（附频数遗沥）
李士材治张方伯夫人，患饮食不进，小便不禁。李曰∶六脉沉迟，水泉不藏，是无火也。投以八味丸料，
兼进六君子加益智仁、肉桂，二剂减，数剂瘳。
俞文学忧愤经旬，忽然小便不禁，医皆以固脬补肾之剂投之，凡一月转甚。李诊之，曰∶六脉举之则软，
按之则坚，此肝肾之阴有伏热也。用丹皮、茯苓各二钱，甘草梢六分，黄连一钱，煎成，调黄鸡汤与服，六剂
而安矣。适有吴门医者曰∶既愈当大补之。数日后仍复不禁，再求治。李曰∶肝家素有郁热，得滋补而转炽。
遂以龙胆泻肝汤加黄鸡汤服之，四剂即止。更以四君子加黄连、山栀，一月而痊。
张三锡治一人，病风狂，服甘遂等利药太过，小水不禁，服桑螵蛸散，未终一料而安。真桑螵蛸同桑皮炒、
远志、菖蒲、龙骨、人参、茯苓、当归、龟板醋炙，已上各一两，为末，以参汤调下二钱。
薛立斋治一妇人，患小便频数，日晡热甚。此肝脾血虚气滞而兼湿热也，用加味逍遥散加车前子而愈。
一妇人患前症，发热烦躁，面目赤色，脉洪大而虚。此血虚发躁，用当归补血汤，数剂而痊。
一妇人久患前症，泥属于火，杂用寒凉之剂，虚症悉具。曰∶此脾胃亏损，而诸经病也，当补中气为主。
遂以六君、补中二汤兼服，两月余而愈。
刘大参年逾六旬，形气瘦弱，小便不禁，或烦数，内热口干，或咳痰喘晕。此肺肾气虚，用六味丸、益气
汤以滋化源。彼不信，反服补阴降火涩精之剂，阴囊作痛，或小便不利。仍服前药不两月而愈。
王执中壮年寓学，忽有遗沥之患。因阅方书，见有用五倍子末酒调服者，服之愈。药若相投，岂在多品？
而亦无事于灸也。（《资生经》。）
（附：尿频、尿后余沥不尽）
李士材诊治张方伯的夫人，患者饮食不进，小便失禁。李士材说：“六脉沉迟，肾与膀胱气化功能失常导致尿液失控，这是命门火衰（肾阳不足）的表现。”于是投用八味丸（即金匮肾气丸，含熟地黄、山药、山茱萸、泽泻、茯苓、牡丹皮、桂枝、附子）的药料，同时配合服用六君子汤（人参、白术、茯苓、甘草、陈皮、半夏）加益智仁、肉桂，服用两剂后症状减轻，数剂后痊愈。
俞文学因忧愁愤懑持续多日，突然发生小便失禁，医生们都用固脬（加固膀胱约束力）和补肾的药物进行治疗，服药一个月后病情反而加重。李士材诊察后说：“六脉轻取则软弱无力，重按则坚实有力，这是肝肾之阴中有伏热（潜藏的热邪）。”于是使用牡丹皮、茯苓各二钱，甘草梢六分，黄连一钱，煎煮成药汁，调入黄鸡汤中让患者服用，六剂后病情安定。恰逢有一位苏州地区的医生说：“既然已经痊愈，应当大补元气。”几天后小便失禁再次发作，再次求治。李士材说：“肝经素有郁热，得到滋补后火热更加炽盛。”于是改用龙胆泻肝汤（龙胆草、黄芩、栀子、泽泻、木通、车前子、当归、生地黄、柴胡、甘草）加入黄鸡汤服用，四剂后症状停止。随后改用四君子汤（人参、白术、茯苓、甘草）加黄连、山栀，一个月后痊愈。
张三锡诊治一名患有风狂病的人，因为服用甘遂等峻下逐水药太过猛烈，导致小便失禁，服用桑螵蛸散（桑螵蛸、远志、菖蒲、龙骨、人参、茯神、当归、龟甲），尚未服完一料药便安然无恙。真桑螵蛸同桑白皮炒制，配伍远志、石菖蒲、龙骨、人参、茯苓、当归、醋炙龟板，以上各一两，研为细末，用人参汤调服二钱。
薛立斋诊治一名妇人，患小便频数，傍晚时分发热严重。这是肝脾血虚、气机阻滞兼有湿热的表现，使用加味逍遥散（逍遥散加丹皮、栀子）加车前子而痊愈。
另一名妇人患上述病症，发热烦躁，面色红赤，脉象洪大而虚。这是血虚导致的烦躁，使用当归补血汤（黄芪、当归），数剂后痊愈。
又一名妇人长期患上述病症，固执地认为属于火证，杂乱使用寒凉药物，导致虚损症状全部显现。薛立斋说：“这是脾胃亏损，进而影响各条经脉的疾病，应当以补益中气为主。”于是将六君子汤和补中益气汤合并服用，两个多月后痊愈。
刘大参年过六十，形体瘦弱，气息微弱，小便失禁，有时心烦尿频，内热口干，有时咳嗽痰多、气喘头晕。这是肺肾气虚，使用六味地黄丸（熟地黄、山药、山茱萸、泽泻、茯苓、牡丹皮）和益气汤来滋养化源（补益肺气以生肾水）。他不相信此法，反而服用滋阴降火、固涩精液的药物，导致阴囊疼痛，有时小便不利。后来仍然服用之前的药物，不到两个月便痊愈了。
王执中壮年时寓居求学，忽然患上遗沥（小便淋漓不尽）的毛病。因为翻阅医书，见到有用五倍子粉末酒调服治愈的案例，他服用后也痊愈了。药物如果对症，难道在于种类繁多吗？同时也无需进行艾灸治疗。（出自《资生经》。）
(Attached: Frequent Urination and Post-void Dribbling)
Li Shicai treated the wife of Vice Minister Zhang, who suffered from an inability to eat and urinary incontinence. Li stated, "The six pulses are deep and slow; the 'Water Spring' (referring to the bladder/kidney system regulating urine) is not contained, indicating a lack of Fire (Mingmen Fire deficiency)." He administered the ingredients of Bawei Wan (Eight-Ingredient Pill / Jin Gui Shen Qi Wan), concurrently with Liu Junzi Tang (Six-Gentlemen Decoction) augmented with Yizhiren (Pollen Typhae / Oriental Cattail Pollen) and Rougui (Cortex Cinnamomi / Cinnamon Bark). After two doses, symptoms decreased; after several doses, she recovered.
Yu Wenxue, due to prolonged worry and indignation, suddenly experienced urinary incontinence. Physicians all prescribed formulas for securing the bladder (Gupao) and tonifying the kidneys. After one month of treatment, the condition worsened. Li examined him and said, "The six pulses are soft when lightly pressed but firm when heavily pressed; this indicates latent heat within the Yin of the Liver and Kidneys." He used Mudanpi (Cortex Moutan / Tree Peony Bark) and Fuling (Poria / Poria cocos) each at 2 qian, Gancaoshao (Radix Glycyrrhizae / Licorice Root tip) at 0.6 qian, and Huanglian (Rhizoma Coptidis / Coptis Rhizome) at 1 qian. The decoction was prepared and mixed with Huangji Tang (Chicken Broth) for administration. After six doses, he stabilized. A physician from Wu men (Suzhou area) remarked, "Since he has recovered, he should be strongly tonified." Several days later, incontinence recurred, and he sought treatment again. Li said, "The Liver channel has had chronic stagnant heat; tonification caused the heat to flare up." Consequently, Longdan Xiegan Tang (Gentiana Decoction to Drain the Liver) was added to Chicken Broth and administered. After four doses, it stopped. Subsequently, Sijunzi Tang (Four-Gentlemen Decoction) was augmented with Huanglian and Zhizi (Fructus Gardeniae / Gardenia Fruit), and he recovered after one month.
Zhang Sanxi treated a man suffering from wind-madness (psychiatric disorder). Due to excessive use of harsh purgatives such as Gansui (Radix Euphorbiae Kansui / Kansui Root), he developed urinary incontinence. He took Sangpiaoxiao San (Mantis Egg-case Powder) and recovered before finishing one dose. The formula consisted of true Sangpiaoxiao (Oötheca Mantidis / Mantis Egg-case) stir-fried with Sangpí (Cortex Mori / Mulberry Bark), Yuanzhi (Radix Polygalae / Polygala Root), Changpu (Rhizoma Acori Tatarinowii / Sweet Flag Rhizome), Longgu (Os Draconis / Fossil Bone), Renshen (Radix Ginseng / Ginseng Root), Fuling (Poria), Danggui (Radix Angelicae Sinensis / Chinese Angelica Root), and Guiban (Carapax et Plastrum Testudinis / Turtle Shell) calcined with vinegar. Each ingredient was processed to 1 liang, ground into powder, and taken with Renshen Tang (Ginseng Decoction), 2 qian per dose.
Xue Lizhai treated a woman suffering from frequent urination, with severe fever in the late afternoon. This was attributed to Blood deficiency and Qi stagnation of the Liver and Spleen, complicated by damp-heat. She was cured using Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) augmented with Cheqianzi (Semen Plantaginis / Plantago Seed).
Another woman suffered from the same condition, with fever, irritability, red face and eyes, and a pulse that was large and empty. This was identified as irritability due to Blood deficiency. She was treated with Danggui Buxue Tang (Angelica Tonifying the Blood Decoction) and recovered after several doses.
A third woman had long suffered from this condition, stubbornly believing it was a Fire syndrome, and indiscriminately used cold-natured drugs, resulting in complete manifestation of deficiency symptoms. Xue said, "This is damage to the Spleen and Stomach, affecting the meridians; the primary approach should be tonifying Middle Qi." Thus, Liu Junzi Tang and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) were taken together, and she recovered after more than two months.
Liu Dashen, over sixty years old, was thin and weak in form and Qi, suffering from urinary incontinence, sometimes with irritability and frequent urination, internal heat, dry mouth, or cough with phlegm, asthma, dizziness. This was Lung and Kidney Qi deficiency. He was treated with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) and Yiqi Tang to nourish the source of transformation (generating Qi). He did not believe in this method and instead took Yin-nourishing, fire-draining, and essence-astringing agents, which led to scrotal pain and sometimes difficulty in urination. He eventually resumed taking the previous medicines and recovered in less than two months.
Wang Zhizhong, while studying away from home in his prime, suddenly suffered from post-void dribbling. Upon consulting medical texts, he found a case where Wubeizi (Galla Chinensis / Chinese Gall) powder mixed with wine was curative. He took it and recovered. If a medicine matches the pathology, does it need to be complex? Nor was moxibustion necessary. (From *Zisheng Jing*.)