病源伤寒发汗后，而汗出不止，津液少，胃中极干，小肠有伏热，故小便不通也。（出
第八卷中）
仲景伤寒论少阴病二三日不已至四五日，腹痛小便不利四肢沉重，疼痛自下利者，此为
有水气，或咳，或小便自利，或下利，或呕者，真武汤主之方。
茯苓（三两） 白芍药（三两） 附子（一枚炮去皮破八片） 白术（三两） 生姜（三
两去皮
上五味切，以水八升，煮取三升，去滓，温服七合，日三，若咳者加五味子半升，细辛
一两干姜一两，若小便自利者，去茯苓若下利者，去芍药加干姜二两，呕者去附子，加生姜，
足前成半斤。忌酢猪肉桃李雀肉等。（出第六卷中深师同兼主天行大效）
又伤寒六七日已发汗而复下之，胸胁满结，小便不利，渴而不呕，但头汗出，往来寒热
心烦者，此未解也，属小柴胡桂姜汤主之方。
柴胡（半斤） 桂心（三两） 黄芩（三两） 牡蛎（二两熬） 甘草（二两炙） 栝
蒌根（四两
）干姜（二两）
上七味切，以水一斗二升，煮取六升，去滓，更煎取三升，温服一升，日三，初一服微
烦，后汗出便愈。忌生葱海藻菘菜。（出第四卷中）
又疗伤寒七八日，身黄如橘子色，小便不利，腹微满者，茵陈汤主之方。
茵陈（六两） 肥栀子（十四枚擘） 大黄（二两去皮酒洗破三片）
上三味，以水一斗二升，先煮茵陈减二升，去滓，纳二物煮取三升，去滓，分温三服，
日三，小盒饭利，尿如皂荚沫，状色正赤，一宿腹减，黄从小便去。（出第五卷中张文仲千
金并同）
又服桂枝汤或下之，仍头项强痛， 发热无汗，心下满微痛小便不利者，桂枝去桂加
茯苓白术汤主之方。
芍药 生姜（切） 白术 茯苓（各三两） 甘草（二两炙） 大枣（十二个擘）
上六味切，以水八升，煮取三升，去滓，温服一升，小便利则愈。忌海藻菘菜酢桃李雀
肉等。
肘后疗小腹满，不得小便方，兼疗天行。
细末雄黄，蜜和为丸如枣核，纳溺孔中，令入半寸。（出第二卷中文仲同）
千金翼疗少阴病四逆，其人或咳，或悸，或小便不利，或腹中痛，或泄利下重，四逆散
方。
甘草（十分炙） 枳实（十分炙） 柴胡（十分） 芍药（十分）
上四味捣细筛，白饮和服方寸匕，日三服，嗽者，加五味子干姜各五分，并主下利胸中
悸者，加桂心五分，小便不利者，加茯苓五分，腹中痛者，加附子一枚，泄利下重者，先以
水五升，煮薤二升，取三升，以散三方寸匕，纳汤中煮之，取一升半，分再服。忌海藻菘菜。
（仲景范汪同出第十卷中）
崔氏疗伤寒热盛，小便不利，滑石汤方，兼疗天行。
滑石（屑二两） 葶苈子（一合熬）
上二物，以水二升，煮取七合，去滓，顿服之。
又方
捣生葱敷脐下，横文中燥则易之。
又瞿麦汤方。
瞿麦（三两） 甘草（三两炙） 滑石（四两） 葵子（二合半） 石苇（三两去毛令
尽）
上五味切，以水八升，煮取二升半，分三服。忌海藻菘菜。（并出第一卷中古今录验同）
病源：伤寒病经过发汗治疗后，汗出仍然不止，导致津液亏损，胃中极度干燥，小肠内有潜伏的热邪，因此出现小便不通的症状。（出自第八卷）
张仲景《伤寒论》记载：少阴病持续两三天未愈，发展到四五天时，出现腹痛、小便不利、四肢沉重疼痛、自发性腹泻等症状，这是体内有水气停留。如果伴有咳嗽，或者小便自利，或者腹泻，或者呕吐的，用真武汤主治。
方剂组成：茯苓（三两）、白芍药（三两）、附子（一枚，炮制后去皮，破开成八片）、白术（三两）、生姜（三两，去皮）。
以上五味药切碎，用水八升，煮取三升药液，去渣，温服七合，每日三次。若咳嗽者，加五味子半升、细辛一两、干姜一两；若小便自利者，去掉茯苓；若腹泻者，去掉芍药，加干姜二两；若呕吐者，去掉附子，加生姜，使生姜总量达到半斤。忌食醋、猪肉、李子、桃肉、雀肉等。（出自第六卷，《深师方》相同，兼治天行热病效果显著）
又载：伤寒六七天，已经发汗却又误用攻下法，导致胸胁部胀满结聚，小便不利，口渴但不呕吐，仅头部出汗，往来寒热，心烦意乱的，这是表证未解，用小柴胡桂枝干姜汤主治。
方剂组成：柴胡（半斤）、桂心（三两）、黄芩（三两）、牡蛎（二两，熬制）、甘草（二两，炙烤）、栝楼根（四两）、干姜（二两）。
以上七味药切碎，用水一斗二升，煮取六升药液，去渣，再煎浓缩至三升，温服一升，每日三次。第一次服药后微觉心烦，随后出汗即痊愈。忌食生葱、海藻、白菜。（出自第四卷）
又载：治疗伤寒七八日，身体发黄如橘子色，小便不利，腹部轻微胀满的，用茵陈汤主治。
方剂组成：茵陈（六两）、肥栀子（十四枚，掰开）、大黄（二两，去皮，酒洗，破开成三片）。
以上三味药，用水一斗二升，先煮茵陈，水量减少二升后，去渣，加入另外两味药，煮取三升药液，去渣，分三次温服，每日三次。小便利则病愈，尿液像皂荚沫一样，颜色正红，一夜之后腹部胀满减轻，黄色从小便排出。（出自第五卷，张文仲、《千金方》均相同）
又载：服用桂枝汤或经过攻下治疗后，仍然头项强痛，发热无汗，心下部胀满微痛，小便不利的，用桂枝去桂加茯苓白术汤主治。
方剂组成：芍药、生姜（切碎）、白术、茯苓（各三两）、甘草（二两，炙烤）、大枣（十二个，掰开）。
以上六味药切碎，用水八升，煮取三升药液，去渣，温服一升，小便利则痊愈。忌食海藻、白菜、醋、李子、桃肉、雀肉等。
将雄黄研成细末，用蜂蜜调和做成如枣核大小的丸药，纳入尿道口内，令其深入半寸。（出自第二卷，张文仲相同）
《千金翼方》治疗少阴病四肢厥逆，其人或有咳嗽，或心悸，或小便不利，或腹中痛，或泄泻且肛门重坠感的，用四逆散主治。
方剂组成：甘草（十分，炙烤）、枳实（十分，炙烤）、柴胡（十分）、芍药（十分）。
以上四味药捣碎过筛，用米汤送服一方寸匕，每日三次。咳嗽者，加五味子、干姜各五分，并主治下利；心中悸动者，加桂心五分；小便不利者，加茯苓五分；腹中痛者，加附子一枚；泄泻且肛门重坠者，先用水五升，煮薤白二升，取三升药汤，将散剂三方寸匕放入汤中煮，取一升半，分两次服用。忌食海藻、白菜。（张仲景、范汪相同，出自第十卷）
以上两味药，用水二升，煮取七合药液，去渣，一次性服完。
又一方：捣碎生葱敷于脐下，横纹处干燥则更换。
又载瞿麦汤方。
方剂组成：瞿麦（三两）、甘草（三两，炙烤）、滑石（四两）、葵子（二合半）、石苇（三两，去毛，务必去尽）。
以上五味药切碎，用水八升，煮取二升半药液，分三次服用。忌食海藻、白菜。（均出自第一卷，《古今录验》相同）
Pathogenesis: After sweating therapy for Taiyang disease (Taiyang illness), perspiration continues excessively, leading to a deficiency of body fluids and extreme dryness in the Stomach. With latent heat in the Small Intestine, urination becomes obstructed. (From Volume 8)
Zhang Zhongjing's *Shanghan Lun* states: In Shaoyin disease (Shaoyin illness), if symptoms persist for two to three days and progress to four or five days, presenting with abdominal pain, difficulty in urination, heaviness and pain in the limbs, and spontaneous diarrhea, this indicates water retention. If accompanied by cough, or spontaneous normal urination, or diarrhea, or vomiting, Zhenwu Tang (True Warrior Decoction) is the primary treatment.
Formula Composition: Poria (Fu Ling, 3 liang), White Peony Root (Bai Shao Yao, 3 liang), Prepared Aconite Root (Fu Zi, 1 piece, processed, peeled, broken into 8 slices), Atractylodes Macrocephala Rhizome (Bai Zhu, 3 liang), Fresh Ginger (Sheng Jiang, 3 liang, peeled).
The above five herbs are cut, boiled in 8 sheng of water until reduced to 3 sheng, strained, and taken warm at 7 ge per dose, three times daily. If coughing occurs, add Schisandra Berry (Wu Wei Zi, 0.5 sheng), Asarum Root (Xi Xin, 1 liang), and Dried Ginger (Gan Jiang, 1 liang). If urination is spontaneous and profuse, remove Poria. If diarrhea occurs, remove White Peony Root and add Dried Ginger (2 liang). If vomiting occurs, remove Aconite Root and add Fresh Ginger, bringing the total amount of Fresh Ginger to half a jin. Avoid vinegar, pork, plums, peaches, and sparrow meat. (From Volume 6; identical to *Shen Shi Fang*, also effective for epidemic febrile diseases)
Furthermore: For Taiyang disease lasting six or seven days, where sweating has been performed followed by purging, resulting in fullness and binding in the chest and hypochondrium, difficulty in urination, thirst without vomiting, only sweating on the head, alternating chills and fever, and irritability, this indicates the exterior syndrome is unresolved. Xiao Chai Hu Gui Zhi Gan Jiang Tang (Minor Bupleurum, Cinnamon Twig, and Dried Ginger Decoction) is the primary treatment.
Formula Composition: Bupleurum Root (Chai Hu, 0.5 jin), Cinnamon Twig (Gui Xin, 3 liang), Scutellaria Root (Huang Qin, 3 liang), Oyster Shell (Mu Li, 2 liang, calcined), Licorice Root (Gan Cao, 2 liang, honey-fried), Trichosanthes Root (Gua Lou Gen, 4 liang), Dried Ginger (Gan Jiang, 2 liang).
The above seven herbs are cut, boiled in 1.2 dou of water until reduced to 6 sheng, strained, and further concentrated to 3 sheng. Take 1 sheng warm, three times daily. After the first dose, slight irritability may occur, followed by sweating and recovery. Avoid raw green onions, seaweed, and Chinese cabbage. (From Volume 4)
Furthermore: To treat Taiyang disease after seven or eight days, where the body turns yellow like an orange peel, with difficulty in urination and mild abdominal fullness, Yin Chen Tang (Artemisia Capillaris Decoction) is the primary treatment.
Formula Composition: Artemisia Capillaris Herba (Yin Chen, 6 liang), Gardenia Fruit (Zhi Zi, 14 pieces, broken), Rhubarb (Da Huang, 2 liang, peeled, washed with wine, broken into 3 slices).
The above three herbs are boiled in 1.2 dou of water. First, boil Artemisia Capillaris Herba until the water reduces by 2 sheng, strain, then add the other two herbs and boil to obtain 3 sheng. Strain and divide into three warm doses, taken three times daily. When urination becomes free, the urine will resemble soap pod foam and be reddish in color. After one night, abdominal fullness decreases, and the jaundice resolves through urination. (From Volume 5; identical to Zhang Wenzhong and *Qian Jin Fang*)
Furthermore: After taking Gui Zhi Tang (Cinnamon Twig Decoction) or undergoing purging, if there remains stiffness and pain in the head and nape, fever without sweating, fullness and mild pain below the heart, and difficulty in urination, Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang (Cinnamon Twig Decoction minus Cinnamon Twig plus Poria and Atractylodes Macrocephala Decoction) is the primary treatment.
Formula Composition: White Peony Root (Bai Shao Yao), Fresh Ginger (Sheng Jiang, cut), Atractylodes Macrocephala Rhizome (Bai Zhu), Poria (Fu Ling, each 3 liang), Licorice Root (Gan Cao, 2 liang, honey-fried), Jujube (Da Zao, 12 pieces, broken).
The above six herbs are cut, boiled in 8 sheng of water until reduced to 3 sheng, strained, and taken warm at 1 sheng per dose. Recovery occurs when urination becomes free. Avoid seaweed, Chinese cabbage, vinegar, plums, peaches, and sparrow meat.
*Zhou Hou Bei Ji Fang* treats lower abdominal fullness and inability to urinate, also applicable to epidemic febrile diseases.
Grind Realgar (Xiong Huang) into fine powder, mix with honey to form pills the size of jujube seeds, insert into the urethra to a depth of half cun. (From Volume 2; identical to Zhang Wenzhong)
*Qian Jin Yi Fang* treats Shaoyin disease with cold extremities (Si Ni), where the patient may have cough, palpitations, difficulty in urination, abdominal pain, or diarrhea with a sensation of rectal heaviness. Si Ni San (Four Reversal Powder) is the primary treatment.
Formula Composition: Licorice Root (Gan Cao, 10 parts, honey-fried), Immature Bitter Orange (Zhi Shi, 10 parts, honey-fried), Bupleurum Root (Chai Hu, 10 parts), White Peony Root (Bai Shao Yao, 10 parts).
The above four herbs are crushed and sifted. Take one fang cun bi (a square-inch measure) mixed with rice water, three times daily. For cough, add Schisandra Berry and Dried Ginger (each 5 parts), which also treats diarrhea. For palpitations, add Cinnamon Twig (5 parts). For difficulty in urination, add Poria (5 parts). For abdominal pain, add Aconite Root (1 piece). For diarrhea with rectal heaviness, first boil Scallion Bulb (Xie Bai, 2 sheng) in 5 sheng of water to obtain 3 sheng. Add three fang cun bi of the powder to the decoction, boil to obtain 1.5 sheng, and divide into two doses. Avoid seaweed and Chinese cabbage. (Identical to Zhang Zhongjing and Fan Wang; From Volume 10)
Cui Shi's treatment for severe heat in Taiyang disease with difficulty in urinating is Hua Shi Tang (Talcum Decoction), also applicable to epidemic febrile diseases.
Formula Composition: Talcum (Hua Shi, 2 liang, powdered), Lepidium Seed (Ting Li Zi, 1 he, processed).
The above two herbs are boiled in 2 sheng of water to obtain 7 ge. Strain and take in one dose.
Another prescription: Mash fresh green onions and apply as a poultice below the umbilicus. Replace when it dries out.
Another prescription: Qu Mai Tang (Dianthus Decoction).
Formula Composition: Dianthus Herb (Qu Mai, 3 liang), Licorice Root (Gan Cao, 3 liang, honey-fried), Talcum (Hua Shi, 4 liang), Malva Seed (Kui Zi, 2.5 he), Perilla Leaf (Shi Wei, 3 liang, hairs removed completely).
The above five herbs are cut, boiled in 8 sheng of water to obtain 2.5 sheng. Divide into three doses. Avoid seaweed and Chinese cabbage. (All from Volume 1; identical to *Gu Jin Lu Yan*)