论曰膀胱者津液之府也，气化则能出矣，其气不足则虚，虚则寒气乘之。致津液滑利，
不能制约，故其证小便利多，小腹痛甚，项背腰尻 痛，内经曰，膀胱不约为遗溺者以此
治膀胱虚冷，小便频数。五味子丸方
五味子 磁石（ 醋淬七遍） 杜仲（去粗皮炙锉） 附子（炮裂去皮脐各一两） 木
香（半
上八味，捣罗为末，酒煮面糊，丸如梧桐子大，每服三十丸，温酒下。
治膀胱经虚，小便不禁，少腹冷痛。荜澄茄散方
荜澄茄 木香 沉香 桂（去粗皮各半两） 香子（炒三分） 菟丝子（酒浸一宿别
捣） 白茯苓（去黑皮各一两）
上七味，捣罗为散，每服二钱匕，温酒或盐汤调下。
治膀胱虚，小便冷滑，少腹虚胀，腰背相引疼痛，遗精。鹿茸丸方
鹿茸（去毛酥炙） 肉苁蓉（酒浸切焙） 石斛（去根） 香子（炒各一两） 龙骨
（） 钟
上六味。捣研为末，酒煮面糊。丸如梧桐子大，每服三十丸，温酒下，空心食前。
治膀胱久虚，便溲不禁，腹胁虚满，少腹 痛。补骨脂散方
补骨脂（炒） 香子（炒） 葫芦巴（炒各一两） 槟榔（锉半两） 青橘皮（去白
炒三分） 沉香（锉半两）
上六味，捣罗为散，每服二钱匕，盐酒或盐汤调下。
治膀胱虚寒，小便频数，腰背及腹痛。石斛汤方
石斛（去根） 附子（炮裂去皮脐） 五味子 泽泻 肉苁蓉（酒浸切焙） 黄 白
茯苓（
上九味，锉如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服食前。
治膀胱虚冷，小便利多，少腹冷痛，脚筋拘急。钟乳丸方
钟乳粉 沉香（锉） 桑螵蛸（炙） 龙骨（ 各半两） 白茯苓（去黑皮一两）
上五味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，温酒下，空心食前服。
治膀胱虚冷，小便数。干地黄散方
熟干地黄（焙三分） 赤雄鸡肠（两具） 鸡 （两具） 桑螵蛸（炒） 牡蛎（ ）
龙骨（
上一十味，粗捣筛八味，入鸡 并鸡肠中密缝，于甑内蒸令熟，锉碎焙干，捣罗为末
，每服二钱匕，温酒调下。
论述说：膀胱是津液储存的府库，经过气化作用才能排出体外。如果膀胱之气不足就会虚弱，虚弱则寒气趁机侵袭。导致津液滑利失控，不能制约，所以症状表现为小便频多、小腹部剧烈疼痛、颈项背部及腰尻部疼痛。《内经》说：“膀胱约束无力导致遗尿”，指的就是这种情况。
治疗膀胱虚冷，小便频数。五味子丸方：
五味子、磁石（用醋淬炼七次）、杜仲（去除粗皮后炙烤切碎）、附子（炮裂后去皮去脐，各一两）、木香（半两）。
以上八味药，捣碎过筛成粉末，用酒煮面糊为粘合剂，制成梧桐子大小的药丸。每次服用三十丸，用温酒送服。
治疗膀胱经虚弱，小便失禁，少腹冷痛。荜澄茄散方：
荜澄茄、木香、沉香、桂枝（去除粗皮，各半两）、茴香子（炒制三分）、菟丝子（用酒浸泡一夜后另捣）、白茯苓（去除黑皮，各一两）。
以上七味药，捣碎过筛成散剂。每次服用二钱匕，用温酒或盐汤调服。
治疗膀胱虚弱，小便清长滑利，少腹虚胀，腰背相互牵引疼痛，遗精。鹿茸丸方：
鹿茸（去除毛后用酥油炙烤）、肉苁蓉（用酒浸泡切片焙干）、石斛（去除根部）、茴香子（炒制，各一两）、龙骨（煅制）、钟乳粉（各半两）。
以上六味药，捣碎研细成粉末，用酒煮面糊为粘合剂，制成梧桐子大小的药丸。每次服用三十丸，空腹饭前用温酒送服。
治疗膀胱久虚，大小便失禁，腹胁虚满，少腹疼痛。补骨脂散方：
补骨脂（炒制）、茴香子（炒制）、葫芦巴（炒制，各一两）、槟榔（锉碎半两）、青橘皮（去除白色内瓤后炒制三分）、沉香（锉碎半两）。
以上六味药，捣碎过筛成散剂。每次服用二钱匕，用盐酒或盐汤调服。
治疗膀胱虚寒，小便频数，腰背及腹部疼痛。石斛汤方：
石斛（去除根部）、附子（炮裂后去皮去脐）、五味子、泽泻、肉苁蓉（用酒浸泡切片焙干）、黄芪、白茯苓（各一两）。
以上九味药，锉碎如麻豆大小。每次服用五钱匕，加水一盏半，煎煮至八分，滤去药渣，温热服用，空腹饭前服。
治疗膀胱虚冷，小便频多，少腹冷痛，脚筋拘挛紧急。钟乳丸方：
钟乳粉、沉香（锉碎）、桑螵蛸（炙烤）、龙骨（煅制，各半两）、白茯苓（去除黑皮一两）。
以上五味药，捣碎过筛成粉末，用炼蜜制成梧桐子大小的药丸。每次服用三十丸，空腹饭前用温酒送服。
治疗膀胱虚冷，小便频数。干地黄散方：
熟干地黄（焙干三分）、赤雄鸡肠（两具）、鸡肫（两具）、桑螵蛸（炒制）、牡蛎（煅制）、龙骨（各半两）。
以上十味药，将其中八味粗捣筛选，放入鸡肫和鸡肠中，用线严密缝合，在蒸笼内蒸熟，取出锉碎焙干，捣碎过筛成粉末。每次服用二钱匕，用温酒调服。
It is discussed that the Bladder (Pang Guang) is the mansion of body fluids (Jin Ye). It can discharge them only after qi transformation. If its qi is insufficient, it becomes deficient, and cold pathogen takes advantage of this deficiency to invade. This causes the body fluids to become slippery and uncontrolled, unable to be restrained. Consequently, the symptoms manifest as frequent and profuse urination, severe pain in the lower abdomen, and pain in the neck, back, loins, and sacrum. The *Neijing* states: "When the Bladder lacks restraint, it leads to enuresis," which refers to this condition.
For treating Bladder deficiency-cold with frequent urination. Formula of Schisandra Pill (Wuweizi Wan):
Schisandrae Fructus (Wuweizi), Magnetitum (Cishi, quenched seven times in vinegar), Eucommiae Cortex (Duzhong, coarse bark removed, roasted and cut), Aconiti Lateralis Radix Praeparata (Fuzi, processed until cracked, skin and umbilicus removed, each 1 liang), Aucklandiae Radix (Muxiang, 0.5 liang).
The above eight herbs are crushed, sifted into powder, mixed with a paste made from rice flour boiled in wine, and formed into pills the size of sophora seeds. Take 30 pills per dose, administered with warm wine.
For treating Bladder meridian deficiency with involuntary urination and cold pain in the hypogastrium. Formula of Bichengqia Powder (Bichengqia San):
Bichengqia (Fructus Cardamomi), Aucklandiae Radix (Muxiang), Aquilariae Lignum Resinatum (Chenxiang), Cinnamomi Ramulus (Guizhi, coarse bark removed, each 0.5 liang), Foeniculi Fructus (Xiao Huixiang, stir-fried, 3 fen), Cuscutae Semen (Tusizi, soaked in wine overnight and separately pounded), Poria (Fuling, black skin removed, each 1 liang).
The above seven herbs are crushed and sifted into powder. Take 2 qianbi per dose, mixed with warm wine or salt water.
For treating Bladder deficiency with clear and slippery urine, distension in the hypogastrium, pulling pain between the waist and back, and spermatorrhea. Formula of Deer Antler Pill (Lurong Wan):
Cornu Cervi Degelatinatum (Lurong, hair removed, roasted with butter), Cistanches Herba (Rou Congrong, soaked in wine, sliced, and dried), Dendrobii Caulis (Shihu, roots removed), Foeniculi Fructus (Xiao Huixiang, stir-fried, each 1 liang), Os Draconis (Longgu, calcined), Stalactitum (Zhongru, each 0.5 liang).
The above six herbs are crushed and finely ground into powder, mixed with a paste made from rice flour boiled in wine, and formed into pills the size of sophora seeds. Take 30 pills per dose, on an empty stomach before meals, administered with warm wine.
For treating long-standing Bladder deficiency with incontinence of stool and urine, false fullness in the abdomen and flanks, and pain in the hypogastrium. Formula of Psoraleae Fructus Powder (Buguzhi San):
Psoraleae Fructus (Buguzhi, stir-fried), Foeniculi Fructus (Xiao Huixiang, stir-fried), Trigonellae Semens (Huluba, stir-fried, each 1 liang), Arecae Semen (Binglang, cut, 0.5 liang), Aurantii Fructus Viridis (Qingjupi, white pith removed, stir-fried, 3 fen), Aquilariae Lignum Resinatum (Chenxiang, cut, 0.5 liang).
The above six herbs are crushed and sifted into powder. Take 2 qianbi per dose, mixed with salt wine or salt water.
For treating Bladder deficiency-cold with frequent urination and pain in the waist, back, and abdomen. Decoction of Dendrobium (Shihu Tang):
Dendrobii Caulis (Shihu, roots removed), Aconiti Lateralis Radix Praeparata (Fuzi, processed until cracked, skin and umbilicus removed), Schisandrae Fructus (Wuweizi), Alismatis Rhizoma (Zexie), Cistanches Herba (Rou Congrong, soaked in wine, sliced, and dried), Astragali Radix (Huangqi), Poria (Fuling, each 1 liang).
The above nine herbs are cut into pieces the size of hemp seeds. Take 5 qianbi per dose, add 1.5 sheng of water, decoct until 0.8 sheng remains, strain, and take warm on an empty stomach before meals.
For treating Bladder deficiency-cold with frequent urination, cold pain in the hypogastrium, and contracture of leg tendons. Formula of Stalactite Pill (Zhongru Wan):
Stalactitum (Zhongru), Aquilariae Lignum Resinatum (Chenxiang, cut), Ootheca Mantidis (Sangpiaoxiao, roasted), Os Draconis (Longgu, calcined, each 0.5 liang), Poria (Fuling, black skin removed, 1 liang).
The above five herbs are crushed and sifted into powder, mixed with refined honey to form pills the size of sophora seeds. Take 30 pills per dose, on an empty stomach before meals, administered with warm wine.
For treating Bladder deficiency-cold with frequent urination. Formula of Rehmanniae Powder (Gadihuang San):
Prepared Rehmanniae Radix (Shu Dihuang, dried, 3 fen), Intestinum Crassis Galli Mas (Chi Xiong Jichang, two pieces), Ventriculus Galli (Jizhen, two pieces), Ootheca Mantidis (Sangpiaoxiao, stir-fried), Concha Ostreae (Muli, calcined), Os Draconis (Longgu, each 0.5 liang).
The above ten herbs: coarsely crush and sieve eight of them, place them inside the chicken ventricles and intestines, sew tightly, steam in a steamer until cooked, remove, cut into pieces, dry, crush, and sift into powder. Take 2 qianbi per dose, mixed with warm wine.