(附论)
夫小便秘者。肾与膀胱俱主水。行于小肠。传于胞中。渗入胞内。而为溲溺。二经若内
生热
者。
津液
气血
方
葵子散(出圣惠方)治妇人小便不通。及大便难。
葵子 车前子 川大黄(锉微炒) 冬瓜仁 当归(以上各三分) 木通(半两锉) 滑
石
(一两)
前
温服。
榆皮汤(出圣惠方)治妇人小便不通。小腹疼痛。
榆白皮 木通(锉) 赤芍药 猪苓(去黑皮) 滑石(各三分) 葵子 黄芩(各半
两) 上
为细
四七汤(出瑞竹堂方)治妇人女子。小便不顺甚者。阴户疼痛。
半夏(一两汤炮七次) 浓朴(姜制) 赤茯苓(各五钱) 紫苏叶(二钱) 甘草(二
钱) 香
附子
钱
调服
木通散(出圣惠方)治妇人小便不通。
木通(三分) 车前子 甘草(各半两炙微赤锉) 葵根(二分) 瞿麦(半两) 滑
石(一两)
上
治妇人卒小便不通。(出圣惠方)
阴地草(一两烧灰) 滑石(半两) 葵子(一两) 上为细散。每服于食前。以葱汤
调服一
二钱
治妇人忍小便。不得根据时而起。致令脬转。经四五日。困笃欲死。(出圣惠方)
滑石(二两) 乱发灰(一两) 上研匀。取桃白皮一斤。熟捣。以水三盏。绞取汁。
无时
温半
治妇人卒小便不通。(出圣惠方)
杏仁(七枚炒令黑色) 滑石(一分) 上研为末。以热酒调顿服之立通。
治妇人小便不通。或急欲闷死。
盐(二斤) 上捣碎锅熬令热。布裹熨脐下 。小便渐渐而出。便住 熨。以通快为止。
又方
上以湿生虫一七枚烂研。新汲水调顿服之立通。
又方
上用车前子二两为末。食前以井花水调下二钱。
治妇人小便不通。
用乱发如拳。火烧灰细研。以温酒下二钱立通。
治妇人不得小便。
用杏仁七粒。去皮尖。麸炒黄。为末。水调服立通。
又方
用紫菀为末。井花水调服。取三指撮。立通。又云紫花皆可用。
治小便不通。
曾有一妇人患此。诸医遍用淋闭药者。无非滑逆之剂。并无效验。忽遇一医士。为诊视
云。
放盐
治妇人卒不得小便。(出大全良方)
上用紫菀末。以井花水服。三指撮。小便血。服五撮立止。凡用紫菀。去芦头。去土了。
用
葵根饮子(出圣惠方)治妇人小便不通。
葵根(一两) 滑石 紫葛 瞿麦(各半两) 白茅根(三分) 上锉细和匀。每服半
两。以
水一
火府丹 治心经热。小便涩。并治五淋。
生干地黄 木通 黄芩(各一两) 上为细末。炼蜜为丸。如梧桐子大。木通煎汤服三
十
丸。
时已
渴。
葱白汤(出大全良方)治卒暴不通。小腹膨急。气上冲心。闷绝欲死。此由
暴
气乘并膀胱。
左手急大。
橘皮(三两) 葵子(三两) 葱白(一茎) 上 咀。水五升。煮取二升。分三服。
禹余粮丸 治便及痒痛。
上用禹余粮不以多少为末。以麸糊为丸。如梧桐子大。每服五十丸。木通汤下。
血分椒仁丸(出永类钤方)治妇人肿满。小便不通。由经血不通。遂化为
水。
\x乃审气脉虚实
椒仁 甘遂 续随子(去皮研) 郁李仁 黑牵牛 五灵脂(碎炒) 当归 吴茱萸 延
胡
索(
米炒黄
去米
下。
【附论】
小便不通利,是因为肾与膀胱都主管水液代谢。水液运行于小肠,传导至胞中(膀胱),渗入胞内,从而形成尿液。如果这两条经脉内部产生热邪,
葵子散(出自《圣惠方》)治疗妇人小便不通,以及大便困难。
药材:葵子、车前子、川大黄(锉碎后微炒)、冬瓜仁、当归(以上各三分)、木通(半两,锉碎)、滑石(一两)。
上药捣筛为散。每次服用三钱,温水送服。
榆皮汤(出自《圣惠方》)治疗妇人小便不通,小腹疼痛。
药材:榆白皮、木通(锉碎)、赤芍药、猪苓(去掉黑皮)、滑石(各三分)、葵子、黄芩(各半两)。
上药切碎。每次服用四钱,加水一盏半,煎至一盏,去渣,温服。
四七汤(出自《瑞竹堂方》)治疗妇人女子,小便不顺严重的,阴户疼痛。
药材:半夏(一两,用汤炮制七次)、浓朴(姜汁制)、赤茯苓(各五钱)、紫苏叶(二钱)、甘草(二钱)、香附子(二钱)。
上药切碎。每次服用三钱,加水一盏,煎至七分,去渣,空腹时温服。
木通散(出自《圣惠方》)治疗妇人小便不通。
药材:木通(三分)、车前子、甘草(各半两,炙微红后锉碎)、葵根(二分)、瞿麦(半两)、滑石(一两)。
上药捣筛为散。每次服用三钱,温水送服。
治疗妇人突然小便不通。(出自《圣惠方》)
药材:阴地草(一两,烧成灰)、滑石(半两)、葵子(一两)。
上药研为细散。每次在饭前,用葱汤调服一或二钱。
治疗妇人憋住小便,不能按时起身,导致膀胱扭转,经过四五日,病情危重想要死去。(出自《圣惠方》)
药材:滑石(二两)、乱发灰(一两)。
上药研匀。取桃白皮一斤,熟捣,用水三盏,绞取汁液。无固定时间,温服半盏。
治疗妇人突然小便不通。(出自《圣惠方》)
药材:杏仁(七枚,炒至黑色)、滑石(一分)。
上药研为末,用热酒调匀顿服,立即通畅。
治疗妇人小便不通,或者急迫得快要闷死。
药材:盐(二斤)。
上药捣碎,在锅中熬热,用布包裹熨烫脐下。小便渐渐流出,就停止熨烫,以通畅舒适为止。
又一方
上药用湿生虫十七枚,烂研,用新汲水调匀顿服,立即通畅。
治疗妇人小便不通。
用乱发如拳头大,火烧成灰,细研,用温酒送下二钱,立即通畅。
治疗妇人不得小便。
用杏仁七粒,去皮尖,麸炒黄,为末,水调服,立即通畅。
又一方
用紫菀为末,井花水调服。取三指撮的量,立即通畅。又说紫花都可以用。
治疗小便不通。
曾经有一位妇人患此病,众医遍用治疗淋证闭证的药物,无非是滑利逆行之剂,都没有效验。忽然遇到一位医士,为她诊视说:
放盐
治疗妇人突然不得小便。(出自《大全良方》)
上药用紫菀末,用井花水服用。三指撮的量。如果小便带血,服用五撮立即止血。凡是用紫菀,要去掉芦头,去掉泥土。
葵根饮子(出自《圣惠方》)治疗妇人小便不通。
药材:葵根(一两)、滑石、紫葛、瞿麦(各半两)、白茅根(三分)。
上药锉细和匀。每次服用半两,用水一盏,煎至六分,去渣,温服。
火府丹 治疗心经热,小便涩痛。并治疗五淋。
药材:生干地黄、木通、黄芩(各一两)。
上药为细末,炼蜜为丸,如梧桐子大。用木通煎汤送服三十丸。
时已
口渴。
葱白汤(出自《大全良方》)治疗突然暴发性不通,小腹膨满急迫,气上冲心,闷绝想要死去。这是由于
暴
气乘并膀胱。
左手脉象急大。
药材:橘皮(三两)、葵子(三两)、葱白(一茎)。
上药切碎。用水五升,煮取二升,分三次服用。
禹余粮丸 治疗便及痒痛。
上药用禹余粮不限多少为末,用麸糊为丸,如梧桐子大。每次服用五十丸,木通汤送下。
血分椒仁丸(出自《永类钤方》)治疗妇人肿满,小便不通,由经血不通,遂化为
水。
\x乃审气脉虚实
药材:椒仁、甘遂、续随子(去皮研)、郁李仁、黑牵牛、五灵脂(碎炒)、当归、吴茱萸、延
胡
索(
米炒黄
去米
下。
[Attached Discussion]
Difficulty in urination occurs because the Kidney and Bladder both govern water metabolism. Water fluids circulate through the Small Intestine, transmit to the Bao Zhong (Bladder), seep into the interior of the bladder, and thereby form urine. If heat pathogens arise internally within these two meridians,
Kui Zi San (Cai Shen Seed Powder) [from *Sheng Hui Fang*] treats women with difficulty in urination and also constipation.
Ingredients: Cai Shen seeds (Malva verticillata seeds), Che Qian Zi (Plantago seeds), Chuan Da Huang (Rhubarb root and rhizome, crushed and lightly stir-fried), Dong Gua Ren (Winter melon seeds), Dang Gui (Angelica sinensis) (each 3 fen); Mu Tong (Akebia stem, 0.5 liang, crushed); Hua Shi (Talcum, 1 liang).
The above ingredients are ground into a powder. Take 3 qian each time, administered with warm water.
Yu Pi Tang (Elm Bark Decoction) [from *Sheng Hui Fang*] treats women with difficulty in urination and lower abdominal pain.
Ingredients: Yu Bai Pi (Ulmus davidiana bark), Mu Tong (Akebia stem, crushed), Chi Shao Yao (Red Peony root), Zhu Ling (Polyporus, black skin removed), Hua Shi (Talcum) (each 3 fen); Kui Zi (Malva seeds), Huang Qin (Scutellaria root) (each 0.5 liang).
The above ingredients are cut into small pieces. Take 4 qian each time, add 1.5 zhan of water, decoct until 1 zhan remains, strain, and take warm.
Si Qi Tang (Four Seven Decoction) [from *Rui Zhu Tang Fang*] treats women with severe difficulty in urination and vulvar pain.
Ingredients: Ban Xia (Pinellia tuber, 1 liang, processed seven times in decoction), Nong Po (Magnolia bark, ginger-processed), Chi Fu Ling (Red Poria) (each 5 qian), Zi Su Ye (Perilla leaf, 2 qian), Gan Cao (Licorice root, 2 qian), Xiang Fu (Cyperus rhizome, 2 qian).
The above ingredients are cut into small pieces. Take 3 qian each time, add 1 zhan of water, decoct until 0.7 zhan remains, strain, and take warm on an empty stomach.
Mu Tong San (Akebia Stem Powder) [from *Sheng Hui Fang*] treats women with difficulty in urination.
Ingredients: Mu Tong (Akebia stem, 3 fen), Che Qian Zi (Plantago seeds), Gan Cao (Licorice root, lightly roasted until slightly red and crushed) (each 0.5 liang); Kui Gen (Malva root, 2 fen), Qu Mai (Dianthus herb, 0.5 liang); Hua Shi (Talcum, 1 liang).
The above ingredients are ground into a powder. Take 3 qian each time, administered with warm water.
Treatment for sudden difficulty in urination in women. [from *Sheng Hui Fang*]
Ingredients: Yin Di Cao (Herba Siegesbeckiae or similar local herb, 1 liang, burnt to ash), Hua Shi (Talcum, 0.5 liang), Kui Zi (Malva seeds, 1 liang).
The above ingredients are ground into a fine powder. Take 1 or 2 qian each time before meals, mixed with scallion soup.
Treatment for women who hold their urine and cannot rise at appropriate times, causing bladder torsion. After four or five days, the condition becomes critical and life-threatening. [from *Sheng Hui Fang*]
Ingredients: Hua Shi (Talcum, 2 liang), Luan Fa Hui (Ash of human hair, 1 liang).
Grind the above ingredients evenly. Take 1 jin of Tao Bai Pi (Inner bark of peach tree), pound thoroughly, add 3 zhan of water, squeeze out the juice. Take half a zhan warm at any time.
Treatment for sudden difficulty in urination in women. [from *Sheng Hui Fang*]
Ingredients: Xing Ren (Apricot seed, 7 seeds, stir-fried until black), Hua Shi (Talcum, 1 fen).
Grind the above ingredients into powder, mix with hot wine, and take in one dose; urination will immediately resume.
Treatment for women with difficulty in urination, or such urgency that they feel like suffocating.
Ingredients: Yan (Salt, 2 jin).
Crush the salt, heat it in a pan, wrap in cloth, and apply as a hot compress to the area below the navel. Urine will gradually flow out; stop compressing once urine flows. Continue until relief is achieved.
Another prescription
Take 17 fresh earthworms, mash them thoroughly, mix with freshly drawn well water, and take in one dose; urination will immediately resume.
Another prescription
Use 2 liang of Che Qian Zi (Plantago seeds) ground into powder. Take 2 qian before meals, mixed with well water.
Treatment for women with difficulty in urination.
Take a ball-sized amount of human hair, burn to ash, grind finely, and take 2 qian with warm wine; urination will immediately resume.
Treatment for women unable to urinate.
Take 7 Xing Ren (Apricot seeds), remove skin and tips, stir-fry with bran until yellow, grind into powder, mix with water, and take; urination will immediately resume.
Another prescription
Use Zi Wan (Adenophora root) ground into powder, taken with well water. Take an amount held between three fingers; urination will immediately resume. It is also said that purple flowers can be used.
Treatment for difficulty in urination.
Once, a woman suffered from this condition. Various physicians used diuretic and unblocking agents, which were merely slippery and reversing agents, but none were effective. Suddenly, a medical practitioner examined her and said:
Place Salt
Treatment for sudden inability to urinate in women. [from *Da Quan Liang Fang*]
Use Zi Wan (Adenophora root) powder, taken with well water. Take an amount held between three fingers. If there is blood in the urine, take 5 cuo (pinches) to stop bleeding immediately. When using Zi Wan, remove the rhizome head and dirt.
Kui Gen Yin Zi (Malva Root Drink) [from *Sheng Hui Fang*] treats women with difficulty in urination.
Ingredients: Kui Gen (Malva root, 1 liang), Hua Shi (Talcum), Zi Ge (Pueraria root), Qu Mai (Dianthus herb) (each 0.5 liang); Bai Mao Gen (Imperata rhizome, 3 fen).
Cut the above ingredients finely and mix evenly. Take 0.5 liang each time, add 1 zhan of water, decoct until 0.6 zhan remains, strain, and take warm.
Huo Fu Dan (Fire Mansion Pill) treats Heat in the Heart Meridian, astringent and painful urination. It also treats the Five Types of Lin Syndrome.
Ingredients: Sheng Gan Di Huang (Rehmannia root), Mu Tong (Akebia stem), Huang Qin (Scutellaria root) (each 1 liang).
Grind the above ingredients into fine powder, make pills with refined honey, sized like wu tong seeds. Take 30 pills with Mu Tong decoction.
Time has passed
Thirst.
Cong Bai Tang (Scallion White Decoction) [from *Da Quan Liang Fang*] treats sudden acute obstruction, distension and urgency in the lower abdomen, qi rushing up to the heart, suffocation, and feeling of impending death. This is caused by
Sudden
Qi invading and combining with the Bladder.
The pulse at the left hand is rapid and large.
Ingredients: Ju Pi (Citrus reticulata peel, 3 liang), Kui Zi (Malva seeds, 3 liang), Cong Bai (Scallion white, 1 stalk).
Cut the above ingredients. Add 5 sheng of water, decoct to obtain 2 sheng, divide into three doses.
Yu Yu Liang Wan (Halloysitum Pill) treats defecation issues and itching/pain.
Take Yu Yu Liang (Halloysite) in any amount, grind into powder, make pills with bran paste, sized like wu tong seeds. Take 50 pills each time, administered with Mu Tong decoction.
Xue Fen Jiao Ren Wan (Blood Chamber Pepper Seed Pill) [from *Yong Lei Qian Fang*] treats women with edema and fullness, difficulty in urination, caused by menstrual blood stagnation transforming into
Water.
\xTherefore, examine the deficiency and excess of qi and pulse
Ingredients: Jiao Ren (Zanthoxylum seed), Gan Sui (Euphorbia kansui root), Xu Sui Zi (Stemmacaulis seed, peeled and ground), Yu Li Ren (Prunus japonica seed), Hei Qian Niu (Black Morning Glory seed), Wu Ling Zhi (Trogopterus dung, crushed and stir-fried), Dang Gui (Angelica sinensis), Wu Zhu Yu (Evodia fruit), Yan Hu Suo (Corydalis rhizome,
Stir-fried with rice until yellow
Remove rice
Downward.