论曰膀胱者，州都之官，津液藏焉，气化则能出矣，位处下焦，与肾为表里，分别清浊，
主出而不内，若腑脏气虚，寒热不调，使气不化而水道不宣，故为淋 之病矣。诸淋之证，
大体缘肾气虚，膀胱有热，唯冷淋为异，善治此者，当熟察之。
论曰卒淋者，缘下焦有热，传入膀胱，其候卒然少腹急痛，小便淋数涩痛，故谓之卒淋，
盖下焦在脐下，当膀胱上口，主分别清浊，主出而不主内，以传导也，今热在下焦，故其病
如此。
治卒淋沥，秘涩不通，木通饮方
木通（锉） 黄芩 滑石（碎各一两） 甘草（炙一分） 漏芦（去芦头三分） 甜葶
苈（纸上
上六味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，取小便利为度，未利再一
二服、食前。
治卒淋、通利小肠，瞿麦汤方
瞿麦（去梗半两） 木通（锉） 赤茯苓（去黑皮） 陈橘皮（汤去白焙各一两） 滑
石（碎一
上八味，粗捣筛，每服三钱匕，水一盏，入葱白二寸，煎七分，去滓温服，不拘时。
治卒淋、结涩不通利，茅根饮方
茅根（锉） 木通（锉各三两） 石苇（拭去毛） 黄芩（去黑心） 当归（洗切焙） 芍
药冬
上九味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服不拘时。
治卒淋、小便不通，秘涩疼痛，地肤饮方
地肤子（三两） 知母（焙） 猪苓（去黑皮） 瞿麦（去梗） 黄芩（去黑心） 升
麻木通（
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。
治膀胱虚热，小便卒暴淋涩，黄 饮方
黄 （细锉） 人参 白茯苓（去黑皮） 旱莲子 滑石（研各一两） 桑根白皮（锉
三分）
上九味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服不拘时。
治小便卒暴淋涩不通，榆皮饮方
榆白皮（洗锉） 瞿麦（取穗） 赤茯苓（去黑皮） 鸡苏 栀子仁 木通（锉） 郁
李仁（汤
上七味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，不拘时。
治卒淋不通，黑金散方
好细墨（烧一两）
上一味为细散，每服一钱匕，温水调下，不拘时服。
治卒小便淋涩不通，郁金散方
郁金（一两） 滑石（研半两） 甘草
上三味，捣罗为散，每服一钱匕，热汤调下，不拘时服。
治卒淋，石苇汤方
石苇（去毛） 瞿麦（取穗） 冬葵子（炒） 车前子（各一两）
上四味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服不拘时。
治小便卒淋涩不通，海蛤丸方
海蛤（半两） 白瓷（定州者研水飞过一两） 滑石（研） 商陆（切焙） 漏芦（去
芦头各半
上五味，捣研为细末，取生何首乌自然汁一升，煮面糊和丸，如梧桐子大，每服二十丸，
灯心汤下，食前服。
治卒淋，木通饮方
木通（锉） 茅根（锉） 瞿麦（去梗） 芍药（各二两） 滑石（碎三两） 乱发（鸡
子大两枚
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。
治小便卒淋涩，茯苓汤方
赤茯苓（去黑皮三两） 滑石（碎四两） 石苇（去毛） 瞿麦穗 蒲黄（各二两） 榆
白皮（
上七味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食前温服。
Commentary: The Bladder is the official of the "Zhou Du" (a term referring to the gathering place of fluids), where body fluids are stored. They can be excreted only after Qi transformation. Located in the Lower Jiao, it forms an interior-exterior relationship with the Kidney. It is responsible for separating the clear from the turbid, governing excretion without receiving, and if the Qi of the Zang-Fu organs is deficient, or cold and heat are imbalanced, causing Qi to fail to transform and the water pathways to become obstructed, then the disease of Lin Syndrome (dysuria) occurs. The manifestations of various types of Lin generally stem from Kidney Qi deficiency and Heat in the Bladder; only Cold Lin is different. Those skilled in treating this condition should examine it carefully.
Commentary: Acute Lin (Sudden onset of dysuria) arises from Heat in the Lower Jiao transmitting to the Bladder. Its symptoms include sudden urgency and pain in the lower abdomen, and frequent, difficult, painful urination, hence it is called Acute Lin. This is because the Lower Jiao is located below the navel, at the upper opening of the Bladder, governing the separation of clear and turbid, and excretion rather than reception, serving for conduction. Now that Heat resides in the Lower Jiao, the disease presents thusly.
Decoction of Tong Cao (Akebiae Caulis) for treating acute dribbling Lin, obstruction, and inability to urinate:
Tong Cao (sliced) 1 liang, Huang Qin (Scutellariae Radix) 1 liang, Hua Shi (Talcum) 1 liang (crushed), Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 fen (roasted), Lou Lu (Euphorbiae Humifusae Radix) 3 qian (deprived of rhizome), Ting Li Zi (Lepidii Fructus) 1 liang (stir-fried on paper until yellow).
The above six herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, boiled in 1 sheng of water until reduced to 0.7 sheng. Strain and take warm. The goal is free urination; if not relieved, take another one or two doses before meals.
Decoction of Dianthus (Dianthi Herba) for treating acute Lin and promoting diuresis in the Small Intestine:
Dianthus (deprived of stems) 0.5 liang, Tong Cao (sliced) 1 liang, Chi Fu Ling (Poria Cocos with Red Peel) 1 liang (deprived of black skin), Chen Pi (Citri Reticulatae Pericarpium) 1 liang (soaked in water, white pith removed, dried), Hua Shi (Talcum) 1 liang (crushed), Che Qian Zi (Plantaginis Semen) 1 liang (stir-fried), Dong Kui Zi (Malvae Semen) 1 liang (stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 liang (roasted).
The above eight herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, boiled in 1 sheng of water with 2 cun of Cong Bai (Allii Fistulosi Bulbus) until reduced to 0.7 sheng. Strain and take warm at any time.
Infusion of Imperata Rhizome (Imperatae Rhizoma) for treating acute Lin with knotting, astringency, and lack of flow:
Mao Gen (Imperatae Rhizoma) 3 liang (sliced), Tong Cao (sliced) 3 liang, Shi Wei (Pyrrosiae Folium) 1 liang (brushed to remove hairs), Huang Qin (Scutellariae Radix) 1 liang (deprived of black heart), Dang Gui (Angelicae Sinensis Radix) 1 liang (washed, cut, dried), Shao Yao (Paeoniae Radix Alba) 1 liang, Dong Kui Zi (Malvae Semen) 1 liang (stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 liang (roasted), Hua Shi (Talcum) 1 liang (crushed).
The above nine herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, boiled in 1 sheng of water until reduced to 0.7 sheng. Strain and take warm at any time.
Infusion of Kochia Fruit (Kochiae Fructus) for treating acute Lin, inability to urinate, obstruction, astringency, and pain:
Di Fu Zi (Kochiae Fructus) 3 liang, Zhi Mu (Anemarrhenae Rhizoma) 1 liang (baked), Zhu Ling (Polyporus) 1 liang (deprived of black skin), Dianthus (deprived of stems) 1 liang, Huang Qin (Scutellariae Radix) 1 liang (deprived of black heart), Sheng Ma (Cimicifugae Rhizoma) 1 liang, Tong Cao (sliced) 1 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 liang (roasted), Hua Shi (Talcum) 1 liang (crushed).
The above nine herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, boiled in 1 sheng of water until reduced to 0.7 sheng. Strain and take warm at any time.
Decoction of Astragalus (Astragali Radix) for treating Deficient-Heat in the Bladder and sudden violent dribbling Lin:
Huang Qi (Astragali Radix) 1 liang (finely sliced), Ren Shen (Ginseng Radix) 1 liang, Bai Fu Ling (Poria Cocos) 1 liang (deprived of black skin), Han Lian Zi (Ecliptae Fructus) 1 liang, Hua Shi (Talcum) 1 liang (ground), Sang Bai Pi (Mori Cortex) 3 qian (sliced).
The above nine herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, boiled in 1 sheng of water until reduced to 0.7 sheng. Strain and take warm at any time.
Decoction of Ulmus Bark (Ulmaceae Cortex) for treating sudden violent dribbling Lin and inability to urinate:
Yu Bai Pi (Ulmaceae Cortex) 1 liang (washed and sliced), Dianthus (picking spikes) 1 liang, Chi Fu Ling (Poria Cocos with Red Peel) 1 liang (deprived of black skin), Ji Su (Elsholtziae Herba) 1 liang, Zhi Zi Ren (Gardeniae Semen) 1 liang, Tong Cao (sliced) 1 liang, Yu Li Ren (Pruni Semen) 1 liang (soaked in water, peel and bitter kernels removed, stir-fried and ground).
The above seven herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, boiled in 1 sheng of water until reduced to 0.7 sheng. Strain and take warm at any time.
Powder of Black Gold (Hei Jin San) for treating acute Lin with obstruction:
Hao Xi Mo (Fine Ink Stick) 1 liang (burnt).
The above single herb is ground into a fine powder. Each dose consists of 1 qian bi, mixed with warm water and taken at any time.
Powder of Curcuma Tuber (Yu Jin San) for treating sudden urinary dribbling, astringency, and obstruction:
Yu Jin (Curcumae Radix) 1 liang, Hua Shi (Talcum) 0.5 liang (ground), Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 liang (roasted).
The above three herbs are pounded and sifted into a powder. Each dose consists of 1 qian bi, mixed with hot water and taken at any time.
Decoction of Pyrrosia Leaf (Shi Wei Tang) for treating acute Lin:
Shi Wei (Pyrrosiae Folium) 1 liang (deprived of hairs), Dianthus (picking spikes) 1 liang, Dong Kui Zi (Malvae Semen) 1 liang (stir-fried), Che Qian Zi (Plantaginis Semen) 1 liang.
The above four herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, boiled in 1 sheng of water until reduced to 0.7 sheng. Strain and take warm at any time.
Pill of Sea Clam Shell (Hai Ge Wan) for treating sudden urinary dribbling, astringency, and obstruction:
Hai Ge (Concha Arcae) 0.5 liang, Bai Ci (Porcelain from Dingzhou, ground and washed with water) 1 liang, Hua Shi (Talcum) 1 liang (ground), Shang Lu (Phytolaccae Radix) 1 liang (cut and baked), Lou Lu (Euphorbiae Humifusae Radix) 1 liang (deprived of rhizome).
The above five herbs are pounded and ground into a fine powder. Take 1 sheng of natural juice from fresh He Shou Wu (Polygoni Multiflori Radix), boil with wheat paste to form pills the size of Sophora seeds. Each dose consists of 20 pills, taken with Deng Xin Cao (Junci Medullae Decoction) before meals.
Decoction of Akebia Caulis (Tong Cao Yin) for treating acute Lin:
Tong Cao (sliced) 2 liang, Mao Gen (Imperatae Rhizoma) 2 liang (sliced), Dianthus (deprived of stems) 2 liang, Shao Yao (Paeoniae Radix Alba) 2 liang, Hua Shi (Talcum) 3 liang (crushed), Luan Fa (Coagulated Hair/Blood Bone Char) 2 pieces (size of chicken eggs).
The above six herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, boiled in 1 sheng of water until reduced to 0.7 sheng. Strain and take warm at any time.
Decoction of Poria (Fu Ling Tang) for treating sudden urinary dribbling and astringency:
Chi Fu Ling (Poria Cocos with Red Peel) 3 liang (deprived of black skin), Hua Shi (Talcum) 4 liang (crushed), Shi Wei (Pyrrosiae Folium) 2 liang (deprived of hairs), Dianthus Spikes 2 liang, Pu Huang (Typhae Pollen) 2 liang, Yu Bai Pi (Ulmaceae Cortex) 2 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 liang (roasted).
The above seven herbs are coarsely crushed and sieved. Each dose consists of 5 qian bi, boiled in 1.5 sheng of water until reduced to 0.8 sheng. Strain and take warm before meals.