夫膏淋者。由阴阳不调。劳倦所致。小便下。下而肥似膏。故谓之膏淋。亦曰肉淋。此
皆肾虚。不能制于肥液。故与小便俱出也。
治膏淋而有肥状。似膏与小便俱出。车前子散方。
车前子(一两) 贝齿(一两烧赤) 赤茯苓(一两) 白术(一两) 木通(一两锉)
赤芍药
(一两)
上件药。捣细罗为散。每于食前。以温酒调下二钱。
治膏淋。脐下妨闷。不得快利。沉香散方。
沉香(三分) 黄 (三分锉) 陈橘皮(三分汤浸去白瓤焙) 滑石(一两) 黄芩
(半两)
榆白皮(一两锉) 蘧麦(三两) 韭子(一两微炒) 甘草(半两炙微赤锉)
上件药。捣细罗为散。每于食前。以清粥饮调下二钱。
又方。
草(汁三合) 醋(三合)
上二味相和。微暖。食前分为二服。当下如豆汁。
又方。
榆白皮(三两锉) 牡蛎粉(二两) 肉苁蓉(一两末)
上件三味。相和令匀。以水三大盏。煎榆白皮取二大盏。去滓。每于食前。调下散药二
钱。
又方。
上以羊骨烧灰。捣细罗为散。每于食前。以榆白皮汤。调下二钱。
夫劳淋者。谓劳伤肾气。而生热成淋也。肾气通于阴。其候尿留于茎内。数起不出。引
小腹痛。小便不利。劳倦即发也。
治劳淋。小便涩滞。脬中满。急痛。宜服木通散方。
木通(一两锉) 石苇(一两去毛) 王不留行(一两) 滑石(一两) 白术(一两)
蘧麦(
一两
炒) 赤芍
药(一
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食前温服。
治劳淋。每小便。茎中痛。卒不能出。引小腹急胀。淋沥痛不止。柴胡散方。
柴胡(一两去苗) 葵根(三分) 甘草(一分炙微赤锉) 当归(三分锉微炒) 白
茅根(三
分锉) 石苇(三分去毛) 木香(三分) 榆白皮(三分锉) 木通(三分锉)
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。每于食前温服。
治劳淋。心腹烦壅。脐下妨闷。宜服此方。
葵子(一合) 滑石(三分) 川芒硝〔三分(合)〕 桂心 旱莲子(三分) 白茅
根(三分
锉)
川大黄(三分锉碎微炒)
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。每于食前温服。
治劳淋。膀胱热盛。津液结涩。小肠胀满便溺不通。宜服鸡苏饮子方。
鸡苏(一两半) 木通(一两) 葵子(一两) 白茅根(一两) 蘧麦(一两) 木
香(半两)
上件药。细锉。拌和令匀。每服半两。以水一大盏。煎至五分。去滓。每于食前温服。
治劳淋涩。脬中痛。不得小便。滑石散方。
滑石(一两) 葵子(一两) 钟乳粉(一两) 桂心(半两) 木通(半两锉) 王
不留行(半
两)
上件药。捣细罗为散。每于食前。以温酒调下二钱。
治劳淋。小便恒不利。阴中痛。日夜数起。此皆劳损虚热所致。宜服此方。
石苇(一两去毛) 滑石(一两) 蘧麦(一两) 王不留行(一两) 葵子(一两)
上件药。捣细罗为散。每于食前。以葱白汤调下二钱。
治五劳。七伤。八风。十二痹。结为劳淋。小便不通。小腹急痛不可忍者。宜服此
方。
滑石(一两) 王不留行(三分) 葵子(三分) 桂心(三分) 车前子(三分) 甘
遂(三分
煨令黄) 木通(三分锉) 石苇(三分去毛)
上件药。捣细罗为散。不计时候。以大麻子研绞取汁。调下二钱。
Gao Lin (Grainy Strangury) is caused by the disharmony of Yin and Yang and overexertion. When urinating, the discharge is turbid and resembles fat or paste; hence it is called Gao Lin, also known as Rou Lin (Flesh Strangury). This is due to Kidney Deficiency failing to control the fatty fluids, causing them to be expelled together with urine.
For treating Gao Lin with symptoms resembling paste mixed with urine: Cheqianzi San (Plantago Seed Powder).
Cheqianzi (Plantaginis Semen, 1 liang) Beichi (Concha Arcae, 1 liang, calcined until red) Chifuling (Poria Cocos with Red Hosta Root, 1 liang) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang) Mutong (Akebiae Caulis, 1 liang, sliced)
Chishao Yao (Paeoniae Radix Rubra, 1 liang)
The above herbs are finely ground into a powder. Before meals, take 2 qian, mixed with warm wine.
For treating Gao Lin with symptoms of oppression and stuffiness below the umbilicus and difficult urination: Chenxiang San (Aquilariae Lignum Resinatum Powder).
Chenxiang (Aquilariae Lignum Resinatum, 3 fen) Huangqi (Astragali Radix, 3 fen, sliced) Chenjupi (Citri Reticulatae Pericarpium, 3 fen, soaked in water, white pith removed, dried) Huashi (Talcum, 1 liang) Huangqin (Scutellariae Radix, 0.5 liang)
Yubaipi (Ulmus Alba Cortex, 1 liang, sliced) Qumaia (Fagopyri Dibotryis Fructus, 3 liang) Jiuzi (Allii Tuberosi Semen, 1 liang, slightly stir-fried) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and sliced)
The above herbs are finely ground into a powder. Before meals, take 2 qian, mixed with clear rice broth.
Another prescription:
Caoyeju (Herbal Juice, 3 he) Cu (Vinegar, 3 he)
Mix the two ingredients, warm slightly, and divide into two doses before meals. After taking, stool resembling bean curd dregs should be discharged.
Another prescription:
Yubaipi (Ulmus Alba Cortex, 3 liang, sliced) Muli Fen (Concha Ostreae Powder, 2 liang) Rouscongrong (Cynomorii Herba, 1 liang, powdered)
Mix the three ingredients evenly. Add 3 large bowls of water, decoct Yubaipi until 2 large bowls remain, remove dregs. Before meals, take 2 qian of the powder mixed with this decoction.
Another prescription:
Burn sheep bones to ash, finely grind into a powder. Before meals, take 2 qian, mixed with Yubaipi decoction.
Lao Lin (Exhaustion Strangury) refers to strangury generated by heat resulting from damage to Kidney Qi due to overexertion. Kidney Qi connects to the genitalia. Symptoms include urine retention within the urethra, frequent urges to urinate without passage, drawing pain in the lower abdomen, difficulty in urination, and onset triggered by fatigue.
For treating Lao Lin with symptoms of astringent and stagnant urination, fullness in the bladder, and acute pain: Mutong San (Akebiae Caulis Powder).
Mutong (Akebiae Caulis, 1 liang, sliced) Shiwei (Pyrosperae Folium, 1 liang, hairs removed) Wangbuliuxing (Vaccariae Semen, 1 liang) Huashi (Talcum, 1 liang) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang)
Qumaia (Fagopyri Dibotryis Fructus, 1 liang, stir-fried) Chishao Yao (Paeoniae Radix Rubra, 1 liang)
The above herbs are coarsely ground into a powder. Take 3 qian per dose. Add 1 medium bowl of water, decoct until 6/10 remains, remove dregs. Warm and take before meals.
For treating Lao Lin with pain in the glans penis during urination, sudden inability to pass urine, drawing acute distension in the lower abdomen, and continuous dribbling pain: Chaihu San (Bupleuri Radix Powder).
Chaihu (Bupleuri Radix, 1 liang, apices removed) Kuigen (Abutiloni Radix, 3 fen) Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried until slightly red and sliced) Danggui (Angelicae Sinensis Radix, 3 fen, sliced and slightly stir-fried) Baimaogen (Imperatae Rhizoma, 3 fen, sliced) Shiwei (Pyrosperae Folium, 3 fen, hairs removed) Muxiang (Aucklandiae Radix, 3 fen) Yubaipi (Ulmus Alba Cortex, 3 fen, sliced) Mutong (Akebiae Caulis, 3 fen, sliced)
The above herbs are ground and sifted into a powder. Take 4 qian per dose. Add 1 medium bowl of water, decoct until 6/10 remains, remove dregs. Warm and take before meals.
For treating Lao Lin with mental restlessness and abdominal oppression, and stuffiness below the umbilicus:
Kuizi (Abutili Semen, 1 he) Huashi (Talcum, 3 fen) Chuannanxiaosha (Natrii Sulfas, 3 fen) Guixin (Cinnamomi Ramulus, unspecified amount) Hanlianzi (Ecliptae Fructus, 3 fen) Baimaogen (Imperatae Rhizoma, 3 fen, sliced)
Dahuang (Rhei Radix et Rhizoma, 3 fen, sliced, crushed, and slightly stir-fried)
The above herbs are ground and sifted into a powder. Take 3 qian per dose. Add 1 medium bowl of water, decoct until 6/10 remains, remove dregs. Warm and take before meals.
For treating Lao Lin with excessive Bladder Heat, congealed and stagnant body fluids, small intestine distension, and obstruction of urination: Jisu Yinzi (Menthae Haplocalycis Decoction).
Jisu (Menthae Haplocalycis Herba, 1.5 liang) Mutong (Akebiae Caulis, 1 liang) Kuizi (Abutili Semen, 1 liang) Baimaogen (Imperatae Rhizoma, 1 liang) Qumaia (Fagopyri Dibotryis Fructus, 1 liang) Muxiang (Aucklandiae Radix, 0.5 liang)
The above herbs are finely sliced and mixed evenly. Take 0.5 liang per dose. Add 1 large bowl of water, decoct until 5/10 remains, remove dregs. Warm and take before meals.
For treating Lao Lin with astringency, bladder pain, and inability to urinate: Huashi San (Talcum Powder).
Huashi (Talcum, 1 liang) Kuizi (Abutili Semen, 1 liang) Zhongru Fen (Stalactitum Powder, 1 liang) Guixin (Cinnamomi Ramulus, 0.5 liang) Mutong (Akebiae Caulis, 0.5 liang, sliced) Wangbuliuxing (Vaccariae Semen, 0.5 liang)
The above herbs are finely ground into a powder. Before meals, take 2 qian, mixed with warm wine.
For treating Lao Lin with chronic difficulty in urination, pain in the genitalia, and frequent nocturia, all caused by exhaustion and deficiency-heat:
Shiwei (Pyrosperae Folium, 1 liang, hairs removed) Huashi (Talcum, 1 liang) Qumaia (Fagopyri Dibotryis Fructus, 1 liang) Wangbuliuxing (Vaccariae Semen, 1 liang) Kuizi (Abutili Semen, 1 liang)
The above herbs are finely ground into a powder. Before meals, take 2 qian, mixed with scallion white decoction.
For treating Wu Lao (Five Exhaustions), Qi Shang (Seven Injuries), Ba Feng (Eight Winds), and Shi Er Bi (Twelve Obstructions) that consolidate into Lao Lin, with urinary obstruction and unbearable acute lower abdominal pain:
Huashi (Talcum, 1 liang) Wangbuliuxing (Vaccariae Semen, 3 fen) Kuizi (Abutili Semen, 3 fen) Guixin (Cinnamomi Ramulus, 3 fen) Cheqianzi (Plantaginis Semen, 3 fen) Gansui (Kansui Radix, 3 fen, baked until yellow) Mutong (Akebiae Caulis, 3 fen, sliced) Shiwei (Pyrosperae Folium, 3 fen, hairs removed)
The above herbs are finely ground into a powder. Take at any time, mix 2 qian of powder with juice extracted from crushed hemp seeds.