(不通 不利)
涌泉、疗小便不通。(明)曲骨、疗妇人小便不通。(下见带下。)曲泉、主阴跳。痛
引茎
中。不得尿。(千)阴交、石门、委阳、主小腹坚痛引阴中。不得小便。关元、主三十六
疾不得小便。气冲。主淋闭不得尿。大敦、主小便难而痛。(甲云。照海主之。)横骨
、大巨、期门、主小腹满。小便难。阴下纵。阴谷、大敦、箕门、委中、委阳、主阴跳遗
小便难。中封、行间、主振寒溲白。尿难痛。曲骨、主小腹胀。血癃小便难。列缺、
主小便热痛。中极等、(见失精。)承扶、屈骨端、主小便不利。(见大便不禁。)少府
、三里、主小便不利癃。阴陵泉主心下满。寒中小便不利。包肓等、(见淋。)石门、关
元、阴交、中极、(并见无子。)曲骨、(见带下。)主不得小便。京门、主溢饮。水道不
通。溺黄。太冲、治腰引小腹痛。小便不利。状如淋(明同。) 疝、小腹肿。溏泄遗溺阴
痛。面目苍色。胸胁支满。足寒。大便难。(铜)水道、治膀胱寒。三焦热。小便不利。(
见小腹痛。)会阴、治小便难。窍中热。(千同。)皮痛阴端寒冲心。横骨、治腹胀小便难
。阴器纵伸痛。
阴包、(见腰。)至阴、阴陵泉、(见疝。)地机(见水肿。)三阴交、(见 癖。)治小便不
箕门、(见淋。)治小便不通。阴谷、治烦逆溺难。小腹急。引阴痛。股内廉痛。五里
、治肠中满。热闭不得溺。行间、治溺难。(见白浊。)
有人小便淋涩不通。甚以为苦。予令摘王不留行叶。(详见淋沥。)研细煎服。即愈。(
黄椎破。水煎数沸服。治大小便不通立效。亦有多煎葱汤。浸脐以下。得通。)
(Obstruction and difficulty of urination)
Yongquan (KI1) treats obstruction of urine. (Ming Dynasty texts record) Qugu (CV2) treats urinary retention in women. (See section on leukorrhea). Ququan (LR8) governs jumping pain in the yin region, radiating to the shaft of the penis, with inability to void urine. (Recorded in *Jia Yi Jing*). Yinjiao (CV7), Shimen (CV5), and Weiyang (BL35) govern hardness and pain in the lower abdomen radiating to the yin region, with inability to pass urine. Guanyuan (CV4) governs urinary retention caused by thirty-six diseases. Qichong (ST30) governs strangury and closure with inability to void urine. Dadun (LR1) governs difficult and painful urination. (*Jia Yi Jing* states: Zhaohai (KI6) governs this condition.) Henggu (KI11), Daju (ST37), and Qimen (LR14) govern fullness in the lower abdomen, difficult urination, and prolapse/flaccidity of the external genitalia. Yinggu (KI10), Dadun (LR1), Jimen (SP11), Weizhong (BL40), and Weiyang (BL35) govern yin jumping, enuresis, and difficult urination. Zhongfeng (LR4) and Xingjian (LR2) govern chills, white turbid urine, difficult and painful urination. Qugu (CV2) governs lower abdominal distension, blood strangury (urinary difficulty due to blood stasis), and difficult urination. Lieque (LU7) governs hot and painful urination. Zhongji (CV3) and other points, (see section on seminal emission). Chengfu (BL36) and the end of the flexed bone (referring to Huian or related areas), govern difficult urination. (See section on fecal incontinence). Shaofu (HT8) and Zusanli (ST36) govern difficult urination and strangury. Yinlingquan (SP9) governs fullness below the heart, and difficult urination due to cold invading the middle jiao. Baohuang and other points, (see section on strangury). Shimen (CV5), Guanyuan (CV4), Yinjiao (CV7), and Zhongji (CV3), (also see section on infertility). Qugu (CV2), (see section on leukorrhea), governs inability to pass urine. Jingmen (GB25) governs overflow edema, obstruction of water pathways, and yellow urine. Taichong (LR3) treats lumbar pain radiating to the lower abdomen, difficult urination resembling strangury (same view as Ming texts), hernia, lower abdominal swelling, loose stools, enuresis, yin pain, pale-green complexion, chest and hypochondriac fullness, cold feet, and difficult defecation. (Recorded in *Tong Ren Shu Xue Zhen Jiu Tu Jing*). Shuidao (ST28) treats difficult urination due to bladder cold and triple burner heat. (See section on lower abdominal pain). Huiyin (CV1) treats difficult urination and heat in the urethral orifice. (Same as *Jia Yi Jing*), skin pain, cold at the tip of the yin with cold qi rushing to the heart. Henggu (KI11) treats abdominal distension and difficult urination, and pain from prolapse and extension of the genitalia. Yinbao (LR9), (see section on back pain). Zhiyin (BL67) and Yinlingquan (SP9), (see section on hernia). Diji (SP8) (see section on edema). Sanyinjiao (SP6), (see section on masses), treats urinary issues... (text appears incomplete here, context implies treatment of urinary disorders). Jimen (SP11), (see section on strangury), treats urinary obstruction. Yinggu (KI10) treats irritability, counterflow qi, difficult urination, lower abdominal urgency, pain radiating to the yin, and pain along the medial aspect of the thigh. Wuli (ST31) treats fullness in the intestines and heat closure preventing urination. Xingjian (LR2) treats difficult urination. (See section on white turbidity).
A patient suffered from severe and bitter strangury with complete obstruction. I instructed him to pick leaves of *Vaccaria segetalis* (Wang Bu Liu Xing). (See detailed section on dribbling strangury), grind them finely, decoct, and take orally; he recovered immediately. (Another method: decoct *Huang Zhui Po* in water, boil for a few minutes, and drink; it has an immediate effect for both constipation and urinary retention. Another method: decoct a large amount of scallion soup, soak the area below the umbilicus, which facilitates urination.)