论曰内经言膀胱不约，为遗溺，亦肾虚不能约制水液，故小便利多，甚则下焦伤竭，真
气不固，而小便不禁也。
治肾脏虚冷，腰膝无力，小便不禁，或溺白色，苁蓉丸方
肉苁蓉（净刷去皴皮酒浸两宿薄切焙干二两半） 黄 （细锉三两） 桂（去粗皮二两）
杜
淘去浮
上七味，捣罗为细末，炼蜜和剂，更臼内涂酥，杵令匀熟，丸如梧桐子大，每日空腹，
煎黄 汤，下三十丸，至晚再服。
治肾脏虚腰脐冷疼，夜遗小便，鹿茸散方
鹿茸（去毛酥炙令黄锉） 乌贼鱼骨（去甲微炙各三两） 当归（切焙） 人参 白芍
药龙
上八味，先捣罗前七味为细末，更与龙骨同研令匀细，每服一钱匕，温酒调服，空心日
晚临卧各一。
治小便不禁，菟丝子散方
菟丝子（酒浸两宿焙干微炒别捣细罗为粉一两） 蒲黄（微炒细研） 黄连（去须各一
两半）
上六味，先同捣四味为细散，再入菟丝子粉与蒲黄，同研匀细，每服两钱匕，酒调食前
服，日三。
治小便不禁，黄 散方
黄 （细锉） 狗脊（去毛锉） 牡蛎（ ） 肉苁蓉（酒浸切焙各一两三分） 土瓜
根（三两）
两半）
上九味，先捣罗八味为细散，更与赤石脂同研匀，每服一钱匕，酒调食前服，至午间夜
卧各一服，渐加至两钱匕。
治小便不禁，日夜无数，鸡肠散方
黄雄鸡肠（四具切破净洗炙令黄熟） 肉苁蓉（酒浸切焙） 苦参 赤石脂（研） 白
石脂（
上六味，捣罗四味为细散，更与赤石脂白石脂，同研匀细，每服二钱匕，酒调食前服，
日二夜一。
治小便不禁，柏白皮汤方
柏白皮（焙干锉二斤） 酸石榴枝（一握烧灰细研）
上二味，先捣柏白皮为粗末，每服四钱匕，水一盏半，煎至一盏，去滓下石榴枝灰一钱
半匕，更煎至八分，空心服，至晚再服。
治小便不禁，牡蛎丸方
牡蛎（白者三两盛瓷合子内更用盐末一两盖头铺底以炭火约五斤烧半日取出研如粉） 赤
石脂（三两捣碎醋拌匀湿于生铁铫子内慢火炒令干研如粉）
上二味，再同研匀，酒煮面糊，丸如梧桐子大，每服十五丸，空心盐汤下。
治小便不禁，鹊巢散方
重鹊巢中草（一斤烧作灰细研如粉） 蔷薇根皮（去土五两）
上二味，先捣蔷薇根为粗散，每服三钱匕，水一盏，煎至七合，去滓调鹊巢灰两钱匕，
空心服。
治小便不禁，干姜饮方
干姜（炮裂一两） 附子（炮裂去皮脐半两） 芎 （三分） 桂（去粗皮半两） 麻
黄（去根
上五味，锉如麻豆，每服四钱匕，水一盏半，煎至一盏，去滓空心温服，至晚再服。
治气牵腰背及胁内痛，小腹坚，小便不禁，当归汤方
当归（切焙） 大黄（锉炒） 桂（去粗皮各三两） 人参一两 干姜（炮裂一两） 甘
草（炙
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓食前温服，日三。
论述说：《内经》中提到，膀胱约束无力，会导致遗尿；这也是因为肾虚不能制约水液，所以小便频多，严重时下焦损伤枯竭，真气不固摄，从而导致小便失禁。
治疗肾脏虚冷，腰膝无力，小便失禁，或者尿液颜色发白，苁蓉丸方：
肉苁蓉（净刷去皱皮，酒浸两夜，薄切，焙干，二两半） 黄耆（细锉，三两） 桂（去粗皮，二两） 杜仲（去粗皮，炙，切，三两） 桑螵蛸（微炒，一两半） 菟丝子（酒浸，别捣为末，一两半） 五味子（一两） 覆盆子（一两）
以上七味药，捣碎过筛成细末，用炼蜜调和药剂，在臼内涂上酥油，杵捣使均匀熟透，制成梧桐子大小的丸药。每天空腹时，煎煮黄耆汤送服三十丸，晚上再服一次。
治疗肾脏虚寒导致腰脐冷痛，夜间遗尿，鹿茸散方：
鹿茸（去毛，用酥炙至黄色，锉碎） 乌贼鱼骨（去甲，微炙，各三两） 当归（切，焙干） 人参 白芍药 龙骨 附子（炮裂，去皮脐） 益智仁（炒，去壳）
以上八味药，先将前七味捣碎过筛成细末，再加入龙骨共同研匀细。每次服用一钱匕，用温酒调服，空腹、白天、晚上临睡前各服一次。
治疗小便失禁，菟丝子散方：
菟丝子（酒浸两夜，焙干，微炒，另捣细罗成粉，一两） 蒲黄（微炒，细研） 黄连（去须，各一两半） 牡蛎（煅，研） 桑螵蛸（微炒） 茯苓
以上六味药，先将四味药共同捣碎成细散，再放入菟丝子粉和蒲黄，共同研匀细。每次服用两钱匕，用酒调服，饭前服用，每天三次。
治疗小便失禁，黄耆散方：
黄耆（细锉） 狗脊（去毛，锉碎） 牡蛎（煅，研） 肉苁蓉（酒浸，切，焙，各一两三分） 土瓜根（三两） 赤石脂（三两，研） 禹余粮（煅，研） 莲须 芡实
以上九味药，先将八味药捣碎过筛成细散，再加入赤石脂共同研匀。每次服用一钱匕，用酒调服，饭前服用，中午和晚上卧睡时各服一次，逐渐加量至两钱匕。
治疗小便失禁，日夜次数无数，鸡肠散方：
黄雄鸡肠（四条，切开洗净，炙至黄熟） 肉苁蓉（酒浸，切，焙） 苦参 赤石脂（研） 白石脂（研） 龙骨
以上六味药，将四味药捣碎过筛成细散，再加入赤石脂和白石脂，共同研匀细。每次服用两钱匕，用酒调服，饭前服用，每天两次，晚上一次。
治疗小便失禁，柏白皮汤方：
柏白皮（焙干，锉碎，二斤） 酸石榴枝（一把，烧成灰，细研）
以上两味药，先将柏白皮捣成粗末。每次服用四钱匕，用水一盏半，煎至一盏，去渣后加入石榴枝灰一钱半匕，再煎至八分，空腹服用，晚上再服一次。
治疗小便失禁，牡蛎丸方：
牡蛎（白色的三两，盛放在瓷盒内，再用盐末一两覆盖顶部并铺底，用炭火约五斤烧半天，取出研如粉） 赤石脂（三两，捣碎，醋拌匀，在生铁铫子内慢火炒干，研如粉）
以上两味药，再次共同研匀，用酒煮面糊，制成梧桐子大小的丸药。每次服用十五丸，空腹时用盐汤送服。
治疗小便失禁，鹊巢散方：
重鹊巢中的草（一斤，烧作灰，细研如粉） 蔷薇根皮（去土，五两）
以上两味药，先将蔷薇根捣成粗散。每次服用三钱匕，用水一盏，煎至七合，去渣后调入鹊巢灰两钱匕，空腹服用。
治疗小便失禁，干姜饮方：
干姜（炮裂，一两） 附子（炮裂，去皮脐，半两） 川芎（三分） 桂（去粗皮，半两） 麻黄（去根节）
以上五味药，锉碎如麻豆大小。每次服用四钱匕，用水一盏半，煎至一盏，去渣后空腹温服，晚上再服一次。
治疗气机牵引腰背及胁内疼痛，小腹坚硬，小便失禁，当归汤方：
当归（切，焙干） 大黄（锉，炒） 桂（去粗皮，各三两） 人参一两 干姜（炮裂，一两） 甘草（炙） 枳实（麸炒） 厚朴（去粗皮，姜汁炙）
以上八味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，去渣后饭前温服，每天三次。
It is stated in the discussion: The *Neijing* (Classic of Internal Medicine) mentions that if the Bladder lacks restraint, it leads to enuresis. This is also due to Kidney deficiency failing to control water fluids, resulting in frequent urination. In severe cases, the Lower Jiao is damaged and exhausted, the True Qi fails to consolidate, leading to urinary incontinence.
For treating Kidney deficiency with cold, weakness in the waist and knees, urinary incontinence, or white urine, Cong Rong Wan (Cistanche Pill) formula:
Rou Cong Rong (Cistanches Herba, cleaned, wrinkled skin removed, soaked in wine for two nights, thinly sliced, dried, 2.5 liang) Huang Qi (Astragali Radix, finely cut, 3 liang) Gui (Cinnamomi Cortex, coarse bark removed, 2 liang) Du Zhong (Eucommiae Cortex, coarse bark removed, roasted, cut, 3 liang) Sang Piao Xiao (Mantidis Ootheca, slightly roasted, 1.5 liang) Tu Si Zi (Cuscutae Semen, soaked in wine, separately pounded into fine powder, 1.5 liang) Wu Wei Zi (Schisandrae Fructus, 1 liang) Fu Pen Zi (Rubiae Fructus, 1 liang).
The above seven ingredients are pounded and sieved into a fine powder. Honey is refined and used to mix the medicine. The mortar is coated with butter, and the mixture is pounded until uniform and well-cooked. It is formed into pills the size of paulownia seeds. Each day on an empty stomach, take thirty pills with a decoction of Huang Qi, and take again late at night.
For treating Kidney deficiency with cold causing cold pain in the waist and umbilicus, and nocturnal enuresis, Lu Rong San (Deer Antler Powder) formula:
Lu Rong (Cervi Cornu Pantotrichum, hair removed, roasted with butter until yellow, cut) Ou Mei Yu Gu (Sepiae Endoconcha, shell removed, slightly roasted, each 3 liang) Dang Gui (Angelicae Sinensis Radix, cut, dried) Ren Shen (Ginseng Radix) Bai Shao Yao (Paeoniae Radix Alba) Long Gu (Fossilia Ossis Mastodi et Cerami) Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by fire, skin and navel removed) Yi Zhi Ren (Alpiniae Oxyphyllae Fructus, roasted, husk removed).
The above eight ingredients: first, pound the first seven into a fine powder. Then mix with Long Gu and grind until uniform and fine. Take one qian bi per dose, mixed with warm wine. Take on an empty stomach, during the day, and before bed at night.
For treating urinary incontinence, Tu Si Zi San (Cuscutae Semen Powder) formula:
Tu Si Zi (Cuscutae Semen, soaked in wine for two nights, dried, slightly roasted, separately pounded into fine powder, 1 liang) Pu Huang (Typhae Pollen, slightly roasted, finely ground) Huang Lian (Coptidis Rhizoma, whiskers removed, each 1.5 liang) Mu Li (Ostreae Concha, calcined, ground) Sang Piao Xiao (Mantidis Ootheca, slightly roasted) Fu Ling (Poria).
The above six ingredients: first, pound four ingredients together into a fine powder. Then add Tu Si Zi powder and Pu Huang, and grind uniformly. Take two qian bi per dose, mixed with wine, taken before meals, three times a day.
For treating urinary incontinence, Huang Qi San (Astragali Radix Powder) formula:
Huang Qi (Astragali Radix, finely cut) Gou Ji (Cyathulae Radix, hair removed, cut) Mu Li (Ostreae Concha, calcined, ground) Rou Cong Rong (Cistanches Herba, soaked in wine, cut, dried, each 1 liang 3 fen) Tu Gua Gen (Trichosanthis Radix, 3 liang) Chi Shi Zhi (Halloysit Rubrum, 3 liang, ground) Yu Yu Liang (Haematitum, calcined, ground) Lian Xu (Nelumbinis Stamen) Qian Shi (Euryales Semen).
The above nine ingredients: first, pound eight ingredients into a fine powder. Then mix with Chi Shi Zhi and grind uniformly. Take one qian bi per dose, mixed with wine, taken before meals. Take once at noon and once before bed, gradually increasing to two qian bi.
For treating urinary incontinence with unlimited frequency day and night, Ji Chang San (Chicken Intestine Powder) formula:
Huang Xiong Ji Chang (Intestinum Galli Galli, four pieces, cut open, washed clean, roasted until yellow and cooked) Rou Cong Rong (Cistanches Herba, soaked in wine, cut, dried) Ku Shen (Sophorae Flavescentis Radix) Chi Shi Zhi (Halloysit Rubrum, ground) Bai Shi Zhi (Kaolinitum, ground) Long Gu (Fossilia Ossis Mastodi et Cerami).
The above six ingredients: pound four ingredients into a fine powder. Then mix with Chi Shi Zhi and Bai Shi Zhi, and grind uniformly. Take two qian bi per dose, mixed with wine, taken before meals. Twice a day, once at night.
For treating urinary incontinence, Bai Bai Pi Tang (Platycladi Cortex Decoction) formula:
Bai Bai Pi (Platycladi Cacumen, dried, cut, 2 jin) Suan Shi Liu Zhi (Ramulus Punicae Acida, one handful, burned to ash, finely ground).
The above two ingredients: first, pound Bai Bai Pi into coarse particles. Take four qian bi per dose, with one dan half of water, decoct to one dan. Remove dregs, add one qian half of Shi Liu Zhi ash, and decoct to eight fen. Take on an empty stomach, and take again late at night.
For treating urinary incontinence, Mu Li Wan (Oyster Shell Pill) formula:
Mu Li (Ostreae Concha, white ones, 3 liang, placed in a porcelain box, covered with 1 liang of salt powder at the top and bottom, burned with charcoal fire weighing about 5 jin for half a day, taken out and ground into powder) Chi Shi Zhi (Halloysit Rubrum, 3 liang, crushed, mixed with vinegar, slowly roasted in a raw iron pot until dry, ground into powder).
The above two ingredients: grind together uniformly. Use wine-boiled wheat paste to form pills the size of paulownia seeds. Take fifteen pills per dose, with salt water on an empty stomach.
For treating urinary incontinence, Que Chao San (Magpie Nest Powder) formula:
Chong Que Chao Zhong Cao (Grass inside heavy magpie nests, 1 jin, burned to ash, finely ground into powder) Qiang Wei Gen Pi (Radix et Rhizoma Rosae Rugosae, soil removed, 5 liang).
The above two ingredients: first, pound Qiang Wei Gen into coarse powder. Take three qian bi per dose, with one dan of water, decoct to seven he. Remove dregs, mix with two qian bi of Que Chao ash. Take on an empty stomach.
For treating urinary incontinence, Gan Jiang Yin (Dried Ginger Drink) formula:
Gan Jiang (Zingiberis Rhizoma, cracked by fire, 1 liang) Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by fire, skin and navel removed, 0.5 liang) Xiong (Chuanxiong Rhizoma, 3 fen) Gui (Cinnamomi Cortex, coarse bark removed, 0.5 liang) Ma Huang (Ephedrae Herba, roots removed).
The above five ingredients: cut like hemp beans. Take four qian bi per dose, with one dan half of water, decoct to one dan. Remove dregs, take warm on an empty stomach, and take again late at night.
For treating qi traction causing pain in the waist, back, and hypochondrium, hardness in the lower abdomen, and urinary incontinence, Dang Gui Tang (Angelicae Sinensis Decoction) formula:
Dang Gui (Angelicae Sinensis Radix, cut, dried) Da Huang (Rhei Radix et Rhizoma, cut, fried) Gui (Cinnamomi Cortex, coarse bark removed, each 3 liang) Ren Shen (Ginseng Radix, 1 liang) Gan Jiang (Zingiberis Rhizoma, cracked by fire, 1 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted) Zhi Shi (Aurantii Fructus Immaturus, bran-fried) Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, ginger juice-roasted).
The above eight ingredients: coarsely crush and sieve. Take three qian bi per dose, with one dan of water, decoct to seven fen. Remove dregs, take warm before meals, three times a day.