夫热淋者。由三焦有热。气搏于肾。流入于脬。而成淋也。其状。小便赤涩。亦有夙病
淋。今得热而发者。其热甚则变尿血也。
治心热气壅。涩滞成淋。脐下妨胀。宜服麦门冬散方。
麦门冬（一两去心） 滑石（二两） 木通（一两锉） 赤芍药（一两） 葵子（一两）
川芒硝
（一两半）
上件药。捣粗罗为散。每服四钱。以水一中盏。入葱白二茎。生姜半分。煎至六分。去
滓。每于食前温服。
治心脏烦热。脐下妨胀。小便淋涩。宜服此方。
葵子（一两） 滑石（一两） 木通（一两锉） 蘧麦（一两） 白茅根（一两） 甘
草（半两炙
微赤锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。每于食前温服。
治热淋。小腹胀满。数涩疼痛。榆白皮散方。
榆白皮（半两锉） 甘遂（半两煨令黄） 蘧麦（半两） 犀角屑（半两） 赤茯苓（三
两） 木
通（半两锉） 山栀子（半两） 川芒硝（一两） 子芩（半两） 滑石（半两）
上件药。捣筛为散。每服三（二）钱。以水一中盏。煎至五分。去滓。每于食前温服。
治热淋涩痛。热极不解。蘧麦散方。
蘧麦（一两） 桑根白皮（一两锉） 木通（一两锉） 滑石（一两） 赤芍药（一两）
子芩（
一两） 甘草（一两炙微赤锉） 榆白皮（一两锉） 川芒硝（一两）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
又方。
滑石（半两） 芭蕉根（半两） 莲子草（一两） 白茅根（一两半锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。每于食前温服。以利
为度。
治热淋。小腹疼痛不可忍。宜服此方。
黄连（半两去须） 苦参（半两锉） 麦门冬（一两去心焙） 龙胆（半两去芦头） 土
瓜根（
半两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。不计时候。以熟水下三十丸。
治热淋。小便涩痛。宜服滑石散方。
滑石（二两） 石苇（一两去毛） 榆白皮（一两锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。入葱白七寸。生姜半分。煎至六分。去
滓。每于食前温服。
治热淋。心神烦闷。小腹满胀。石苇散方。
石苇（一两去毛） 蘧麦（一两） 滑石（二两） 车前子（一两） 葵子（一两） 甘
草（三分
炙微赤锉）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治热淋。小腹胀满急痛方。
麻皮（一两） 甘草（三分炙微赤）
上件药。细锉。以水二大盏。煎取一盏三分。去滓。食前分为三服。
治热淋。小肠不利。茎中急痛。木通散方。
木通（一两锉） 甜葶苈（一两隔纸炒令紫色） 赤茯苓（一两）
上件药。捣细罗为散。每于食前。以温葱白汤调下二钱。
又方。
滑石（二两） 木通（一两锉） 葵子（一两）
上件药。捣细罗为散。每于食前。以葱白汤调下一钱。以利为度。
又方。
乌麻子（五合） 蔓荆子（五合）
上件药。同炒令黄色。一处研用。绯绢袋盛。以井华水三升浸。每于食前。温一小盏服
之。
又方。
车前子（一合） 葵根（一两半锉用）
上件药。以水一大盏（半）。煎至一盏。去滓。食前分为三（二）服。
Heat strangury (Re Lin) arises from heat in the Sanjiao (Triple Burner), where Qi and heat contend with the Kidney, flowing into the Bladder (Pao), thereby forming strangury. Its manifestations include red and turbid urine with dysuria; there are also cases of patients with a chronic history of strangury who suffer an exacerbation due to recent heat pathogen invasion. If the heat is severe, it may transform into hematuria.
For treating heart-heat stagnation causing qi obstruction leading to strangury, accompanied by distension and fullness below the umbilicus, Mai Men Dong San (Ophiopogon Powder) is indicated.
Ophiopogonis Radix (Mai Men Dong, 麦门冬) 1 liang, core removed; Talcum (Hua Shi, 滑石) 2 liang; Akebiae Caulis (Mu Tong, 木通) 1 liang, sliced; Paeoniae Radix Rubra (Chi Shao Yao, 赤芍药) 1 liang; Malvae Semen (Kui Zi, 葵子) 1 liang; Natrii Sulfas (Chuan Mang Xiao, 川芒硝) 1.5 liang.
The above herbs are coarsely ground into a powder. Take 4 qian per dose. Add 1 zhong of water, 2 stalks of Allii Fistulosi Bulbus (Cong Bai, 葱白), and 0.5 pian of Zingiberis Rhizoma Recens (Sheng Jiang, 生姜). Decoct until 6 fen remains. Strain. Take warm before meals.
For treating heart vexillary heat, distension and fullness below the umbilicus, and dysuria/strangury, this formula is indicated.
Malvae Semen (Kui Zi, 葵子) 1 liang; Talcum (Hua Shi, 滑石) 1 liang; Akebiae Caulis (Mu Tong, 木通) 1 liang, sliced; Tritici Fructus Vulgaris (Qu Mai, 蘧麦) 1 liang; Imperatae Rhizoma (Bai Mao Gen, 白茅根) 1 liang; Glycyrrhizae Radix et Rhizoma (Gan Cao, 甘草) 0.5 liang, honey-fried until slightly reddish and sliced.
The above herbs are coarsely ground into a powder. Take 4 qian per dose. Add 1 zhong of water. Decoct until 6 fen remains. Strain. Take warm before meals.
For treating heat strangury with lower abdominal fullness, frequent and difficult urination with pain, Yu Bai Pi San (Ulmus Powder) is indicated.
Ulmus Cortex (Yu Bai Pi, 榆白皮) 0.5 liang, sliced; Kansui Radix (Gan Sui, 甘遂) 0.5 liang, baked until yellow; Tritici Fructus Vulgaris (Qu Mai, 蘧麦) 0.5 liang; Rhinocerotis Cornu (Xi Jiao, 犀角) 0.5 liang, shaved; Poria Cocos (Chi Fu Ling, 赤茯苓) 3 liang; Akebiae Caulis (Mu Tong, 木通) 0.5 liang, sliced; Gardeniae Fructus (Shan Zhi Zi, 山栀子) 0.5 liang; Natrii Sulfas (Chuan Mang Xiao, 川芒硝) 1 liang; Scutellariae Radix (Zi Qin, 子芩) 0.5 liang; Talcum (Hua Shi, 滑石) 0.5 liang.
The above herbs are ground and sifted into a powder. Take 2 or 3 qian per dose. Add 1 zhong of water. Decoct until 5 fen remains. Strain. Take warm before meals.
For treating heat strangury with dysuria and pain, where extreme heat does not resolve, Qu Mai San (Tritici Powder) is indicated.
Tritici Fructus Vulgaris (Qu Mai, 蘧麦) 1 liang; Morus Albae Cortex Radicis (Sang Gen Bai Pi, 桑根白皮) 1 liang, sliced; Akebiae Caulis (Mu Tong, 木通) 1 liang, sliced; Talcum (Hua Shi, 滑石) 1 liang; Paeoniae Radix Rubra (Chi Shao Yao, 赤芍药) 1 liang; Scutellariae Radix (Zi Qin, 子芩) 1 liang; Glycyrrhizae Radix et Rhizoma (Gan Cao, 甘草) 1 liang, honey-fried until slightly reddish and sliced; Ulmus Cortex (Yu Bai Pi, 榆白皮) 1 liang, sliced; Natrii Sulfas (Chuan Mang Xiao, 川芒硝) 1 liang.
The above herbs are coarsely ground into a powder. Take 4 qian per dose. Add 1 zhong of water. Decoct until 6 fen remains. Strain. Take warm at any time.
Another prescription:
Talcum (Hua Shi, 滑石) 0.5 liang; Musa Basjoo Radix (Ba Jiao Gen, 芭蕉根) 0.5 liang; Alternanthera Philoxeroides (Lian Zi Cao, 莲子草) 1 liang; Imperatae Rhizoma (Bai Mao Gen, 白茅根) 1.5 liang, sliced.
The above herbs are coarsely ground into a powder. Take 4 qian per dose. Add 1 zhong of water. Decoct until 6 fen remains. Strain. Take warm before meals. Continue until urination becomes free.
For treating heat strangury with unbearable lower abdominal pain, this formula is indicated.
Coptidis Rhizoma (Huang Lian, 黄连) 0.5 liang, mustards removed; Sophorae Flavescentis Radix (Ku Shen, 苦参) 0.5 liang, sliced; Ophiopogonis Radix (Mai Men Dong, 麦门冬) 1 liang, core removed and roasted; Gentianae Radix (Long Dan, 龙胆) 0.5 liang, rhizome removed; Thunbergia Laurastifolia Radix (Tu Gua Gen, 土瓜根) 0.5 liang.
The above herbs are finely ground into powder. Mix with refined honey to make pills the size of Sophora seeds. Take 30 pills with warm water at any time.
For treating heat strangury with dysuria and pain, Hua Shi San (Talcum Powder) is indicated.
Talcum (Hua Shi, 滑石) 2 liang; Perillae Folium (Shi Wei, 石苇) 1 liang, hairs removed; Ulmus Cortex (Yu Bai Pi, 榆白皮) 1 liang, sliced.
The above herbs are coarsely ground into a powder. Take 3 qian per dose. Add 1 zhong of water, 7 cun of Allii Fistulosi Bulbus (Cong Bai, 葱白), and 0.5 pian of Zingiberis Rhizoma Recens (Sheng Jiang, 生姜). Decoct until 6 fen remains. Strain. Take warm before meals.
For treating heat strangury with mental vexation and lower abdominal fullness, Shi Wei San (Perillae Folium Powder) is indicated.
Perillae Folium (Shi Wei, 石苇) 1 liang, hairs removed; Tritici Fructus Vulgaris (Qu Mai, 蘧麦) 1 liang; Talcum (Hua Shi, 滑石) 2 liang; Plantaginis Semen (Che Qian Zi, 车前子) 1 liang; Malvae Semen (Kui Zi, 葵子) 1 liang; Glycyrrhizae Radix et Rhizoma (Gan Cao, 甘草) 0.3 liang, honey-fried until slightly reddish and sliced.
The above herbs are finely ground and sifted into a powder. Take 2 qian before meals, mixed with rice broth.
For treating heat strangury with lower abdominal fullness and acute pain.
Linum Usitatissimum Cortex (Ma Pi, 麻皮) 1 liang; Glycyrrhizae Radix et Rhizoma (Gan Cao, 甘草) 0.3 liang, honey-fried until slightly reddish.
The above herbs are finely sliced. Add 2 large zhong of water. Decoct to obtain 1.3 zhong. Strain. Divide into three doses before meals.
For treating heat strangury with poor Small Intestine function and acute pain in the urethra, Mu Tong San (Akebia Caulis Powder) is indicated.
Akebiae Caulis (Mu Tong, 木通) 1 liang, sliced; Lepidii Semen (Tian Ting Li, 甜葶苈) 1 liang, stir-fried between papers until purple; Poria Cocos (Chi Fu Ling, 赤茯苓) 1 liang.
The above herbs are finely ground and sifted into a powder. Take 2 qian before meals, mixed with warm Allii Fistulosi decoction.
Another prescription:
Talcum (Hua Shi, 滑石) 2 liang; Akebiae Caulis (Mu Tong, 木通) 1 liang, sliced; Malvae Semen (Kui Zi, 葵子) 1 liang.
The above herbs are finely ground and sifted into a powder. Take 1 qian before meals, mixed with Allii Fistulosi decoction. Continue until urination becomes free.
Another prescription:
Flaxseed (Wu Ma Zi, 乌麻子) 5 he; Viticis Fructus (Man Jing Zi, 蔓荆子) 5 he.
The above herbs are stir-fried together until yellow, then ground together. Place in a red silk bag. Soak in 3 sheng of well water. Take one small zhong warm before meals.
Another prescription:
Plantaginis Semen (Che Qian Zi, 车前子) 1 he; Malvae Radix (Kui Gen, 葵根) 1.5 liang, sliced.
The above herbs are added with 1.5 zhong of water. Decoct until 1 zhong remains. Strain. Divide into two or three doses before meals.