灸遗溺,挟玉泉五寸,随年壮,又灸阳陵泉,随年壮,又灸足阳明,随年壮,又灸阴陵
泉,随年壮。
小便失禁,灸大敦七壮,又灸行间七壮。
尿床,垂两手两髀上,尽指头上,有陷处,灸七壮,又灸脐下横纹,七壮。
小便余沥,灸复溜二穴,黄帝缄经云∶主小便余沥,在内踝上二寸是穴,各灸一七壮,
次灸脐下中极下屈骨穴,七壮。
腹中满,小便数,灸玉泉下一寸,名尿胞,一名屈骨端,灸二七壮,小儿以意减之。
小便数而少且难,用力辄失精者,令其人舒两手合掌,并两大命令齐,急逼之,令两爪
甲相近,以一炷灸两爪甲本肉际,肉际方后自然有角,令炷当角中,小侵入爪上,此两指共
用一炷也,亦灸脚大趾,与手同法,各三炷而已,经三日,又灸之。
小肠实,苦心下急热痹,小肠内热,小便赤黄,刺手太阳,治阳,手太阳在手小指外侧
本节陷中。
小腹肿痛,不得小便,邪在三焦约,取太阳大络,视其结脉,与阴厥小络,结而血者肿
上,取胃脘及三里。
小便不利,少腹胀满,大小肠俞,随年壮。
灸两足内踝上大脉,名三阴交,各二十一壮,治小便白浊。
关元穴,脐下三寸,灸一七壮,主转胞不得小便,甲乙经云∶足三阴任脉之会。
腰痛小便不利,苦胞转,灸玉泉七壮,又灸第十五椎五十壮,又灸脐下一寸,又灸脐下
四寸,各随年壮。
灸治遗尿(小便失禁),在玉泉穴旁开五寸处施灸,壮数随患者年龄而定;另外再灸阳陵泉穴,壮数随年龄而定;再灸足阳明胃经穴位,壮数随年龄而定;再灸阴陵泉穴,壮数随年龄而定。
治疗尿床,让患者双手下垂置于两大腿之上,手指尖指向脚趾方向,在指头尽头凹陷处施灸七壮;再灸脐下横纹处,七壮。
治疗小便余沥不尽,灸复溜穴两个,据《黄帝缄经》记载:该穴主治小便余沥不尽,位于内踝上二寸处,每穴各灸一七壮(即七壮);随后灸脐下的中极穴及屈骨端穴,各七壮。
腹部胀满,小便频数,灸玉泉穴下一寸处,名为尿胞穴,又名屈骨端穴,灸十四壮,小儿酌情减少壮数。
小便频数且量少、排尿困难,用力时容易遗精者,令患者舒展双手掌心相对合拢,并拢双脚大趾使其对齐,用力挤压使两拇指指甲靠近,用一炷艾条灸两拇指指甲根部肌肉交界处,肌肉交界方正后方自然形成角状,令艾炷对准角中,轻微插入指甲上方,这两根手指共用一炷艾条;也可灸脚的大拇趾,方法与手相同,各三炷即可,经过三天后,再次施灸。
小肠实热证,导致心中烦苦、心下部急迫发热、痹阻不通,小肠内部有热,小便颜色赤黄,针刺手太阳小肠经,治疗阳气病变,手太阳小肠经的穴位在手小指外侧本节处的凹陷中。
小腹肿痛,无法排尿,病邪约束在三焦,取用手太阳经的大络脉,观察其结聚的脉象,以及与阴厥相关的小络脉,若结聚且有瘀血肿胀,取胃脘部及足三里穴进行治疗。
灸双足内踝上方的大脉,名为三阴交穴,每穴二十一壮,治疗小便白浊。
关元穴,位于脐下三寸,灸一七壮(七壮),主治转胞(膀胱扭转或受压)导致的小便不通,《甲乙经》记载:此处是足三阴经与任脉的交会穴。
腰痛伴小便不利,痛苦于胞转(膀胱扭转),灸玉泉穴七壮,再灸第十五椎处五十壮,再灸脐下一寸处,再灸脐下四寸处,各随年龄而定壮数。
Moxibustion for enuresis (involuntary urination): Moxa is applied five cun lateral to Yuquan, with the number of moxa cones (Zhuang) corresponding to the patient's age. Additionally, Yanglingquan is moxated, with the number of Zhuang corresponding to the age; then a point on the Foot-Yangming Stomach Meridian is moxated, with the number of Zhuang corresponding to the age; finally, Yinlingquan is moxated, with the number of Zhuang corresponding to the age.
For urinary incontinence, Dacun (LR1) is moxated with seven Zhuang, and Xingjian (LR2) is moxated with seven Zhuang.
For bedwetting, the patient hangs both hands upon the upper thighs, with fingertips pointing towards the toes. At the depression at the tip of the fingers, seven Zhuang are applied. Additionally, the transverse crease below the umbilicus is moxated with seven Zhuang.
For dribbling after urination, Fuliuxue (KI7) is moxated. According to the *Huangdi Jianjing*, this point treats dribbling after urination and is located two cun above the medial malleolus. Each of the two points is moxated with one set of seven Zhuang (seven Zhuang). Subsequently, Zhongji (CV3) below the umbilicus and Qugu (CV2, also known as Quguduan) are moxated with seven Zhuang each.
For abdominal fullness and frequent urination, the point one cun below Yuquan, named Niaopao or Quguduan, is moxated with fourteen Zhuang. For children, the number of Zhuang should be reduced according to judgment.
For frequent, scanty, and difficult urination accompanied by seminal emission upon exertion: The patient is instructed to extend both hands with palms facing each other and together, aligning the big toes of both feet tightly. By pressing hard, bring the thumbnails close together. One cone of moxa is applied to the fleshy margin at the base of the thumbnails where the flesh meets. Behind the square fleshy margin, a natural angle forms naturally; the moxa cone should be placed at this angle, slightly penetrating into the nail area. Both thumbs share one cone. The same method is applied to the big toe of the foot, using three cones for each, and repeated after three days.
In cases of Excess Heat in the Small Intestine, causing heart distress, urgency and heat in the epigastrium, bi-syndrome (obstruction), internal heat in the small intestine, and dark yellow urine, needle the Hand-Taiyang Small Intestine Meridian to treat Yang disorders. The point is located in the depression lateral to the proximal interphalangeal joint of the little finger of the Hand-Taiyang meridian.
For swelling and pain in the lower abdomen with inability to urinate, due to constraint of the Sanjiao (Triple Burner), select the large collateral vessels of the Taiyang meridian. Observe the knotted pulses and the small collaterals associated with Yin-Jue (Yin reversal). If there is knotting, blood stasis, and swelling, treat the epigastrium and Zusanli (ST36).
For difficulty in urination and distension/fullness of the lower abdomen, moxa the Shu points of the Large and Small Intestines, with the number of Zhuang corresponding to the age.
Moxa the major pulse above the medial malleoli of both feet, named Sanyinjiao (SP6), twenty-one Zhuang per point, to treat turbid white urine.
Guanyuan (CV4), located three cun below the umbilicus, is moxated with seven Zhuang. It primarily treats "Zhuanbao" (bladder torsion/compression) resulting in inability to urinate. The *Jia Yi Jing* states: This is the intersection of the Three Yin Meridities of the Foot and the Ren Mai (Conception Vessel).
For lumbar pain with difficulty in urination and suffering from Baozhuan (bladder torsion), moxa Yuquan with seven Zhuang, then the fifteenth thoracic vertebra with fifty Zhuang, then one cun below the umbilicus, and four cun below the umbilicus, with the number of Zhuang for each corresponding to the age.