（附论）
夫热病毒瓦斯未除。表里不解。热在膀胱。则流于小肠。热盛则脾胃干。津液少。故小便
不通也。
方
滑石散（出圣惠方）治热病。热毒瓦斯壅。心腹胀满。小便不通。
滑石（二两） 甜葶苈（一合隔纸炒令紫色） 猪苓（一两去黑皮） 甘草（半两炙微
赤锉）
汉防己（一两） 木通（半两锉） 上为粗散。每服四钱。以水一中盏。煎至六分。去滓。
不计
时候。温服。
木通散（出圣惠方）治热病。小便不通。或淋沥疼痛。
木通（锉） 琥珀（各一两） 赤芍药 枳实（麸炒赤黄） 茅根（锉） 甘草（炙微
赤锉各半
两） 上为散。每服四钱。水一中盏。煎至六分。去滓。不计时候。温服。
当归散（出圣惠方）治热病。小便不通。小肠疼痛。
当归（三分锉微炒） 子芩 葵子 车前子 榆白皮（锉各半两） 上为细散。每服用
暖生
地黄汁一小盏。调下二钱。不计时候服之。
赤茯苓散（出圣惠方）治热病。小便不通。心神烦躁。小腹满闷。
赤茯苓 赤芍药 葵子 瞿麦 木通（锉） 川芒硝（各一两） 上为粗散。每服四钱。
水
一中盏。入葱白二茎。煎至六分。去滓。不拘时候。温服。
石苇散 治热病。小便不通。
石苇（去毛） 瞿麦（各一两） 木通（锉） 甘草（炙微赤锉） 子芩（各半两） 葵
子（三合）
上为散每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服之。
冬葵子散 治热病。小便赤涩不通。
冬葵子 滑石（各二两） 赤茯苓 木通（锉各二两） 茅根（锉） 上为散。每服四
钱。以
水一中盏。煎至六分。去滓。不计时候。温服之。
治热病。小便不通。淋沥如血方。
大麻根（二两） 乱发灰（二钱） 上先将麻根。以水一大盏。煎至六分。去滓。下发
灰调
令匀。顿服之。
又方
生干地黄（三分） 蒲黄 郁金（各半两） 上为细散。每服浓煎葵根汤调下二钱。不
拘时
候服。
又方
滑石 石燕（各一两） 上为细散。研令极细。每服不计时候。葱白汤调下一钱。
滋阴化气汤 治因服热药过多。小便不利。诸药不效。或脐下闷痛。不可忍者。
黄连（炒去须） 黄柏（炒） 甘草（炙各等分） 上 咀。每服三钱。水三盏。煎至
一盏。
去滓。食前温服。昼夜不通。加知母。
问此如何得利。答曰。无阳者阴无以生。无阴者阳无以化。又云。膀胱者津液之府。气
达则能出焉。热药过多。乃阴亡也。二药助阴使气得化。故小便得以通也。或以滋肾丸服之。
其效更速。
(Attached Discussion)
In febrile diseases, if the pathogenic heat-toxin qi is not eliminated, both the exterior and interior remain unresolved. Heat accumulates in the Bladder (Bladder organ), then flows into the Small Intestine (Small Intestine organ). Excessive heat causes dryness of the Spleen and Stomach (Spleen and Stomach organs) and a deficiency of body fluids (Jinye, essential fluids), resulting in urinary retention (Xiaobian butong).
Formulas
Huashi San (Slippery Stone Powder) [from *Shenghui Fang*]: Treats febrile disease where heat-toxin qi is congested, causing fullness and distension in the heart and abdomen, and urinary retention.
Ingredients: Hua Shi (Talcum, 2 liang); Ting Li Zi (Descurainiae Semen, 1 he, stir-fried between papers until purple); Zhu Ling (Polyporus, 1 liang, remove black skin); Gan Cao (Licorice Root, 0.5 liang, honey-fried until slightly red and crushed); Han Fang Ji (Stephaniae Tetrandrae Radix, 1 liang); Mu Tong (Akebiae Caulis, 0.5 liang, crushed).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 4 qian per dose. Add 1 zhuan of water, decoct until 0.6 zhuan remains, strain, and take warm at any time.
Mutong San (Akebia Decoction Powder) [from *Shenghui Fang*]: Treats febrile disease with urinary retention, or dysuria with pain.
Ingredients: Mu Tong (Akebiae Caulis, crushed); Hu Po (Amber, 1 liang each); Chi Shao Yao (Red Peony Root); Zhi Shi (Immature Bitter Orange, bran-fried until reddish-yellow); Mao Gen (Imperatae Rhizoma, crushed); Gan Cao (Licorice Root, honey-fried until slightly red and crushed, 0.5 liang each).
Preparation and Administration: Grind the above ingredients into a powder. Take 4 qian per dose. Add 1 zhuan of water, decoct until 0.6 zhuan remains, strain, and take warm at any time.
Danggui San (Angelica Decoction Powder) [from *Shenghui Fang*]: Treats febrile disease with urinary retention and pain in the Small Intestine.
Ingredients: Dang Gui (Angelicae Sinensis Radix, 3 fen, crushed and lightly stir-fried); Zi Qin (Scutellariae Radix); Kui Zi (Abutilonis Semen); Che Qian Zi (Plantaginis Semen); Yu Bai Pi (Ulmus Alba Bark, crushed, 0.5 liang each).
Preparation and Administration: Grind the above ingredients into a fine powder. For each dose, mix 2 qian of powder with one small zhuan of warm raw Di Huang juice (Rehmanniae Radix juice) and take it. Administer at any time.
Chifuling San (Red Polyporus Powder) [from *Shenghui Fang*]: Treats febrile disease with urinary retention, mental restlessness, and fullness/stuffiness in the lower abdomen.
Ingredients: Chi Fu Ling (Red Polyporus); Chi Shao Yao (Red Peony Root); Kui Zi (Abutilonis Semen); Qu Mai (Dianthi Herba); Mu Tong (Akebiae Caulis, crushed); Chuan Mang Xiao (Mirabilitum, 1 liang each).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 4 qian per dose. Add 1 zhuan of water and two stalks of Cong Bai (Allii Fistulosi Bulbus), decoct until 0.6 zhuan remains, strain, and take warm at any time.
Shiwei San (Pyrrosiae Folium Powder): Treats febrile disease with urinary retention.
Ingredients: Shi Wei (Pyrrosiae Folium, remove hairs); Qu Mai (Dianthi Herba, 1 liang each); Mu Tong (Akebiae Caulis, crushed); Gan Cao (Licorice Root, honey-fried until slightly red and crushed); Zi Qin (Scutellariae Radix, 0.5 liang each); Kui Zi (Abutilonis Semen, 3 he).
Preparation and Administration: Grind the above ingredients into a powder. Take 4 qian per dose. Add 1 zhuan of water, decoct until 0.6 zhuan remains, strain, and take warm at any time.
Dongkuizi San (Malvae Semen Powder): Treats febrile disease with dark, scanty, and obstructed urination.
Ingredients: Dong Kui Zi (Malvae Semen); Hua Shi (Talcum, 2 liang each); Chi Fu Ling (Red Polyporus); Mu Tong (Akebiae Caulis, crushed, 2 liang each); Mao Gen (Imperatae Rhizoma, crushed).
Preparation and Administration: Grind the above ingredients into a powder. Take 4 qian per dose. Add 1 zhuan of water, decoct until 0.6 zhuan remains, strain, and take warm at any time.
Formula for treating febrile disease with urinary retention and bloody dysuria:
Ingredients: Da Ma Gen (Cannabis Sativa Root, 2 liang); Luan Fa Hui (Ash of Human Hair, 2 qian).
Preparation and Administration: First, decoct the Ma Gen in 1 large zhuan of water until 0.6 zhuan remains, strain, add the Luan Fa Hui, mix evenly, and take in one dose.
Another Formula:
Ingredients: Sheng Gan Di Huang (Dried Raw Rehmannia Root, 3 fen); Pu Huang (Typhae Pollen); Yu Jin (Curcumae Longae Radix, 0.5 liang each).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 2 qian per dose, mixed with thickly decocted Kui Gen soup (Malvae Root soup). Administer at any time.
Another Formula:
Ingredients: Hua Shi (Talcum); Shi Yan (Swallowstone, 1 liang each).
Preparation and Administration: Grind the above ingredients into an extremely fine powder. Take 1 qian per dose, mixed with Cong Bai soup (Allii Fistulosi Bulbus soup), at any time.
Ziyin Huaqi Tang (Nourishing Yin and Promoting Qi Transformation Decoction): Treats difficulty in urination caused by excessive intake of hot-natured medicines, where other treatments are ineffective, or unbearable stuffiness and pain below the umbilicus.
Ingredients: Huang Lian (Coptidis Rhizoma, stir-fried and remove stamens); Huang Bo (Phellodendri Cortex, stir-fried); Gan Cao (Licorice Root, honey-fried, equal parts).
Preparation and Administration: Cut the ingredients into small pieces. Take 3 qian per dose. Add 3 zhuan of water, decoct until 1 zhuan remains, strain, and take warm before meals. If there is no urination day and night, add Zhi Mu (Anemarrhenae Rhizoma).
Question: How does this formula promote diuresis?
Answer: Without Yang, Yin cannot be generated; without Yin, Yang cannot transform. It is also said that the Bladder (Bladder organ) is the residence of body fluids (Jinye); when Qi reaches it, urine can be excreted. Excessive intake of hot medicines leads to the loss of Yin. These two herbs (Huang Lian, Huang Bo) assist Yin, allowing Qi to transform, thus enabling urination. Some suggest using Zishen Wan (Kidney-Nourishing Pill), which acts even faster.