尿血多缘精窍病，尿血分出茎或疼，牛膝四物汤调治，急宜煎服效从容。
【注】尿血为精窍之病，乃尿与血先后分出者也。宜用牛膝四物汤治之，其证自愈。
牛膝四物汤
牛膝 木通 郁金 甘草梢 瞿麦 当归 川芎 生地黄 赤芍药
水煎服。
【方歌】小儿溺血精窍病，宜用牛膝四物汤，牛膝郁金通瞿草，归芍赤芍生地黄。
小儿热结二便秘，口渴舌干唇面红，八正尿秘少腹满，神芎便秘腹胀疼。
【注】此证多因乳食停滞生热，结于肠胃，以致二便秘结。其候舌干口渴，面赤唇焦也。
热积则小便秘涩，少腹满急，宜八正散主之。若食积大便秘，腹胀痛者，宜神芎丸主之。
八正散（方见不小便）
神芎丸
大黄 滑石（水飞，各一两） 薄荷 川芎（各四钱） 黄芩 黄连（生，各五钱） 牵牛（四钱）
共为细末，滴水为丸，每服五丸，蜜汤化下。
泻痢日久中气陷，肛松肠薄滑而脱，面色青黄指梢冷，脉来沉细唇淡白。补中益气汤升举，真人
养脏固滑脱，外用涩肠散调敷，气升肛涩肠自合。
【注】脱肛一证，因泻痢日久，中气下陷，肠胃薄瘦，遂令肛门滑脱不收。现证面色青
黄，指梢冷，脉沉细，唇色淡白。宜温补为主，先以补中益气汤升提其气；再以真人养
脏汤温补固滑；外以涩肠散掺之，则气升肛涩而肠自收牟。
补中益气汤（方见飧泻）
真人养脏汤（方见寒痢）
涩肠散
诃子 赤石脂 龙骨（ ，各等分）
共为细末，用腊茶调敷，和药掺肠头上，绵帛揉入。
Hematuria (blood in urine) often stems from pathology of the Jing Qiao (essence orifice). When urine and blood are discharged sequentially, and there may be pain in the penis during urination, it should be treated with Niuxi Siwu Tang (Achyranthes Bidentata Four Substances Decoction). It is urgent to decoct and take it promptly for effective results.
[Note] Hematuria is a disease of the Jing Qiao, characterized by the sequential discharge of urine and blood. It is suitable to treat it with Niuxi Siwu Tang, after which the condition will heal itself.
Niuxi Siwu Tang (Achyranthes Bidentata Four Substances Decoction)
Ingredients: Achyranthis Radix (Niuxi), Akebiae Caulis (Mutong), Curcumae Rhizoma (Yujin), Glycyrrhizae Radix et Rhizoma caulis (Gancao Shao), Dianthi Herba (Qumai), Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Rehmanniae Radix Recens (Sheng Dihuang), Paeoniae Radix Rubra (Chishaoyao).
Decoct in water and take orally.
[Formula Song] Pediatric hematuria belongs to Jing Qiao pathology; use Niuxi Siwu Tang. It contains Niuxi, Yujin, Mutong, Qumai, Gancao, Danggui, Chishaoyao, and Sheng Dihuang.
Pediatric heat accumulation causing constipation of both bowels and bladder, accompanied by thirst, dry tongue, and redness of lips and face. If urinary retention is present with lower abdominal fullness, Bazheng San (Eight Righteousness Powder) is indicated. If fecal constipation is present with abdominal distension and pain, Shenxiong Wan (Shenxiong Pill) is indicated.
[Note] This syndrome is mostly caused by stagnation of milk and food generating heat, which accumulates in the intestines and stomach, leading to constipation of both bowels and bladder. The manifestations include a dry tongue, thirst, red face, and cracked lips.
Heat accumulation causes difficult and scanty urination with lower abdominal fullness and urgency; Bazheng San is the primary treatment. If fecal constipation is caused by food stagnation, accompanied by abdominal distension and pain, Shenxiong Wan is the primary treatment.
Bazheng San (See formula under "Urinary Retention")
Shenxiong Wan (Shenxiong Pill)
Ingredients: Rheum Palmatum Radix et Rhizoma (Dahuang), Talcum (Huashi, processed by water levigation, 1 liang each), Mentha Haplocalyx (Bohe), Chuanxiong Rhizoma (Chuanxiong, 4 qian each), Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian, raw, 5 qian each), Pharbitidis Semen (Qianniu, 4 qian).
Grind together into fine powder, make pills with drops of water. Take 5 pills per dose, dissolved in honey water.
Prolonged diarrhea and dysentery lead to sinking of Middle Qi, resulting in lax anus, thin intestinal walls, and prolapse. The complexion is greenish-yellow, fingertips are cold, pulse is deep and fine, and lips are pale white. Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to raise and lift; Zhenren Yangzang Tang (True Person Nourish Viscera Decoction) to secure and stop slipping; externally apply Sichang San (Intestine-Consolidating Powder) mixed and applied. As Qi rises, the anus tightens, and the intestine naturally returns.
[Note] Anal prolapse occurs due to prolonged diarrhea and dysentery causing sinking of Middle Qi, making the intestines and stomach thin and emaciated, leading to the anus slipping out and failing to retract. Present symptoms include greenish-yellow complexion, cold fingertips, deep and fine pulse, and pale white lips. Warm tonification is the main method. First, use Buzhong Yiqi Tang to raise the Qi; then use Zhenren Yangzang Tang to warm-tonify and secure slipping; externally apply Sichang San. Thus, Qi rises, the anus tightens, and the intestine naturally retracts.
Buzhong Yiqi Tang (See formula under "Sung Xie" / Loose Stools)
Zhenren Yangzang Tang (See formula under "Cold Dysentery")
Sichang San (Intestine-Consolidating Powder)
Ingredients: Terminalia Chebula Fructus (Hezi), Kaolinite (Chishizhi), Dragon's Bones (Longgu, calcined, equal parts).
Grind together into fine powder, mix with aged tea for external application, sprinkle the medicine onto the rectal head, and massage it in with silk cloth.