（第二十）
小儿尿白者，由乳母乳哺失节，过伤于脾，故使清浊不分，而尿白如米泔也。久则成
疳，亦心膈伏热而得之。宜实脾土；消食化积，通利小便也。茯苓散、三棱散、厘清饮子可选
而用之。
茯苓散 治小儿尿白，状如米泔。
三棱 莪术 砂仁 赤茯苓（各半两） 青皮 陈皮 滑石 甘草（各二钱半）
上为末，每服一钱，麦门冬汤调下，或加灯芯煎。
三棱散 治小儿尿白，久而成疳。此药实脾土，消食化疳积。
三棱（炮） 莪术（炮。各一两） 益智仁 甘草（炙） 神曲（炒） 麦芽（炒） 陈皮（各半两）
上末，每服二钱，灯芯汤调下。
厘清饮通心气，补漏精，治小便余溺，赤白浊。
益智仁 川萆 石菖蒲 乌药（各等分）
上咀，每服二钱，灯芯煎，可加茯苓、白芍各等分。
（第二十一）
小儿遗尿者，此由膀胱有冷，不能约于水故也。夫肾主水，肾气下通于阴。小便者，津
液之余也。膀胱为津液之府，肾与膀胱俱虚，而冷气乘之，衰弱故不能约制，其水出而不禁，
故遗尿也。又有尿床者，亦由膀胱冷。夜属阴，小便不禁，胞里自出，谓之尿床也，宜破故纸
散、益智仁散、鸡肠散服。
鸡肠散 治小儿遗尿床。
鸡肠 牡蛎 白茯苓 肉桂 龙骨（各二钱半） 桑螵蛸（炒。各半两）
为末，每服二钱，姜黄汤调服。
鸡 散 治小儿遗尿。
鸡 （一具） 鸡肠（烧） 猪胞（炙焦）
上为末，每用一钱，酒调服，男雌女雄。
又方破故纸（一两）炒为末，每服一钱，热汤下。
一方益智仁、白茯苓（等分）为末，每服一钱，空心米汤下。
一方五倍子半生半炒，为末，米糕丸，空心，白汤下一钱。
（第二十）
小儿尿液发白，是因为乳母哺乳没有节制，过度损伤了脾胃，导致清浊之气不分，从而使尿液像米泔水一样浑浊。病程久了会发展为疳积，也有的是因为心膈间有伏热所致。治疗应当健脾实土；消食化积，通利小便。可选用茯苓散、三棱散、厘清饮子。
茯苓散 治疗小儿尿白，状如米泔水。
药材：三棱、莪术、砂仁、赤茯苓（各半两）、青皮、陈皮、滑石、甘草（各二钱半）。
制法与用法：以上药物研为细末，每次服用一钱，用麦门冬汤调服，或者加灯芯草一起煎煮服用。
三棱散 治疗小儿尿白，日久形成疳积。此药能健脾实土，消食化除疳积。
药材：三棱（炮制）、莪术（炮制，各一两）、益智仁、甘草（炙）、神曲（炒）、麦芽（炒）、陈皮（各半两）。
制法与用法：以上药物研为细末，每次服用二钱，用灯芯草汤调服。
厘清饮 能通心气，补漏精，治疗小便淋漓不尽，以及赤白浊。
药材：益智仁、川萆薢、石菖蒲、乌药（各等分）。
制法与用法：以上药物切碎，每次服用二钱，用灯芯草煎汤送服，可以加入茯苓、白芍各等分。
（第二十一）
小儿遗尿，这是由于膀胱有寒，不能约束尿液所致。肾主水，肾气向下通达于阴部。小便，是津液的剩余部分。膀胱是津液汇聚之府，肾与膀胱都虚弱，寒气侵袭，因机能衰弱而不能制约，所以尿液流出而不禁闭，这就是遗尿。又有尿床的情况，也是由于膀胱寒冷。夜晚属阴，小便不禁，尿液从胞中自行流出，称为尿床。适宜服用破故纸散、益智仁散、鸡肠散。
鸡肠散 治疗小儿尿床。
药材：鸡肠、牡蛎、白茯苓、肉桂、龙骨（各二钱半）、桑螵蛸（炒，各半两）。
制法与用法：研为细末，每次服用二钱，用姜黄汤调服。
鸡散 治疗小儿遗尿。
药材：鸡一只、鸡肠（烧焦）、猪膀胱（烤焦）。
制法与用法：以上药物研为细末，每次取一钱，用酒调服，男孩用雌鸡，女孩用雄鸡。
又一方：破故纸（一两）炒后研为细末，每次服用一钱，用热开水送下。
另一方：益智仁、白茯苓（等分）研为细末，每次服用一钱，空腹时用米汤送下。
再一方：五倍子一半生用一半炒熟，研为细末，用米糕做成丸剂，空腹时，用白开水送下一钱。
(20)
White urine in infants is caused by the mother's irregular breastfeeding, which excessively damages the Spleen and Stomach. This leads to a failure in distinguishing the clear from the turbid, resulting in urine that resembles rice wash water. If prolonged, it may develop into infantile malnutrition (Gan syndrome). It can also be caused by latent heat in the Heart and Diaphragm. Treatment should focus on strengthening the Spleen Earth; resolving food stagnation and transforming accumulation, and promoting urination. Fanglin San (Poria Powder), Sanleng San (Curcuma Zedoaria Powder), or Liqing Yin (Clearing Decoction) may be selected for use.
Fanglin San treats white urine in infants, resembling rice wash water.
Ingredients: Curcuma zedoaria rhizome (Sanleng, Rhizoma Curcumae Zedoariae), Curcuma phaeocaulis rhizome (Ezhuzhu, Rhizoma Curcumae Phaeocaulis), Amomum fruit (Sharen, Fructus Amomi), Red Poria (Chifuling, Poria cum Radice Pinus), each half tael; Green Tangerine Peel (Qingpi, Pericarpium Citri Reticulatae Viride), Aged Tangerine Peel (Chenpi, Pericarpium Citri Reticulatae), Talc (Huashi, Talcum), Licorice Root (Gancao, Radix Glycyrrhizae), each two qian and half.
Preparation and Administration: Grind the above ingredients into powder. Take one qian per dose, mixed with Ophiopogon Decoction (Mendong Tang), or decocted with Centipeda Herba (Dengxincao).
Sanleng San treats white urine in infants that has persisted for a long time, leading to Gan syndrome. This formula strengthens the Spleen Earth, resolves food stagnation, and transforms Gan accumulation.
Ingredients: Curcuma zedoaria rhizome (Sanleng, Rhizoma Curcumae Zedoariae, processed), Curcuma phaeocaulis rhizome (Ezhuzhu, Rhizoma Curcumae Phaeocaulis, processed), each one tael; Alpinia oxyphylla fruit (Yizhiren, Fructus Alpiniae Oxyphyllae), Licorice Root (Gancao, Radix Glycyrrhizae, honey-fried), Medicated Leaven (Shenqu, Massae Medicatae Fermentatae), Malt (Maiya, Frumentum Germinatum Hordeum Vulgare), Aged Tangerine Peel (Chenpi, Pericarpium Citri Reticulatae), each half tael.
Preparation and Administration: Grind into powder. Take two qian per dose, mixed with Centipeda Herba (Dengxincao) decoction.
Liqing Yin unblocks Heart Qi, supplements essence leakage, treats dribbling urine, and manages red and white turbidity.
Ingredients: Alpinia oxyphylla fruit (Yizhiren, Fructus Alpiniae Oxyphyllae), Chinese Dioscorea Rhizome (Chuanbixie, Rhizoma Dioscoreae Hypoglaucae), Acorus rhizome (Shichangpu, Rhizoma Acori Tatarinowii), Lindera root (Wuyao, Radix Linderae), each equal parts.
Preparation and Administration: Cut into small pieces. Take two qian per dose, decocted with Centipeda Herba (Dengxincao). Poria (Fuling, Poria) and White Peony Root (Baishao, Radix Paeoniae Alba) may be added in equal parts.
(21)
Enuresis in infants is due to cold in the Bladder, which fails to constrain water. The Kidney governs water, and Kidney Qi connects downward to the genitalia. Urine is the surplus of body fluids. The Bladder is the mansion of body fluids. When both the Kidney and Bladder are deficient, cold qi takes advantage of this weakness. Due to this decline, they cannot restrain the flow, causing urine to escape uncontrollably, resulting in enuresis. Another condition is bedwetting, also caused by cold in the Bladder. Night belongs to Yin; when urine is not constrained, it flows out spontaneously from the bladder, termed bedwetting. Suitable treatments include Pogostemon Powder (Poguzi San), Alpinia Powder (Yizhiren San), and Chicken Intestine Powder (Jichang San).
Chicken Intestine Powder treats infant bedwetting.
Ingredients: Chicken intestines, Oyster Shell (Muli, Concha Ostreae), White Poria (Bailingfu, Poria), Cinnamon Twig (Rougui, Ramulus Cinnamomi), Dragon Bone (Longgu, Os Draconis et Mammutis), each two qian and half; Mantis Egg Case (Sangpiaoxiao, Ootheca Mantidis, stir-fried), each half tael.
Preparation and Administration: Grind into powder. Take two qian per dose, taken with Turmeric Decoction (Jianghuang Tang).
Chicken Powder treats infant enuresis.
Ingredients: One whole chicken, Chicken intestines (burnt), Pig bladder (roasted until charred).
Preparation and Administration: Grind into powder. Take one qian per dose, mixed with wine. For male infants, use a female chicken; for female infants, use a male chicken.
Another prescription: Agrimonia herb (Poguzi, Fructus Agrimoniae, one tael) is stir-fried and ground into powder. Take one qian per dose, swallowed with hot water.
Another prescription: Alpinia oxyphylla fruit (Yizhiren, Fructus Alpiniae Oxyphyllae) and White Poria (Bailingfu, Poria) in equal parts are ground into powder. Take one qian per dose, swallowed with rice water on an empty stomach.
Yet another prescription: Chinese Gall (Wubeizi, Galla Chinensis), half raw and half stir-fried, is ground into powder. Form pills with rice cake. Take one qian per dose, swallowed with plain warm water on an empty stomach.