冷气入胞成寒淋，小便闭塞胀难禁，淋漓不断腹隐痛，五苓倍桂小茴柛。
[注]
寒淋者，皆因风寒乘入膀胱，致下焦受冷，遂成寒淋，
其候小便闭塞，胀痛难禁，不时淋漓，少腹隐痛，
须以五苓散倍加肉桂小茴香治之，其淋自愈。
(五苓散) 白术土炒 泽泻 猪苓 肉桂 小茴香 赤茯苓 水煎服。
(方歌)五苓治寒淋，白术泽猪苓，肉桂加倍用，茴香赤茯苓。
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淋证门
膀胱蓄热淋证成，十味导赤有奇功，小腹胀满大使结，急服八正莫少停。
[注]
热淋者，膀胱蓄热而成也，小便不通，淋漓涩痛，以十味导赤汤主之，
若少腹胀满，引脐作痛，大便秘结者，以八正散主之。
(十味导赤汤) 生地 山栀子 木通 瞿麦 滑石 淡竹叶 茵陈蒿 黄芩
甘草生 猪苓 水煎服。
(方歌)
十味导赤药最灵，生地山栀合木通，瞿麦滑石淡竹叶，茵陈黄芩草猪苓。
(八正散) 方见不小便。
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淋证门
湿热蓄久石淋成，溲如沙石茎中疼，轻者须用葵子散，重则八正可相从。
[注]
石淋者，逢溺则茎中作痛，常带沙石之状，因膀胱蓄热日久所致，
正如汤瓶久经火炼，底结白磏也，轻煮葵子散主之，重则八正散主之。
(葵子散) 桑皮炒 瞿麦 栀子 赤茯苓 木通 车前子 甘草生 葵子 水煎服。
(方歌)
葵子散治石淋证，桑皮瞿麦山栀仁，赤苓木通车前子，甘草葵子共和匀。
(八正散)方见不小便。
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淋证门
Cold qi entering the bladder forms cold stranguria (Han Lin), characterized by obstruction of urination, distension and unbearable discomfort, continuous dribbling of urine, and dull abdominal pain. It can be treated with Wuling San (Five-Ling Decoction) with increased dosage of Rougui (Cinnamon Twig) and Xiaohuixiang (Fennel).
[Note]
Cold stranguria is caused by wind-cold pathogens invading the bladder, leading to cold accumulation in the lower jiao.
Its manifestations include urinary obstruction, unbearable distending pain, intermittent dribbling, and dull pain in the lower abdomen.
It must be treated with Wuling San (Five-Ling Decoction) with added Rougui (Cinnamon Twig) and Xiaohuixiang (Fennel); the stranguria will heal spontaneously.
(Wuling San [Five-Ling Decoction]) Baizhu (Stir-baked with soil) (Atractylodis Macrocephalae Rhizoma), Zexie (Alismatis Rhizoma), Zhuling (Polyporus), Rougui (Cinnamomi Cortex), Xiaohuixiang (Foeniculi Fructus), Chifuling (Poria cum Roselle), decocted in water and taken orally.
(Verse for Prescription) Wuling San treats cold stranguria; it contains Baizhu, Zexie, and Zhuling; use double the amount of Rougui, along with Xiaohuixiang and Chifuling.
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Stranguria Section
Heat accumulation in the bladder forms heat stranguria (Re Lin); Shiwai Daochi Tang (Ten-Ingredient Guide-to-the-Heart Decoction) yields remarkable results. If there is lower abdominal fullness and constipation, Baj Zheng San (Eight-Right Decoction) should be taken urgently without delay.
[Note]
Heat stranguria is formed by heat accumulation in the bladder, presenting as difficult urination, dribbling, and painful dysuria. It is primarily treated with Shiwai Daochi Tang (Ten-Ingredient Guide-to-the-Heart Decoction).
If accompanied by lower abdominal fullness, pain radiating to the umbilicus, and dry stool constipation, it is primarily treated with Baj Zheng San (Eight-Right Decoction).
(Shiwai Daochi Tang [Ten-Ingredient Guide-to-the-Heart Decoction]) Dihuang (Rehmanniae Radix), Shanzhizi (Gardeniae Fructus), Mutong (Akebiae Caulis), Qumai (Dianthi Herba), Huashi (Talcum), Danzhuye (Lophatheri Folium), Yinchenshao (Artemisiae Scopariae Herba), Huangqin (Scutellariae Radix), Gancao (Licorizae Radix et Rhizoma, raw), Zhuling (Polyporus), decocted in water and taken orally.
(Verse for Prescription)
The ten-ingredient Daochi medicine is most effective; Dihuang, Shanzhizi, and Mutong are combined; Qumai, Huashi, and Danzhuye are added; Yinchenshao, Huangqin, Gancao, and Zhuling follow.
(Baj Zheng San [Eight-Right Decoction]) See the section on "Urinary Retention" for the formula.
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Stranguria Section
Long-term accumulation of damp-heat forms stone stranguria (Shi Lin), where urine passes like sand and stones causing penile pain. For mild cases, Kuizi San (Hibiscus Seed Powder) is required; for severe cases, Baj Zheng San (Eight-Right Decoction) can be used subsequently.
[Note]
Stone stranguria involves pain in the urethra during urination, often passing sand-like or stone-like particles. It is caused by long-term heat accumulation in the bladder,
similar to how a kettle develops white scale at the bottom after prolonged heating over fire. Mild cases are treated with Zhu Kuizi San (Boiled Hibiscus Seed Powder), while severe cases are treated with Baj Zheng San (Eight-Right Decoction).
(Kuizi San [Hibiscus Seed Powder]) Sangpi (Mori Cortex, stir-fried), Qumai (Dianthi Herba), Zhizi (Gardeniae Fructus), Chifuling (Poria cum Roselle), Mutong (Akebiae Caulis), Cheqianzi (Plantaginis Semen), Gancao (Licorizae Radix et Rhizoma, raw), Kuizi (Abutilonis Semen), decocted in water and taken orally.
(Verse for Prescription)
Kuizi San treats stone stranguria; it consists of Sangpi, Qumai, and Shanzhiren (Gardeniae Semen); Chiling, Mutong, and Cheqianzi are added; Gancao and Kuizi are mixed evenly.
(Baj Zheng San [Eight-Right Decoction]) See the section on "Urinary Retention" for the formula.
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Stranguria Section