〔丹〕朱郎小便淋痛，脉左大右涩，此为劳伤经血，勿作淋治，可补血行肝经滞血，自愈。
生地 当归 赤芍（各一钱） 川芎（三分） 条芩（三分） 甘梢（三分） 陈皮（五分） 木通（五
分） 黄柏（二分，炒） 红花（豆大） 杜牛膝（一钱）
上桃仁泥研滑石同煎，待淋病去，退滑石、桃仁、杜牛膝、木通，入川牛膝代木通，分两倍之。
金华申明叔，年逾七十，因壮年踏冷患肾气疝痛，常食苍术、乌、附等药。二十余年，疝气少止，却患小
便淋痛。又十三年，其间又服朴、硝、大黄治诸淋之药，百方俱试，并无一效。至是年春，颈项带右边发一疽，
延及缺盆，可尺许，不能食，淋痛愈加，必须叫号，其疮淫溃，脓血淋漓，精神困惫。时正六月，诊其脉，两
手涩短，左微是弦状，轻重皆近五至。予谓此疮，皆前乌、附等药积毒所发，此淋亦因燥烈之药，凝积滞血满
膀胱，况涩脉为败血，短脉为血耗。遂令于溺后视之，有物出如败脓者否？视之果然。因思之，忍痛则伤血，
叫则伤气。遂先治淋，令取杜牛膝根茎叶同煎取浓汁，却煎四物汤，作大料与服，三日后，痛渐减。前所谓败
脓者，至是渐少，五七日，淋病全安。此时疮亦定，盖四物能生血也。但饮食减少，疮未收敛耳。遂用参、 、
当归、白术四药大剂，于瓦器熬为膏，以陈皮、半夏、缩砂、木香，煎取清汁，调膏药饮，遂能食。又一月而疮安。
一方名血余散 治血淋内崩，吐血，舌上出血，便血。
用乱发以皂角水洗浮，晒干烧灰，为末，每服二钱，以茅根、车前叶煎汤调下。
〔《斗》〕治五种淋。用苎麻根两茎打碎，水一碗半，煎半碗，顿服即通，大妙。（丹溪云∶苎根补阴行滞血。）
〔《博》〕治五淋。赤芍药一两，槟榔一个，面裹煨为末。每一钱匕，水一盏，煎至七分，空心服。
气虚淋。八物汤加杜牛膝、黄芩汁，煎服。老人气虚亦能淋，参、术中加木通、山栀。
仁八侄淋病，脉沉而大，此主劳苦伤血，下焦蕴结。
人参 归尾 白芍 香附（五钱） 条芩 木通（三钱） 山栀（炒，三钱半） 黄 （五分） 生甘草梢（五分）
分六帖，杜牛膝汤两盏煎取一盏，食前，热饮之。
胡云六朝奉，七十余，因 后误与荆芥、大黄等药伤正气，以致恶血结聚。今则小便如淋，中满食少，以此治之。
生 （三钱） 人参（二钱） 归头 白术 陈皮（一钱）
作一帖煎服。
又，生气药。
缩砂（三钱） 海金沙 红曲（二钱） 檀香（二钱） 木香 白豆蔻 丁香（一钱）
分六帖，研桃仁十四枚，入生气散。
死血作淋，牛膝膏妙。但虚人能损胃，不宜食。
〔《本》〕治妇人诸般淋。苦杖根，俗呼杜牛膝，多取洗净碎之，以一合用水五盏，煎至一盏，去渣，入
麝香、乳香少许，研调下。
鄞县武尉耿梦得，其内人患砂石淋者十三年矣，每漩痛楚不可忍，溺器中小便下砂石，剥剥有声，百方不
效，偶有此方啜之，一夕而愈，目所见也。
〔《千》〕用牛膝以酒煮服，治小便淋痛。《肘后方》用牛膝根茎叶，亦以酒煮服，治小便不利，茎中痛欲死，
及治妇人血结坚痛如神。盖牛膝治淋之圣药也，但虚人当用补剂，监治之耳。
〔世〕茄树散 治放尿有血带血线。童子小便煎茄树根汁，服之效。
〔罗〕琥珀散 治五淋沥涩痛，小便有脓血出。
琥珀（研） 海金沙（研） 没药（研） 蒲黄（各一两，研）
上研为细末，每服三钱，食前煎萱草根汤调下，日三服。
黄明之，小便涩，茎中痛不可忍，相引胁下痛制，以茯苓琥珀汤主之。
川楝子（去核，锉炒） 甘草（生。各一钱） 人参（五分） 玄胡索（七分） 茯苓（四分） 琥珀 泽
泻归梢 柴胡（各三分）
上 咀，都作一服，长流水三盏，煎至一盏，去渣，温服，空心食前，数服大效。
〔《瑞》〕治诸般砂石淋。琥珀二钱，研细，空心用葱白头浓煎汤调下，无问诸般淋证，一二服立效。（丹溪
云∶琥珀古今方用以利小便，若血少不利者，反受其渗急之苦耳。本草∶琥珀消污血极验。）
〔无〕鹿角霜丸 治膏淋。
鹿角霜 白茯苓 秋石（各等分）
上为末，糊丸，如桐子大。每服五十丸，米饮下。
〔《图》〕治石淋导水。用蝼蛄一枚，盐二两，同于新瓦上，铺盖焙干，研末，温酒调下一钱匕，服之即愈。
〔《灵苑》〕治五种淋疾，气淋，热淋，劳淋，石淋，及小便不通至甚者。透膈散，用硝石一两，不夹泥士，
雪白者，研为末，每服二钱。诸淋各根据汤使。如劳倦虚损，小便不出，小腹急痛，葵子煎汤下，通后更须服
补虚丸散。血淋，小便不出，时下血疼痛，并用冷水调下。气淋，小腹满急，尿后常有余沥，木通煎汤下。
石淋，茎内痛，尿不能出，内引小腹，膨胀急痛，尿下砂石，令人闷绝，将药末先入铫子内，隔纸炒至纸焦为
度，再研令细，用温水调下。小便不通，小麦汤下。卒患诸淋，并以冷水调下，并空心，先调，使药消散如水，
即服之，更以汤使送下。服药未效者，服此立愈。
〔子和〕百亭刘十三之子，年六岁，病砂石淋。戴人以苦剂三涌之，以益肾散三下之，立愈。
鹿邑一阀阅之家，有子二十三岁，病膏淋三年矣，乡中医不能治，往京师遍访，多作虚损，补以温燥，灼
以针艾，无少减。闻戴人侨居HT 东，见戴人，曰∶惑蛊之疾也，亦曰白淫，实由少腹热，非虚也，可以涌以泄。
其人以时暑，惮其法峻，不决者三日。浮屠一僧曰∶予亦有暑病，近觉头痛。戴人曰∶亦可涌，愿与君同之，
毋畏之。于是涌痰三升，色如黑矾汁，内有死血，并黄绿水，又泻积秽数行，寻觉病去。方其来时，面无人色，
及治毕，次日面如醉。戴人虑其暑月路远，又处数方使归，以自备云。
屈村张氏小儿，年十四岁，病约一年半矣，得之夏秋，发则小便大痛，至握其峻跳跃旋转，号呼不已。小
便数日不得下，下则成砂石，大便秘涩，肛门脱出一二寸。诸医不能治，求治于戴人。戴人曰∶今日治，今日
效，时日在辰巳间矣。以调胃承气仅一两，加牵牛头末二钱，汲河水煎之，令作三五度咽之。又服苦末丸如芥
子许，六十丸。日加晡，上涌下泄，一时齐出，有脓有血，涌泄既觉定，令饮新汲水一大盏，小溲已利一二次
矣。是夜凡饮新水二三十遍，病去九分，止哭一次。明日困卧如醉，自晨至暮，猛然起走，索食于母，歌笑自
得，顿释所苦。继以太白散、八正散等调理，一日大瘥。恐暑天失所养，留五日而归。戴人曰∶此下焦约也，
不吐不下，则下焦何以开？不令饮水，则小便何以利？大抵源清则流清也。（苦末丸未详考。）
〔丹〕诸淋皆属于热，余每用黄柏滋肾丸。每百丸，用四物汤加甘草梢、杜牛膝、木通、桃仁、滑石、木
香煎汤，空心吞服。兼灸三阴交，如鼓应桴，累试累效者。
〔《保》〕淋 者，凉膈散加滑石四两，茯苓一两。（凉膈散方见治发热。）
〔罗〕石苇散治肾气不足，膀胱有热，水道不通，淋涩不宣，出少起数，脐腹急痛，或尿如豆汁，或便出砂石，
并皆治之。
木通 石苇 滑石（各二两） 炙甘草 王不留行 当归（各一两） 白术 瞿麦 芍药 葵子（各二两）
上为细末，每服二钱，小麦粥汤调下，空心服。一方加沉香、陈皮，无滑石、瞿麦、白术、木通。
〔《本》〕治心经热，小便涩，及治五淋，火府丹。
生地 木通 黄芩 甘草
上为细末，炼蜜杵丸如桐子大。每服二十粒，木通煎汤下。此药治淋涩，脐下满痛。
上二方，解热利小便兼补之剂。
〔无〕石燕丸治石淋，多因忧郁气注下焦，结所食咸气而成，令人小便碜痛不可忍，出砂石而后小便通。
石燕（烧令通赤，水中淬三次，捣研，水飞，焙干） 滑石 石苇（去毛） 瞿麦穗（各一两）
上为末，糊丸桐子大。煎瞿麦、灯心汤下十丸，食前服，日二三。
〔罗〕海金沙散 治小便淋涩，及下焦湿热，气不施化，或五种淋疾，癃闭不通。
海金沙（研） 木通 瞿麦穗 滑石 通草（各半两） 杏仁（汤洗，去皮尖，麸炒，一两）
上为细末，入灯心同煎，空心服。
八正散 治小便赤涩，或淋闭不通及热淋，并宜服之。
大黄（面裹煨） 木通 瞿麦 滑石 蓄 车前子 山栀仁 甘草（各等分）
上为末，入灯心同煎，小儿少少与之。
〔洁〕葵花散 治小便淋涩经验。葵花根一味，洗净锉，水煎至七沸，服之立效。（味甘寒。）
〔世〕葛粉丸 治男女淋病疼痛，效速，勿轻忽之。
砂糖（《本草》云∶治心肺大肠热） 葛粉
和丸如桐子大。井花水化开一二丸。
治血石淋。杨树蛀屑，乌梅一，大枣三，水一盏，煎服。
〔《灵苑》〕治卒患诸淋，遗涩不止，小肠赤涩疼痛。三叶酸浆草，人家园林亭槛中，着地开黄花，味酸
者是。取嫩者净洗，研绞自然汁一合，用酒一合搅匀，空心服之，立通。（三叶酸浆草即布谷饭，详见白带门。）
〔无〕 草汁，治膏淋及尿血。 草捣汁二升，醋二合和，空腹服一盏。又浓煮汁饮，亦治淋沥尿血。（
草俗名辣母藤，又名葛勒蔓，处处篱墙上有之。）
胞移热于膀胱，则癃溺血。（全文见诊病传变。胞谓女子胞也。）
〔《素》〕痹论云∶胞痹者，小腹膀胱按之内痛，若沃以汤，涩于小便，上为清涕。夫膀胱为州都之官，津液藏
焉，气化则能出矣。今风寒湿邪气客于胞中，则气不能化出，故胞满而水道不通，其小腹膀胱按之内痛，若
沃以汤，涩于小便。以足太阳经其直行者，上交巅入络脑，下灌鼻窍，则为清涕也。治胞痹，小便不通，
肾着汤（《千金》河间方同。）
赤茯苓（去皮） 白术（各四两） 甘草（炙，二两） 干姜（炮，一两）
上为末，每服五钱，水二盏，煎至一盏，去渣温服，日三。
茯苓丸 治胞痹，小便内痛。
赤茯苓 防风 细辛 白术 泽泻 官桂（各半两） 栝蒌根 紫菀 附子 黄 芍药 甘草（炙。
各三分） 生地 牛膝（酒浸） 山芋 独活 半夏（汤浸） 山茱萸（各一分）
上十八味，为细末，炼蜜丸如桐子大。每服十丸，温酒送下，食前。
巴戟丸 治胞痹脐腹痛，小便不利。
巴戟（去心，一两半） 桑螵蛸（麸炒） 远志（去心） 生地 山芋 附子（炮） 续断（各一两） 肉苁
蓉（酒浸，一两） 杜仲（炙） 石斛 鹿茸（酥炙） 龙骨 菟丝子 五味子 山茱萸 官桂（各三钱）
上十六味，为细末，炼蜜丸如桐子大。温酒下三十丸，空心，食前。
肾沥汤 治胞痹小腹急，小便不利。
桑白皮（炒） 犀角屑 杜仲（炙，去丝） 五加皮 麦门冬 木通 桔梗（各一两） 赤芍药（五钱）
上八味，为粗末，每服五钱，水一盏半，羊肾一个切，竹沥少许同煎，去渣温服。
诸淋皆属于热，古方有冷淋，盖十百之一也。今因胞痹属风寒湿，故主寒条。
〔无〕瞑眩膏 治诸淋疼痛不可忍受，及砂石淋。大萝卜切一指浓，四五片，好白蜜淹少时，安净铁铲上，慢火炙干，又蘸又炙，尽蜜二两，翻覆炙令香软，不可焦，候蜜尽细嚼，以盐汤一盏送下，立效。
〔《圣》〕治冷淋，小肠不利，茎中急痛。用槲叶捣末，每服二钱，水一盏，葱白七寸，煎六分去渣，食前温服。
〔崔〕疗石淋，便中有石子者。胡桃肉一升，细米煮浆粥一升，相和顿服即瘥。（胡桃性热。）
运气，小便淋气，及针灸淋 法。（并见小便淋 门。）
〔仲〕淋家不可发汗，发汗则便血。淋之为病，小便如粟状，小腹弦急，痛引脐中。
肾脉滑实为癃 。脾脉滑甚为 癃。（全文见治虚实法。）
〔《脉》〕少阴脉数，妇人则阴中生疮，男子则气淋。
〔《素》〕病有癃者，一日数十溲，此不足也。身热如炭，颈膺如格，人迎躁盛，喘息气逆，此有余也。
太阴脉细微如发者，此不足也。其病安在？名为何病？岐伯曰∶病在太阴，其盛在胃，颇在肺，病名曰厥，死
不治。（奇病论 癃病脉细不治。）
[Danxi] The Gentleman Zhu suffered from dysuria with pain. His pulse was large on the left and choppy on the right. This is due to labor injury damaging the blood vessels; do not treat it as Lin syndrome (strangury). It can be cured by nourishing blood and moving stagnant blood in the Liver meridian.
Shengdi Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Chi Shao (Paeoniae Radix Rubra) (each 1 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (3 fen), Tiao Qin (Scutellariae Radix) (3 fen), Gan Shao (Glycyrrhizae Radix et Rhizoma, tip) (3 fen), Chen Pi (Citri Reticulatae Pericarpium) (5 fen), Mu Tong (Akebiae Caulis) (5 fen), Huang Bai (Phellodendri Cortex) (2 fen, stir-fried), Hong Hua (Carthami Flos) (size of a bean), Du Niu Xi (Cyathulae Radix) (1 qian).
Crush Tao Ren (Persicae Semen) into a paste, decoct together with Hua Shi (Talcum). When the symptoms of Lin syndrome subside, remove Hua Shi, Tao Ren, Du Niu Xi, and Mu Tong. Add Chuan Niu Xi (Achyranthis Bidentatae Radix) to replace Mu Tong, and double the dosage for two doses.
Shen Mingshu from Jinhua, over seventy years old, had suffered from Kidney Qi Hernia pain since his youth due to cold exposure, frequently consuming Cang Zhu (Atractylodis Rhizoma), Wu Tou (Aconiti Radix), and Fu Zi (Aconiti Lateralis Radix Praeparata). For over twenty years, the hernia pain subsided slightly, but he developed dysuria with pain. For another thirteen years, he took drugs like Po Xiao (Natrii Sulfas), Xiao (Natrii Sulfas Exsiccatus), and Da Huang (Rhei Radix et Rhizoma) to treat various Lin syndromes. He tried hundreds of prescriptions without effect. In the spring of that year, a carbuncle appeared on the right side of his neck, extending to the supraclavicular fossa, about one chi in size. He could not eat, and the dysuria worsened, requiring him to cry out in pain. The wound ulcerated profusely with pus and blood, leaving him exhausted and weak. It was the sixth month. His pulse was choppy and short in both hands, slightly wiry on the left, and approximately five beats per breath at both light and heavy pressure. I said: This carbuncle is caused by the accumulation of toxicity from previous use of Wu Tou and Fu Zi. This dysuria is also due to drying and heating drugs causing stagnant blood to coagulate and fill the bladder. Moreover, a choppy pulse indicates ruined blood, and a short pulse indicates blood depletion. I asked him if anything resembling spoiled pus came out after urination. He confirmed this. I reasoned that enduring pain damages blood, while crying damages Qi. Therefore, I first treated the dysuria, instructing him to decoct the root, stem, and leaf of Du Niu Xi to obtain a thick juice, then decoct Si Wu Tang (Four Substances Decoction), and administer a large dose. After three days, the pain gradually decreased. The "spoiled pus" mentioned earlier gradually diminished, and within five to seven days, the dysuria was completely resolved. At this time, the carbuncle also stabilized, likely because Si Wu Tang generates blood. However, his appetite remained poor, and the wound had not yet healed. Thus, I used a large dose of Ren Shen (Ginseng Radix et Rhizoma), [missing character], Dang Gui, and Bai Zhu (Atractylodis Macrocephalae Rhizoma), decocted in a clay pot to make a paste. I decocted Chen Pi, Ban Xia (Pinelliae Rhizoma), Suo Sha (Amomi Fructus Rotundus), and Mu Xiang (Aucklandiae Radix) to obtain clear juice, which was mixed with the paste for drinking. He was then able to eat. One month later, the carbuncle settled.
One prescription named Xue Yu San (Hair Ash Powder) treats bloody strangury with internal collapse, hematemesis, bleeding from the tongue, and hematochezia.
Use disordered hair, wash off floating dirt with Zao Jiao (Gleditsiae Sinensis Fructus) water, dry in the sun, burn to ash, and powder. Take 2 qian each time, mixed with decoction of Mao Gen (Imperatae Rhizoma) and Che Qian Ye (Plantaginis Herba).
[Dou] Treats five types of Lin syndrome. Use two stems of Zhu Ma Gen (Boehmeriae Radix), crush them, add one and a half bowls of water, decoct to half a bowl, and take in one dose for immediate relief. (Danxi says: Zhu Gen nourishes Yin and moves stagnant blood.)
[Bo] Treats five Lin syndromes. Chi Shao Yao (Paeoniae Radix Rubra) 1 liang, Bing Lang (Arecae Semen) 1 piece, wrap in flour and roast until done, then powder. Take 1 qian bi each time, add one bowl of water, decoct to 0.7 bowl, and take on an empty stomach.
Qi Deficiency Lin. Ba Wu Tang (Eight Substance Decoction) plus Du Niu Xi and juice of Huang Qin (Scutellariae Radix), decoct and take. Elderly people with Qi deficiency can also suffer from Lin; add Mu Tong and Shan Zhi (Gardeniae Fructus) to Ren Shen and Bai Zhu.
Ren's eighth nephew suffers from Lin disease. His pulse is deep and large, indicating injury to blood from labor and accumulation in the Lower Jiao.
Ren Shen, Gui Wei (Angelicae Sinensis Radix, tail), Bai Shao (Paeoniae Radix Alba), Xiang Fu (Cyperi Rhizoma) (5 qian), Tiao Qin, Mu Tong (3 qian), Shan Zhi (stir-fried, 3.5 qian), Huang Qi (Astragali Radix) (5 fen), Sheng Gan Cao Shao (Glycyrrhizae Radix et Rhizoma, raw, tip) (5 fen).
Divide into six doses. Decoct with two cups of Du Niu Xi decoction to obtain one cup. Drink hot before meals.
Hu Yunliu Chaofeng, over seventy years old, damaged his healthy Qi by mistakenly taking Jing Jie (Schizonepetae Herba) and Da Huang after intercourse, leading to the accumulation of evil blood. Now he has urine resembling strangury, abdominal fullness, and poor appetite. Treat with this.
Huang Qi (3 qian), Ren Shen (2 qian), Gui Tou (Angelicae Sinensis Radix, head), Bai Zhu, Chen Pi (1 qian).
Make one dose and decoct.
Additionally, a Qi-generating formula.
Suo Sha (3 qian), Hai Jin Sha (Lygodii Spora), Hong Qu (Red Yeast Rice) (2 qian), Tan Xiang (Santalum Album Lignum), Mu Xiang, Bai Dou Kou (Amomi Fructus Rotundus), Ding Xiang (Eugeniae Flos) (1 qian).
Divide into six doses. Crush 14 Tao Ren and add to the Qi-generating powder.
Dead blood causing Lin: Niu Xi Gao (Achyranthes Paste) is excellent. But it damages the Stomach in deficient persons and should not be eaten.
[Ben] Treats various Lin syndromes in women. Ku Zhang Gen (Cyathulae Radix), commonly called Du Niu Xi. Take plenty, wash clean, and crush. Use one he of herb with five bowls of water, decoct to one bowl, remove dregs, add a little Mo Xiang (Moschus) and Ru Xiang (Boswelliae Resin), grind and mix, then take.
Geng Mengde, Military Commander of Yinxian, his wife suffered from gravel strangury for thirteen years. Each urination was unbearably painful, and gravel fell into the urinal with a clicking sound. Hundreds of prescriptions failed. She accidentally drank this prescription and was cured in one night. I witnessed it.
[Qian] Use Niu Xi (Achyranthis Bidentatae Radix) boiled in wine to treat dysuria with pain. *Zhou Hou Fang* uses the root, stem, and leaf of Niu Xi, also boiled in wine, to treat difficult urination, severe pain in the urethra, and blood stasis with hard pain in women, as if divine. Niu Xi is indeed the holy medicine for treating Lin, but for deficient persons, it should be used with tonifying agents to moderate its action.
[Shi] Qia Shu San (Eggplant Tree Powder) treats blood lines in urine. Decoct the root juice of the eggplant tree with童子小便 (Child's Urine) and drink; it is effective.
[Luo] Hu Po San (Amber Powder) treats five Lin syndromes with dribbling, astringency, and pain, and urine containing pus and blood.
Hu Po (Amber, ground), Hai Jin Sha, Mo Yao (Olibanum, ground), Pu Huang (Typhae Pollen, ground) (each 1 liang, ground).
Grind into fine powder. Take 3 qian each time before meals, mixed with decoction of Xuan Cao Gen (Daylily Root). Take three times a day.
Huang Mingzhi had astringent urine and unbearable pain in the urethra, radiating to severe pain in the hypochondrium. Treat primarily with Fu Ling Hu Po Tang (Poria and Amber Decoction).
Chuan Li Zi (Toosendan Fructus, pitted, crushed, stir-fried), Gan Cao (Licorice, raw, each 1 qian), Ren Shen (5 fen), Yuan Hu Suo (Corydalis Rhizoma) (7 fen), Fu Ling (Poria) (4 fen), Hu Po, Ze Xie (Alismatis Rhizoma), Gui Shao (Angelicae Sinensis Radix, tip), Chai Hu (Bupleuri Radix) (each 3 fen).
Crush all ingredients. Make one dose. Decoct with three bowls of flowing water to one bowl. Remove dregs. Take warm on an empty stomach before meals. Multiple doses yield great results.
[Rui] Treats various gravel stranguries. Hu Po (Amber) 2 qian, finely ground. Take on an empty stomach mixed with strong decoction of Cong Bai (Allii Fistulosi Bulbus). Effective in one or two doses for any type of Lin syndrome. (Danxi says: Amber has been used since ancient times to promote urination. If there is insufficient blood and difficulty urinating, it may cause suffering from excessive draining. Materia Medica states: Amber is very effective in eliminating turbid blood.)
[Wu] Lu Jiao Shuang Wan (Deer Antler Frost Pill) treats Gao Lin (milky strangury).
Lu Jiao Shuang (Cornu Cervi Degelatinatum), Bai Fu Ling (Poria cum Pinodia), Qiu Shi (Urinary Calculus from Deer Bladder) (equal parts).
Powder these, bind with paste, and form pills the size of Torreya seeds. Take 50 pills each time with rice water.
[Tu] Treats Stone Lin to guide water. Use one Lou Gu (Mole Cricket), two liang of salt. Place on a new tile, cover, and bake dry. Grind into powder. Take 1 qian bi with warm wine. Cured immediately.
[Lingyuan] Treats five types of Lin diseases: Qi Lin, Re Lin, Lao Lin, Shi Lin, and severe urinary retention. Tou Ge San (Trans-diaphragm Powder): Use Xiao Shi (Nitrums), one liang, pure white without soil impurities. Grind into powder. Take 2 qian each time. For each type of Lin, use different decoctions as vehicles. For Lao fatigue and deficiency with no urination and urgent lower abdominal pain, use Kui Zi (Malvae Semen) decoction. After urination resumes, take tonifying deficiency pills/powders. For Blood Lin with no urination and intermittent bleeding/pain, mix with cold water. For Qi Lin with lower abdominal fullness/urgency and post-void dribbling, use Mu Tong decoction. For Stone Lin with pain inside the urethra, inability to urinate, internal pulling pain in lower abdomen, swelling/urgency, and passing gravel causing fainting, put the powder in a pot, heat through paper until paper chars, re-grind, and mix with warm water. For urinary retention, use Xiao Mai (Tritici Venilis Fructus) decoction. For sudden onset of various Lins, mix with cold water, take on an empty stomach, let the medicine dissolve like water, then take, followed by the vehicle decoction. If previous medicines fail, this cures immediately.
[Zihe] Liu Shisan's son from Baiting, six years old, suffered from gravel strangury. Dai Ren used bitter emetics to induce vomiting three times and Yi Shen San (Tonify Kidney Powder) to purge three times. Cured immediately.
In Luyi, a noble family had a son of twenty-three who suffered from milky strangury for three years. Local doctors could not cure him. He visited the capital extensively. Most diagnosed deficiency and treated with warming/drying tonics and moxibustion, with no improvement. Hearing Dai Ren lived in HT Dong, he sought treatment. Dai Ren said: This is a disorder of confusion/gu poison, also called Bai Yin (white turbidity). It is actually due to heat in the lower abdomen, not deficiency. It can be treated with purging via emesis. Due to the summer heat, the patient feared the harsh method and hesitated for three days. A Buddhist monk said: I also have a summer illness, recently headache. Dai Ren said: You can also vomit. Let us do it together, do not fear. Thus, he vomited three sheng of phlegm, black like alum juice, containing dead blood and yellow-green water. He also purged accumulated filth several times. He felt better immediately. When he arrived, his face was pale. After treatment, the next day his face looked flushed. Dai Ren worried about the long journey in summer and prescribed several formulas for him to take home.
The child of the Zhang family in Qucun, fourteen years old, had been ill for about a year and a half, starting in summer/autumn. Attacks involved severe pain in urination, causing him to jump and spin holding his genitals, crying endlessly. Urine was retained for days, then passed as gravel. Severe constipation, anus prolapsed one or two cun. Doctors could not cure him. He sought Dai Ren. Dai Ren said: Today treat, today effective. It is now Chen/Si hours. Use only one liang of Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction), add two qian of the head powder of Qian Niu (Pharbitidis Semen), draw river water, decoct, and swallow in three to five sips. Also take sixty pills of Ku Mo Wan (Bitter Powder Pill) the size of mustard seeds. By late afternoon, he vomited and purged simultaneously, expelling pus and blood. After vomiting/purging settled, give him a large cup of fresh well water. He urinated once or twice. That night he drank fresh water twenty to thirty times. The illness receded by nine-tenths, and he cried only once. The next day he lay sleepy like being drunk. From morning to evening, he suddenly got up, walked around, asked his mother for food, sang and laughed freely, instantly relieved of suffering. Then regulate with Tai Bai San (White Pearl Powder), Ba Zheng San (Eight Uprights Powder), etc. Greatly recovered in one day. Fearing improper care in summer, he stayed five days before returning. Dai Ren said: This is Lower Jiao constraint. Without vomiting/purging, how can the Lower Jiao open? Without drinking water, how can urine flow? Generally, if the source is clear, the stream is clear. (Ku Mo Wan details unknown.)
[Danxi] All Lins belong to Heat. I often use Huang Bo Zi Shui Wan (Phellodendron Tonifying Kidney Pill). Take 100 pills, swallowed with a decoction of Si Wu Tang (Four Substances Decoction) plus Gan Cao Shao, Du Niu Xi, Mu Tong, Tao Ren, Hua Shi, and Mu Xiang, taken on an empty stomach. Also moxa San Yin Jiao (SP6). Like drum beating with a mallet, repeatedly tested and effective.
[Bao] Lin syndrome: Liang Ge San (Cool the Upper Burner Powder) plus four liang of Hua Shi (Talcum), one liang of Fu Ling (Poria). (See Fever treatment for Liang Ge San formula.)
[Luo] Shi Wei San (Pyrosia Powder) treats insufficient Kidney Qi, Heat in the Bladder, blocked water passages, dribbling/astringency Lin, scanty frequent urination, urgent umbilical/abdominal pain, urine like bean soup, or passing gravel. All are treated by this.
Mu Tong, Shi Wei (Pyrosiae Folium), Hua Shi (Talcum) (each 2 liang), Zhi Gan Cao (Licorice, honey-fried), Wang Bu Liu Xing (Vaccariae Semen), Dang Gui (Angelicae Sinensis Radix) (each 1 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Qu Mai (Polygoni Avicularis Herba), Shao Yao (Paeoniae Radix), Kui Zi (Malvae Semen) (each 2 liang).
Grind into fine powder. Take 2 qian each time mixed with wheat gruel soup. Take on an empty stomach. Another version adds Chen Xiang (Aquilariae Lignum Resinatum) and Chen Pi, removing Hua Shi, Qu Mai, Bai Zhu, and Mu Tong.
[Ben] Treats Heart Meridian Heat, astringent urine, and five Lins. Huo Fu Dan (Fire Mansion Pill).
Sheng Di Huang (Rehmanniae Radix), Mu Tong, Huang Qin (Scutellariae Radix), Gan Cao (Licorice).
Grind into powder, bind with refined honey into pills the size of Torreya seeds. Take 20 pills each time with Mu Tong decoction. This medicine treats Lin astringency and lower abdominal fullness/pain.
These two formulas are clearing heat, promoting urination, and tonifying agents.
[Wu] Shi Yan Wan (Stone Swallow Pill) treats Stone Lin. Often caused by depression/Qi sinking to Lower Jiao, combining with salty food qi, causing unbearable gritty pain in urine, passing gravel before relief.
Shi Yan (Swallow Stone, calcined red, quenched in water three times, ground, levigated, dried), Hua Shi, Shi Wei (de-hair), Qu Mai Sui (Polygoni Avicularis Flos) (each 1 liang).
Grind into powder, bind with paste into Torreya-sized pills. Decoct Qu Mai and Deng Xin Cao (Junci Medulla), take ten pills before meals, two to three times daily.
[Luo] Hai Jin Sha San (Spore Powder) treats astringent urine, Damp-Heat in Lower Jiao, Qi failing to transform, or five Lin diseases, retention/blockage.
Hai Jin Sha (ground), Mu Tong, Qu Mai Sui, Hua Shi, Tong Cao (Tetrapanacis Medulla) (each 0.5 liang), Xing Ren (Pruni Semen, washed in boiling water, skin/kernel removed, bran-roasted, 1 liang).
Grind into fine powder. Decoct with Deng Xin Cao. Take on an empty stomach.
Ba Zheng San (Eight Uprights Powder) treats red/astringent urine, Lin/blockage, and Heat Lin. Suitable for all.
Da Huang (Rhei Radix et Rhizoma, wrapped in flour and roasted), Mu Tong, Qu Mai, Hua Shi, Bian Xu (Polygoni Bidentati Herba), Che Qian Zi (Plantaginis Semen), Shan Zhi Ren (Gardeniae Semen), Gan Cao (Licorice) (equal parts).
Grind into powder. Decoct with Deng Xin Cao. Give small amounts to children.
[Jie] Kui Hua San (Sunflower Powder) experienced for astringent urine. One ingredient: Kui Hua Gen (Sunflower Root). Wash clean, crush, decoct in water until seven boils. Take immediately effective. (Sweet and cold.)
[Shi] Ge Fen Wan (Kudzu Starch Pill) treats Lin pain in men and women, fast effect, do not neglect.
Sha Tang (Rock Sugar, Materia Medica says: treats Heart/Lung/Large Intestine Heat), Ge Fen (Kudzu Starch).
Mix into pills the size of Torreya seeds. Dissolve one or two pills in well water.
Treats Blood/Stone Lin. Yang Shu Zhu Xie (Willow Wood Borings), one Wu Mei (Mume Fructus), three Da Zao (Jujubae Fructus). One bowl of water, decoct and take.
[Lingyuan] Treats sudden onset of various Lins, lingering astringency not stopping, Small Intestine red/astringent pain. San Ye Suan Jiang Cao (Wood Sorweed), found in gardens/terraces, opens yellow flowers touching ground, sour taste. Take tender parts, wash clean, grind and squeeze natural juice (one he). Mix with one he of wine. Take on empty stomach for immediate passage. (San Ye Suan Jiang Cao is also known as Cuculus Fan, see Leukorrhea section.)
[Wu] [Missing Character] Cao Zhi (Juice of [Missing Character] Herb) treats milky strangury and hematuria. Grind two sheng of herb, mix with two he of vinegar. Take one cup on empty stomach. Also decoct thick juice and drink; treats dribbling/hematuria. ([Missing Character] herb common name La Mu Teng, also Ge Le Man, found on fences/walls everywhere.)
If the Bao (Uterus) transfers Heat to the Bladder, then Long (retention) and bloody urine occur. (Full text in Disease Transmission. Bao refers to the Female Uterus.)
[Su Wen] Bi Lun says: Bao Bi (Uterus Bi) involves inner pain in lower abdomen/Bladder upon pressing, feeling like pouring hot water, astringent urine, upper body clear nasal discharge. The Bladder is the Official of Storage, storing fluids; Qi transformation allows exit. Now Wind-Cold-Damp pathogens invade the Bao, Qi cannot transform, so Bao is full and water pathways blocked. Inner pain in lower abdomen/Bladder upon pressing, feeling like hot water, astringent urine. The Foot Taiyang Meridian goes straight up to vertex, enters brain, down to nose cavity, thus clear nasal discharge. Treat Bao Bi with urinary retention: Shen Zhuo Tang (Kidney Dampness Decoction) (Same as Qian Jin/Jianhe formulas).
Chi Fu Ling (Poria, peeled), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 4 liang), Zhi Gan Cao (Licorice, honey-fried, 2 liang), Gan Jiang (Dried Ginger, roasted, 1 liang).
Grind into powder. Take 5 qian each time with two bowls of water, decoct to one bowl. Remove dregs, take warm. Three times daily.
Fu Ling Wan (Poria Pill) treats Bao Bi, inner pain in urine.
Chi Fu Ling, Fang Feng (Saposhnikoviae Radix), Xi Xin (Asari Radix et Rhizoma), Bai Zhu, Ze Xie, Guan Gui (Cinnamomi Ramulus) (each 0.5 liang), Gua Lou Gen (Trichosanthis Radix), Zi Wan (Asteris Radix), Fu Zi (Aconiti Lateralis Radix Praeparata), Huang Qi, Shao Yao, Zhi Gan Cao (Licorice, honey-fried, each 3 fen), Sheng Di Huang, Niu Xi (Achyranthis Bidentatae Radix, wine-soaked), Shan Yu (Dioscoreae Hypoglaucae Rhizoma), Du Huo (Angelicae Pubescentis Radix), Ban Xia (Pinelliae Rhizoma, water-soaked), Shan Zhu Yu (Corni Fructus) (each 1 fen).
Eighteen ingredients. Grind into powder, bind with refined honey into Torreya-sized pills. Take 10 pills each time with warm wine before meals.
Ba Ji Wan (Morinda Pill) treats Bao Bi with umbilical/abdominal pain and difficult urination.
Ba Ji (Morindae Officinalis Radix, heart removed, 1.5 liang), Sang Piao Xiao (Mantis Ootheca, bran-roasted), Yuan Zhi (Polygalae Radix, heart removed), Sheng Di Huang, Shan Yu, Fu Zi (Aconiti Lateralis Radix Praeparata, roasted), Xu Duan (Dipsaci Radix) (each 1 liang), Rou Cong Rong (Cistanches Herba, wine-soaked, 1 liang), Du Zhong (Eucommiae Cortex, fried), Shi Hu (Dendrobii Caulis), Lu Rong (Cornu Cervi Pantotrichum, butter-roasted), Long Gu (Fossilia Ossis Mastodi et Scapulae), Tu Si Zi (Cuscutae Semen), Wu Wei Zi (Schisandrae Fructus), Shan Zhu Yu, Guan Gui (Cinnamomi Ramulus) (each 3 qian).
Sixteen ingredients. Grind into powder, bind with refined honey into Torreya-sized pills. Take 30 pills with warm wine on empty stomach before meals.
Shen Li Tang (Kidney Drip Decoction) treats Bao Bi with urgent lower abdomen and difficult urination.
Sang Bai Pi (Mori Cortex, stir-fried), Xi Jiao (Rhino Ceratostigma), Du Zhong (Eucommiae Cortex, fried, fiber removed), Wu Jia Pi (Acanthopanacis Cortex), Mai Men Dong (Ophiopogonis Tuber), Mu Tong, Jie Geng (Platycodonis Radix) (each 1 liang), Chi Shao Yao (Paeoniae Radix Rubra) (5 qian).
Eight ingredients. Coarse powder. Take 5 qian each time with one and a half bowls of water, one sheep kidney sliced, a little Zhu Li (Bambusa Textilis Sap), decoct together. Remove dregs, take warm.
All Lins belong to Heat. Ancient formulas mention Cold Lin, accounting for one in a hundred. Now, because Bao Bi belongs to Wind-Cold-Damp, the following cold treatments are primary.
[Wu] Ming Xuan Gao (Dizziness Paste) treats unbearable pain in various Lins and gravel strangury. Cut large radish one finger thick, four or five slices. Soak in good white honey for a while. Place on clean iron shovel. Slow fire roast dry. Dip in honey and roast again. Use up two liang of honey. Flip and roast until fragrant/soft, do not burn. When honey is gone, chew finely. Send down with one cup of salt water. Immediate effect.
[Sheng] Treats Cold Lin, Small Intestine dysfunction, urgent pain in urethra. Use Hu Ye (Oak Leaf) powdered. Take 2 qian each time with one bowl of water, seven cun of Cong Bai (Allii Fistulosi Bulbus). Decoct to 0.6 bowl. Remove dregs. Take warm before meals.
[Cui] Treats Stone Lin with stones in stool. Hu Tao Rou (Walnut Kernel) one sheng, Xi Mi (Fine Rice) cooked porridge one sheng. Mix and take in one dose. Cured. (Walnut is hot in nature.)
Yun Qi (Luck/Movement), Urine Lin Qi, and Acupuncture/Moxa Lin methods. (See Urine Lin section.)
[Zhongjing] Patients with Lin should not induce sweating. Sweating causes blood in urine. The disease of Lin presents with urine resembling millet grains, tense/urgent lower abdomen, pain radiating to the umbilicus.
Kidney pulse slippery/excess indicates Long (retention). Spleen pulse very slippery indicates [Long/Strangury]. (Full text in Treating Deficiency/Excess.)
[Mai Jing] Shaoyin pulse rapid: Women get ulcers in the vagina; Men get Qi Lin.
[Su Wen] Diseases with Long: Urinating dozens of times a day, this is Deficiency. Body heat like charcoal, neck/chest like a barrier, Renying (Stomach Artery) restless/excessive, panting/reverse Qi, this is Excess.
Taiyin pulse fine/tiny like hair, this is Deficiency. Where is the disease? What is it named? Qibo said: Disease in Taiyin, excess in Stomach, somewhat in Lung. Disease name is Jue (Cold Reversal), death, untreatable. (Strange Disease Chapter: Long disease with fine pulse is untreatable.)