承浆、主小便不禁。(见便黄。)关元、(又主妇人小便数泄不止。)涌泉、主小便数。
少
府、主阴暴痛遗尿。(千)关门、中府、(甲作委中。)神门、主遗尿。阴陵泉、阳陵泉、
主失禁遗尿不自知。太冲、主女遗尿。(见疝。)关门、治遗溺善满。(铜)箕门、(见
淋。)通里、(见伤寒。千同。)大敦、(见疝。)膀胱俞、(见便赤。)太冲、(见小便不利。
)委中、(见腰脊。)神门、治遗溺。(见心烦。)阴包、治遗溺不禁。(见腰痛。)遗溺、
灸阳陵泉或足阳明。各随年。(千)遗溺失禁。出不自知。灸阴陵泉随年。小便失禁。灸大
敦。或行间七壮。尿床。灸脐下横文七壮。妇人遗尿。灸横骨七壮。小儿遗尿。灸脐下
寸半随年。又灸大敦三壮。(余见千金。)曲泉、阴谷、阴陵泉、复溜。(此诸穴断小便利
大佳。不损阳气。亦云止遗尿。)
大肠俞、次 、主大小便利。阳纲、主大便不节。(明同。)肠鸣泄注。小便赤黄。
、主尻中肿。大便直出。阴胞有寒。小便不利。屈骨端、主大便泄数。小便不利。并灸天
枢。丹田、主泄利不禁。小腹绞痛。关元、疗泄痢虚胀。小便难。(明)魂门、治大便
不节。(铜)老小大便失禁。灸两足大指去甲一寸三壮。又灸大指岐间各三壮。(千)三里、
大便不禁。病亦 矣。神阙、石门、丹田、屈骨端等。皆是穴处。宜速灸之。予顷患脾泄。
医谓有积。以冷药利之。大便不禁。服镇灵丹十余丸。午夜各数丸而愈。今人服此丹三五丸
不效。则不服。是以一勺水救舆薪火也。可乎哉。
承浆穴,主治小便失禁。(参见“小便黄”条目。)关元穴,(又主治妇人尿频、尿泄不止。)涌泉穴,主治尿频。
少府穴,主治阴部突发疼痛及遗尿。(《千金方》记载。)关门穴、中府穴,(《甲乙经》作委中穴。)神门穴,主治遗尿。阴陵泉穴、阳陵泉穴,主治二便失禁且自己不知晓。太冲穴,主治女性遗尿。(参见“疝气”条目。)关门穴,治疗遗尿且伴有腹部胀满。(《铜人腧穴针灸图经》记载。)箕门穴,(参见“淋证”条目。)通里穴,(参见“伤寒”。《千金方》相同。)大敦穴,(参见“疝气”条目。)膀胱俞穴,(参见“小便赤”条目。)太冲穴,(参见“小便不利”。)委中穴,(参见“腰脊病”。)神门穴,治疗遗尿。(参见“心烦”。)阴包穴,治疗遗尿失禁。(参见“腰痛”。)对于遗尿,可灸阳陵泉穴或足阳明胃经的穴位,根据患者年龄决定壮数。(《千金方》记载。)遗尿失禁,不由自主地流出。灸阴陵泉穴,根据年龄决定壮数。小便失禁,灸大敦穴。或者灸行间穴七壮。尿床,灸脐下横纹处七壮。妇人遗尿,灸横骨穴七壮。小儿遗尿,灸脐下一寸半处,根据年龄决定壮数。另外再灸大敦穴三壮。(其余内容参见《千金方》。)曲泉穴、阴谷穴、阴陵泉穴、复溜穴,(这几个穴位对于断绝小便频利效果极佳,且不损伤阳气。也有说法认为能止遗尿。)
大肠俞穴、次髎穴,主治大小便失禁。阳纲穴,主治大便失控。(《明堂经》相同。)肠鸣泄泻如水注,小便赤黄。次髎穴,主治尻部肿胀。大便直出。阴胞有寒邪,小便不利。屈骨端穴(即会阴穴),主治大便泄泻次数多,小便不利。并灸天枢穴。丹田穴,主治泄泻失禁。小腹绞痛。关元穴,治疗泄痢引起的虚胀,小便困难。(《明堂经》记载。)魂门穴,治疗大便失控。(《铜人腧穴针灸图经》记载。)老人和小孩大便失禁,灸两脚大拇指指甲角旁一寸处各三壮。另外再灸大拇指趾缝间各三壮。(《千金方》记载。)足三里穴,治疗大便失禁。病情也已经很严重了。神阙穴、石门穴、丹田穴、屈骨端穴等,都是适宜施灸的部位,应当迅速施灸。我曾经患脾泄,医生认为是积滞,用寒凉药攻下,导致大便失禁。我服用镇灵丹十余丸,在午夜时分每次服几丸后痊愈。现在的人服用此丹三五丸无效,就不再服用,这就像用一勺水去救一车着火的柴草一样,怎么行呢?
Chengjiang (CV24) governs urinary incontinence. (See "Yellow Urine".) Guanyuan (CV4), (also governs frequent urination and uncontrollable leakage in women.) Yongquan (KI1) governs frequent urination.
Shaofu (HT8) governs sudden pain in the yin region and enuresis. (Recorded in *Qianjin Fang*.) Guanmen (ST22), Zhongfu (LU1), (In *Jia Yi Jing*, written as Weizhong BL40.), Shenmen (HT7) governs enuresis. Yinlingquan (SP9), Yanglingquan (GB34) governs incontinence of urine and feces where the patient is unaware. Taichong (LR3) governs enuresis in women. (See "Hernia".) Guanmen (ST22) treats enuresis accompanied by abdominal fullness. (Recorded in *Tong Ren Shu Xue Zhen Jiu Tu Jing*). Jimen (SP11), (See "Lin Syndrome".) Tongli (HT5), (See "Shang Han". Same as *Qian Jin Fang*.) Dazhun (LR1), (See "Hernia".) Pangguangshu (BL28), (See "Red Urine".) Taichong (LR3), (See "Difficulty in Urination".) Weizhong (BL40), (See "Lumbar and Spinal Disorders".) Shenmen (HT7) treats enuresis. (See "Vexation".) Yinbao (LR9) treats urinary incontinence. (See "Loin Pain".) For enuresis, moxa can be applied to Yanglingquan (GB34) or acupoints of the Foot-Yangming Stomach Meridian. The number of moxa cones should correspond to the patient's age. (Recorded in *Qian Jin Fang*.) Enuresis and incontinence, flowing out without self-awareness. Moxa is applied to Yinlingquan (SP9), with the number of cones corresponding to age. For urinary incontinence, moxa is applied to Dazhun (LR1). Alternatively, apply seven cones to Xingjian (LR2). For bedwetting, apply seven cones to the transverse crease below the umbilicus. For enuresis in women, apply seven cones to Henggu (KI12). For enuresis in children, moxa is applied one-and-a-half cun below the umbilicus, with the number of cones corresponding to age. Additionally, apply three cones to Dazhun (LR1). (For other content, see *Qian Jin Fang*.) Ququan (LR8), Yinggu (KI10), Yinlingquan (SP9), Fuliou (KI7). (These acupoints are excellent for stopping excessive urination without damaging Yang Qi. It is also said they stop enuresis.)
Dachangshu (BL25), Ciliao (BL32) govern incontinence of both urine and feces. Yanggang (BL16) governs lack of control over defecation. (Same as *Ming Tang Jing*.) Borborygmus and watery diarrhea, red and yellow urine. Ciliao (BL32) governs swelling in the sacral region. Direct expulsion of feces. Cold in the Yin Bao (uterus/bladder area), difficulty in urination. Qugu Duan (Renmai intersection/Huiyin CV1) governs frequent loose stools and difficulty in urination. Apply moxa to Tianshu (ST25). Dantian (CV11) governs incontinence of diarrhea. Colic in the lower abdomen. Guanyuan (CV4) treats deficiency blooming caused by dysentery and diarrhea, and difficult urination. (Recorded in *Ming Tang Jing*.) Hunmen (BL47) treats lack of control over defecation. (Recorded in *Tong Ren Shu Xue Zhen Jiu Tu Jing*). For fecal incontinence in the elderly and children, apply three cones to each point one cun from the nail corner of the big toes. Additionally, apply three cones to the webbing between the big toes. (Recorded in *Qian Jin Fang*.) Zusanli (ST36) treats fecal incontinence. The condition has become severe. Shenque (CV8), Shimen (CV5), Dantian (CV11), Qugu Duan (CV1), etc., are all suitable points for moxibustion and should be treated promptly. I once suffered from Pi-Xie (Spleen diarrhea). The physician attributed it to accumulation and used cold purgatives, resulting in fecal incontinence. I took more than ten pills of Zhenling Dan and recovered after taking several pills at midnight. Nowadays, people take three to five pills of this pill; when ineffective, they stop taking it. This is like trying to save a cart on fire with a scoop of water. Is this acceptable?