熟地黄（八两） 山茱萸（去核） 山药（各四两） 牡丹皮 白茯苓（去皮） 泽泻
（各三两）
肉桂（炒） 附子（炮，去皮脐，各一两）
肾间水火俱虚，小便不调者，此方主之。
肾具水火，主二便，而司开阖。肾间之水竭，则火独治，能阖而不能开，令人病小便不
出。肾间之火熄，则水独治，能开而不能阖，令人小便不禁。是方也，以附子、肉桂之温热
益其火。以熟地、山萸之濡润壮其水。火欲实，则丹皮、泽泻之酸咸者可以收而泻之。水欲
实，则茯苓、山药之甘淡者可以制而渗之。水火既济，则开阖治矣。正考见虚损劳瘵门、渴
门。
人参 白术 茯苓 甘草（各三钱）
诸急病，遗尿不禁者，此方主之。
诸急病，谓卒然暴仆诸疾也。遗尿不禁者，形气将脱，无形之气不足以固有形之溺也。
甘温为阳，可使益气，故人参、白术、茯苓、甘草，皆甘温也，可以用之。或问茯苓淡渗，
当遗尿不禁之时，可以去否？余曰∶苓有二品，枯而不泽者宜去，若坚洁而润者，则亦不嫌
其为苓也，用之引人参以就下，直补膀胱，谁曰不可？正考见气门。
大人遗浊，小儿遗尿，以韭子一物作丸，服之神良。
经曰∶淫气遗溺，痹聚在肾。痹聚者，湿气聚而为痹也。韭子润而辛热，辛热则能散湿
，润则能就下，故孙真人每用之，令其就下而疗痹气尔！
Prepared Rehmanniae Radix (Shu Dihuang) (eight liang), Corni Fructus (Shanzhuyu) (pitted), Dioscoreae Rhizoma (Shanyao) (four liang each), Moutan Cortex (Mudanpi), Poria (Baifuling) (decocted, three liang each), Alismatis Rhizoma (Zexie) (three liang each).
Cinnamomi Ramulus (Rougui) (stir-fried), Aconiti Lateralis Radix Praeparata (Fuzi) (processed, pitted and navel removed, one liang each).
When both the water and fire within the Kidney are deficient, leading to irregular urination, this formula is indicated.
The Kidney possesses both water and fire, governs the two lower orifices (urine and feces), and controls opening and closing. When the water in the Kidney interstice is exhausted, fire acts alone; it can close but not open, causing urinary retention. When the fire in the Kidney interstice is extinguished, water acts alone; it can open but not close, causing urinary incontinence. In this formula, the warming and hot nature of Fuzi and Rougui supplements the fire. The moistening nature of Shu Dihuang and Shanzhuyu strengthens the water. If one wishes to solidify the fire, the sour and salty properties of Mudanpi and Zexie can be used to astringe and drain it. If one wishes to solidify the water, the sweet and bland properties of Fuling and Shanyao can be used to control and percolate it. Once water and fire interact harmoniously, the opening and closing functions are regulated. For detailed examination, refer to the sections on "Deficiency, Consumption, and Phthisis" and "Thirst".
Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao) (three qian each).
For various acute conditions presenting with enuresis and inability to control urination, this formula is indicated.
"Various acute conditions" refers to sudden collapse and other acute diseases. Enuresis and inability to control urination occur because the form and vital energy are about to dissipate; the formless Qi is insufficient to retain the formed urine. Sweet-warm substances belong to Yang and can tonify Qi; therefore, Renshen, Baizhu, Fuling, and Gancao, all being sweet-warm, may be used. One might ask: Since Fuling has a bland and percolating nature, should it be omitted during enuresis? I reply: There are two types of Fuling. The dry and unmoistened type should be omitted. However, if it is firm, clean, and moist, there is no objection to using it. It guides Renshen downward, directly tonifying the Bladder. Who would say this is inadvisable? For detailed examination, refer to the section on "Qi".
For adults with seminal emission/turbid urine and children with enuresis, using only Allii Tuberosi Semen (Jiu Zi) made into pills yields miraculous results.
The Classic states: "Excessive pathogenic qi causes enuresis; Bi syndrome gathers in the Kidney." What is meant by "Bi gathering" is that dampness gathers to form Bi syndrome. Jiu Zi is moistening, pungent, and hot. Its pungency and heat can disperse dampness, and its moistening nature allows it to descend. Therefore, Sun Simiao often used it to guide the medicine downward to treat Bi qi!