小便不利,表不解,若干呕发热而咳,少腹满者,小青龙汤去麻黄加茯苓也。(方论见效。)若汗下后,
仍项强发热,心下满痛者,桂枝去桂加茯苓白术。(方论见项强。)
小便不利,胸胁满,若往来寒热,未汗下者,小柴胡去黄芩加茯苓;汗下后者,加柴胡、桂、姜。(方论见往
来寒热。)若烦惊谵语,身重不可转侧者,柴胡汤加龙骨、牡蛎也。(论见不得卧。)
小便不利,大便乍难乍易,喘急不能卧者,大承气汤。(论见不得卧条)
小便不利而渴,若脉浮数发热者,五苓散加猪苓汤。(方论见渴)若头汗者,柴胡桂姜汤加茵陈蒿汤。(方论见发
黄。)
小便不利,关节疼痛,若痛不得屈伸,汗出恶风,身肿者,属风湿,宜甘草附子汤;若脉沉缓,大便反快
者,属湿痹,《活人》用五苓散也。(方论见身痛。)
小便不利,头汗,若胁满者,柴胡姜桂也。(方论见往来寒热。)
若发黄者,茵陈蒿汤也。小便不利,身发黄。(方论俱见发黄。)
大下后复发汗,小便不利者,亡津液故也,勿治之,得小便利,必自愈。(《活人》云∶若大渴引饮,须利之。)
小便不利,但欲寐者,属少阴,若腹满下利脓血者,用桃花汤。腹痛下利,四肢重痛者,用真武汤也。(方
论见下利。)若四逆者,用四逆散加茯苓。(方论见但欲寐。)
阳明病,小便不利, 然汗出者,若欲食者愈;不能食者,欲作痼瘕。痼瘕者,寒气积结也。
Impaired urination, if accompanied by unresolved exterior syndrome, dry retching, fever, cough, and fullness in the lower abdomen, is treated with Xiao Qing Long Tang (Minor Blue Dragon Decoction) with Mahuang removed and Fuling added. (Discussion on the formula and its efficacy is found in the relevant section.) If after sweating or purging, neck stiffness, fever, and fullness and pain in the epigastrium persist, Guizhi Qu Gui Jia Fuling Baizhu Tang (Cinnamon Twig Decoction without Cinnamon Twig plus Poria and Atractylodes Macrocephala Decoction) is used. (Discussion on the formula is found under "Neck Stiffness".)
Impaired urination with chest and hypochondriac fullness, if accompanied by alternating chills and fever, and not yet subjected to sweating or purging, is treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction) with Huangqin removed and Fuling added; if already subjected to sweating or purging, the dosages of Chaihu, Guizhi, and Shengjiang are increased. (Discussion on the formula is found under "Alternating Chills and Fever".) If irritability, fright, delirium, and body heaviness preventing turning over occur, Chai Hu Jia Long Gu Mu Li Tang (Bupleurum Decoction plus Dragon Bone and Oyster Shell) is used. (Discussion is found under "Inability to Sleep".)
Impaired urination with stool that is alternatively difficult and easy, wheezing, urgency, and inability to lie flat, is treated with Da Cheng Qi Tang (Major Order the Qi Decoction). (Discussion is found under "Inability to Sleep".)
Impaired urination with thirst, if the pulse is floating and rapid with fever, is treated with Wu Ling San (Five-Ingredient Powder with Poria) combined with Zhu Ling Tang (Poria Decoction). (Discussion on the formula is found under "Thirst".) If there is only sweating on the head, Chai Hu Gui Jiang Tang (Bupleurum, Cinnamon Twig, and Ginger Decoction) combined with Yin Chen Hao Tang (Artemisia Capillaris Decoction) is used. (Discussion on the formula is found under "Jaundice".)
Impaired urination with joint pain, if the pain prevents flexion and extension, accompanied by sweating, aversion to wind, and bodily edema, belongs to Wind-Dampness, and Gancao Fuzi Tang (Licorice and Aconite Decoction) is appropriate; if the pulse is deep and slow, and the stool is surprisingly loose, it belongs to Damp Bi Syndrome, and *Huo Ren* recommends using Wu Ling San (Five-Ingredient Powder with Poria). (Discussion on the formula is found under "Body Pain".)
Impaired urination with sweating on the head, if accompanied by hypochondriac fullness, is treated with Chai Hu Gui Jiang Tang (Bupleurum, Cinnamon Twig, and Ginger Decoction). (Discussion on the formula is found under "Alternating Chills and Fever".)
If jaundice occurs, Yin Chen Hao Tang (Artemisia Capillaris Decoction) is used. Impaired urination with yellowing of the body. (Discussions on the formulas are all found under "Jaundice".)
After severe purging followed by repeated sweating, if impaired urination occurs, it is due to the loss of body fluids; do not treat it directly. Once urination becomes normal, the condition will heal spontaneously. (*Huo Ren* states: If there is extreme thirst with a desire to drink, diuresis is necessary.)
Impaired urination with drowsiness and a desire to sleep belongs to Shaoyin disease; if accompanied by abdominal fullness and dysentery with pus and blood, Taohua Tang (Peach Seed Decoction) is used. Abdominal pain with dysentery and heavy, painful limbs are treated with Zhen Wu Tang (True Warrior Decoction). (Discussion on the formula is found under "Dysentery".) If cold extremities occur, Sini San (Recover the Extremities Powder) with Fuling added is used. (Discussion on the formula is found under "Desire to Sleep".)
Yangming disease with impaired urination and slight general sweating: if the patient can eat, recovery is indicated; if unable to eat, it indicates the impending formation of Gu Jia (stubborn masses). Gu Jia refers to pathological accumulation caused by cold qi.