此本葛氏方，出《肘后》。）其但淋者，取乱发三两烧灰，滑石五两，合捣
为散，服方寸匕，日三服。（《外台》）（按∶此滑石白鱼散变方。）
治小便不利，茎中疼痛，小腹急痛方。
蒲黑 滑石（等分）
上二味治下筛，酒服方寸匕，日三服。（《千金》）
（按∶此蒲灰散变方。）
治小便不通方，石首鱼头石末，水服方寸匕，日三。
（同上）
治小便不通，琥珀研成粉，每服二钱，煎萱草根浓汁调下，空心服。予发人，曾小肠秘甚成淋，每旋只
一二滴，痛楚至甚，用恶药逐之皆不通。王郇公与此药，一服遂通。人有
病痔肠肿，因不能尿，候如淋疾，他药不能通，惟此法可治。（《苏沈》）
治老人虚人小便不通，吴内翰方，琥珀研如粉，人参汤调下一钱止。陈彦修侍郎服验。（是斋）
（《得效》名琥珀散。）闭而不通，脐下胀为癃起，以灯心汤调五苓散，或洗慈汤（按∶洗当煎讹，慈
即葱）调独味琥珀末。（《要诀》）
茯苓琥珀汤。（主证见前湿热两蓄证）
茯苓（去皮） 琥珀 白术（各半两） 泽泻（一两） 滑石（七钱） 木猪苓（半两去皮） 甘草
（炙） 桂心（去皮各三钱）
上八味为末，每服五钱，用长流甘澜水煎一盏调下，空心食前，待少时以美膳压之。（《宝鉴》）
清利泻实诸方 僧深方，治膀胱急热，小便黄赤，滑石汤方。
滑石（八两碎） 子芩（三两） 车前（一升） 葵子（一升） 榆皮（四两）
凡五物，以水七升，煮取三升，分三服。（《医心》）
葵子汤，治膀胱实热，腹胀，小便不通，口舌干燥，咽肿不利。
赤茯苓（去皮） 木猪苓（去皮） 葵子 枳实（麸炒） 瞿麦 木通（去节） 黄芩 车前子（
炒） 滑石 甘草（炙各等分）
上 咀，每服四钱，水一盏半，姜五片，煎至八分，去
滓温服，不拘时候。（《济生》）《入门》万全木通散，治
膀胱有热，小便难而黄，用滑石、木通、茯苓、车前子、瞿麦。
治膀胱实热，心腹烦闷，小便不利，宜服栀子散方。
栀子人（一两） 石膏（二两） 白茅根 赤茯苓 犀角 木通 黄芩（各一两） 甘草（半两）
上件药捣筛为散，每服五钱，以水一大盏，入淡竹叶二七片，生地黄半两，煎至五分，去滓食前温服。
忌炙爆热面。（《圣惠》）
治膀胱积热，小便涩难，犀角散方。
犀角屑（半两） 灯心（半两） 滑白皮（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。（同上）
通利小肠，治小便赤涩，透泉散方。
滑石（一两） 甜消（研） 甘草末（各半两） 琥珀（研一分）
上四味同研匀细，每服二钱匕，煎灯心汤调下，空心食前服。（《鸡峰》）
滑石散，治胞转小便不通。（潞州李子良方）
葵子（半两） 滑石 石膏（各一两半）
上为粗末，每服四钱，水一盏半，煎至七分，去滓温服食前。（《端效》）
八正散，治小便赤涩，或癃闭不通，及热淋血淋，并宜服之。
车前子 瞿麦 滑石 大黄（面里煨去面切焙） 山栀子仁 蓄 木通 甘草（炙各一斤）
上为散，每服二钱，水一盏，入灯心，煎至七分，去滓
温服，食后临卧。小儿量力少少与之。（《和剂》）《幼幼》四十八候，治五淋，海金散，于本方去车前子、
山栀、灯心，加海金砂、郁金，为末。
治小便不通，脐腹胀痛不可忍，诸药不效者，续随子丸方。
续随子（去皮一两） 铅丹（半两）
上二味，先研续随子细，次入铅丹同研匀，用少蜜和作团，盛瓷罐内密封，于阴处掘地坑埋之，上堆
冰雪，惟多是妙。腊月合，至春末取出研匀，别炼蜜丸如梧桐子大，每服十五丸至二十丸，煎木通汤下，不
拘时。甚者不过再服，要效速即化破服，病急即旋合亦得。（《圣济》）
下痞者，小便不利，脐下满硬，语言謇滞，腰背疼痛，脚重不能行立者宜用。
葱白一寸去心，入 砂末一钱，安葱心中，两头以线子系之，湿纸包，煨熟，用冷醇酒送下，空心服，
以效为度。（《中藏》）
凡治小水闭塞不通，危急之甚，诸药不效者，速寻白菊花根捣烂，用生白酒冲和，取酒汁温而饮之，神
效。按∶此方，或白花者一时难得，即不拘何色，但以家菊根代之，亦必无不效。（《景岳》）（按∶此二
方无类可隶，姑附于此。）
温通诸方 附泽散，治小便不通，两尺脉俱沉微，乃阴虚故也，用淋闭通滑之剂不效者。
绵附子（一两重炮去皮脐盐水内浸良久） 泽泻（不蛀者一两重）
上锉散，每服四钱，水一盏半，灯心七茎煎，随通而愈。（《得效》）
小便不通，服凉药日久不通，胀满几死。
附子理中汤加琥珀末同服，立愈。（《济世全书》）
清心莲子饮，治上盛下虚，心火炎上，口苦咽干，烦渴微热，小便赤涩，或欲成淋，并宜服之。（《得
效》）（此为宁神方，姑附于此。）
滋阴诸方 滋肾丸，治不渴而小便闭，热在下焦血分也。
知母（去皮锉酒制） 黄柏（锉酒制焙干各一两） 肉桂（二钱）
《内经》云∶热者寒之。遂用知母、黄柏大苦寒为主治，肉桂辛热，与热同体，乃寒因热用也。
上件为细末，煎熟水为丸，如鸡头大，每服百余丸至二百丸，煎百沸汤送下，空心宿食消尽服之，顿两
足，令药易下行故也。如小便利，前阴中如刀刺痛，有恶物下为效验。（《试效》）
导气除燥汤，治小便闭塞不通，乃血涩至气不通而窍涩也。
茯苓（去皮） 滑石（炒黄以上各二钱） 知母（细锉酒洗） 泽泻（各三钱） 黄柏（去皮酒洗四钱）
上 咀，每服五钱，水三盏，煎至一盏去渣，稍热空心服。（《兰室》）
利气诸方 蓬莪散，治小便暴不通方。
蓬莪术 茴香 生茶（等分）
上为细末，每服二钱，水一大盏，盐二钱，葱白二寸，同煎至七分，和滓空心服。（《鸡峰》）
胞转小便不通云云，盖因强力房事，过忍小便，以致此
疾，非可利之药所能利之也，法当治气，宜以沉香汤主之方。
沉香 木香（各一钱）
上为细末，煎陈皮茯苓汤调服，空心。（《元戎》）
外治诸方 凡尿不在胞中，为胞屈僻，津液不通，以葱
叶除尖头，内阴茎孔中深三寸，微用口吹之，胞胀，津液大通便愈。（《千金》）
葛氏小便不通方，熬盐热熨小腹，冷复易之。《短剧》同。（《肘后》）（按∶《千金》治气淋。）
治小便难，胀满闷，不急疗之杀人，宜用此方救之。
葱白（三斤） 盐（一斤）
上相和研烂，炒令热，以帛子裹，分作二包，更互熨脐下，小便立出。（《圣惠》）
治胞转，小便不能通，先用。
良姜 葱头 紫苏茎叶（各一握）
上煎汤，密室内熏洗小腹、外肾、肛门，留汤再添，蘸
帛洗，以手拊摩脐下，拭干，绵被中仰坐垂脚，自舒其气。（《直指》）
治小便闭，垂死者，神效。
桃枝 柳枝 木通 川椒 白矾（枯各一两） 葱白（七个） 灯心（一握）
水三十碗，煎至十五碗，用瓷瓶热盛一半药汁熏外肾，周回以被围绕，不令外风得入，良久便通如赤豆
汁，若冷即易之。其效大奇。（必读）
小便不通，以盐满脐中，灸三壮。《短剧》同。（《肘后》）治产后小便不通，脐胀如鼓，闷乱不醒。
盖缘未产之前，内积冷气，遂致产时尿胞运动不顺。用盐于脐中积可与脐平，却用葱白剥去粗皮，十余根作
一缚，切作一指浓，安盐上，用大艾炷满葱饼子大小，以火灸之，觉热气直入腹
内，实时便通，神验不可具述。出《产乳集》。（《妇人良
方》）小便不通，高年气弱，不能运转胞中之气，此通药所以不能有功。纳麝香一分入脐中，上填满食盐，再
用湿绵纸掩盖，中心艾火灸九壮，热气透，有响声，小便通矣。问用食盐之故，予曰∶味咸者能补肾。湿纸借
湿气以润盐耳。如盐不润，则盐见火恐结块，令脐疼故也。（《星海》）（节录）
尝记一士人，小便闭不通者三日，小腹胀几死，百药不效。余用甘遂末，以大蒜捣细和成饼，安脐心令
实，以艾灸二七壮随通。后用此法救人无数。（《活法秘方》）
小便不通，呕逆，饮食不得入，名关格。葱白一斤碎切，入麝香五分拌匀，分二包，先用一包置脐上，
以炭火熨斗熨之，半炷香久，换一包，以熨斗盛冷水熨之，互相换熨，以通为度。或身无汗，以葱汤入木桶
内，令病者坐杌上，没脐为度，匝腰系裙以覆之，少时汗出尿亦出，即于桶中溺
之，勿出桶，恐气收而尿亦回也。（《医碥》）（按∶此治法，专为尿闭而设，故列于此门。）
治老人小便不通。
茴香 白颈地龙
上杵汁，倾脐腹中即愈。（《朱氏》）
通塞法。凡败精干血，或溺孔结垢，阻塞水道，小便胀急不能出者，令病患仰卧，亦用鹅翎管插入马
口，乃以水银一二钱徐徐灌入，以手逐段轻轻导之，则诸塞皆通，路通而
水自出，水出则水银亦从而喷出，毫无伤碍，亦最妙法也。（《景岳》）
灸法（互见上） 记一妇人，胞转不得小便，小腹急，六脉虚弱，余为灸关元二七壮，便得小
便，次服八味丸调理。（《活法秘方》）
This is a formula from Ge Shi, originating from *Zhou Hou Bei Ji Fang* (Emergency Prescriptions Kept Up the Sleeve).) For patients with simple strangury (Lin syndrome), take three liang of tangled hair, burn it to ash, combine with five liang of Talcum (Hua Shi), pound together and sieve into a powder. Take one fang cun bi (a measure approx. 2-3g) per dose, three times daily. (*Wai Tai Mi Yao*) (Note: This is a modified version of Hua Shi Bai Yu San.)
Formula for treating difficult urination, pain in the urethra, and acute pain in the lower abdomen.
Pu Hui (Scorched Scutellariae Radix et Rhizoma / or specific variant) and Hua Shi (Talcum) in equal parts.
Process the above two ingredients and sieve them. Take one fang cun bi with wine, three times daily. (*Qian Jin Fang*)
(Note: This is a modified version of Pu Hui San.)
Formula for treating urinary retention. Use the stone from the head of the Stone Flounder (Shi Shou Yu), grind into powder, take one fang cun bi with water, three times daily.
(Same as above)
For treating urinary retention, grind Amber (Hu Po) into powder. Take two qian per dose, mixed with thick decoction of Daylily Root (Xuan Cao Gen), taken on an empty stomach. I once encountered a person whose small intestine was severely blocked causing strangury; each time they urinated only one or two drops, suffering extreme pain. Using harsh purgative drugs yielded no result. Wang Xun Gong gave this medicine, and after one dose, urination resumed. Another case involved a patient with hemorrhoids causing intestinal swelling, leading to inability to urinate, symptoms resembling strangury; other drugs failed, but this method worked. (*Su Shen Liang Fang*)
For treating urinary retention in the elderly and debilitated persons, a formula by Wu Neihan: Grind Amber (Hu Po) into powder, mix with Ginseng Decoction (Ren Shen Tang), take one qian. Verified by Vice Minister Chen Yanxiu. (*Shi Zhai Bai Yi Xuan Fang*)
(Named Hu Po San in *De Xiao Fang*.) For urinary obstruction with distension below the umbilicus forming Long Bi (urinary retention), use Deng Xin Tang (Juncus Decoction) to mix with Wu Ling San, or use Xi Ci Tang (Note: "Xi" is likely a typo for "Jian" [decoct]; "Ci" refers to Scallion) to mix with single-ingredient Amber powder. (*Yao Jue*)
Fu Ling Hu Po Tang. (Main indications see previous section on Damp-Heat Dual Accumulation Syndrome.)
Fu Ling (Poria, peeled) 5 qian, Hu Po (Amber) 5 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Ze Xie (Alismatis Rhizoma) 1 liang, Hua Shi (Talcum) 7 qian, Mu Zhu Ling (Polypori Umbellati Sclerotium, peeled) 5 qian, Gan Cao (Licorice Root, honey-fried) 3 qian, Gui Xin (Cinnamomi Cortex) 3 qian.
Pound the eight ingredients into powder. Take five qian per dose, decoct in one zhan of Gan Lan Shui (Ganlan Water - water stirred vigorously to remove stagnant qi), mix and take. Take on an empty stomach or before meals. Wait a while, then eat a good meal to settle the medicine. (*Bao Jian*)
Formulas for Clearing Heat, Draining Dampness, and Purging Excess:
Seng Shen's Hua Shi Tang treats Bladder Urgent Heat with yellow-red urine.
Hua Shi (Talcum, crushed) 8 liang, Zi Qin (Scutellariae Radix) 3 liang, Che Qian (Plantaginis Herba) 1 sheng, Kui Zi (Abutilonis Semen) 1 sheng, Yu Pi (Ulmus Cortex) 4 liang.
These five herbs are decocted in seven sheng of water to yield three sheng, divided into three doses. (*Yi Xin Fang*)
Kui Zi Tang treats Bladder Excess Heat with abdominal distension, urinary retention, dry mouth and tongue, and swollen/uncomfortable throat.
Chi Fu Ling (Red Poria, peeled) 1 part, Mu Zhu Ling (Polypori Umbellati Sclerotium, peeled) 1 part, Kui Zi (Abutilonis Semen) 1 part, Zhi Shi (Immature Bitter Orange, bran-fried) 1 part, Qu Mai (Polygoni Avicularis Herba) 1 part, Mu Tong (Akebiae Caulis, nodes removed) 1 part, Huang Qin (Scutellariae Radix) 1 part, Che Qian Zi (Plantaginis Semen, fried) 1 part, Hua Shi (Talcum) 1 part, Gan Cao (Licorice Root, honey-fried) 1 part.
Chop the herbs. Take four qian per dose, decoct in one and a half zhan of water with five slices of Ginger until reduced to eight fen. Strain and take warm, at any time. (*Ji Sheng Fang*) Wan Quan's Mu Tong San in *Ru Men* treats Bladder Heat with difficult, yellow urination, using Hua Shi, Mu Tong, Fu Ling, Che Qian Zi, and Qu Mai.
Zhi Zi San treats Bladder Excess Heat with mental restlessness and abdominal discomfort, and difficult urination.
Zhi Zi Ren (Gardeniae Fructus) 1 liang, Shi Gao (Gypsum Fibrosum) 2 liang, Bai Mao Gen (Imperatae Rhizoma) 1 liang, Chi Fu Ling (Red Poria) 1 liang, Xi Jiao (Rhinocerotis Cornu) 1 liang, Mu Tong (Akebiae Caulis) 1 liang, Huang Qin (Scutellariae Radix) 1 liang, Gan Cao (Licorice Root) 0.5 liang.
Pound and sieve the above herbs into powder. Take five qian per dose, decoct in one large zhan of water with fourteen leaves of Dan Zhu Ye (Lophatheri Herba) and half a liang of Sheng Di Huang (Rehmanniae Radix) until reduced to five fen. Strain and take warm before meals.
Avoid roasted, fried, and hot-natured wheat products. (*Tai Ping Sheng Hui Fang*)
Xi Jiao San treats Bladder Accumulated Heat with astringent and difficult urination.
Xi Jiao Xie (Rhinocerotis Cornu, shaved) 0.5 liang, Deng Xin (Junci Medulla) 0.5 liang, Hua Shi Pi (Talcum Bark/Skin? Likely Hua Shi processed differently) 1 liang (chopped), Chi Fu Ling (Red Poria) 1 liang, Zi Qin (Scutellariae Radix) 1 liang, Che Qian Zi (Plantaginis Semen) 1 liang, Chuan Mang Xiao (Mirabilitum) 1 liang, Mu Tong (Akebiae Caulis, chopped) 1 liang, Hua Shi (Talcum) 2 liang.
Pound coarsely and sieve. Take four qian per dose, decoct in one medium zhan of water until reduced to six fen. Strain and take warm before meals. Stop when urination becomes smooth. (Same source)
Tou Quan San benefits the Small Intestine, treating red and astringent urination.
Hua Shi (Talcum) 1 liang, Tian Xiao (Natrii Sulfas, refined) 0.5 liang (ground), Gan Cao Mo (Licorice Powder) 0.5 liang, Hu Po (Amber) 1 fen (ground).
Grind the four ingredients finely together. Take two qian bi per dose, mix with Deng Xin Tang (Juncus Decoction), take on an empty stomach or before meals. (*Ji Feng Pu Ji Fang*)
Hua Shi San treats urinary retention due to Bao Zhuan (Bladder Displacement/Torsion). (Formula from Li Ziliang of Luzhou)
Kui Zi (Abutilonis Semen) 0.5 liang, Hua Shi (Talcum) 1.5 liang, Shi Gao (Gypsum Fibrosum) 1.5 liang.
Make into coarse powder. Take four qian per dose, decoct in one and a half zhan of water until reduced to seven fen. Strain and take warm before meals. (*Duan Xiao Fang*)
Ba Zheng San treats red and astringent urination, or Long Bi (urinary retention), as well as Re Lin (Heat Strangury) and Xue Lin (Blood Strangury). All are suitable for this formula.
Che Qian Zi (Plantaginis Semen) 1 jin, Qu Mai (Polygoni Avicularis Herba) 1 jin, Hua Shi (Talcum) 1 jin, Da Huang (Rhei Radix et Rhizoma, baked in flour wrapper, flour removed, sliced, dried) 1 jin, Shan Zhi Zi Ren (Gardeniae Fructus) 1 jin, Bian Xu (Polygoni Dibosci Herba) 1 jin, Mu Tong (Akebiae Caulis) 1 jin, Gan Cao (Licorice Root, honey-fried) 1 jin.
Make into powder. Take two qian per dose, decoct in one zhan of water with Deng Xin (Junci Medulla) until reduced to seven fen. Strain and take warm after meals and before sleep. Give small amounts to children according to their capacity. (*He Ji Ju Fang*) The Hai Jin San in *You You Xin Shu* for treating Five Types of Strangury modifies this formula by removing Che Qian Zi, Shan Zhi Zi, and Deng Xin, adding Hai Jin Sha (Lygodii Spora) and Yu Jin (Curcumae Radix), ground into powder.
Xu Sui Zi Wan treats urinary retention with unbearable umbilical and abdominal distension, when all other drugs fail.
Xu Sui Zi (Euphorbiae Lathyridis Semen, peeled) 1 liang, Qian Dan (Minii Oxidum Rubrum) 0.5 liang.
First grind Xu Sui Zi finely, then add Qian Dan and grind evenly. Mix with a little honey to form pellets. Seal tightly in a porcelain jar. Bury in a pit in a shady place, covering with ice and snow; the more, the better. Prepare in the twelfth lunar month, retrieve at the end of spring, grind evenly, refine honey, and make pills the size of Sophora seeds. Take fifteen to twenty pills per dose with Mu Tong Tang (Akebiae Caulis Decoction), at any time. Severe cases may require only one more dose. For rapid effect, dissolve the pill before taking. In emergencies, prepare immediately. (*Sheng Ji Zong Lu*)
For Lower Jiao Pi Syndrome (obstruction), characterized by difficult urination, fullness and hardness below the umbilicus, slurred speech, back pain, and heavy legs unable to stand or walk.
Take one cun of Cong Bai (Allii Fistulosi Bulbus), remove the heart. Place one qian of Nao Sha (Sal Ammoniac) inside the scallion. Tie both ends with thread. Wrap in wet paper and bake/cook until熟 (cooked). Send down with cold pure wine on an empty stomach. Continue until effective. (*Zhong Zang Jing*)
For critical cases of urinary blockage where all drugs fail, quickly find White Chrysanthemum root, crush it, mix with raw Bai Jiu (White Liquor), extract the juice, and drink warm. Miraculous effect. Note: If White Chrysanthemum is unavailable, any home-grown Chrysanthemum root can be substituted, which will also be effective. (*Jing Yue Quan Shu*) (Note: These two formulas do not fit neatly into existing categories, so they are attached here.)
Formulas for Warming and Unblocking:
Fu Ze San treats urinary retention with deep and faint pulses at both Chi positions, indicating Yin Deficiency. It is used when unblocking agents for strangury and retention fail.
Mian Fu Zi (Prepared Aconiti Lateralis Radix, 1 liang, roasted, peel and navel removed, soaked in salt water for a long time) 1 liang, Ze Xie (Alismatis Rhizoma, non-wormy, 1 liang).
Chop into pieces. Take four qian per dose, decoct in one and a half zhan of water with seven stems of Deng Xin (Junci Medulla). Cure follows the return of urination. (*De Xiao Fang*)
Urinary retention persisting despite long-term use of cooling drugs, leading to severe distension nearly fatal.
Fu Zi Li Zhong Tang (Aconite and Magnolia Root Decoction) added with Hu Po (Amber) powder. Immediate cure. (*Ji Shi Quan Shu*)
Qing Xin Lian Zi Yin treats Upper Excess and Lower Deficiency, Heart Fire flaring upward, bitter taste in mouth, dry throat, irritability, thirst, slight fever, red and astringent urination, or impending strangury. Suitable for all these conditions. (*De Xiao Fang*) (Note: This is a calming spirit formula, attached here tentatively.)
Formulas for Nourishing Yin:
Zi Shen Wan treats urinary closure without thirst, indicating Heat in the Blood aspect of the Lower Jiao.
Zhi Mu (Anemarrhenae Rhizoma, peeled, chopped, wine-processed) 1 liang, Huang Bo (Phellodendri Cortex, chopped, wine-processed, dried) 1 liang, Rou Gui (Cinnamomi Cortex) 2 qian.
The *Nei Jing* states: "Heat is treated with Cold." Thus, Zhi Mu and Huang Bo, being greatly bitter and cold, are the main treatments. Rou Gui is acrid and hot, sharing the nature of heat, representing "Cold used via Heat" (Han Yin Re Yong).
Make fine powder. Form pills with boiled water, size of a corn kernel. Take 100-200 pills per dose with boiling water. Take on an empty stomach after digestion of previous food. Stomp feet twice to facilitate downward movement of the medicine. If urination returns, and there is a knife-like pain in the anterior orifice with discharge of foul matter, this indicates efficacy. (*Shi Xiao Fang* / *Wei Sheng Bao Jian*)
Dao Qi Chu Zao Tang treats urinary blockage due to blood stasis causing Qi stagnation and orifice astringency.
Fu Ling (Poria, peeled) 2 qian, Hua Shi (Talcum, fried yellow) 2 qian, Zhi Mu (Anemarrhenae Rhizoma, finely chopped, wine-rinsed) 3 qian, Ze Xie (Alismatis Rhizoma) 3 qian, Huang Bo (Phellodendri Cortex, peeled, wine-rinsed) 4 qian.
Chop the herbs. Take five qian per dose, decoct in three zhan of water until reduced to one zhan. Strain and take warm on an empty stomach. (*Lan Shi Mi Cang*)
Formulas for Promoting Qi Movement:
Peng E San treats sudden urinary retention.
Peng E Zhu (Curcumae Rhizoma) 1 part, Hui Xiang (Foeniculi Fructus) 1 part, Sheng Cha (Raw Tea Leaves) 1 part.
Make into fine powder. Take two qian per dose, decoct in one large zhan of water with two qian of Salt and two cun of Cong Bai (Scallion Stem) until reduced to seven fen. Take with the dregs on an empty stomach. (*Ji Feng Pu Ji Fang*)
Regarding Bao Zhuan (Bladder Displacement) causing urinary retention: This is often caused by strenuous sexual activity or holding urine too long. It cannot be treated with diuretics alone. The treatment method should focus on regulating Qi. Chen Xiang Tang is the primary formula.
Chen Xiang (Aquilariae Lignum Resinatum) 1 qian, Mu Xiang (Aucklandiae Radix) 1 qian.
Make into powder. Take with decoction of Chen Pi (Citri Reticulatae Pericarpium) and Fu Ling (Poria). Take on an empty stomach. (*Yuan Rong*)
External Treatment Formulas:
When urine is not in the bladder due to bladder displacement/kinking, blocking fluid flow: Remove the tip of a green onion leaf, insert it deeply (three cun) into the urethral meatus, and gently blow air into it. When the bladder swells, fluids flow freely, and the condition resolves. (*Qian Jin Fang*)
Ge Shi's formula for urinary retention: Roast salt, apply hot compress to the lower abdomen, replace when cool. Same as *Duan Ju*. (*Zhou Hou Bei Ji Fang*) (Note: *Qian Jin Fang* treats Qi Strangury.)
For difficult urination with distension and oppression, which if untreated can be fatal. Use this rescue formula.
Cong Bai (Scallion Stem) 3 jin, Yan (Salt) 1 jin.
Mix and crush. Stir-fry until hot. Wrap in cloth, divide into two packs. Alternate applying hot packs to below the umbilicus. Urination will start immediately. (*Tai Ping Sheng Hui Fang*)
For Bao Zhuan (Bladder Displacement) with urinary retention, use first:
Liang Jiang (Galangal Rhizome) 1 handful, Cong Tou (Scallion Head) 1 handful, Zi Su Jing Ye (Perillae Caulis et Folium) 1 handful.
Decoct in water. Fumigate and wash the lower abdomen, external genitalia, and anus in a sealed room. Keep the liquid warm, dip cloth to wipe, massage the area below the umbilicus. Dry off, sit with legs hanging under a cotton quilt to relax Qi. (*Zhi Zhi Fang*)
For urinary closure in near-death cases, miraculous effect.
Tao Zhi (Peach Twig) 1 liang, Liu Zhi (Willow Twig) 1 liang, Mu Tong (Akebiae Caulis) 1 liang, Chuan Jiao (Zanthoxyli Pericarpium) 1 liang, Bai Fan (Alumen, calcined) 1 liang, Cong Bai (Scallion Stem) 7 stalks, Deng Xin (Junci Medulla) 1 handful.
Decoct in 30 bowls of water until reduced to 15 bowls. Pour half the hot decoction into a porcelain bottle to fumigate the external genitalia. Surround the patient with quilts to exclude wind. After a while, urination will pass like red bean soup. Replace if cool. The effect is remarkable. (*Yi Men Bi Du*)
Urinary retention: Fill the umbilicus with salt, moxa three cones. Same as *Duan Ju*. (*Zhou Hou Bei Ji Fang*) Postpartum urinary retention with drum-like umbilical distension and confusion/drowsiness. Caused by cold accumulation prior to delivery affecting bladder movement during birth. Pile salt level with the umbilicus. Bundle ten-plus scallion whites (peeled), cut to finger-thickness, place on salt. Apply a large moxa cone the size of the scallion cake. Moxibustion until heat penetrates the abdomen. Urination resumes immediately. Miraculous. From *Chan Ru Ji*. (*Fu Ren Liang Fang*) Elderly urinary retention due to weak Qi failing to move Qi in the bladder, rendering standard diuretics ineffective. Insert one fen of She Xiang (Moschus) into the umbilicus, fill with salt, cover with wet cotton paper, moxa nine cones at the center. When heat penetrates and a sound is heard, urination resumes. Reason for salt: Salty flavor enters Kidney. Wet paper adds moisture to prevent salt from clumping/burning the umbilicus upon heating. (*Xing Hai*) (Excerpt)
I recall a scholar who had urinary retention for three days, lower abdominal distension nearly fatal, unresponsive to hundreds of medicines. I used Gan Sui powder mixed with garlic paste to form a cake, placed on the umbilicus, and applied moxibustion for fourteen cones (two sets of seven). Urination followed immediately. I saved countless lives with this method thereafter. (*Huo Fa Mi Fang*)
Urinary retention with vomiting and inability to eat, named Guan Ge (Confinement and Obstruction). Crush one jin of Cong Bai (Scallion Stem), mix with five fen of She Xiang (Moschus), divide into two packs. Place one pack on the umbilicus, apply heat with a charcoal iron for half an incense stick's time. Switch to the second pack, apply with an iron filled with cold water. Alternate hot and cold application until urination resumes. Alternatively, if no sweating occurs, sit in a wooden tub filled with scallion decoction up to the umbilicus, wrap waist with skirt to retain heat. Sweating and urination will occur simultaneously. Urinate in the tub; do not exit, lest Qi retract and urine stop. (*Yi Que*) (Note: This treatment is specifically for urinary closure, hence listed here.)
For elderly urinary retention.
Hui Xiang (Foeniculi Fructus) 1 part, Bai Jing Di Long (Earthworm, white neck) 1 part.
Pound to extract juice, pour into the umbilical/abdominal area. Cure. (*Zhu Shi Ji Yan Fang*)
Method for Unblocking Obstructions: For residual semen, dried blood, or crusts in the urethral meatus blocking the water passage, causing urgent distension and inability to urinate: Have the patient lie supine. Insert a goose quill tube into the meatus. Slowly instill one or two qian of Mercury (Shui Yin). Gently guide with hand along segments. All obstructions clear, path opens, water flows out, and mercury sprays out with it. No harm done. Also a superb method. (*Jing Yue Quan Shu*)
Moxibustion Method (See above): Recalled a woman with Bao Zhuan (bladder torsion) unable to urinate, lower abdominal urgency, weak pulses throughout. I moxibusted Guan Yuan (CV4) for fourteen cones (two sets of seven). Urination resumed. Subsequently administered Ba Wei Wan (Eight-Ingredient Pill) for regulation. (*Huo Fa Mi Fang*)