论曰膀胱为渗泄之府，肾气均平，则溲便清，肾气既虚，不能制其肥液，故与小便俱出，
色若脂膏，故谓之膏淋，又曰肉淋。
治膏淋，小便肥如膏，磁石丸方
磁石（火 醋淬三七遍） 肉苁蓉（酒浸切焙） 泽泻 滑石（各一两）
上四味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，温酒下不拘时。
治膏淋，沉香丸方
沉香（锉） 肉苁蓉（酒浸切焙） 黄 （锉） 瞿麦穗 磁石（火 醋淬三七遍） 滑
石（各
上六味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，温酒下不拘时。
治膏淋，榆皮汤方
榆皮（洗切焙） 黄芩（去黑心） 瞿麦穗 甘草（炙锉） 滑石（碎） 泽泻（锉） 赤
去黑皮各一两）
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服不拘时。
治膏淋，小便肥浊，滑石汤方
滑石（碎） 白茯苓（去黑皮） 白术 木通（锉） 赤芍药 熟干地黄（焙） 五味
子（各一
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服不拘时。
治膏淋， 草饮方
草（取叶洗切捣自然汁）
上一味，取汁一升，用醋一合和匀，每服半盏，连服三服，不计时。
论曰石淋者，淋病而有砂石，从小便道出也，盖由肾气虚损，则饮液停聚，不得宣通，
膀胱客热，则水道涩痛，胞内壅积，故令结成砂石，随小便而下，其大者留碍水道之间，痛
引少腹，令人闷绝。
治砂石淋，涩痛，瞿麦饮方
瞿麦穗（半两） 木通（锉一两） 甘遂（炒） 青盐（别研各一分） 槟榔（锉二枚）
莎草根
上六味，捣罗为细散，每服一钱匕，温熟水调下，不拘时候。
治砂石淋，疼痛不可忍，木通散方
木通（锉） 干地黄（切焙） 黄蜀葵花（各半两） 鲮鲤甲（炙一分） 芫青（去头
足翅） 斑
上七味，捣罗为散，每服一钱匕，煎蜀葵根汤，放冷调下，空心食前。
治砂石淋，人参散方
人参 木通（锉） 青盐（研） 海金沙（别研各一分） 莎草根（炒去毛半两）
上五味，除海金沙青盐外，捣罗为散，合研匀，每服二钱匕，空心米饮调下。
治砂石淋，痛不可忍，乳香丸方
乳香（别研） 斑蝥（去翅足炒） 海金沙 砂（别研各一分） 麝香（别研半钱） 鲮
鲤甲（炙焦半两） 葵菜子（炒一合）
上七味，除乳香麝香 砂外，捣罗为末，合研匀，米醋煮面糊，丸如绿豆大，每服十丸，
煎木通汤下，第二服，用续随子二七粒烂研，水酒各半盏，同煎沸放温，并服三服，砂石即
下，小儿量减丸数。
治砂石淋涩，疼痛不可忍，海金沙散方
海金沙 滑石（碎） 石膏（碎） 木通（锉） 甘草（炙锉） 井泉石（碎）
上六味等分，捣研为散，煎灯心汤调下二钱匕，不拘时候。
治砂石淋，通神散方
粟米（炒一合） 故笔头（烧灰二枚） 马蔺花（烧灰七枚）
上三味，捣罗为散，温酒调下二钱匕，痛不可忍者，并三服。
治砂石淋，海金沙散方
海金沙 滑石（碎各一分） 腻粉（一钱匕）
上三味，捣研为散，再研匀，每服一钱匕，温汤调下。
治砂石淋，胜金散方
甘草（炙锉） 滑石（碎） 郁金（各半两）
上三味，捣罗为散，每服一钱匕，温水调下，日三。
治砂石淋，车前子散方
车前子 槟榔（锉各一两）
上二味，捣罗为散，每服二钱匕，煎木瓜汤调下。
治小肠淋，砂石难出疼痛，二拗散方
胡椒 朴硝（各一两）
上二味，捣罗为细散，温汤调下二钱匕，并二服。
治砂石淋重者，取出根本，菝 散方
菝 （二两）
上一味，捣罗为细散，每服一钱匕，米饮调下，服毕用地椒煎汤，浴连腰浸，须臾即通
治砂石淋，独圣散方
黄蜀葵花（炒一两）
上一味，捣罗为细散，每服一钱匕，食前米饮调下。
治石淋疼痛，淋沥昼夜不利，石苇散方
石苇（去毛） 当归（切焙） 木通（锉） 地胆（去足翅炒） 钟乳粉 车前子 瞿
麦穗 蛇
上一十味，捣罗为散，煎冬葵子汤，调三钱匕，食前服。
治砂石淋，木通汤方
木通（锉） 滑石（碎各一两） 冬葵子（二两）
上三味，粗捣筛，每服五钱匕，水一盏半，同煎至八分，去滓温服。
治砂石淋，鳖甲散方
鳖甲（去裙 烧灰存性）
上一味，捣罗为散，每服三钱匕，空心温酒调下。
治沙石淋，茅根汤方
茅根（细切一升） 葛花（为末一两） 露蜂房（为末二两）
上三味，分作三服，每服以水三盏，煎取一盏，去滓空心温服。
Discourse states: The Bladder (Pang Guang) is the mansion for seepage and discharge. When Kidney Qi (Shen Qi) is harmonious and balanced, urination is clear; when Kidney Qi is deficient, it fails to control the thick fatty fluids, which thus exit together with urine. The color resembles fat or paste, hence it is called Gao Lin (Paste Strangury), also known as Rou Lin (Meat Strangury).
Treatment for Gao Lin (Paste Strangury) with urine turbid like paste: Cishi Wan (Magnetite Pill) Formula
Cishi (Magnetitum, calcined and quenched in vinegar seven times) Rouscongrong (Cistanche Herba, soaked in wine, sliced, and dried) Zexie (Alisma Rhizoma) Huashi (Talcum, each one tael)
The above four herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take thirty pills per dose, administered with warm wine at any time.
Treatment for Gao Lin (Paste Strangury): Chenxiang Wan (Agarwood Pill) Formula
Chenxiang (Aquilariae Lignum Resinatum, shaved) Rouscongrong (Cistanche Herba, soaked in wine, sliced, and dried) Huangqi (Astragali Radix, shaved) Qumai (Diantherae Herba) Cishi (Magnetitum, calcined and quenched in vinegar seven times) Huashi (Talcum, each one tael)
The above six herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take thirty pills per dose, administered with warm wine at any time.
Treatment for Gao Lin (Paste Strangury): Yupi Tang (Elm Bark Decoction) Formula
Yupi (Ulmus Cortex, washed, sliced, and dried) Huangqin (Scutellariae Radix, remove black heart) Qumai (Diantherae Herba) Gancao (Glycyrrhizae Radix et Rhizoma, roasted and shaved) Huashi (Talcum, crushed) Zexie (Alisma Rhizoma, shaved) Chi Fuling (Poria cum Ramis Xyli, remove black skin, each one tael)
The above seven herbs are coarsely crushed and sieved. Take three qianbi (approx. 3-4 grams) per dose, add one zhan (approx. 200ml) of water, decoct until reduced to 70%, strain, and take warm at any time.
Treatment for Gao Lin (Paste Strangury) with turbid and fatty urine: Huashi Tang (Talcum Decoction) Formula
Huashi (Talcum, crushed) Bai Fuling (Poria, remove black skin) Baizhu (Atractylodis Macrocephalae Rhizoma) Mutong (Akebiae Caulis, shaved) Chishao (Paeoniae Radix Rubra) Shu Dihuang (Rehmanniae Radix Praeparata, dried) Wuweizi (Schisandrae Fructus, each one tael)
The above seven herbs are coarsely crushed and sieved. Take three qianbi per dose, add one zhan of water, decoct until reduced to 70%, strain, and take warm at any time.
Treatment for Gao Lin (Paste Strangury): Bianxu Yin (Polygoni Avicularis Herba Drink) Formula
Bianxu (Polygoni Avicularis Herba, take leaves, wash, slice, crush to extract natural juice)
Take the juice of this single herb, one sheng (approx. 200ml), mix evenly with one he (approx. 20ml) of vinegar. Take half zhan per dose, continue for three doses, at any time.
Discourse states: Shi Lin (Stone Strangury) is a strangury condition accompanied by sand and stones discharged through the urinary tract. This is generally due to deficiency and damage of Kidney Qi, causing fluid retention that cannot be disseminated and unblocked. Guest heat in the Bladder causes the water passages to become astringent and painful. Accumulation within the bladder leads to the formation of sand and stones, which descend with urine. Larger stones remain obstructing the water passages, causing pain radiating to the lower abdomen, leading to suffocation and fainting.
Treatment for Stone Sand Strangury with astringency and pain: Qumai Yin (Diantherae Herba Drink) Formula
Qumai (Diantherae Herba, half tael) Mutong (Akebiae Caulis, shaved, one tael) Gansui (Kansui Radix, fried) Qingyan (Natrii Chloridum, separately ground, each one fen) Binglang (Arecae Semen, shaved, two pieces) Sucaogen (Cyperaceae Rhizoma, half tael)
The above six herbs are crushed, sifted into fine powder. Take one qianbi per dose, mix with warm boiled water and administer, at any time.
Treatment for Stone Sand Strangury with unbearable pain: Mutong San (Akebiae Caulis Powder) Formula
Mutong (Akebiae Caulis, shaved) Gan Dihuang (Rehmanniae Radix, sliced and dried) Huangshukuihua (Malvae Sinensis Flos, each half tael) Linglijia (Manis Squama, roasted, one fen) Yuanqing (Mylabris, remove head, feet, wings) Bantao (Mylabris, remove head, wings, feet, each one fen)
The above seven herbs are crushed, sifted into powder. Take one qianbi per dose, mix with cooled decoction of Malva root and administer. Take on an empty stomach before meals.
Treatment for Stone Sand Strangury: Renshen San (Ginseng Powder) Formula
Renshen (Ginseng Radix) Mutong (Akebiae Caulis, shaved) Qingyan (Natrii Chloridum, ground) Haijinsha (Lygodii Spora, separately ground, each one fen) Sucaogen (Cyperaceae Rhizoma, fried to remove hairs, half tael)
For the above five herbs, excluding Haijinsha and Qingyan, crush and sift into powder, mix thoroughly. Take two qianbi per dose, mix with rice drink and administer on an empty stomach.
Treatment for Stone Sand Strangury with unbearable pain: Ruxiang Wan (Frankincense Pill) Formula
Ruxiang (Olibanum, separately ground) Bantao (Mylabris, remove wings and feet, fried) Haijinsha (Lygodii Spora) Sand (Realgar, separately ground, each one fen) Shexiang (Moschus, separately ground, half qian) Linglijia (Manis Squama, roasted until charred, half tael) Kuicaizi (Abutilonis Semen, fried, one he)
For the above seven herbs, excluding Ruxiang, Shexiang, and Sand, crush and sift into powder, mix thoroughly. Use rice vinegar to boil wheat paste to form pills the size of mung beans. Take ten pills per dose, administer with Mutong decoction. For the second dose, crush fourteen Sui Suizi (Euphorbiae Semens) grains, add half zhan of water and half zhan of wine, boil until bubbling, let cool to warm, and take together. After three doses, sand and stones will pass. Reduce pill count for children.
Treatment for Stone Sand Strangury with astringency and unbearable pain: Haijinsha San (Lygodii Spora Powder) Formula
Haijinsha (Lygodii Spora) Huashi (Talcum, crushed) Shigao (Gypsum Fibrosum, crushed) Mutong (Akebiae Caulis, shaved) Gancao (Glycyrrhizae Radix et Rhizoma, roasted and shaved) Jingquanshi (Jingquanshi, crushed)
The above six herbs in equal parts are crushed and ground into powder. Mix two qianbi with Jiaxin (Junci Medulla) decoction and administer, at any time.
Treatment for Stone Sand Strangury: Tongshen San (Spirit-Passing Powder) Formula
Sumi (Pollen Oryzae Sativae, fried, one he) Gu Bitou (Old Brush Tip, burned to ash, two pieces) Mali Hua (Iridis Tectorii Flos, burned to ash, seven pieces)
The above three herbs are crushed, sifted into powder. Mix two qianbi with warm wine and administer. For unbearable pain, take three doses.
Treatment for Stone Sand Strangury: Haijinsha San (Lygodii Spora Powder) Formula
Haijinsha (Lygodii Spora) Huashi (Talcum, crushed, each one fen) Nifen (Calomelas, one qianbi)
The above three herbs are crushed, ground into powder, and mixed thoroughly. Take one qianbi per dose, mix with warm water and administer.
Treatment for Stone Sand Strangury: Shengjin San (Gold-Surpassing Powder) Formula
Gancao (Glycyrrhizae Radix et Rhizoma, roasted and shaved) Huashi (Talcum, crushed) Yujin (Curcumae Radix, each half tael)
The above three herbs are crushed, sifted into powder. Take one qianbi per dose, mix with warm water and administer, three times daily.
Treatment for Stone Sand Strangury: Cheqianzi San (Plantaginis Semen Powder) Formula
Cheqianzi (Plantaginis Semen) Binglang (Arecae Semen, shaved, each one tael)
The above two herbs are crushed, sifted into powder. Take two qianbi per dose, mix with decoction of Mugua (Chaenomelis Fructus) and administer.
Treatment for Small Intestine Strangury with difficult passage of sand and stones and pain: Er'ao San (Two-Arrogant Powder) Formula
Hujiao (Piperis Longi Fructus) Piaoxiao (Natrii Sulfas, each one tael)
The above two herbs are crushed, sifted into fine powder. Mix two qianbi with warm water and administer, two doses total.
Treatment for severe Stone Sand Strangury, extracting the root: Babia San (Smilacis Glabrae Rhizoma Powder) Formula
Babia (Smilacis Glabrae Rhizoma, two taels)
This single herb is crushed, sifted into fine powder. Take one qianbi per dose, mix with rice drink and administer. After finishing the dose, decoct Dijiao (Zanthoxyli Pericarpium) for bathing, soaking the waist continuously. Patience is required until patency is achieved.
Treatment for Stone Sand Strangury: Dusheng San (Sole Sage Powder) Formula
Huangshukuihua (Malvae Sinensis Flos, fried, one tael)
This single herb is crushed, sifted into fine powder. Take one qianbi per dose, mix with rice drink before meals and administer.
Treatment for Stone Strangury with pain and continuous day-and-night dribbling without relief: Shiwei San (Pyri Folium Powder) Formula
Shiwei (Pyri Folium, remove hairs) Danggui (Angelicae Sinensis Radix, sliced and dried) Mutong (Akebiae Caulis, shaved) Dichang (Eupolyphaga, remove feet and wings, fried) Zhongru Fen (Stalactitum Pulvis) Cheqianzi (Plantaginis Semen) Qumai (Diantherae Herba) Shedun (Ophichthidis Corneum, each one tael)
The above ten herbs are crushed, sifted into powder. Mix three qianbi with Dongkuizi (Malvae Semen) decoction and administer before meals.
Treatment for Stone Sand Strangury: Mutong Tang (Akebiae Caulis Decoction) Formula
Mutong (Akebiae Caulis, shaved) Huashi (Talcum, crushed, each one tael) Dongkuizi (Malvae Semen, two taels)
The above three herbs are coarsely crushed and sieved. Take five qianbi per dose, add one and a half zhan of water, decoct together until reduced to 80%, strain, and take warm.
Treatment for Stone Sand Strangury: Biejia San (Trionycis Carapax et Plastrum Powder) Formula
Biejia (Trionycis Carapax et Plastrum, remove skirt, burn to ash retaining nature)
This single herb is crushed, sifted into powder. Take three qianbi per dose, mix with warm wine on an empty stomach and administer.
Treatment for Sand and Stone Strangury: Maogen Tang (Imperatae Rhizoma Decoction) Formula
Maogen (Imperatae Rhizoma, finely sliced, one sheng) Gehua (Flos Puerariae Thunbergianae, powdered, one tael) Lufengfang (Vespa Nidus, powdered, two taels)
The above three herbs are divided into three doses. For each dose, use three zhan of water, decoct to obtain one zhan, strain, and take warm on an empty stomach.