夫小便不通者。是膀胱与肾均有热故也。肾主水。膀胱为津液之府。此二经为表里。而
水行
通少
小便
治小便不通。肠腹急满。透水散方。
蘧麦（一两） 石苇（三两去毛） 木通（三分锉） 川大黄（一两锉碎微炒） 川硝
（一两）
陈橘皮（三分汤浸去白瓤焙） 牵牛子（半两微炒） 槟榔（一两） 滑石（半两）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。食前温服。
治小便不通。数日欲死。神验方。
桃枝（一两） 柳枝（一两） 葱白（一握） 木通（一两锉） 灯心（一束） 汉椒
（一两去目）
旱莲子（一两） 白矾（一两烧令汁尽）
上件药。并细锉。以水三斗。煎至一斗五升。用瓷瓶一个热盛一半药汁熏外肾。周回
以被围绕。辄不得外风。良久便通。如赤小豆汁。若冷即换之。其功甚大。
治小肠结涩不通。心烦闷乱。坐卧不安。宜服此方。
小豆 （一分） 苦竹髭（一分） 粟奴（一分） 甘草（一分炙微赤锉） 灯心（一
束） 铜钱
（
上件药。以水二大盏。煎至一盏三分。去滓。食前分为三服。
治小肠壅热。小便赤涩淋沥。疼痛不通。海蛤散方。
海蛤（一两半） 石燕（半两） 白盐（一分炒） 鱼脑中石子（半两）
上件药。捣细罗为散。入乳钵中研令极细。每服。以葱白五茎切。甘草二寸生用。锉。
用水一中盏。煎至六分。去滓。调下散子一钱。食前频服即通。
治小肠热结胀满。小便不通。大黄丸方。
川大黄（二两锉碎微炒） 大戟（一两锉碎微炒） 赤芍药（一两） 川朴硝（一两） 甜
葶苈
（一两隔纸炒令紫色） 杏仁（五十枚汤浸去皮尖双仁麸炒微黄）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以葱白汤下二十丸。
治小便不通。脐间窘急。三焦积热气不宣通。宜服海蛤丸方。
海蛤（二两细研） 木通（半两锉） 葵子（一两） 滑石（二两） 蒲黄（一两） 车
前子（一
两） 赤茯苓（半两） 赤芍药（半两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以葱白汤下二十丸。
治小便不通。心腹妨闷。上气喘急。坐卧不安。鸡苏散方。
鸡苏（一两） 甘遂（半两煨令黄） 滑石（一两） 葵子（一两） 蘧麦（一两） 桑
根白皮（
一两锉） 防葵（一两） 榆白皮（一两锉）
上件药。捣粗罗为散。每服三（二）钱。以水一中盏。煎至六分。去滓。每于食前温服。
又方。
木通（一两锉） 猪苓（一两去黑皮） 桑根白皮（一两锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。每于食前温服。
治小便不通。立效方。
灯心（二束） 生姜（半两） 黑铅（半两锉为末）
上件药。用井华水一大盏。煎取五分。去滓。以葱一枝。慢火烧令热。拍破。先安在脐
内。后顿服瘥。
又方。
蛤粉（半两） 麻根（半两）
上件药。捣细罗为散。每于空心。以新汲水调下二钱。
又方。
秦艽（一两去苗） 冬瓜子（二两）
上件药。捣细罗为散。每于食前。以温酒调下二钱。
治小便不通。腹胀气急闷方。
滑石（一两捣碎） 自己脚手爪甲（烧灰细研）
上件药。以水一大盏。煎滑石至五分。去滓。调指甲灰服之。
又方。
小麦（二合） 滑石（三分捣罗为末） 生姜（半两切）
上件药。以水一盏半。煎小麦生姜取一盏。去滓。分为三服。调滑石末服之。
又方。
甘草〔一两（半）炙微赤锉〕 木通（一两半锉）
上件药。以水一大盏半。煎小麦生姜取一盏。去滓。分为三服。调滑石末服之。
又方。
蘧麦（一两锉） 甜葶苈（半两令锉）
上件药。以水一大盏半。煎至一盏。去滓。食前分为三服。
又方。
车前叶汁（五合） 冬瓜汁（二合）
上件药相和。分为二服。食前服之。
又方。
葵根（一两锉） 滑石（一两捣为末）
上件药。以水二大盏。煎至一盏三分。去滓。食前分为三服。
又方。
蝼蛄（三枚微炒） 苦瓠子（三十粒微炒）
上件药。捣细罗为散。每服。以冷水调下一钱。
Urinary retention is caused by heat in both the Bladder and the Kidney. The Kidney governs water metabolism, and the Bladder is the mansion of body fluids. These two meridians are exteriorly-interiorly related; thus, impaired water flow leads to difficulty in urination.
**Toushui San (Water-Permeating Powder)** for treating urinary retention accompanied by abdominal urgency and fullness:
* Qu Mai (Polygonum aviculare Herba), one tael
* Shi Wei (Pyrrosiae Folium), three taels, remove hairs
* Mu Tong (Akebiae Caulis), three fen, sliced
* Chuan Da Huang (Rhei Radix et Rhizoma), one tael, sliced and lightly stir-fried
* Chuan Xiao (Natrii Sulfas), one tael
* Chen Ju Pi (Citri Reticulatae Pericarpium), three fen, soaked in decoction, white pith removed, dried
* Qian Niu Zi (Semen Pharbitidis), half a tael, lightly stir-fried
* Bing Lang (Arecae Semen), one tael
* Hua Shi (Talcum), half a tael
Crush the above ingredients into a coarse powder. Take four qian per dose. Decoct with one zhong of water until reduced to six fen. Strain and take warm before meals.
**Shenyan Fang (Divine Efficacy Prescription)** for treating severe urinary retention causing distress for several days:
* Tao Zhi (Persicae Ramulus), one tael
* Liu Zhi (Salicis Ramulus), one tael
* Cong Bai (Allii Fistulosi Bulbus), one handful
* Mu Tong (Akebiae Caulis), one tael, sliced
* Deng Xin (Junci Medulla), one bundle
* Han Jiao (Zanthoxyli Pericarpium), one tael, remove seeds
* Han Lian Zi (Ecliptae Herba), one tael
* Bai Fan (Alumen), one tael, calcined until liquid evaporates
Finely slice all ingredients. Decoct with three dou of water until reduced to one dou five sheng. Pour half of the medicinal juice into a porcelain bottle. Use the steam to fumigate the external genitalia. Cover the area with a blanket to prevent exposure to wind. After some time, urination will become unobstructed, resembling the color of red bean juice. Replace with hot juice if it cools down. This method is highly effective.
For treating obstruction and涩 (astringency) in the Small Intestine causing urinary retention, accompanied by mental restlessness, irritability, and inability to sit or lie comfortably, this prescription is suitable:
* Xiao Dou (Phaseoli Radiati Semen), one fen
* Ku Zhu Zi (Bambusae Spina), one fen
* Su Nu (Setaria Italica Seedling), one fen
* Gan Cao (Glycyrrhizae Radix et Rhizoma), one fen, honey-fried until slightly reddish and sliced
* Deng Xin (Junci Medulla), one bundle
* Tong Qian (Copper Coin), [Note: Text implies usage, likely as a vehicle or specific preparation not fully detailed in snippet]
Decoct the above ingredients with two large zhongs of water until reduced to one zhong three fen. Strain and divide into three doses, taken before meals.
**Hai Ge San (Clam Shell Powder)** for treating Small Intestine heat congestion causing dark, scanty, dripping urine with pain and obstruction:
* Hai Ge (Concha Arcae), one tael and a half
* Shi Yan (Lithostes), half a tael
* Bai Yan (Muriate of Soda), one fen, stir-fried
* Yu Nao Zhong Shi Zi (Stone from Fish Brain), half a tael
Grind the above ingredients into a fine powder using a mortar. For each dose, cut five stalks of Cong Bai (Allii Fistulosi Bulbus) and two cun of raw Gan Cao (Glycyrrhizae Radix et Rhizoma). Decoct these with one zhong of water until reduced to six fen. Strain and mix with one qian of the powder. Take frequently before meals to restore free flow.
**Dahuang Wan (Rhubarb Pill)** for treating Small Intestine heat accumulation causing distension and urinary retention:
* Chuan Da Huang (Rhei Radix et Rhizoma), two taels, sliced and lightly stir-fried
* Da Ji (Euphorbiae Pekinensis Radix), one tael, sliced and lightly stir-fried
* Chi Shao Yao (Paeoniae Radix Rubra), one tael
* Chuan Po Xiao (Natrii Sulfas), one tael
* Tian Ting Li (Semen Lepidii et Descurainiae), one tael, stir-fried between papers until purple
* Xing Ren (Armeniacae Semen Amarum), fifty kernels, soaked in hot water, skin and tip removed, bran-fried until slightly yellow
Grind the ingredients into powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take twenty pills before meals with Cong Bai (Allii Fistulosi Bulbus) decoction.
**Hai Ge Wan (Clam Shell Pill)** for treating urinary retention, umbilical urgency, and stagnation of Qi-heat in the Triple Burner:
* Hai Ge (Concha Arcae), two taels, finely ground
* Mu Tong (Akebiae Caulis), half a tael, sliced
* Kui Zi (Malvae Semen), one tael
* Hua Shi (Talcum), two taels
* Pu Huang (Typhae Pollen), one tael
* Che Qian Zi (Plantaginis Semen), one tael
* Chi Fu Ling (Poria cum Rhizomo Polypori), half a tael
* Chi Shao Yao (Paeoniae Radix Rubra), half a tael
Grind into powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take twenty pills before meals with Cong Bai (Allii Fistulosi Bulbus) decoction.
**Jisu San (Elsholtzia Powder)** for treating urinary retention, chest/abdominal oppression, shortness of breath, and restlessness:
* Ji Su (Elsholtziae Herba), one tael
* Gan Sui (Kansui Radix), half a tael, baked until yellow
* Hua Shi (Talcum), one tael
* Kui Zi (Malvae Semen), one tael
* Qu Mai (Polygoni Avicularis Herba), one tael
* Sang Gen Bai Pi (Mori Cortex), one tael, sliced
* Fang Kui (Peucedani Radix), one tael
* Yu Bai Pi (Ulmus Cortex), one tael, sliced
Grind into a coarse powder. Take two or three qian per dose. Decoct with one zhong of water until reduced to six fen. Strain and take warm before meals.
**Another Prescription:**
* Mu Tong (Akebiae Caulis), one tael, sliced
* Zhu Ling (Polyporus), one tael, remove black skin
* Sang Gen Bai Pi (Mori Cortex), one tael, sliced
Grind into a coarse powder. Take four qian per dose. Decoct with one zhong of water until reduced to six fen. Strain and take warm before meals.
**Lixiao Fang (Immediate Efficacy Prescription)** for treating urinary retention:
* Deng Xin (Junci Medulla), two bundles
* Sheng Jiang (Zingiberis Rhizoma Recens), half a tael
* Hei Qian (Plumbum), half a tael, ground into powder
Decoct with one large zhong of well-water until reduced to five fen. Strain. Heat one stalk of Cong Bai (Allii Fistulosi Bulbus) slowly over fire, crush it, and place it inside the umbilicus. Then take the decoction in one go to cure.
**Another Prescription:**
* Ha Fen (Calamina), half a tael
* Ma Gen (Hemp Root), half a tael
Grind into a fine powder. Take two qian on an empty stomach mixed with fresh drawn water.
**Another Prescription:**
* Qin Jiao (Gentianae Macrophyllae Radix), one tael, remove sprouts
* Dong Gua Zi (Benincasae Semen), two taels
Grind into a fine powder. Take two qian before meals mixed with warm wine.
**Prescription for Urinary Retention with Abdominal Distension and Qi Urgency:**
* Hua Shi (Talcum), one tael, crushed
* Self's Hand/Foot Claws (burned to ash and finely ground)
Decoct Hua Shi (Talcum) in one large zhong of water until reduced to five fen. Strain and mix with the claw ash for consumption.
**Another Prescription:**
* Xiao Mai (Tritici Venirentis Fructus), two he
* Hua Shi (Talcum), three fen, ground into powder
* Sheng Jiang (Zingiberis Rhizoma Recens), half a tael, sliced
Decoct Xiao Mai (Tritici Venirentis Fructus) and Sheng Jiang (Zingiberis Rhizoma Recens) in one and a half zhongs of water until reduced to one zhong. Strain, divide into three doses, and take mixed with Hua Shi (Talcum) powder.
**Another Prescription:**
* Gan Cao (Glycyrrhizae Radix et Rhizoma), one and a half taels, honey-fried until slightly reddish and sliced
* Mu Tong (Akebiae Caulis), one and a half taels, sliced
[Note: The source text contains a transcription error here, repeating the decoction instructions for "Xiao Mai and Sheng Jiang" which belong to the previous formula. Translating literally as per instruction.]
Decoct with one and a half large zhongs of water, boil Xiao Mai (Tritici Venirentis Fructus) and Sheng Jiang (Zingiberis Rhizoma Recens) to obtain one zhong. Strain, divide into three doses, and take mixed with Hua Shi (Talcum) powder.
**Another Prescription:**
* Qu Mai (Polygoni Avicularis Herba), one tael, sliced
* Tian Ting Li (Semen Lepidii et Descurainiae), half a tael, sliced
Decoct with one and a half large zhongs of water until reduced to one zhong. Strain and divide into three doses before meals.
**Another Prescription:**
* Che Qian Ye Zhi (Juice of Plantago Leaf), five he
* Dong Gua Zhi (Juice of Benincasa), two he
Mix the juices and divide into two doses. Take before meals.
**Another Prescription:**
* Kui Gen (Malvae Radix), one tael, sliced
* Hua Shi (Talcum), one tael, ground into powder
Decoct with two large zhongs of water until reduced to one zhong three fen. Strain and divide into three doses before meals.
**Another Prescription:**
* Lou Gu (Mole Cricket), three specimens, lightly stir-fried
* Ku Hu Zi (Bitter Bottle Gourd Seed), thirty grains, lightly stir-fried
Grind into a fine powder. Take one qian per dose mixed with cold water.