三阳合病腹满身重难转侧口中不仁面垢谵语遗尿自汗者不可汗不可下宜少与白虎汤（详身重）
风温病脉浮自汗出体重多眠若下之则小便不利直视失溲（详风温）
杨氏（士瀛）曰膀胱潴水下焦不摄则亦遗溺经云邪中下焦阴气为栗足膝逆冷便溺妄出合用四逆汤下焦蓄血小腹结急
小便自利不禁轻者桃仁承气汤重者抵当汤
寸口脉微而涩微者卫气不行涩者荣气不逮荣卫不能相将三焦无所仰身体痹不仁荣气不足则烦疼口难言卫气虚则恶
寒数欠三焦不归其部上焦不归者噫而吞酢中焦不归者不能消谷引食下焦不归者则遗溺咳而小便利若失小便者不可发汗
汗出则四肢厥冷太阳病火熨其背大汗出谵语十余日振栗下利欲小便不得反呕而失溲者此为欲解也（详谵语）遗溲狂言目
反直视者此为肾绝
吴 凡遗尿者小便自出而不知也其热盛神昏遗尿者为可治若阴证下寒逆冷遗尿脉沉微者多难治宜附子汤加干姜
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智子以温其下也若厥阴囊缩厥冷脉微遗尿者四逆加吴茱萸汤温之阳不回者死凡伤寒汗下后热不解阴虚火动而遗尿者以
人参三白汤加知母黄柏或补中益气汤加知母黄柏麦门冬生地黄五味子之类主之若狂言直视谵语遗尿者此为肾绝内经言
膀胱不利为癃不约则遗溺又曰水泉不止者膀胱不藏也盖肾与膀胱为表里肾虚则膀胱之气不约故遗尿也要在滋补膀胱之
气也东垣谓溲便遗失为肺金虚又当补肺气也大抵肺虚肾虚热甚者皆可治惟肾绝遗尿则不可治此下焦气绝不归其部故也
三阳经同时受病，出现腹部胀满、身体沉重难以翻身转侧、口中感觉麻木不仁、面部污垢、胡言乱语、遗尿、自汗等症状的，不可使用发汗法，也不可使用泻下法，适宜少量给予白虎汤（详见身重条）。
风温病，脉象浮，自汗出，身体沉重，嗜睡，如果误用泻下法，则会导致小便不利、两眼直视、大小便失禁（详见风温条）。
杨士瀛说：膀胱内尿液积聚，下焦不能固摄，也会导致遗尿。《内经》说：邪气侵入下焦，阴气战栗，足膝逆冷，大小便失控，应当合用四逆汤。下焦蓄血证，小腹拘急结硬，小便自利且不禁，轻症用桃仁承气汤，重症用抵当汤。
寸口脉微而涩，微表示卫气运行不畅，涩表示营气到达不足，营卫不能相互协调，三焦无所依赖，身体麻痹不仁。营气不足则烦痛、口难言；卫气虚则恶寒、频繁呵欠。三焦之气不归其本位：上焦之气不归则嗳气、吞酸；中焦之气不归则不能消化谷物、牵引饮食；下焦之气不归则遗尿、咳嗽而小便通利，若像失去控制一样小便失禁，不可发汗。发汗则导致四肢厥冷。太阳病用火熨背部，大汗出后胡言乱语，十余日后出现振颤栗抖、下利，想小便却不得，反而呕吐并大小便失禁的，这是正气来复欲解的表现（详见谵语条）。若遗尿、狂言、两眼反张直视的，这是肾气绝的表现。
吴崑说：遗尿是小便自行流出而不知晓。如果是热盛神昏导致的遗尿，属于可治之证；如果是阴证下寒、逆冷导致的遗尿，脉象沉微的，大多难治，宜用附子汤加干姜、益智仁以温补下焦。如果是厥阴病，囊缩、厥冷、脉微、遗尿的，用四逆加吴茱萸汤温之，阳气不能回复的会死亡。凡是伤寒经过发汗或泻下后，热势不解，阴虚火动而遗尿的，用人参三白汤加知母、黄柏，或者补中益气汤加知母、黄柏、麦门冬、生地黄、五味子等为主治方。如果是狂言、直视、胡言乱语、遗尿的，这是肾气绝的表现。《内经》说：膀胱气化不利则为癃闭，约束无力则遗尿；又说：水泉不止（小便频数失禁）是膀胱不能藏精。肾与膀胱互为表里，肾虚则膀胱之气不能约束，所以遗尿，关键在于滋补膀胱之气。李东垣认为小便遗失是肺金虚弱，又应当补肺气。大抵肺虚、肾虚、热盛的都可以治疗，只有肾气绝导致的遗尿才不可治，这是因为下焦气绝，不归其本位所致。
When the three yang meridians are simultaneously affected, presenting with abdominal fullness, heaviness of the body making it difficult to turn or shift position, numbness and insensitivity in the mouth, facial greasiness/dirtiness, delirium, urinary incontinence, and spontaneous sweating, sweating methods (diaphoresis) and purgative methods should not be used. It is appropriate to administer a small amount of Baihu Tang (White Tiger Decoction) (see entry on Body Heaviness).
In Fengwen disease (Wind-Warmth disease), the pulse is floating, there is spontaneous sweating, body heaviness, and somnolence. If purgatives are mistakenly used, it will result in difficulty in urination, fixed staring of the eyes, and loss of control over both urine and stool (see entry on Wind-Warmth).
Yang Shiyingsaid: When urine accumulates in the Bladder (Zang organ) and the Lower Jiao (Lower Burner) fails to secure it, urinary incontinence may also occur. The Classic states: "When pathogenic factors invade the Lower Jiao, Yin Qi trembles, causing coldness in the feet and knees, and involuntary discharge of urine and feces." In such cases, Sini Tang (Frigid Extremities Decoction) should be used. For Blood Stasis accumulating in the Lower Jiao, characterized by tightness and urgency in the lower abdomen, with free urination and lack of retention, mild cases are treated with Tao Ren Chengqi Tang (Peach Kernel and Rhubarb Decoction), while severe cases are treated with Didang Tang (Definitely Should Take Decoction).
The pulse at the Cun Kou (Radial artery at the wrist) is faint (Wei) and choppy (Se). Faint indicates that Wei Qi (Defensive Qi) does not circulate freely; choppy indicates that Ying Qi (Nutritive Qi) fails to reach its destination. When Ying and Wei Qi cannot coordinate, the Three Jiao (Triple Burner) lacks support, leading to bodily numbness and insensitivity. Insufficiency of Ying Qi causes irritability and pain, and difficulty in speaking; deficiency of Wei Qi causes aversion to cold and frequent yawning. When the Qi of the Three Jiao fails to return to its proper location: if the Upper Jiao fails to return, belching and acid regurgitation occur; if the Middle Jiao fails to return, inability to digest grains and craving for food occur; if the Lower Jiao fails to return, urinary incontinence, coughing, and clear urination occur. If urination seems completely lost/uncontrolled, sweating methods must not be used. Sweating would lead to coldness of the four extremities. In Taiyang disease (Disease of the Taiyang Meridian), if the back is scorched with hot iron, causing profuse sweating followed by delirium, and after more than ten days, trembling, chills, diarrhea, desire to urinate but inability to do so, vomiting, and loss of control over urine and stool occur, this indicates that the pathogen is about to resolve (see entry on Delirium). However, if urinary incontinence, wild speech, and upward-turned fixed staring occur, this indicates the exhaustion of Kidney Qi.
Wu Kun stated: Urinary incontinence refers to the involuntary leakage of urine without awareness. If caused by excessive heat and clouded spirit, it is treatable. If caused by Yin syndrome with cold in the lower part and reversed coldness, with a deep and faint pulse, it is mostly difficult to treat. One should use Fuzi Tang (Aconite Decoction) added with Ganjiang (Dried Ginger) and Yizhi Zi (Alpinia Oxyphylla Fruit) to warm the Lower Jiao. In Jueyin disease, if testicular retraction, cold limbs, faint pulse, and urinary incontinence occur, Sini Tang added with Wuzhuyu (Evodia Fruit) should be used to warm the body; if Yang Qi does not return, death ensues. Generally, after sweating or purging in Shanghan (Cold Damage diseases), if heat persists due to Yin deficiency and hyperactive fire causing urinary incontinence, Renshen Sanbai Tang (Ginseng and Three Whites Decoction) added with Zhimu (Anemarrhena Rhizome) and Huangbai (Phellodendron Bark), or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Zhimu, Huangbai, Maidong (Ophiopogon Tuber), Shengdihuang (Rehmannia Root), and Wuweizi (Schisandra Berry) should be used as the main treatment. If wild speech, fixed staring, delirium, and urinary incontinence occur, this indicates the exhaustion of Kidney Qi. The Inner Classic states: "If the Bladder's Qi transformation is obstructed, it leads to strangury; if it lacks restraint, it leads to incontinence." It also states: "Unceasing flow of water (urine) indicates the Bladder fails to store." The Kidney and Bladder are interior-exteriorly related. Kidney deficiency leads to the Bladder's Qi failing to restrain, resulting in incontinence. The key lies in tonifying the Qi of the Bladder. Li Dongyuan stated that loss of urine and feces is due to deficiency of Lung Metal, and thus Lung Qi should be tonified. Generally, deficiency of Lung Qi, deficiency of Kidney Qi, and excessive heat are all treatable. Only urinary incontinence caused by the exhaustion of Kidney Qi is untreatable, because this results from the exhaustion of Qi in the Lower Jiao, failing to return to its proper location.