夫小儿小便不通者。由肾与膀胱热故也。此二经为表里。俱主于水。水行于小肠。入脬
为小
治小儿小便不通。心闷。赤芍药散方。
赤芍药 蘧麦 陈橘皮（汤浸去白瓤焙） 牵牛子（微炒） 木通（锉） 冬葵子（以
上各一
分）
上件药。捣粗罗为散。每服一钱。以水一小盏。入葱白一茎。煎至五分。去滓。不计时
候。
治小儿小便不通。脐腹妨闷。心神烦热。栀子仁散方。
栀子仁（五枚） 茅根（半两锉） 冬葵根（半两） 甘草（一分炙微赤锉）
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。不计时候。量儿大小。
分
又方。
滑石（一两半） 木通（三分锉） 川芒硝（三分） 葵子（二合）
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。不计时候。量儿大小。
分
治小儿卒小便不通。小腹急闷。冬葵子散方。
冬葵子（一两） 木通（半两锉）
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至五分。去滓。不计时候。量儿大小。
分
治小儿百日内小便不通。心神烦闷。脐下痞满。宜服乳煎葱白饮子方。
葱白（一茎切） 乳汁（三合）
上二味同煎至一合半。去滓。分温为三服。相去如人行十里以来。再服。以利为度。
治小儿小便不通。宜用浸熨汤方。
木通（一两） 生姜（一两） 葱白（七茎） 陈橘皮（一两） 川椒（半两）
上件药。都细锉。以水二大碗。煎五七沸。去滓。倾入盆内。看冷暖。坐儿于盆中浸之。
将
治小儿小便三两日不通。欲死者。葵根散方。
葵根（一握锉） 壁鱼（七枚研）
上以水一大盏。煎葵根取汁六分。后入壁鱼。同煎五七沸。去滓。放温。量儿大小。临
时分
治小儿积热。小便不通。地肤子散方。
地肤子 蘧麦 冬葵子 知母 黄芩 川升麻 木通（锉） 川大黄（锉微炒） 猪苓
（去
黑皮
上件药。捣粗罗为散。每服一钱。以水一中盏。煎至六分。去滓。不计时候。量儿大小。
加
治小儿小便不通。心腹满闷。坐卧不安。滑石散方。
滑石末（半两） 甘草（一分炙微赤锉） 葵子（半两） 川大黄（半两锉微炒）
上件药。捣粗罗为散。每服一钱。以水一小盏。入葱白五寸。灯心一束。煎至六分。去
滓。
治小儿小便不通。脐腹坚满。喘急。木通散方。
木通（锉） 甘草（炙令赤锉） 葵子（以上各一分） 川大黄（锉研微炒） 滑石 牵
牛子
（微炒
上件药。都细捣罗为散。每服。煎葱白灯心汤调下半钱。量儿大小。加减服之。以利为
度。
治小儿小便不通。脐腹急痛。车前散方。
车前子（切半升） 小麦（三合）
上以水二大盏。煮取一盏。去滓。入少粳米。煮作稀粥。时时量力服之。
又方。
石苇（半两去毛） 蘧麦（半两） 小麦（一两）
上件药。都锉。以水二大盏。煎至一盏。去滓。取汁一合。调下滑石末半钱。量儿大小。
以
又方。
冬葵子 滑石 海蛤 蒲黄（以上各半两）
上件药。捣细罗为散。每服。以葱白汤调下半钱。量儿大小。以意加减。
治小儿小便涩少。妨闷不通。葱白饮子方。
葱白（二茎） 木通（半两） 冬葵子（半两）
上件药。都细锉。以水一大盏。煎至五分。去滓。量儿大小。以意加减服之。
治小儿小便不通。小腹妨闷方。
上用葱白一斤。连须细切。煮令熟。以绵裹。于脐下熨之。立通。
又方。
桑螵蛸（十枚炙令黄）
上件药。捣罗为末。每服。以粥饮调下半钱。量儿大小。加减服之。
又方。
上用头垢半钱。以温酒调服之。三岁以下服一字。
Infants' inability to urinate is caused by heat in the Kidney and Bladder meridians. These two meridians are exteriorly-interiorly related and both govern water metabolism. Water flows through the Small Intestine and enters the bladder (Pao) to form urine.
Chishao Yao San Decoction for treating infants with urinary retention and chest distress:
Chi Shao Yao (Radix Paeoniae Rubra), Qu Mai (Hordei Fructus Immaturus), Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in decoction, white pith removed, dried), Qian Niu Zi (Semen Pharbitidis, lightly stir-fried), Mu Tong (Caulis Akebiae, sliced), Dong Kui Zi (Semen Malvae, each 1 fen).
Crush the above herbs into a coarse powder. Take 1 qian per dose. Add one stalk of Cong Bai (Scallion White) to a small cup of water, decoct until 0.5 cup remains, filter dregs. Take at any time.
Zhizi Ren San Powder for treating infants with urinary retention, abdominal distension and discomfort, and mental restlessness with fever:
Zhi Zi Ren (Fructus Gardeniae, 5 seeds), Mao Gen (Rhizoma Imperatae, 0.5 liang, sliced), Dong Kui Gen (Radix Malvae, 0.5 liang), Gan Cao (Radix Glycyrrhizae, 1 fen, honey-fried until slightly red, sliced).
Crush the above herbs into a coarse powder. Take 1 qian per dose. Add a small cup of water, decoct until 0.5 cup remains, filter dregs. Take at any time, divided doses according to the infant's age.
Another prescription:
Hua Shi (Talcum, 1.5 liang), Mu Tong (Caulis Akebiae, 3 fen, sliced), Chuan Mang Xiao (Natrii Sulfas, 3 fen), Kui Zi (Semen Malvae, 2 he).
Crush the above herbs into a coarse powder. Take 1 qian per dose. Add a small cup of water, decoct until 0.5 cup remains, filter dregs. Take at any time, divided doses according to the infant's age.
Dong Kui Zi San Powder for treating sudden urinary retention in infants with acute lower abdominal distension and pain:
Dong Kui Zi (Semen Malvae, 1 liang), Mu Tong (Caulis Akebiae, 0.5 liang, sliced).
Crush the above herbs into a coarse powder. Take 1 qian per dose. Add a small cup of water, decoct until 0.5 cup remains, filter dregs. Take at any time, divided doses according to the infant's age.
Ru Jian Cong Bai Yin Zi for infants within 100 days of birth suffering from urinary retention, mental restlessness, and umbilical fullness:
Cong Bai (Scallion White, 1 stalk, sliced), Ru Zhi (Breast Milk, 3 he).
Decoct the two ingredients together until 1.5 he remains, filter dregs. Divide into three warm doses. The interval between doses should be equivalent to the time it takes a person to walk ten li. Repeat administration until urination resumes.
Jin Yun Tang for external soaking and compressing to treat urinary retention in infants:
Mu Tong (Caulis Akebiae, 1 liang), Sheng Jiang (Rhizoma Zingiberis Recens, 1 liang), Cong Bai (Scallion White, 7 stalks), Chen Ju Pi (Pericarpium Citri Reticulatae, 1 liang), Chuan Jiao (Pericarpium Zanthoxyli, 0.5 liang).
Finely slice all herbs. Decoct in two large bowls of water for five to seven boils. Filter dregs and pour into a basin. Adjust the temperature to suit the infant, and have the infant sit in the basin to soak the affected area.
Kui Gen San Powder for treating infants with urinary retention lasting two to three days, approaching death:
Kui Gen (Radix Malvae, one handful, sliced), Bi Yu (Lepisma saccharina, 7 pieces, crushed).
Decoct Kui Gen in one large cup of water to obtain 0.6 cup of juice. Then add Bi Yu and decoct together for five to seven boils. Filter dregs and let cool to lukewarm. Divide doses according to the infant's age before bedtime.
Difu Zi San Powder for treating urinary retention due to accumulated heat in infants:
Di Fu Zi (Herba Kochiae), Qu Mai (Hordei Fructus Immaturus), Dong Kui Zi (Semen Malvae), Zhi Mu (Rhizoma Anemarrhenae), Huang Qin (Radix Scutellariae), Chuan Sheng Ma (Radix Bupleuri), Mu Tong (Caulis Akebiae, sliced), Chuan Da Huang (Radix et Rhizoma Rhei, sliced and lightly stir-fried), Zhu Ling (Polyporus, black skin removed).
Crush the above herbs into a coarse powder. Take 1 qian per dose. Add one medium cup of water, decoct until 0.6 cup remains, filter dregs. Take at any time, adjust dosage according to the infant's age.
Hua Shi San Powder for treating urinary retention with heart and abdominal fullness, restlessness in sitting and lying:
Hua Shi Mo (Talcum, 0.5 liang), Gan Cao (Radix Glycyrrhizae, 1 fen, honey-fried until slightly red, sliced), Kui Zi (Semen Malvae, 0.5 liang), Chuan Da Huang (Radix et Rhizoma Rhei, 0.5 liang, sliced and lightly stir-fried).
Crush the above herbs into a coarse powder. Take 1 qian per dose. Add a small cup of water, five cun of Cong Bai (Scallion White), and a bundle of Deng Xin Cao (Medulla Junci), decoct until 0.6 cup remains, filter dregs.
Mu Tong San Powder for treating urinary retention with hard and full abdomen, panting, and urgency:
Mu Tong (Caulis Akebiae, sliced), Gan Cao (Radix Glycyrrhizae, honey-fried until red, sliced), Kui Zi (Semen Malvae, each 1 fen), Chuan Da Huang (Radix et Rhizoma Rhei, sliced, crushed, and lightly stir-fried), Hua Shi (Talcum), Qian Niu Zi (Semen Pharbitidis, lightly stir-fried).
Finely crush and sieve the above herbs into a powder. For each dose, mix half a qian with decoction of Cong Bai (Scallion White) and Deng Xin Cao (Medulla Junci). Adjust dosage according to the infant's age. Stop when urination resumes.
Che Qian San Powder for treating urinary retention with acute umbilical and abdominal pain:
Che Qian Zi (Semen Plantaginis, sliced, 0.5 sheng), Xiao Mai (Frumentum Tritici Vulgaris, 3 he).
Decoct in two large cups of water until one cup remains. Filter dregs, add a small amount of Jing Mi (Oryza Sativa Japonica Group), and cook into a thin porridge. Take appropriate amounts frequently based on the infant's capacity.
Another prescription:
Shi Wei (Folium Pyrrosiae, 0.5 liang, hairs removed), Qu Mai (Hordei Fructus Immaturus, 0.5 liang), Xiao Mai (Frumentum Tritici Vulgaris, 1 liang).
Slice all herbs. Decoct in two large cups of water until one cup remains. Filter dregs, take one he of juice, and mix with half a qian of Hua Shi Mo (Talcum). Adjust dosage according to the infant's age.
Another prescription:
Dong Kui Zi (Semen Malvae), Hua Shi (Talcum), Hai Ge (Concha Arcae), Pu Huang (Pollen Typhae, each 0.5 liang).
Finely crush and sieve the above herbs into a powder. For each dose, mix half a qian with Cong Bai Tang (Scallion White Decoction). Adjust dosage according to the infant's age.
Cong Bai Yin Zi for treating scanty,涩 (astringent/obstructed) urination with distension and obstruction:
Cong Bai (Scallion White, 2 stalks), Mu Tong (Caulis Akebiae, 0.5 liang), Dong Kui Zi (Semen Malvae, 0.5 liang).
Finely slice all herbs. Decoct in one large cup of water until 0.5 cup remains. Filter dregs. Adjust dosage according to the infant's age.
Prescription for treating urinary retention with lower abdominal distension:
Take one jin of Cong Bai (Scallion White), finely slice with roots, and boil until cooked. Wrap in cotton cloth and apply as a hot compress below the umbilicus. Urination will resume immediately.
Another prescription:
Sang Piao Xiao (Ovi Mantidae, 10 pieces, honey-fried until yellow).
Crush and sieve into powder. For each dose, mix half a qian with Zhou Yin (Porridge Drink). Adjust dosage according to the infant's age.
Another prescription:
Take half a qian of Tou Gou (Neuroderma/Cradle Cap), mix with warm wine, and administer orally. For children under three years old, administer a quantity of "Yi Zi" (a traditional small unit of measurement).