治膏淋。
生山药（一两） 生芡实（六钱） 生龙骨（六钱，捣细） 生牡蛎（六钱，捣细） 大生地（六钱，切片）
潞党参（三钱） 生杭芍（三钱）
膏淋之证，小便混浊，更兼稠粘，便时淋涩作疼。此证由肾脏亏损，暗生内热。肾脏亏损则蛰藏不固，
精气易于滑脱。内热暗生，则膀胱熏蒸，小便改其澄清。久之，三焦之气化滞其升降之机，遂至便时牵引作疼，
而混浊稠粘矣。故用山药、芡实以补其虚，而兼有收摄之功。龙骨、牡蛎以固其脱，而兼有化滞之用。地黄、
芍药以清热利便。潞参以总提其气化，而斡旋之也。若其证混浊，而不稠粘者，是但出之溺道，用此方时，宜
减龙骨、牡蛎之半。
治气淋。
生黄 （五钱） 知母（四钱） 生杭芍（三钱） 柴胡（二钱） 生明乳香（一钱） 生明没药（一钱）
气淋之证，少腹常常下坠作疼，小便频数，淋涩疼痛。因其人下焦本虚，素蕴内热，而上焦之气化又复下
陷，郁而生热，则虚热与湿热，互相结于太阳之腑，滞其升降流通之机而气淋之证成矣。故以升补气化之药为
主，而以滋阴利便流通气化之药佐之。
治劳淋。
生山药（一两） 生芡实（三钱） 知母（三钱） 真阿胶（三钱，不用炒） 生杭芍（三钱）
劳淋之证，因劳而成。其人或劳力过度、或劳心过度、或房劳过度，皆能暗生内热，耗散真阴。阴亏热
炽，熏蒸膀胱，久而成淋，小便不能少忍，便后仍复欲便，常常作疼。故用滋补真阴之药为主，而少以补气之
药佐之，又少加利小便之药作向导。然
此证得之劳力者易治，得之劳心者难治，得之房劳者尤难治。又有思欲无穷，相火暗动而无所泄，积久而成淋
者，宜以黄柏、知母以凉肾，泽泻、滑石以泻肾，其淋自愈。
或问∶以上治淋四方中，三方以山药为君，将山药之性与淋证最相宜乎？答曰∶阴虚小便不利者，服山药
可利小便。气虚小便不摄者，服山药可摄小便。盖山药为滋阴之良药，又为固肾之良药，以治淋证之淋涩频数，
诚为有一无二之妙品。再因证而加以他药辅佐之，所以投之辄效也。
To treat Gao Lin (Gouty Urine Syndrome).
Raw Dioscoreae Rhizoma (Shanyao, 50g) Raw Euryales Semen (Qianshi, 30g) Raw Os Draconis (Longgu, 30g, crushed into fine powder) Raw Ostreae Concha (Muli, 30g, crushed into fine powder) Raw Rehmanniae Radix (Dishengdi, 30g, sliced)
Luzhou Codonopsis Radix (Ludangshen, 15g) Raw Paeoniae Radix Alba (Hangshaoyao, 15g)
The symptoms of Gao Lin include turbid urine, which is additionally sticky, accompanied by painful and difficult urination with a dribbling sensation. This syndrome arises from Kidney deficiency, which secretly generates internal heat. When the Kidney is deficient, its storing function becomes insecure, making essence and qi prone to slipping and loss. Secretly generated internal heat steams the Bladder, altering the urine from clear to turbid. Over time, the Qi transformation of the Sanjiao stagnates, disrupting its ascending and descending mechanisms, leading to traction pain during urination and resulting in turbid, sticky urine. Therefore, Shanyao and Qianshi are used to tonify deficiency and possess astringent properties. Longgu and Muli are used to secure against slipping and possess the function of resolving stagnation. Dishengdi and Shaoyao are used to clear heat and promote urination. Ludangshen is used to generally elevate Qi transformation and mediate it. If the condition presents as turbid but not sticky, indicating discharge solely through the urinary tract, when using this formula, the dosage of Longgu and Muli should be reduced by half.
To treat Qi Lin (Qi Distension Urinary Difficulty Syndrome).
Raw Astragali Radix (Huangqi, 25g) Anemarrhenae Rhizoma (Zhimu, 20g) Raw Paeoniae Radix Alba (Hangshaoyao, 15g) Bupleuri Radix (Chaihu, 10g) Raw Resina Incensi (Ruxiang, 5g) Raw Resina Myrrhae (Moyao, 5g)
The symptoms of Qi Lin include frequent dragging pain in the lower abdomen, frequent urination, and painful, difficult urination with a dribbling sensation. Because the patient's Lower Jiao is originally deficient and harbors latent internal heat, while the Qi transformation of the Upper Jiao sinks downward, stagnating and generating heat, the deficient heat and damp-heat mutually knot in the Fu organ of Taiyang (Bladder), obstructing the mechanism of ascending, descending, flowing, and circulating, thus forming the syndrome of Qi Lin. Therefore, herbs that raise and tonify Qi transformation are used as the main agents, assisted by herbs that nourish Yin, promote urination, and circulate Qi transformation.
To treat Lao Lin (Fatigue Urinary Difficulty Syndrome).
Raw Dioscoreae Rhizoma (Shanyao, 50g) Raw Euryales Semen (Qianshi, 15g) Anemarrhenae Rhizoma (Zhimu, 15g) True Asini Corii Colla (Ejiao, 15g, not stir-fried) Raw Paeoniae Radix Alba (Hangshaoyao, 15g)
The syndrome of Lao Lin arises from fatigue. Whether due to excessive physical labor, excessive mental labor, or excessive sexual activity, all can secretly generate internal heat and dissipate true Yin. When Yin is deficient and heat is vigorous, steaming the Bladder, it eventually forms Lin syndrome over time. The urine cannot be held for even a short moment; after urination, there is still an urge to urinate again, often accompanied by pain. Therefore, herbs that tonify and nourish true Yin are used as the main agents, assisted by a small amount of Qi-tonifying herbs, and further guided by a small amount of diuretic herbs. However, if this syndrome results from physical labor, it is easy to treat; if from mental labor, it is difficult to treat; if from sexual excess, it is especially difficult to treat. In cases where endless desires cause the Ministerial Fire to move secretly without release, accumulating over time to form Lin syndrome, it is appropriate to use Phellodendri Cortex (Huangbai) and Anemarrhenae Rhizoma (Zhimu) to cool the Kidney, and Alismatis Rhizoma (Zexie) and Talcum (Huashi) to drain the Kidney, whereby the Lin syndrome will heal itself.
A question was asked: Among the four formulas above for treating Lin syndromes, three use Shanyao as the Sovereign herb. Is the nature of Shanyao most suitable for Lin syndromes? The answer is: For those with Yin deficiency causing difficult urination, taking Shanyao can promote urination. For those with Qi deficiency causing failure to control urination, taking Shanyao can secure urination. Essentially, Shanyao is a fine herb for nourishing Yin and a fine herb for securing the Kidney. To treat the painful, difficult, and frequent urination characteristic of Lin syndromes, it is indeed a unique and excellent product. By adding other herbs to assist according to the specific condition, the administration of this formula yields immediate efficacy.