痹论云。胞痹者。小腹膀胱按之内痛。若沃以汤。涩于小便。上为清涕。夫膀胱者。为州都之
官。津液藏焉。气化则能出矣。今风寒湿邪气。客于胞中。则气不能化出。故胞满而水道不通。
其证小腹膀胱。按之内痛。若沃以汤。涩于小便。以足太阳经。其直行者上交巅。入络脑。下灌鼻
窍。则清涕也。
【茯苓丸】治胞痹。脐腹痛。小便不行。
防风（去芦） 细辛（去苗） 赤茯苓（去皮） 白术
附子 泽泻 官桂（各半两） 紫菀
栝蒌根 牛膝（酒浸） 黄 芍药
甘草（炙。各七钱五分） 山药 生地黄 半夏（汤泡）
独活 山茱萸（各二钱五分）
上十八味为末。炼蜜丸如桐子大。每服十丸。温酒送下。食前。
【巴戟丸】治胞痹。脐腹痛。小便不利。
巴戟（一两半。去心） 远志（去心。三钱） 桑螵蛸（麸炒黑） 山药
附子（炮。去皮脐） 生地黄 续断 杜仲（炙。各一两）
菟丝子（酒浸） 石斛 鹿茸（酥炙） 五味子
龙骨 官桂 山茱萸（各七钱半） 肉苁蓉（酒浸一两）
上十六味为末。炼蜜丸如桐子大。每服三十丸。温酒送下。空心食前服之。
【肾沥汤】治胞痹小腹急。小便不利。
杜仲（炒。去丝） 桑螵蛸（炒） 犀角屑 木通
五加皮 麦冬（去心） 桔梗（各一两） 赤芍药（五钱）
上八味为粗末。每服五钱。水一盏半。羊肾一个切。竹沥少许。同煎温服。
【八正散】治大人小儿心经邪热。一切蕴毒。咽干口燥。大渴引饮。心忪面热。烦躁不宁
。目赤睛疼。唇焦鼻衄。口舌生疮。咽喉肿痛。及治小便赤涩。或癃闭不通。及热淋、血淋。并宜
服之。
瞿麦 蓄 车前子 滑石
山栀子仁 甘草（炙） 木通 大黄（面裹煨。去面切焙。各一斤）
上为散。每服二钱。水一盏。入灯心。煎至七分。去渣。温服。食后临卧。小儿量力少少与之
。
【石苇散】治肾气不足。膀胱有热。水道不通。淋沥不宣。出少起数。脐腹急痛。蓄作有
时。劳倦即发。或尿如豆汁。或便出砂石。并皆治之。
芍药 白术 滑石 葵子
瞿麦（各二两） 石苇（去毛） 木通（各二两） 当归（去芦）
甘草（炙） 王不留行（各一两）
上为细末。每服二钱。煎小麦汤调下。食前。日二三服。
【白花散】治膀胱有热。小便不通。（申显卿传）
朴硝（不以多少）
上为末。每服二钱。用茴香汤调下。食前。
良法治小便不通。诸药不效或转胞至死危困。此法用之。小便自出而愈。用猪尿胞一个。底头
出一小眼子。翎筒通过。放在眼儿内。根底以细线系定。翎筒子口细杖子观定。上用黄蜡封尿胞
口。吹满气七分。系定了。再用手捻定翎筒根头。放了黄蜡。塞其翎筒。放在小便出里头。放开翎
筒根头。手捻其气。透于里。小便即出。大有神效。
【黄芩清肺汤】治因肺燥而得之。小便不通。
黄芩（二钱） 栀子（两个。擘破）
上作一服。水一盏半。煎至七分。去渣。温服。食后。不利加盐豉二十粒。
【滋阴化气汤】治因服热药过多。小便不利。或脐下闷痛不可忍。服诸药不效者。如昼不
通者加知母。
黄连（炒） 黄柏（炒） 甘草（炙。各等分）
上 咀。每服三钱。水二盏。煎至一盏。去渣。温服。食前。
论曰。问此如何得利。答曰。无阳者阴无以生。无阴者阳无以化。又云。膀胱者津液之府。气
化则能出焉。因服热药过度。乃亡阴也。二药助阴。使气得化。故小便得以通也。或以滋肾丸服之
。其效更速。
【红秫散】治小便不通。上喘。（张文叔传。大妙）
蓄（一两半） 灯草（一百根） 红秫黍根（二两）
上 咀。每服五钱。用河水二盏。煎至七分。去渣。热服。空心食前。
【立效散】治下焦结热。小便黄赤。淋闭疼痛。或有血出。及大小便俱出血者。亦宜服之
。
甘草（炙。二钱） 山栀子（去皮。炒。半两） 瞿麦穗（一两）
上为末。每服五钱。至七钱。水一碗。入连须葱根七个。灯心五十茎。生姜五七片，同煎至七
分。时时温服。不拘时候。
【海金砂散】治小便淋涩。及下焦湿热。气不施化。或五种淋疾。癃闭不通。
木通 海金砂（研） 滑石 通草
瞿麦穗（各半两） 杏仁（去皮尖炒。一两）
上六味为末。每服五钱。水一盏半。灯草二十茎。煎至七分。去渣。温服。食前。
【琥珀散】治五种淋涩疼痛。小便有脓血出。
琥珀（一两。研） 没药（一两。研） 海金砂（一两。研） 蒲黄（一两。研）
上四味为末。每服三钱。食前。用通草煎汤调下。日进二服。
【葵花散】治小便淋沥。经验。
葵花根（一撮。洗净）
上锉碎。用水煎五七沸服。
【灸法】治小便淋涩不通。用食盐不以多少。炒热放温。填脐中。却以艾灸七壮。小便自
出。艾炷如箸头大。
《痹论》中说：胞痹，表现为小腹部膀胱区域按压时内部疼痛，感觉像被热水浇灌一样灼热，小便排出不畅，上部则流出清稀鼻涕。膀胱，是被称为“州都之官”的脏腑，津液在此处贮藏，经过气化作用才能排出体外。如今风寒湿邪气侵入胞中，导致气机不能正常气化排出，所以出现小腹胀满、水道不通的症状。其证候为小腹部膀胱区域按压时内部疼痛，感觉像被热水浇灌一样灼热，小便排出不畅。这是因为足太阳膀胱经的直行经脉，向上交会于头顶，入络于脑，向下灌注鼻窍，所以会出现流清涕的现象。
【茯苓丸】治疗胞痹，脐部及腹部疼痛，小便不通。
防风（去除芦头） 细辛（去除苗头） 赤茯苓（去除外皮） 白术
附子 泽泻 官桂（各半两） 紫菀
栝蒌根 牛膝（用酒浸泡） 黄芪 芍药
甘草（炙制，各七钱五分） 山药 生地黄 半夏（用汤水泡过）
独活 山茱萸（各二钱五分）
以上十八味药材研为细末，用炼蜜制成如梧桐子大小的丸剂。每次服用十丸，温酒送服，饭前服用。
【巴戟丸】治疗胞痹，脐部及腹部疼痛，小便不利。
巴戟天（一两半，去除心） 远志（去除心，三钱） 桑螵蛸（麸炒至黑） 山药
附子（炮制，去除皮和脐） 生地黄 续断 杜仲（炙制，各一两）
菟丝子（用酒浸泡） 石斛 鹿茸（酥炙） 五味子
龙骨 官桂 山茱萸（各七钱半） 肉苁蓉（用酒浸泡一两）
以上十六味药材研为细末，用炼蜜制成如梧桐子大小的丸剂。每次服用三十丸，温酒送服，空腹饭前服用。
【肾沥汤】治疗胞痹引起的小腹拘急，小便不利。
杜仲（炒制，去除丝） 桑螵蛸（炒制） 犀角屑 木通
五加皮 麦冬（去除心） 桔梗（各一两） 赤芍药（五钱）
以上八味药材捣成粗末。每次服用五钱，加水一盏半，羊肾一个切片，加入少许竹沥，一同煎煮后温服。
【八正散】治疗大人小儿心经邪热，一切蕴毒，咽干口燥，大渴引饮，心悸面热，烦躁不宁，目赤睛疼，唇焦鼻衄，口舌生疮，咽喉肿痛，以及治疗小便赤涩，或癃闭不通，以及热淋、血淋，都适宜服用。
瞿麦 蓄草 车前子 滑石
山栀子仁 甘草（炙制） 木通 大黄（面粉包裹煨熟，去除面粉切片焙干，各一斤）
以上药材研为散剂。每次服用二钱，加水一盏，放入灯心草，煎至七分，去渣，温服，饭后临睡前服用。小儿根据量力少量给予。
【石苇散】治疗肾气不足，膀胱有热，水道不通，淋沥不畅，尿量少次数多，脐腹部急痛，发作有时，劳累疲倦即发作，或者尿液像豆汁一样浑浊，或者排出砂石，都予以治疗。
芍药 白术 滑石 葵子
瞿麦（各二两） 石苇（去除绒毛） 木通（各二两） 当归（去除芦头）
甘草（炙制） 王不留行（各一两）
以上药材研为细末。每次服用二钱，用小麦汤调服，饭前服用，每日二三次。
【白花散】治疗膀胱有热，小便不通。（申显卿传授）
朴硝（不限多少）
以上药材研为细末。每次服用二钱，用茴香汤调服，饭前服用。
良法治疗小便不通，各种药物无效或因转胞导致死亡危困的情况，此法适用。小便自然排出而痊愈。用一个猪尿胞，在底部钻出一个小眼，将翎管通过，放在眼内，根部用细线系定，翎管口用细杖子固定，上面用黄蜡封住尿胞口，吹满气体至七分，系好，再用手捏住翎管根部，放置黄蜡，塞住翎管，将其放入小便出口处，放开翎管根部，手捏气体，使其透入体内，小便即出，大有神效。
【黄芩清肺汤】治疗因肺燥引起的，小便不通。
黄芩（二钱） 栀子（两个，掰破）
以上作为一服药，加水一盏半，煎至七分，去渣，温服，饭后服用。若不利，加盐豉二十粒。
【滋阴化气汤】治疗因服用热药过多，小便不利，或者脐下闷痛不可忍受，服用其他药物无效的。如果白天不通利，加知母。
黄连（炒制） 黄柏（炒制） 甘草（炙制，各等分）
以上药材切碎。每次服用三钱，加水二盏，煎至一盏，去渣，温服，饭前服用。
论述说：问如何能得利？回答说：无阳者阴无以生，无阴者阳无以化。又说，膀胱是津液的府库，气化则能排出。因为过度服用热药，导致亡阴。这两味药辅助滋阴，使气得以气化，所以小便得以通畅。也有人用滋肾丸服用，效果更快。
【红秫散】治疗小便不通，上气喘促。（张文叔传授，非常奇妙）
蓄草（一两半） 灯草（一百根） 红秫黍根（二两）
以上药材切碎。每次服用五钱，用河水二盏，煎至七分，去渣，热服，空腹饭前服用。
【立效散】治疗下焦结热，小便黄赤，淋闭疼痛，或者有出血，以及大小便俱出血的情况，也适宜服用。
甘草（炙制，二钱） 山栀子（去皮，炒制，半两） 瞿麦穗（一两）
以上药材研为细末。每次服用五钱至七钱，加水一碗，放入连须葱根七个，灯心五十茎，生姜五七片，一同煎至七分，时时温服，不拘时候。
【海金砂散】治疗小便淋涩，以及下焦湿热，气不施化，或者五种淋疾，癃闭不通。
木通 海金砂（研碎） 滑石 通草
瞿麦穗（各半两） 杏仁（去皮尖炒制，一两）
以上六味药材研为细末。每次服用五钱，加水一盏半，灯心二十茎，煎至七分，去渣，温服，饭前服用。
【琥珀散】治疗五种淋涩疼痛，小便有脓血排出。
琥珀（一两，研碎） 没药（一两，研碎） 海金砂（一两，研碎） 蒲黄（一两，研碎）
以上四味药材研为细末。每次服用三钱，饭前，用通草煎汤调服，每日进服两次。
The *Lun Bi* (Treatise on Obstruction) states: In cases of Bao Bi (Bladder Obstruction), there is internal pain upon pressing the lower abdomen and bladder region, a sensation as if scalded by hot water, difficulty in urination, and clear nasal discharge from above. The Bladder is known as the "Official of the Metropolis," where body fluids are stored; it is through Qi transformation that they can be excreted. Currently, when Wind-Cold-Damp pathogenic factors invade the Bao (Bladder/Uterus), Qi cannot transform and excrete, resulting in fullness of the Bao and obstruction of the water passages. The manifestations include internal pain upon pressing the lower abdomen and bladder region, a sensation as if scalded by hot water, and difficulty in urination. This is because the straight pathway of the Foot-Taiyang Bladder Meridian ascends to intersect at the vertex, enters and connects with the brain, and descends to irrigate the nasal orifices, thus causing clear nasal discharge.
[Fuling Wan (Poria Pill)] treats Bao Bi, pain around the umbilicus and abdomen, and inability to urinate.
Fangfeng (Saposhnikoviae Radix, remove rhizome) Xixin (Asari Radix et Rhizoma, remove seedling) Chifuling (Polyporus Umbellatus, remove peel) Baizhu (Atractylodis Macrocephalae Rhizoma)
Fuzi (Aconiti Lateralis Radix Praeparata) Zexie (Alismatis Rhizoma) Guigui (Cinnamomi Cortex) [each half liang] Ziwan (Asternis Radix)
Gualougen (Trichosanthis Radix) Niuxi (Achyranthis Bidentatae Radix, soaked in wine) Huangqi (Astragali Membranacei Radix) Shaoyao (Paeoniae Radix)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) [each 7 qian 5 fen] Shanyao (Dioscoreae Rhizoma) Shengdihuang (Rehmanniae Radix) Banxia (Pinelliae Tuber, soaked in decoction)
Duhuo (Angelicae Pubescentis Radix) Shanzhuyu (Corni Fructus) [each 2 qian 5 fen]
The above eighteen ingredients are ground into powder, mixed with refined honey to form pills the size of tung seeds. Take ten pills per dose, swallowed with warm wine, before meals.
[Bajie Wan (Morinda Pill)] treats Bao Bi, pain around the umbilicus and abdomen, and dysuria.
Bajitian (Morindae Officinalis Radix, one and a half liang, remove heart) Yuanzhi (Polygalae Radix, three qian, remove heart) Sangpiaoxiao (Ovi Mantidis) Shanyao (Dioscoreae Rhizoma)
Fuzi (Aconiti Lateralis Radix Praeparata, processed, remove peel and navel) Shengdihuang (Rehmanniae Radix) Xuduan (Dipsaci Radix) Duzhong (Eucommiae Cortex, honey-fried) [each one liang]
Tusizi (Cuscutae Semen, soaked in wine) Shihu (Dendrobii Caulis) Lurong (Cervi Cornu Degelatinatum, roasted with butter) Wuweizi (Schisandrae Chinensis Fructus)
Longgu (Fossilia Ossis Mastodi et Frontis) Guigui (Cinnamomi Cortex) Shanzhuyu (Corni Fructus) [each 7 qian 5 fen] Rongcrouong (Cistanches Herba, soaked in wine, one liang)
The above sixteen ingredients are ground into powder, mixed with refined honey to form pills the size of tung seeds. Take thirty pills per dose, swallowed with warm wine, on an empty stomach before meals.
[Shenli Tang (Kidney Decoction)] treats Bao Bi with abdominal urgency and dysuria.
Duzhong (Eucommiae Cortex, stir-fried, remove silk) Sangpiaoxiao (Ovi Mantidis, stir-fried) Xijiaoxie (Rhinocerotis Cornu, shaved) Mutong (Akebiae Caulis)
Wujiapi (Acanthopanacis Cortex) Maidong (Ophiopogonis Radix, remove heart) Jiegeng (Platycodonis Radix) [each one liang] Chishaoyao (Paeoniae Radix Rubra, five qian)
The above eight ingredients are coarsely crushed. Take five qian per dose, add one dan of water, one sheep kidney sliced, and a little Zhuli (Bamboo Sap). Simmer together and take warm.
[Bazheng San (Eight Rectifications Powder)] treats excess heat in the Heart Meridian in adults and children, all kinds of accumulated toxins, dry throat and mouth, excessive thirst with desire to drink, palpitations and facial heat, restlessness and irritability, red eyes and eye pain, dry lips and epistaxis, sores in the mouth and tongue, sore throat and swelling, as well as dark and scanty urine, strangury with complete retention, hot strangury, and bloody strangury. It is suitable for all these conditions.
Qumai (Dianthi Herba) Qumai (Polygoni Avicularis Herba) Cheqianzi (Plantaginis Semen) Huashi (Talcum)
Shanzhiziren (Gardeniae Fructus, kernel only) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Mutong (Akebiae Caulis) Dahuang (Rhei Radix et Rhizoma, wrapped in flour and baked, flour removed, sliced and dried) [each one jin]
The above are made into a powder. Take two qian per dose, add one dan of water and Dengxincao (Junci Medulla). Decoct until seven parts remain, strain, and take warm after meals and before sleep. For children, administer according to their capacity in small amounts.
[Shiwei San (Periploca Powder)] treats insufficiency of Kidney Qi, heat in the Bladder, obstruction of water passages, dribbling and incomplete voiding, small volume with frequent urination, urgent pain in the umbilical and abdominal regions, intermittent attacks, onset upon fatigue, cloudy urine resembling bean dregs, or passage of gravel and stones. It treats all these conditions.
Shaoyao (Paeoniae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Huashi (Talcum) Kuizi (Abutili Semen)
Qumai (Dianthi Herba) [each two liang] Shiwei (Periplocae Folium, remove hairs) Mutong (Akebiae Caulis) [each two liang] Danggui (Angelicae Sinensis Radix, remove rhizome)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Wangbuliuxing (Vaccariae Semen) [each one liang]
The above are ground into fine powder. Take two qian per dose, mix with wheat decoction, and swallow before meals. Take two or three times daily.
[Baihua San (White Flower Powder)] treats heat in the Bladder and inability to urinate. (Transmitted by Shen Xianqing)
Piaoxiao (Natrii Sulfas) [amount not specified]
The above is ground into powder. Take two qian per dose, mix with Fenhui Tang (Fennel Decoction), and swallow before meals.
An excellent method for treating urinary retention where various medicines have failed, or for critical danger due to "Zhuanbao" (displacement of the uterus/bladder) leading to death: this method causes spontaneous urination and recovery. Use one pig bladder, make a small hole at the bottom, pass a feather tube through it, place it inside the hole, and secure the root with a thin thread. Fix the mouth of the feather tube with a thin stick. Seal the mouth of the bladder with yellow wax above. Blow air into it until it is seven-tenths full, tie it securely. Then pinch the root of the feather tube with your hand, apply wax, and plug the tube. Place the opening into the urethra. Release the root of the feather tube and squeeze the air with your hand to force it inside. Urine will flow out immediately. This has great efficacy.
[Huangqin Qingfei Tang (Scutellaria Lung-Clearing Decoction)] treats urinary retention caused by Lung dryness.
Huangqin (Scutellariae Radix, two qian) Zhizi (Gardeniae Fructus, two pieces, broken open)
Take as one dose. Add one dan and a half of water, decoct until seven parts remain, strain, and take warm after meals. If urination is difficult, add Yanchi (Fermented Soybean) twenty grains.
[Ziyin Huaqi Tang (Nourishing Yin and Transforming Qi Decoction)] treats dysuria or unbearable stuffiness and pain below the umbilicus due to excessive intake of hot medicines, which do not respond to other treatments. If daytime urination is obstructed, add Zhimu (Anemarrhenae Rhizoma).
Hlian (Coptidis Rhizoma, stir-fried) Huangbai (Phellodendri Cortex, stir-fried) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) [equal parts]
The above are cut into small pieces. Take three qian per dose, add two dan of water, decoct until one dan remains, strain, and take warm before meals.
Discussion: Question: How can benefit be achieved? Answer: Without Yang, Yin cannot be generated; without Yin, Yang cannot transform. It is also said that the Bladder is the mansion of body fluids, and they are excreted through Qi transformation. Excessive intake of hot medicines leads to loss of Yin. These two herbs assist in nourishing Yin, allowing Qi to transform, thus enabling urination. Some use Zishen Wan (Kidney-Nourishing Pill), which acts even faster.
[Hongsu San (Red Sorghum Powder)] treats urinary retention with upper asthma/wheezing. (Transmitted by Zhang Wenshu, very wonderful)
Qumai (Polygoni Avicularis Herba, one and a half liang) Dengcao (Junci Medulla, one hundred stalks) Hongsushugen (Root of Red Sorghum, two liang)
The above are cut into small pieces. Take five qian per dose, add two dan of river water, decoct until seven parts remain, strain, and take hot on an empty stomach before meals.
[Lixiao San (Immediate Effect Powder)] treats heat binding in the Lower Jiao, yellow and red urine, strangury with retention and pain, hematuria, and bleeding from both large and small intestines. It is also suitable for these conditions.
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, two qian) Shanzhizi (Gardeniae Fructus, remove skin, stir-fried, half liang) Qumaifei (Dianthi Flos, one liang)
The above are ground into powder. Take five to seven qian per dose, add one bowl of water, seven green onion roots with stems, fifty stalks of Dengxincao (Junci Medulla), and five to seven slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct until seven parts remain, take warm occasionally, at any time.
[Haijinsha San (Semina Loranthi Powder)] treats dribbling and astringency of urine, damp-heat in the Lower Jiao, failure of Qi to distribute and transform, or the five types of strangury with complete retention.
Mutong (Akebiae Caulis) Haijinsha (Loranthi Semina, ground) Huashi (Talcum) Tongcao (Tetrapanacis Medulla)
Qumaifei (Dianthi Flos) [each half liang] Xingren (Armeniacae Semen Amarum, remove skin and tip, stir-fried, one liang)
The above six ingredients are ground into powder. Take five qian per dose, add one dan and a half of water and twenty stalks of Dengxincao (Junci Medulla). Decoct until seven parts remain, strain, and take warm before meals.
[Hupo San (Amber Powder)] treats pain and astringency from the five types of strangury, and pus and blood in the urine.
Hupo (Electrum, one liang, ground) Moyao (Myrrha, one liang, ground) Haijinsha (Loranthi Semina, one liang, ground) Puhuang (Pollinis Typhae, one liang, ground)
The above four ingredients are ground into powder. Take three qian per dose before meals, mixed with Tongcao (Tetrapanacis Medulla) decoction. Take twice daily.
[Kuihua San (Sunflower Powder)] treats dribbling urine. An empirical formula.
Kuihuagen (Radix Helianthi Anni, one handful, washed clean)
The above is chopped and boiled in water for five to seven boils, then taken.
[Moxibustion Method] treats dribbling and astringency of urine with complete retention. Use salt (amount unspecified), stir-fry until hot and warm, fill the umbilicus with it. Then perform moxibustion with seven moxa cones. Urine will flow out spontaneously. The moxa cone should be the size of a chopstick head.