【阴寒小便不利之症】骨节烦痛，不得屈伸，汗出气短，恶风微肿，此寒湿相搏，小便
不利也。少阴病，至四五日腹痛，其人或咳，或四肢重痛，或自下利，此寒湿内结。小便不利
【阴寒小便不利之因】风寒湿邪，搏于经络，阴寒主闭，湿邪主塞，每多身痛，而小便
不利。又有寒湿伤于少阴，阴寒上冲，则咳嗽，阴寒下结关元，则小便不利。
【阴寒小便不利之脉】脉必濡缓，甚则濡迟。右脉濡迟，太阴寒湿。左脉濡迟，少阴寒
【阴寒小便不利之治】太阴寒湿，甘草附子汤、术附汤。少阴水气者，真武汤。少阴阴
甘草附子汤
生甘草 熟附子
术附汤
白术 熟附子
真武汤
白茯苓 白芍药 生姜 白术 熟附子
四逆汤
干姜 熟附子 炙甘草
【热结小便不利之症】喘咳面肿，气逆胸满，此肺与肠胃有热而小便不利，烦热闷躁，
赤便闭，此心与小肠有热而小便不利。腰痛骨蒸，两足心热，此肾与膀胱有热而小便不利。
【热结小便不利之因】肺主通调水道，肠胃主传化水谷，上焦失清化之令，则不能下输
膀胱，而小便不利。心与小肠为表里，心移热于小肠，则小便不利。肾与膀胱主下部，司小便
，二经有热，则下焦热结，而小便不利矣。
【热结小便不利之脉】右寸洪数，肺经有热。寸数连尺，大肠之热。寸数连关，肺胃皆
热。左寸细数，心经之火。左寸大数，小肠之热。左尺细数，肾火之诊。左尺大数，膀胱结热
【热结小便不利之治】肺经有热者，清肺饮、黄芩泻白散。大肠有热，黄连枳壳汤。胃
热
胱结热，车前木通汤。
清肺饮
桔梗 黄芩 山栀 连翘 天花粉 玄参 薄荷 甘草
黄芩泻白散
黄芩 桑白皮 地骨皮 甘草
黄连枳壳汤 见湿热利。
清胃汤 见腹痛。
泻心汤
川黄连（三钱） 甘草（二钱）
导赤各半汤 见前。
知柏地黄丸 即六味地黄丸，加知母、黄柏。
车前木通汤
车前子（三钱） 木通（二钱）
【阴寒导致小便不利的症状】骨节烦扰疼痛，不能屈伸，出汗且气短，怕风并伴有轻微浮肿，这是寒湿相互搏结，导致小便不利。少阴病，到了四五日出现腹痛，患者有的咳嗽，有的四肢沉重疼痛，有的自行腹泻，这是寒湿在体内凝结，导致小便不利。
【阴寒导致小便不利的原因】风寒湿邪气，搏结于经络之中，阴寒性质主闭塞，湿邪性质主阻滞，常常导致身体疼痛，以及小便不利。又有寒湿损伤少阴经，阴寒之气上冲，则引起咳嗽；阴寒在下部关元穴处凝结，则导致小便不利。
【阴寒导致小便不利的脉象】脉象必定是濡缓脉，严重时为濡迟脉。右脉呈现濡迟，属于太阴寒湿证。左脉呈现濡迟，属于少阴寒湿证。
【阴寒导致小便不利的治法】太阴寒湿证，使用甘草附子汤、术附汤。少阴水气证，使用真武汤。少阴阴寒证（原文此处似有缺漏，结合下文方剂推测可能涉及四逆汤类温阳救逆之法，但仅翻译原文可见部分），使用相应温阳方剂。
【热结导致小便不利的症状】气喘咳嗽，面部浮肿，气逆胸中胀满，这是肺与肠胃有热而致小便不利；心烦发热，闷躁不安，大便色赤且闭结不通，这是心与小肠有热而致小便不利；腰痛，骨蒸潮热，两足心发热，这是肾与膀胱有热而致小便不利。
【热结导致小便不利的原因】肺主管通调水道，肠胃主管传导和消化水谷，如果上焦失去清肃化生的功能，就不能将津液向下输布到膀胱，从而导致小便不利。心与小肠互为表里，心火移热于小肠，就会导致小便不利。肾与膀胱主管下部，司管小便，这两条经脉有热，就会导致下焦热结，从而小便不利。
【热结导致小便不利的脉象】右寸脉洪数，表示肺经有热。寸脉数象连及尺脉，表示大肠有热。寸脉数象连及关脉，表示肺和胃都有热。左寸脉细数，表示心经有火。左寸脉大数，表示小肠有热。左尺脉细数，是肾火的诊候。左尺脉大数，表示膀胱结热。
【热结导致小便不利的治法】肺经有热的，使用清肺饮、黄芩泻白散。大肠有热的，使用黄连枳壳汤。胃有热的（原文此处截断，后文列出相关方剂），膀胱结热的，使用车前木通汤。
黄连枳壳汤 参见湿热利章节。
导赤各半汤 参见前文。
[Symptoms of Urinary Difficulty Due to Yin-Cold] Pain and discomfort in the bone joints, inability to flex or extend, sweating with shortness of breath, aversion to wind with slight edema; this is due to the binding of cold-dampness, resulting in urinary difficulty. In Shaoyin disease, abdominal pain occurs after four or five days; the patient may have cough, heaviness and pain in the limbs, or spontaneous diarrhea; this indicates internal binding of cold-dampness leading to urinary difficulty.
[Causes of Urinary Difficulty Due to Yin-Cold] Wind-cold-damp pathogens bind in the meridians and collaterals. Yin-cold governs closure, and dampness governs obstruction, often causing body pain and urinary difficulty. Additionally, when cold-dampness injures the Shaoyin channel, upward rushing of yin-cold causes coughing; downward binding of yin-cold at the Guanyuan (CV-4) point causes urinary difficulty.
[Pulse Signs of Urinary Difficulty Due to Yin-Cold] The pulse must be soggy and slow (Ru-Huan), or even soggy and delayed (Ru-Chi) in severe cases. A soggy and delayed pulse on the right position indicates Taiyin cold-dampness. A soggy and delayed pulse on the left position indicates Shaoyin cold-dampness.
[Treatment for Urinary Difficulty Due to Yin-Cold] For Taiyin cold-dampness, use Gancao Fuzi Tang (Licorice and Prepared Aconite Decoction) or Zhufu Tang (Atractylodes and Aconite Decoction). For Shaoyin water qi pathology, use Zhenwu Tang (True Warrior Decoction). For Shaoyin yin-cold pathology, [text implies warming formulas].
Gancao Fuzi Tang (Licorice and Prepared Aconite Decoction)
Sheng Gancao (Raw Licorice Root)
Shu Fuzi (Prepared Aconite Lateral Root)
Zhufu Tang (Atractylodes and Aconite Decoction)
Baizhu (Atractylodes Macrocephala Rhizome)
Shu Fuzi (Prepared Aconite Lateral Root)
Zhenwu Tang (True Warrior Decoction)
Baifuling (Poria Cocos Sclerotium)
Baishao Yao (White Peony Root)
Shengjiang (Fresh Ginger Rhizome)
Baizhu (Atractylodes Macrocephala Rhizome)
Shu Fuzi (Prepared Aconite Lateral Root)
Sini Tang (Recovery Decoction)
Ganjiang (Dried Ginger Rhizome)
Shu Fuzi (Prepared Aconite Lateral Root)
Zhi Gancao (Honey-fried Licorice Root)
[Symptoms of Urinary Difficulty Due to Heat Binding] Wheezing, cough, facial swelling, rebellious qi with chest fullness; this is urinary difficulty due to heat in the Lung and Intestines. Mental restlessness, fever, irritability, red urine, and constipation; this is urinary difficulty due to heat in the Heart and Small Intestine. Lower back pain, bone-steaming tidal fever, hot sensation in the soles of both feet; this is urinary difficulty due to heat in the Kidney and Bladder.
[Causes of Urinary Difficulty Due to Heat Binding] The Lung governs the unblocking and regulation of water passages, while the Intestines govern the transmission and transformation of food and fluids. If the Upper Jiao loses its clear descending function, it cannot transport fluids down to the Bladder, resulting in urinary difficulty. The Heart and Small Intestine are interior-exteriorly related; if Heart heat transfers to the Small Intestine, urinary difficulty ensues. The Kidney and Bladder govern the lower part of the body and control urination; heat in these two channels leads to lower Jiao heat binding, causing urinary difficulty.
[Pulse Signs of Urinary Difficulty Due to Heat Binding] A surging and rapid pulse at the Right Cun position indicates heat in the Lung channel. A rapid pulse extending from Cun to Chi indicates heat in the Large Intestine. A rapid pulse extending from Cun to Guan indicates heat in both the Lung and Stomach. A fine and rapid pulse at the Left Cun position indicates fire in the Heart channel. A large and rapid pulse at the Left Cun position indicates heat in the Small Intestine. A fine and rapid pulse at the Left Chi position is a diagnosis of Kidney fire. A large and rapid pulse at the Left Chi position indicates binding heat in the Bladder.
[Treatment for Urinary Difficulty Due to Heat Binding] For heat in the Lung channel, use Qingfei Yin (Lung-Clearing Drink) or Huangqin Xiebai San (Scutellaria and White Peony Powder). For heat in the Large Intestine, use Huanglian Zhike Tang (Coptis and Aurantium Decoction). For heat in the Stomach [text incomplete], and binding heat in the Bladder, use Cheqian Mutong Tang (Plantago and Akebia Decoction).
Qingfei Yin (Lung-Clearing Drink)
Jiegeng (Platycodon Root)
Huangqin (Scutellaria Root)
Shanzhi (Gardenia Fruit)
Lianqiao (Forsythia Fruit)
Tianhuafen (Trichosanthes Root)
Xuanshen (Scrophularia Root)
Bohe (Mentha Haplocalyx)
Gancao (Licorice Root)
Huangqin Xiebai San (Scutellaria and White Peony Powder)
Huangqin (Scutellaria Root)
Sangbaipi (Morus Bark)
Digupi (Lycium Bark)
Gancao (Licorice Root)
Huanglian Zhike Tang (Coptis and Aurantium Decoction) See section on Damp-Heat Dysentery.
Qingwei Tang (Stomach-Clearing Decoction) See section on Abdominal Pain.
Xiexin Tang (Drain the Heart Decoction)
Chuan Huanglian (Coptis Rhizome) (3 qian)
Gancao (Licorice Root) (2 qian)
Daochi Banban Tang (Half-and-Half Guide-Out Redness Decoction) See previous text.
Zhibai Dihuang Wan (Anemarrhena, Phellodendron, and Rehmannia Pill) Also known as Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), added with Zhimu (Anemarrhena Rhizome) and Huangbai (Phellodendron Bark).
Cheqian Mutong Tang (Plantago and Akebia Decoction)
Cheqianzi (Plantago Seed) (3 qian)
Mutong (Akebia Caulis) (2 qian)