夫小便不禁者。由肾气虚。下焦受冷故也。肾主水。其气下通于阴。肾虚。下焦冷。不
能温制其水液。故小便不禁也。
治小便多。或不禁。菟丝子散方。
菟丝子（二两酒浸三日曝干别捣为末） 牡蛎（一两烧为粉） 肉苁蓉（二两酒浸一宿
刮去
粗皮炙干用） 附子（一两炮裂去皮脐） 五味子（一两） 鸡 中黄皮〔二（三）两微
炙〕
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治小便不禁。日夜不止方。
白茯苓（一两） 熟干地黄〔一（二）两〕 龙骨（一两） 甘草（一两炙微赤锉） 干
姜（一
两炮裂锉） 桂心（一两） 续断（一两） 附子（一两炮裂去皮脐） 桑螵蛸（二两微炒）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。每于食前温服。
治小便不禁。阴痿脚弱。鹿茸散方。
鹿茸（二两去毛涂酥炙令微黄） 羊踯躅（一两酒拌炒令干） 韭子（一两微炒） 附
子（一
两炮裂去皮脐） 桂心（一两） 泽泻（一两）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治小便不禁。白薇散方。
白薇（一两） 白蔹（一两） 白芍药（一两）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
又方。
柏白皮（三两锉） 石榴〔二（一）颗烧为灰细研〕
上件药。以水三大盏。煮柏皮取汁二大盏。去滓。每于食前。以汁一小盏。调石榴灰二
钱服之。
又方。
蔷薇根（五两锉） 鹊巢中草（烧为灰细研）
上以水三大盏。先煮蔷薇根取汁一盏半 去滓。每于食前。取汁一小盏。调下鹊巢灰二
钱。
小便失禁，是由于肾气虚弱、下焦受寒所致。肾主水液代谢，其经气向下通达于前阴。若肾气亏虚，下焦寒冷，便无法温煦和制约水液，从而导致小便失禁。
治疗小便频多或失禁的菟丝子散方：
菟丝子（二两，用酒浸泡三日，晒干后单独捣碎成粉末）、牡蛎（一两，煅烧成粉）、肉苁蓉（二两，用酒浸泡一夜，刮去粗皮，炙干后使用）、附子（一两，炮制裂开，去皮及脐）、五味子（一两）、鸡内金中的黄皮（二至三两，微炙）。
以上药物，捣碎过细筛制成散剂。每次在饭前，用米汤调服二钱。
治疗小便失禁，日夜不止的方剂：
白茯苓（一两）、熟干地黄（一至二两）、龙骨（一两）、甘草（一两，炙至微红并切碎）、干姜（一两，炮制裂开后切碎）、桂心（一两）、续断（一两）、附子（一两，炮制裂开，去皮及脐）、桑螵蛸（二两，微炒）。
以上药物，捣碎过粗筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣。每次在饭前温服。
治疗小便失禁、阳痿、脚部无力的鹿茸散方：
鹿茸（二两，去毛，涂酥油炙至微黄色）、羊踯躅（一两，用酒拌炒至干）、韭子（一两，微炒）、附子（一两，炮制裂开，去皮及脐）、桂心（一两）、泽泻（一两）。
以上药物，捣碎过细筛制成散剂。每次在饭前，用米汤调服二钱。
治疗小便失禁的白薇散方：
白薇（一两）、白蔹（一两）、白芍药（一两）。
以上药物，捣碎过细筛制成散剂。每次在饭前，用米汤调服二钱。
又一方：
柏树皮（三两，切碎）、石榴（一至二颗，烧成灰后细细研磨）。
以上药物，用水三大盏，煮柏皮取汁两大盏，滤去药渣。每次在饭前，取汁一小盏，调和石榴灰二钱服用。
又一方：
蔷薇根（五两，切碎）、鹊巢中的草（烧成灰后细细研磨）。
以上药物，用水三大盏，先煮蔷薇根取汁一盏半，滤去药渣。每次在饭前，取汁一小盏，调和鹊巢灰二钱服用。
Incontinence of urine is caused by deficiency of Kidney Qi and cold invading the Lower Jiao (Lower Burner). The Kidney governs water metabolism, and its Qi connects downward to the external genitalia. When the Kidney is deficient and the Lower Jiao is cold, it fails to warm and control the fluid metabolism, resulting in urinary incontinence.
Formula for treating polyuria or incontinence: Tusizi San (Cuscuta Powder)
Tusizi (Cuscutae Semen, 2 liang, soaked in wine for three days, dried, and separately ground into powder), Moli (Ostreae Concha, 1 liang, calcined into powder), Rongcunrong (Cibotii Rhizoma, 2 liang, soaked in wine overnight, scraped clean of rough skin, and processed with heat until dry), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, skin and umbilicus removed), Wuweizi (Schisandrae Chinensis Fructus, 1 liang), Jinzhong Huangpi (Periostracum Galli Gigerii Endothelium Corneum [Chicken Gizzard Lining], 2-3 liang, lightly processed with heat).
The above herbs are finely ground and sifted to make a powder. Before meals, take 2 qian mixed with rice broth.
Formula for treating urinary incontinence that persists day and night:
Baifuling (Poria, 1 liang), Shudihuang (Rehmanniae Radix Praeparata, 1-2 liang), Longgu (Dinosaur Bone, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, processed with heat until slightly red and cut), Ganjiang (Zingiberis Rhizoma, 1 liang, processed until cracked and cut), Guixin (Cinnamomi Ramulus Cortex, 1 liang), Xuduan (Dipsaci Radix, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, skin and umbilicus removed), Sangpiaoxiao (Mantidis Oötheca, 2 liang, lightly stir-fried).
The above herbs are coarsely ground and sifted to make a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to six-tenths, strain, and take warm before meals.
Formula for treating urinary incontinence, impotence, and weakness of the legs: Lurong San (Deer Antler Powder)
Lurong (Cornu Cervi Pantotrichum, 2 liang, hair removed, coated with butter, and processed with heat until slightly yellow), Yangzhizhu (Daphnes Genkwa Flower, 1 liang, mixed with wine and stir-fried until dry), Jiu Zi (Allii Tuberosi Semen, 1 liang, lightly stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, skin and umbilicus removed), Guixin (Cinnamomi Ramulus Cortex, 1 liang), Zexie (Alismatis Rhizoma, 1 liang).
The above herbs are finely ground and sifted to make a powder. Before meals, take 2 qian mixed with rice broth.
Formula for treating urinary incontinence: Baiwei San (Baiwei Powder)
Baiwei (Cynanchi Atrati Radix, 1 liang), Bailian (Bulbus Belamcandae, 1 liang), Baishao Yao (Paeoniae Radix Alba, 1 liang).
The above herbs are finely ground and sifted to make a powder. Before meals, take 2 qian mixed with rice broth.
Another formula:
Bai Bipi (Cupressi Cacumen Cortex, 3 liang, cut), Shiliu (Punica Granatum, 1-2 pieces, burned to ash and finely ground).
The above herbs are boiled in three da of water. Decoct the bark until two da of liquid remain, then strain. Before meals, take one xiao of the liquid mixed with 2 qian of pomegranate ash.
Another formula:
Qiangwei Gen (Rosae Rugosae Radix, 5 liang, cut), Quechao Zhong Cao (Grass from Magpie's Nest, burned to ash and finely ground).
The above herbs are boiled in three da of water. First, decoct the rose root until one and a half zhong of liquid remains, then strain. Before meals, take one xiao of the liquid mixed with 2 qian of magpie nest ash.