答曰。肾者作强之官。伎巧出焉。与膀胱为合。男子以脏精。女子以系胞。启玄子云。强于
作用。故曰作强。造化形容。故曰伎巧。在女则当伎巧。在男则正当作强。天淋者。肾虚膀
胱热也。肾虚不能制水。则小便数也。客热乘膀胱。则水行涩。涩而且数。淋沥不宣。妊娠
之人。系胞于肾。肾患虚热成淋。故谓子淋也。
治疗妊娠患子淋。小便数而少。或热痛酸疼。
地肤草(三两以水四升煮取二升半分三次服)
疗妊娠患子淋。宜地肤汤。
地肤草 车前子(各三两) 知母 黄芩 赤茯苓 赤芍 枳实(炙) 升麻 通草 甘草(炙
各二两)
上 咀。每服四钱。水盏半。煎八分。去滓。空心温服。或无地肤。葵根汁亦妙。
石韦散。治产后小便淋沥溺血。
石韦(去毛) 榆白皮 木通(各一两) 黄芩(三钱) 赤芍 葵子(各半两)
上为粗散。每服三钱。水盏半。入生地黄一分。煎六分。去滓。日三四服。
答曰。小肠为盛受之府。膀胱乃州都之官。启玄子云。位当孤府。故谓都官。居下内空。故
藏津液。若得气海之气。则能泄注也。或受热渗于脬。脬屈擗而系转。故使小便不通利也。
或肾胞有冷。不能温制于水道。故小便日夜十数行。甚者至于乱梦恍惚。寒者宜大建中汤苁
蓉丸。热者琥珀散。方见指迷方。
萆 丸。益肾固气。小便频数。
萆 (青盐三铢水半盏煮熟秤取半两) 金毛狗脊(炮三分) 益智子(捶碎盐炒半两) 肉苁蓉
(一两切焙) 菟丝子(半两酒浸研) 巴戟(半两) 杜仲(麸炒半两) 黄 (一钱)
上为细末。酒糊丸如桐子大。每服四十丸。空心淡盐汤米汤下。冬葵子散。治妊娠胎不安。
小便淋沥。小肚疼痛。
冬葵子(炒) 柴胡 桑白皮 赤茯苓 赤芍 当归(各等分)
上为 咀。每服四钱。水盏半。姜五片。葱白七寸。煎七分。去滓温服。车前子散。除下焦
留热。小便不通。淋沥作痛。
车前子 槟榔 木通 陈皮 赤芍 赤茯苓 当归 滑石 石韦(炙去毛各一两)
上 咀。每服五钱。水二盏。煎一盏。温服。以利为度。未利者再服。食前。忘忧散。治心
经蓄热。小便赤涩不通。淋沥作痛。
琥珀(不拘多少)
上为细末。每服五分。浓煎萱草根汤调下。食前。
回答：肾是作强之官，伎巧由此产生。肾与膀胱相表里（互为配合）。男子用肾来贮藏精气，女子用肾来系连胞宫。启玄子说：因为作用强劲，所以称为“作强”；因为造化形容精妙，所以称为“伎巧”。在女性身上体现为“伎巧”，在男性身上体现为“作强”。天淋（一种淋证），是由于肾虚兼有膀胱热所致。肾虚不能制约水液，则小便频数。客热侵袭膀胱，则尿液运行涩滞。既涩又频，导致淋漓不畅。妊娠期间，胞宫系于肾，若肾患虚热而成淋，所以称为“子淋”。
治疗妊娠期患子淋，表现为小便频数而量少，或伴有热痛、酸疼症状的方剂：
地肤草（三两，用水四升煮取二升半，分三次服用）
治疗妊娠期患子淋，宜用地肤汤：
地肤草、车前子（各三两）、知母、黄芩、赤茯苓、赤芍、枳实（炙）、升麻、通草、甘草（炙，各二两）
以上药物切碎。每次服用四钱，加水一盏半，煎至八分，去渣。空腹温服。如果没有地肤草，葵根汁也很好。
石韦散：治疗产后小便淋漓不尽及尿血。
石韦（去毛）、榆白皮、木通（各一两）、黄芩（三钱）、赤芍、葵子（各半两）
以上药物捣成粗散。每次服用三钱，加水一盏半，加入生地黄一分，煎至六分，去渣。每日三四次服用。
回答：小肠是受盛之腑，膀胱是州都之官。启玄子说：位置处于孤府，所以称为都官。居于下焦内部空虚，所以能贮藏津液。如果得到气海之气，就能排泄注流。如果受热邪渗入膀胱（脬），膀胱屈曲扭转，就会导致小便不通利。或者因肾与胞宫有寒，不能温煦制约水道，导致小便日夜十几次排出。严重的甚至出现乱梦、恍惚的症状。属寒者宜用大建中汤苁蓉丸，属热者用琥珀散（方剂见《指迷方》）。
萆薢丸：益肾固气，治疗小便频数。
萆薢（青盐三铢，水半盏煮熟后秤取半两）、金毛狗脊（炮制三分）、益智子（捶碎，盐炒半两）、肉苁蓉（一两，切片焙干）、菟丝子（半两，酒浸后研碎）、巴戟天（半两）、杜仲（麸炒半两）、黄芪（一钱）
以上药物制成细末，用酒糊制作成梧桐子大小的丸药。每次服用四十丸，空腹时用淡盐汤或米汤送服。
冬葵子散：治疗妊娠期胎动不安，小便淋漓，小腹疼痛。
冬葵子（炒）、柴胡、桑白皮、赤茯苓、赤芍、当归（各等分）
以上药物切碎。每次服用四钱，加水一盏半，生姜五片，葱白七寸，煎至七分，去渣温服。
车前子散：清除下焦残留热邪，治疗小便不通，淋漓作痛。
车前子、槟榔、木通、陈皮、赤芍、赤茯苓、当归、滑石、石韦（炙，去毛，各一两）
以上药物切碎。每次服用五钱，加水二盏，煎至一盏，温服。以通利为度，未通利者可再服。饭前服用。
忘忧散：治疗心经蓄积热邪，小便赤涩不通，淋漓作痛。
琥珀（不拘多少）
以上药物制成细末。每次服用五分，用浓煎的萱草根汤调服。饭前服用。
Answer: The Kidney is the official of vigorous action, and dexterity arises from it. It forms an interior-exterior relationship with the Bladder. In men, the Kidney stores essence; in women, it anchors the uterus (Bao Gong). Qixuanzi stated: Because its function is strong, it is called "Zuoqiang" (Vigorous Action); because its creation describes subtlety, it is called "Jiqiao" (Dexterity). In women, this manifests as Jiqiao; in men, it manifests as Zuoqiang. Tian Lin (a type of strangury) is caused by Kidney deficiency combined with Bladder heat. Kidney deficiency fails to control water, resulting in frequent urination. Exogenous heat invades the Bladder, causing urine flow to become astringent. Being both astringent and frequent leads to dribbling without relief. During pregnancy, the uterus is anchored by the Kidney. If the Kidney suffers from deficient heat leading to strangury, it is termed "Zi Lin" (Fetal Strangury).
For treating Zi Lin during pregnancy, characterized by frequent but scanty urination, or accompanied by hot pain and soreness:
Di Fu Cao (Kochia Scoparia Herb, 3 liang, boiled in 4 sheng of water to yield 2.5 sheng, taken in three doses).
To treat Zi Lin during pregnancy, Di Fu Tang is suitable:
Di Fu Cao (Kochia Scoparia Herb), Che Qian Zi (Plantago Seed) (each 3 liang); Zhi Mu (Anemarrhenae Rhizoma), Huang Qin (Scutellariae Radix), Chi Fu Ling (Poria with Red Coir), Chi Shao (Paeoniae Radix Rubra), Zhi Shi (Aurantii Fructus Immaturus, processed with honey), Sheng Ma (Cimicifugae Rhizoma), Tong Cao (Tetrapanacis Medulla), Gan Cao (Glycyrrhizae Radix et Rhizoma, processed with honey) (each 2 liang).
Crush the herbs. Take 4 qian per dose, with 1.5 cups of water, decoct to 0.8 cup, remove dregs, and take warm on an empty stomach. If Di Fu Cao is unavailable, juice from Abelmoschus manihot root is also excellent.
Shi Wei San: Treats postpartum dribbling strangury and hematuria.
Shi Wei (Pyrrosiae Folium, remove hairs), Yu Bai Pi (Ulmus Alba Cortex), Mu Tong (Akebiae Caulis) (each 1 liang); Huang Qin (Scutellariae Radix) (3 qian); Chi Shao (Paeoniae Radix Rubra), Kui Zi (Abelmoschi Semen) (each 0.5 liang).
Grind into a coarse powder. Take 3 qian per dose, with 1.5 cups of water, add 1 fen of fresh Sheng Di Huang (Rehmanniae Radix), decoct to 0.6 cup, remove dregs, and take 3-4 times daily.
Answer: The Small Intestine is the fu-organ of reception and transformation; the Bladder is the official of the capital region. Qixuanzi stated: Located in the solitary fu-organ, it is called the Official of the Capital. Situated in the lower jiao, internally hollow, it stores fluids. If it receives Qi from the Qi Hai (Sea of Qi), it can excrete and flow. If heat pathogen seeps into the bladder (Pao), causing the bladder to twist and turn, it results in difficult urination. Alternatively, cold in the Kidney and uterus fails to warm and regulate the water passages, causing urination ten or more times day and night. Severe cases may lead to chaotic dreams and trance-like states. For cold patterns, Da Jian Zhong Tang Cong Rong Wan is appropriate; for heat patterns, Hu Po San is used (formula found in *Zhi Mi Fang*).
Bi Xie Wan: Benefits the Kidney and secures Qi, treating frequent urination.
Bi Xie (Dioscoreae Hypoglaucae Rhizoma) (processed with Qing Yan [Green Salt], 3 zhu, half a cup of water, boiled until cooked, then weighed to obtain 0.5 liang); Jin Mao Gou Ji (Cibotii Rhizoma, processed, 3 fen); Yi Zhi Zi (Alpiniae Oxyphyllae Fructus, crushed, salt-fried, 0.5 liang); Rou Cong Rong (Cynomorii Herba, 1 liang, sliced and dried); Tu Si Zi (Cuscutae Semen, 0.5 liang, soaked in wine and ground); Ba Ji (Morinda Officinalis Radix, 0.5 liang); Du Zhong (Eucommiae Cortex, bran-fried, 0.5 liang); Huang Qi (Astragali Radix) (1 qian).
Grind into fine powder, make pills with wine paste the size of paulownia seeds. Take 40 pills per dose, with light salt water or rice soup on an empty stomach.
Dong Kui Zi San: Treats fetal restlessness during pregnancy, dribbling strangury, and lower abdominal pain.
Dong Kui Zi (Malvae Semen, stir-fried), Chai Hu (Bupleuri Radix), Sang Bai Pi (Mori Cortex), Chi Fu Ling (Poria with Red Coir), Chi Shao (Paeoniae Radix Rubra), Dang Gui (Angelicae Sinensis Radix) (equal parts).
Crush the herbs. Take 4 qian per dose, with 1.5 cups of water, 5 slices of fresh Sheng Jiang (Zingiberis Rhizoma Recens), and 7 cun of scallion white, decoct to 0.7 cup, remove dregs, and take warm.
Che Qian Zi San: Clears residual heat in the Lower Jiao, treats urinary retention, dribbling strangury with pain.
Che Qian Zi (Plantago Seed), Bing Lang (Arecae Semen), Mu Tong (Akebiae Caulis), Chen Pi (Citri Reticulatae Pericarpium), Chi Shao (Paeoniae Radix Rubra), Chi Fu Ling (Poria with Red Coir), Dang Gui (Angelicae Sinensis Radix), Hua Shi (Talcum), Shi Wei (Pyrrosiae Folium, roasted, remove hairs) (each 1 liang).
Crush the herbs. Take 5 qian per dose, with 2 cups of water, decoct to 1 cup, take warm. Stop when urination becomes free; if not relieved, take again. Take before meals.
Wang You San: Treats heat accumulation in the Heart Meridian, red and astringent urinary retention, dribbling strangury with pain.
Hu Po (Amber) (any amount).
Grind into fine powder. Take 0.5 fen per dose, mixed with thickly decocted Xuanc Gen (Daylily Root) soup. Take before meals.