固脬丸 治虚寒。小便不禁。
菟丝子(酒浸一宿。煮烂捣丝作饼。焙干。二两) 茴香(去子。一两) 附子(炮) 桑螵蛸
(破开。酥炙) 戎盐(各半两)
为末。干山药末糊丸。梧子大。空心酒下五十丸。
加减桑螵蛸散 治阳气虚弱。小便频数。或遗溺。
桑螵蛸(三十枚。酥炙) 鹿茸(一对。酥炙) 黄 (三两。蜜酒炙) 麦门冬(去心。
二两半) 五味子(半两) 补骨脂(盐酒炒) 人参
浓杜仲(盐酒炒。各三两)
为散。每服三钱。空心羊肾煎汤调服。并用红酒细嚼羊肾。或羊肾汤泛为丸。空心酒下三钱。
缩泉丸 治脬气不足。小便频数。昼甚于夜。
益智仁(盐拌炒。去盐) 乌药(等分)
为末。酒煮干山药糊丸。梧子大。每服五七十丸。空心淡盐汤送下。
萆 厘清饮 治白浊凝如膏糊。小便频数。
益智仁(盐水拌一宿。炒) 乌药 石菖蒲(盐水炒) 川萆 (等分。大块色白兼黄。咀
之气腥而松脆者真)
为散。每服四钱。入盐一捻水煎热服。 精通尾膂。溲出膀胱。泾渭攸分。源流各异。详溲便
之不禁。乃下焦阳气失职。故用益智之辛温以约制之。得盐之润下。并乌药亦不致于上窜也。独是
胃中浊湿下渗。非萆 无以清之。兼菖蒲以通九窍。利小便。略不及于收摄肾精之味。厥有旨哉。
钱氏六味丸(崔氏八味丸下) 崔氏八味丸(方祖) 生料鹿茸丸(虚损门) 加减八味丸(
崔氏八味丸下) 补中益气汤(保元汤下)
五苓散(方祖) 黄芩清肺饮(栀子豉汤下) 滋肾丸(大补丸下) 龙胆泻肝汤(胁痛门)
白虎加人参汤(白虎汤下)
茯苓甘草汤(桂枝汤下) 肾沥汤(痹门) 地黄饮子(中风门) 生脉散(方祖) 导赤散(
暑门)
固脬丸:治疗虚寒证引起的小便失禁。
菟丝子(用酒浸泡一夜,煮烂后捣碎成丝做成饼状,焙干,用量二两) 小茴香(去掉种子,用量一两) 附子(炮制过的) 桑螵蛸(剖开,用酥油炙烤) 戎盐(以上五味药各半两)
将上述药物研成细末,用干山药粉制成的糊作为粘合剂,制成梧桐子大小的丸剂。空腹时,用酒送服五十丸。
加减桑螵蛸散:治疗阳气虚弱导致的小便频数,或遗尿。
桑螵蛸(三十枚,用酥油炙烤) 鹿茸(一对,用酥油炙烤) 黄芪(三两,用蜂蜜和酒炙烤) 麦门冬(去掉心,用量二两半) 五味子(半两) 补骨脂(用盐和酒炒制) 人参 浓杜仲(用盐和酒炒制,以上五味药各三两)
将上述药物研成散剂。每次服用三钱,空腹时用羊肾煎汤调服。同时配合红酒细细咀嚼羊肾食用,或者将羊肾汤泛制成丸剂,空腹时酒送服三钱。
缩泉丸:治疗膀胱气虚引起的小便频数,白天症状比夜间严重。
益智仁(用盐拌炒,去盐) 乌药(两者等分)
将上述药物研成细末,用酒煮干山药糊制成梧桐子大小的丸剂。每次服用五七十丸,空腹时用淡盐水送服。
萆薢分清饮:治疗白浊症,尿液浑浊如膏糊状,小便频数。
益智仁(用盐水浸泡一夜,炒制) 乌药 石菖蒲(用盐水炒制) 川萆薢(以上四味药等分。选取大块、颜色白中带黄、嚼之有腥味且质地松脆者为真品)
将上述药物研成散剂。每次服用四钱,加入一撮盐,用水煎热后服用。此方精通于尾闾和脊柱部位,使尿液从膀胱排出,清浊分离,源流各异。详细分析小便不禁的症状,是由于下焦阳气功能失职所致,因此使用益智仁的辛温之性来约束控制它;借助盐的润下作用,加上乌药也不至于向上窜动。唯独对于胃中浊湿下渗的情况,非用萆薢不能清除,兼用石菖蒲以通利九窍,利小便。此方略微不涉及收敛肾精的药物,这其中有深意所在。
钱氏六味丸(见崔氏八味丸下方) 崔氏八味丸(方剂祖本) 生料鹿茸丸(见虚损门) 加减八味丸(见崔氏八味丸下方) 补中益气汤(见保元汤下方)
五苓散(方剂祖本) 黄芩清肺饮(见栀子豉汤下方) 滋肾丸(见大补丸下方) 龙胆泻肝汤(见胁痛门)
白虎加人参汤(见白虎汤下方)
茯苓甘草汤(见桂枝汤下方) 肾沥汤(见痹门) 地黄饮子(见中风门) 生脉散(方剂祖本) 导赤散(见暑门)
Guobao Wan (Bladder-Stabilizing Pill): Treats urinary incontinence caused by deficiency-cold.
Cuscutae Semen (Dodder Seed) (soaked in wine for one night, boiled until soft, pounded into threads to form cakes, dried; dosage: 2 liang) Foeniculi Fructus (Fennel Fruit) (seeds removed; dosage: 1 liang) Aconiti Lateralis Radix Praeparata (Prepared Aconite Root) Sangpiaoxiao (Mantis Egg Case) (split open, roasted with rendered animal fat) Rongyan (Rocksalt) (dosage of each: half a liang)
Pound the above ingredients into fine powder. Use powder from dried Dioscoreae Rhizoma (Chinese Yam) mixed with water to form a paste as a binder. Roll into pills the size of wu zi (wu-tzu seeds). Take 50 pills orally on an empty stomach with wine.
Jiajian Sangpiaoxiao San (Modified Mantis Egg Case Powder): Treats frequent urination or enuresis due to deficiency of yang qi.
Sangpiaoxiao (Mantis Egg Case) (30 pieces, roasted with rendered animal fat) Cervi Cornu Pantotrichum (Deer Antler without Horn) (one pair, roasted with rendered animal fat) Astragali Radix (Astragalus Root) (3 liang, stir-fried with honey and wine) Ophiopogonis Radix (Ophiopogon Root) (heart removed; dosage: 2.5 liang) Schisandrae Fructus (Schisandra Berry) (half a liang) Psoraleae Fructus (Psoralea Fruit) (stir-fried with salt and wine) Ginseng Radix et Rhizoma (Ginseng Root and Rhizome) Eucommiae Cortex (Eucommia Bark) (stir-fried with salt and wine; dosage of each: 3 liang)
Grind the above ingredients into powder. Take 3 qian per dose. Mix with decoction prepared from sheep kidneys and take orally on an empty stomach. Additionally, chew sheep kidneys finely with red wine, or mix sheep kidney decoction with powder to form pills. Take 3 qian orally on an empty stomach with wine.
Suquan Wan (Water-Contracting Pill): Treats frequent urination due to insufficiency of bladder qi, where symptoms are worse during the day than at night.
Yizhiren (Bitter Almond Seed / Broussonetia papyrifera seed? Note: In TCM context usually refers to Alpinia oxyphylla fruit, here translated as Yizhi Ren) (stir-fried with salt, remove salt) Linderae Radix (Lindera Root) (equal parts)
Pound the above ingredients into fine powder. Use wine-boiled dried Dioscoreae Rhizoma paste to form pills the size of wu zi. Take 50-70 pills per dose. Swallow with light salt water on an empty stomach.
Bixie Fenqing Yin (Dioscorea Hypoglauca Clearing Decoction): Treats white turbidity where urine is thick like paste, accompanied by frequent urination.
Yizhiren (Bitter Almond Seed) (soaked in salt water for one night, stir-fried) Linderae Radix (Lindera Root) Acori Tatarinowii Rhizoma (Tatarian Sweetflag Rhizome) (stir-fried with salt water) Dioscoreae Hypoglaucae Rhizoma (Dioscorea Hypoglauca Rhizome) (equal parts of all four. Authentic material is large, white with yellowish tinge, smells fishy when chewed, and is loose and brittle)
Grind the above ingredients into powder. Take 4 qian per dose. Add a pinch of salt, decoct with water, heat, and take orally. This formula acts upon the tailbone and spine, ensuring urine exits from the bladder, separating clear from turbid, distinguishing source from flow. Detailed analysis of urinary incontinence indicates it results from the failure of lower jiao (lower burner) yang qi to perform its functions. Therefore, the acrid-warm nature of Yizhi Ren is used to restrain and control it. With the moistening and downward-draining action of salt, and Lindera preventing upward dispersion, the effect is balanced. However, for turbid dampness seeping down from the stomach, only Dioscoreae Hypoglaucae Rhizoma can clear it. Combined with Acori Tatarinowii Rhizoma to unblock the nine orifices and promote urination, this formula slightly omits herbs that astringe kidney essence, which holds profound significance.
Qianshi Liuwei Wan (Qian's Six-Ingredient Pill) (see below Cui Shi Bawei Wan) Cui Shi Bawei Wan (Cui's Eight-Ingredient Pill) (Ancestral Formula) Shengliao Lurong Wan (Raw Material Deer Antler Pill) (see Deficiency Damage Section) Jiajian Bawei Wan (Modified Eight-Ingredient Pill) (see below Cui Shi Bawei Wan) Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (see below Baoyuan Tang)
Wuling San (Five-Ingredient Powder) (Ancestral Formula) Huangqin Qingfei Yin (Scutellaria Lung-Clearing Decoction) (see below Zhizi Chi Tang) Zishen Wan (Kidney-Nourishing Pill) (see below Dabu Wan) Longdan Xiegan Tang (Gentian Liver-Draining Decoction) (see Hypochondriac Pain Section)
Baitohu Jiaren Shen Tang (White Tiger Plus Ginseng Decoction) (see below Baitohu Tang)
Fuling Jiangzhu Tang (Poria, Ginger, and Licorice Decoction) (see below Guizhi Tang) Shenli Tang (Kidney-Drip Decoction) (see Bi Syndrome Section) Dihuang Yinzi (Rehmannia Infusion) (see Stroke Section) Shengmai San (Generate the Pulse Powder) (Ancestral Formula) Daochi San (Direct Redness-Removing Powder) (see Summerheat Section)