全婴方云小儿阴肿核肿者由儿啼怒气逆不顺乘虚而行阴核偏大又因甘肥不节生冷过度致
生疳
气气结不行流入阴中或伤暑毒或触风邪使血气与邪气相搏停结不散则成阴肿也仁斋云夫若肾
经气虚或坐石不起冷气凝之或近地经久风邪湿气伤之不为阴肿几希矣间有啼叫怒气闭系于下
结聚不散加以水窦不行亦能发为此疾治用桃仁丸主之丹溪谓脱囊肿大坠下不收用紫苏茎叶为
末水调荷叶包之一人传此方用野白紫苏为末湿则掺之干则香油调敷虽皮溃子坠皆有神效此用
紫苏盖亦同功也
原病式云遗尿不禁者为冷内经云不约为遗溺仁斋曰小便者津液之余也肾主水膀胱为津液
之
腑肾与膀胱俱虚而冷气乘之故不能拘制其水出而不禁谓之遗尿睡里自出者谓之尿床此皆肾与
膀胱俱虚而挟冷所致也以稚肠散主之亦有热客于肾部干于足厥阴之经挺孔郁结极甚而气血不
能宣通则痿痹而神无所用故液渗入膀胱而旋溺遗失不能收禁也此又不可不知
仁斋曰小儿尿白如米泔状由乳哺失节有伤于脾致令清白不分而色白也久则成疳此亦心膈
伏热
兼而得之全婴方云小便初出微赤良久白浊者乃热疳之邪也初出黄白久白浊者乃冷疳之候也冷
者益黄散主之热者牛黄丸主之冷热者芦荟丸主之纯下白浊者浓朴丸主之诸失津液欲成疳而小
便白者茯苓散主之可也
《全婴方》记载，小儿阴囊肿核肿大，是由于小儿啼哭愤怒，导致气机逆乱不顺，乘虚而入，致使阴核偏大；又因饮食甘肥无节制、生冷过度，从而产生疳气。疳气郁结不行，流入阴部；或因感受暑毒，或触犯风邪，使血气与邪气相互搏结，停滞不散，从而形成阴肿。
仁斋指出，如果是肾经气虚，或者久坐石地不起，受冷气凝结；或者久近地面，受风邪湿气侵袭，如果不发生阴肿，是很少见的。间或有因啼叫愤怒，气闭结于下部，聚散不开，加上水道不通，也能引发此疾。治疗用桃仁丸为主方。
丹溪认为，脱肛且囊肿大坠下不收者，可用紫苏茎叶研为末，用水调匀，以荷叶包裹敷之。有人传授此方，用野白紫苏研为末，潮湿时直接撒布，干燥时用香油调敷，即使皮肤溃烂、睾丸下垂，都有神效。这里使用紫苏，大概也是同样的功效。
《原病式》记载，遗尿不禁属于冷证。《内经》说，“不约”即为遗溺。仁斋说，小便津液的剩余部分，由肾主水，膀胱为津液之腑。肾与膀胱都虚，冷气乘虚而入，所以不能约束控制水分，导致尿液流出而不禁，这叫做遗尿；睡梦中自行流出，叫做尿床。这些都是肾与膀胱俱虚且挟带寒气所致。治疗以稚肠散为主方。也有热邪客居肾部，干扰足厥阴肝经，导致前阴郁结极甚，气血不能宣通，因而痿痹，神志功能丧失，所以液体渗入膀胱，随即溺出遗失而不能收禁。这一点也不可不知。
仁斋说，小儿小便白如米泔水状，是由于乳哺喂养失节，损伤了脾胃，导致清浊不分而颜色发白。时间久了会形成疳积。这也是心膈伏热兼夹而成的。《全婴方》记载，小便初出微赤，很久后变白浊的，是热疳的邪气；初出黄白，久后白浊的，是冷疳的征候。寒证用益黄散为主方，热证用牛黄丸为主方，冷热夹杂者用芦荟丸为主方，纯下白浊者用浓朴丸为主方。各种因津液亏损欲成疳积而小便白的，可以用茯苓散治疗。
*Quan Ying Fang* records that scrotal swelling and testicular enlargement in infants result from crying and anger, causing qi rebellion and obstruction, which exploits deficiency to enter the lower jiao, leading to unilateral enlargement of the testis. Additionally, excessive consumption of sweet, fatty foods and raw/cold items generates *Gan* syndrome (malnutrition syndrome due to digestive dysfunction). The stagnant *Gan* qi fails to circulate and flows into the genital region. Alternatively, exposure to summer-heat toxicity or wind-pathogens causes blood and qi to contend with pathogenic factors, stagnating and accumulating without dispersing, thus forming scrotal swelling.
Ren Zhai states that if Kidney channel qi is deficient, or if one sits on cold stones for long periods allowing cold qi to coagulate, or stays near the ground for extended periods suffering from wind-dampness invasion, it is rare for scrotal swelling not to occur. Occasionally, intense crying and anger cause qi closure and accumulation in the lower body, combined with obstructed water passages, also triggering this disease. Treatment primarily employs *Tao Ren Wan* (Peach Kernel Pill).
Dan Xi posits that for prolapse accompanied by large, hanging scrotal swelling that does not retract, powdered perilla stems and leaves should be mixed with water, wrapped in a lotus leaf, and applied externally. Someone transmitted this formula: using wild white perilla powder, apply directly when moist, or mix with sesame oil when dry. Even in cases of skin ulceration and testicular descent, it yields miraculous effects. The use of perilla here likely shares the same therapeutic efficacy.
*Yuan Bing Shi* records that involuntary urination belongs to cold patterns. *Nei Jing* states that "inability to restrain" constitutes enuresis. Ren Zhai explains that urine is the residue of body fluids; the Kidneys govern water, and the Bladder is the fu organ of fluids. When both Kidneys and Bladder are deficient, cold qi exploits this weakness, failing to constrain water, resulting in uncontrolled urinary discharge, termed enuresis; spontaneous leakage during sleep is termed bedwetting. These are caused by dual deficiency of Kidneys and Bladder complicated by cold. Treatment primarily employs *Zhi Chang San* (Tender Intestine Powder). However, heat pathogens lodging in the Kidney region and interfering with the Foot Jueyin Liver channel can cause severe congestion at the urethral meatus. If qi and blood cannot circulate freely, flaccidity and numbness ensue, rendering neural function useless, so fluids seep into the Bladder and are involuntarily lost. This scenario must also be recognized.
Ren Zhai states that infants' urine appearing white like rice washings results from irregular feeding damaging the Spleen, causing failure to distinguish clear from turbid substances, resulting in white coloration. Prolonged occurrence leads to *Gan* syndrome. This is also attributed to latent heat in the Heart and Diaphragm. *Quan Ying Fang* notes: urine initially slightly red then turning turbid white indicates heat-*Gan* pathogens; urine initially yellow-white then turning turbid white indicates cold-*Gan* signs. Cold patterns are treated primarily with *Yi Huang San* (Benefit Yellow Powder); heat patterns with *Niu Huang Wan* (Calculus Bovis Pill); mixed cold-heat patterns with *Lu Hui Wan* (Aloe Pill); pure turbid white discharge with *Nong Po Wan* (Thick Bark Pill). For various conditions involving fluid depletion approaching *Gan* syndrome with white urine, *Fu Ling San* (Poria Powder) may be used.