治膀胱气痛。
茴香（炒） 蓬莪术 金铃子肉 京三棱（各一两，二味炮熟锉） 甘草（半两，炙）
上细末。每服二钱，热酒调下，强幼安云，每发痛甚连日，只一二服立定。
顷在徽城日，歙尉宋荀甫，膀胱气作疼不可忍，医者以刚剂与之，疼愈甚，小便不通三
日矣，脐下虚胀，心闷。予因候之，见其面赤黑，脉洪大。予曰∶投热药太过，阴阳痞塞，
气不得通。为之奈何？宋尉尚手持四神丹数粒，云∶医者谓痛不止，更服之。予曰∶若服此
定毙。后无悔，渠恳求治。予适有五苓散一两许，分三服，易其名，用连须葱一茎，茴香一
撮盐一钱，水一盏半，煎七分，令接续三服，中夜下小便如墨汁者一二升，脐下宽得睡。翌
日诊之，脉已平矣，续用 砂丸与之，数日瘥。大抵此疾因虚得之，不可以虚而骤补药。《
经》云∶邪之所凑。其气必虚，留而不去，其病则实。故必先涤所蓄之邪，然后补之，是以
诸方多借巴豆气者，谓此也。
治遗精梦漏，关锁不固，金锁丹。（亦名茴香丸）
舶上茴香（炒） 葫芦巴 破故纸（炒香） 白龙骨（以上各一两） 木香（一两半） 胡
桃肉
（三七个，研） 羊石子（三对，破开，盐半两擦炙熟，研如泥）
上五味为末，下二味同研成膏，和酒浸蒸饼杵熟，丸如梧子大。每服三五十丸，空心温
酒下。
治疗膀胱气痛。
茴香（炒制）、蓬莪术、金铃子肉、京三棱（各一两，其中两味炮制熟后切碎），甘草（半两，炙烤）。
以上药物研成细末。每次服用二钱，用热酒调服。强幼安说，每当疼痛剧烈且连续多日发作时，只需服用一两次即可立刻停止。
此前我在徽州期间，歙县县尉宋荀甫，因膀胱气发作疼痛难以忍受，医生给他使用刚烈燥热的药剂，导致疼痛更加严重，小便不通已有三天，脐下部位虚胀，心中烦闷。我前去探望，见其面色赤黑，脉象洪大。我说：“投用热药太过，导致阴阳之气痞塞不通，气机无法通畅。该怎么办呢？”宋县尉手中还拿着几粒四神丹，说：“医生说疼痛不止，让我再服用。”我说：“如果服用这个，必定致死。以后不要后悔。”他恳求治疗。我恰好有一两许的五苓散，分成三次服用，并更改方名，用连须葱一根、茴香一把、盐一钱，加水一盏半，煎至七分，让他分三次连续服下。半夜时分，排出如墨汁般的小便一二升，脐下感到宽松并能入睡。第二天诊察，脉象已经平和，随后给予砂丸服用，几天后痊愈。大体上这种病是因为虚损而得的，不能因为虚损就立即骤用补药。《内经》说：“邪气聚集的地方，正气必然虚弱；邪气停留不去，病症就会表现为实证。”所以必须先清除蓄积的邪气，然后再进行补益，这就是许多方剂中借用巴豆辛热之气的缘故。
治疗遗精梦遗，关锁不固，金锁丹。（又名茴香丸）
舶上茴香（炒制）、葫芦巴、破故纸（炒香）、白龙骨（以上各一两）、木香（一两半）、胡桃肉（三七个，研磨）、羊石子（三对，剖开，用半两盐擦匀后炙烤熟透，研磨成泥）。
以上五味药研成细末，将另外两味药同研成膏状，与酒浸过的蒸饼混合捣熟，制成梧桐子大小的丸剂。每次服用三五十丸，空腹时用温酒送服。
To treat Qi pain of the Bladder.
Foeniculi Fructus (Stir-fried), Curcumae Zedoariae Rhizoma, Semen Meliae Toosendan, Bupleuri Radix (each 1 liang; two of these are stir-fried until cooked and chopped), Glycyrrhizae Radix et Rhizoma (0.5 liang, honey-fried).
Grind the above into a fine powder. Take 2 qian each time, mixed with hot wine for administration. Qiang You'an stated that when severe pain occurs continuously for several days, only one or two doses are needed to stop it immediately.
Previously, while I was in Huizhou, Song Xunfu, the county magistrate of She County, suffered unbearable pain due to an attack of Bladder Qi. Physicians administered harsh, hot-natured medicines, which exacerbated the pain. He had been unable to urinate for three days, experiencing distension below the umbilicus and chest oppression. Upon visiting him, I observed his face was dark red and his pulse was flooding and large. I said, "The excessive use of hot medicines has caused a blockage of Yin and Yang, preventing the free flow of Qi. What should be done?" The magistrate still held several pills of Sishen Dan in his hand, saying, "The physician advised taking more since the pain persists." I replied, "If you take this, you will certainly die. Do not regret it later." He earnestly begged for treatment. I happened to have about 1 liang of Wuling San, divided into three doses. I altered its name and prescribed it with a stalk of green onion with roots, a pinch of Foeniculi Fructus, and 1 qian of salt. Added with 1.5 sheng of water, it was decocted until reduced to 0.7 sheng. He was instructed to take the three doses consecutively. In the middle of the night, he passed one to two sheng of urine as dark as ink, and felt relief below the umbilicus, allowing him to sleep. The next day, upon examination, his pulse had normalized. Subsequently, Sha Wan was administered, and he recovered after several days. Generally, this disease arises from deficiency. One should not abruptly tonify simply because there is deficiency. The *Neijing* states: "Where pathogenic factors gather, the Qi must be deficient; if they remain and do not depart, the pathology manifests as excess." Therefore, one must first purge the accumulated pathogens before tonifying. This is why many formulas utilize the acrid-hot nature of Crotonis Fructus (Badou), referring to this principle.
To treat spermatorrhea and nocturnal emission, where the closure is not secure, Jin suo Dan (Golden Lock Pill) (also known as Foeniculi Pill).
Foeniculi Fructus (from overseas, stir-fried), Trigonellae Foenum-graeci Semen, Psoraleae Fructus (stir-fried until fragrant), Os Draconis (above each 1 liang), Aquilariae Lignum Resinatum (1.5 liang), Juglandis Semen (3-7 kernels, ground), Testes Ovis (3 pairs, split open, rubbed with 0.5 liang of salt, roasted until cooked through, and ground into paste).
Grind the above five herbs into a powder. Grind the other two ingredients into a paste. Mix with steamed dough soaked in wine, pound until cooked and cohesive. Form pills the size of mulberry seeds. Take 30-50 pills each time on an empty stomach, washed down with warm wine.