【遗尿之症】身体发热，神志不清，小便自出而不觉，便色黄赤，此外感遗尿之症也。
【遗尿之因】外受表邪，内有积热，热极神昏，则遗尿不禁矣。
【遗尿之脉】若见浮大，外有表邪。若见沉数，里有热结。左脉弦数，外感邪热。右
脉滑实，痰饮食积。
【遗尿之治】外有表邪，羌活防风汤。脉数里热者，导赤各半汤。脉实滑数，食填太
仓者
，枳实消滞汤。痰凝中脘者，二陈汤加石菖蒲，或导痰汤。便闭里实，有下症者，三化汤。
羌活防风汤
羌活 防风 柴胡 葛根 荆芥 木通
导赤各半汤 见前不语。
枳实消滞汤
枳实 浓朴 神曲 广皮 莱菔子 麦芽
二陈菖蒲汤
半夏 广皮 白茯苓 甘草 石菖蒲
三化汤 见前中风
导痰汤 见前痰壅。
三化汤 见前中风。
导痰汤 见前痰壅。
【遗尿之症】神气清爽，时时遗失，似无关栏，语言轻微，饮食渐少，大便滑泄，此
【遗尿之因】肾元不足，真阳不能自固，肾主闭藏，肾虚则开阖失职；真阴不足，肝
火内扰，肝主疏泄，火动则溺不停蓄，而遗尿之症作矣。
【遗尿之脉】脉见散大，中气虚寒；六脉濡
软，气血不足。尺脉浮大，真火外越。尺脉沉数，真阴内竭。
【遗尿之治】脉散大者，中气不足，补中益气汤。尺脉浮大者，八味肾气丸。两尺沉
数者，三才汤加门冬、五味、黄柏、知母。
补中益气汤
人参 白术 黄 甘草 当归 广皮 升麻 柴胡
八味丸 治肾火衰败，真阳外越。
即六味地黄丸加肉桂、附子。
三才汤
天门冬 地黄 人参
家秘加麦门冬、五味，以治遗精不禁。加黄柏、知母，治脉数精虚。
[Symptoms of Enuresis] The body is feverish, consciousness is unclear, urine flows out spontaneously without awareness, and the urine color is yellow and reddish; this is the symptom pattern of enuresis caused by external contraction.
[Etiology of Enuresis] External contraction of exterior pathogens (pathogens affecting the body surface) combined with internal accumulation of heat; when heat reaches an extreme level causing coma, enuresis occurs uncontrollably.
[Pulse Patterns in Enuresis] If the pulse is floating and large (Fu Da), there is an exterior pathogen. If the pulse is deep and rapid (Chen Shu), there is internal heat binding. If the left pulse is wiry and rapid (Xian Shu), it indicates exogenous pathogenic heat. If the right pulse is slippery and excess (Hua Shi), it indicates phlegm-dampness and food stagnation.
[Treatment of Enuresis] For cases with exterior pathogens, use Qianghuo Fangfeng Tang (Notopterygium and Saposhnikovia Decoction). For cases with a rapid pulse indicating internal heat, use Daochi Geban Tang (Half-Combination Decoction for Guiding Out Redness). For pulses that are excess, slippery, and rapid, indicating severe food stagnation filling the stomach, use Zhishi Xiaozhi Tang (Immature Bitter Orange Decoction for Resolving Stagnation). For phlegm stagnating in the Zhongwan region, use Erchen Tang (Two-Aged Decoction) added with Shichangpu (Acorus), or use Daotan Tang (Phlegm-Resolving Decoction). For constipation with interior excess syndrome and indications for purgation, use Sanhua Tang (Three Transformations Decoction).
Qianghuo Fangfeng Tang
Herbs: Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Bupleuri Radix (Chaihu), Puerariae Radix (Gegen), Schizonepetae Spica (Jingjie), Akebiae Caulis (Mutong)
Daochi Geban Tang See previous section on "Aphasia".
Zhishi Xiaozhi Tang
Herbs: Immaturus Citri Reticulatae Fructus (Zhishi), Magnoliae Officinalis Cortex (Noufu), Moutan Fermented Rice (Shenqu), Tangerine Peel (Guangpi), Raphani Semen (Laifuzi), Maltae Fructus Germinatus (Maiya)
Erchen Changpu Tang
Herbs: Pinelliae Tuber (Banxia), Tangerine Peel (Guangpi), Poria (Baifuling), Glycyrrhizae Radix et Rhizoma (Gancao), Acori Tatarinowii Rhizoma (Shichangpu)
Sanhua Tang See previous section on "Stroke".
Daotan Tang See previous section on "Phlegm Obstruction".
Sanhua Tang See previous section on "Stroke".
Daotan Tang See previous section on "Phlegm Obstruction".
[Symptoms of Enuresis] Spirit is clear, yet enuresis occurs frequently, seemingly lacking control; speech is weak and faint, dietary intake gradually decreases, and loose stools pass involuntarily; this is the symptom pattern of enuresis caused by internal injury.
[Etiology of Enuresis] Deficiency of Kidney Yuan (Original Qi); True Yang cannot consolidate itself. Since the Kidney governs closure and storage, Kidney deficiency leads to failure in opening and closing functions. Deficiency of True Yin allows Liver Fire to disturb internally. Since the Liver governs dispersion and drainage, when fire moves, urine accumulates unstoppably and leaks out, resulting in enuresis.
[Pulse Patterns in Enuresis] A scattered and large pulse indicates deficiency-cold of Middle Qi (Spleen/Stomach Qi). Six pulses that are soggy and soft (Ru Ruan) indicate deficiency of Qi and Blood. A Floating and Large Pulse at the Chi position (Cun-Kou pulse location corresponding to Kidneys/Lower Jiao) indicates True Fire escaping outward. A Deep and Rapid Pulse at the Chi position indicates exhaustion of True Yin within.
[Treatment of Enuresis] For a scattered pulse indicating Middle Qi deficiency, use Buzhong Yiqi Tang (Decoction for Supplementing the Middle and Augmenting Qi). For a Floating and Large Pulse at the Chi position, use Bawei Shenqi Wan (Eight-Ingredient Pill Tonifying Kidney Qi). For Deep and Rapid Pulses at both Chi positions, use Sancai Tang (Three Heaven Decoction) added with Ophiopogonis Radix (Mendong), Schisandrae Fructus (Wuweizi), Phellodendri Cortex (Huangbai), and Anemarrhenae Rhizoma (Zhimu).
Buzhong Yiqi Tang
Herbs: Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Astragali Radix (Huangqi), Glycyrrhizae Radix et Rhizoma (Gancao), Angelicae Sinensis Radix (Danggui), Tangerine Peel (Guangpi), Cimicifugae Rhizoma (Shengma), Bupleuri Radix (Chaihu)
Bawei Wan Treats decline of Kidney Fire and escape of True Yang.
It consists of Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) added with Cinnamomi Cortex (Rougui) and Aconiti Lateralis Radix Praeparata (Fuzi).
Sancai Tang
Herbs: Ophiopogonis Radix (Tianmendong), Rehmanniae Radix Preparata (Dihuang), Ginseng Radix et Rhizoma (Renshen)
Family Secret Formula adds Ophiopogonis Radix (Mendong) and Schisandrae Fructus (Wuweizi) to treat involuntary seminal emission. Adds Phellodendri Cortex (Huangbai) and Anemarrhenae Rhizoma (Zhimu) to treat rapid pulse with essence deficiency.