论曰肾与膀胱为表里，下通于胞，宣行水道，肾脏虚弱，冷气客于下焦，邪正交争，满
于胞内，水道不宣，故其状先寒颤，然后便溺成淋，谓之冷淋也。
治冷淋小便涩，榆皮汤方
榆皮 桂（去粗皮） 芎 （各半两） 木通 瞿麦穗（各一两） 人参（三分）
上六味，锉如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服不拘时。
治冷淋寒颤，小便涩痛，茅根饮方
茅根 菝 竹叶 五味子（各一两半） 乌梅（去核焙十五枚） 石膏（五两） 人
参（二两）
上七味，锉如麻豆大，每服五钱匕，水一盏半，煎至一盏，去滓温服不拘时。
治冷淋寒颤涩痛，菝 饮方
菝 土瓜根 黄 （锉） 地骨皮 五味子（各二两） 人参 牡蛎（ 各一两半） 石
膏（碎四两）
上八味，粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓温服不拘时。
治冷淋、溲便冷涩，菟丝子散方
菟丝子（酒浸别捣） 肉苁蓉（酒浸切焙各一两） 五味子 黄 （锉） 鸡 黄皮 蒲
黄（各一两半） 硝石（研半两）
上七味，捣罗为散，每服二钱匕，温酒调下不拘时。
治冷淋，肉苁蓉丸方
肉苁蓉（酒浸切焙） 熟干地黄（焙） 山芋 石槲（去根） 牛膝（酒浸切焙） 桂
（去粗皮
细辛（去苗叶
上一十二味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，盐酒下不拘时。
治肾虚膀胱冷，淋沥不利，黄 丸方
黄 （锉） 黄连（去须） 土瓜根（锉各二两半） 玄参（三两） 地骨皮（锉） 菝
（锉）
一两半）
上一十一味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，盐酒下不拘时。
治冷淋，菟丝石脂散方
菟丝子（酒浸别捣） 白石脂 牡蛎（ 研各二两） 桂（去粗皮） 土瓜根（锉各一
两）
上五味，捣研为散，每服二钱匕 煮大麦粥饮调下，空心食前。
治冷淋、诸方不瘥者，麝香散方
麝香（不拘多少）
上一味细研，每服半钱匕，空心温酒调下。
治冷淋、小便涩痛，泽泻散方
泽泻 鸡苏 赤茯苓（去黑皮） 石苇（去毛炙） 当归（切炒） 蒲黄 槟榔（锉） 琥
珀（
上一十一味，捣研为散，每服二钱匕，煎冬葵子汤调下，木通汤亦得，不拘时。
治冷淋小便多，或不禁，宜服菟丝子散方。
菟丝子（酒浸一宿别捣一两） 蒲黄 黄连（去须各一两半） 硝石（半两） 肉苁蓉
（酒浸
上七味，捣罗为细散，每空腹温酒调三钱匕服，日二。
治阴汗小便多冷淋等，蜀椒丸方
蜀椒（去目及闭口者炒出汗三两） 杏仁（汤去皮尖双仁炒黄研四两）
上二味，先以醇酒一升半，熬令酒尽，取椒焙为末，杏仁别捣，相和为丸，如梧桐子大，
每日空心盐汤下二十丸，晚再服。
Commentary states: The Kidney and the Bladder are exteriorly-interiorly related, extending downward to connect with the Bao (uterus/lower jiao reproductive-urinary region), governing the unblocking and circulation of the water pathways. If the Kidney is deficient and cold pathogenic factors invade and lodge in the lower jiao, evil qi and righteous qi contend with each other, causing qi stagnation and fullness within the Bao, thereby obstructing the water pathways. Consequently, the clinical manifestation presents initially with chills, followed by difficult urination forming Lin syndrome (dysuria/pollakiuria), which is termed Cold Lin.
Formula for Treating Cold Lin with Astringent Urine: Yupi Tang (Elm Bark Decoction)
Ulmi Cortex (Yupi), Cinnamomi Ramulus (Guizhi, removed from rough bark), Chuanxiong Rhizoma (Chuanxiong) (each 0.5 liang), Akebiae Caulis (Mutong), Agastachidis Spica (Qumai Sui) (each 1 liang), Ginseng Radix et Rhizoma (Renshen) (3 fen).
The above six herbs are chopped into pieces the size of hemp seeds or beans. Each dose consists of 5 qianbi (approx. 2.5-3g), boiled with 1.5 zhan (approx. 300ml) of water until reduced to 0.8 zhan. Strain the dregs and take warm, at any time.
Formula for Treating Cold Lin with Chills and Painful, Astringent Urine: Maogen Yin (Imperata Root Drink)
Imperatae Rhizoma (Maogen), Smilacis Glabrae Rhizoma (Baqia), Bambusae Folium (Zhuye), Schisandrae Fructus (Wuweizi) (each 1.5 liang), Mume Fructus (Wumei, pitted and baked, 15 pieces), Gypsum Fibrosum (Shigao) (5 liang), Ginseng Radix et Rhizoma (Renshen) (2 liang).
The above seven herbs are chopped into pieces the size of hemp seeds or beans. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water until reduced to 1 zhan. Strain the dregs and take warm, at any time.
Formula for Treating Cold Lin with Chills and Astringent Pain: Baqia Yin (Smilax Root Drink)
Smilacis Glabrae Rhizoma (Baqia), Trichosanthis Radix (Tugua Gen), Astragali Radix (Huangqi, chopped), Lycii Cortex (Digupi), Schisandrae Fructus (Wuweizi) (each 2 liang), Ginseng Radix et Rhizoma (Renshen), Ostrea Concha (Muli) (each 1.5 liang), Gypsum Fibrosum (Shigao, crushed) (4 liang).
The above eight herbs are coarsely pounded and sieved. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water until reduced to 0.7 zhan. Strain the dregs and take warm, at any time.
Formula for Treating Cold Lin with Cold and Astringent Urine: Tusi Zi San (Cuscuta Seed Powder)
Cuscutae Semen (Tusi Zi, soaked in wine and pounded separately), Cynomorii Herba (Roucongrong, soaked in wine, sliced, and baked, each 1 liang), Schisandrae Fructus (Wuweizi), Astragali Radix (Huangqi, chopped), Endothelium Corneum Gigeriae Galli (Jineijin/Jihuangpi), Poria Cocos (Fuling - *Note: Text says Jihuangpi, likely referring to Jineijin*), Polygoni Multiflori Caulis? No, text says "Ji Huang Pi" (Chicken Yellow Skin/Endothelium Corneum Gigeriae Galli), Polygoni Multiflori Caulis? No, text lists "Pu Huang" (Lygodii Spora) (each 1.5 liang), Natrii Sulfas (Xiaoshi, ground) (0.5 liang).
*Correction based on standard TCM texts*: "Ji Huang Pi" usually refers to Endothelium Corneum Gigeriae Galli (Jineijin).
The above seven herbs are pounded and sifted into a powder. Each dose consists of 2 qianbi, taken with warm wine, at any time.
Formula for Treating Cold Lin: Roucongrong Wan (Cynomorium Pill)
Cynomorii Herba (Roucongrong, soaked in wine, sliced, and baked), Prepared Rehmanniae Radix (Shudihuang), Dioscoreae Rhizoma (Shanyu/Dioscorea opposita), Lithospermi Radix et Rhizoma (Shihu - *Note: Shihu usually refers to Dendrobium, but in Song dynasty texts might refer to Lithospermum or similar; context suggests warming/drying herb, possibly a typo for Shi Hu or specific local name, keeping literal translation*), Achyranthis Bidentatae Radix (Niuxi, soaked in wine, sliced, and baked), Cinnamomi Ramulus (Guizhi, removed from rough bark), Asari Radix et Rhizoma (Xixin, removed from seedlings and leaves).
The above twelve herbs are pounded and sifted into powder. Honey pills are made the size of paulownia seeds. Each dose consists of 20 pills, taken with salt wine, at any time.
Formula for Treating Kidney Deficiency and Cold Bladder with Incomplete Voiding: Huangqi Wan (Astragalus Pill)
Astragali Radix (Huangqi, chopped), Coptidis Rhizoma (Huanglian, removed from roots), Trichosanthis Radix (Tugua Gen, chopped, each 2.5 liang), Scrophulariae Radix (Xuanshen) (3 liang), Lycii Cortex (Digupi, chopped), Smilacis Glabrae Rhizoma (Baqia, chopped) (1.5 liang).
*Note: Text mentions 11 ingredients but lists fewer explicitly with doses in this snippet, implying missing items or condensed list.*
The above eleven herbs are pounded and sifted into powder. Honey pills are made the size of paulownia seeds. Each dose consists of 20 pills, taken with salt wine, at any time.
Formula for Treating Cold Lin: Tusi Zi Baishi Zhi San (Cuscuta and White Halloysite Powder)
Cuscutae Semen (Tusi Zi, soaked in wine and pounded separately), Halloysitum Rubrum (Baishizhi - *Note: Usually Hongshizhi, but text says Baishi Zhi*), Ostrea Concha (Muli, ground, each 2 liang), Cinnamomi Ramulus (Guizhi, removed from rough bark), Trichosanthis Radix (Tugua Gen, chopped) (each 1 liang).
The above five herbs are pounded and ground into powder. Each dose consists of 2 qianbi, taken with barley porridge decoction, before meals and on an empty stomach.
Formula for Treating Cold Lin Unresponsive to Other Formulas: Shexiang San (Musk Powder)
Moschus (Shexiang, amount unspecified).
The above single herb is finely ground. Each dose consists of half a qianbi, taken with warm wine on an empty stomach.
Formula for Treating Cold Lin with Painful, Astringent Urine: Zexie San (Alisma Powder)
Alismatis Rhizoma (Zexie), Elsholtziae Herba (Jisu - *Note: Jisu often refers to Elsholtzia or Perilla leaf depending on context, here likely Elsholtzia*), Polyporus (Chifuling, removed from black skin), Pyri Folium? No, Shiwei (Lehmannia/Vaccaria leaf, de-haired and roasted), Angelicae Sinensis Radix (Danggui, sliced and stir-fried), Lygodii Spora (Puhuang), Arecae Semen (Binglang, chopped), Succinum (Hupo - *Text cuts off dosage*).
*Note: Text states "Eleven flavors" but lists fewer fully. Following instruction to translate visible content.*
The above herbs are pounded and ground into powder. Each dose consists of 2 qianbi, taken with Winter Melon Seed (Dongkuizi) decoction, or Mutong decoction is also acceptable, at any time.
Formula for Treating Cold Lin with Frequent Urination or Incontinence: Tusi Zi San (Cuscuta Seed Powder)
Cuscutae Semen (Tusi Zi, soaked in wine overnight and pounded separately, 1 liang), Lygodii Spora (Puhuang), Coptidis Rhizoma (Huanglian, removed from roots, each 1.5 liang), Natrii Sulfas (Xiaoshi) (0.5 liang), Cynomorii Herba (Roucongrong, soaked in wine...).
The above seven herbs are pounded and sifted into fine powder. Each dose consists of 3 qianbi, taken with warm wine on an empty stomach, twice daily.
Formula for Treating Genital Sweating, Frequent Urination, and Cold Lin: Shujiao Wan (Sichuan Pepper Pill)
Zanthoxyli Fructus (Shujiao, remove eyes and closed-mouth ones, stir-fry until oil appears, 3 liang), Armeniacae Semen Amarum (Xingren, blanch to remove skin and tips, stir-fry until yellow and grind, 4 liang).
The above two herbs are first simmered in 1.5 sheng of strong wine until the wine is evaporated. Take the pepper, bake it, and grind it into powder. Grind the almonds separately. Mix them to form pills the size of paulownia seeds. Take 20 pills with salt water on an empty stomach every morning, and take again in the evening.