遗溺者，膀胱不固也。肾司二便之门户，肾虚有寒，关门不固，是以遗溺。然亦有肺脾气虚，不能约
束水道而为遗溺者。如因肾元不能温固而为遗溺者，以附子、人参、山萸肉方主之。如因肺脾不能提
摄而为遗溺者，以补中益气汤主之，如睡中尿出者，缘素禀阳虚，膀胱与肾气俱冷故也。以雄鸡肝桂
心方主之。
附子人参山萸肉方
附子（三钱） 人参（三钱） 山萸肉或加益智仁（二钱），水煮入盐少许，服。
补中益气汤
（方见五淋）
雄鸡肝桂心方
雄鸡肝 桂心 二味各等分，捣为丸如小豆大，日三服。
脱肛者，脾肾之气陷也。脾主升，肾主固，脾升可以提摄，肾固可为管钥，如脾气陷而无提摄
之力，肾气陷而失管钥之权，则肛门乃脱落矣。如因脾肾气陷而为脱肛者，以补中益气汤主之。
补中益气汤
（方见五淋）
积聚者，气血凝瘀也。积者五脏所生，推之不移，属阴，聚
者六腑所成，推之则移，属阳。积者血多而气少，难经所谓∶血滞而不濡者也。聚者气多而血少，《难
经》所谓∶气留而不行者也。心病于上，肾病于下，肝病于左，肺病于右，脾病于中，五脏之积聚，
各有其部，而溯其本原，总由中气不运所致也。内积在脏腑者，以化坚丸主之。外积在经络者，以化坚膏
敷之。
化坚丸
甘草（二两） 丹皮（三两） 橘皮（三两） 桃仁（三两） 杏仁（三两） 桂枝（三两） 炼蜜
陈醋
丸，酸枣大米饮下，三五丸，日二次。若 瘕结硬难消，须用破坚化癖之品。内寒加巴豆、川椒。内热加
芒硝、大黄。如左积者，血多而气少，加鳖甲、牡蛎。右聚者，气多而血少，加枳实、浓朴。其内在脏腑
者，可以丸愈。外在经络者，以膏药消之。
化坚膏
归尾（四钱） 鳖甲（八钱） 巴豆（四钱研） 黄连（四钱） 三棱（四钱） 莪术（四钱） 山
甲（
一两二钱） 筋余（即人爪甲，一钱） 以上八味，用芝麻油一斤，
净丹八两，熬膏。硼砂（四钱） 砂（四钱） 阿魏（六钱炒研） 麝香（二钱） 人参（四钱） 三七
（四钱） 山羊血（四钱） 肉桂（四钱） 以上八味，研细入膏，火化搅匀。稍冷倾入水盆，浸二三日，罐收，
狗皮摊。皮硝水，热洗皮肤令透，拭干，生姜切搽数十次，贴膏。一切癖块积聚，轻者一帖，重者两帖，
全消。渐贴渐小，膏渐离皮，未消之处，则膏粘不脱。忌一切发病诸物，惟猪、犬、鸭、凫、有鳞河鱼、
菘、韭、米面不忌，其余海味，鸡、羊、黄瓜、凡有宿根之物，皆忌。若无鳞鱼，天鹅肉，母猪、荞麦、马
齿苋、则忌之终身。犯之病根立发，若癖块重发，则不可拔矣。
Enuresis is caused by the failure of the bladder to maintain control. The Kidneys govern the gates of urination and defecation; when Kidney deficiency with cold causes these gates to be insecure, enuresis results. However, there are also cases where Qi deficiency of the Lung and Spleen fails to regulate the water passages, leading to enuresis. For enuresis due to insufficient Yuan Qi of the Kidneys failing to warm and secure, the formula Fuzi Renshen Shanyurou Fang (Aconite, Ginseng, and Cornus Pill) is primarily used. For enuresis due to the inability of Lung and Spleen Qi to lift and hold, the formula Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is primarily used. Bedwetting during sleep occurs due to innate Yang deficiency, resulting in coldness of both the Bladder and Kidney Qi; this is treated primarily with the Xiongji Gan Guixin Fang (Rooster Liver and Cinnamon Heart Pill).
Fuzi Renshen Shanyurou Fang (Aconite, Ginseng, and Cornus Pill)
Fuzi (Aconiti Lateralis Radix Praeparata, 3 qian), Renshen (Ginseng Radix, 3 qian), Shanyurou (Corni Fructus, or add Yizhiren [Bletillae Rhizoma], 2 qian). Decoct in water, add a little salt, and take orally.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction)
(See formula under "Wulin" / Five Types of Dysuria)
Xiongji Gan Guixin Fang (Rooster Liver and Cinnamon Heart Pill)
Xiongji Gan (Rooster Liver) and Guixin (Cinnamomi Cortex Ramulus / Heart of Cinnamon Twig) in equal parts. Pound into pills the size of small beans. Take three times daily.
Rectal prolapse is caused by the sinking of Spleen and Kidney Qi. The Spleen governs ascending, and the Kidneys govern securing. The ascending action of Spleen Qi can lift and hold organs, while the securing power of Kidney Qi acts as a lock and key. If Spleen Qi sinks and loses its lifting power, and Kidney Qi sinks and loses its securing authority, the anus will prolapse. For rectal prolapse due to the sinking of Spleen and Kidney Qi, the formula Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is primarily used.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction)
(See formula under "Wulin" / Five Types of Dysuria)
Jiju (Accumulation and Gathering) refers to the stagnation and stasis of Qi and Blood. "Ji" (Accumulation) arises from the Zang organs, is fixed and immovable upon palpation, and belongs to Yin. "Ju" (Gathering) forms from the Fu organs, moves upon palpation, and belongs to Yang. In "Ji", blood stasis predominates over Qi stagnation; as stated in the *Nan Jing* (Classic of Difficult Issues): "Blood stagnation without nourishment." In "Ju", Qi stagnation predominates over blood stasis; as stated in the *Nan Jing*: "Qi retention without movement." Heart disease manifests above, Kidney disease below, Liver disease on the left, Lung disease on the right, and Spleen disease in the center. Accumulations of the five Zang organs each have their specific locations, but tracing back to the root cause, it is always due to the failure of Middle Qi to circulate. Internal accumulations located within the Zang-Fu organs are treated with Huajian Wan (Harden-Dissolving Pill); external accumulations located in the meridians are treated with topical application of Huajian Gao (Harden-Dissolving Plaster).
Huajian Wan (Harden-Dissolving Pill)
Gancao (Licorice Root, 2 liang), Danpi (Moutan Bark, 3 liang), Jupi (Tangerine Peel, 3 liang), Taoren (Peach Seed, 3 liang), Xingren (Apricot Seed, 3 liang), Guizhi (Cinnamon Twig, 3 liang). Process with refined honey and aged vinegar into pills. Take orally with sour jujube and rice decoction, 3-5 pills per dose, twice daily. If masses are hard and difficult to dissolve, ingredients that break hardness and dissipate phlegm-stagnation must be used. Add Badou (Croton Seed) and Chuanjiao (Sichuan Pepper) for internal cold. Add Mangxiao (Mirabilite) and Dahuang (Rhubarb Root) for internal heat. For accumulations on the left, where blood is abundant and Qi is scarce, add Biejia (Turtle Shell) and Muli (Oyster Shell). For gatherings on the right, where Qi is abundant and blood is scarce, add Zhishi (Immature Bitter Orange) and Houpo (Magnolia Bark). Internal accumulations in the Zang-Fu can be cured with pills; external accumulations in the meridians are resolved with plasters.
Huajian Gao (Harden-Dissolving Plaster)
Dangguiwei (Angelica Sinensis Tail, 4 qian), Biejia (Turtle Shell, 8 qian), Badou (Croton Seed, pounded, 4 qian), Huanglian (Coptis Rhizome, 4 qian), Sanleng (Sparganium Rhizome, 4 qian), Ezhu (Curcuma Rhizome, 4 qian), Shan Jia (Pangolin Scale, 1 liang 2 qian), Jinyu (Human Nail Claws, 1 qian). These eight ingredients are boiled in 1 jin of Sesame Oil with 8 liang of Red Lead (Dan) to make a plaster. Pengsha (Borax, 4 qian), Sha (Realgar, 4 qian), Aw ei (Asafoetida, stir-fried and ground, 6 qian), Shexiang (Musk, 2 qian), Renshen (Ginseng Root, 4 qian), Sanqi (Notoginseng Root, 4 qian), Shanyangxue (Goat Blood, 4 qian), Rougui (Cinnamon Bark, 4 qian). These eight ingredients are ground into fine powder and added to the plaster, melted over fire, and stirred evenly. After cooling slightly, pour into a basin of water, soak for two to three days, store in a jar, and spread onto dog skin. Before application, wash the skin thoroughly with Nipiao (Saltpeter) water to open the pores, dry it, rub with sliced ginger dozens of times, then apply the plaster. For all types of phlegm-masses and accumulations, one patch suffices for mild cases, two patches for severe cases, leading to complete resolution. As the plaster is applied gradually, the mass shrinks, and the plaster naturally detaches from the resolved areas, remaining adhered only to unresolved spots. Avoid all foods that trigger diseases. Only pork, dog meat, duck, wild duck, scaled river fish, Chinese cabbage, leeks, rice, and wheat noodles are permitted. All other seafood, chicken, mutton, cucumber, and plants with perennial roots are forbidden. Scaleless fish, swan meat, sow meat, buckwheat, and purslane are forbidden for life. Violating these taboos will immediately trigger the root of the disease; if the phlegm-mass recurs severely, it cannot be eradicated.