〔无〕治产前后淋，其法不同，产前当安胎，产后当去血。瞿麦、蒲黄，最为产后要药。
茅根汤 治产后诸淋主之。
白茅根（八两） 瞿麦 葵子（二两） 白茯苓（各四两） 人参（二两） 蒲黄 桃胶 滑石 甘
草（各一两） 紫贝（十个，烧） 石首鱼
枕石（ ）
上锉为散，每服四钱，水一盏半，姜三片，灯心二十茎，煎至七分，去渣温服；亦可为末，木通煎汤调下。
〔《大》〕疗产后小便不通。用陈皮去白为末，空心服，酒调二钱，一服便通。
治产后小便不通，腹胀如鼓，闷乱不醒。用盐填脐中，却以葱白剥去粗皮，十余根作一缚，切作一指浓，
安盐上，用大艾炷，满葱饼上以火炙之。觉热气入腹内，实时便通神验。
〔罗〕中书右丞合刺合孙，病小便数而短，昼夜约二十余行，脐肠填满，腰脚沉HT ，不得安卧。季春下旬，
一日奉敕治之，遂往诊视。脉得沉缓，时时带数。常记小便不利有三，不可概论。若津液偏渗于肠胃，大便泄
泻，而小便涩少者一也，宜利而已。若热搏下焦津液，则湿热不能行者二也，必渗泻则愈。若脾胃气涩，不能
通调水道，下输膀胱而化者三也，可顺气，令施化而出。今右丞平素膏粱湿热内蓄，不得施行，膀胱窍涩，是
以起频而见少也，非渗泄分利，则不能快利。遂处一方，名曰茯苓琥珀汤。《内经》曰∶甘缓而淡渗，热搏津液，
内蓄脐腹胀满，当须缓之。泄之必以甘淡为主，遂以茯苓为君，甘寒滑以利窍涩。猪苓、琥珀之淡，以渗泄利
水道，故以二味为臣。脾恶湿，湿气内蓄，则脾气不舒。益脾胜湿，必以甘为助，故以甘草、白术为佐。咸入
肾，咸味涌泄为阴，故用泽泻之咸，以泄伏水。肾恶燥，急食辛以润之，津液不行，以辛散之，桂枝味辛，散
湿润燥，故以为使。煎长流甘澜水，使不助其肾气，大作汤剂，令直达于下而急速也。两服减半，旬日良愈。
茯苓琥珀汤
茯苓 白术 琥珀（各半两） 甘草（炙） 桂（去皮。各三钱） 泽泻（一两） 滑石（七钱） 猪苓
（半两）
上为细末，每服五钱，煎长流甘澜水一盏调下，空心食前，待少时以美膳压之。
〔《食》〕主下焦虚冷，小便数损无力。生薯蓣半斤，刮去皮，以刀切碎，于铛中煮酒沸，下薯蓣不得搅，
待熟加盐葱白更添酒，空腹下二三盏，妙。
〔罗〕水芝丸 治上焦真气虚弱，小便频数，日夜无度。
莲肉（去皮，不以多少，用好酒浸一两宿。猪肚一个，将酒浸莲肉入肚中多半为度，水煮熟取出莲肉，切，焙干）
上为细末，酒煮面为丸，如芡实大。每服五十丸，米饮汤下，食前。
〔世〕治夜多小便，用益智三十四个为末，盐五分，水一盏，煎八分，临卧温服。
〔《本》〕卫真汤 治丈夫妇人元气衰惫，荣卫怯弱，真阳不固，三焦不和，上盛下虚，夜梦鬼交，觉来盗汗，
面无精光，唇口舌燥，耳内蝉鸣，腰痛背倦，心气虚乏，精神不宁，惊悸健忘，饮食无味，日渐瘦悴，外肾
湿痒，夜多小便，肿重冷痛，牵引小腹，足膝缓弱，行步艰难；妇人血海久冷，经候不调，或过期不至，或
一月两来，赤白带下，漏分五色，子宫感寒，久不成孕，并皆治之。此药大能生气血，遇夜半子时肾水旺极
之际，补肾实脏，男子摄血化精，诸病未萌之前，皆能制治，使不复为梗。
当归（一两，酒浸一宿） 人参（一两半） 金钗石斛（五两） 白茯苓 木香 肉豆蔻 山药（以上
各三两） 生地（二两） 熟地（温水洗，三两） 丁香（一两） 青皮（一两，去白） 川牛膝（二两，童便、
酒各半盏浸一宿）
上为细末，每三大盏酒调下，盐亦得，空心食前一服。妇人诸病，童便同酒调，空心下。
又方 治男子妇人一切虚冷之疾，活血驻颜，减小便，除盗汗。治妇人久不生产，似带疾而非，时有遗沥，并
皆治之。功验不可具述。
苍术（切焙） 川楝子 茴香 吴茱萸（汤洗） 破故纸 胡芦巴（以上各一两，并炒） 川姜 川乌 草乌（以
上各半两，炮） 山药（二两）
上各炮治如法，同为细末，醋糊为丸，如桐子大。每服十五丸，空心温酒盐汤任下，妇人艾醋汤下，日二
服。耳目永不昏聋，髦发不白。
〔《衍》〕邻家有一男子，小便日数十次，如稠米泔色，心神恍惚，瘦瘁食减，令服桑螵蛸散，未终一剂而安。
此药能安神魂，定心志，治健忘，小便数，补心气。用桑螵蛸、远志、菖蒲、龙骨、人参、茯苓、当归、龟
甲醋炙，以上各一两为末，以人参汤调下二钱。
〔海〕姜附石脂神砂丹 治小便数而不禁，怔忡多忘。（方见滞下。）
〔丹〕因看《卢氏医镜》见此一药味数分两同，惟丹砂用伏火者，及治病有瘥。所治者，小便数而不禁，
怔忡多忘，魇梦不已不同耳。见其不同，审而详之，乃得此治法不瘥，且泛论之。经言∶肾主大便，肝主小便
淋溲。《难经》云∶小肠为赤肠，是面赤色，及便溺色赤，皆出心与小肠，南方赤色，显于外也。经言∶下焦如
渎者，正谓大小便也。大便为阴，为有形气化，乃下焦之下者也。谓肾主大便，不言大肠者，明子行父道，为
肾脏病。小便为阳，为无形气化，乃下焦之高者也。谓肝主小便淋溲，亦是子行父道，为腑病。凡诸无形气化
者，皆腑病所主，诸有形气化者，皆脏病所主，此二证，俱在下焦则同，但有形无形，及在腑在脏有殊，俱是
丹田衰败。不言心火者，以其相火代行君之政令故也。细分之，则膀胱壬水胜丙火。小肠者，不传入阴，故为
泄血。泄血利不禁，为有形质病。且不传阴，则阴不病。何为有形病？此为阴之体也，为腑之用也。天地阴阳，
互为体用，以斯可见。是明五脏者，为六腑所用，六腑者，为五脏所用明矣，是有形皆为传阴也。大小便不禁，
是膀胱不禁为遗溺，此不传阴也，是丹田胞络受寒，为壬所克。大抵诸腑皆乘有形，有形病者皆在腑。责其所
乘，皆在脏也。用伏火丹砂者，去其寒性耳。治法同者，以其俱在下焦，补诸无形，同在胞络耳。以其胞与肾
相对，有渠相通故也。肾主大便，肝主小便，所治安得不殊。经曰∶肾肝同归一治。又曰∶少阳主骨，所生病，
便溲难。膀胱主筋，所生病，亦可知也。小便不禁，茯苓汤下。大便不禁，米饮下。（此论《局方》姜附神砂丹而发。）
运气，小便数皆属火。经云∶少阳之复，便数憎风是也。小便数，惟二脏有之。
一属肺。经云∶肺手太阴之脉，气盛有余，则肩背痛，风寒汗出中风，小便数而欠是也。以刺言之，泻手太阴则愈。
一属肝。经云∶足厥阴之疟，令人如癃状，而小便不利。又云∶肝痹者，夜卧则惊，多饮，数小便是也。
视虚实补泻之则愈。
〔东〕小便数腹痛∶尿胞（在玉泉下一寸屈骨端。）
〔《玉》〕小便多∶命门（随年壮灸）肾俞（一分，沿皮向外六分，补六呼，泻一吸）
〔《集》〕小便滑数∶中极（灸）肾 阴陵泉（不已，取下穴） 气海 阴谷 三阴交
[No] The treatment for stranguria (Lin syndrome) before and after childbirth differs. Before childbirth, the fetus should be anchored; after childbirth, blood stasis should be removed. Dianthus Herba (Qumai) and Polygoni Multiflori Caulis et Folium (Puhuang) are the most important herbs for postpartum conditions.
Maogen Decoction: Mainly treats various types of stranguria after childbirth.
Imperatae Rhizoma (Baimaogen) (8 liang), Dianthus Herba (Qumai), Abutilonis Fructus (Kuizi) (2 liang), Poria (Baifuling) (4 liang each), Ginseng Radix et Rhizoma (Renshen) (2 liang), Polygoni Multiflori Caulis et Folium (Puhuang), Pruni Mume Gum (Taojiao), Talcum (Huashi), Glycyrrhizae Radix et Rhizoma (Gancao) (1 liang each), Margaritifera Concha (Zibei) (10 pieces, calcined), Litorinae Concha (Shishouyu Zhen Shi) (appropriate amount).
The above are crushed into a powder. Each dose is 4 qian, decocted with 1.5 sheng of water, 3 slices of Zingiberis Rhizoma Recens (Jiang), and 20 stems of Junci Medulla (Dengxin), until reduced to 7 fen. Strain and take warm. It can also be made into powder and taken with Tongcao Decoction.
[Da] Treats postpartum urinary retention. Use Chenpi (Citri Reticulatae Pericarpium) peeled of white pith, ground into powder. Take on an empty stomach, mixed with wine, 2 qian per dose. Urination will resume after one dose.
To treat postpartum urinary retention with abdominal distension like a drum, and confusion/unconsciousness. Fill the umbilicus with salt. Peel the coarse skin off Scallion Bulb (Congbai), bundle about ten stalks together, cut into a thickness of one finger, place on the salt. Apply a large moxa cone on top of the scallion cake and moxibustion. When heat is felt entering the abdomen, urination will immediately resume; this is highly effective.
[Luo] Helehesun, Right Vice Director of the Secretariat, suffered from frequent but scanty urination, approximately twenty times day and night. His navel and intestines felt full, his waist and legs were heavy, and he could not sleep peacefully. In the late days of the third lunar month, one day he was ordered by imperial decree to be treated, so I went to examine him. The pulse was deep and slow, occasionally rapid. I often recall that there are three types of difficult urination, which cannot be generalized. If body fluids leak excessively into the intestines and stomach, causing diarrhea while urination is scanty and obstructed, this is the first type, suitable for diuresis alone. If heat binds with fluids in the Lower Jiao, causing damp-heat stagnation, this is the second type, requiring渗泄 (draining dampness and purging) to heal. If Spleen and Stomach Qi is stagnant, unable to regulate water passages and transport downward to the Bladder for transformation, this is the third type; regulating Qi to facilitate transformation and excretion is appropriate. Now, the Vice Director has accumulated damp-heat from rich food internally due to habit, preventing normal circulation, leading to orifice obstruction in the Bladder. Hence, frequent but scanty urination occurs. Without渗泄分利 (draining dampness and separating turbidity), smooth urination cannot be achieved. Thus, I prescribed a formula named Fuling Hupo Tang (Poria and Amber Decoction). The *Neijing* states: Sweet flavors soothe and bland flavors drain dampness. Heat binding with fluids causes internal accumulation and abdominal distension, requiring soothing. Draining heat must primarily use sweet and bland substances. Therefore, Poria (Fuling) is used as the Sovereign herb; its sweet, cold, and slippery nature unblocks orifices and relieves obstruction. Polyporus (Zhuling) and Amber (Hupo) have bland properties to drain and promote water passage, serving as Ministers. The Spleen dislikes dampness; internal dampness stagnation leads to Spleen Qi discomfort. To benefit the Spleen and overcome dampness, sweet flavors assist, so Licorice (Gancao) and Atractylodis Macrocephalae Rhizoma (Baizhu) serve as Assistants. Salty flavors enter the Kidney; salty flavors induce vomiting and purging and belong to Yin. Thus, Alisma Rhizoma (Zexie) is used for its salty flavor to drain retained water. The Kidney dislikes dryness; urgent consumption of pungent flavors moistens it. When fluids do not circulate, pungent flavors disperse them. Cinnamon Twig (Guizhi) is pungent, dispersing dampness and moistening dryness, serving as the Guide. Decoct in "Ganlan Water" (water stirred vigorously for a long time) to prevent aiding Kidney Qi excessively. Prepare as a strong decoction to direct the medicine rapidly to the lower part. After two doses, symptoms halved; within ten days, complete recovery.
Fuling Hupo Tang (Poria and Amber Decoction)
Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu), Amber (Hupo) (each 0.5 liang), Licorice (Gancao) (roasted), Cinnamon Twig (Guizhi) (peeled) (each 3 qian), Alisma Rhizoma (Zexie) (1 liang), Talcum (Huashi) (7 qian), Polyporus (Zhuling) (0.5 liang).
Grind into fine powder. Each dose is 5 qian, taken with 1 sheng of prepared Ganlan Water, on an empty stomach before meals. Wait a moment and then eat a good meal to settle the medicine.
[Shi] Mainly treats Lower Jiao deficiency-cold with frequent, weak urination. Raw Dioscoreae Rhizoma (Shanyao) 0.5 jin, peeled and chopped. Boil in wine in a pan, add Shanyao without stirring. When cooked, add salt, Scallion Bulb (Congbai), and more wine. Drink 2-3 cups on an empty stomach; excellent.
[Luo] Shuizhi Wan (Water Lotus Pill): Treats Upper Jiao true Qi deficiency, frequent urination without control day and night.
Lotus Plumule (Lianrou) (peeled, quantity unspecified, soaked in good wine for one night). One Pig Stomach (Zhudu). Place the wine-soaked lotus seeds into the stomach until half-full. Boil in water until cooked, remove lotus seeds, slice, and dry-roast.
Grind into fine powder. Make pills using wine-boiled flour paste, size of Euphorbia Seed (Qianshi). Take 50 pills per dose with Rice Decoction (Miyin Tang) before meals.
[Shi] Treats nocturnal polyuria. Use Alpinia Oxyphylla Fruit (Yizhiren) 34 pieces, ground into powder. Add 5 fen of Salt. Decoct with 1 sheng of water until 0.8 sheng remains. Take warm before bed.
[Ben] Weizhen Tang: Treats men and women with depleted Yuan Qi, weak Ying and Wei, insecure True Yang, disharmony of the Three Jiao, excess above and deficiency below, nocturnal emissions/dreams of sexual intercourse, morning sweating, lackluster complexion, dry lips/mouth/tongue, tinnitus like cicadas, lower back pain and fatigue, Heart Qi deficiency, mental restlessness, palpitations, forgetfulness, loss of taste, gradual emaciation, external genital itching/dampness, nocturnal polyuria, swelling/heavy/cold/painful sensation radiating to the lower abdomen, weak knees/legs, difficulty walking; women with chronic cold in the Blood Sea, irregular menstruation, delayed menses, twice-monthly cycles, leukorrhea (red/white or five colors), uterine cold infertility. All are treated. This medicine greatly generates Qi and Blood. At midnight (Zi hour) when Kidney Water is at its peak, it tonifies the Kidney and solidifies the viscera. For men, it secures blood and transforms essence. Before diseases arise, it controls them, preventing recurrence.
Angelica Sinensis Radix (Danggui) (1 liang, soaked in wine overnight), Ginseng Radix et Rhizoma (Renshen) (1.5 liang), Dendrobii Nobile Caulis (Jinchai Shihu), Poria (Baifuling), Aucklandiae Radix (Muxiang), Myristica Semen (Roudoukou), Dioscoreae Rhizoma (Shanyao) (above each 3 liang), Rehmanniae Radix (Shengdi) (2 liang), Prepared Rehmanniae Radix (Shudi) (washed with warm water, 3 liang), Eugeniae Flos (Dingxiang) (1 liang), Citri Unshiu Pericarpium (Qingpi) (1 liang, peeled), Cyathulae Radix (Chuan Niuxi) (2 liang, soaked overnight in child's urine and wine).
Grind into fine powder. Each dose is 3 large sheng, taken with wine (salt is acceptable), on an empty stomach before meals. For women's diseases, mix with child's urine and wine, take on an empty stomach.
Another Prescription: Treats all deficiency-cold diseases in men and women, invigorates blood, preserves youth, reduces urination, stops night sweats. Treats women who have not given birth for a long time, resembling leukorrhea but not, with occasional dribbling. All are treated. Effects are too numerous to list.
Atractylodis Rhizoma (Cangzhu) (sliced and roasted), Toosendan Fructus (Chuanlianzi), Foeniculum Vulgare Fructus (Huixiang), Evodiae Fructus (Wuzhuyu) (washed with hot water), Psoraleae Fructus (Poguzhi), Phaseoli Semen (Huluba) (above each 1 liang, stir-fried), Ginger (Chuanjiang), Aconiti Lateralis Radix Praeparata (Chuanwu), Aconiti Radix (Caowu) (above each 0.5 liang, processed), Dioscoreae Rhizoma (Shanyao) (2 liang).
Process each according to method, grind into fine powder, make pills with vinegar paste, size of Sesame seed. Take 15 pills per dose on an empty stomach with warm wine/salt water. Women take with Mugwort Vinegar Decoction. Twice daily. Eyes and ears will never become dim/deaf, hair will not turn white.
[Yan] A neighbor's man had urinated dozens of times a day, urine like thick rice washings, mental confusion, emaciation, poor appetite. Prescribed Sangpiaoxiao San (Mantis Egg Case Powder). He recovered before finishing one dose. This medicine calms the Spirit, stabilizes the Will, treats forgetfulness, frequent urination, and tonifies Heart Qi. Use Mantis Egg Case (Sangpiaoxiao), Polygalae Radix (Yuanzhi), Acori Tatarinowii Rhizoma (Changpu), Dragon Bone (Longgu), Ginseng Radix et Rhizoma (Renshen), Poria (Fuling), Angelica Sinensis Radix (Danggui), Testudinis Carapax et Plastrum (Guijia) (vinegar-roasted). Above each 1 liang, ground into powder. Take 2 qian mixed with Ginseng Decoction.
[Hai] Jiangfu Shizhi Shensha Dan (Ginger, Aconite, Kaolin, Cinnabar Pill): Treats frequent, incontinent urination, palpitations, and forgetfulness. (Formula see under Dysentery.)
[Dan] Because I saw in *Lu Shi Yi Jing* that this prescription has the same ingredients and dosages, except for using calcined Cinnabar (Fuhuo Dansha), and the disease improved. The conditions treated were frequent, incontinent urination, palpitations, forgetfulness, and persistent nightmares, differing only slightly. Observing these differences and examining carefully, I found this treatment ineffective, so I discuss it generally. Classics state: Kidney governs large bowel movements; Liver governs stranguria and urination. *Nanjing* says: Small Intestine is the Red Intestine, manifesting as red face and red urine/feces, originating from Heart and Small Intestine, Southern Red color appearing externally. Classics say: Lower Jiao is like a ditch, referring to feces and urine. Feces are Yin, tangible Qi-transformation, located at the bottom of Lower Jiao. Saying Kidney governs feces, not Large Intestine, implies Son performing Father's function, indicating Kidney disease. Urine is Yang, intangible Qi-transformation, located at the top of Lower Jiao. Saying Liver governs stranguria/urination also implies Son performing Father's function, indicating Fu-organ disease. All intangible Qi-transformations are governed by Fu-organ diseases; all tangible Qi-transformations are governed by Zang-organ diseases. These two syndromes are both in Lower Jiao, but differ in tangibility and Zang/Fu location, both involving Dantian decline. Heart Fire is not mentioned because Ministerial Fire acts on behalf of Sovereign Fire. Specifically, Bladder Ren Water overcomes Bing Fire. Small Intestine does not transmit to Yin, hence bleeding. Bleeding and incontinence are tangible diseases. Not transmitting to Yin means Yin is not diseased. Why tangible disease? It is the substance of Yin, the function of Fu. Heaven and Earth Yin/Yang are mutually substance/function, visible here. Clearly, Five Zang are used by Six Fu, Six Fu are used by Five Zang. Tangible things all transmit to Yin. Incontinence of feces/urine: Bladder incontinence is enuresis, not transmitting to Yin. This is Dantian/Bao Luo (Uterus/Ligaments) receiving Cold, overcome by Ren. Generally, all Fu organs attack tangible things; tangible diseases are in Fu. Blaming the attacked factor lies in Zang. Using calcined Cinnabar removes cold nature. Treatments are similar because both are in Lower Jiao, tonifying intangibles, residing in Bao Luo. Since Bao faces Kidney and has channels connecting them. Kidney governs feces, Liver governs urine, how can their treatments be identical? Classics say: Kidney and Liver share one treatment. Also: Shaoyang governs bones, diseases produced include difficult urination. Bladder governs sinews, diseases produced...可知 (can be known). Incontinence of urine: take with Poria Decoction. Incontinence of feces: take with Rice Decoction. (This discussion originates from *Ju Fang* Jiangfu Shensha Dan.)
Influence of Yunqi (Six Qi), frequent urination belongs to Fire. Classics say: Return of Shaoyang, frequent urination and aversion to wind. Frequent urination involves only two Zang.
One belongs to Lung. Classics say: Hand-Taiyin Lung Meridian, Qi excess leads to shoulder/back pain, wind-cold sweating/stroke, frequent urination and yawning. Regarding acupuncture, draining Hand-Taiyin cures it.
One belongs to Liver. Classics say: Foot-Jueyin Malaria makes people feel like stranguria, with difficult urination. Also: Liver Bi, waking startled at night, excessive drinking, frequent urination. View deficiency/excess and apply tonification/draining to cure.
[Dong] Frequent urination with abdominal pain: Niaopao (Bladder acupoint, 1 cun below Yuquan, at the end of the curved bone.)
[Yu] Frequent urination: Mingmen (Moxibustion according to age years), Shenshu (1 fen, along skin outward 6 fen, tonify 6 breaths, drain 1 breath).
[Ji] Slippery/frequent urination: Zhongji (Moxibustion), Shen [Kidney?], Yinlingquan (If not cured, take lower acupoints), Qihai, Yinval, Sanyinjiao.