皇甫谧云∶或淋不得小便,坐久坐下温及骑马鞍中热,热入膀胱故也。大冷食以冷水洗
少腹,以冷石熨,一日即止。
《僧深方》治散发小便难。其状如淋方∶
葵子(五合)
凡一物,以水二升半,煮取一升,一服昼,须臾便利也。
《录验方》云∶解散闭闷结,小便不通如淋方∶
大黄(一两) 麻子仁(半斤) 夕药(一两) 茯苓(二两) 黄芩(一两)
凡五物,以水五升,煮取二升半,分再服。(《短剧方》同之。)
《广利方》云∶石气头痛、烦热、口干、小便赤少方∶
露蜂房(十二分,炙)
上,以水二大升,煎取八大合,分温二服。当利小便,诸恶石毒随小便出。
《病源论》云∶夫服散石者,石热归于肾而内生热,热结小肠,胞(被交反)内否涩,
故小便不通也。
《短剧方》云∶解散小便不通神良方∶
桑螵蛸(三十枚) 黄芩(一两)
凡二物,以水一升,煮取四合,顿服之。
《录验方》云∶解散利小便致良葵子汤方∶
三岁葵子(一升)
上一物,以水三升,煮取一升半,冷暖随意,顿食饮。不能稍服。一方加滑石三两。
皇甫谧云∶或小便稠数,坐热食及啖诸含热物饼黍之故也,以冷水洗少腹自止。不瘥者,
冷水浸阴又佳。若复不解,服栀子汤即解。
《短剧方》云∶解散除热,小便数少,单行葵子汤方。亦治淋闭不通,三岁葵子亦可用。
陈葵根(切,一升)
以水三升,煮取二升,暖如人肌,稍服之。
《外台方》云栀子汤∶
栀子仁(二合) 甘草(二两,炙) 黄芩(二两) 芒硝(二两,汤成纳之)
以水五升,煮取二升,分温二服,取利即瘥。
皇甫谧说:有的人出现淋证导致小便不通,是因为久坐后下身发热以及骑马时马鞍部位受热,热气侵入膀胱所致。此时可用冷食或冷水清洗少腹部,并用冷石热敷,一天即可停止症状。
《僧深方》治疗散发(五石散)引起的小便困难。其症状类似淋证,处方如下:
冬葵子(五合)
以上一味药,用水二升半,煎煮取一升药液,白天服用一次,不久后即可通畅排尿。
《录验方》说:治疗解散五石散引起的闭闷结滞、小便不通如淋证的处方:
大黄(一两) 麻子仁(半斤) 芍药(一两) 茯苓(二两) 黄芩(一两)
以上五味药,用水五升,煎煮取二升半药液,分两次服用。(《短剧方》与此相同。)
《广利方》说:治疗石气头痛、烦热、口干、小便赤少且量少的处方:
露蜂房(十二分,炙烤)
以上一味药,用水两大升,煎煮取八大合药液,分两次温服。应当能通利小便,各种恶石毒随小便排出。
《诸病源候论》说:服用散石的人,石头的热气归于肾脏从而内生热邪,热邪结聚于小肠,胞宫(此处指膀胱)内部闭塞涩滞,所以小便不通。
《短剧方》说:治疗解散五石散引起的小便不通的神效良方:
桑螵蛸(三十枚) 黄芩(一两)
以上两味药,用水一升,煎煮取四合药液,一次性顿服。
《录验方》说:治疗解散五石散并通利小便的优良冬葵子汤处方:
三年生的冬葵子(一升)
以上一味药,用水三升,煎煮取一升半药液,温度冷暖随意,一次性饮食服用。如果不能稍作服用,另一版本方中加入滑石三两。
皇甫谧说:有的人出现小便稠密频数,是因为坐热食以及食用各种含热物的饼、黍米等缘故,用冷水清洗少腹部即可自行停止。如果不好转,用冷水浸泡阴部也很好。如果再不能缓解,服用栀子汤即可解决。
《短剧方》说:治疗解散五石散去除热邪、小便频数量少,单味冬葵子汤处方。也治疗淋证闭阻不通,三年生的冬葵子也可以使用。
陈年的冬葵根(切碎,一升)
用水三升,煎煮取二升药液,温度温暖如人体肌肤温度,稍微分次服用。
《外台秘要方》说栀子汤:
栀子仁(二合) 甘草(二两,炙烤) 黄芩(二两) 芒硝(二两,在汤药煮成后纳入)
用水五升,煎煮取二升药液,分两次温服,取得通便效果即痊愈。
Huangfu Mi stated: Some individuals experience stranguria (strangury) with inability to urinate due to heat accumulating in the lower body after prolonged sitting or from the heat of a horse saddle, causing heat to enter the Bladder. In such cases, washing the lower abdomen with cold food or cold water, and applying hot compresses with cold stones can stop the symptoms within one day.
The *Seng Shen Fang* treats difficulty in urination caused by taking San Shi (Five Minerals Powder). The condition resembles stranguria. The prescription is as follows:
Bai Jiu Kui Zi (Winter Melon Seed / *Abelmoschus manihot* seed, 5 he)
Take the single herb, add two and a half sheng of water, decoct to obtain one sheng of liquid. Administer once during the day; urination will become smooth shortly thereafter.
The *Lu Yan Fang* states: A prescription for resolving the blockage and oppression caused by taking San Shi, where urination is obstructed resembling stranguria:
Da Huang (*Rhei Radix et Rhizoma*, 1 liang)
Ma Zi Ren (*Cannabis Fructus*, 0.5 jin)
Shao Yao (*Paeoniae Radix Alba*, 1 liang)
Fu Ling (*Poria*, 2 liang)
Huang Qin (*Scutellariae Radix*, 1 liang)
Take these five herbs, add five sheng of water, decoct to obtain two and a half sheng of liquid. Divide into two doses for administration. (This is identical to the *Duan Ju Fang*.)
The *Guang Li Fang* states: A prescription for headache caused by Stone Qi, irritability, heat sensation, dry mouth, and scanty dark red urine:
Lu Feng Fang (*Vespa Scoparia Nidus*, 12 fen, roasted)
Take this single herb, add two large sheng of water, decoct to obtain eight da he of liquid. Divide into two warm doses. This should promote diuresis, allowing various toxic residues from the minerals to be expelled through urination.
The *Bing Yuan Lun* (Treatise on the Origins and Manifestations of All Diseases) states: For those who take mineral powders, the heat of the minerals returns to the Kidney, generating internal heat. This heat binds in the Small Intestine, causing obstruction and涩ness (astringency/stagnation) in the Bao Luo (Bladder), thus leading to urinary retention.
The *Duan Ju Fang* states: A divine and excellent prescription for resolving San Shi and treating urinary obstruction:
Sang Piao Xiao (*Mantis Ootheca*, 30 pieces)
Huang Qin (*Scutellariae Radix*, 1 liang)
Take these two herbs, add one sheng of water, decoct to obtain four he of liquid. Administer all at once in a single dose.
The *Lu Yan Fang* states: An excellent Winter Melon Seed Decoction for resolving San Shi and promoting diuresis:
San Sui Kui Zi (Three-year-old Winter Melon Seed / *Abelmoschus manihot* seed, 1 sheng)
Take this single herb, add three sheng of water, decoct to obtain one and a half sheng of liquid. Consume it in one go, at any temperature preferred. If unable to consume it all at once, another version adds Hua Shi (Talcum, 3 liang).
Huangfu Mi stated: Some individuals experience dense and frequent urination due to sitting on hot foods or consuming various heat-inducing items such as cakes and millet. Washing the lower abdomen with cold water can stop this spontaneously. If not improved, soaking the genitals in cold water is also beneficial. If still unresolved, administering Zhi Zi Tang (Gardenia Decoction) will resolve it.
The *Duan Ju Fang* states: A single-herb Winter Melon Seed Decoction for resolving San Shi, clearing heat, and treating frequent, scanty urination. It also treats stranguria and urinary obstruction. Three-year-old Winter Melon Seeds may also be used.
Chen Kui Gen (Old Winter Melon Root, sliced, 1 sheng)
Add three sheng of water, decoct to obtain two sheng of liquid. Warm it to a temperature similar to human skin, and administer in small, divided doses.
The *Wai Tai Mi Yao Fang* states Zhi Zi Tang (Gardenia Decoction):
Zhi Zi Ren (*Gardeniae Fructus*, 2 he)
Gan Cao (*Glycyrrhizae Radix et Rhizoma*, 2 liang, roasted)
Huang Qin (*Scutellariae Radix*, 2 liang)
Mang Xiao (*Natrii Sulfas*, 2 liang, added when the decoction is finished)
Add five sheng of water, decoct to obtain two sheng of liquid. Divide into two warm doses. Cure is achieved when bowel movement is promoted.