通利运转汤 治脬转内热。
寒水石 车前子 木通 滑石(各二钱) 麝香(三分) 淡竹二十片。空心煎服。
补中益气汤 治忍尿行房。(方见前)
葵发散 治妇人脬转。
头发( 灰存性) 冬葵子(炒各等分) 上为末。每服一钱。灯心汤下。
神仙蒸脐法 治脬转立刻见效。(方见噎膈门)
小便不禁。古方多以为寒。殊不知属热者多。盖因膀胱火邪妄动。水不得宁。故不能禁
。而频数来也。
清胜丸 治一切不禁。
当归 生地 丹皮 白茯苓(各三两) 山茱萸(去核) 北五味 牡蛎 莲蕊 黄柏 益
智仁 知母(各二两)
上为末蜜为丸。每服三钱。空心白滚汤下。
(附遗精)
便浊湿热兼痰。分有余不足治之。恣意膏粱。浊气下注者。此为有余。思虑淫
欲。精元失守。而成浊者。此为不足。赤者湿热甚。心与小肠主之。白者湿热微。肺与大肠
主之。然古人有。谓思虑过者则赤。淫欲过与痰者则白也。遗精比梦遗犹甚。或小便后出多
不可禁。或不小便而自出。或茎中出而痒痛。常如欲小便者。皆因思虑过度。以动君火。君
火动。则相火翕然而起。所以激真水而疏泄也。有因色欲太过。泄滑不禁者。其为热症明矣
。
脐下部位拘急且疼痛。小便不通畅。有的因为热邪逼迫,或者强行忍耐小便,导致气机逆乱。
通利运转汤:治疗膀胱扭转伴有内热。
寒水石、车前子、木通、滑石(各二钱),麝香(三分),淡竹二十片。空腹煎服。
补中益气汤:治疗忍尿后行房事。(方剂见前文)
葵发散:治疗妇女膀胱扭转。
头发(烧存性)、冬葵子(炒,各等分)。研为细末。每次服用一钱,用灯心草汤送服。
小便失禁。古方多认为是寒证,殊不知属于热证的更多。这是因为膀胱火邪妄动,水液不得安宁,所以不能控制,而频繁排尿。
清胜丸:治疗各种小便失禁。
当归、生地、丹皮、白茯苓(各三两),山茱萸(去核)、北五味子、牡蛎、莲蕊、黄柏、益智仁、知母(各二两)。
研为细末,蜂蜜炼制成丸。每次服用三钱,空腹用白开水送服。
(附:遗精)
便浊由湿热兼痰引起,需根据有余和不足的虚实情况来治疗。恣意食用肥甘厚味,导致浊气下注的,这属于有余(实证)。思虑过度或淫欲无度,导致精元失守而成浊的,这属于不足(虚证)。尿液发红的,湿热严重,由心和手太阳小肠经主司。尿液发白的,湿热轻微,由肺和大肠主司。然而古人有说法,认为思虑过度则尿赤,淫欲过度兼有痰湿则尿白。遗精比梦遗更为严重。有的在小便后流出较多液体无法控制,有的不排尿也自行流出,有的尿道口流出并伴有瘙痒疼痛,常常感觉像要小便一样。这都是因为思虑过度,扰动君火(心火)。君火一动,相火(肾火)随之兴起,从而激发真水(肾阴/津液)疏泄。有的因为色欲太过,导致滑精不禁,这明显是热证。
The area below the umbilicus is tense and painful. Urination is obstructed. This may be caused by heat forcing the flow, or by forcibly holding urine, leading to rebellious Qi.
Tongli Yunzhuan Tang (Decoction for Promoting Diuresis and Rotating Function): Treats bladder torsion with internal heat.
Shui Shi (Lapis Aquae), Che Qian Zi (Plantaginis Semen), Mu Tong (Akebiae Caulis), Hua Shi (Talcum) (each 2 qian), She Xiang (Moscus) (3 fen), Dan Zhu (Bambusa Textilis internodes) (20 slices). Decoct and take on an empty stomach.
Buzhong Yiqi Tang (Decoction for Replenishing the Middle and Augmenting Qi): Treats sexual intercourse after holding urine. (Formula see previous section)
Kuifa San (Powder of Hibiscus Seeds): Treats bladder torsion in women.
Fa Hui (Ash of Human Hair, preserved nature), Dong Kui Zi (Abutilonis Semen) (stir-fried, equal parts). Grind into powder. Take 1 qian per dose, washed down with Deng Xin Cao (Junci Medulla) decoction.
Shenxian Zhengqi Fa (Divine Navel Steaming Method): Treats bladder torsion with immediate effect. (Formula see Yige Gate)
Urinary incontinence. Ancient formulas mostly considered it a cold syndrome, but it is unknown that heat syndromes are more common. This is due to the reckless movement of fire pathogen in the Bladder, causing water to be unsettled, thus unable to be controlled, resulting in frequent urination.
Qingsheng Wan (Pill of Clearing Superiority): Treats all types of incontinence.
Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Dan Pi (Moutan Cortex), Bai Fu Ling (Poria) (each 3 liang), Shan Zhu Yu (Corni Fructus) (pitted), Bei Wu Wei Zi (Schisandrae Chinensis Fructus), Mu Li (Ostreae Concha), Lian Rong (Nelumbinis Plumula), Huang Bo (Phellodendri Cortex), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Zhi Mu (Anemarrhenae Rhizoma) (each 2 liang).
Grind into powder, form pills with honey. Take 3 qian per dose, washed down with plain boiling water on an empty stomach.
(Attached: Spermatorrhea)
Cloudy urine is caused by damp-heat combined with phlegm; treat according to excess and deficiency. Indulging in rich and greasy foods, causing turbid Qi to sink downward, is excess. Overthinking or excessive lust, causing loss of essence control and formation of turbidity, is deficiency. Red urine indicates severe damp-heat, governed by the Heart and Small Intestine. White urine indicates mild damp-heat, governed by the Lung and Large Intestine. However, ancients said that overthinking leads to red urine, while excessive lust combined with phlegm leads to white urine. Spermatorrhea is more severe than nocturnal emission. Some have uncontrollable discharge after urination, some have spontaneous discharge without urination, some have discharge from the urethra accompanied by itching and pain, often feeling like they need to urinate. All these are due to overthinking stirring up Minister Fire (Heart Fire). When Minister Fire moves, Deficient Fire (Kidney Fire) rises accordingly, stimulating True Water (Kidney Yin/fluids) to leak. Some have slippery spermatorrhea due to excessive sexual desire, which is clearly a heat syndrome.