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Tongguan Wan (Passage-Opening Pill)
4. In cases of excess heat syndrome leading to impaired qi transformation and hard stool, strangury (difficulty in urination) can be cured with Bazen San (Eight-Right Powder) added with Muxiang (Aucklandiae Radix). In cases of yang deficiency syndrome leading to impaired qi transformation accompanied by cold limbs and aversion to cold, Shenqi Wan (Kidney Qi Pill) from the *Jingui Yaolue* (Essential Prescriptions from the Golden Cabinet) should be used. In cases of yin deficiency syndrome leading to impaired qi transformation with afternoon fever and absence of thirst, Tongguan Wan composed of Zhibai Dihuang Wan (Anemarrhena, Phellodendron, and Rehmannia Pill) plus a small amount of Rougui (Cinnamon Bark) should be used. In cases of qi deficiency syndrome leading to impaired qi transformation with non-urgent abdominal fullness, fatigue, and reluctance to speak, Chunze Jian (Chunze Decoction) should be used.
[Note] For strangury due to excess heat, Bazheng San (Eight-Right Powder) added with Muxiang is appropriate. For yang deficiency, Jingui Shenqi Wan (Golden Cabinet Kidney Qi Pill) is appropriate. For yin deficiency, Tongguan Wan (Passage-Opening Pill), consisting of Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), and a small amount of Rougui (Cinnamomi Ramulus et Cortex), is appropriate. For qi deficiency, Chunze Tang (Chunze Decoction), consisting of Wuling San (Five-Ingredient Powder with Poria) added with Renshen (Ginseng Radix et Rhizoma), is appropriate.

Bazheng San
5. Shilin (Stone Strangury) resembles sand and stones condensing in a pot; it arises because damp-heat refines and boils the Bladder. All types of Relin (Heat Strangury) can be treated with Bazheng San, which contains Bianxu (Polygoni Avicularis Herba), Mutong (Akebiae Caulis), Qumai (Dianthi Herba), Zhizi (Gardeniae Fructus), Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma), Cheqianzi (Plantaginis Semen), and Dahuang (Rhei Radix et Rhizoma).
[Note] Bazheng San consists of Bianxu (Polygoni Avicularis Herba), Mutong (Akebiae Caulis), Qumai (Dianthi Herba), Zhizi (Gardeniae Fructus), Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma), Cheqianzi (Plantaginis Semen), and Dahuang (Rhei Radix et Rhizoma).

Xiaoji Yinzi
6. Xuelin (Bloody Strangury) stems from heart fire transmitting heat to the Small Intestine. If it is an excess heat pattern, purgation is still beneficial. The heat-clearing formula is Xiaoji Yinzi (Little Shepherd's Purse Decoction), containing Xiaoji (Leonuri Herba), Zhizi (Gardeniae Fructus), Huashi (Talcum), Danzhu Ye (Lophatheri Herba), Danggui (Angelicae Sinensis Radix), Oujie (Nelumbinis Node), Mutong (Akebiae Caulis), Puhuang (Typhae Pollen), Gancao (Glycyrrhizae Radix et Rhizoma), and Shengdihuang (Rehmanniae Radix).
[Note] "Dan" refers to Danzhu Ye (Lophatheri Herba). "Ou" refers to Oujie (Nelumbinis Node). "Pu" refers to Puhuang (Typhae Pollen).

Haijinsha San and Lujiaoshuang Wan
7. Gaolin (Milky Strangury) or turbid urine may resemble mucus. Essence and urine both derive from Haijinsha (Lygodii Spora) and Huashi (Talcum). If heat is excessive, Bazheng San (Eight-Right Powder) added with Cangzhu (Atractylodis Rhizoma) can be used. If it is a deficiency pattern, Qiushi (Autumn Stone) and Fuling (Poria) combined with Lujiaoshuang (Cornu Cervi Pantotrichum Preparatum) yield excellent results.
[Note] "Hai" refers to Haijinsha (Lygodii Spora). "Qiu" refers to Qiushi (Autumn Stone). "Ling" refers to Fuling (Poria). "Lujiao" refers to Lujiaoshuang (Cornu Cervi Pantotrichum Preparatum). Made into pills with glutinous rice paste.

Jiawei Bazheng San
8. Qilin (Qi Strangury) caused by lung heat that is difficult to clear and descend can be treated with Bazheng San (Eight-Right Powder) added with Shiwei (Pyrosiae Folium), Muxiang (Aucklandiae Radix), Dongkuizi (Malvae Semen), and Chenxiang (Aquilariae Lignum Resinatum). If it is due to internal injury and qi deficiency failing to transform fluids, using Wuling San (Five-Ingredient Powder with Poria) combined with Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting the Qi) will naturally restore smooth urination with miraculous effect.
[Note] Bazheng San (Eight-Right Powder) added with Shiwei (Pyrosiae Folium), Muxiang (Aucklandiae Radix), Dongkuizi (Malvae Semen), and Chenxiang (Aquilariae Lignum Resinatum); Wuling San (Five-Ingredient Powder with Poria) combined with Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting the Qi).

Buzhong Yiqi Tang Combined with Wuling San and Qingxin Lianzi Yin
9. Laolin (Fatigue Strangury) due to internal injury and spleen deficiency should be treated with Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting the Qi) combined with Wuling San (Five-Ingredient Powder with Poria). Due to kidney yang deficiency from overindulgence, use Jingui Shenqi Tang (Golden Cabinet Kidney Qi Decoction). For yin deficiency, use Zhibai Dihuang Tang (Anemarrhena, Phellodendron, and Rehmannia Decoction). For mental labor and heart strain, use Qingxin Lianzi Yin (Heart-Clearing Lotus Seed Decoction), which consists of Lianzi (Nelumbinis Semen), Digupi (Lycii Cortex), Huangqi (Astragali Radix), Huangqin (Scutellariae Radix), Cheqianzi (Plantaginis Semen), Maidong (Ophiopogonis Tuber), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix et Rhizoma), and Baifuling (White Poria).
[Note] Internal injury damaging the spleen through fatigue: use Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting the Qi) combined with Wuling San (Five-Ingredient Powder with Poria). Kidney yang deficiency due to fatigue: use Jingui Shenqi Tang (Golden Cabinet Kidney Qi Decoction). Yin deficiency: use Zhibai Dihuang Tang (Anemarrhena, Phellodendron, and Rehmannia Decoction). Mental labor affecting the heart: use Qingxin Lianzi Yin (Heart-Clearing Lotus Seed Decoction), comprising Lianzi (Nelumbinis Semen), Digupi (Lycii Cortex), Huangqi (Astragali Radix), Huangqin (Scutellariae Radix), Cheqianzi (Plantaginis Semen), Maidong (Ophiopogonis Tuber), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix et Rhizoma), and Baifuling (White Poria).

Hupo San
10. Tanlin (Phlegm Strangury) can be treated with Qiqi Tang (Seven-Qi Decoction) or Qingzhou Baiwanzi (Qingzhou White Pills). If caused by heat and dryness, clear heat and nourish yin. A balanced formula for various stranguries is Hupo San (Amber Powder), containing Hupo (Succinum), Muxiang (Aucklandiae Radix), Dongkuizi (Malvae Semen), Bianxu (Polygoni Avicularis Herba), Mutong (Akebiae Caulis), Huashi (Talcum), Danggui (Angelicae Sinensis Radix), and Yujin (Curcumae Longae Radix).
[Note] Qiqi Tang (Seven-Qi Decoction) is found under the section on Qi Disorders. Qingzhou Baiwanzi (Qingzhou White Pills) is found under the section on Stroke-like Syndromes. "Nourishing yin" refers to Tongguan Wan (Passage-Opening Pill). "Mu" refers to Muxiang (Aucklandiae Radix). "Kui" refers to Dongkuizi (Malvae Semen).

Guifu Dihuang Wan, Buzhong Yiqi Tang Added with Baiguo Formula, Kanli Jiji Tang Added with Shanzhuyu and Wuweizi Formula
11. Enuresis (involuntary urination) and strangury with white urine can be treated with Guifu Dihuang Wan (Cinnamon and Aconite Rehmannia Pill) or Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting the Qi) added with Baiguo (Ginkgo Semen). If tonification fails or the urine is red, use a formula comprising Shengdi (Rehmanniae Radix), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Shanzhuyu (Corni Fructus), and Wuweizi (Schisandrae Fructus).
[Note] Enuresis and various stranguries with white urine all belong to cold and deficiency patterns. For cold patterns, use Guifu Dihuang Tang (Cinnamon and Aconite Rehmannia Decoction) added with Baiguo (Ginkgo Semen). For deficiency patterns, use Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting the Qi) added with Baiguo (Ginkgo Semen). For enuresis, various stranguries, red urine, or cases where tonification is ineffective, there may also be heat and deficiency patterns. Use Kanli Jiji Tang (Kanli Equilibrium Decoction), consisting of Shengdi (Rehmanniae Radix), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), added with Shanzhuyu (Corni Fructus) and Wuweizi (Schisandrae Fructus).