若小便滑数日夜十数行此由脬门不闭水液不藏或因思虑过多心气散溢小肠又弱不能禁制
者至
固至于胫酸
茴香(一两) 附子(半两) 菟丝子(拣净水淘酒浸一宿承润捣粗末焙二两) 桑螵
蛸(半两)
上为细末酒煮面糊和丸梧桐子大米饮下三十丸空心服(一方加磁石半两鸡 一两)
若小便纯血血下凝结 气短日就羸瘦不食此由阳气不固阴无所守五液注下诊其脉散涩
欲绝而身冷者死治属虚损
菟丝子(拣净水淘酒浸一宿乘润捣粗末再焙) 干地黄 鹿茸(各一两)
上为细末酒煮面糊为丸如梧桐子大米饮下三
若卒暴不通小肠膨急气上冲心闷欲绝死此由暴气乘并膀胱或从惊忧气无所伸郁而不流气
冲脬
青橘皮(三两) 葵子(一两) 葱白(一茎)
上为细末每服二钱水一盏至七分去滓温服不以时
小便涩痛
淋石(二分) 琥珀(半两) 当归(重校定此方内当归一味无分两此方指迷方内亦载
之当归用
上为细末米饮调下二钱匕不瘥服后方
若脂肥随便而下策策而痛由肾气虚衰精液不收气不禁固诊其脉散涩而微谓之膏淋宜此
菟丝子(拣净水淘酒浸一宿乘润先捣为粗末焙) 桑螵蛸(二两) 泽泻(一分)
上为细末炼蜜和丸如梧桐子大米饮下三十丸空心
If urination is slippery and frequent, occurring more than ten times a day and night, this is due to the failure of the bladder gate (bladder sphincter) to close, causing fluids to fail to be stored; or it may result from excessive worry leading to the dispersion of Heart Qi into the Small Intestine, which becomes weak and unable to restrain it. In severe cases, it may progress to soreness in the calves.
Fennel Fructus (Hui Xiang, 茴香) [1 liang], Aconitum Lateral Radix Preparata (Fu Zi, 附子) [0.5 liang], Cuscutae Semen (Tu Si Zi, 菟丝子) [2 liang, selected, washed with clean water, soaked in wine overnight, pounded into coarse powder while moist, dried], Mantis Egg-case (Sang Piao Xiao, 桑螵蛸) [0.5 liang].
Grind the above ingredients into a fine powder. Mix with a paste made by boiling flour in wine to form pills the size of paulownia seeds. Take thirty pills on an empty stomach with rice gruel. (Another prescription adds Magnetitum [Ci Shi, 磁石] 0.5 liang and Gallus Gallus Domesticus Gizzard-membrane Linings [Ji Nei Jin, 鸡内金] 1 liang).
If urine contains pure blood, with blood coagulating as it flows out, shortness of breath, progressive emaciation, and loss of appetite, this is due to the insecurity of Yang Qi and the inability of Yin to be retained, resulting in the leakage of the five fluids. If the pulse is scattered and choppy, nearly imperceptible, and the body is cold, death ensues. This condition belongs to deficiency and damage.
Cuscutae Semen (Tu Si Zi, 菟丝子) [selected, washed, soaked in wine overnight, pounded into coarse powder while moist, dried again], Rehmanniae Radix Preparata (Shu Di Huang, 干地黄 - note: original says Gan Di Huang, usually implies Prepared in formula context for tonifying, but literal is Dry Rehmannia Root) [1 liang each], Cervi Cornu Degelatinatum (Lu Rong, 鹿茸) [1 liang].
Grind the above into a fine powder. Mix with a wine-boiled flour paste to form pills the size of paulownia seeds. Take three... (text cuts off here).
If sudden complete obstruction occurs, with abdominal distension and urgency, Qi rushing upward to the heart, causing stifling sensation and near-death state, this is due to violent pathogenic Qi attacking the Bladder, or Qi failing to extend due to fright and anxiety, becoming stagnant and unable to flow, rushing against the Bladder.
Citri Reticulatae Pericarpium Viride (Qing Ju Pi, 青橘皮) [3 liang], Malvae Semen (Kui Zi, 葵子) [1 liang], Allii Fistulosi Bulbus (Cong Bai, 葱白) [1 stalk].
Grind the above into a fine powder. Take two qian per dose. Add one zhan of water, decoct until reduced to seven-tenths. Strain and take warm at any time.
Astringent and painful urination
Lapis Calculi (Lin Shi, 淋石) [2 fen], Succinum (Hu Po, 琥珀) [0.5 liang], Angelicae Sinensis Radix (Dang Gui, 当归) [Note: Re-examined: this prescription lists Dang Gui without dosage; also recorded in Zhi Mi Fang...].
Grind the above into a fine powder. Mix with rice gruel and take two qian bish (spoonfuls). If not cured, take the following prescription.
If fatty matter flows down freely, dripping with pain, this is due to deficiency and decline of Kidney Qi, failure to retain essence, and Qi's inability to consolidate. The pulse is scattered, choppy, and faint, termed Gao Lin (Chyluria/Greasy Urinary Obstruction). This prescription is suitable.
Cuscutae Semen (Tu Si Zi, 菟丝子) [selected, washed, soaked in wine overnight, pounded into coarse powder first while moist, dried], Mantis Egg-case (Sang Piao Xiao, 桑螵蛸) [2 liang], Alismatis Rhizoma (Ze Xie, 泽泻) [1 fen].
Grind the above into a fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take thirty pills on an empty stomach with rice gruel.
Prescription for treating sudden complete obstruction of urination
Curcumae Longae Rhizoma (Peng E Zhu, 蓬莪术), Fennel Fructus (Hui Xiang, 茴香), Raw Tea Leaves (Sheng Cha, 生茶) [equal parts].
Grind the above into a fine powder. Take two qian per dose. Add one large zhan of water, two qian of salt, and two cun of Allii Fistulosi Bulbus (Cong Bai, 葱白). Decoct together until reduced to seven-tenths. Take warm with the dregs on an empty stomach.