病源此繇下焦虚冷故也。肾主水。与膀胱为表里。膀胱主藏津液。肾气衰弱。不能制于
津液。胞内虚冷。水下不禁故小便利也。(出第四卷中)
溲师黄 汤。疗虚乏。四肢沉重。或口干吸吸少气。小便利。诸不足方。
黄 (三两) 茯苓(二两) 桂心(二两) 芍药(二两) 甘草(一两) 半夏(三
两洗) 生
姜(五两) 当归(一两) 大枣(三十枚) 人参(二两) 桑螵蛸(二十枚熬两片破)
上十一味切。以水一斗。煮取四升。分服一升。忌海藻菘菜羊肉饧生葱大酢。(出第四
卷中)
又疗虚劳。腹满食少。小便多。黄 建中汤方。
黄 (三两) 甘草(三两炙) 大枣(三十枚) 桂心(二两) 芍药(四两) 生
姜(四两)
人参(二两) 半夏(一升洗)
上八味切。以水一斗。煮取三升。去滓。分三服。忌海藻菘菜羊肉饧生葱。(古今录验
同出第十九卷中)
又阿胶汤。疗虚劳。小便利而多。有人虚劳服散。又虚热盛。当风取冷。患香港脚喜发动
。兼小便利。脉细弱。服此方。利即减。
阿胶(二两) 干姜(二两) 麻子(一升捣碎) 远志(四两去心) 附子(一枚炮)
人参(
一两) 甘草(一两炙)
上七味切。以水七升。煮六味取三升。去滓。纳胶烊销。分三服。一方云∶小便利多。
日夜数十行。一石五斗者良。忌猪肉冷水海藻菘菜。
短剧黄 汤。疗虚劳少气。小便过多方。
黄 (二两) 麦门冬(二两去心) 大枣(三十枚擘) 芍药(二两) 干地黄(二
两) 黄芩
(一两) 桂心(二两) 生姜(二两) 当归(二两) 甘草(二两炙)
上十味切。以水九升。煮取三升。去滓。分三服。忌海藻菘菜生葱芜荑猪肉冷水。(出
第十卷三中一方有黄连一两)
必效疗虚劳。下焦虚冷。不甚渴。小便数。黄 建中汤方。
黄 (三两) 桂心(二两) 人参(二两) 当归(二两) 芍药(三两) 生姜(八
两) 胶饴
(八两) 大枣(三十枚)
上八味切。以水一斗。煮七味取三升。去滓。下饴烊销。分三服。若失精加龙骨一两。
白蔹一两。忌生葱。
病因在于下焦虚寒。肾主水液代谢,与膀胱互为表里。膀胱负责贮藏津液。若肾气衰弱,无法制约津液,导致胞宫(此处指膀胱或下焦部位)内部虚冷,水液失去固摄而随意流出,因此出现小便频数的症状。(出自第四卷中)
溲师黄汤。治疗身体虚弱乏力、四肢沉重,或者口干、呼吸短促、气息微弱、小便频数等诸般不足之证。
处方:黄芪(三两)、茯苓(二两)、桂心(二两)、芍药(二两)、甘草(一两)、半夏(三两,洗净)、生姜(五两)、当归(一两)、大枣(三十枚)、人参(二两)、桑螵蛸(二十枚,熬制后剖开)。
以上十一味药切碎,用水一斗,煎煮至四升,分次服用,每次一升。忌食海藻、白菜、羊肉、麦芽糖、生葱和醋。(出自第四卷中)
又方治疗虚劳,症见腹部胀满、饮食减少、小便多。用黄芪建中汤方。
处方:黄芪(三两)、甘草(三两,炙)、大枣(三十枚)、桂心(二两)、芍药(四两)、生姜(四两)、人参(二两)、半夏(一升,洗净)。
以上八味药切碎,用水一斗,煎煮至三升,滤去药渣,分三次服用。忌食海藻、白菜、羊肉、麦芽糖、生葱。(《古今录验》同出第十九卷中)
又有阿胶汤。治疗虚劳,小便频数且量多。有人患虚劳并服用散剂,导致虚热炽盛,又因迎风受冷,引发脚气病且容易发作,兼有小便频数,脉象细弱,服用此方后,小便频数症状随即减轻。
处方:阿胶(二两)、干姜(二两)、麻子(一升,捣碎)、远志(四两,去心)、附子(一枚,炮制)、人参(一两)、甘草(一两,炙)。
以上七味药切碎,用水七升,先煎煮前六味药取三升,滤去药渣,加入阿胶使其溶化,分三次服用。另一说法认为:若小便频数极多,日夜数十次,用量达一石五斗者效果良好。忌食猪肉、冷水、海藻、白菜。
《短剧》中的黄芪汤。治疗虚劳少气、小便过多之证。
处方:黄芪(二两)、麦门冬(二两,去心)、大枣(三十枚,掰开)、芍药(二两)、干地黄(二两)、黄芩(一两)、桂心(二两)、生姜(二两)、当归(二两)、甘草(二两,炙)。
以上十味药切碎,用水九升,煎煮至三升,滤去药渣,分三次服用。忌食海藻、白菜、生葱、芜荑、猪肉、冷水。(出自第十卷三中,一方中有黄连一两)
《必效方》治疗虚劳,下焦虚冷,口不十分渴,小便频数。用黄芪建中汤方。
处方:黄芪(三两)、桂心(二两)、人参(二两)、当归(二两)、芍药(三两)、生姜(八两)、胶饴(八两)、大枣(三十枚)。
以上八味药切碎,用水一斗,先煎煮前七味药取三升,滤去药渣,加入饴糖使其溶化,分三次服用。若伴有遗精症状,加龙骨一两、白蔹一两。忌食生葱。
The etiology lies in the deficiency and cold of the Lower Jiao (Lower Burner). The Kidney governs water metabolism and stands in exterior-interior relationship with the Bladder. The Bladder is responsible for storing body fluids. If Kidney Qi is weak, it fails to control the body fluids, leading to deficiency-cold within the Bao (uterus/lower jiao region), causing water to flow without restraint, thus resulting in frequent urination. (From Volume 4)
Soushi Huang Tang (Peeing Master Astragalus Decoction). Treats weakness and fatigue, heaviness of the four limbs, or dry mouth, shortness of breath, scanty qi, and frequent urination due to various deficiencies.
Ingredients: Huangqi (Astragali Radix, 3 liang), Fuling (Poria, 2 liang), Guixin (Cinnamomi Cortex, 2 liang), Shaoyao (Paeoniae Radix Alba, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang), Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, 3 liang, washed), Shengjiang (Zingiberis Rhizoma Recens, 5 liang), Danggui (Angelicae Sinensis Radix, 1 liang), Dazao (Jujubae Fructus, 30 pieces), Renshen (Ginseng Radix, 2 liang), Sangpiaoxiao (Mantidis Oötheca, 20 pieces, roasted and split).
Cut the above eleven herbs. Boil in 10 dou of water until reduced to 4 sheng. Divide into doses of 1 sheng each. Avoid seaweed, Chinese cabbage, mutton, malt sugar, raw green onions, and vinegar. (From Volume 4)
Another formula treats Xu Lao (Consumptive Disease) with abdominal fullness, poor appetite, and polyuria. Use Huangqi Jianzhong Tang (Astragalus Decoction for Replenishing the Middle).
Ingredients: Huangqi (Astragali Radix, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang, honey-fried), Dazao (Jujubae Fructus, 30 pieces), Guixin (Cinnamomi Cortex, 2 liang), Shaoyao (Paeoniae Radix Alba, 4 liang), Shengjiang (Zingiberis Rhizoma Recens, 4 liang), Renshen (Ginseng Radix, 2 liang), Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, 1 sheng, washed).
Cut the above eight herbs. Boil in 10 dou of water until reduced to 3 sheng. Strain. Divide into three doses. Avoid seaweed, Chinese cabbage, mutton, malt sugar, and raw green onions. (Same as from "Gu Jin Lu Yan", Volume 19)
There is also Ejiao Tang (Donkey-Hide Gelatin Decoction). It treats Xu Lao (Consumptive Disease) with frequent and abundant urination. Some patients with Xu Lao who took powders developed intense deficiency-heat; upon exposure to wind and cold, they suffered from Hongxiangjiao (Beriberi/Leg Swelling) prone to flare-ups, accompanied by frequent urination and a fine, weak pulse. Taking this formula reduces the frequency of urination.
Ingredients: Ejiao (Asini Corii Colla, 2 liang), Ganjiang (Zingiberis Rhizoma, 2 liang), Maziren (Cannabis Semen, 1 sheng, crushed), Yuanzhi (Polygalae Radix, 4 liang, heart removed), Fuzi (Aconiti Lateralis Radix Praeparata, 1 piece, processed), Renshen (Ginseng Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried).
Cut the above seven herbs. Boil in 7 sheng of water. Boil the first six herbs to obtain 3 sheng. Strain. Add gelatin and melt it. Divide into three doses. Another version states: if urination is extremely frequent, occurring dozens of times day and night, a dosage of 1 dan 5 dou is effective. Avoid pork, cold water, seaweed, and Chinese cabbage.
Duanju Huangqi Tang (Short Drama Astragalus Decoction). Treats Xu Lao (Consumptive Disease) with scanty qi and excessive urination.
Ingredients: Huangqi (Astragali Radix, 2 liang), Maidong (Ophiopogonis Radix, 2 liang, heart removed), Dazao (Jujubae Fructus, 30 pieces, torn), Shaoyao (Paeoniae Radix Alba, 2 liang), Dihuang (Rehmanniae Radix, 2 liang), Huangqin (Scutellariae Radix, 1 liang), Guixin (Cinnamomi Cortex, 2 liang), Shengjiang (Zingiberis Rhizoma Recens, 2 liang), Danggui (Angelicae Sinensis Radix, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried).
Cut the above ten herbs. Boil in 9 sheng of water until reduced to 3 sheng. Strain. Divide into three doses. Avoid seaweed, Chinese cabbage, raw green onions, Xiangyuan (Alpinia oxyphylla fruit), pork, and cold water. (From Volume 10, Part 3; one version includes Huanglian 1 liang)
Bixiao Fang (Must-Efficient Formula) treats Xu Lao (Consumptive Disease) with deficiency-cold of the Lower Jiao, slight thirst, and frequent urination. Use Huangqi Jianzhong Tang (Astragalus Decoction for Replenishing the Middle).
Ingredients: Huangqi (Astragali Radix, 3 liang), Guixin (Cinnamomi Cortex, 2 liang), Renshen (Ginseng Radix, 2 liang), Danggui (Angelicae Sinensis Radix, 2 liang), Shaoyao (Paeoniae Radix Alba, 3 liang), Shengjiang (Zingiberis Rhizoma Recens, 8 liang), Jiaoyi (Malt Sugar, 8 liang), Dazao (Jujubae Fructus, 30 pieces).
Cut the above eight herbs. Boil in 10 dou of water. Boil the first seven herbs to obtain 3 sheng. Strain. Add Yi (malt sugar) and melt it. Divide into three doses. If seminal emission occurs, add Longgu (Fossilia Ossis Mastodi et Costae, 1 liang) and Bailian (Ibani Radix, 1 liang). Avoid raw green onions.