论曰心主血气，通小肠与膀胱，俱行水道，下焦受热，则气不宣通，故溲便癃闭而成淋
也，热甚则搏于血脉，血得热则流行入于胞中，与溲便俱下，故为血淋也。
治血淋，小便出血，热结涩痛，羚羊角饮方
羚羊角屑 栀子仁 冬葵子（炒各一两） 青葙子 红蓝花（炒） 麦门冬（去心焙） 大
青
上八味，粗捣筛，每服三钱匕，水一盏，煎至八分，去滓温服，不拘时候。
治血淋，热结，不得通利，瞿麦汤方
瞿麦穗 生干地黄（焙各三两） 郁金（二两） 车前叶（切焙三两） 滑石（碎五两）
芒硝
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时候。日三服。
治血淋，热涩疼痛，黄芩汤方
黄芩（去黑心） 甘草（炙锉） 阿胶（炙令燥各二两） 柏叶（焙） 生干地黄（焙
各三两）
上五味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时候。日三服。
治血淋，热痛不可忍，大黄散方
大黄（略蒸熟切焙二两） 乱发（烧灰一两）
上二味，捣罗为散，每服二钱匕，温熟水调下，日三服。
治血淋，小肠涩痛烦闷，石苇汤方
石苇（去毛三分） 葛根（锉） 甘草（炙锉） 桑根白皮（锉） 独活（去芦头） 防
风（去叉
上九味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时候。
治血淋疼痛，木通汤方
木通（锉二两半） 鸡苏叶 石膏（碎各二两） 刺蓟根（一握洗切焙） 生干地黄（切
焙三
上五味，粗捣筛，每服三钱匕，水一大盏，煎至七分，去滓温服，不拘时候。
治血淋，旱莲子汤方
旱莲子 芭蕉根（细锉各二两）
上二味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，日二服。
治小便淋沥，出血疼痛，桑黄汤方
桑黄（锉） 槲白皮（去粗皮炙锉各一两半）
上二味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治血淋，小便出血疼痛，白茅根汤方
白茅根（锉） 芍药 木通（锉） 车前子（各二两） 滑石（碎） 黄芩（去黑心各
一两半）
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服、日三。
治小便血淋疼痛，金黄散方
大黄（煨锉） 黄蜀葵花（切焙） 人参 蛤粉
上四味等分，捣罗为散，每服一钱匕，煎灯心汤调下，日三服。
治血淋热痛，榆皮汤方
榆皮（锉） 滑石（各二两） 冬葵子（一合半炒） 石苇（去毛一两） 瞿麦（穗一
两半） 笔
头灰（半两）
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时候。
治血淋，小肠内结痛，石苇汤方
石苇（去毛一两） 甘遂（炒三分） 木通（锉二两半） 冬葵子（一两半） 车前子
（二两）
滑石（一两） 蒲黄（二两） 赤芍药 当归（切焙各一两半） 大黄（锉炒一两）
上一十味，粗捣筛，每服三钱匕，水一盏，煎至七分，不拘时候，去滓温服。
治血淋石淋方
车前子（一两）
上一味，以水一升，煎取四合，空腹服。
治血淋，鸡苏汤方
鸡苏（一两半） 石膏（碎） 淡竹叶（切） 木通（锉） 甘草（生锉） 滑石（碎）
小蓟根（
各一两） 生地黄（半斤锉焙）
上八味，粗捣筛，每服六钱匕，水二盏，煎至一盏，去滓空心温服。
治血淋不绝，鸡苏饮方
鸡苏苗 竹叶（各二两） 滑石（碎） 木通（锉各五两） 小蓟根（一两） 生地黄
（切六两）
上六味， 咀如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服，不拘时。以利
为度。
治血淋，葵根汤方
葵根（一握） 胡荽（一握） 淡竹叶（一握） 滑石（末三钱匕）
上四味，将前三味锉细，分作三分，每服水一盏半，滑石末一钱匕，煎至八分，去滓
温服，甚者不过两剂。
镇保心气，宁养神志，宣畅气血，解诸邪壅，黄胆鼻衄，小水淋痛，目赤暴肿，或作飞
血证，镇心丸方
黄芩（去黑心） 大黄（各一两炙熟） 荆芥穗 鸡苏（去梗） 甘草（炙） 芍药 山
栀子（
上七味，同捣罗为末，水煮面糊为丸，如梧桐子大，每服三十丸，温熟水下，不计时候
治血淋方
车前子叶（生捣汁三合） 生地黄（汁三合）
上二味，相和，煎三两沸，食前服。
Commentary states: The Heart governs blood and qi, and is internally-externally related to the Small Intestine (Hand-Taiyang) and Bladder (Foot-Taiyang), jointly regulating water passages. When heat accumulates in the Lower Jiao (Lower Burner), Qi mechanism fails to circulate freely, resulting in urinary retention and dribbling, forming Lin syndrome (strangury). If heat becomes severe and clashes with the blood vessels, blood, stimulated by heat, flows recklessly into the bladder region and is discharged together with urine; this condition is termed Blood Lin (hematuric strangury).
For treating Blood Lin with symptoms of hematuria, heat accumulation, and painful dysuria, use Lingyangjiao Yin Decoction:
Lingyangjiao (Antelope Horn), Zhizi Ren (Gardeniae Fructus), Dongkuizi (Malvae Semen, stir-fried, each 1 liang), Qingxiangzi (Phytolaccae Fructus), Honglanhua (Carthami Flos, stir-fried), Maimendong (Ophiopogonis Radix, heart removed and dried), Daqingye (Isatidis Folium).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi (approx. 9g), boiled in one zhan (approx. 200ml) of water until reduced to 8/10 volume. Strain and take warm at any time.
For treating Blood Lin with heat accumulation and inability to urinate smoothly, use Qumai Tang Decoction:
Qumai Sui (Herba Dianthi), Sheng Gan Dihuang (Rehmanniae Radix Praeparata, dried, each 3 liang), Yujin (Curcumae Radix, 2 liang), Cheqian Ye (Plantaginis Folium, cut and dried, 3 liang), Huashi (Talcum, crushed, 5 liang), Mangxiao (Natrii Sulfas).
The above six herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to 7/10 volume. Strain and take warm at any time. Take three times daily.
For treating Blood Lin with heat, astringency, and pain, use Huangqin Tang Decoction:
Huangqin (Scutellariae Radix, remove black heart), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Ejiao (Asini Corii Colla, fried until dry, each 2 liang), Baye (Cacumen Platycladi, dried), Sheng Gan Dihuang (Rehmanniae Radix Praeparata, dried, each 3 liang).
The above five herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to 7/10 volume. Strain and take warm at any time. Take three times daily.
For treating Blood Lin with unbearable heat and pain, use Dahuang San Powder:
Dahuang (Rhei Radix et Rhizoma, slightly steamed, cooked, cut, and dried, 2 liang), Luankuashui (Capilli Humani Cineris, burned to ash, 1 liang).
The above two ingredients are pounded and sieved into powder. Each dose consists of 2 qianbi, taken with warm boiled water. Take three times daily.
For treating Blood Lin with Small Intestine astringent pain and restlessness, use Shiwei Tang Decoction:
Shiwei (Periplocae Folium, hairs removed, 3 fen), Gegen (Puerariae Radix, sliced), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Sangbaipi (Mori Cortex, sliced), Duhuo (Angelicae Pubescentis Radix, remove rhizome head), Fangfeng (Saposhnikoviae Radix, remove forked roots).
The above nine herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to 7/10 volume. Strain and take warm at any time.
For treating Blood Lin pain, use Mutong Tang Decoction:
Mutong (Akebiae Caulis, sliced, 2.5 liang), Jisu Ye (Elsholtziae Folium), Shigao (Gypsum Fibrosum, crushed, each 2 liang), Ciji Gen (Cirsii Japonici Radix, one handful, washed, cut, and dried), Sheng Gan Dihuang (Rehmanniae Radix Praeparata, cut and dried, 3 liang).
The above five herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one large zhan of water until reduced to 7/10 volume. Strain and take warm at any time.
For treating Blood Lin, use Hanlianzi Tang Decoction:
Hanlianzi (Ecliptae Fructus), Bajiao Gen (Musa Radix, finely sliced, each 2 liang).
The above two herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in one and a half zhan of water until reduced to 8/10 volume. Strain and take warm. Take twice daily.
For treating urinary dribbling with bleeding and pain, use Sanghuang Tang Decoction:
Sanghuang (Polyporus Umbellatus), Hubaipi (Quercus variabilis Cortex, remove rough bark, honey-fried and crushed, each 1.5 liang).
The above two herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to 7/10 volume. Strain and take warm.
For treating Blood Lin with hematuria and pain, use Baimaogen Tang Decoction:
Baimaogen (Imperatae Rhizoma, sliced), Shaoyao (Paeoniae Radix), Mutong (Akebiae Caulis, sliced), Cheqianzi (Plantaginis Semen, each 2 liang), Huashi (Talcum, crushed), Huangqin (Scutellariae Radix, remove black heart, each 1.5 liang).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to 7/10 volume. Strain and take warm. Take three times daily.
For treating urinary Blood Lin with pain, use Jinhuang San Powder:
Dahuang (Rhei Radix et Rhizoma, baked and sliced), Huangshukui Hua (Abutilonis Indicae Flos, cut and dried), Renshen (Ginseng Radix), Ha Fen (Concha Tridacnitis).
The above four ingredients are mixed in equal parts, pounded and sieved into powder. Each dose consists of 1 qianbi, taken with decoction of Jixin Cao (Junci Medullia). Take three times daily.
For treating Blood Lin with heat and pain, use Yupi Tang Decoction:
Yupi (Ulmus Massoniana Cortex, sliced), Huashi (Talcum, each 2 liang), Dongkuizi (Malvae Semen, 1.5 he, stir-fried), Shiwei (Periplocae Folium, hairs removed, 1 liang), Qumai (Herba Dianthi, spike, 1.5 liang), Bitouhui (Capilli Humani Cineris, 0.5 liang).
The above six herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to 7/10 volume. Strain and take warm at any time.
For treating Blood Lin with internal binding pain in the Small Intestine, use Shiwei Tang Decoction:
Shiwei (Periplocae Folium, hairs removed, 1 liang), Gansui (Kansui Radix, stir-fried, 3 fen), Mutong (Akebiae Caulis, sliced, 2.5 liang), Dongkuizi (Malvae Semen, 1.5 liang), Cheqianzi (Plantaginis Semen, 2 liang), Huashi (Talcum, 1 liang), Puhuang (Typhae Pollen, 2 liang), Chishao Yao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix, cut and dried, each 1.5 liang), Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried, 1 liang).
The above ten herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one zhan of water until reduced to 7/10 volume. Strain and take warm at any time.
For treating Blood Lin and Stone Lin (calculous strangury):
Cheqianzi (Plantaginis Semen, 1 liang).
The above single herb is boiled in one sheng (approx. 200ml) of water until reduced to 4 he (approx. 80ml). Take on an empty stomach.
For treating Blood Lin, use Jisu Tang Decoction:
Jisu (Elsholtziae Herba, 1.5 liang), Shigao (Gypsum Fibrosum, crushed), Danzhuye (Leaves of Bambusa Tuldoides, cut), Mutong (Akebiae Caulis, sliced), Gancao (Glycyrrhizae Radix et Rhizoma, raw and crushed), Huashi (Talcum, crushed), Xiaoji Gen (Cirsii Japonici Radix, each 1 liang), Sheng Dihuang (Rehmanniae Radix, half jin, sliced and dried).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 6 qianbi, boiled in two zhan of water until reduced to one zhan. Strain and take warm on an empty stomach.
For treating persistent Blood Lin, use Jisu Yin Decoction:
Jisu Miao (Elsholtziae Herba), Zhuye (Bamboo Leaf, each 2 liang), Huashi (Talcum, crushed), Mutong (Akebiae Caulis, sliced, each 5 liang), Xiaoji Gen (Cirsii Japonici Radix, 1 liang), Sheng Dihuang (Rehmanniae Radix, cut, 6 liang).
The above six herbs are chopped like hemp seeds. Each dose consists of 5 qianbi, boiled in one and a half zhan of water until reduced to 8/10 volume. Strain and take warm at any time. Continue until relief is achieved.
For treating Blood Lin, use Kuigen Tang Decoction:
Kuigen (Malvae Radix, one handful), Huisu (Coriandri Fructus, one handful), Danzhuye (Leaves of Bambusa Tuldoides, one handful), Huashi Mo (Talcum powder, 3 qianbi).
The above four ingredients: chop the first three finely, divide into three portions. For each portion, add one and a half zhan of water and 1 qianbi of Talcum powder. Boil until reduced to 8/10 volume. Strain and take warm. For severe cases, no more than two doses are needed.
To stabilize Heart Qi, calm the Spirit, promote free flow of Qi and Blood, resolve pathogenic obstructions, and treat Jaundice, Epistaxis, painful dysuria, acute redness and swelling of eyes, or Flying Blood syndrome, use Zhenxin Wan Pill:
Huangqin (Scutellariae Radix, remove black heart), Dahuang (Rhei Radix et Rhizoma, each 1 liang, honey-fried and cooked), Jingjie Sui (Schizonepetae Spica), Jisu (Elsholtziae Herba, remove stems), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shaoyao (Paeoniae Radix), Shanzhizi (Gardeniae Fructus).
The above seven herbs are pounded into fine powder. Use wheat paste made from boiling water as a binder to form pills the size of Sophora seeds. Each dose consists of 30 pills, taken with warm boiled water at any time.
For treating Blood Lin:
Cheqianzi Ye (Plantaginis Folium, fresh pounded juice, 3 he), Sheng Dihuang (Rehmanniae Radix, juice, 3 he).
Mix the above two juices, boil for three boils, and take before meals.