气淋者,气闭不能化水,病从肺而及于膀胱也。其候小腹满,气壅,小便涩而有余沥。
治宜以清肺金为主。方用∶
沉香 石苇(去毛) 滑石 王不留行 当归各五钱 冬葵子 白芍各七钱五分 橘皮
甘草各二钱五分
上为散,每服二钱,煎大麦汤下。
膏淋者,小便肥浊,色若脂膏,故名。一名肉淋,其原因由于肾血不能制于肥液,故与
小便俱出也。治用∶
磁石(火 醋淬三七次) 肉苁蓉(酒浸切焙) 泽泻 滑石各一两
上为末,蜜丸梧子大,每服三十丸,温酒下不拘时。如脐下妨闷,加沉香一钱,以行滞
气。
本症之原因,为肾气耗竭,上不能通于心,中不能润于肝。下不能生于脾土,以致玉关
不闭,无梦且遗。法当大剂补肾,而少佐以益心益肝益脾之品。方用∶
熟地一两 枣仁 薏仁各五钱 山茱萸四钱 茯苓 白芍 当归各五钱 茯神二钱 北
五味 白芥子各一钱 肉桂 黄连各三分
水煎服,一剂即止,十剂痊愈。
本症之外表,虽属于肾火之虚,然究其根原,实不得不推原于心君之虚。故宜心肾交补,
乃能水火相济。方用∶
熟地八两 山药 山茱萸 白术各四两 人参 茯苓 麦冬 巴戟天 肉苁蓉各三两
肉桂 北五味 远志 枣仁(炒) 柏子仁 杜仲 破故纸各一两 砂仁五钱 附子一枚
鹿茸一付 紫河车一具
上捣末,蜜和丸,汤下二、三十丸,日再服。
Qi Lin (Qi Strangury) refers to a condition where Qi stagnation prevents the normal transformation of fluids, with the pathology originating in the Lung and affecting the Bladder. Its manifestations include fullness in the lower abdomen, Qi obstruction, painful and difficult urination with residual dribbling.
Treatment should primarily focus on clearing Lung Qi. The prescription is as follows:
Chenxiang (Aquilaria Lignum), Shiwei (Pyrrosiae Folium, hairs removed), Huashi (Talcum), Wangbuliuxing (Vaccariae Semen), Danggui (Angelicae Sinensis Radix) each 5 qian; Dongkuizi (Malvae Semen), Baishao (Paeoniae Radix Alba) each 7.5 qian; Jupi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma) each 2.5 qian.
Grind the above into powder. Take 2 qian per dose, administered with decoction of Hordeum vulgare (Barley).
Gao Lin (Paste Strangury) is so named because the urine is turbid and resembles fat or paste. It is also known as Rou Lin (Meat Strangury). Its etiology lies in the Kidney Blood's inability to control fatty fluids, causing them to be discharged along with urine. The treatment prescription is as follows:
Cishi (Magnetitum, calcined and quenched in vinegar 37 times), Rongzongus (Cistanches Herba, soaked in wine, sliced, and dried), Zexie (Alismatis Rhizoma), Huashi (Talcum) each 1 liang.
Grind the above into fine powder. Mix with honey to make pills the size of wutong seeds. Take 30 pills per dose, administered with warm wine at any time. If there is oppression and stuffiness below the umbilicus, add Chenxiang (Aquilaria Lignum) 1 qian to move stagnant Qi.
The cause of this syndrome is exhaustion of Kidney Qi, which fails to communicate upward to the Heart, moisten the Liver in the middle, and generate Spleen Earth downward. This results in the failure of the essence gate to close, leading to nocturnal emission without dreams. The therapeutic method should involve large doses of herbs to tonify the Kidney, supplemented by small amounts of herbs to benefit the Heart, Liver, and Spleen. The prescription is as follows:
Shudi (Rehmanniae Radix Preparata) 1 liang; Zaoren (Ziziphi Spinosae Semen), Yiren (Coicis Semen) each 5 qian; Shanzhuyu (Corni Fructus) 4 qian; Fuling (Poria), Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix) each 5 qian; Fushen (Poria cum Radice) 2 qian; Bei Wuweizi (Schisandrae Fructus), Baijiezi (Brassicae Semens Mustardae) each 1 qian; Rougui (Cinnamomi Cortex), Huanglian (Coptidis Rhizoma) each 3 fen.
Decoct in water and take orally. One dose is sufficient to stop symptoms; ten doses will lead to recovery.
Although the external manifestation of this syndrome belongs to deficiency of Kidney Fire, tracing its root cause inevitably points to deficiency of the Heart Monarch. Therefore, it is appropriate to tonify both the Heart and Kidney simultaneously to achieve mutual interaction between Water and Fire. The prescription is as follows:
Shudi (Rehmanniae Radix Preparata) 8 liang; Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma) each 4 liang; Renshen (Ginseng Radix), Fuling (Poria), Maidong (Ophiopogonis Radix), Bajitian (Morinda Officinalis Radix), Rongzongus (Cistanches Herba) each 3 liang; Rougui (Cinnamomi Cortex), Bei Wuweizi (Schisandrae Fructus), Yuanzhi (Polygalae Radix), Chao Zaoren (Ziziphi Spinosae Semen, stir-fried), Baiziren (Platycladi Semen), Duzhong (Eucommiae Cortex), Poguozhi (Psoraleae Fructus) each 1 liang; Sharen (Amomi Fructus Rotundus) 5 qian; Fuzi (Aconiti Lateralis Radix Preparata) one piece; Lurong (Cervi Cornu Pantotrichum) one set; Ziheche (Placenta Humana) one unit.
Crush the above into powder. Mix with honey to form pills. Administer 20-30 pills with soup, twice daily.