夫小便难者。此是肾与膀胱热故也。此二经为表里。俱主水。水行于小肠。入脬为小
便。
难。
治心热。小便难赤涩痛。蘧麦散方。
蘧麦（一两） 葵子〔半两（合）〕 木通（一两锉） 黄连（一两去须） 防风（一
两去芦头）
茯神〔二（一）两〕 冬瓜仁（一两） 甘菊花（半两） 葳蕤（一两） 川升麻（一两） 地
骨皮（一
两）
上件药。捣细罗为散。每服四钱。以水一中盏。煎至六分。去滓。每于食前温服。
治小便难涩痛。所出不多。令身体壮热。木通散方。
木通（一两锉） 车前子（一两） 石苇（一两去毛） 蘧麦（一两） 赤茯苓（一两）
石燕（
一两细研）
上件药。捣细罗为散。每于食前。以葱汤调下二钱。
治膀胱积热。小便涩难。犀角散方。
犀角屑（半两） 灯心（半两） 榆白皮（一两锉） 赤茯苓（一两） 子芩（一两） 车
前子（
一两） 川芒硝（一两） 木通（一两锉） 滑石（二两）
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。以快
利为度。
治小便难。脬中有热。水道中痛。宜服石苇散方。
石苇（一两去毛） 蘧麦（一两） 赤芍药（一两） 葵子（一两） 麻子（二合） 榆
白皮（一
两锉） 白茅根（二两锉） 陈橘皮（二两汤浸去白瓤焙）
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。
治小便难。水道中痛。小肠急。宜服此方。
木通（一两锉） 赤茯苓（一两） 甜葶苈（一两隔纸炒令紫色）
上件药。捣粗罗为散。每于食前。以温葱汤调下一钱。以利为度。
治小便难。胀满闷。不急疗之杀人。宜服此方救之。
葱白（三斤） 盐（一斤）
上相和。烂研。炒令热。以帛子裹。分作二包。更互熨脐下。小便立出。
又方。
秦艽（一两去苗）
上以水一大盏。煎取七分。去滓。食前分为二服。
又方。
蒲黄（一分） 滑石（一分）
上件药。捣细罗为散。每于食前。以温酒调下二钱。
Difficulty in urination is caused by heat in the Kidney and Bladder. These two meridians are exteriorly-interiorly related and both govern water metabolism. Water flows through the Small Intestine, enters the Pao (Bladder), and becomes urine.
To treat difficulty in urination with red, turbid, astringent, and painful urine due to Heart Heat, use Qu Mai San (Buckwheat Powder).
Qu Mai (Polygonum aviculare Herba, 1 liang) Kui Zi (Abutili Semen, 0.5 liang) Mutong (Akebiae Caulis, 1 liang, sliced) Huanglian (Coptidis Rhizoma, 1 liang, whiskers removed) Fangfeng (Saposhnikoviae Radix, 1 liang, radix head removed)
Fushen (Poria Cum Radix Xylodi, 2 liang [note: text suggests 1 liang]) Dongguaren (Benincasae Semen, 1 liang) Gan Juhua (Chrysanthemi Flos, 0.5 liang) Weirui (Polygonati Odorati Rhizoma, 1 liang) Chuan Shengma (Bupleuri Radix, 1 liang) Digupi (Lycii Cortex, 1 liang)
The above herbs are finely pounded and sifted into a powder. Take 4 qian per dose. Decoct with one zhong of water until reduced to 6 fen. Strain the dregs. Take warm before meals.
To treat difficulty in urination with astringency and pain, scanty output, and high fever, use Mutong San (Akebia Powder).
Mutong (Akebiae Caulis, 1 liang, sliced) Cheqianzi (Plantaginis Semen, 1 liang) Shiwei (Pyri Folium, 1 liang, hairs removed) Qu Mai (Polygonum aviculare Herba, 1 liang) Chi Fuling (Poria Cocos with Red Hosta Root, 1 liang) Shiyan (Petreidae Os, 1 liang, finely ground)
The above herbs are finely pounded and sifted into a powder. Take 2 qian per dose before meals, mixed with scallion decoction.
To treat difficulty in urination with astringency due to accumulated heat in the Bladder, use Xijiao San (Rhinoceros Horn Powder).
Xijiao xie (Rhinocerotis Cornu, 0.5 liang) Dengxin (Junci Medulla, 0.5 liang) Yubai pi (Ulmus Alba Cortex, 1 liang, sliced) Chi Fuling (Poria Cocos with Red Hosta Root, 1 liang) Zixin (Scutellariae Radix, 1 liang) Cheqianzi (Plantaginis Semen, 1 liang) Chuan Mangxiao (Natrii Sulfas, 1 liang) Mutong (Akebiae Caulis, 1 liang, sliced) Huashi (Talcum, 2 liang)
The above herbs are coarsely pounded and sifted into a powder. Take 4 qian per dose. Decoct with one zhong of water until reduced to 6 fen. Strain the dregs. Take warm before meals, until urination is smooth and profuse.
For difficulty in urination, heat in the Pao (Bladder), and pain in the urinary pathway, it is suitable to take Shiwei San (Pyri Folium Powder).
Shiwei (Pyri Folium, 1 liang, hairs removed) Qu Mai (Polygonum aviculare Herba, 1 liang) Chi Shaoyao (Paeoniae Radix Rubra, 1 liang) Kui Zi (Abutili Semen, 1 liang) Maziren (Hemp Seed, 2 he) Yubai pi (Ulmus Alba Cortex, 1 liang, sliced) Baimaogen (Imperatae Rhizoma, 2 liang, sliced) Chenpi (Citri Reticulatae Pericarpium, 2 liang, soaked in hot water, white pith removed, dried)
The above herbs are coarsely pounded and sifted into a powder. Take 4 qian per dose. Decoct with one zhong of water until reduced to 6 fen. Strain the dregs. Take warm before meals.
For difficulty in urination, pain in the urinary pathway, and tension in the Small Intestine, this formula is suitable.
Mutong (Akebiae Caulis, 1 liang, sliced) Chi Fuling (Poria Cocos with Red Hosta Root, 1 liang) Tiantingli (Descurainiae Semen Lepidii et SisymbrII, 1 liang, stir-fried between papers until purple)
The above herbs are coarsely pounded and sifted into a powder. Take 1 qian per dose before meals, mixed with warm scallion decoction, until urination is smooth.
For difficulty in urination accompanied by distension and fullness, which can be fatal if not treated urgently, use this formula for rescue.
Congbai (Allii Fistulosi Bulbus, 3 jin) Yan (Salt, 1 jin)
Mix thoroughly, grind until paste-like, stir-fry until hot. Wrap in cloth to make two packs. Apply alternately to hypogastric region. Urination will immediately resume.
Another prescription.
Qinjiao (Gentianae Macrophyllae Radix, 1 liang, buds removed)
Decoct with one large zhong of water to obtain 7 fen liquid. Strain the dregs. Divide into two doses before meals.
Another prescription.
Puhuang (Typhae Pollen, 1 fen) Huashi (Talcum, 1 fen)
The above herbs are finely pounded and sifted into a powder. Take 2 qian per dose before meals, mixed with warm wine.