（脉四首 方六首）
膀胱实热
左手尺中神门以后脉阳实者，足太阳经也。病苦逆满腰中痛，不可俯仰劳也，名曰膀胱
实热也。
右手尺中神门以后脉阳实者，足太阳经也。病苦胞转不得小便，头眩痛烦满，脊背强，
名曰膀胱实热也。
治膀胱实热方∶
石膏（八两） 栀子仁（一作瓜子仁） 茯苓 知母（各三两） 蜜（五合） 淡竹叶 生
地
（切，各一升）
上七味 咀，以水七升，煮取二升，去滓，下蜜，煮二沸，分三服，须利，加芒硝三
两。
治膀胱热病不已，舌干咽肿方∶
蜜（七合） 升麻 大青（各三两） 射干 生元参 黄柏 蔷微根白皮（各四两）
上七味以水七升，煮取一升，去滓，下蜜，煮二沸，细细含之。
膀胱虚冷
左手尺中神门以后脉阳虚者，足太阳经也。病苦脚中筋急，腹中痛，引腰背不可屈伸，
转筋恶风偏枯，腰痛，外踝后痛，名曰膀胱虚冷也。
右手尺中神门以后脉阳虚者，足太阳经也。病苦肌肉振动，脚中筋急，耳聋，忽忽不闻
，恶风飕飕作声，名曰膀胱虚冷也。
治膀胱虚冷，饥不欲饮食，面黑如炭，腰胁疼痛方∶
磁石（六两） 黄 茯苓（各三两） 五味子 杜仲（各四两） 白术 白石英（各
五两）
上七味 咀，以水九升，煮取三升，分三服。
治膀胱冷咳唾则有血，喉鸣喘息方∶
羊肾（一具） 人参 元参 黄 桂心 川芎 甘草（各三两） 茯苓（四两） 骨
皮生
姜（各五两） 白术（六两）
上十一味 咀，以水一斗二升，先煮羊肾，减三升，去肾下药，煮取三升，去滓，分三
服。
(Four Pulse Formulas, Six Prescriptions)
Bladder Excess-Heat Syndrome
If the pulse at the left Chi position (Kidney/Bladder area), beyond Shenmen, is Yang-excess, it belongs to the Foot-Taiyang Meridian. The patient suffers from rebellious fullness and lumbar pain, unable to bend forward or backward or engage in labor; this is called Bladder Excess-Heat Syndrome.
If the pulse at the right Chi position (Kidney/Bladder area), beyond Shenmen, is Yang-excess, it belongs to the Foot-Taiyang Meridian. The patient suffers from torsion of the bladder (Baopzhuan) resulting in urinary retention, dizziness, headache, vexation and fullness, and stiffness of the spine and back; this is called Bladder Excess-Heat Syndrome.
Prescription for Treating Bladder Excess-Heat:
Shigao (Gypsum Fibrosum, 8 liang), Zhizi Ren (Fructus Gardeniae, alternatively Guazi Ren), Fuling (Poria), Zhimu (Radix Anemarrhenae) (each 3 liang), Fengmi (Honey, 5 he), Danzhuye (Leaf of Bambusa Textilis), Shengdihuang (Radix Rehmanniae Recens) (sliced, each 1 sheng).
The above seven ingredients are coarsely crushed, decocted in 7 sheng of water until 2 sheng remains, filtered to remove dregs, honey is added, and boiled for two more boils. Divide into three doses. If there is constipation, add Mangxiao (Natrii Sulfas, 3 liang).
Prescription for Treating Persistent Bladder Heat Disease with Dry Tongue and Swollen Throat:
Fengmi (Honey, 7 he), Shengma (Rhizoma Cimicifugae), Daqing (Radix Isatidis) (each 3 liang), Shegan (Rhizoma Belamcandae), Sheng Xuanshen (Radix Scrophulariae), Huangbai (Cortex Phellodendri), Qiangweigen Baipi (Alba Cortex Radicis Rosae Multiflorae) (each 4 liang).
The above seven ingredients are decocted in 7 sheng of water until 1 sheng remains, filtered to remove dregs, honey is added, and boiled for two more boils. Hold in the mouth slowly and swallow.
Bladder Deficiency-Cold Syndrome
If the pulse at the left Chi position (Kidney/Bladder area), beyond Shenmen, is Yang-deficient, it belongs to the Foot-Taiyang Meridian. The patient suffers from spasms of the tendons in the lower legs, abdominal pain radiating to the lumbar region preventing flexion and extension, tendon spasms, aversion to wind, hemiplegia, lumbar pain, and pain behind the lateral malleolus; this is called Bladder Deficiency-Cold Syndrome.
If the pulse at the right Chi position (Kidney/Bladder area), beyond Shenmen, is Yang-deficient, it belongs to the Foot-Taiyang Meridian. The patient suffers from muscle twitching, spasms of the tendons in the lower legs, deafness, sudden inability to hear, aversion to wind accompanied by whistling sounds; this is called Bladder Deficiency-Cold Syndrome.
Prescription for Treating Bladder Deficiency-Cold with Hunger but Lack of Appetite, Face Black as Charcoal, and Pain in Lumbar and Hypochondriac Regions:
Cishi (Magnetitum, 6 liang), Huangqi (Radix Astragali), Fuling (Poria) (each 3 liang), Wuweizi (Fructus Schisandrae), Duzhong (Cortex Eucommiae) (each 4 liang), Baizhu (Rhizoma Atractylodis Macrocephalae), Bai Shiyin (Quartzum Album) (each 5 liang).
The above seven ingredients are coarsely crushed, decocted in 9 sheng of water until 3 sheng remains. Divide into three doses.
Prescription for Treating Bladder Cold Cough with Hemoptysis and Audible Wheezing:
Yangshen (Renis Ovis, one piece), Renshen (Radix Ginseng), Xuanshen (Radix Scrophulariae), Huangqi (Radix Astragali), Guixin (Cinnamomi Ramulus), Chuanxiong (Rhizoma Chuanxiong), Gancao (Radix Glycyrrhizae) (each 3 liang), Fuling (Poria, 4 liang), Gubipi (Cortex Phellodendri), Shengjiang (Rhizoma Zingiberis Recens) (each 5 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 6 liang).
The above eleven ingredients are coarsely crushed, decocted in 12 dou of water. First decoct the sheep kidney until the volume reduces by 3 sheng. Remove the kidney, add the remaining herbs, and decoct until 3 sheng remains. Filter to remove dregs. Divide into three doses.