溺血多缘精窍病，尿血分出茎或疼，牛膝四物汤调治，急宜煎服效从容。
[注]
溺血为精窍之病，乃尿与血先后分出者也，
宜用牛膝四物汤治之，其证自愈。
(牛膝四物汤)
牛膝 木通 郁金 甘草梢 瞿麦 当归 川芎 生地 赤芍药 水煎服。
(方歌)
小儿溺血精窍病，宜用牛膝四物汤，牛膝郁金通瞿草，归芎赤芍生地黄。
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小儿热结二便秘，口渴舌干唇面红，八正尿秘少腹满，神芎便秘腹胀疼。
[注]
此证多因乳食停滞生热，结于肠胃，以致二便秘结，
其候舌干口渴，面赤唇焦也，
热积则小便秘涩，少腹满急，宜八正散主之，
若食积大便秘腹胀痛者，宜神芎丸主之。
（八正散） 方见不小便。
(神芎丸) 大黄 滑石各一两水飞 薄荷 川芎各四钱 黄芩 黄连各五钱生
牵牛四钱 共为细末，滴水为丸，每服五丸，蜜汤化下。
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杂证门
泻痢日久中气陷，肛松肠薄滑而脱，面色青黄指梢冷，脉来沈细唇淡白，
补中益气汤升举，真人养藏固滑脱，外用涩肠散调敷，气升肛涩肠自合。
[注]
脱肛一证，因泻痢日久，中气下陷，肠胃薄瘦遂令肛门滑脱不收，
现证面色青黄，指梢冷，脉沈细，唇色淡白，
宜温补为主，先以补中益气汤升提其气，再以真人养藏汤温补固滑，
外以涩肠散掺之，则气升肛涩而肠自收矣。
(补中益气汤)方见飧泻
(真人养藏汤)方见寒痢。
(涩肠散) 诃子 赤石脂 龙骨各等分煆 以上为细末，
用腊茶调敷，和药掺肠头上，绵帛揉入。
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杂证门
溺血多因精窍发生病变，排尿时尿液与血液先后分开，且尿道茎部可能有疼痛感，治疗应使用牛膝四物汤，急需煎煮服用，疗效从容显著。
[注]
溺血属于精窍的病变，表现为尿与血先后分离排出，
适宜使用牛膝四物汤进行治疗，病症即可自愈。
(牛膝四物汤)
药材包括：牛膝、木通、郁金、甘草梢、瞿麦、当归、川芎、生地、赤芍药，用水煎服。
(方歌)
小儿溺血属于精窍病变，适宜使用牛膝四物汤，方中含牛膝、郁金、木通、瞿麦、甘草，以及当归、川芎、赤芍、生地黄。
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小儿若因热邪结聚导致大小便不通，伴有口渴、舌干、嘴唇和面部发红，若见小便闭塞、少腹部胀满，宜用八正散；若见大便秘结、腹部胀满疼痛，宜用神芎丸。
[注]
此证多因乳食停滞产生内热，结聚于肠胃，导致大小便不通，
其症状表现为舌干口渴，面色红赤，嘴唇焦裂，
热邪积滞则小便涩滞不畅，少腹满急，适宜以八正散为主治，
若是食积导致的大便秘结及腹部胀满疼痛，适宜以神芎丸为主治。
（八正散） 方剂详见“不小便”章节。
(神芎丸) 大黄、滑石各一两（水飞法处理），薄荷、川芎各四钱，黄芩、黄连各五钱（生用），牵牛子四钱，共研为细末，滴水制成丸药，每次服用五丸，用蜜汤送服化开。
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杂证门
腹泻痢疾日久导致中气下陷，肛门松弛、肠壁变薄而滑脱下垂，面色青黄，手指末端发冷，脉象沉细，唇色淡白，
治疗应用补中益气汤升提举陷，或用真人养藏汤固涩滑脱，外用涩肠散调敷，气机上升则肛门收敛，肠道自然复位。
[注]
脱肛这一证候，因长期腹泻痢疾，导致中气下陷，肠胃薄弱消瘦，致使肛门滑脱无法收回，
现症见面色青黄，指尖冷，脉象沉细，唇色淡白，
治疗应以温补为主，先用补中益气汤升提中气，再用真人养藏汤温补并固涩滑脱，
外用涩肠散掺入患处，则气机上提，肛门收紧，肠道自然收回。
(补中益气汤) 方剂详见“飧泻”章节。
(真人养藏汤) 方剂详见“寒痢”章节。
(涩肠散) 诃子、赤石脂、龙骨各等分（煅烧），以上药物研为细末，
用腊茶调匀敷药，将药粉掺在脱出的肠头上，用丝帛揉入体内。
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杂证门
Hematuria originating from the essence orifice (Jing Qiao, referring to the urethra in males or related reproductive/urinary pathways) often stems from pathology in this area. When urinating, urine and blood are discharged separately, possibly accompanied by pain in the penis or urethra. It should be treated with Niuxi Siwu Tang (Achyranthes Bidentata and Four Substances Decoction). It is urgent to decoct and take it promptly for effective results.
[Note]
Hematuria from the essence orifice is a disease of the Jing Qiao, characterized by the sequential discharge of urine and blood.
It is suitable to treat it with Niuxi Siwu Tang, after which the condition will heal itself.
(Niuxi Siwu Tang)
Ingredients: Achyranthis Radix (Niuxi), Akebiae Caulis (Mutong), Curcumae Rhizoma (Yujin), Glycyrrhizae Radix et Rhizoma caulis (Gancao Shao), Dianthi Herba (Qumai), Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Rehmanniae Radix (Shengdi), Paeoniae Radix Rubra (Chishao). Decoct in water and take orally.
(Verse Formula)
Pediatric hematuria from the essence orifice, suitable for Niuxi Siwu Tang; contains Niuxi, Yujin, Mutong, Qumai, Gancao, Danggui, Chuanxiong, Chishao, and Shengdihuang.
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In children, heat accumulation causing constipation of both bowels (feces and urine), thirst, dry tongue, and redness of lips and face: if accompanied by urinary retention and fullness in the lower abdomen, Ba Zheng San (Eight Corrects Powder) is indicated; if accompanied by fecal constipation and abdominal distension/pain, Shenxiong Wan (Shenxiong Pill) is indicated.
[Note]
This syndrome often arises from retained milk and food generating internal heat, accumulating in the intestines and stomach, leading to obstruction of both bowel movements.
The symptoms include a dry tongue, thirst, reddish face, and cracked lips.
Heat accumulation causes difficult and scanty urination with urgency and fullness in the lower abdomen; Ba Zheng San is the primary treatment.
If fecal constipation and abdominal distension/pain result from food stagnation, Shenxiong Wan is the primary treatment.
(Ba Zheng San) See formula under "Urinary Retention".
(Shenxiong Wan) Rheum Radix et Rhizoma (Dahuang) and Talcum (Huashi), each 1 liang (processed by water flotation); Menthae Haplocalycis Herba (Bohe) and Chuanxiong Rhizoma (Chuanxiong), each 4 qian; Scutellariae Radix (Huangqin) and Coptidis Rhizoma (Huanglian), each 5 qian (raw); Pharbitidis Semen (Qianniu), 4 qian. Grind all into fine powder, add water drop by drop to form pills. Take 5 pills per dose, dissolved and taken with honeyed water.
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Miscellaneous Diseases Section
Prolonged diarrhea and dysentery cause sinking of Middle Qi (Zhong Qi), resulting in loose anus, thin intestinal walls, and prolapse. The complexion is greenish-yellow, fingertips are cold, pulse is deep and fine, and lips are pale white.
Treatment involves using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to lift and raise, or Zhenren Yangzang Tang (True Man's Nourishing Viscera Decoction) to secure and stop leakage. Externally apply Sichang San (Intestine Securing Powder). As Qi rises, the anus tightens, and the intestine naturally retracts.
[Note]
Anal prolapse occurs due to prolonged diarrhea and dysentery causing Middle Qi to sink, making the intestines and stomach thin and emaciated, leading to the anus slipping out and failing to retract.
Current symptoms include greenish-yellow complexion, cold fingertips, deep and fine pulse, and pale white lips.
Treatment should focus on warming and tonifying. First, use Buzhong Yiqi Tang to lift the Qi, then use Zhenren Yangzang Tang to warm, tonify, and secure against leakage.
Externally apply Sichang San powder to the protruding part; as Qi ascends and the anus tightens, the intestine will naturally retract.
(Buzhong Yiqi Tang) See formula under "Sundry Diarrhea".
(Zhenren Yangzang Tang) See formula under "Cold Dysentery".
(Sichang San) Terminalia Chebulae Fructus (Hezi), Kaolin (Chishizhi), and Dragon Bone (Longgu), equal parts (calcined). Grind the above into fine powder.
Mix with aged tea powder for application, sprinkle the medicine onto the prolapsed rectum, and gently rub it back in using silk cloth.
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Miscellaneous Diseases Section