夫膀胱者。贮诸脏之津液。若实则生热。热则膀胱急。口舌燥。咽肿痛。小便不通。尿
黄赤色。举体沉重。四肢气满。面肿目黄。少腹偏痛者。则是膀胱实热之候也。
治膀胱实热。心腹烦闷。小便不利。宜服栀子散方。
栀子仁（一两） 石膏（二两） 白茅根（一两锉） 赤茯苓（一两） 犀角屑（一两）
木通（
一两锉） 黄芩（一两） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。入生地黄半两。淡竹叶二七片。煎至五分
。去滓。食前温服。忌炙爆热面。
治膀胱实热。小便赤涩。宜服榆皮散方。
榆白皮（三分锉） 车前子（三分） 葵根（三分） 木通（三分锉） 瞿麦（三分） 白
茅根（
三分锉） 桑螵蛸（一两微炒） 赤茯苓（一两） 黄芩（三分）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。食前
温服。
治膀胱实热。腹胀。小便不通。口舌干燥。咽肿不利。宜服赤茯苓散方。
赤茯苓（一两） 子芩（三分） 桑螵蛸〔三（二）分微炒〕 汉防己〔一（三）分〕 羚
羊角
屑（三分
青（二分）
木通（
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治膀胱实热。腹胁胀满。小便不利。宜服大黄散方。
川大黄（一两锉碎微炒） 黄芩（三分） 赤茯苓（三分） 冬葵子（一两） 紫苏茎
叶（三分）
槟榔〔二（三）分〕 瞿麦（一两） 木通〔二（三）分锉〕 白茅根（三分锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。食前
温服。
治膀胱实热。小便不通。汉防己散方。
汉防己（一两） 海蛤（半两） 滑石（一两） 葵子（半两） 猪苓（半两去黑皮） 瞿
麦（半
两）
上件药。捣细罗为散。每服食前。浓煎木通汤调下二钱。
治膀胱实热。腹胀。小便赤涩。水气流肿方。
上取浮萍草晒干。捣细罗为散。每服食前。煎葱白汤调下一钱。
The Bladder (Pangguang) is the organ that stores the fluids (Jinye) of the five zang and six fu organs. If excess conditions occur, heat (Re) is generated; with heat, the Bladder becomes tense, leading to dryness of the mouth and tongue, swelling and pain in the throat, obstruction of urination, yellow-red urine, heaviness of the whole body, qi stagnation and fullness in the four limbs, facial edema, yellowing of the eyes, and pain on one side of the lower abdomen. These are signs of Excess-Heat of the Bladder.
To treat Excess-Heat of the Bladder accompanied by irritability and oppression in the heart and abdomen, and difficult urination, it is appropriate to take Gardenia Powder (Zhizi San).
Gardenia Fruit Kernel (Zhizi Ren), 1 liang; Gypsum Fibrosum (Shigao), 2 liang; Imperata Rhizome (Baimaogen), 1 liang, sliced; Red Poria (Chifuling), 1 liang; Rhinoceros Horn (Xijiao), sliced; Akebia Caulis (Mutong), 1 liang, sliced; Scutellaria Root (Huangqin), 1 liang; Licorice Root (Gancao), half liang, honey-fried until slightly red and sliced.
Crush and sieve the above ingredients into a powder. Take 5 qian per dose. Add 1 large cup of water, half liang of Rehmannia Root (Shengdihuang), and 14 leaves of Lophatherum Herb (Danzhuye). Decoct until 0.6 parts remain. Strain and take warm before meals. Avoid roasted, fried, and hot-natured wheat products.
To treat Excess-Heat of the Bladder with red and scanty or painful urination, it is appropriate to take Elm Bark Powder (Yupi San).
Elm White Bark (Yubai pi), 3 fen, sliced; Plantago Seed (Cheqianzi), 3 fen; Malva Root (Kuigen), 3 fen; Akebia Caulis (Mutong), 3 fen, sliced; Persicaria Herba (Qumai), 3 fen; Imperata Rhizome (Baimaogen), 3 fen, sliced; Mantis Egg-case (Sangpiaoxiao), 1 liang, lightly stir-fried; Red Poria (Chifuling), 1 liang; Scutellaria Root (Huangqin), 3 fen.
Crush and sift coarsely into a powder. Take 3 qian per dose. Add 1 medium cup of water and half a piece of Ginger (Shengjiang). Decoct together until 0.6 parts remain. Strain and take warm before meals.
To treat Excess-Heat of the Bladder accompanied by abdominal distension, obstruction of urination, dryness of the mouth and tongue, and swelling and difficulty in the throat, it is appropriate to take Red Poria Powder (Chifuling San).
Red Poria (Chifuling), 1 liang; Scutellaria Root (Ziqin), 3 fen; Mantis Egg-case (Sangpiaoxiao), 2 fen, lightly stir-fried; Stephania Tetrandra (Hanfangji), 3 fen; Antelope Horn (Lingyangjiao), sliced, 3 fen; Indigo Naturalis (Qingdai), 2 fen; Akebia Caulis (Mutong), 3 fen.
Crush and sift coarsely into a powder. Take 3 qian per dose. Add 1 medium cup of water. Decoct until 0.6 parts remain. Strain and take warm at any time.
To treat Excess-Heat of the Bladder accompanied by fullness in the abdomen and hypochondrium, and difficult urination, it is appropriate to take Rhubarb Powder (Dahuang San).
Rhubarb (Chuan Dahuang), 1 liang, sliced and lightly stir-fried; Scutellaria Root (Huangqin), 3 fen; Red Poria (Chifuling), 3 fen; Abutilon Seed (Dongkuizi), 1 liang; Perilla Stem and Leaf (Zisu Jingye), 3 fen; Areca Seed (Binglang), 3 fen; Persicaria Herba (Qumai), 1 liang; Akebia Caulis (Mutong), 3 fen, sliced; Imperata Rhizome (Baimaogen), 3 fen, sliced.
Crush and sift coarsely into a powder. Take 3 qian per dose. Add 1 medium cup of water and half a piece of Ginger (Shengjiang). Decoct together until 0.6 parts remain. Strain and take warm before meals.
To treat Excess-Heat of the Bladder with obstruction of urination, use Stephania Tetrandra Powder (Hanfangji San).
Stephania Tetrandra (Hanfangji), 1 liang; Clam Shell (Haige), half liang; Talcum (Huashi), 1 liang; Malva Seed (Kuzi), half liang; Polyporus (Zhuling), half liang, remove black skin; Persicaria Herba (Qumai), half liang.
Crush and sift finely into a powder. Take 2 qian before meals, mixed with strong decoction of Akebia Caulis (Mutong) soup.
To treat Excess-Heat of the Bladder accompanied by abdominal distension, red and scanty or painful urination, and edema caused by fluid retention, use this formula.
Take Floating Fern (Fupingcao), dry it in the sun, crush and sift finely into a powder. Take 1 qian before meals, mixed with decoction of Scallion White (Congbai) soup.