（第二十）
小儿尿白者，由乳母乳哺失节，过伤于脾，故使清浊不分，而尿白如米泔也。久则成
疳，亦心膈伏热而得之。宜实脾土；消食化积，通利小便也。茯苓散、三棱散、厘清饮子可选
而用之。
茯苓散 治小儿尿白，状如米泔。
三棱 莪术 砂仁 赤茯苓（各半两） 青皮 陈皮 滑石 甘草（各二钱半）
上为末，每服一钱，麦门冬汤调下，或加灯芯煎。
三棱散 治小儿尿白，久而成疳。此药实脾土，消食化疳积。
三棱（炮） 莪术（炮。各一两） 益智仁 甘草（炙） 神曲（炒） 麦芽（炒） 陈皮（各半两）
上末，每服二钱，灯芯汤调下。
厘清饮通心气，补漏精，治小便余溺，赤白浊。
益智仁 川萆 石菖蒲 乌药（各等分）
上咀，每服二钱，灯芯煎，可加茯苓、白芍各等分。
（第二十一）
小儿遗尿者，此由膀胱有冷，不能约于水故也。夫肾主水，肾气下通于阴。小便者，津
液之余也。膀胱为津液之府，肾与膀胱俱虚，而冷气乘之，衰弱故不能约制，其水出而不禁，
故遗尿也。又有尿床者，亦由膀胱冷。夜属阴，小便不禁，胞里自出，谓之尿床也，宜破故纸
散、益智仁散、鸡肠散服。
鸡肠散 治小儿遗尿床。
鸡肠 牡蛎 白茯苓 肉桂 龙骨（各二钱半） 桑螵蛸（炒。各半两）
为末，每服二钱，姜黄汤调服。
鸡 散 治小儿遗尿。
鸡 （一具） 鸡肠（烧） 猪胞（炙焦）
上为末，每用一钱，酒调服，男雌女雄。
又方破故纸（一两）炒为末，每服一钱，热汤下。
一方益智仁、白茯苓（等分）为末，每服一钱，空心米汤下。
一方五倍子半生半炒，为末，米糕丸，空心，白汤下一钱。
(20)
White urine in infants is caused by the mother's irregular breastfeeding, which excessively damages the Spleen and Stomach. This leads to a failure in distinguishing the clear from the turbid, resulting in urine that resembles rice wash water. If prolonged, it may develop into infantile malnutrition (Gan syndrome). It can also be caused by latent heat in the Heart and Diaphragm. Treatment should focus on strengthening the Spleen Earth; resolving food stagnation and transforming accumulation, and promoting urination. Fanglin San (Poria Powder), Sanleng San (Curcuma Zedoaria Powder), or Liqing Yin (Clearing Decoction) may be selected for use.
Fanglin San treats white urine in infants, resembling rice wash water.
Ingredients: Curcuma zedoaria rhizome (Sanleng, Rhizoma Curcumae Zedoariae), Curcuma phaeocaulis rhizome (Ezhuzhu, Rhizoma Curcumae Phaeocaulis), Amomum fruit (Sharen, Fructus Amomi), Red Poria (Chifuling, Poria cum Radice Pinus), each half tael; Green Tangerine Peel (Qingpi, Pericarpium Citri Reticulatae Viride), Aged Tangerine Peel (Chenpi, Pericarpium Citri Reticulatae), Talc (Huashi, Talcum), Licorice Root (Gancao, Radix Glycyrrhizae), each two qian and half.
Preparation and Administration: Grind the above ingredients into powder. Take one qian per dose, mixed with Ophiopogon Decoction (Mendong Tang), or decocted with Centipeda Herba (Dengxincao).
Sanleng San treats white urine in infants that has persisted for a long time, leading to Gan syndrome. This formula strengthens the Spleen Earth, resolves food stagnation, and transforms Gan accumulation.
Ingredients: Curcuma zedoaria rhizome (Sanleng, Rhizoma Curcumae Zedoariae, processed), Curcuma phaeocaulis rhizome (Ezhuzhu, Rhizoma Curcumae Phaeocaulis, processed), each one tael; Alpinia oxyphylla fruit (Yizhiren, Fructus Alpiniae Oxyphyllae), Licorice Root (Gancao, Radix Glycyrrhizae, honey-fried), Medicated Leaven (Shenqu, Massae Medicatae Fermentatae), Malt (Maiya, Frumentum Germinatum Hordeum Vulgare), Aged Tangerine Peel (Chenpi, Pericarpium Citri Reticulatae), each half tael.
Preparation and Administration: Grind into powder. Take two qian per dose, mixed with Centipeda Herba (Dengxincao) decoction.
Liqing Yin unblocks Heart Qi, supplements essence leakage, treats dribbling urine, and manages red and white turbidity.
Ingredients: Alpinia oxyphylla fruit (Yizhiren, Fructus Alpiniae Oxyphyllae), Chinese Dioscorea Rhizome (Chuanbixie, Rhizoma Dioscoreae Hypoglaucae), Acorus rhizome (Shichangpu, Rhizoma Acori Tatarinowii), Lindera root (Wuyao, Radix Linderae), each equal parts.
Preparation and Administration: Cut into small pieces. Take two qian per dose, decocted with Centipeda Herba (Dengxincao). Poria (Fuling, Poria) and White Peony Root (Baishao, Radix Paeoniae Alba) may be added in equal parts.
(21)
Enuresis in infants is due to cold in the Bladder, which fails to constrain water. The Kidney governs water, and Kidney Qi connects downward to the genitalia. Urine is the surplus of body fluids. The Bladder is the mansion of body fluids. When both the Kidney and Bladder are deficient, cold qi takes advantage of this weakness. Due to this decline, they cannot restrain the flow, causing urine to escape uncontrollably, resulting in enuresis. Another condition is bedwetting, also caused by cold in the Bladder. Night belongs to Yin; when urine is not constrained, it flows out spontaneously from the bladder, termed bedwetting. Suitable treatments include Pogostemon Powder (Poguzi San), Alpinia Powder (Yizhiren San), and Chicken Intestine Powder (Jichang San).
Chicken Intestine Powder treats infant bedwetting.
Ingredients: Chicken intestines, Oyster Shell (Muli, Concha Ostreae), White Poria (Bailingfu, Poria), Cinnamon Twig (Rougui, Ramulus Cinnamomi), Dragon Bone (Longgu, Os Draconis et Mammutis), each two qian and half; Mantis Egg Case (Sangpiaoxiao, Ootheca Mantidis, stir-fried), each half tael.
Preparation and Administration: Grind into powder. Take two qian per dose, taken with Turmeric Decoction (Jianghuang Tang).
Chicken Powder treats infant enuresis.
Ingredients: One whole chicken, Chicken intestines (burnt), Pig bladder (roasted until charred).
Preparation and Administration: Grind into powder. Take one qian per dose, mixed with wine. For male infants, use a female chicken; for female infants, use a male chicken.
Another prescription: Agrimonia herb (Poguzi, Fructus Agrimoniae, one tael) is stir-fried and ground into powder. Take one qian per dose, swallowed with hot water.
Another prescription: Alpinia oxyphylla fruit (Yizhiren, Fructus Alpiniae Oxyphyllae) and White Poria (Bailingfu, Poria) in equal parts are ground into powder. Take one qian per dose, swallowed with rice water on an empty stomach.
Yet another prescription: Chinese Gall (Wubeizi, Galla Chinensis), half raw and half stir-fried, is ground into powder. Form pills with rice cake. Take one qian per dose, swallowed with plain warm water on an empty stomach.