I agree completely with Jac. First, a trip to the vet is in order. If that's okay, then maybe the lightbulb just hasn't gone on yet. One of ours just didn't quite get the connection until we did the ex-pen training: We put an ex-pen outside in the grass where it could be clearly seen from the house. If the puppy hadn't gone potty in the last hour or so he went into the pen with instructions to "go outside!" and I dissappeared into the house (where I hid, so he wouldn't see me, but I watched the pen). The minute after he pee'd I would come running out of the house and praise him like a maniac. But nothing happened at all if he didn't pee. After a few minutes he would come back into the house, but be crated until we tried again a little later. It took about 3 days for him to fully understand what "go outside" meant and that he was going to be a little lonesome until he pee'd. It was just like that.... a lightbulb turned on. I would put him in the pen and he would automatically pee and then all the fun would start. It worked for us!