局方二气丹治内虚里寒膀胱积冷阳渐微小便不禁
硫黄(研) 肉桂(各一分) 干姜(炮) 朱砂(为衣各二钱) 附子(一枚大者炮去皮脐为
末半两)
上为末糊丸如梧子大每五十丸盐汤下食前服
姜附赤石脂朱砂丹治小便数而不禁怔忪多忘魇梦不已
附子(生) 干姜(各半两) 赤石脂(一两半水飞) 朱砂(一两研)
上为细末酒糊为丸如绿豆大每十五至二三十丸大便有病米饮下小便不禁茯苓汤下
按此二方助阳之剂也
御药院方秘元丹治内虚里寒自汗时出小便不禁
白龙骨(三两) 诃子(十个) 砂仁(一两) 灵砂(二两)
上为末煮糯米粥丸如梧子大每五十丸空心盐酒下
按此固阳之剂也
济生菟丝子丸治小便多或致失禁
菟丝子(二两) 牡蛎( ) 附子(炮) 五味子 鹿茸(酒炙各一两) 苁蓉(酒浸二两)
鸡 (炙干) 桑螵蛸(酒炙各半两)
上为末酒糊丸如梧子大每七十丸空心盐汤温酒任下
三因家韭子丸治下元虚冷小便不禁或成白浊
家韭子(六两炒) 鹿茸(四两酥炙) 苁蓉(酒浸) 牛膝 熟地黄 当归(各二两) 巴戟
(去心) 菟丝子(酒浸各一两半) 杜仲 石斛 桂心 干姜(炮各一两)
上为末酒糊丸如梧子大每百丸空心汤酒任下
按此一方助阳滋阴之剂也
茯苓丸治心肾俱虚神志不守小便淋沥不禁
赤茯苓 白茯苓(等分)
上为末以新汲水挪洗澄去新沫控干别取熟地黄汁与好酒同于银石器内熬成膏搜和丸如弹
子大空心盐酒嚼下一丸
按此滋阴固真之剂也
杂方
澹寮桑螵蛸散治小便频数或如稠米泔色
桑螵蛸(盐水炙) 远志 菖蒲(盐炙) 龙骨 人参 茯神 当归 鳖甲(醋炙各等分)
上为末每二钱临卧人参汤调服
五子丸治小便频数时有白浊
菟丝子(酒蒸) 家韭子(炒) 益智仁 茴香(炒) 蛇床子(去皮炒等分)
上为末酒糊丸如桐子大每七十丸米饮盐汤任下治小便不通诸药无效或转胞至死此法用之
便自
出用猪尿胞一个底头出个小窍儿着翎筒通过放在窍内根底细线系定翎筒口子细杖子堵定上用
黄蜡封尿胞口头吹满气七分系定了再用手捻定翎筒根头放了黄蜡堵塞其翎筒放在小便头放开
翎筒根头手其气透里自然小便即出大有神效
灸小便淋涩法炒盐不以多少热填满病患脐中是神关穴也却用箸头大艾炷灸七壮良验或灸
三阴交穴
一法小水 涩以猪胆连汁笼住小便少时汁入自出妇人用药末贮袋子安入阴户中必通
局方二气丹治疗因体内虚弱、里寒、膀胱积冷导致阳气逐渐微弱、小便失禁的病证。
硫黄（研细） 肉桂（各一分） 干姜（炮制） 朱砂（作为药衣，各二钱） 附子（一枚大的，炮制后去皮和脐，研成末，半两）
以上药材研为细末，用糊剂制成梧桐子大小的丸药，每次服用五十丸，饭前用盐汤送服。
姜附赤石脂朱砂丹治疗小便频数且无法控制，伴有心悸怔忡、健忘多梦不止的症状。
附子（生用） 干姜（各半两） 赤石脂（一两半，水飞法处理） 朱砂（一两，研细）
以上药材研为细末，用酒调糊制成绿豆大小的丸药，每次服用十五至二三十丸，若大便有异常则用米饮送服，若小便不禁则用茯苓汤送服。
按语：这两首方剂都是助阳的药剂。
御药院方秘元丹治疗因体内虚弱、里寒导致的自汗时常发作、小便失禁。
白龙骨（三两） 诃子（十个） 砂仁（一两） 灵砂（二两）
以上药材研为细末，煮糯米粥为粘合剂，制成梧桐子大小的丸药，每次空腹时五十丸，用盐和酒送服。
按语：这是固阳的药剂。
济生菟丝子丸治疗小便过多或导致失禁。
菟丝子（二两） 牡蛎（未注明剂量） 附子（炮制） 五味子 鹿茸（酒炙，各一两） 肉苁蓉（酒浸，二两）
鸡内金（炙干） 桑螵蛸（酒炙，各半两）
以上药材研为细末，用酒调糊制成梧桐子大小的丸药，每次空腹时七十丸，用温酒或盐汤任其送服。
三因家韭子丸治疗下元虚冷导致的小便失禁，或发展为白浊（尿液浑浊如米泔）。
家韭子（六两，炒制） 鹿茸（四两，酥炙） 肉苁蓉（酒浸） 牛膝 熟地黄 当归（各二两） 巴戟天（去心） 菟丝子（酒浸，各一两半） 杜仲 石斛 桂心 干姜（炮制，各一两）
以上药材研为细末，用酒调糊制成梧桐子大小的丸药，每次空腹时一百丸，用汤或酒任其送服。
茯苓丸治疗心肾俱虚导致的神志不守、小便淋沥不尽且失禁。
赤茯苓 白茯苓（等分）
以上药材研为细末，用新汲取的井水搅拌清洗，沉淀后去掉表面的浮沫，控干水分。另取熟地黄汁与好酒一同在银石器中熬成膏状，用来搜索混合药末，制成弹子大小的丸药。空腹时用盐和酒嚼服一丸。
杂方
澹寮桑螵蛸散治疗小便频数，或尿液颜色像浓稠的米泔水。
桑螵蛸（盐水炙） 远志 石菖蒲（盐炙） 龙骨 人参 茯神 当归 鳖甲（醋炙，各等分）
以上药材研为细末，每次取二钱，临睡前用人参汤调服。
五子丸治疗小便频数，偶尔出现白浊。
菟丝子（酒蒸） 家韭子（炒） 益智仁 小茴香（炒） 蛇床子（去皮炒，等分）
以上药材研为细末，用酒调糊制成桐子大小的丸药，每次七十丸，用米饮或盐汤任其送服。
另外，治疗小便不通，其他药物无效，或因转胞（膀胱扭转或受压）导致濒临死亡的情况，此法可用，小便自然排出。
取一个猪尿胞，在底部钻一个小孔，将鹅毛管穿过并放入孔内，用细线系紧鹅毛管的根部，用细木棍堵住鹅毛管的口部，再用黄蜡封住尿胞的口部。向尿胞内吹入七分满的气体，系紧固定。再用手捏住鹅毛管的根部，放置好黄蜡堵塞处。将鹅毛管插入患者尿道口，放开鹅毛管根部的手，气体透入体内，小便自然流出，大有神效。
灸治小便淋涩的方法：取适量食盐炒热，填满患者的肚脐（即神阙穴），然后用筷子头粗大的艾炷灸七壮，疗效良好。或者灸三阴交穴。
另一种方法：对于小便涩滞不通，用猪胆连汁包裹住小便部位片刻，胆汁进入后小便自然排出。妇女用药末装入袋子，放入阴道内，必然通畅。
Ju Fang Er Qi Dan (Two-Qi Pill from the Imperial Formulary) treats conditions of internal deficiency and interior cold, with cold accumulation in the Bladder and gradual decline of Yang, leading to urinary incontinence.
Sulfur (ground), Rou Gui (Cinnamon Twig Bark, each 1 fen), Gan Jiang (Prepared Dried Ginger), Zhu Sha (Cinnabar, as coating, each 2 qian), Fu Zi (Aconite Root, one large piece, prepared, peeled, navel removed, ground into powder, 0.5 liang).
Grind the above ingredients into fine powder, mix with paste to make pills the size of a Chinese quince seed. Take 50 pills per dose before meals, administered with salt water.
Jiang Fu Chi Shi Zhi Zhu Sha Dan (Ginger, Aconite, Red Kaolin, and Cinnabar Pill) treats frequent urination with incontinence, accompanied by palpitations, forgetfulness, and persistent nightmare dreams.
Fu Zi (Raw Aconite Root), Gan Jiang (Dried Ginger, each 0.5 liang), Chi Shi Zhi (Red Kaolin, 1.5 liang, processed by water flotation), Zhu Sha (Cinnabar, 1 liang, ground).
Grind the above ingredients into fine powder, mix with wine paste to make pills the size of a mung bean. Take 15 to 20-30 pills per dose. If there are bowel abnormalities, administer with rice drink; for urinary incontinence, administer with Fu Ling Decoction.
Note: These two formulas are agents that assist Yang.
Yu Yao Yuan Fang Mi Yuan Dan (Secret Prime Pill from the Imperial Medical Bureau) treats internal deficiency and interior cold, causing spontaneous sweating and urinary incontinence.
Bai Long Gu (White Dragon Bone/Fossilized Bones, 3 liang), He Zi (Chebula Fruit, 10 pieces), Sha Ren (Amomum Fruit, 1 liang), Ling Sha (Spiritual Mercury/Cinnabar amalgam, 2 liang).
Grind the above ingredients into powder, use glutinous rice porridge as a binder to make pills the size of a Chinese quince seed. Take 50 pills on an empty stomach, administered with salted wine.
Note: This is an agent that secures Yang.
Ji Sheng Tu Si Zi Wan (Tu Si Zi Pill from Ji Sheng Fang) treats excessive urination or resulting incontinence.
Tu Si Zi (Dodder Seed, 2 liang), Mu Li (Oyster Shell, dosage not specified), Fu Zi (Prepared Aconite Root), Wu Wei Zi (Schisandra Berry), Lu Rong (Deer Antler Velvet, wine-fried, each 1 liang), Cong Rong (Cistanche Stem, wine-soaked, 2 liang), Ji Nei Jin (Chicken Gizzard Lining, dried-roasted), Sang Piao Xiao (Mantis Egg Case, wine-fried, each 0.5 liang).
Grind the above ingredients into powder, mix with wine paste to make pills the size of a Chinese quince seed. Take 70 pills on an empty stomach, administered with warm wine or salt water at will.
San Yin Jia Jiu Zi Wan (Jiu Zi Pill from San Yin Fang) treats lower Yuan deficiency-cold causing urinary incontinence, or progressing to white turbidity (cloudy urine like rice washings).
Jia Jiu Zi (Chinese Chive Seed, 6 liang, stir-fried), Lu Rong (Deer Antler Velvet, 4 liang, fried with butter), Cong Rong (Cistanche Stem, wine-soaked), Niu Xi (Achyranthes Root), Shu Di Huang (Prepared Rehmannia Root), Dang Gui (Angelica Sinensis Root, each 2 liang), Ba Ji Tian (Morinda Root, heart removed), Tu Si Zi (Dodder Seed, wine-soaked, each 1.5 liang), Du Zhong (Eucommia Bark), Shi Hu (Dendrobium Stem), Gui Xin (Cinnamon Heart), Gan Jiang (Prepared Dried Ginger, each 1 liang).
Grind the above ingredients into powder, mix with wine paste to make pills the size of a Chinese quince seed. Take 100 pills on an empty stomach, administered with decoction or wine at will.
Note: This formula is an agent that assists Yang and nourishes Yin.
Fu Ling Wan (Poria Pill) treats dual deficiency of Heart and Kidney, leading to unsettled spirit, dribbling urination, and incontinence.
Chi Fu Ling (Red Poria), Bai Fu Ling (White Poria, equal parts).
Grind the above ingredients into powder. Stir and wash with fresh well water, let settle, remove the surface foam, and drain dry. Separately, take juice of Shu Di Huang (Prepared Rehmannia Root) and good wine, boil in a silver or earthenware vessel until it becomes a paste. Use this paste to mix with the powder and make pills the size of a bullet. Chew one pill on an empty stomach, administered with salted wine.
Note: This is an agent that nourishes Yin and secures the True Qi.
Miscellaneous Prescriptions
Dan Liao Sang Piao Xiao San (Sang Piao Xiao Powder from Dan Liao) treats frequent urination, or urine resembling thick rice washings.
Sang Piao Xiao (Mantis Egg Case, salt-water fried), Yuan Zhi (Polygala Root), Chang Pu (Acorus Rhizome, salt-water fried), Long Gu (Dragon Bone/Fossilized Bones), Ren Shen (Ginseng Root), Fu Shen (Poria with Hostwood), Dang Gui (Angelica Sinensis Root), Bie Jia (Turtle Shell, vinegar-fried, all equal parts).
Grind the above ingredients into powder. Take 2 qian per dose, mix with Ren Shen (Ginseng) decoction before bedtime.
Wu Zi Wan (Five Seeds Pill) treats frequent urination with occasional white turbidity.
Tu Si Zi (Dodder Seed, wine-steamed), Jia Jiu Zi (Chinese Chive Seed, stir-fried), Yi Zhi Ren (Alpinia Oxyphylla Fruit), Hui Xiang (Fennel Fruit, stir-fried), She Chuang Zi (Cnidium Fruit, peeled and stir-fried, all equal parts).
Grind the above ingredients into powder, mix with wine paste to make pills the size of a paulownia seed. Take 70 pills per dose, administered with rice drink or salt water at will.
Additionally, for treating urinary retention where other medicines fail, or due to "Zhuan Bao" (bladder torsion/compression) leading to near-death states, this method can be used to naturally expel urine.
Take one pig bladder, make a small hole at the bottom, insert a goose feather tube through it into the hole, and secure the root of the tube tightly with fine thread. Block the mouth of the tube with a thin stick, and seal the mouth of the bladder with yellow wax. Blow air into the bladder until it is seven-tenths full, tie it securely. Hold the root of the feather tube firmly, place the wax-sealed end properly. Insert the feather tube into the urethral opening, release the hand holding the root of the tube, allowing the air to penetrate inside, and urine will naturally flow out. This has great efficacy.
Moxibustion method for dysuria and strangury: Stir-fry salt until hot, fill the patient's umbilicus (Shenque CV-8) completely. Then use moxa cones the size of a chopstick tip to moxibustate 7 doses (zhuang). This is effective. Alternatively, moxibustate Sanyinjiao SP-6.
Another method: For scanty and obstructed urination, cover the genital area with a pig gallbladder containing its juice for a short time; once the juice enters, urination occurs naturally. For women, store medicinal powder in a bag and insert it into the vagina; patency will surely be achieved.