阳，可使益气，故人参、白术、茯苓、甘草，皆甘温也，可以用之。或问茯苓淡渗，
当遗尿不禁之时，可以去否？余曰∶苓有二品，枯而不泽者宜去，若坚洁而润者，则亦不嫌
其为苓也，用之引人参以就下，直补膀胱，谁曰不可？正考见气门。
大人遗浊，小儿遗尿，以韭子一物作丸，服之神良。
经曰∶淫气遗溺，痹聚在肾。痹聚者，湿气聚而为痹也。韭子润而辛热，辛热则能散湿
，润则能就下，故孙真人每用之，令其就下而疗痹气尔！
熟地黄（八两） 山茱萸（去除果核） 山药（各四两） 牡丹皮 白茯苓（去除外皮） 泽泻（各三两）
肉桂（炒制） 附子（炮制，去除外皮和脐部，各一两）
肾间的水与火都虚弱，导致小便调节失常的，此方主治。
肾脏兼具水与火的功能，主管大小便，并控制开合。肾间的水枯竭，则火独盛，只能闭合而不能开启，导致人患小便不通的病证。肾间的火熄灭，则水独盛，只能开启而不能闭合，导致人患小便失禁的病证。此方中，用附子、肉桂的温热之性来补益其火。用熟地黄、山茱萸的濡润之性来壮旺其水。若欲使火充实，则可用牡丹皮、泽泻的酸咸之性来收敛并泻去虚火。若欲使水充实，则可用茯苓、山药的甘淡之性来制约并渗利水湿。水火既济，则开合功能恢复正常。详细考证可见于“虚损劳瘵门”、“渴门”。
各种急病，出现遗尿且不能自控的，此方主治。
所谓各种急病，是指突然昏倒仆地等各种突发疾病。遗尿且不能自控，是因为形体与正气即将脱失，无形之气不足以固摄有形的尿液。甘温性质的药物属于阳，可以益气，因此人参、白术、茯苓、甘草，都是甘温性质的，可以使用它们。有人问：茯苓具有淡渗利湿的作用，在遗尿不禁的时候，是否可以去掉？我说：茯苓有两种品质，干枯而不润泽的应当去掉，如果质地坚硬洁净而润泽的，也不嫌弃它是茯苓，用它引导人参药力下行，直接补益膀胱，谁说不可行呢？详细考证可见于“气门”。
成人遗精浊液，小儿遗尿，只用韭子一味药制成丸剂，服用后效果神奇良好。
《内经》说：“淫气遗溺，痹聚在肾。”所谓痹聚，是指湿气聚集而形成痹证。韭子性质滋润且味辛性热，辛热能发散湿气，滋润则能引药下行，所以孙思邈经常使用它，让它引药下行以治疗痹气！
Prepared Rehmanniae Radix (Shu Dihuang) (eight liang), Corni Fructus (Shanzhuyu) (pitted), Dioscoreae Rhizoma (Shanyao) (four liang each), Moutan Cortex (Mudanpi), Poria (Baifuling) (decocted, three liang each), Alismatis Rhizoma (Zexie) (three liang each).
Cinnamomi Ramulus (Rougui) (stir-fried), Aconiti Lateralis Radix Praeparata (Fuzi) (processed, pitted and navel removed, one liang each).
When both the water and fire within the Kidney are deficient, leading to irregular urination, this formula is indicated.
The Kidney possesses both water and fire, governs the two lower orifices (urine and feces), and controls opening and closing. When the water in the Kidney interstice is exhausted, fire acts alone; it can close but not open, causing urinary retention. When the fire in the Kidney interstice is extinguished, water acts alone; it can open but not close, causing urinary incontinence. In this formula, the warming and hot nature of Fuzi and Rougui supplements the fire. The moistening nature of Shu Dihuang and Shanzhuyu strengthens the water. If one wishes to solidify the fire, the sour and salty properties of Mudanpi and Zexie can be used to astringe and drain it. If one wishes to solidify the water, the sweet and bland properties of Fuling and Shanyao can be used to control and percolate it. Once water and fire interact harmoniously, the opening and closing functions are regulated. For detailed examination, refer to the sections on "Deficiency, Consumption, and Phthisis" and "Thirst".
Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao) (three qian each).
For various acute conditions presenting with enuresis and inability to control urination, this formula is indicated.
"Various acute conditions" refers to sudden collapse and other acute diseases. Enuresis and inability to control urination occur because the form and vital energy are about to dissipate; the formless Qi is insufficient to retain the formed urine. Sweet-warm substances belong to Yang and can tonify Qi; therefore, Renshen, Baizhu, Fuling, and Gancao, all being sweet-warm, may be used. One might ask: Since Fuling has a bland and percolating nature, should it be omitted during enuresis? I reply: There are two types of Fuling. The dry and unmoistened type should be omitted. However, if it is firm, clean, and moist, there is no objection to using it. It guides Renshen downward, directly tonifying the Bladder. Who would say this is inadvisable? For detailed examination, refer to the section on "Qi".
For adults with seminal emission/turbid urine and children with enuresis, using only Allii Tuberosi Semen (Jiu Zi) made into pills yields miraculous results.
The Classic states: "Excessive pathogenic qi causes enuresis; Bi syndrome gathers in the Kidney." What is meant by "Bi gathering" is that dampness gathers to form Bi syndrome. Jiu Zi is moistening, pungent, and hot. Its pungency and heat can disperse dampness, and its moistening nature allows it to descend. Therefore, Sun Simiao often used it to guide the medicine downward to treat Bi qi!