论曰小儿诸淋者，由肾虚而膀胱热故也，膀胱与肾为表里，俱主水入小肠，下于胞，行
于阴，为小便也。肾气通于阴，津液下流之道也，若乳食无节，悲啼不恒，虚实不调，则
腑脏不和，致肾虚而膀胱热也。膀胱津液之府，热则津液内溢，而水道不通，水不止不下，
停
积于胞，肾虚则小便数，膀胱热则水下少，数而且涩，致淋沥不宣，故谓之淋。又有热淋、
血淋、气淋、石淋、寒淋。三焦壅盛，移热于膀胱，则溲便赤者，为热淋，热甚而搏于血脉
，流入胞中溺血者，为血淋，小腹满，溺涩有余沥者，为气淋，溺出沙石者，为石淋，寒淋
之病，本于寒客下焦，余皆本于膀胱有热，令少腹急痛，水道不利，故数起而不能出也。
治小儿淋或涩痛，小便如血色。桑白皮汤方
桑根白皮（锉焙干） 山栀子仁 芦根（锉） 赤茯苓（去黑皮） 冬葵子 茅根（锉）
甘草
（炙各一分） 滑石（研入半两）
上八味，粗捣筛，五六岁儿，每服一钱匕，水一小盏，煎至五分，去滓食前日三，量儿
大小，以意加减。
治小儿诸淋，腹中妨闷。石燕丸方
石燕子（研） 瞿麦（穗） 栀子仁 滑石（研） 木通（锉） 葵子 海蛤（研各半两）
上七味，捣研为末，炼蜜丸如绿豆大，每服七丸，葱白汤下、日三，量儿大小加减。
治小儿淋或涩痛。小便如血。石苇汤方
石苇（去毛） 赤芍药 大黄（锉炒） 滑石（研） 麦门冬（去心焙） 甘草（炙） 升
麻（各
一分）
上七味，粗捣筛。每服一钱匕，水一小盏，煎至五分，去滓食前服，日三，量儿大小加
减。
治诸淋涩心烦闷乱。车前子汤方
车前子 石燕（研） 麦门冬（去心焙各半两）
上三味，粗捣筛。每服一钱匕，水一小盏，煎至五分，去滓不计时候温服。
治小儿淋，兼石淋。榆白皮汤方
榆白皮（锉焙） 瞿麦穗（各一两半）
上二味，粗捣筛。每一二岁儿，每服一钱匕，水一小盏，煎至五分，去滓分温二服，空
心日晚各一服，随儿大小加减。
治小儿诸淋，闭涩不通。麦葱汤方
小麦（一合） 葱白（两茎切）
上二味，以水一盏，煎至五分。去滓不计时候温服。量儿大小加减。
治小儿诸淋。葵子汤方
葵子（三分陈者） 石苇（去毛三分） 滑石（别研一两半）
上三味，粗捣筛。五六岁儿每服一钱匕，水一小盏，枣二枚。同煎取五分，去滓分温二
服，早晚食前各一，量儿大小加减。
治小儿小便淋沥，或尿血。滑石散方
滑石（研） 车前子（各半两）
上二味，捣罗为散。二三岁儿，每服半钱匕，空心粥饮调下，近晚再服，量儿大小，以
意加减。
治小儿诸淋。木通汤方
木通（锉碎） 桑根白皮（锉焙） 滑石（研） 芒硝 葵子（陈者各三分）
上五味，粗捣筛。每服一钱匕，水一小盏，煎至五分，去滓温服，食前日三，随儿大小
加减。
治小儿淋。蜂房散方
蜂房（炙） 乱发（各三分）
上二味，同烧灰研令细。每服半钱匕，米饮调下，日三，量儿大小，以意加减。
治小儿石淋气淋。桂心蜂房散方
桂（去粗皮一分） 蜂房（炙半两）
上二味，捣罗为散。三四岁儿，每服半钱匕，煎小麦汤，或酒调服，空心午时各一，量
儿大小加减，铜器盛溺，与石俱出。
治小儿淋。瞿麦丸方
瞿麦穗 龙胆 石苇（去毛） 桂（去粗皮） 皂荚（炙去皮子各半两） 鸡肠草 人
参（各
一两） 车前子（一两一分）
上八味，捣罗为末，炼蜜丸如梧桐子大。每服六丸至十丸，空腹热汤研下，更量儿加减。
Discussion states: Various types of stranguria (Lin syndrome, characterized by painful and frequent urination) in children are caused by Kidney deficiency combined with Heat in the Bladder. The Bladder and Kidney are exterior-interiorly related and jointly govern water metabolism; water enters the Small Intestine, descends to the Bao (Uterus/Bladder), circulates through the Yin region, and forms urine. Kidney Qi connects to the Yin region, which is the pathway for the downward flow of body fluids. If breastfeeding or dieting is irregular, or if crying from grief is unceasing, leading to an imbalance of Deficiency and Excess, the Zang-Fu organs become disharmonious, resulting in Kidney deficiency and Heat in the Bladder. The Bladder is the mansion of body fluids; when Heat is present, body fluids overflow internally, and the water passages become obstructed. Water cannot stop or descend normally, stagnating and accumulating in the Bao. Kidney deficiency causes frequent urination, while Bladder Heat causes scanty urine output. The combination of frequency and astringency leads to dribbling and incomplete voiding, hence it is called "Stranguria." Furthermore, there are Heat Stranguria, Blood Stranguria, Qi Stranguria, Stone Stranguria, and Cold Stranguria. If the San Jiao (Triple Burner) is congested and excess Heat transfers to the Bladder, causing dark red urine, it is termed Heat Stranguria. When Heat is severe and clashes with the blood vessels, flowing into the Bao and causing hematuria, it is termed Blood Stranguria. When the lower abdomen is full, urination is astringent with residual drops, it is termed Qi Stranguria. When sand or stones are passed, it is termed Stone Stranguria. Cold Stranguria originates from Cold pathogens lodging in the Lower Jiao, whereas other types primarily stem from Heat in the Bladder, causing acute pain in the lower abdomen and obstruction of water passages, resulting in frequent urges but inability to void.
Treatment for pediatric stranguria with astringency/pain and urine resembling blood color. Sangbaipi Decoction Formula
Sanggen Baipi (Cortex Morii Radicis, chopped and dried by baking) Shanzhizi Ren (Fructus Gardeniae, seed kernel) Lugen (Rhizoma Imperatae, chopped) Chifuling (Poria Cocos with black skin removed) Dongkuizi (Semen Malvae) Maogen (Radix Imperatae, chopped)
Gancao (Radix Glycyrrhizae, honey-fried, each 1 fen) Huashi (Talcum, ground, added 0.5 liang)
The above eight ingredients are coarsely crushed and sifted. For children aged five to six years, administer one qianbi per dose. Add one small zhan of water, decoct until reduced to 0.5 zhan. Remove dregs and administer before meals, three times daily. Adjust dosage according to the child's size.
Treatment for various pediatric strangurias accompanied by abdominal distension and stuffiness. Shiyan Wan Formula
Shiyanzi (Lithospermum/Erythronium seeds? Note: Context implies a mineral or specific herb, literally 'Stone Swallow', often interpreted as Lithospermum or similar diuretic stone-like substance in ancient texts, here kept as Shiyanzi) Qumai (Herba Siegesbeckiae, with spikes) Zhizi Ren (Fructus Gardeniae, kernel) Huashi (Talcum, ground) Mutong (Caulis Akebiae, chopped) Kuizi (Semen Malvae) Haihai (Concha Meretricis, ground, each 0.5 liang)
The above seven ingredients are crushed, ground into powder, and made into pills with refined honey, sized like mung beans. Administer seven pills per dose, taken down with Scallion White Decoction, three times daily. Adjust according to the child's size.
Treatment for pediatric stranguria with astringency/pain and bloody urine. Shiwei Tang Formula
Shiwei (Folium Pyrrosiae, hairs removed) Chishaoyao (Radix Paeoniae Rubra) Dahuang (Radix et Rhizoma Rhei, chopped and stir-fried) Huashi (Talcum, ground) Maimendong (Radix Ophiopogonis, heart removed and baked) Gancao (Radix Glycyrrhizae, honey-fried) Shengma (Rhizoma Cimicifugae, each 1 fen)
The above seven ingredients are coarsely crushed and sifted. Administer one qianbi per dose. Add one small zhan of water, decoct until reduced to 0.5 zhan. Remove dregs and take warm before meals, three times daily. Adjust according to the child's size.
Treatment for various strangurias with astringency, irritability, and mental restlessness. Cheqianzi Tang Formula
Cheqianzi (Semen Plantaginis) Shiyanzi (Lithospermum/Stone Swallow, ground) Maimendong (Radix Ophiopogonis, heart removed and baked, each 0.5 liang)
The above three ingredients are coarsely crushed and sifted. Administer one qianbi per dose. Add one small zhan of water, decoct until reduced to 0.5 zhan. Remove dregs and take warm at any time.
Treatment for pediatric stranguria, including Stone Stranguria. Yubaipi Tang Formula
Yubaipi (Cortex Ulmi, chopped and dried by baking) Qumai Sui (Herba Siegesbeckiae, with spikes, each 1.5 liang)
The above two ingredients are coarsely crushed and sifted. For children aged one to two years, administer one qianbi per dose. Add one small zhan of water, decoct until reduced to 0.5 zhan. Remove dregs and divide into two warm doses. Take once on an empty stomach and once in the evening. Adjust according to the child's size.
Treatment for various pediatric strangurias with obstruction and astringency. Maicong Tang Formula
Xiaomai (Frumentum Tritici, one he) Congbai (Bulbus Allii Cepae, two stalks cut)
The above two ingredients are decocted in one zhan of water until reduced to 0.5 zhan. Remove dregs and take warm at any time. Adjust according to the child's size.
Treatment for various pediatric strangurias. Kuizi Tang Formula
Kuizi (Semen Malvae, three fen, aged) Shiwei (Folium Pyrrosiae, hairs removed, three fen) Huashi (Talcum, separately ground, 1.5 liang)
The above three ingredients are coarsely crushed and sifted. For children aged five to six years, administer one qianbi per dose. Add one small zhan of water and two jujubes. Decoct together until 0.5 zhan remains. Remove dregs and divide into two warm doses. Take once before breakfast and once before dinner. Adjust according to the child's size.
Treatment for pediatric dribbling stranguria or hematuria. Huashi San Formula
Huashi (Talcum, ground) Cheqianzi (Semen Plantaginis, each 0.5 liang)
The above two ingredients are crushed, sieved, and made into a powder. For children aged two to three years, administer half a qianbi per dose. Take on an empty stomach mixed with rice gruel drink, and again near nightfall. Adjust according to the child's size.
Treatment for various pediatric strangurias. Mutong Tang Formula
Mutong (Caulis Akebiae, chopped) Sanggen Baipi (Cortex Morii Radicis, chopped and dried by baking) Huashi (Talcum, ground) Mangxiao (Natrii Sulfas) Kuizi (Semen Malvae, aged, each 3 fen)
The above five ingredients are coarsely crushed and sifted. Administer one qianbi per dose. Add one small zhan of water, decoct until reduced to 0.5 zhan. Remove dregs and take warm before meals, three times daily. Adjust according to the child's size.
Treatment for pediatric stranguria. Fengfang San Formula
Fengfang (Nidus Vespae, roasted) Luankou (Colla Corii Asini/Hair, each 3 fen)
The above two ingredients are burned to ash and ground finely. Administer half a qianbi per dose, taken down with rice drink, three times daily. Adjust according to the child's size.
Treatment for pediatric Stone Stranguria and Qi Stranguria. Guixin Fengfang San Formula
Guixin (Cortex Cinnamomi, outer bark removed, 1 fen) Fengfang (Nidus Vespae, roasted, 0.5 liang)
The above two ingredients are crushed, sieved, and made into a powder. For children aged three to four years, administer half a qianbi per dose. Take with decocted wheat soup or wine. Take once on an empty stomach and once at noon. Adjust according to the child's size. Urinate in a copper vessel so that stones may be expelled with the urine.
Treatment for pediatric stranguria. Qumai Wan Formula
Qumai Sui (Herba Siegesbeckiae, with spikes) Longdan (Radix Gentianae) Shiwei (Folium Pyrrosiae, hairs removed) Gui (Cortex Cinnamomi, outer bark removed) Zaojia (Fructus Gleditsiae Sinensis, roasted, skin and seeds removed, each 0.5 liang) Jichangcao (Herba Polygoni Avicularis) Renshen (Radix Ginseng, each 1 liang) Cheqianzi (Semen Plantaginis, 1 liang 1 fen)
The above eight ingredients are crushed, sieved, and made into powder. Form pills with refined honey, sized like wutong tree seeds. Administer six to ten pills per dose, dissolved in hot water on an empty stomach. Adjust further based on the child's condition.