论曰肾主水,开窍于二阴,位处下焦,与膀胱为表里,膀胱者津液之府,脏腑和平。则
能制津液,使溲便有常,若劳伤肾气不足,膀胱经寒,则津不能自制,故小便利而多也。
治虚劳小便利,菟丝子丸方
菟丝子(酒浸别捣) 鹿茸(去毛酥炙) 肉苁蓉(酒浸去皴皮切焙) 五味子(各二
两)
上四味,捣罗为末,醋煮面糊和丸,如梧桐子大,每服五十丸,空心米饮下。
治虚劳不足,四肢沉重,口燥吸吸少气,小便利,黄 汤方
黄 (锉) 半夏(汤洗去滑焙各一两半) 白茯苓(去黑皮) 桂(去粗皮) 芍药 甘
草(
炙各一两) 当归(切焙) 人参(各半两) 桑螵蛸(切破炙十枚)
上九味,粗捣筛,每服三钱匕,水一盏,入生姜半分拍碎,枣两枚劈破,煎至七分,去
滓温服,空腹日午夜卧各一。
治虚劳,下焦虚冷不渴,小便自利,建中汤方
黄 芍药(各二两) 桂(去粗皮) 人参 当归(切焙各一两)
上五味,锉如麻豆大,每服三钱匕,水一盏,入生姜半分劈碎,枣二枚劈破,煎至七
分,去滓下饧一分,搅令消温服,早晨日午夜卧服,若失精,加龙骨白薇各一两。
治虚劳不足,小便利数,呼吸短气,烦渴引饮,膀胱满急,肾沥汤方
远志(去心) 人参 五味子 石槲(去根) 泽泻 当归(切焙) 桂(去粗皮) 甘
草(炙
锉) 白茯苓(去黑皮) 桑上寄生(各一两) 麦门冬(去心焙三两) 熟干地黄(焙) 栝
蒌根
上一十四味,粗捣筛,每服三钱匕,水一盏半,入羊肾一分细切,先煎一两沸,次入生
姜半分拍碎,枣二枚劈破,煎至七分,去滓空腹温服,食后再服。
治劳伤小便利数,加减阿胶汤方
阿胶(炙令燥) 远志(去心各二两) 干姜(炮) 人参(各一两) 麻子仁(研三
两) 附子
(炮裂去皮脐一枚) 甘草(炙一两半)
上七味,锉如麻豆,每服三钱匕,水一盏,煎至七分,去滓空腹温服。
治虚劳伤惫,举体无力,四肢烦疼,腰膝冷痛,夜多小便,面色青黑,寝卧盗汗。浓朴
丸方
浓朴(去粗皮姜汁炙) 胡黄连 补骨脂(微炒) 秦艽(去苗土) 防风(去叉) 桂
(去粗
皮) 附子(炮裂去皮脐) 干姜(炮) 柴胡(去苗各一两)
上九味,捣罗为末,无灰酒一升半相和,银石器内,文武火煎成膏可丸,以少酥和匀,
臼中捣千杵,丸如梧桐子大,每服空腹盐汤下二十丸,夜卧再服。
治虚劳下焦伤惫,目昏耳聋。腰膝冷痛,小便滑数,日渐瘦悴,杜仲丸方
杜仲(去粗皮炙锉) 肉苁蓉(酒浸去皴皮切焙) 巴戟天(去心) 楮实 五味子
香
三分)
上一十一味,捣罗为末,炼蜜和丸,如梧桐子大,每服十五丸,加至三十丸,空心温酒
下。
治虚劳元脏久冷,小便利数,精神恍惚,四肢无力,骨节酸痛,椒红丸方
蜀椒(取红) 补骨脂(炒) 楝实(去皮核炒等分)
上三味,捣罗为末,炼蜜和丸,如梧桐子大,每服十丸,至二十丸,空心温酒下。
治虚劳极冷,阳气衰弱,小便数滑遗沥,坚固丸方
乌头(炮裂去皮脐) 香子(炒等分)
上二味,捣罗为末,姜汁煮糊和丸,如梧桐子大,每服十五丸,空心温酒下,妇人赤白
带下,醋汤下,加至三十丸。
治虚劳小便不禁,菟丝子散方
菟丝子(酒浸三日曝干捣末) 肉苁蓉(酒浸一宿去皴皮切焙各二两) 牡蛎(熬为粉)
附
上六味,捣罗为散,每服二钱匕,米饮调下,空腹食前。
治虚劳下焦冷气,少腹疼痛,小便滑数,天雄丸方
天雄(炮裂去皮脐一两) 龙骨(烧三分) 桑螵蛸(微炒半两) 牡蛎(二两熬)
上四味,捣罗为末,酒煮面糊和丸,如梧桐子大,每服二十丸,空心食前盐汤下。
治虚劳下元冷弱,膀胱气寒,小便数,附子赤石脂丸方
附子(炮裂去皮脐) 赤石脂(烧) 巴戟天(去心) 补骨脂(炒各半两) 香子
(炒) 益
上六味,捣罗为末,酒煮面糊和丸,如梧桐子大,每服二十丸,食前盐汤下。
论述说:肾主管水液代谢,其窍穴开泄于前阴和后阴,位置处于下焦,与膀胱互为表里。膀胱是储存津液的府库,若脏腑功能调和,就能制约津液,使小便排泄有规律;如果因劳损导致肾气不足,膀胱经脉受寒,那么津液就不能自我固摄,因此出现小便频多且清长的症状。
治疗虚劳所致的小便频多,使用菟丝子丸方:
菟丝子(用酒浸泡后单独捣碎)、鹿茸(去除毛刺后用酥油炙烤)、肉苁蓉(用酒浸泡,刮去皱皮,切片焙干)、五味子(以上四味药各二两)。
以上四味药,捣碎过筛成粉末,用醋煮面糊调和制成丸药,大小如梧桐子。每次服用五十丸,空腹时用米汤送服。
治疗虚劳不足,四肢沉重,口干舌燥、气息微弱短少,小便频多,使用黄耆汤方:
黄耆(锉碎)、半夏(用热水洗去滑腻感后焙干,各一两半)、白茯苓(去除黑皮)、桂枝(去除粗皮)、芍药、甘草(炙制,各一两)、当归(切片焙干)、人参(各半两)、桑螵蛸(切碎破开,炙制十枚)。
以上九味药,粗捣筛选,每次取三钱匕的药量,加水一盏,放入生姜半分拍碎,大枣两枚劈破,煎煮至七分满,滤去药渣,温服。分别在空腹时、日中、半夜和睡前服用。
治疗虚劳,下焦虚冷不口渴,小便自利,使用建中汤方:
黄耆、芍药(各二两)、桂枝(去除粗皮)、人参、当归(切片焙干,各一两)。
以上五味药,锉碎如麻豆大小,每次取三钱匕的药量,加水一盏,放入生姜半分劈碎,大枣两枚劈破,煎煮至七分满,滤去药渣,加入饴糖一分,搅拌使其溶解,温服。分别在早晨、日中、半夜和睡前服用。如果出现遗精症状,加龙骨和白薇各一两。
治疗虚劳不足,小便频数,呼吸短促,心烦口渴想喝水,膀胱胀满急迫,使用肾沥汤方:
远志(去除心)、人参、五味子、石槲(去除根部)、泽泻、当归(切片焙干)、桂枝(去除粗皮)、甘草(炙制,锉碎)、白茯苓(去除黑皮)、桑上寄生(以上各一两)、麦门冬(去除心,焙干三两)、熟干地黄(焙干)、栝楼根。
以上十四味药,粗捣筛选,每次取三钱匕的药量,加水一盏半,放入羊肾一分细切,先煎煮一两沸,接着放入生姜半分拍碎,大枣两枚劈破,煎煮至七分满,滤去药渣,空腹温服,饭后再服一次。
治疗劳伤所致的小便频数,使用加减阿胶汤方:
阿胶(炙至干燥)、远志(去除心,各二两)、干姜(炮制)、人参(各一两)、麻子仁(研碎三两)、附子(炮裂,去皮脐一枚)、甘草(炙制一两半)。
以上七味药,锉碎如麻豆大小,每次取三钱匕的药量,加水一盏,煎煮至七分满,滤去药渣,空腹温服。
治疗虚劳疲惫,全身无力,四肢烦痛,腰膝冷痛,夜间小便多,面色青黑,睡眠中盗汗,使用浓朴丸方:
浓朴(去除粗皮,用姜汁炙烤)、胡黄连、补骨脂(微炒)、秦艽(去除苗土)、防风(去除叉枝)、桂枝(去除粗皮)、附子(炮裂,去皮脐)、干姜(炮制)、柴胡(去除苗,各一两)。
以上九味药,捣碎过筛成粉末,用无灰酒一升半混合,在银石器内,用文武火煎成膏状可丸,加入少量酥油搅拌均匀,在臼中捣一千杵,制成如梧桐子大小的丸药。每次空腹用盐汤送服二十丸,睡前再服一次。
治疗虚劳下焦损伤疲惫,眼睛昏花耳聋,腰膝冷痛,小便滑数,日渐消瘦憔悴,使用杜仲丸方:
杜仲(去除粗皮,炙制,锉碎)、肉苁蓉(用酒浸泡,刮去皱皮,切片焙干)、巴戟天(去除心)、楮实、五味子、香附(三分)。
以上十一味药,捣碎过筛成粉末,用炼蜜调和制成丸药,大小如梧桐子。每次服用十五丸,加量至三十丸,空腹用温酒送服。
治疗虚劳元脏久冷,小便频数,精神恍惚,四肢无力,骨节酸痛,使用椒红丸方:
蜀椒(取其红色部分)、补骨脂(炒制)、楝实(去皮核,炒制,等分)。
以上三味药,捣碎过筛成粉末,用炼蜜调和制成丸药,大小如梧桐子。每次服用十丸,加量至二十丸,空腹用温酒送服。
治疗虚劳极冷,阳气衰弱,小便数滑遗沥,使用坚固丸方:
乌头(炮裂,去皮脐)、香子(炒制,等分)。
以上两味药,捣碎过筛成粉末,用姜汁煮糊调和制成丸药,大小如梧桐子。每次服用十五丸,空腹用温酒送服。妇女赤白带下者,用醋汤送服,加量至三十丸。
治疗虚劳小便不禁,使用菟丝子散方:
菟丝子(用酒浸泡三日,晒干捣末)、肉苁蓉(用酒浸泡一夜,刮去皱皮,切片焙干,各二两)、牡蛎(熬制为粉)、附子(炮裂,去皮脐,各一两)、五味子(一两)、桑螵蛸(微炒,半两)。
以上六味药,捣碎过筛成散剂,每次取二钱匕,用米汤调下,空腹或食前服用。
治疗虚劳下焦冷气,少腹疼痛,小便滑数,使用天雄丸方:
天雄(炮裂,去皮脐一两)、龙骨(烧制三分)、桑螵蛸(微炒半两)、牡蛎(二两,熬制)。
以上四味药,捣碎过筛成粉末,用酒煮面糊调和制成丸药,大小如梧桐子。每次服用二十丸,空腹食前用盐汤送服。
治疗虚劳下元冷弱,膀胱气寒,小便频数,使用附子赤石脂丸方:
附子(炮裂,去皮脐)、赤石脂(烧制)、巴戟天(去除心)、补骨脂(炒制,各半两)、香子(炒制)、益智仁(去壳,各半两)。
以上六味药,捣碎过筛成粉末,用酒煮面糊调和制成丸药,大小如梧桐子。每次服用二十丸,食前用盐汤送服。
Commentary states: The Kidney governs water metabolism, its orifices open to the anterior and posterior yin (genitals and anus), located in the lower jiao (lower burner), and stands in exterior-interior relationship with the Bladder. The Bladder is the fu-organ of fluid storage; if the zang-fu organs are harmonious, it can control fluids, ensuring regular urination. However, if kidney qi is deficient due to exhaustion and injury, and the Bladder meridian is cold, fluids cannot be self-regulated, resulting in frequent and profuse urination.
For treating deficiency consumption (Xu Lao) with frequent urination, use Tusizi Wan (Cuscuta Pill):
Tusizi (Cuscutae Semen, soaked in wine and pounded separately), Lurong (Cervi Cornu Pantotrichum, de-haired and roasted with su), Roubingrong (Cistanche Stem, soaked in wine, wrinkled skin removed, sliced and baked), Wuweizi (Schisandrae Fructus, each 2 liang).
The above four herbs are pounded and sifted into powder, mixed with vinegar-boiled wheat paste to form pills the size of Sophora seeds. Take 50 pills per dose, swallowed with rice broth on an empty stomach.
For treating deficiency consumption insufficiency, heavy limbs, dry mouth with shallow breathing, and frequent urination, use Huangqi Tang (Astragalus Decoction):
Huangqi (Astragali Radix, chopped), Banxia (Pinelliae Rhizoma, washed in hot water to remove slipperiness and baked, each 1.5 liang), Baifuling (Poria, black skin removed), Guizhi (Cinnamomi Ramulus, coarse bark removed), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, each 1 liang), Danggui (Angelicae Sinensis Radix, sliced and baked), Renshen (Ginseng Radix, each 0.5 liang), Sangpiaosuo (Mantis Egg Case, cut open and roasted, 10 pieces).
The above nine herbs are coarsely pounded and sieved. Take 3 qian bi (approx. 9g) per dose, add one zhan (approx. 200ml) of water, half a fen of crushed ginger, and two split jujubes. Decoct until reduced to 7/10 volume, strain, and take warm. Doses are taken on an empty stomach, at midday, midnight, and before sleep.
For treating deficiency consumption with lower jiao deficiency-cold, no thirst, and spontaneous frequent urination, use Jianzhong Tang (Establish the Middle Decoction):
Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix, each 2 liang), Guizhi (Cinnamomi Ramulus, coarse bark removed), Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix, sliced and baked, each 1 liang).
The above five herbs are chopped like hemp seeds. Take 3 qian bi per dose, add one zhan of water, half a fen of crushed ginger, and two split jujubes. Decoct until reduced to 7/10 volume, strain, add Yi tang (Maltose), stir until dissolved, and take warm. Doses are taken in the morning, at midday, midnight, and before sleep. If seminal emission occurs, add Longgu (Fossilized Bones) and Baiwei (Anemarrhenae Rhizoma), each 1 liang.
For treating deficiency consumption insufficiency, frequent urination, shortness of breath, irritability and thirst with desire to drink, bladder fullness and urgency, use Shenli Tang (Kidney Decoction):
Yuanzhi (Polygalae Radix, heart removed), Renshen (Ginseng Radix), Wuweizi (Schisandrae Fructus), Shihu (Dendrobii Caulis, roots removed), Zexie (Alismatis Rhizoma), Danggui (Angelicae Sinensis Radix, sliced and baked), Guizhi (Cinnamomi Ramulus, coarse bark removed), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Baifuling (Poria, black skin removed), Sangshang Jisheng (Taxilli Caulis et Folium from mulberry tree, each 1 liang), Maimendong (Ophiopogonis Tuber, heart removed and baked, 3 liang), Shudihuang (Rehmanniae Radix Praeparata, baked), Gualougen (Trichosanthis Radix).
The above fourteen herbs are coarsely pounded and sieved. Take 3 qian bi per dose, add one and a half zhan of water, finely cut Yang shen (Sheep Kidney), boil for one boiling point, then add half a fen of crushed ginger and two split jujubes. Decoct until reduced to 7/10 volume, strain, and take warm on an empty stomach, followed by another dose after meals.
For treating exhaustion injuries with frequent urination, use Jiajian Ejiao Tang (Modified Donkey-hide Gelatin Decoction):
Ejiao (Asini Corii Colla, roasted until dry), Yuanzhi (Polygalae Radix, heart removed, each 2 liang), Ganjiang (Zingiberis Rhizoma, processed), Renshen (Ginseng Radix, each 1 liang), Maziren (Cannabis Fructus, ground, 3 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed, 1 piece), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1.5 liang).
The above seven herbs are chopped like hemp seeds. Take 3 qian bi per dose, add one zhan of water, decoct until reduced to 7/10 volume, strain, and take warm on an empty stomach.
For treating deficiency consumption exhaustion, general weakness, limb restlessness and pain, cold pain in waist and knees, nocturia, dark green-black complexion, and night sweats during sleep, use Houpo Wan (Magnolia Bark Pill):
Houpo (Magnoliae Officinalis Cortex, coarse bark removed, roasted with ginger juice), Huhuanglian (Coptidis Rhizoma alternative/Berberis), Buguzhi (Psoraleae Fructus, lightly fried), Qinjiao (Gentianae Macrophyllae Radix, seedlings and soil removed), Fangfeng (Saposhnikoviae Radix, forked parts removed), Guizhi (Cinnamomi Ramulus, coarse bark removed), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed), Ganjiang (Zingiberis Rhizoma, processed), Chaihu (Bupleuri Radix, seedlings removed, each 1 liang).
The above nine herbs are pounded and sifted into powder. Mix with 1.5 sheng of non-fermented wine, decoct in a silver or earthenware vessel over gentle to moderate heat until a paste forms. Mix with a little su (clarified butter), pound in a mortar for a thousand strokes, and form pills the size of Sophora seeds. Take 20 pills per dose with salt broth on an empty stomach, and another dose before sleep.
For treating deficiency consumption lower jiao injury and exhaustion, blurred vision, deafness, cold pain in waist and knees, slippery frequent urination, gradual emaciation, use Duzhong Wan (Eucommia Bark Pill):
Duzhong (Eucommiae Cortex, coarse bark removed, roasted and chopped), Roubingrong (Cistanche Stem, soaked in wine, wrinkled skin removed, sliced and baked), Bajitian (Morindae Officinalis Radix, heart removed), Chushi (Celtis Fructus), Wuweizi (Schisandrae Fructus), Xiangfu (Cyperi Rhizoma, 3 fen).
The above eleven herbs are pounded and sifted into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 15 pills per dose, increasing to 30 pills, swallowed with warm wine on an empty stomach.
For treating deficiency consumption with long-standing cold in the primal organ, frequent urination, mental confusion, limb weakness, and bone joint soreness, use Jiaohong Wan (Pepper Red Pill):
Shujiao (Zanthoxyli Pericarpium, select the red part), Buguzhi (Psoraleae Fructus, fried), Lianshi (Meliae Fructus, skin and pits removed, fried, equal parts).
The above three herbs are pounded and sifted into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 10 pills per dose, increasing to 20 pills, swallowed with warm wine on an empty stomach.
For treating extreme deficiency consumption cold, weak yang qi, frequent slippery urination with dribbling, use JianGu Wan (Solidify Pill):
Wutou (Aconiti Radix, processed, cracked, skin and umbilicus removed), Xiangzi (Illicii Fructus, fried, equal parts).
The above two herbs are pounded and sifted into powder. Mix with ginger juice and paste to form pills the size of Sophora seeds. Take 15 pills per dose, swallowed with warm wine on an empty stomach. For women with white and bloody leukorrhea, swallow with vinegar broth, increasing to 30 pills.
For treating deficiency consumption with involuntary urination, use Tusizi San (Cuscuta Powder):
Tusizi (Cuscutae Semen, soaked in wine for three days, dried and pounded), Roubingrong (Cistanche Stem, soaked in wine overnight, wrinkled skin removed, sliced and baked, each 2 liang), Muli (Concha Ostreae, calcined to powder), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed, each 1 liang), Wuweizi (Schisandrae Fructus, 1 liang), Sangpiaosuo (Mantis Egg Case, lightly fried, 0.5 liang).
The above six herbs are pounded and sifted into powder. Take 2 qian bi per dose, mix with rice broth, and swallow on an empty stomach or before meals.
For treating deficiency consumption lower jiao cold qi, lower abdominal pain, and slippery frequent urination, use Tianxiong Wan (Heavenly Hero Pill):
Tianxiong (Aconiti Radix lateralis cum sua radice, processed, cracked, skin and umbilicus removed, 1 liang), Longgu (Fossilized Bones, calcined, 3 fen), Sangpiaosuo (Mantis Egg Case, lightly fried, 0.5 liang), Muli (Concha Ostreae, 2 liang, calcined).
The above four herbs are pounded and sifted into powder. Mix with wine-boiled wheat paste to form pills the size of Sophora seeds. Take 20 pills per dose, swallowed with salt broth on an empty stomach before meals.
For treating deficiency consumption lower yuan cold weakness, Bladder qi cold, and frequent urination, use Fuzi Chishizhi Wan (Aconite and Red Kaolin Pill):
Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed), Chishizhi (Kaolinite, calcined), Bajitian (Morindae Officinalis Radix, heart removed), Buguzhi (Psoraleae Fructus, fried, each 0.5 liang), Xiangzi (Illicii Fructus, fried), Yizhiren (Alpiniae Oxyphyllae Fructus, husked, each 0.5 liang).
The above six herbs are pounded and sifted into powder. Mix with wine-boiled wheat paste to form pills the size of Sophora seeds. Take 20 pills per dose, swallowed with salt broth before meals.