论曰虚劳小便白浊者，肾气劳伤，胞络内冷，气道不宣通也，肾主水，肾虚则胞冷而津
液停滞，故令小便白浊，如米脂而下。
治虚劳小便白浊，少腹拘急，梦寐失精，阴下湿痒。五味子丸方
五味子 石龙芮（炒） 乌头（炮裂去皮脐） 石槲（去根） 萆 菟丝子（酒浸别
捣） 防
苗叶各一两）
炙锉各半两）
上一十八味，捣罗为末，炼蜜和丸，如梧桐子大，空心温酒下三十丸，夜卧再服，渐加
至五十丸。
治虚劳小便白浊梦泄，韭子散方
韭子（炒） 菟丝子（酒浸一宿别捣） 车前子（各一两） 附子（炮裂去皮脐一分） 当
归（
上八味，捣罗为散，每服二钱匕，空心温酒调下，不欲调服者，炼蜜和丸，如梧桐子大。
空心温酒下二十丸。
治大虚损，内伤肾气，小便白浊，泽泻散方
泽泻 龙骨 桑螵蛸（炙） 车前子 狗脊（去毛各一两）
上五味，捣罗为散，每服二钱匕，空心温酒调下，夜卧服亦佳。
治虚损大劳，惊恐失精，茎中痛，小便白浊，或赤、或如豆汁。或遗沥，泽泻汤方
泽泻（一两） 黄 （锉三分） 干姜（炮） 甘草（炙锉） 桂（去粗皮） 牡蛎（
令赤） 芍
上七味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓空心分温二服。如小便淋，
即以热酒调三钱匕，去滓澄清服、日三。
治虚劳肾气不足，小便白浊，补下元，益精气，久服驻颜补虚长肌肉，鹿茸丸方
鹿茸（去毛酥炙黄） 磁石（烧醋淬七遍研水飞各二两） 山芋 远志（去心） 牛膝
（去苗
断肉苁蓉
捣） 补骨脂（
上一十九味，除磁石外，捣罗为末，入磁石拌匀，炼蜜和丸，如梧桐子大，每服三十丸。
空心温酒下。
治虚劳下元虚冷，小便白浊 精滑不禁，七圣丸方
原蚕蛾（炒） 牛膝（酒浸一宿焙锉） 龙骨 白石脂 桑螵蛸（炒各半两） 肉苁蓉
（酒浸
上七味，捣罗为末，酒煮面糊和丸。如梧桐子大，每服二十丸，温酒下，空心食前。
治虚劳肾气衰弱，小便白浊，阴囊湿痒，羸瘦多忘，面无颜色，巴戟丸方
巴戟天（去心一两半） 肉苁蓉（酒浸去皴皮切焙二两） 牛膝（去苗同苁蓉酒浸） 山
芋（
捣一两一
上一十二味，捣罗为末，炼蜜和杵数百下，丸如梧桐子大，每服三十丸，空心温酒下，
日晚再服，服药五十日后，筋骨健壮，百日后面如童颜，久服令人精满充溢，如精涩、更加
柏子仁三分，如精虚加五味子一两半，阳弱加续断一两半。
治虚劳下元不足，小便白浊，补益椒红丸方
蜀椒（去目并闭口炒出汗取红） 巴戟天（去心）
上二味等分，捣罗为末，醋面糊和丸，如梧桐子大，每服十五丸，加至二十丸，空心温
酒或盐汤下。
治虚劳有热，虚烦口干，腰胯疼痛，小便白浊如米泔，黄 丸方
黄 （锉一两半） 栝蒌（二两） 苦参（二两半） 羚羊角（镑一两半） 黄连（去
须二两）
里黄皮（五
上一十一味，捣罗为末，炼蜜和丸，如梧桐子大，每服三十丸，空心米饮下
治虚劳肾虚引饮，小便白浊，羸瘦腰疼，人参汤方
人参 远志（去心） 泽泻 五味子 桂（去粗皮） 当归（切焙） 芎 桑螵蛸（炙）
熟
半两） 麦
上一十四味，粗捣筛，每服五钱匕，水一盏半，入羊肾一枚切，生姜半分，枣三枚劈，
同煎至一盏，去滓温服，空心食前。
治虚劳，小便白浊、失精，菟丝子丸方
菟丝子（酒浸一宿捣末） 麦门冬（去心焙） 萆 浓朴（去粗皮生姜汁炙） 柏子
仁（研）
苗叶） 杜仲（去粗
龙芮（三两） 乌头（炮裂去
上一十六味，捣罗为末，以鸡子黄和为丸，如梧桐子大，每服三十丸，米饮下，空心日
午服。
Discussion: The condition of turbid urine resembling rice gruel in deficiency consumptive disease (Xu Lao) is caused by damage to Kidney Qi due to overexertion, internal coldness of the bladder collaterals (Bao Luo), and obstruction of the Qi mechanism. The Kidney governs water metabolism; when Kidney Qi is deficient, the lower jiao becomes cold, causing fluids to stagnate. Consequently, the urine becomes turbid and discharges like rice gruel.
For treating turbid urine in deficiency consumptive disease accompanied by hypogastric tension, nocturnal emission during sleep, and damp-itching in the genital region, use Wuwei Zi Wan (Schisandra Pill).
[Ingredients] Wuwei Zi (Fructus Schisandrae Chinensis), Shilongrui (Herba Ranunculi Ternati), Wutou (Radix Aconiti Lateralis Preparata), Shihu (Rhizoma Dendrobii), Bibi (Rhizoma Dioscoreae Hypoglaucae), Tusizi (Semen Cuscutae), Fangkui (Radix et Folium Peucedani), Zhi Gancao (Radix Glycyrrhizae Preparata).
[Preparation and Administration] The above eighteen ingredients are crushed, sifted into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take thirty pills with warm wine on an empty stomach, and another dose before bed. Gradually increase the dosage to fifty pills.
For treating turbid urine and nocturnal emission in deficiency consumptive disease, use Jiu Zi San (Allium Tuberosum Powder).
[Ingredients] Jiu Zi (Semen Allii Tuberosi), Tusizi (Semen Cuscutae), Cheqianzi (Semen Plantaginis), Fuzi (Radix Aconiti Lateralis Preparata), Danggui (Radix Angelicae Sinensis).
[Preparation and Administration] The above eight ingredients are crushed and sifted into powder. Take two qianbi (approx. 6g) each time, mixed with warm wine on an empty stomach. Alternatively, mix with refined honey to form pills the size of Sophora seeds. Take twenty pills with warm wine on an empty stomach.
For treating severe deficiency damage and internal injury to Kidney Qi resulting in turbid urine, use Zexie San (Alisma Powder).
[Ingredients] Zexie (Rhizoma Alismatis), Longgu (Os Mastodi et Ossis Femoris), Sangpiaoxiao (Oötheca Mantidis), Cheqianzi (Semen Plantaginis), Gouji (Rhizoma et Radix Cibotii).
[Preparation and Administration] The above five ingredients are crushed and sifted into powder. Take two qianbi each time, mixed with warm wine on an empty stomach. Taking it before bed is also beneficial.
For treating severe deficiency and fatigue, fright leading to loss of essence, pain in the urethra, turbid urine that may be red or resemble bean soup, or dribbling urine, use Zexie Tang (Alisma Decoction).
[Ingredients] Zexie (Rhizoma Alismatis), Huangqi (Radix Astragali), Ganjiang (Rhizoma Zingiberis Preparata), Gancao (Radix Glycyrrhizae Preparata), Guizhi (Ramulus Cinnamomi), Moli (Concha Ostreae), Shaoyao (Radix Paeoniae Alba).
[Preparation and Administration] The above seven ingredients are coarsely crushed and sieved. Take five qianbi each time, add one and a half cups of water, decoct until one cup remains, strain, and take warm in two divided doses on an empty stomach. If dysuria occurs, mix three qianbi with hot wine, strain, clarify, and take three times daily.
For treating deficiency consumptive disease with insufficient Kidney Qi, turbid urine, tonifying the lower origin, benefiting essence and qi, and long-term use for anti-aging, tonifying deficiency, and promoting muscle growth, use Lurong Wan (Deer Antler Pill).
[Ingredients] Lurong (Cornu Cervi Pantotrichum), Cishi (Magnetitum), Shanyu (Rhizoma Dioscoreae), Yuanzhi (Radix Polygalae), Niuxi (Radix Achyranthis Bidentata), Rongrong (Cortex Cibotii), Buguzhi (Fructus Psoraleae).
[Preparation and Administration] Nineteen ingredients in total. Except for Cishi, crush and sift the rest into powder, mix evenly with Cishi processed by water flotation, and combine with refined honey to form pills the size of Sophora seeds. Take thirty pills with warm wine on an empty stomach.
For treating deficiency consumptive disease with coldness of the lower origin, turbid urine, and involuntary seminal emission, use Qisheng Wan (Seven Sages Pill).
[Ingredients] Yuancan'e (Sericocampa Oriens), Niuxi (Radix Achyranthis Bidentata), Longgu (Os Mastodi et Ossis Femoris), Baishizhi (Kaolinitum), Sangpiaoxiao (Oötheca Mantidis), Rongrong (Cortex Cibotii).
[Preparation and Administration] The above seven ingredients are crushed and sifted into powder, mixed with flour paste boiled in wine to form pills the size of Sophora seeds. Take twenty pills with warm wine before meals on an empty stomach.
For treating deficiency consumptive disease with weak Kidney Qi, turbid urine, damp-itching of the scrotum, emaciation, forgetfulness, and pale complexion, use Bajie Wan (Morinda Pill).
[Ingredients] Bajitian (Radix Morindae Officinalis), Rongrong (Cortex Cibotii), Niuxi (Radix Achyranthis Bidentata), Shanyu (Rhizoma Dioscoreae), Duzhong (Cortex Eucommiae), Xuduan (Radix Dipsaci), Wuweizi (Fructus Schisandrae), Tusizi (Semen Cuscutae), Baiziren (Semen Platycladi), Longgu (Os Mastodi et Ossis Femoris), Baishizhi (Kaolinitum), Sangpiaoxiao (Oötheca Mantidis).
[Preparation and Administration] The above twelve ingredients are crushed and sifted into powder, pounded with refined honey hundreds of times to form pills the size of Sophora seeds. Take thirty pills with warm wine on an empty stomach, and again in the evening. After fifty days of medication, sinews and bones become strong; after one hundred days, the face resembles that of a child. Long-term use fills the essence. If ejaculation is painful, add Baiziren (3 fen); if essence is deficient, add Wuweizi (1.5 liang); if Yang is weak, add Xuduan (1.5 liang).
For treating deficiency consumptive disease with insufficiency of the lower origin and turbid urine, tonifying the body, use Jiaohong Wan (Zanthoxylum Red Pill).
[Ingredients] Shujiao (Fructus Zanthoxyli), Bajitian (Radix Morindae Officinalis).
[Preparation and Administration] Equal parts of the above two ingredients are crushed and sifted into powder, mixed with vinegar and flour paste to form pills the size of Sophora seeds. Take fifteen to twenty pills with warm wine or salt water on an empty stomach.
For treating deficiency consumptive disease with heat, deficiency vexation, dry mouth, lumbar and hip pain, and turbid urine resembling rice wash water, use Huangqin Wan (Scutellaria Pill).
[Ingredients] Huangqin (Radix Scutellariae), Gualou (Fructus Trichosanthis), Kushen (Radix Sophorae Flavescentis), Lingyangjiao (Cornu Saigae Tataricae), Huanglian (Rhizoma Coptidis), Huangbai (Cortex Phellodendri).
[Preparation and Administration] The above eleven ingredients are crushed and sifted into powder, mixed with refined honey to form pills the size of Sophora seeds. Take thirty pills with rice water on an empty stomach.
For treating deficiency consumptive disease with Kidney deficiency leading to excessive thirst, turbid urine, emaciation, and lumbar pain, use Renshen Tang (Ginseng Decoction).
[Ingredients] Renshen (Radix Ginseng), Yuanzhi (Radix Polygalae), Zexie (Rhizoma Alismatis), Wuweizi (Fructus Schisandrae), Guizhi (Ramulus Cinnamomi), Danggui (Radix Angelicae Sinensis), Xiong (Radix Chuanxiong), Sangpiaoxiao (Oötheca Mantidis), Shudi (Radix Rehmanniae Preparata), Maimendong (Radix Ophiopogonis), Fuling (Sclerotium Poriae), Gancao (Radix Glycyrrhizae), Shengjiang (Rhizoma Zingiberis Recens), Zao (Fructus Jujubae).
[Preparation and Administration] The above fourteen ingredients are coarsely crushed and sieved. Take five qianbi each time, add one and a half cups of water, one sliced sheep kidney, half a slice of ginger, and three split dates. Decoct until one cup remains, strain, and take warm on an empty stomach before meals.
For treating deficiency consumptive disease with turbid urine and loss of essence, use Tusizi Wan (Cuscuta Pill).
[Ingredients] Tusizi (Semen Cuscutae), Maimendong (Radix Ophiopogonis), Bibi (Rhizoma Dioscoreae Hypoglaucae), Houpo (Cortex Magnoliae Officinalis), Baiziren (Semen Platycladi), Fangkui (Radix et Folium Peucedani), Duzhong (Cortex Eucommiae), Shilongrui (Herba Ranunculi Ternati), Wutou (Radix Aconiti Lateralis Preparata).
[Preparation and Administration] The above sixteen ingredients are crushed and sifted into powder, mixed with egg yolk to form pills the size of Sophora seeds. Take thirty pills with rice water on an empty stomach and at noon.