病源此由劳伤于肾。肾气虚冷故也。肾主水而关窍在阴。阴为尿便之道。脬冷肾损。故
小便白而如脂。或如麸片也。（出第四卷中）
崔氏饮水不知休。小便中如脂。舌干渴方。
黄连（五两） 栝蒌（五两）
上二味捣末。以生地黄汁和丸。并手丸。每食后牛乳下五十丸。日再服之。忌猪肉。
近效消渴肝肺热。焦枯消瘦。或寒热口干。日夜饮水。小便如脂。不止欲死方。
水飞铁粉（三两绝燥者别研入） 鸡 （五枚阴干末入） 牡蛎（二两熬别研如粉入）
黄
连（三两）
上四味捣筛三五度。炼蜜和丸。饮汁下如梧子大五十丸。重者不过食时。轻者手下瘥。
勿传。忌猪肉。
又主消渴口干方。
黄连 豉（曝令干）
上二味一处捣。令成丸。食后饮服四十丸。日再。丸稍大如常药丸。常服有效。忌猪肉
又消渴能饮水。小便甜。有如脂麸片。日夜六七十起方。
冬瓜（一枚） 黄连（十两）
右截瓜头去穣。入黄连末。火中煨之。候黄连熟。布绞取汁。一服一大盏。日再服。但
服两三枚瓜。以瘥为度。一方云∶以瓜汁和黄连末。和如梧子大。以瓜汁空肚下三十丸。日
再服。不瘥。增丸数。忌猪肉冷水。
经验用大牡蛎不计多少。以腊日端午日将黄泥裹 通赤。放冷取出为末。用活鲫鱼煎汤
调下一钱。
The etiology of this condition stems from kidney injury due to overexertion. This is caused by deficiency and coldness of Kidney Qi (Kidney Energy). The Kidneys govern water metabolism, and their orifices are located in the yin region. The yin region serves as the pathway for urination and defecation. When the bladder is cold and the kidneys are damaged, it results in urine that is white and resembles fat or grease, or appears like bran flakes. (Excerpted from Volume 4)
Cui Shi's prescription for excessive drinking leading to urine containing fatty substances, dry tongue, and thirst:
* Huanglian (Coptidis Rhizoma, 5 liang)
* Gualuan (Trichosanthis Fructus, 5 liang)
Pulverize the above two herbs. Mix with juice of fresh Shengdihuang (Rehmanniae Radix) to form pills, shaping them into hand-sized balls. Take fifty pills after each meal, washed down with cow's milk. Administer twice daily. Avoid pork.
Jin Xiao Fang for Xiao Ke (Wasting-Thirst Syndrome) characterized by heat in the Liver and Lungs, emaciation, alternating chills and fever, dry mouth, excessive drinking day and night, urine resembling fat/grease, and critical condition approaching death:
* Shuifei Tiefen (Calculated Magnetitum, 3 liang, thoroughly dried and ground separately before adding)
* Ji (Gallus gallus domesticus, 5 pieces, dried in shade and ground into powder before adding)
* Muli (Ostreae Concha, 2 liang, calcined and ground into powder separately before adding)
* Huanglian (Coptidis Rhizoma, 3 liang)
Pulverize and sieve the above four herbs three to five times. Mix with refined honey to form pills. Wash down with beverage juice; pills should be the size of wutong seeds, fifty per dose. For severe cases, improvement occurs within one meal time; for mild cases, recovery is immediate. Do not disseminate this formula. Avoid pork.
Another prescription for Xiao Ke (Wasting-Thirst Syndrome) with dry mouth:
* Huanglian (Coptidis Rhizoma)
* Chi (Sojae Semen Praeparatum, sun-dried)
Pulverize the above two herbs together and form pills. Take forty pills after meals, washed down with beverage juice, twice daily. The pills should be slightly larger than standard medicinal pills. Regular use is effective. Avoid pork.
Another prescription for Xiao Ke (Wasting-Thirst Syndrome) with polydipsia, sweet-smelling urine resembling fat/bran flakes, and frequent urination (60-70 times day and night):
* Donggua (Benincasae Fructus, 1 melon)
* Huanglian (Coptidis Rhizoma, 10 liang)
Cut off the head of the melon, remove the pulp, and insert Huanglian powder. Roast in fire until the Huanglian is cooked. Strain through cloth to extract the juice. Take one large cup per dose, twice daily. It suffices to consume two or three melons until recovery. Another method states: Mix melon juice with Huanglian powder to form pills the size of wutong seeds. Take thirty pills on an empty stomach with melon juice, twice daily. If not cured, increase the number of pills. Avoid pork and cold water.
Empirical prescription using large Muli (Ostreae Concha) in unlimited quantity. Wrap in yellow mud and calcine until red-hot on the tenth day of the twelfth lunar month (Lar Day) or the fifth day of the fifth lunar month (Duanwu Festival). Allow to cool, then grind into powder. Take one qian mixed with decoction of live Crucian carp.