(不通 不利)
涌泉、疗小便不通。(明)曲骨、疗妇人小便不通。(下见带下。)曲泉、主阴跳。痛
引茎
中。不得尿。(千)阴交、石门、委阳、主小腹坚痛引阴中。不得小便。关元、主三十六
疾不得小便。气冲。主淋闭不得尿。大敦、主小便难而痛。(甲云。照海主之。)横骨
、大巨、期门、主小腹满。小便难。阴下纵。阴谷、大敦、箕门、委中、委阳、主阴跳遗
小便难。中封、行间、主振寒溲白。尿难痛。曲骨、主小腹胀。血癃小便难。列缺、
主小便热痛。中极等、(见失精。)承扶、屈骨端、主小便不利。(见大便不禁。)少府
、三里、主小便不利癃。阴陵泉主心下满。寒中小便不利。包肓等、(见淋。)石门、关
元、阴交、中极、(并见无子。)曲骨、(见带下。)主不得小便。京门、主溢饮。水道不
通。溺黄。太冲、治腰引小腹痛。小便不利。状如淋(明同。) 疝、小腹肿。溏泄遗溺阴
痛。面目苍色。胸胁支满。足寒。大便难。(铜)水道、治膀胱寒。三焦热。小便不利。(
见小腹痛。)会阴、治小便难。窍中热。(千同。)皮痛阴端寒冲心。横骨、治腹胀小便难
。阴器纵伸痛。
阴包、(见腰。)至阴、阴陵泉、(见疝。)地机(见水肿。)三阴交、(见 癖。)治小便不
箕门、(见淋。)治小便不通。阴谷、治烦逆溺难。小腹急。引阴痛。股内廉痛。五里
、治肠中满。热闭不得溺。行间、治溺难。(见白浊。)
有人小便淋涩不通。甚以为苦。予令摘王不留行叶。(详见淋沥。)研细煎服。即愈。(
黄椎破。水煎数沸服。治大小便不通立效。亦有多煎葱汤。浸脐以下。得通。)
(小便不通、不利)
涌泉穴,治疗小便不通。(明代文献记载)曲骨穴,治疗妇女小便不通。(参见带下病章节)。曲泉穴,主治阴部跳动疼痛,牵引阴茎内部,无法排尿。(《甲乙经》记载)阴交穴、石门穴、委阳穴,主治小腹部坚硬疼痛,牵引阴部,无法排尿。关元穴,主治三十六种疾病导致的小便不通。气冲穴,主治淋证闭塞,无法排尿。大敦穴,主治小便困难且疼痛。(《甲乙经》说:照海穴主治此症。)横骨穴、大巨穴、期门穴,主治小腹胀满,小便困难,阴部下坠松弛。阴谷穴、大敦穴、箕门穴、委中穴、委阳穴,主治阴部跳动、遗尿及小便困难。中封穴、行间穴,主治发冷战栗、尿液浑浊色白、排尿困难且疼痛。曲骨穴,主治小腹胀痛,血癃(因瘀血导致的小便不利),小便困难。列缺穴,主治小便热痛。中极等穴,(参见失精章节)。承扶穴、屈骨端(指会阴或相关部位),主治小便不利。(参见大便失禁章节)。少府穴、足三里穴,主治小便不利及癃闭。阴陵泉穴,主治心下部胀满,寒邪入腹导致的小便不利。包肓等穴,(参见淋证章节)。石门穴、关元穴、阴交穴、中极穴,(并参见无子章节)。曲骨穴,(参见带下病章节),主治无法排尿。京门穴,主治溢饮,水道不通,尿色黄。太冲穴,治疗腰部牵引小腹痛,小便不利,症状像淋证(明代文献观点相同),疝气,小腹胀肿,腹泻稀溏,遗尿,阴部疼痛,面色青苍,胸胁支撑胀满,足部寒冷,大便困难。(《铜人腧穴针灸图经》记载)。水道穴,治疗膀胱寒、三焦热导致的小便不利。(参见小腹痛章节)。会阴穴,治疗小便困难,尿道口发热。(与《甲乙经》观点相同),皮肤疼痛,阴头寒冷寒气上冲心脏。横骨穴,治疗腹胀和小便困难,生殖器下垂伸展疼痛。阴包穴,(参见腰痛章节)。至阴穴、阴陵泉穴,(参见疝气章节)。地机穴(参见水肿章节)。三阴交穴,(参见癖积章节),治疗小便不...(原文此处似有脱漏或排版错误,结合上下文应为治疗小便相关病症)。箕门穴,(参见淋证章节),治疗小便不通。阴谷穴,治疗烦闷逆乱、排尿困难、小腹部拘急,牵引阴部疼痛,大腿内侧疼痛。五里穴,治疗肠中胀满,热邪闭塞导致无法排尿。行间穴,治疗排尿困难。(参见白浊章节)。
有人小便淋沥涩滞不通,非常痛苦。我让他采摘王不留行的叶子。(详见淋沥章节),研成细末煎服,立即痊愈。(还有用黄椎破水煎沸后服用,治疗大小便不通立竿见影;也有用多煎的葱汤,浸泡肚脐以下部位,使小便通畅。)
(Obstruction and difficulty of urination)
Yongquan (KI1) treats obstruction of urine. (Ming Dynasty texts record) Qugu (CV2) treats urinary retention in women. (See section on leukorrhea). Ququan (LR8) governs jumping pain in the yin region, radiating to the shaft of the penis, with inability to void urine. (Recorded in *Jia Yi Jing*). Yinjiao (CV7), Shimen (CV5), and Weiyang (BL35) govern hardness and pain in the lower abdomen radiating to the yin region, with inability to pass urine. Guanyuan (CV4) governs urinary retention caused by thirty-six diseases. Qichong (ST30) governs strangury and closure with inability to void urine. Dadun (LR1) governs difficult and painful urination. (*Jia Yi Jing* states: Zhaohai (KI6) governs this condition.) Henggu (KI11), Daju (ST37), and Qimen (LR14) govern fullness in the lower abdomen, difficult urination, and prolapse/flaccidity of the external genitalia. Yinggu (KI10), Dadun (LR1), Jimen (SP11), Weizhong (BL40), and Weiyang (BL35) govern yin jumping, enuresis, and difficult urination. Zhongfeng (LR4) and Xingjian (LR2) govern chills, white turbid urine, difficult and painful urination. Qugu (CV2) governs lower abdominal distension, blood strangury (urinary difficulty due to blood stasis), and difficult urination. Lieque (LU7) governs hot and painful urination. Zhongji (CV3) and other points, (see section on seminal emission). Chengfu (BL36) and the end of the flexed bone (referring to Huian or related areas), govern difficult urination. (See section on fecal incontinence). Shaofu (HT8) and Zusanli (ST36) govern difficult urination and strangury. Yinlingquan (SP9) governs fullness below the heart, and difficult urination due to cold invading the middle jiao. Baohuang and other points, (see section on strangury). Shimen (CV5), Guanyuan (CV4), Yinjiao (CV7), and Zhongji (CV3), (also see section on infertility). Qugu (CV2), (see section on leukorrhea), governs inability to pass urine. Jingmen (GB25) governs overflow edema, obstruction of water pathways, and yellow urine. Taichong (LR3) treats lumbar pain radiating to the lower abdomen, difficult urination resembling strangury (same view as Ming texts), hernia, lower abdominal swelling, loose stools, enuresis, yin pain, pale-green complexion, chest and hypochondriac fullness, cold feet, and difficult defecation. (Recorded in *Tong Ren Shu Xue Zhen Jiu Tu Jing*). Shuidao (ST28) treats difficult urination due to bladder cold and triple burner heat. (See section on lower abdominal pain). Huiyin (CV1) treats difficult urination and heat in the urethral orifice. (Same as *Jia Yi Jing*), skin pain, cold at the tip of the yin with cold qi rushing to the heart. Henggu (KI11) treats abdominal distension and difficult urination, and pain from prolapse and extension of the genitalia. Yinbao (LR9), (see section on back pain). Zhiyin (BL67) and Yinlingquan (SP9), (see section on hernia). Diji (SP8) (see section on edema). Sanyinjiao (SP6), (see section on masses), treats urinary issues... (text appears incomplete here, context implies treatment of urinary disorders). Jimen (SP11), (see section on strangury), treats urinary obstruction. Yinggu (KI10) treats irritability, counterflow qi, difficult urination, lower abdominal urgency, pain radiating to the yin, and pain along the medial aspect of the thigh. Wuli (ST31) treats fullness in the intestines and heat closure preventing urination. Xingjian (LR2) treats difficult urination. (See section on white turbidity).
A patient suffered from severe and bitter strangury with complete obstruction. I instructed him to pick leaves of *Vaccaria segetalis* (Wang Bu Liu Xing). (See detailed section on dribbling strangury), grind them finely, decoct, and take orally; he recovered immediately. (Another method: decoct *Huang Zhui Po* in water, boil for a few minutes, and drink; it has an immediate effect for both constipation and urinary retention. Another method: decoct a large amount of scallion soup, soak the area below the umbilicus, which facilitates urination.)