Library

Commentary states: In Xiao Ke (Wasting and Thirsting Syndrome), excessive drinking of water over a long period leads to the leakage of lipids and the depletion of essence and fluids. These substances flow downward into the bladder, mix with urine becoming turbid, and are discharged as coagulated paste-like material along with urination; thus it is called "Xiao Ke with White Turbid Urine."

Formula for treating Xiao Ke with urine turbid like lipid: Shen Li Tang (Kidney Drip Decoction)
Caprae Caprae Ren (Goat Kidney, one piece, remove fat membrane and slice) Huangqi Radix Astragali (Astragalus Root, crushed) Dubroviae Cortex (Eucommia Bark, crushed and stir-fried) Schisandrae Fructus (Schisandra Fruit) Zingiberis Rhizoma Recens (Fresh Ginger, sliced, each 1.5 liang) Sheng Dihuang Radix Rehmanniae Preparata (Prepared Rehmannia Root, dried by baking, 1 liang) Ginseng Radix (Ginseng Root, 0.5 liang) Jujubae Fructus (Jujube Fruit, five pieces, pitted) Magnetitum (Magnetite, 3 liang, crushed and wrapped in cotton cloth)
Take the above nine ingredients. Excluding the goat kidney and magnetite, crush the remaining herbs and divide into two doses. First, decoct the kidney and magnetite in four sheng of water until reduced to two sheng. Remove the kidney, then add the other herbs. Continue decocting to obtain eight ge of liquid. Strain the dregs and divide into two doses, taken warm before meals.

Formula for treating Xiao Ke with dryness and withering of the fu and zang organs, dry mouth with desire to drink, and urine like lipid: Tie Fen Wan (Iron Powder Pill)
Ferri Pulvis (Iron Powder, ground, washed with water, dried, weighed 3 liang, ground again) Galli Gigerii Endothelium Corneum (Chicken Gizzard Lining, dried in shade, five pieces, roasted until cooked) Coptidis Rhizoma (Coptis Rhizome, remove stamens, 3 liang) Ostrea Concha (Oyster Shell, stir-fried and ground to powder, 2 liang)
Take the above four ingredients. First pound the first two into fine powder, sift them, then mix evenly with iron powder and oyster shell powder. Blend with refined honey to form a pill mass. Use su (animal fat) to coat the pestle, pound and knead until smooth and well-combined. Shape into pills the size of Chinese parasol tree seeds. Take 30 pills per dose, administered with millet drink decocted before meals. Gradually increase to 40 pills per dose.

Formula for treating Xiao Ke with thick turbid urine like flour water, indicating Kidney Cold: Jin Ya Shi Tang (Gold Tooth Stone Decoction)
Jin Ya Shi (Gold Tooth Stone, crushed and ground) Houpu Magnoliae Officinalis Cortex (Magnolia Bark, remove rough skin, brush with fresh ginger juice and roast until cooked) Changpu Acori Tatarinowii Rhizoma (Sweet Flag Rhizome, each 1.5 liang) Beimu Fritillariae Bulbus (Fritillaria Bulb, baked to remove heart, 1 liang) Tusizi Cuscutae Semen (Dodder Seed, soaked in wine for two nights, sun-dried, lightly stir-fried, separately pounded, each 0.5 liang)
Take the above nine ingredients. First pound the first eight into coarse powder, then add Jin Ya Shi and grind evenly. Take three qian bi per dose. Add two pitted jujubes to one sheng of water. Decoct until reduced to seven-tenths. Strain the dregs and take warm before morning and evening meals.

Formula for treating Xiao Ke where the patient can eat but drinks excessively, with urine resembling lipid bran flakes, day and night without restraint: Dong Gua Yin (Winter Melon Drink)
Donggua Benincasae Fructus (Winter Melon, one piece) Huanglian Coptidis Rhizoma (Coptis Rhizome, remove stamens, 10 liang, separately pounded into fine powder)
Take the above two ingredients. Cut open the winter melon, remove the pulp, and clean it. Stuff the Huanglian powder inside the melon. Cover with the melon top and bake in hot ashes until cooked. Peel off, finely chop, and mash thoroughly. Squeeze out the juice using a cloth. Take one to two zhan per dose, before meals. Administer three times during the day and twice at night.

Formula for treating Xiao Ke with unceasing thirst, urine like lipid, dry tongue, and dry mouth: Huanglian Wan (Coptis Pill)
Huanglian Coptidis Rhizoma (Coptis Rhizome, remove stamens) Tianhuafen Trichosanthis Radix (Trichosanthes Root, each 5 liang)
Pound and sift the above two ingredients into powder. Blend with juice of fresh Shengdihuang Radix Rehmanniae (Rehmannia Root) to form a pill mass. In a stone mortar, use a wooden pestle coated with su to pound and knead until smooth and well-combined. Shape into pills the size of Chinese parasol tree seeds. Take 30 pills per dose, administered with cow's milk after meals, twice daily.

Formula for treating Xiao Ke with cold in the lower body, thick white urine like rice wash water, vomiting, regurgitation, and inability to eat: Tingli Wan (Descurainia Seed Pill)
Tinglizi Descuraniae Semen (Descurainia Seed, stir-fried on low heat, separately pounded into paste, 1.5 liang) Zhike Aurantii Fructus Immaturus (Immature Bitter Orange, remove pulp, stir-fried with bran) Guizhi Ramulus Cinnamomi (Cinnamon Twig, remove rough skin) Lingyangjiao Cornu Saigae Tataricae (Saiga Antelope Horn, shaved) Baifuling Poria (Poria, remove black skin) Chaihu Bupleuri Radix (Bupleurum Root, remove seedlings) Biejia Carapax et Plastrum Testudinis (Turtle Shell, remove skirt, soak in vinegar and roast) Fangfeng Saposhnikoviae Radix (Saposhnikovia Root, remove forked roots) Tusizi Cuscutae Semen (Dodder Seed, soaked in wine for two nights, baked dry, stir-fried, separately pounded)
Take the above twelve ingredients. Pound and sift into powder. Blend with refined honey to form a pill mass. Use su-coated pestle to pound and knead until smooth. Shape into pills the size of Chinese parasol tree seeds. Take 30 pills per dose, administered with wine on an empty stomach.

Formula for treating Xiao Ke with excessive drinking, emaciated limbs, urine like rice wash water, cold pain in waist and knees, refractory to other formulas: Shanzhuyu Wan (Cornus Pill)
Shanzhuyu Corni Fructus (Cornus Fruit) Tianhuafen Trichosanthis Radix (Trichosanthes Root, crushed) Tuguaegen Trichosanthis Kirilowii Radix (Trichosanthes Kirilowii Root, crushed) Kushen Sophorae Flavescentis Radix (Sophora Root) Longgu Os Draconis (Dragon Bone, finely ground, each 1.5 liang) Huanglian Coptidis Rhizoma (Coptis Rhizome, remove stamens, 3.5 liang)
Take the above six ingredients. First pound and sift the first five, then add Longgu and grind evenly. Blend with juice of fresh Tianhuafen to form a pill mass. Use su-coated pestle to pound and knead until smooth. Shape into pills the size of Chinese parasol tree seeds. Take 30 pills per dose, administered with decoction of Baimaogen Imperatae Rhizoma (Imperata Rhizome) after meals, three times daily.

Formula for treating Xiao Ke with lipiduria and urine like rice wash water: Roushangrong Wan (Cistanche Pill)
Roushangrong Cistanches Herba (Cistanche Herb, remove wrinkled skin, soak in wine, slice, and bake) Zexiae Rhizoma Alismatis (Alisma Rhizome) Wuweizi Schisandrae Fructus (Schisandra Fruit) Bajitian Morindae Officinalis Radix (Morinda Root, remove heart) Dangshui Angelicae Sinensis Radix (Angelica Sinensis Root, slice and bake) Digupi Cortex Lycii (Lycium Bark, each 1 liang) Cishi Magnetitum (Magnetite, baked and quenched in vinegar seven times) Renshen Ginseng Radix (Ginseng Root) Chishizhi Halloysit Rubra (Halloysite Red, each 1.5 liang) Jiuizi Allii Tuberosi Semen (Garlic Seed, stir-fried) Bailonggu Os Draconis (Dragon Bone) Ganliquorice Radix Glycyrrhizae (Licorice Root, roasted and crushed) Mudanpi Cortex Moutan (Tree Peony Bark, each 1 liang) Shudihuang Radix Rehmanniae Preparata (Prepared Rehmannia Root, baked, 1 liang) Yuyuliang Haematitum (Haematite, 3 fen) Sangpiaoxiao Ovi Mantidis (Mantis Egg Case, roasted, 40 pieces)
Take the above sixteen ingredients. Pound and sift into powder. Blend with refined honey to form pills the size of Chinese parasol tree seeds. Take 20 pills per dose, administered with cow's milk, three times daily.