Library

The Lin syndrome (strangury) recorded in medical texts presents with various symptoms, and the so-called "various types of Lin" cannot be exhaustively listed. If named according to their etiology, such as Lao Lin (fatigue strangury), Jing Lin (fright strangury), Han Lin (cold strangury), Shi Lin (dampness strangury), Feng Lin (wind strangury), Shu Lin (summer-heat strangury), up to Bao Lin (sudden strangury), although there is no fixed consensus, all fall under the causation of the Three Causes (internal, external, and neither internal nor external). One should carefully deduce the treatment based on these causes; no situation is beyond treatment. There is also Zhuan Bao (displacement of the bladder), where the bladder ligaments are twisted and misaligned, causing inability to urinate; its symptoms are distinct and must not fail to be differentiated. However, treating it should also involve promoting diuresis (promoting urination); ancient formulas prescribe taking Shenqi Bawei Wan (Kidney Qi Eight-Ingredient Pill), which contains Fu Ling (Poria) for this reason.

The *Classic* states: "When the Bladder lacks smooth flow, it becomes Long (stagnant urine/retention); when it lacks control, it becomes Yi Ni (involuntary urination)." This is caused by the loss of proper transmission between the Heart and Kidney Qi. Thus, some experience painful, scanty urination with leakage, while others have incontinence without awareness. Furthermore, women during the postpartum period, due to difficult labor, may injure the Bladder, resulting in involuntary urination at any time. Additionally, children may wet the bed due to cold in the bladder, and this condition may persist into adulthood. Each has specific treatments.

To treat involuntary urination in both young and old; and in men, severe deficiency with failure of Yang Qi, turbid white urine, and nocturnal emission during dreams. This medicine tonifies and nourishes Yuan Qi (original Qi) and improves appetite.
Jiu Zi (Allii Tuberosi Semen, 6 liang, stir-fried), Lu Rong (Cervi Cornu Pantotrichum, 4 liang, roasted with suet), Cong Rong (Cistanches Herba, soaked in wine), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine), Shu Di Huang (Rehmanniae Radix Praeparata), Dang Gui (Angelicae Sinensis Radix) (each 2 liang), Ba Ji Tian (Morindae Officinalis Radix, heart removed), Tu Si Zi (Cuscutae Semen, soaked in wine, each 1.5 liang), Du Zhong (Eucommiae Cortex, bark peeled, cut, stir-fried until fibers break), Shi Hu (Dendrobii Caulis, seedlings removed), Gui Xin (Cinnamomi Cortex), Gan Jiang (Zingiberis Rhizoma Praeparatum, processed, each 1 liang).
Grind the above into powder, mix with wine paste to make pills the size of wutong seeds. Take 50 pills per dose, increasing to 100 pills, taken on an empty stomach before meals with salt water or warm wine. For children with enuresis, it is mostly due to cold in the bladder and insufficient congenital Yang Qi; prepare a separate batch of smaller pills for them.

To treat urinary incontinence.
E Jiao (Colla Corii Asini, 2 liang, stir-fried), Mu Li (Concha Ostreae, obtain powder), Lu Rong (Cervi Cornu Pantotrichum, sliced and roasted with suet, each 4 liang).
Cut the above into coarse pieces. Take 4 qian per dose, add one zhan of water, decoct to 0.7 zhan, take on an empty stomach; or grind into fine powder and mix with drinkable liquid.