According to the 10th edition of Diagnostics of Traditional Chinese Medicine, weakness of urination belongs to urinary impassability in TCM, which can be identified as Zhongqi insufficiency (weakness of spleen and stomach qi) and Kidney qi insufficiency. Insufficiency of Qi in the middle and insufficiency of Qi in the kidneys are both evidence of deficiency, and the difficulty in urination is a result of weakness in urination. 1. Qi deficiency: weak urination, fatigue, shortness of breath, reduced appetite, distension of the epigastric region (feeling uncomfortable with flatulence in the abdomen), abdominal distension, loose stools, pale tongue, thin white moss, and a weak pulse. This may be due to a deficiency of the spleen qi, or injury to the spleen by fatigue, or dietary disorders that deplete the middle qi, and the inability to urinate if the qi is deficient and weak. The treatment is to replenish the middle Jiaoqi and promote urination, the formula is to replenish the middle Jiaoqi Tang plus subtractions. 2. Kidney Qi insufficiency: frequent urge to urinate and weak urination are common. Frequent urge to urinate and difficulty in urination, soreness of waist and knees, lack of warmth of limbs, pale tongue with teeth marks, thin white moss, and weak pulse. This can be due to prolonged illness that damages kidney yang, or old age and physical decline of yang qi insufficiency, or indulgence in lust that injures the kidneys, kidney qi is not transformed and urination is weak. Treatment should be warming yang and benefiting qi, tonifying the kidneys and inducing diuresis, and the formula should be modified with Jisheng Kidney Qi Pill. According to the patient’s condition and personal constitution, the specific medication needs to be based on the Chinese medicine practitioner to identify the evidence in order to use flexible medication, do not blindly use medication.