病源小便不禁者,肾气虚,下焦受冷也,肾主水,其气下通于阴,肾虚下焦冷,不能温
制其水液,故小便不禁也。(出第十四卷中)
千金翼小便不禁,日便一二斗,或如血色方。
麦门冬(去心) 干地黄(各八两) 蒺藜子 桂心 续断(各二两) 甘草(一枚
炙)
干姜(四两)
上七味切,以水一斗,煮取二升五合,分三服。
又久房散,主小便多或不禁方。
菟丝子(二两酒渍) 蒲黄(三两) 黄连(三两) 硝石(一两) 肉苁蓉(二两)
五味子(三两) 鸡 中黄皮(三两炙)
上八味捣筛为散,每服方寸匕,日三服,每服如人行三四里,又服。(并出第十五卷中)
病源小便数者,膀胱与肾俱虚,而有客热乘之故也,肾与膀胱为表里,俱主水肾气下通
于阴
故令
石,
中)
范汪疗小便数而多方。
黄连(二分) 苦参(二分) 麦门冬(去心一两) 土瓜根 龙胆(各一分)
上五味捣筛,以蜜丸如梧子,每服十丸,加至二十丸,良。(一方无苦参有黄芩)
又方
栝蒌(十分) 黄连(五分)
上二味捣筛为散,每服方寸匕,日三良。
又方
瞿麦(二两) 滑石(一两) 葵子(一升) 黄芩 甘草(炙各一两)
上五味切,以水六升,煮取三升,去滓,一服六合。
又方
桃仁一味 咀,酒一升,煮三沸,去滓,分为三服,强人一服尽之。(并出第十七卷中)
集验疗小便数而多方。
羊肺羹纳少许羊肉合作之,调和盐,如常食之法,多少任意,不过三具效。(范汪同出
第五卷中)
According to *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), the etiology of incontinence of urine is deficiency of Kidney Qi and cold invasion of the Lower Jiao. The Kidney governs water metabolism, and its Qi flows downward to the external genitalia. When the Kidney is deficient and the Lower Jiao is cold, it fails to warm and control the fluids, resulting in incontinence of urine. (From Volume 14)
*Qianjin Yifang* (Supplement to the Thousand Golden Prescriptions) provides a prescription for incontinence of urine, with urination occurring one or two dou daily, or urine appearing bloody:
*Mai Men Dong* (Ophiopogonis Radix, heart removed) 8 liang, *Gan Di Huang* (Rehmanniae Radix Preparata) 8 liang, *Ji Li Zi* (Tribuli Fructus) 2 liang, *Gui Xin* (Cinnamomi Cortex) 2 liang, *Xu Duan* (Dipsaci Radix) 2 liang, *Gan Cao* (Glycyrrhizae Radix et Rhizoma, prepared by stir-frying with honey) 1 piece, *Gan Jiang* (Zingiberis Rhizoma) 4 liang.
The above seven herbs are cut into pieces, decocted in 10 dou of water until reduced to 2 sheng 5 he, and divided into three doses.
Another prescription, "Jiu Fang San" (Long-lasting Intercourse Powder), treats frequent urination or incontinence:
*Tu Si Zi* (Cuscutae Semen) 2 liang (soaked in wine), *Pu Huang* (Typhae Pollen) 3 liang, *Huang Lian* (Coptidis Rhizoma) 3 liang, *Xiao Shi* (Natrii Sulfas) 1 liang, *Rou Cong Rong* (Cistanches Herba) 2 liang, *Wu Wei Zi* (Schisandrae Chinensis Fructus) 3 liang, *Ji Nei Jin* (Gigantii Stomateum Corneum, prepared by stir-frying) 3 liang.
The above eight herbs are crushed and sifted to make a powder. Each dose is one fang cun bi (a square-inch spoonful), taken three times daily. After each dose, walk for the distance covered by a person walking for three to four li, then take another dose. (All from Volume 15)
Regarding frequency of urination, *Zhubing Yuanhou Lun* states that the etiology is deficiency of both the Bladder and the Kidney, compounded by pathogenic heat invading due to this deficiency. The Kidney and Bladder are interior-exterior partners, jointly governing water metabolism; the Kidney Qi flows downward to the external genitalia, causing frequent urination. (From relevant volumes)
Fan Wang’s prescription for treating frequent urination:
*Huang Lian* (Coptidis Rhizoma) 2 fen, *Ku Shen* (Sophorae Flavescentis Radix) 2 fen, *Mai Men Dong* (Ophiopogonis Radix, heart removed) 1 liang, *Tu Gua Gen* (Trichosanthis Radix) 1 fen, *Long Dan* (Gentianae Radix) 1 fen.
The above five herbs are crushed and sifted, mixed with honey to form pills the size of wutong seeds. Each dose is ten pills, increased gradually to twenty pills, which yields good results. (An alternative version excludes Ku Shen and uses Huang Qin instead).
Another prescription:
*Gua Lou* (Trichosanthis Fructus) 10 fen, *Huang Lian* (Coptidis Rhizoma) 5 fen.
The above two herbs are crushed and sifted to make a powder. Each dose is one fang cun bi, taken three times daily, yielding good results.
Another prescription:
*Qu Mai* (Dianthi Herba) 2 liang, *Hua Shi* (Talcum) 1 liang, *Kui Zi* (Malvae Semen) 1 sheng, *Huang Qin* (Scutellariae Radix) 1 liang (prepared by stir-frying), *Gan Cao* (Glycyrrhizae Radix et Rhizoma, prepared by stir-frying with honey) 1 liang.
The above five herbs are cut into pieces, decocted in 6 sheng of water until reduced to 3 sheng. Strain the dregs and take 6 he as a single dose.
Another prescription:
Use only *Tao Ren* (Persicae Semen), crush it, decoct in 1 sheng of wine for three boils. Strain the dregs and divide into three doses. For robust individuals, the entire dose may be taken at once. (All from Volume 17)
*Ji Yan Fang* (Collected Proven Prescriptions) provides a treatment for frequent urination:
Sheep Lung Soup, cooked with a small amount of mutton. Season with salt and eat as usual. The quantity is arbitrary; taking no more than three sheep lungs will yield efficacy. (Fan Wang’s record is identical, from Volume 5).