论曰∶夫言大小便涩者，皆繇大肠虚，受邪气所致也。且腑有高下，而肺腑系在天上，
中接土腑，名之大肠，为传导之腑也。有风气热结，即大便干涩而不通顺，或发痈肿，口鼻
干燥，或肾腑有虚。则心肺俱热，使小便赤而涩也。或肾气虚热，膀胱不足，加之以渴饮，
即小便淋涩，皆繇脏虚不能主其腑也，且形能受味，气能致精，气散则精虚，味益则体实，
体
实之人，筋骨有余，因劳精气，精气既衰，即招其病。故石气流入膀胱，作其淋疾，则非正
石气而行，此肺遭热盛，传之于肾。肾为精竭，纯阴自孤，石气惧阴不入，便投其膀胱，膀
胱受邪，遂成淋也，淋状合涩数赤热而痛，何以知之。涩至，故知肺传于子也，数至，为子
被母逼，水急奔下也。热赤至，为心与石气相传也，痛至，为本脏自虚，客气冲击也。所以
服石药者，藉其少滋味而助精气即神门之固，病邪不能入也，何以知因石虚竭，虚竭之人，
其阴好怒，而交接难毕，其病名强中，或不交接，其精自流也，或为消利。为作消竭，皆由
少
恐变诸HT ，常以不虚不实于大肠。不寒不燥于腠理，能调神气，有何患乎。
疗小便淋涩，少腹痛方。
大黄 芍药 茯苓（各一两） 麻仁（四两研）
上四味切，以水五升，煮取二升，去滓，分服之良。
又方
桑螵蛸（二十枚熬） 黄芩（一两）
上二味切，以水一升，煮取四合，顿服之。
又疗热淋涩痛方。
车前草 葵根（各切一升） 通草（三两） 芒硝（八分）
上四味切，以水五升，煮取二升，去滓入芒硝，分服之。
又疗血淋不绝方。
鸡苏 竹叶（各一握） 葵子（末） 石膏（各八分碎） 蜀椒（末四分）
上五味切，以水二升，煮取九合后，下葵末服之。
又疗初患淋方。
滑石（五两） 通草（二两） 石苇（拭去毛） 瞿麦（各三两） 芒硝（二两汤热下）
冬葵子
（二升）
上六味切，以水九升，煮取三升分服之，忌诸热物。
又疗淋积年医不能愈，或十日五日一度发即可，时或频发不定方。
冬葵子 滑石（各八分） 茯苓 芍药 子芩 蒲黄 芒硝（各六分） 石苇（去毛） 瞿
麦
（各五分） 陈橘皮（四分）
上十味捣散，空腹煮，后饮子和服一方寸匕，加至二匕，以小便通利为度，忌如常法。
下散饮子方
桑白皮（六分） 白茅根（十分） 通草（八分） 甘草（四分炙） 滑石（十分）
上五味捣散，煎汤服前散。
又卒患淋方。
取舡底青苔如鸡子大，以水一升煮服之。
又主热淋方。
白茅根（四斤切）
上一味，以水一斗半，煮取五升，适寒温饮之，瘥止。
又石淋状如碎沙石下者方。
车前子（二斤以绢囊盛）
上一味，以水八升，煮取三升，经宿空腹服之，即石下。
又疗烦热，身体微肿，不能食饮，小便不利方。
茯苓（三两） 甘草（炙） 栝蒌根 人参 黄芩 桂心 白术（各一两） 枳实（二
两炙）
上八味切，以水六升，煮取三升，去滓，每服三合尽，即瘥，甚妙。
又疗气上不得食，呕逆，大小便涩，气满烦闷，折热下气方。
前胡 黄芩（各三两） 栀子 大黄（各一两） 甘草（炙） 茯苓 生姜（各二两） 杏
仁（
四十枚去尖皮碎）
上八味切，以水八升，煮取三升，分服之，忌如常法。
又疗热，小便数少如淋，葵子汤方。
冬葵子（一升）
上一味，以水三升，煮取一升半，分服之，忌如常法。
又若大小便塞不通，或淋沥尿血，阴中疼痛，此是热气所致，先以冷物熨之小腹，又以
热物熨，更互冷热，若小便数。亦是取冷所致，即暖将息也。
疗发热体气昏昏，不痛不痒，小便赤涩方。
生茅根五大斤，净洗择捣，绞取汁服之瘥。
又若发热口干，小便涩方。
取甘蔗去皮，尽足吃之，咽汁，若口痛，捣取汁服之。
又方
取葳蕤五两，煮汁饮之瘥。
Discussion states: The condition of difficult and obstructed urination and defecation is caused by the deficiency of the Large Intestine (Large Intestine) and the invasion of pathogenic factors. Although the Fu organs have different positions, the Lung (Lung) connects to the upper Jiao (Triple Burner), linking in the middle with the Earth-element Fu organ, named the Large Intestine, which serves as the organ of transmission and transformation. If wind-heat binds and accumulates, it leads to dry, rough, and obstructed defecation, or may cause carbuncles and sores, along with dryness of the mouth and nose. Alternatively, if the Kidney (Kidney) Fu is deficient, Heart (Heart) and Lung heat may both arise, causing urine to become red and difficult to pass. If Kidney Qi is deficient with internal heat, and the Bladder (Bladder) lacks essence, compounded by excessive thirst and drinking, urinary dribbling and dysuria occur. This is because the Zang organs are deficient and cannot govern their corresponding Fu organs. The body accepts flavors, and Qi generates essence; when Qi scatters, essence becomes deficient; when flavors are rich, the body becomes solid. A person with a solid body has strong sinews and bones, but if labor exhausts the essence, and the essence declines, disease will be attracted. Thus, the qi of stone drugs flows into the Bladder, causing strangury, because the abnormal stone qi moves improperly. This occurs when the Lung suffers from intense heat and transmits it to the Kidney. When the Kidney's essence is exhausted, pure Yin stands alone. The stone qi, fearing Yin, does not enter but instead invades the Bladder. Once the Bladder receives the pathogen, strangury forms. The characteristics of strangury include roughness, frequency, redness, heat, and pain. How do we know this? Rough pulse indicates the Lung transmitting disease to its son (the Kidney). Frequent pulse indicates the son organ being pressured by the mother, causing water to rush downward rapidly. Heat and redness indicate transmission between the Heart and stone qi. Pain indicates that the primary organ itself is deficient, attacked by external pathogens. Therefore, those who take stone drugs rely on their mild flavor to assist essence, thereby securing the Spirit Gate (Shenmen), preventing pathogens from entering. How do we know it is due to stone-induced exhaustion? Exhausted individuals often exhibit irritability in their Yin aspect, difficulty completing sexual intercourse, a condition known as "Qiangzhong" (Strong Middle/Excessive Yang); or even without intercourse, essence flows spontaneously, or it develops into Xiao Ke (Wasting and Thirsting syndrome). These wasting conditions result from changes such as fear affecting the Large Intestine, keeping it neither too deficient nor too excess, and the interstices neither cold nor dry. If one can regulate Shen and Qi, what harm would there be?
Formula for treating urinary dribbling, dysuria, and lower abdominal pain.
Dahuang (Rhei Radix et Rhizoma), Shaoyao (Paeoniae Radix Alba), Fuling (Poria) (each 1 liang), Mahuang (Cannabis Seed) (4 liang, ground).
Cut the four ingredients, boil in 5 sheng of water to obtain 2 sheng of decoction, remove dregs, and divide into doses for administration. It is effective.
Another formula.
Sangpiaoxiao (Mantis Egg Case) (20 pieces, roasted), Huangqin (Scutellariae Radix) (1 liang).
Cut the two ingredients, boil in 1 sheng of water to obtain 4 he of decoction, and take all at once.
Another formula for treating heat strangury with dysuria and pain.
Cheqiancao (Plantaginis Herba), Kuigen (Malvae Radix) (each cut to 1 sheng volume), Tongcao (Tetrapanacis Medulla) (3 liang), Mangxiao (Natrii Sulfas) (8 fen).
Cut the four ingredients, boil in 5 sheng of water to obtain 2 sheng of decoction, remove dregs, add Mangxiao, and divide into doses.
Another formula for treating persistent hematuria (blood strangury).
Jisu (Elsholtziae Herba), Zhuye (Bambusae Folium) (each one handful), Kuizi (Malvae Semen) (ground), Shigao (Gypsum Fibrosum) (each 8 fen, crushed), Shujiao (Zanthoxyli Pericarpium) (ground, 4 fen).
Cut the five ingredients, boil in 2 sheng of water to obtain 9 he of decoction, then add the ground Kuizi and take.
Another formula for early-stage strangury.
Huashi (Hua Shi) (5 liang), Tongcao (2 liang), Shiwei (Pyri Folium) (brush off hairs), Qumai (Dianthi Herba) (each 3 liang), Mangxiao (2 liang, dissolved in hot water), Dongkuizi (Malvae Semen) (2 sheng).
Cut the six ingredients, boil in 9 sheng of water to obtain 3 sheng of decoction, divide into doses. Avoid hot foods.
Another formula for chronic strangury unresponsive to treatment for years, occurring every five to ten days, or frequently and irregularly.
Dongkuizi, Huashi (each 8 fen), Fuling, Shaoyao, Zixin (Scutellariae Radix), Puhuang (Typhae Pollen), Mangxiao (each 6 fen), Shiwei (remove hairs), Qumai (each 5 fen), Chenjupi (Citri Reticulatae Pericarpium) (4 fen).
Grind the ten ingredients into powder. Boil empty stomach, then drink the powder mixed with water. Start with one fangcun bi (square-inch spoonful), increase to two bi. Stop when urination becomes smooth. Observe usual dietary restrictions.
Decoction for administering the powder.
Sangbaidi (Mori Cortex), Baimaogen (Imperatae Rhizoma) (10 fen), Tongcao (8 fen), Gancao (Licorice Root) (4 fen, honey-fried), Huashi (10 fen).
Grind the five ingredients into powder. Decoct and use this liquid to take the previous powder.
Another formula for acute strangury.
Take green moss from the bottom of a boat, size of a chicken egg, boil in 1 sheng of water, and take.
Another formula primarily for heat strangury.
Baimaogen (4 jin, cut).
Boil this single ingredient in 15 dou of water to obtain 5 sheng of decoction. Drink when temperature is suitable. Discontinue when cured.
Another formula for stone strangury where excretions resemble broken sand or stones.
Cheqianzi (Plantaginis Semen) (2 jin, placed in a silk bag).
Boil this single ingredient in 8 sheng of water to obtain 3 sheng of decoction. Take overnight on an empty stomach; the stones will pass.
Another formula for treating vexatious heat, slight bodily swelling, inability to eat or drink, and difficult urination.
Fuling (3 liang), Gancao (honey-fried), Gualougen (Trichosanthis Radix), Renshen (Ginseng Radix), Huangqin, Guixin (Cinnamomi Ramulus), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1 liang), Zhishi (Aurantii Fructus Immaturus) (2 liang, honey-fried).
Cut the eight ingredients, boil in 6 sheng of water to obtain 3 sheng of decoction, remove dregs. Take 3 he completely per dose. The condition will resolve; very excellent.
Another formula for treating rebellious Qi preventing eating, vomiting, difficult urination and defecation, abdominal fullness, vexation, and stagnation, to clear heat and direct Qi downward.
Qianhu (Peucedani Radix), Huangqin (each 3 liang), Zhizi (Gardeniae Fructus), Dahuang (each 1 liang), Gancao (honey-fried), Fuling, Shengjiang (Fresh Ginger) (each 2 liang), Xingren (Pruni Armeniaci Semen) (40 pieces, remove skin and tips, crush).
Cut the eight ingredients, boil in 8 sheng of water to obtain 3 sheng of decoction, divide into doses. Observe usual dietary restrictions.
Another formula for heat with frequent, scanty urination resembling strangury, using Kuizi Decoction.
Dongkuizi (1 sheng).
Boil this single ingredient in 3 sheng of water to obtain 1.5 sheng of decoction, divide into doses. Observe usual dietary restrictions.
If there is complete obstruction of urination and defecation, or dribbling blood in urine, and pain in the genitalia, this is caused by heat. First apply cold compresses to the lower abdomen, then hot compresses, alternating cold and heat. If urination is frequent, it is also caused by taking cold; thus, keep warm and rest.
Formula for treating fever, heavy sensation in the body, absence of pain or itching, and red, difficult urination.
Use 5 jin of fresh Baimaogen, wash clean, select, crush, squeeze out the juice, and take. The condition will resolve.
Another formula for fever with dry mouth and difficult urination.
Take sugarcane, peel it, and consume as much as possible, swallowing the juice. If there is mouth pain, crush and take the juice.
Another formula.
Take Weirui (Polygonati Odorati Rhizoma) 5 liang, decoct and drink. The condition will resolve.