夫虚劳小便不利者。盖膀胱是津液之府也。肾主于水。二经合为表里。水气通行。流于
小肠
治虚劳骨节疼痛。心膈躁闷。小便不利。宜服泽泻散方。
泽泻（一两） 鳖甲（一两涂醋炙微黄去裙 ） 麦门冬（半两去心） 栀子仁（半两）
甘草
（半
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。葱白七寸。豉五十粒。煎至
六分
治虚劳小便不利。心神烦热。宜服蘧麦散方。
蘧麦（半两） 川大黄（一两锉碎微炒） 茅根（半两锉） 枳壳（半两麸炒微黄去瓤）
子芩
（半
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。温服。日三四服。以利
为度
治虚劳下焦气滞。脐腹妨闷。小便不利。宜服紫苏散方。
紫苏茎叶（二两） 木通（三分） 石苇（三分去毛） 冬葵子（一两） 木香（半两）
青橘皮
（三
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。食前温服。
治虚劳小便不利。气攻腹内。妨痛。宜服赤茯苓散方。
赤茯苓（一两） 猪苓（一两去黑皮） 当归（一两） 枳壳（三分麸炒微黄去瓤） 羚
羊角屑
（一
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。食前温服。
治虚劳烦热。小肠不利。阴中疼痛。宜服石苇散方。
石苇（三分去毛） 蘧麦（一两） 王不留行（三分） 冬葵子（一两） 车前子（一
两） 当归
（三
上件药。捣细罗为散。每服。食前煎木通汤。调下二钱。
治虚劳下焦有热。小便不利。骨节疼痛。肌肉急。腹内痞满。宜服赤芍药散方。
赤芍药（三分） 柴胡（一两去苗） 赤芍药〔（茯苓）一两〕 大麻仁（一合） 木
通（半两
锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。豉五十粒。葱白五寸。煎
至六
治虚劳小便不利。腹胁满闷。四肢烦疼。宜服大黄丸方。
川大黄（一两锉碎微炒） 赤芍药（三分） 木通（一两锉） 陈橘皮（一两汤浸去白
瓤焙）
大麻
上件药。捣罗为末。炼蜜和捣百余杵。丸如梧桐子大。每服。食前以清粥饮下三十丸。
以利
治虚劳小便不利。心神烦闷。不欲饮食。四肢羸瘦。宜服大麻仁丸方。
大麻仁（二两） 枳实（一两麸炒微黄） 赤芍药（一两） 杏仁（一两汤浸去皮尖双
仁麸炒
微黄）
上件药。捣罗为末。炼蜜和捣百余杵。丸如梧桐子大。每服。食前以清粥饮下三十丸。
凡是虚劳导致的小便不通畅，是因为膀胱是津液汇聚的府库。肾主管水液代谢。这两条经络互为表里关系。水气在体内通行流动，注入小肠。
治疗虚劳引起的骨节疼痛、心胸膈部躁动烦闷、小便不利，适宜服用泽泻散方。
泽泻（一两） 鳖甲（一两，涂醋炙至微黄，去除裙边） 麦门冬（半两，去心） 栀子仁（半两） 甘草（半两）
以上药材，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分，葱白七寸，豆豉五十粒，煎煮至剩余六分药液。
治疗虚劳引起的小便不利、心神烦热，适宜服用蘧麦散方。
蘧麦（半两） 川大黄（一两，锉碎后微炒） 茅根（半两，锉碎） 枳壳（半两，麸炒至微黄，去除瓤） 子芩（半两）
以上药材，捣碎过筛制成散剂。每次服用三钱，用水一中盏，煎煮至剩余六分药液，滤去药渣，温服。每日服用三四次，以通利为度。
治疗虚劳引起的下焦气机阻滞、脐腹部胀闷不适、小便不利，适宜服用紫苏散方。
紫苏茎叶（二两） 木通（三分） 石苇（三分，去毛） 冬葵子（一两） 木香（半两） 青橘皮（三两）
以上药材，捣碎过筛制成散剂。每次服用四钱，用水一中盏，煎煮至剩余六分药液，滤去药渣，饭前温服。
治疗虚劳引起的小便不利、气攻冲腹内、胀痛不适，适宜服用赤茯苓散方。
赤茯苓（一两） 猪苓（一两，去黑皮） 当归（一两） 枳壳（三分，麸炒至微黄，去除瓤） 羚羊角屑（一两）
以上药材，捣碎过筛制成散剂。每次服用三钱，用水一中盏，煎煮至剩余六分药液，滤去药渣，饭前温服。
治疗虚劳引起的烦热、小肠功能不利、阴部疼痛，适宜服用石苇散方。
石苇（三分，去毛） 蘧麦（一两） 王不留行（三分） 冬葵子（一两） 车前子（一两） 当归（三两）
以上药材，捣细过罗制成散剂。每次服用时，饭前用木通汤煎好后，调服二钱散剂。
治疗虚劳引起的下焦有热、小便不利、骨节疼痛、肌肉拘急、腹内痞塞胀满，适宜服用赤芍药散方。
赤芍药（三分） 柴胡（一两，去苗） 赤芍药〔（茯苓）一两〕 大麻仁（一合） 木通（半两，锉碎）
以上药材，捣粗罗制成散剂。每次服用四钱，用水一中盏，加入生姜半分，豆豉五十粒，葱白五寸，煎煮至剩余六分药液。
治疗虚劳引起的小便不利、腹部胁肋部胀闷、四肢烦痛，适宜服用大黄丸方。
川大黄（一两，锉碎后微炒） 赤芍药（三分） 木通（一两，锉碎） 陈橘皮（一两，汤浸后去白瓤焙干） 大麻仁（一两）
以上药材，捣罗制成粉末，用炼蜜调和并捣击百余杵，制成如梧桐子大小的丸剂。每次服用时，饭前用清粥饮送下三十丸，以通利为度。
治疗虚劳引起的小便不利、心神烦闷、不想饮食、四肢消瘦，适宜服用大麻仁丸方。
大麻仁（二两） 枳实（一两，麸炒至微黄） 赤芍药（一两） 杏仁（一两，汤浸后去皮尖及双仁，麸炒至微黄）
以上药材，捣罗制成粉末，用炼蜜调和并捣击百余杵，制成如梧桐子大小的丸剂。每次服用时，饭前用清粥饮送下三十丸。
In cases of deficiency consumption (Xu Lao) presenting with difficult urination, it is because the Bladder (Pang Guang) is the mansion of body fluids. The Kidney (Shen) governs water metabolism. These two meridians form an interior-exterior relationship. Water qi circulates and flows into the Small Intestine (Xiao Chang).
For deficiency consumption manifesting as joint pain, restlessness and oppression in the heart and diaphragm, and difficult urination, Ze Xie San (Alisma Powder) is indicated.
Alisma Rhizome (Ze Xie, 1 liang); Turtle Shell (Bie Jia, 1 liang, coated with vinegar and roasted until slightly yellow, remove the skirt); Ophiopogon Tuber (Maidong, 0.5 liang, remove the heart); Gardenia Seed (Zhizi Ren, 0.5 liang); Licorice Root (Gancao, 0.5 liang).
Crush and sieve the above herbs into a powder. Take 4 qian per dose. Add 1 zhong zhan of water, 0.5 fen of fresh ginger, 7 cun of scallion white, and 50 grains of fermented soybean (Chi Dou). Decoct until 6 fen of liquid remains.
For deficiency consumption manifesting as difficult urination and mental restlessness with heat, Qu Mai San (Polygonum aviculare Powder) is indicated.
Knotgrass Herb (Qu Mai, 0.5 liang); Sichuan Rhubarb Stalk (Chuan Dahuang, 1 liang, cut into small pieces and lightly stir-fried); Imperata Rhizome (Maogen, 0.5 liang, cut); Aurantium Fruit (Zhiqiao, 0.5 liang, stir-fried with bran until slightly yellow, remove the pith); Scutellaria Root (Zihuang, 0.5 liang).
Crush and sieve the above herbs into a powder. Take 3 qian per dose. Add 1 zhong zhan of water. Decoct until 6 fen of liquid remains. Strain and take warm. Take 3-4 times daily, stopping when urination becomes smooth.
For deficiency consumption manifesting as qi stagnation in the lower jiao, abdominal fullness and oppression around the umbilicus, and difficult urination, Zi Su San (Perilla Leaf Powder) is indicated.
Perilla Stem and Leaf (Zisu Jingye, 2 liang); Akebia Stem (Mutong, 3 qian); Pyrus Leaf (Shiwei, 3 qian, remove hairs); Malva Seed (Dongkuizi, 1 liang); Aucklandia Root (Muxiang, 0.5 liang); Green Tangerine Peel (Qingjupi, 3 liang).
Crush and sieve the above herbs into a powder. Take 4 qian per dose. Add 1 zhong zhan of water. Decoct until 6 fen of liquid remains. Strain and take warm before meals.
For deficiency consumption manifesting as difficult urination, qi attacking the abdomen causing distending pain, Chi Fuling San (Red Poria Powder) is indicated.
Red Poria (Chifuling, 1 liang); Polyporus (Zhuling, 1 liang, remove black skin); Angelica Sinensis Root (Danggui, 1 liang); Aurantium Fruit (Zhiqiao, 3 qian, stir-fried with bran until slightly yellow, remove the pith); Antelope Horn Slice (Lingyangjiaoxie, 1 liang).
Crush and sieve the above herbs into a powder. Take 3 qian per dose. Add 1 zhong zhan of water. Decoct until 6 fen of liquid remains. Strain and take warm before meals.
For deficiency consumption manifesting as vexatious heat, dysfunction of the Small Intestine, and pain in the genitalia, Shiwei San (Pyrus Leaf Powder) is indicated.
Pyrus Leaf (Shiwei, 3 qian, remove hairs); Knotgrass Herb (Qu Mai, 1 liang); Vaccaria Seed (Wangbuliuxing, 3 qian); Malva Seed (Dongkuizi, 1 liang); Plantago Seed (Cheqianzi, 1 liang); Angelica Sinensis Root (Danggui, 3 liang).
Grind the above herbs finely and sieve into a powder. Before meals, decoct Mutong Tang (Akebia Decoction), then mix with 2 qian of the powder to take.
For deficiency consumption manifesting as heat in the lower jiao, difficult urination, joint pain, muscle tension, and abdominal fullness, Chishao Yao San (Red Peony Root Powder) is indicated.
Red Peony Root (Chishaoyao, 3 qian); Bupleurum Root (Chaihu, 1 liang, remove the crown); Red Peony Root [Poria (Fuling), 1 liang]; Hemp Seed (Damaoren, 1 he); Akebia Stem (Mutong, 0.5 liang, cut).
Coarsely grind the above herbs into a powder. Take 4 qian per dose. Add 1 zhong zhan of water, 0.5 fen of fresh ginger, 50 grains of fermented soybean, and 5 cun of scallion white. Decoct until 6 fen of liquid remains.
For deficiency consumption manifesting as difficult urination, abdominal and hypochondriac fullness, and painful limbs, Da Huang Wan (Rhubarb Pill) is indicated.
Sichuan Rhubarb Stalk (Chuan Dahuang, 1 liang, cut into small pieces and lightly stir-fried); Red Peony Root (Chishaoyao, 3 qian); Akebia Stem (Mutong, 1 liang, cut); Aged Tangerine Peel (Chenju pi, 1 liang, soaked in hot water, remove white pith and dried); Hemp Seed (Damaoren, 1 liang).
Grind the above herbs into powder. Mix with refined honey and pound for over a hundred strokes. Form pills the size of paulownia seeds. Take 30 pills before meals, washed down with clear porridge broth, stopping when urination becomes smooth.
For deficiency consumption manifesting as difficult urination, mental restlessness, loss of appetite, and emaciated limbs, Damaoren Wan (Hemp Seed Pill) is indicated.
Hemp Seed (Damaoren, 2 liang); Immature Bitter Orange (Zhishi, 1 liang, stir-fried with bran until slightly yellow); Red Peony Root (Chishaoyao, 1 liang); Apricot Seed (Xingren, 1 liang, soaked in hot water, remove skin and tips, discard double kernels, stir-fried until slightly yellow).
Grind the above herbs into powder. Mix with refined honey and pound for over a hundred strokes. Form pills the size of paulownia seeds. Take 30 pills before meals, washed down with clear porridge broth.