（脉四首 方六首）
膀胱实热
左手尺中神门以后脉阳实者，足太阳经也。病苦逆满腰中痛，不可俯仰劳也，名曰膀胱
实热也。
右手尺中神门以后脉阳实者，足太阳经也。病苦胞转不得小便，头眩痛烦满，脊背强，
名曰膀胱实热也。
治膀胱实热方∶
石膏（八两） 栀子仁（一作瓜子仁） 茯苓 知母（各三两） 蜜（五合） 淡竹叶 生
地
（切，各一升）
上七味 咀，以水七升，煮取二升，去滓，下蜜，煮二沸，分三服，须利，加芒硝三
两。
治膀胱热病不已，舌干咽肿方∶
蜜（七合） 升麻 大青（各三两） 射干 生元参 黄柏 蔷微根白皮（各四两）
上七味以水七升，煮取一升，去滓，下蜜，煮二沸，细细含之。
膀胱虚冷
左手尺中神门以后脉阳虚者，足太阳经也。病苦脚中筋急，腹中痛，引腰背不可屈伸，
转筋恶风偏枯，腰痛，外踝后痛，名曰膀胱虚冷也。
右手尺中神门以后脉阳虚者，足太阳经也。病苦肌肉振动，脚中筋急，耳聋，忽忽不闻
，恶风飕飕作声，名曰膀胱虚冷也。
治膀胱虚冷，饥不欲饮食，面黑如炭，腰胁疼痛方∶
磁石（六两） 黄 茯苓（各三两） 五味子 杜仲（各四两） 白术 白石英（各
五两）
上七味 咀，以水九升，煮取三升，分三服。
治膀胱冷咳唾则有血，喉鸣喘息方∶
羊肾（一具） 人参 元参 黄 桂心 川芎 甘草（各三两） 茯苓（四两） 骨
皮生
姜（各五两） 白术（六两）
上十一味 咀，以水一斗二升，先煮羊肾，减三升，去肾下药，煮取三升，去滓，分三
服。
（脉诊四首，方剂六首）
膀胱实热证
左手尺部神门穴以后的脉象表现为阳实者，属于足太阳经。患者痛苦于气逆胀满、腰部疼痛，不能俯仰和劳作，这称为膀胱实热证。
右手尺部神门穴以后的脉象表现为阳实者，属于足太阳经。患者痛苦于胞宫扭转导致小便不通，头晕目眩、头痛、心烦胀满，脊背僵硬，这称为膀胱实热证。
治疗膀胱实热的方剂：
石膏（八两）、栀子仁（一作瓜子仁）、茯苓、知母（各三两）、蜂蜜（五合）、淡竹叶、生地黄（切片，各一升）。
以上七味药，切碎，用水七升，煎煮至二升，滤去药渣，加入蜂蜜，再煮沸两次，分三次服用。如果大便不通畅，加芒硝三两。
治疗膀胱热病久治不愈，舌干咽肿的方剂：
蜂蜜（七合）、升麻、大青（各三两）、射干、生玄参、黄柏、蔷薇根白皮（各四两）。
以上七味药，用水七升，煎煮至一升，滤去药渣，加入蜂蜜，再煮沸两次，细细含服。
膀胱虚冷证
左手尺部神门穴以后的脉象表现为阳虚者，属于足太阳经。患者痛苦于小腿筋脉拘急，腹部疼痛，牵引腰背部不能屈伸，转筋、恶风、半身不遂，腰痛，外踝后方疼痛，这称为膀胱虚冷证。
右手尺部神门穴以后的脉象表现为阳虚者，属于足太阳经。患者痛苦于肌肉跳动，小腿筋脉拘急，耳聋，突然听不见声音，恶风且伴有飕飕风声，这称为膀胱虚冷证。
治疗膀胱虚冷，饥饿但不想饮食，面色黑如炭，腰胁疼痛的方剂：
磁石（六两）、黄芪、茯苓（各三两）、五味子、杜仲（各四两）、白术、白石英（各五两）。
以上七味药，切碎，用水九升，煎煮至三升，分三次服用。
治疗膀胱冷咳唾带血，喉中鸣响喘息的方剂：
羊肾（一个）、人参、玄参、黄芪、桂心、川芎、甘草（各三两）、茯苓（四两）、地骨皮、生姜（各五两）、白术（六两）。
以上十一味药，切碎，用水一斗二升，先煮羊肾，减少三升水量，取出羊肾后放入其他药物，煎煮至三升，滤去药渣，分三次服用。
(Four Pulse Formulas, Six Prescriptions)
Bladder Excess-Heat Syndrome
If the pulse at the left Chi position (Kidney/Bladder area), beyond Shenmen, is Yang-excess, it belongs to the Foot-Taiyang Meridian. The patient suffers from rebellious fullness and lumbar pain, unable to bend forward or backward or engage in labor; this is called Bladder Excess-Heat Syndrome.
If the pulse at the right Chi position (Kidney/Bladder area), beyond Shenmen, is Yang-excess, it belongs to the Foot-Taiyang Meridian. The patient suffers from torsion of the bladder (Baopzhuan) resulting in urinary retention, dizziness, headache, vexation and fullness, and stiffness of the spine and back; this is called Bladder Excess-Heat Syndrome.
Prescription for Treating Bladder Excess-Heat:
Shigao (Gypsum Fibrosum, 8 liang), Zhizi Ren (Fructus Gardeniae, alternatively Guazi Ren), Fuling (Poria), Zhimu (Radix Anemarrhenae) (each 3 liang), Fengmi (Honey, 5 he), Danzhuye (Leaf of Bambusa Textilis), Shengdihuang (Radix Rehmanniae Recens) (sliced, each 1 sheng).
The above seven ingredients are coarsely crushed, decocted in 7 sheng of water until 2 sheng remains, filtered to remove dregs, honey is added, and boiled for two more boils. Divide into three doses. If there is constipation, add Mangxiao (Natrii Sulfas, 3 liang).
Prescription for Treating Persistent Bladder Heat Disease with Dry Tongue and Swollen Throat:
Fengmi (Honey, 7 he), Shengma (Rhizoma Cimicifugae), Daqing (Radix Isatidis) (each 3 liang), Shegan (Rhizoma Belamcandae), Sheng Xuanshen (Radix Scrophulariae), Huangbai (Cortex Phellodendri), Qiangweigen Baipi (Alba Cortex Radicis Rosae Multiflorae) (each 4 liang).
The above seven ingredients are decocted in 7 sheng of water until 1 sheng remains, filtered to remove dregs, honey is added, and boiled for two more boils. Hold in the mouth slowly and swallow.
Bladder Deficiency-Cold Syndrome
If the pulse at the left Chi position (Kidney/Bladder area), beyond Shenmen, is Yang-deficient, it belongs to the Foot-Taiyang Meridian. The patient suffers from spasms of the tendons in the lower legs, abdominal pain radiating to the lumbar region preventing flexion and extension, tendon spasms, aversion to wind, hemiplegia, lumbar pain, and pain behind the lateral malleolus; this is called Bladder Deficiency-Cold Syndrome.
If the pulse at the right Chi position (Kidney/Bladder area), beyond Shenmen, is Yang-deficient, it belongs to the Foot-Taiyang Meridian. The patient suffers from muscle twitching, spasms of the tendons in the lower legs, deafness, sudden inability to hear, aversion to wind accompanied by whistling sounds; this is called Bladder Deficiency-Cold Syndrome.
Prescription for Treating Bladder Deficiency-Cold with Hunger but Lack of Appetite, Face Black as Charcoal, and Pain in Lumbar and Hypochondriac Regions:
Cishi (Magnetitum, 6 liang), Huangqi (Radix Astragali), Fuling (Poria) (each 3 liang), Wuweizi (Fructus Schisandrae), Duzhong (Cortex Eucommiae) (each 4 liang), Baizhu (Rhizoma Atractylodis Macrocephalae), Bai Shiyin (Quartzum Album) (each 5 liang).
The above seven ingredients are coarsely crushed, decocted in 9 sheng of water until 3 sheng remains. Divide into three doses.
Prescription for Treating Bladder Cold Cough with Hemoptysis and Audible Wheezing:
Yangshen (Renis Ovis, one piece), Renshen (Radix Ginseng), Xuanshen (Radix Scrophulariae), Huangqi (Radix Astragali), Guixin (Cinnamomi Ramulus), Chuanxiong (Rhizoma Chuanxiong), Gancao (Radix Glycyrrhizae) (each 3 liang), Fuling (Poria, 4 liang), Gubipi (Cortex Phellodendri), Shengjiang (Rhizoma Zingiberis Recens) (each 5 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 6 liang).
The above eleven ingredients are coarsely crushed, decocted in 12 dou of water. First decoct the sheep kidney until the volume reduces by 3 sheng. Remove the kidney, add the remaining herbs, and decoct until 3 sheng remains. Filter to remove dregs. Divide into three doses.