夫伤寒发汗后。而汗不止者。致津液少。胃内干。小肠有伏热。故小便不通也。
治伤寒小便不通。脐腹妨闷。心神烦躁。宜服赤茯苓散方。
赤茯苓 赤芍药 木通（锉） 黄芩 川芒硝 蘧麦（以上各一两）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。温服。以得利为度。
治伤寒后。下焦热。小便不通三两日。宜服木通散方。
木通 赤茯苓（锉） 车前叶 滑石（以上各二两） 蘧麦（一两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。以通为
度。
治伤寒。下焦气滞。小便不通。宜服鸡苏散方。
鸡苏 木通（锉） 石苇（去毛） 滑石 生干地黄 杏仁（汤浸去皮尖双仁麸炒微黄）
（以
上各
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。频以通
利为度。
治伤寒。小便不通。尿血涩痛。宜服瞿麦散方。
蘧麦（三分） 车前根（三分） 木通（一两锉） 栀子仁（一两） 川大黄（一两锉
碎微炒）
黄芩
草（半两
炙微
上件药。捣筛为散。每服五钱。以水一中盏。入葱白二茎。灯心半束。煎至六分。去滓
。不计时候温服。以通利为度。
又方。
蘧麦（二两） 甘草（二两炙微赤锉） 滑石（四两） 葵子（二两） 石苇（二两去
毛） 生干
地黄（一两）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。以得
通为度。
治伤寒。小便赤涩不通。宜服桑根白皮散方。
桑根白皮（一两锉） 陈橘皮（三分汤浸去白瓤焙） 葵子（一两） 滑石（二两半） 川
芒硝
（二两） 黄芩（一两） 甘草（一两炙微赤锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。以得
通利为度。
治伤寒小便不利。滑石散方。
滑石〔一（二）两〕 甜葶苈（一两隔纸炒令紫色）
上件药。捣细罗为散。每服。不计时候。以温水调下二钱。频服。以通为度。
治伤寒小腹胀满。小便不通方。
石燕
上件药。捣细罗为散。不计时候。以葱白汤调下半钱。频服。以得通为度。
After the treatment of Taiyang disease (Taiyang Bing) with sweating methods, if perspiration continues excessively, it leads to a deficiency of body fluids (Jin Ye), dryness in the Stomach, and latent heat in the Small Intestine, resulting in urinary retention.
For Taiyang disease presenting with urinary retention, abdominal distension and oppression around the umbilicus, and mental restlessness and irritability, the Chi Fuling San Formula is indicated.
Ingredients: Chi Fuling (Red Poria), Chi Shaoyao (Red Peony Root), Mutong (Akebia Caulis), Huangqin (Scutellaria Root), Chuan Mangxiao (Sodium Sulfate), Qumai (Dianthus Herb) (each 1 liang).
Preparation and Administration: The above ingredients are coarsely ground and sieved to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water and half a qian of fresh ginger. Decoct until one-sixth remains. Strain. Take warm at any time. Discontinue when urination becomes unobstructed.
For post-Taiyang disease characterized by heat in the Lower Jiao and urinary retention lasting two to three days, the Mutong San Formula is indicated.
Ingredients: Mutong (Akebia Caulis), Chi Fuling (Red Poria), Cheqianye (Plantago Leaf), Huashi (Talcum), Qumai (Dianthus Herb) (2 liang each for the first four, 1 liang for Qumai).
Preparation and Administration: The above ingredients are finely ground and sieved to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water. Decoct until one-sixth remains. Strain. Take warm at any time. Discontinue when urination becomes unobstructed.
For Taiyang disease complicated by Qi stagnation in the Lower Jiao leading to urinary retention, the Jisu San Formula is indicated.
Ingredients: Jisu (Elsholtzia Herb), Mutong (Akebia Caulis), Shiwei (Pyrosia Leaf), Huashi (Talcum), Sheng Gan Dihuang (Rehmannia Root), Xingren (Apricot Seed) (soaked in hot water, skin and tip removed, double-kernel wheat bran-fried until slightly yellow) (equal amounts).
Preparation and Administration: The above ingredients are finely ground and sieved to make a powder. Take 5 qian per dose. Add 1 da zhan of water. Decoct until one-fifth remains. Strain. Take warm at any time. Administer frequently until urination becomes smooth and unobstructed.
For Taiyang disease presenting with urinary retention, hematuria, and dysuria with astringent pain, the Qumai San Formula is indicated.
Ingredients: Qumai (Dianthus Herb) (3 fen), Cheqiangeng (Plantago Root) (3 fen), Mutong (Akebia Caulis) (1 liang, crushed), Zhizi Ren (Gardenia Seed) (1 liang), Chuan Dahuang (Rhubarb Root) (1 liang, crushed and lightly fried), Huangqin (Scutellaria Root), Gancao (Licorice Root) (0.5 liang, honey-fried until slightly red).
Preparation and Administration: The above ingredients are finely ground and sieved to make a powder. Take 5 qian per dose. Add 1 zhong zhan of water, 2 stalks of scallion white, and half a bundle of juncus effusus. Decoct until one-sixth remains. Strain. Take warm at any time. Discontinue when urination becomes smooth and unobstructed.
Another prescription.
Ingredients: Qumai (Dianthus Herb) (2 liang), Gancao (Licorice Root) (2 liang, honey-fried until slightly red and crushed), Huashi (Talcum) (4 liang), Kuizi (Abelmoschus Seeds) (2 liang), Shiwei (Pyrosia Leaf) (2 liang, de-haired), Sheng Gan Dihuang (Rehmannia Root) (1 liang).
Preparation and Administration: The above ingredients are coarsely ground and sieved to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water. Decoct until one-sixth remains. Strain. Take warm at any time. Discontinue when urination becomes unobstructed.
For Taiyang disease presenting with reddish, astringent, and obstructed urination, the Sanggen Bapi San Formula is indicated.
Ingredients: Sanggen Bapi (Morus Bark) (1 liang, crushed), Chen Ju Pi (Aged Tangerine Peel) (3 fen, soaked in water, white pith removed, dried), Kuizi (Abelmoschus Seeds) (1 liang), Huashi (Talcum) (2.5 liang), Chuan Mangxiao (Sodium Sulfate) (2 liang), Huangqin (Scutellaria Root) (1 liang), Gancao (Licorice Root) (1 liang, honey-fried until slightly red and crushed).
Preparation and Administration: The above ingredients are coarsely ground and sieved to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water. Decoct until one-sixth remains. Strain. Take warm at any time. Discontinue when urination becomes smooth and unobstructed.
For Taiyang disease with difficult urination, the Huashi San Formula.
Ingredients: Huashi (Talcum) (1 or 2 liang), Tiantingli (Descurainia Seed) (1 liang, stir-fried between papers until purple).
Preparation and Administration: The above ingredients are finely ground and sieved to make a powder. Take 2 qian per dose, mixed with warm water, at any time. Administer frequently until urination becomes unobstructed.
For Taiyang disease presenting with lower abdominal fullness and urinary retention.
Ingredients: Shiyan (Swallow Stone/Fossil).
Preparation and Administration: The above ingredient is finely ground and sieved to make a powder. Take 0.5 qian per dose, mixed with scallion decoction, at any time. Administer frequently until urination becomes unobstructed.