夫消肾。小便白浊如脂者。此由劳伤于肾。肾气虚冷故也。肾主水。而开窍在阴。阴为
小便之道。脬冷肾损。故小便白而如脂。或如麸片也。
治消肾。心神烦闷。小便白浊。黄 散方。
黄 （一两锉） 麦门冬（一两去心） 茯神（一两） 龙骨（一两） 栝蒌根（一两）
熟干地
黄（一两） 泽泻（一两） 白石脂（一两） 桑螵蛸（一两微炒） 甘草（三分炙微赤锉）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
每于食前温服。
治消肾。小便多。白浊。或不禁。菟丝子散方。
菟丝子（一两酒浸三日曝干别捣为末） 蒲黄（一两半微炒） 磁石（半两烧醋淬七遍
细研
水飞过） 黄
中黄皮（一两
上件药。捣细罗为散。入研了药令匀。每于食前。以清粥饮调下二钱。
治消肾。心肺热极。羸瘦乏力。口干心烦。小便如脂。铁粉丸方。
铁粉（一两细研） 生干地黄（三两） 鸡 〔二（一）两微炙〕 牡蛎（二两烧为
粉） 黄
连
（一两去须）
上件药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以
粥饮下三十丸。
治消肾。小便滑数白浊。将欲沉困。宜服鹿茸丸方。
鹿茸（一两半去毛涂酥炙微黄） 黄芩（三分） 人参（三分去芦头） 土瓜根（三分）
肉苁
蓉（一两半酒浸一宿刮去皱皮炙干） 鸡 （十枚微炙） 菟丝子（三两酒浸三日曝干别
捣为
末）
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以清粥饮下三十丸。
治消肾。小便白浊。久不瘥。桑螵蛸丸方。
桑螵蛸（一两微炒） 菟丝子（半两汤浸三日曝干别捣为末） 熟干地黄（二两） 山
茱萸（
三分） 黄连（一两去须）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。煎大麦饮下三十丸。
治消肾。小便白浊。四肢羸瘦。渐至困乏。宜服黄 丸方。
黄 （一两锉） 白茯苓（三分） 黄连（一两去须） 土瓜根（三分） 熟干地黄（一
两） 麦
门冬（二
栝蒌
（半两锉）
毛涂酥炙
微黄）
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每于食前。以清粥饮下三十丸。
治消肾。小便滑数。白浊。心神烦躁。黄连丸方。
黄连（一两去须） 栝蒌根（一两） 白龙骨（一两） 苦参（一两锉） 牡蛎（一两
烧为粉）
山茱萸（一两） 葳蕤（一两） 土瓜根（一两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。
煎大麦汤下三十丸。
又方。
天雄（半两炮裂去皮脐） 白石脂（三分） 露蜂窠（半两微炒）
上件药。粗捣。都以水二大盏半。入枣五枚。煎至一盏半。去滓。食前分温三服。
治消肾。小便滑数白浊。令人羸瘦。宜服此方。
黄 （半两锉） 鸡 （一两微炙） 五味子（半两）
上件药。粗捣。都以水三大盏。煎至一盏半。去滓。食前分温三服。
治消肾。小便滑数。白浊不止方。\x
鹿角屑（二两炒令黄）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
Xiaoshen disease (Kidney Consumption Disease), characterized by turbid urine resembling fat or paste. This condition arises from labor-induced injury to the Kidney, resulting in deficiency and cold of Kidney Qi. The Kidney governs water metabolism, and its orifice opens at the yin region; the yin region serves as the pathway for urination. If the bladder is cold and the Kidney is damaged, the urine becomes white and resembles fat or paste, or appears like bran flakes.
Huangqi San (Astragalus Powder) for treating Xiaoshen with mental restlessness and turbid urine:
Huangqi (Radix Astragali, 1 liang, sliced) Maimendong (Radix Ophiopogonis, 1 liang, heart removed) Fushen (Poria with Hostwood, 1 liang) Longgu (Fossilized Bones, 1 liang) Gualualgen (Radix Trichosanthis, 1 liang) Shugan Dihuang (Prepared Radix Rehmanniae, 1 liang) Zexie (Rhizoma Alismatis, 1 liang) Baishizhi (Kaolinite, 1 liang) Sangpiaoxiao (Ootheca Mantidis, 1 liang, slightly stir-fried) Gancao (Radix Glycyrrhizae, 3 fen, honey-fried until slightly red, sliced)
Crush and sieve the above herbs into a powder. Take 4 qian per dose. Add 1 zhong zhan of water, 0.5 ban of fresh ginger, and 3 jujubes. Decoct until 6 fen remains, then strain. Warm and take before meals.
Tusizi San (Cuscuta Powder) for treating Xiaoshen with polyuria, turbid urine, or incontinence:
Tusizi (Semen Cuscutae, 1 liang, soaked in wine for three days, dried, separately pounded into powder) Puhuang (Pollen Typhae, 1.5 liang, slightly stir-fried) Cishi (Magnetitum, 0.5 liang, calcined and quenched in vinegar seven times, finely ground, levigated) Huangqi huangpi (Inner bark of Astragalus root, 1 liang)
Finely grind and sieve the above herbs into a powder, mixing evenly with the previously prepared powder. Take 2 qian per dose before meals, mixed with clear rice gruel.
Tiefen Wan (Iron Powder Pill) for treating Xiaoshen with extreme heat in the Heart and Lungs, emaciation, fatigue, dry mouth, mental irritability, and urine resembling fat:
Tiefen (Lamina Ferri, 1 liang, finely ground) Shenggan Dihuang (Dried Radix Rehmanniae, 3 liang) Jineijin (Endothelium Corneum Gigeriae Galli, 2 liang, slightly roasted) Muli (Concha Ostreae, 2 liang, calcined into powder) Huanglian (Rhizoma Coptidis, 1 liang, mustards removed)
Grind and sieve the above herbs into powder, mix evenly with the prepared powder, combine with refined honey, and pound 300-200 times. Form pills the size of paulownia seeds. Take 30 pills with rice gruel at any time.
Lurong Wan (Deer Antler Pill) for treating Xiaoshen with frequent slippery urination, turbid urine, and impending exhaustion:
Lurong (Cornu Cervi Pantotrichum, 1.5 liang, hair removed, coated with butter and roasted until slightly yellow) Huangqin (Radix Scutellariae, 3 fen) Renshen (Radix Ginseng, 3 fen, rhizome removed) Tuguagen (Radix Cucumeris Siraitis, 3 fen) Roucongrong (Herba Cistanche, 1.5 liang, soaked in wine overnight, scraped clean, roasted dry) Jineijin (Endothelium Corneum Gigeriae Galli, 10 pieces, slightly roasted) Tusizi (Semen Cuscutae, 3 liang, soaked in wine for three days, dried, separately pounded into powder)
Grind and sieve the above herbs into powder, combine with refined honey, and pound 500-300 times. Form pills the size of paulownia seeds. Take 30 pills before meals with clear rice gruel.
Sangpiaoxiao Wan (Mantis Egg-case Pill) for treating Xiaoshen with turbid urine that persists for a long time:
Sangpiaoxiao (Ootheca Mantidis, 1 liang, slightly stir-fried) Tusizi (Semen Cuscutae, 0.5 liang, soaked in hot water for three days, dried, separately pounded into powder) Shugan Dihuang (Prepared Radix Rehmanniae, 2 liang) Shanzhuyu (Fructus Corni, 3 fen) Huanglian (Rhizoma Coptidis, 1 liang, mustards removed)
Grind and sieve the above herbs into powder, combine with refined honey, and pound 300-200 times. Form pills the size of paulownia seeds. Take 30 pills before meals with decocted barley drink.
Huangqi Wan (Astragalus Pill) for treating Xiaoshen with turbid urine, emaciated limbs, and gradual weakness:
Huangqi (Radix Astragali, 1 liang, sliced) Bai Fuling (Poria, 3 fen) Huanglian (Rhizoma Coptidis, 1 liang, mustards removed) Tuguagen (Radix Cucumeris Siraitis, 3 fen) Shugan Dihuang (Prepared Radix Rehmanniae, 1 liang) Maimendong (Radix Ophiopogonis, 2 liang) Gualou (Fructus Trichosanthis, 0.5 liang, sliced)
Grind and sieve the above herbs into powder, combine with refined honey, and pound 700-500 times. Form pills the size of paulownia seeds. Take 30 pills before meals with clear rice gruel.
Huanglian Wan (Coptis Pill) for treating Xiaoshen with frequent slippery urination, turbid urine, and mental irritability:
Huanglian (Rhizoma Coptidis, 1 liang, mustards removed) Gualualgen (Radix Trichosanthis, 1 liang) Bailonggu (White Fossilized Bones, 1 liang) Kushen (Radix Sophorae Flavescentis, 1 liang, sliced) Muli (Concha Ostreae, 1 liang, calcined into powder) Shanzhuyu (Fructus Corni, 1 liang) Weirui (Rhizoma Polygonati Odorati, 1 liang) Tuguagen (Radix Cucumeris Siraitis, 1 liang)
Grind and sieve the above herbs into powder, combine with refined honey, and pound 300-200 times. Form pills the size of paulownia seeds. Take 30 pills with decocted barley soup at any time.
Another prescription:
Tianxiong (Radix Aconiti Lateralis Preparata, 0.5 liang, processed until cracked, skin and navel removed) Baishizhi (Kaolinite, 3 fen) Lufengke (Nidus Vespae, 0.5 liang, slightly stir-fried)
Coarsely crush the above herbs. Add 2.5 large zhan of water and 5 jujubes. Decoct until 1.5 zhan remains, then strain. Divide into three warm doses before meals.
For treating Xiaoshen with frequent slippery urination, turbid urine, leading to emaciation, this formula is suitable:
Huangqi (Radix Astragali, 0.5 liang, sliced) Jineijin (Endothelium Corneum Gigeriae Galli, 1 liang, slightly roasted) Wuweizi (Fructus Schisandrae, 0.5 liang)
Coarsely crush the above herbs. Add 3 large zhan of water. Decoct until 1.5 zhan remains, then strain. Divide into three warm doses before meals.
Formula for treating Xiaoshen with frequent slippery urination and unceasing turbid urine:
Lujiaoxie (Cornu Cervi Deglutium, 2 liang, stir-fried until yellow)
Finely grind and sieve the above herb into a powder. Take 2 qian before meals, mixed with rice gruel.