病源气淋者，肾虚膀胱热气胀所为也，膀胱与肾为表里，膀胱热，热气流入胞，热则生
实，令胞内气胀，则少腹满，肾气不能制其小便，故成淋耳，其状膀胱小便皆满，尿涩常有
余沥
千金疗气淋方。
灸关元五十壮。
又方
挟玉泉相去一寸半，灸三十壮。
又方
水三升，煮豉一升，一沸去滓，纳盐一合，顿服之。
又方
捣葵子末，汤和服方寸匕。
又方
空腹单茹蜀葵一满口。
病源膏淋者，淋而有肥状如膏，故谓之膏淋，亦曰肉淋，此肾虚不能制于肥液，故与小
便俱出也。（出第十四卷中）
千金疗膏淋方。
捣 草汁三升，醋三合和，空腹顿服，当如大豆汁下，一名葛 也。
又膏淋之为病，尿似膏自出，疗之一如气淋也。（并出第二十一卷中）
许仁则疗小便淋涩方，此病有数种，有石淋，有热淋，有气淋，气淋者，气壅塞，小便
不通，遂成气淋，此病自须依前疗水气法，石淋者，缘先服石，石气不散，壅遏生热，故成
石淋
热，
瞿麦穗（三两） 冬葵子（一升） 榆白皮（切一升） 桑根皮（六两） 白茅根（切
一升） 石苇（四两去毛）
上药切，以水一斗，煮取三升，去滓，分温三服，每服如人行十里久，服三五剂后，宜
合大虫魄五味散服佳。
又方
大虫魄（六两） 石苇（三两去毛） 瞿麦穗（四两） 冬葵子（一升） 茯苓（六两）
上药捣筛为散，煮桑白皮作饮子，初服一方寸匕，日再服，稍加至三匕。忌酢物。（吴
升同出下卷中）
[Pathogenesis] Qi Lin (Qi-type strangury) is caused by Kidney deficiency leading to heat and distension in the Bladder. The Bladder and Kidney are exterior-interiorly related. When there is heat in the Bladder, pathogenic heat flows into the Bao (uterus/lower jiao urinary-reproductive area). Heat generates excess conditions, causing qi stagnation and distension within the Bao, resulting in fullness of the lower abdomen. Since Kidney Qi fails to control urination, strangury ensues. Its manifestations include a sensation of fullness in both the Bladder and during urination, dysuria with frequent post-void dribbling.
Qianjin Fang for treating Qi Lin:
Moxibustion on Guanyuan (CV4), 50 moxa cones.
Another prescription:
Moxibustion at a point one-and-a-half cun lateral to Yuquan, 30 moxa cones.
Another prescription:
Take three sheng of water, boil one sheng of Dou Chi (Fermented Soybean), remove dregs after one boiling, add one ge of salt, and take in one dose.
Another prescription:
Powder Dong Kui Zi (Malvae Semen), mix with decoction, and take a volume equivalent to a fangcun bi (a square-inch measure).
Another prescription:
Chew a full mouthful of Shu Kui (Hollyhock herb) on an empty stomach.
[Pathogenesis] Gao Lin (Gao-type strangury) refers to strangury where the discharge resembles paste or fat, hence named Gao Lin, also called Rou Lin (Meat-type strangury). This occurs because Kidney deficiency fails to restrain fatty fluids, allowing them to exit together with urine. (From Volume XIV)
Qianjin Fang for treating Gao Lin:
Take three sheng of Ge Gen juice (Kudzu Root juice), mix with three ge of vinegar, and take on an empty stomach in one dose. After taking this, one should pass something resembling soybean juice; Ge Gen is also known as Ge .
Furthermore, regarding the disease of Gao Lin, where urine exits like paste, the treatment is the same as that for Qi Lin. (All from Volume XXI)
Xu Renze's prescription for treating dysuria and strangury: This disease has several types, including Shi Lin (Stone-type strangury), Re Lin (Heat-type strangury), and Qi Lin. Qi Lin arises from qi obstruction and blockage of urination. This condition must be treated according to the previous methods for treating water-qig edema. Shi Lin arises from prior ingestion of mineral drugs; the qi of these minerals does not dissipate, causing obstruction and generating heat, thus forming Shi Lin.
Qu Mai Sui (Herba Diantherae Spike, 3 liang), Dong Kui Zi (Malvae Semen, 1 sheng), Yu Bai Pi (Cortex Ulci, sliced, 1 sheng), Sang Gen Pi (Cortex Mori Radicis, 6 liang), Bai Mao Gen (Rhizoma Imperatae, sliced, 1 sheng), Shi Wei (Folium Pyrrosiae, 4 liang, de-haired).
Cut the above herbs, add ten dou of water, decoct until three sheng remain, filter out the dregs, and divide into three warm doses. Take each dose at intervals corresponding to walking ten li. After taking three to five doses, it is advisable to combine with Da Chong Po Wu Wei San (Five-Ingredient Powder of Large Insect Soul).
Another prescription:
Da Chong Po (Large Insect Soul, 6 liang), Shi Wei (Folium Pyrrosiae, 3 liang, de-haired), Qu Mai Sui (Herba Diantherae Spike, 4 liang), Dong Kui Zi (Malvae Semen, 1 sheng), Fu Ling (Poria, 6 liang).
Pulverize and sieve the above herbs into powder. Decoct Sang Bai Pi (Cortex Mori Radicis) to make a drink. Initially take one fangcun bi, twice daily, gradually increasing to three fangcun bi. Avoid acidic foods. (Wu Sheng, also from the lower volume)