治下焦有热,及诸淋闭不通。
地肤子(三两) 知母 黄芩 猪苓(去皮) 瞿麦 枳实(麸炒) 升麻 通草 葵子(炒)
海藻(洗去腥,各二两)
上为锉散。每服四钱,水一盏半,煎七分,去滓,空心服。大便俱闭者,加大黄。女人
房劳,小便难,大腹满痛,脉沉细者,用猪肾半只,水二盏,煎盏半,去肾,下药,煎七分服。
治膏淋。多因忧思失志,意舍不宁,浊气乾清,小便淋闭,或复黄赤白黯如
脂膏状,疲剧筋力,或伤寒湿,多有此证。
鹿角霜 白茯苓 秋石(各等分)
上为末,糊丸,梧子大。每服五十丸,米汤下。
治膏淋及尿血。
草
上捣汁二升,醋二合和,空腹服一盏。又浓煮汁饮,亦治淋沥尿血。
治血淋。多因下焦结热,小便黄赤,淋闭疼痛,所出如血,或外挟风冷风热,
或内伤志劳神,或房室过度,丹石发动。便鲜赤者,为风热伤心;瘀血者,为风冷伤肾,及
大小便俱出血者。
瞿麦穗(一两) 甘草(炙,三分) 山栀子(半两,炒)
上同为末。每五钱至七钱,水一碗,入连须葱根七个、灯芯五十茎、生姜五片,同煎至
七分,时时温服,不拘时候。既云血寒则瘀,此药末必匀治,宜煎木通汤下麝香鹿茸丸、菟
丝子丸等,所以《养生方》云∶不可专以血得热则淖溢为说,于理甚明,不复详引。鹿茸丸
、菟丝子丸,方见后虚损门。
Treats heat in the Lower Jiao (Lower Burner), and various types of strangury with urinary obstruction.
Di Fu Zi (Kochiae Fructus, 3 liang) Zhi Mu (Anemarrhenae Rhizoma) Huang Qin (Scutellariae Radix) Zhu Ling (Polypori Umbellati Sclerotium, peeled) Qu Mai (Dianthi Herba) Zhi Shi (Aurantii Fructus Immaturus, bran-fried) Sheng Ma (Ephedrae Herba or Cimicifugae Rhizoma - context suggests Ephedrae here due to 'Sheng', but typically Cimicifugae; keeping literal: Sheng Ma) Tong Cao (Tetrapanacis Medulla) Kui Zi (Abutilonis Semen, fried)
Hai Zao (Sargassum, washed to remove fishy smell, all ingredients above are 2 liang each).
Grind the above into a coarse powder. Take 4 qian per dose, add 1.5 zhan of water, decoct until reduced to 0.7 zhan, strain off the dregs, and take on an empty stomach. If stool is also obstructed, add Da Huang. For women suffering from difficult urination due to sexual exhaustion, abdominal fullness and pain, with a deep and fine pulse, use half a pig kidney, add 2 zhan of water, decoct until reduced to 1.5 zhan, remove the kidney, add the other medicines, decoct until reduced to 0.7 zhan, and take.
Treats Gao Lin (Gummy Strangury). This often arises from worry, thought, and loss of will, causing instability of the Yi She (residence of intention/shen), where turbid qi disturbs the clear yang, leading to dribbling and obstruction of urine, or urine appearing yellow, red, white, or dark like fat paste, causing extreme fatigue and weakness. It may also result from cold-heat dampness invasion, where this syndrome is common.
Lu Jiao Shuang (Cervi Cornus Degelatinati Cortex) Bai Fu Ling (Poria) Qiu Shi (Natrii Uras) (all in equal parts).
Grind the above into a fine powder, mix with rice paste to make pills the size of wu zi (cibotii seeds). Take 50 pills per dose, down with millet soup.
Treats Gao Lin (Gummy Strangury) and hematuria.
[Herb name missing in source, only "Cao" remains]. Crush and extract juice, 2 sheng, mix with 2 he of vinegar, take one zhan on an empty stomach. Alternatively, boil thick juice and drink it; this also treats dribbling strangury and hematuria.
Treats Xue Lin (Bloody Strangury). This is mostly due to heat accumulation in the Lower Jiao, resulting in yellow and red urine, dribbling, obstruction, and pain, with discharge resembling blood. It may be compounded by external wind-cold or wind-heat, internal injury from emotional labor, excessive sexual activity, or activation of Dan Shi (mineral drugs). Fresh bright red discharge indicates wind-heat injuring the Heart; dark clotted blood indicates wind-cold injuring the Kidney; simultaneous bleeding from both large and small intestines is also covered.
Qu Mai Sui (Dianthi Flos) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen) Shan Zhi Zi (Gardeniae Fructus, 0.5 liang, fried).
Grind the above together into a powder. Take 5 to 7 qian per dose, add 1 wan of water, include 7 scallion roots with whiskers, 50 stems of Deng Xin Cao (Junci Medulla), and 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct together until reduced to 0.7 wan, take warm occasionally, without restriction on time. Since it is said that cold blood leads to stasis, this powder must be prepared evenly; it is suitable to take with Mu Tong Decoction along with She Xiang Lu Rong Wan (Moschus and Cervi Cornu Pill) or Tu Si Zi Wan (Cuscutae Seed Pill), as stated in *Yang Sheng Fang*: one cannot solely rely on the theory that "blood becomes fluid and overflows when heated," for the logic is very clear, so further citation is omitted. Lu Rong Wan and Tu Si Zi Wan can be found in the Xu Sun Men (Deficiency Section) later.