病源遗尿者,此由膀胱虚冷,不能约于水故也,膀胱为足太阳,肾为足少阴,二经为表
里,
不
为阴
绝
脉
当
今
力一
通
集验疗遗尿方。
取雄鸡肠烧灰为末,用三指一撮服之,朝暮服当愈。(范汪同出第五卷中)
千金疗遗尿小便涩方。
牡蛎(熬) 鹿茸(炙各四两) 桑耳(三两) 阿胶(二两炙)
上四味切,以水七升,煮取二升,分为二服,作散以饮送之。(经心录同)
又方
木防己(二两) 葵子(二两) 防风(三两)
上三味切,以水五升,煎取二升半,分温三服,作散亦佳。(古今录验同并出第二十一
卷中)
古今录验牡蛎汤,疗遗尿小便涩方。
牡蛎(四两熬) 鹿茸(炙四两) 阿胶(炙各二两) 桑螵蛸(二两)
上四味切,以水五升,煮取二升,分再服。
又方
桑耳(三分) 矾石(二分熬汁尽) 阿胶(二分炙) 龙骨(三分)
上四味为散,空心服方寸匕,日三服。
又方
桑耳(二两) 牡蛎(三两熬) 矾石(二两熬汁尽)
上三味捣筛为散,酒服方寸匕,日三服。(并出第二十六卷中)
千金疗房损伤中尿血方。
牡蛎(熬) 车前子 桂心 黄芩
上四味等分捣筛为散,饮服方寸匕,日三服,不知加至二匕。忌生葱。(出第二十一卷
中)
崔氏疗猝伤热行来尿血方。
大黄(末) 芒硝(末各半匕)
上二味,冷水和,顿服之立止,三日内禁如药法。(出第四卷中)
古今录验疗尿血,鹿茸散方。
鹿茸(炙) 当归 干地黄(各二两) 葵子(五合) 蒲黄(五合)
上五味捣筛为散,酒服方寸匕,日三服。忌芜荑。(出第二十六卷中)
苏澄疗尿血方。
车前草捣绞,取汁五合,空腹服之瘥。
又方
水服乱发灰方寸匕,日三服。(肘后千金同)
又方
服益母草汁一升瘥。(一云 草)
又方
车前三升,水五升,煮取二升,分三服。
棘刺二升,水三升,煮取二升,分三服瘥。
又方
胶三两炙,以水二升,煮取一升四合,分再服。
又方
酒服蒲黄二方寸匕,日二服,水服亦得。
又方
捣水筋汁,服六七合,日一服。
《病源》记载:遗尿症,是由于膀胱虚寒,不能约束尿液所致。膀胱属于足太阳经,肾属于足少阴经,这两条经脉互为表里关系。(此处原文有脱漏或错简,“不为阴绝脉当今力一通集验疗遗尿方”语义不通,疑为衍文或错乱,故略去不译,仅保留核心病机论述)。
《集验方》治疗遗尿的方剂:
取雄鸡肠烧成灰,研成细末,用三指撮的量服用,早晚各服一次,应当痊愈。(此方出自范汪所著书籍的第五卷)
《千金方》治疗遗尿且小便涩滞的方剂:
牡蛎(煅制)、鹿茸(炙烤),各四两;桑耳(即桑黄),三两;阿胶(炙烤),二两。
以上四味药切碎,用水七升,煎煮至剩余二升,分两次服用。也可以制成散剂,用温水送服。(此方与《经心录》相同)
又一方:
木防己,二两;葵子(冬葵子),二两;防风,三两。
以上三味药切碎,用水五升,煎煮至剩余二升半,分三次温服。制成散剂服用也很好。(此方与《古今录验》相同,均出自第二十一卷)
《古今录验》中的牡蛎汤,治疗遗尿且小便涩滞的方剂:
牡蛎(煅制,四两)、鹿茸(炙烤,四两)、阿胶(炙烤,各二两)、桑螵蛸,二两。
以上四味药切碎,用水五升,煎煮至剩余二升,分两次服用。
又一方:
桑耳,三分;矾石(煅制至汁液干尽),二分;阿胶(炙烤),二分;龙骨,三分。
以上四味药研成散剂,空腹时服用一方寸匕,每日三次。
又一方:
桑耳,二两;牡蛎(煅制,三两);矾石(煅制至汁液干尽,二两)。
以上三味药捣碎过筛制成散剂,用酒送服一方寸匕,每日三次。(以上三方均出自第二十六卷)
《千金方》治疗房事损伤导致尿血的方剂:
牡蛎(煅制)、车前子、桂心、黄芩。
以上四味药等量混合,捣碎过筛制成散剂,用温水送服一方寸匕,每日三次。若效果不明显,可加至两方寸匕。忌食生葱。(此方出自第二十一卷)
崔氏治疗突然受热气冲击导致尿血的方剂:
大黄(研末)、芒硝(研末,各半方寸匕)。
以上两味药,用冷水调和,一次性顿服,尿血立即停止。服药后三天内禁止行房事。(此方出自第四卷)
《古今录验》治疗尿血的鹿茸散方:
鹿茸(炙烤)、当归、干地黄(各二两)、葵子(五合)、蒲黄(五合)。
以上五味药捣碎过筛制成散剂,用酒送服一方寸匕,每日三次。忌食芜荑。(此方出自第二第六卷)
苏澄治疗尿血的方剂:
将车前草捣碎绞汁,取汁液五合,空腹服用即可痊愈。
又一方:
用水送服乱发灰一方寸匕,每日三次。(此方与《肘后备急方》、《千金方》相同)
又一方:
服用益母草汁一升,即可痊愈。(另一种说法是“草”,疑为衍文或异名)
又一方:
用车前草三升,加水五升,煎煮至剩余二升,分三次服用。
棘刺(即苍耳子或带刺植物果实,此处指特定草药)二升,加水三升,煎煮至剩余二升,分三次服用,即可痊愈。
又一方:
阿胶三两(炙烤),加水二升,煎煮至剩余一升四合,分两次服用。
又一方:
用酒送服蒲黄两方寸匕,每日两次;用水送服也可以。
又一方:
捣取水筋(可能指某种草本植物的汁液或根茎汁)汁液,服用六七合,每日一次。
According to the *Bing Yuan* (Source of Diseases), enuresis is caused by deficiency-cold of the Bladder, which fails to restrain urine. The Bladder belongs to the Foot-Taiyang channel, and the Kidney belongs to the Foot-Shaoyin channel; these two meridians are exterior-interiorly related. [Note: The subsequent text in the original source appears corrupted or misplaced and is omitted for clarity.]
Ji Yan Fang (Collected Effective Prescriptions) prescription for treating enuresis:
Take the intestines of a rooster, burn them to ash, and grind into powder. Take a pinch held by three fingers per dose, administered morning and evening. It should be cured. (This prescription is also found in Volume 5 of Fan Wang's work.)
Qian Jin Fang (Essential Prescriptions Worth a Thousand Gold) prescription for treating enuresis with dysuria:
Oyster Shell (calcined), Deer Antler (roasted), each 4 liang; Auricula Tremella (Sang Er), 3 liang; Donkey-hide Gelatin (Ejiao, roasted), 2 liang.
Cut the above four ingredients, add 7 sheng of water, decoct to obtain 2 sheng. Divide into two doses. Alternatively, prepare as a powder and take with warm water. (Identical to Jing Xin Lu.)
Another prescription:
Stephania Tetrandra (Mu Fang Ji), 2 liang; Malva Seed (Kui Zi), 2 liang; Saposhnikovia Root (Fang Feng), 3 liang.
Cut the above three ingredients, add 5 sheng of water, decoct to obtain 2.5 sheng. Divide into three warm doses. Preparing as a powder is also effective. (Identical to Gu Jin Lu Yan, both from Volume 21.)
Gu Jin Lu Yan's Oyster Shell Decoction for treating enuresis with dysuria:
Oyster Shell (calcined, 4 liang), Deer Antler (roasted, 4 liang), Donkey-hide Gelatin (Ejiao, roasted, each 2 liang), Mantis Egg-case (Sang Piao Xiao), 2 liang.
Cut the above four ingredients, add 5 sheng of water, decoct to obtain 2 sheng. Divide into two doses.
Another prescription:
Auricula Tremella (Sang Er), 3 fen; Alum (Fan Shi, calcined until dry), 2 fen; Donkey-hide Gelatin (Ejiao, roasted), 2 fen; Dragon Bone (Long Gu), 3 fen.
Grind the above four ingredients into a powder. Take one fang cun bi on an empty stomach, three times daily.
Another prescription:
Auricula Tremella (Sang Er), 2 liang; Oyster Shell (calcined, 3 liang); Alum (Fan Shi, calcined until dry, 2 liang).
Pound and sieve the above three ingredients into a powder. Take one fang cun bi with wine, three times daily. (All three prescriptions above are from Volume 26.)
Qian Jin Fang prescription for hematuria caused by sexual injury:
Oyster Shell (calcined), Plantago Seed (Che Qian Zi), Cinnamon Heart (Gui Xin), Scutellaria Root (Huang Qin).
Mix equal parts of the above four ingredients, pound and sieve into a powder. Take one fang cun bi with water, three times daily. If ineffective, increase to two fang cun bi. Avoid raw green onions. (From Volume 21.)
Cui Shi's prescription for sudden heat invasion causing hematuria:
Rhubarb Root (Da Huang, powdered), Mirabilite (Mang Xiao, powdered), half fang cun bi each.
Mix the above two ingredients with cold water and take in one dose. Hematuria will stop immediately. Abstain from sexual intercourse for three days after taking this medicine. (From Volume 4.)
Gu Jin Lu Yan's Deer Antler Powder for treating hematuria:
Deer Antler (roasted), Angelica Sinensis (Dang Gui), Prepared Rehmannia Root (Shu Di Huang), each 2 liang; Malva Seed (Kui Zi), 5 he; Coptis Rhizome? No, Poria? No, Safflower? No, Rhizoma Polygoni Multiflori? No, Puhuang (Polygoni Titanophori Pollen), 5 he.
Pound and sieve the above five ingredients into a powder. Take one fang cun bi with wine, three times daily. Avoid Elsholtzia Fruit (Wu Yi). (From Volume 26.)
Su Cheng's prescription for treating hematuria:
Pound and squeeze fresh Plantago Herb (Che Qian Cao) to extract juice. Take 5 he on an empty stomach to cure.
Another prescription:
Take one fang cun bi of Ash of Human Hair (Luan Fa Hui) with water, three times daily. (Identical to Zhou Hou Bei Ji Fang and Qian Jin Fang.)
Another prescription:
Take one sheng of Motherwort Juice (Yi Mu Cao Zhi) to cure. (Some versions say "Cao", likely a textual variant.)
Another prescription:
Use 3 sheng of Plantago Herb (Che Qian), add 5 sheng of water, decoct to obtain 2 sheng. Divide into three doses.
Use 2 sheng of Xishi (likely referring to a thorny plant fruit, such as Xanthium Fructus), add 3 sheng of water, decoct to obtain 2 sheng. Divide into three doses to cure.
Another prescription:
Donkey-hide Gelatin (Ejiao), 3 liang (roasted). Add 2 sheng of water, decoct to obtain 1.4 sheng. Divide into two doses.
Another prescription:
Take two fang cun bi of Polygoni Titanophori Pollen (Pu Huang) with wine, twice daily. Taking with water is also acceptable.
Another prescription:
Pound Shuijin (possibly a specific herb root/stem juice) to extract juice. Take 0.6-0.7 he once daily.