夫诸淋者。由肾虚而膀胱热故也。膀胱与肾为表里。俱主水。入小肠下于脬。行于阴为
小便
致肾
虚则小
起数。
夫石淋者。淋而出石也。肾主水。水结则化为石。故肾容砂石。肾虚为热所乘。热则成
淋。
塞痛
治石淋及血淋。下砂石兼碎血片。小腹结痛闷绝。王不留行散方。
王不留行（一两） 甘遂（三分煨令微黄） 石苇（一两去毛） 葵子（一两半） 木
通（二两
半锉）
半锉微炒）
桂心
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。以利为
度。
治石淋涩痛。木通散方。
木通（三两锉） 葵根〔二（一）握锉〕 葳蕤（二两） 大青（一两） 桔梗（二两
去芦头） 栀
子仁（半两） 白茅根（一握锉）
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。以利
为度。
治石淋。小便涩。下如砂石者。宜服此方。
桑根白皮（一两半） 陈橘皮（一两汤浸去白瓤焙） 葱白（二七寸） 川芒硝〔二（三）
分〕
上件药。都锉。以水二大盏。煎取一盏三分。去滓。食前分温三服。宜吃葱葵羹。及煮
冬瓜等物食之。
治石淋水道涩痛。频下砂石。宜服神效琥珀散方。
琥珀（半两） 磁石（半两烧酒淬七遍细研水飞过） 桂心（半两） 滑石（半两） 葵
子（半
两） 川大黄（半两锉碎微炒） 腻粉（半两） 木通（半两锉） 木香（半两）
上件药。捣细罗为散。每于食前。以葱白灯心汤。调下二钱。
又方。
石苇（一两去毛） 滑石（二两）
上件药。捣细罗为散。食前。粥饮调下二钱。
又方。
赤柳根（半两） 滑石（二两）
上件药。捣碎。以水三大盏。煎取一盏半。食前分为三服。
又方。
车前草（二两） 榆白皮（一两锉） 乱发如鸡子（大烧灰）
上件药。细锉。以水二大盏。煮取一盏半。去滓。入乱发灰。更煎三二沸。食前分为三
服。
治石淋。脐下妨痛方。
白茅根（三两锉） 露蜂房（一两微炙） 葛花（一两）
上件药。捣碎。以水二大盏。煮取一盏半。去滓。食前分为三服。当下石出。
治石淋。小便涩痛不可忍。宜服此方。
蘧麦（一两） 车前子（一两半） 葳蕤（一两） 滑石（一两半）
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。
治膀胱虚热。下砂石涩痛。利水道。宜服滑石膏方。
滑石（二两细研） 木通（一两锉） 灯心（十锉） 大麦（半两） 小麦（半两） 酥
（半斤）
葱白（二七茎） 桑根白皮（半两锉）
上件药。以酥和诸药。慢火煎。候葱白黄色。绵滤去滓。次入滑石末。更煎五七沸。收
于瓷盒中。每于食前。以温水调下半匙服之。
又方。
鸡粪白（一两微炒） 雄鸡胆（半两干者）
上件药。同研令细。每于食前。以温酒调下一钱。以利为度。
又方。
上取故甑KT 。烧灰细研。每于食前。以温酒调下一钱。
又方。
上取滑石。以水一小盏。浓磨服之。
又方。
上用鸡粪炒。细研为末。每服以冷水调下一钱。旦服至食时。当下石出。
又方。
上鳖甲烧为灰。细研。每于食前。以温酒调下一钱。当下石出。
又方。
上取燕粪细研。每服。以冷水调下二钱。旦服至晚。当下石出。
又方。
上用五月五日葵子。微炒。捣罗为末。每于食前。以温酒调下一钱。当下石出。
又方。
上用车前子二合。绵裹。以水二大盏。煎至一盏。去滓空腹。分温二服。
Various types of Lin syndrome (stranguria) are caused by Kidney deficiency and Heat in the Bladder. The Bladder and Kidney are exterior-interiorly related, both governing water metabolism. Water enters the Small Intestine, descends to the Pao (Bladder), flows through the Yin region to form urine. Therefore, when the Kidney is deficient, frequent urination with difficulty occurs.
The so-called Shi Lin (Stone Stranguria) refers to the discharge of stones during urination. The Kidney governs water; when water condenses, it transforms into stones, thus the Kidney accommodates sand and stones. When Kidney deficiency is invaded by Heat, the Heat leads to the formation of Lin syndrome.
To treat Shi Lin and Xue Lin (Blood Stranguria), aiming to expel sand and stones and break up blood clots, relieving lower abdominal binding pain or even syncope due to pain: Wangbuliuxing San Formula.
Wangbuliuxing (Vaccariae Semen, 1 liang) Gansui (Radix Euphorbiae Kansui, 3 fen, roasted until slightly yellow) Shiwei (Leaf of Pyrus bretschneideri, 1 liang, remove hairs) Kuizi (Abutilonis Semen, 1.5 liang) Mutong (Caulis Akebiae, 2.5 liang, sliced)
Crush and sieve the above medicines into a powder. Take 3 qian per dose. Add one zhong zhan of water, decoct until six parts remain, filter out the dregs, take warm at any time, stopping when bowel movement becomes smooth.
To treat Shi Lin with astringent pain: Mutong San Formula.
Mutong (Caulis Akebiae, 3 liang, sliced) Kui Gen (Root of Abutilon theophrasti, 1 handful, sliced) Weirui (Rhizoma Polygonati, 2 liang) Daqing (Folium Isatidis, 1 liang) Jiegeng (Radix Platycodonis, 2 liang, remove radicle) Zhizi Ren (Seed of Gardeniae, 0.5 liang) Baimaogen (Radix Imperatae, 1 handful, sliced)
Crush and coarsely sieve the above medicines into a powder. Take 3 qian per dose. Add one zhong zhan of water, decoct until six parts remain, filter out the dregs, take warm at any time, stopping when bowel movement becomes smooth.
To treat Shi Lin with astringent urination and discharge resembling sand/stones, this formula is suitable.
Sangbaip (Cortex Mori Radicis, 1.5 liang) Chenjupi (Pericarpium Citri Reticulatae, 1 liang, soaked in hot water, remove white pith, roast) Congbai (Bulbus Allii Cepae, 14 cun) Chuan Mangxiao (Natrii Sulfas, 3 fen)
Slice all the above medicines. Add two da zhan of water, decoct to obtain one da zhan plus three parts, filter out the dregs. Divide into three warm doses before meals. It is advisable to eat Congkui Geng (Green Onion and Abutilon Soup) and boiled winter melon.
To treat Shi Lin with astringent pain in the urinary pathway and frequent discharge of sand/stones, Shenxiao Hupo San Formula is suitable.
Hupo (Amber, 0.5 liang) Cishi (Magnetitum, 0.5 liang, quenched in wine seven times, finely ground, wet-processed with water) Guixin (Cortex Cinnamomi, 0.5 liang) Huashi (Talcum, 0.5 liang) Kuizi (Abutilonis Semen, 0.5 liang) Chuan Dahuang (Radix et Rhizoma Rhei, 0.5 liang, sliced, lightly fried) Nifen (Calomel, 0.5 liang) Mutong (Caulis Akebiae, 0.5 liang, sliced) Muxiang (Radix Aucklandiae, 0.5 liang)
Finely sieve the above medicines into a powder. Before meals, mix 2 qian with decoction of Congbai (Green Onion Bulb) and Dengxincao (Papyrus Medulla).
Another prescription:
Shiwei (Leaf of Pyrus bretschneideri, 1 liang, remove hairs) Huashi (Talcum, 2 liang)
Finely sieve the above medicines into a powder. Before meals, mix 2 qian with millet gruel liquid.
Another prescription:
Cheliugen (Root of Salix rubella, 0.5 liang) Huashi (Talcum, 2 liang)
Crush the above medicines. Add three da zhan of water, decoct to obtain one and a half da zhan. Divide into three doses before meals.
Another prescription:
Cheqiancao (Herba Plantaginis, 2 liang) Yubaipi (Cortex Ulmi, 1 liang, sliced) Luankuifa (Colla Corii Asini calcined to ash, size of an egg)
Finely slice the above medicines. Add two da zhan of water, boil to obtain one and a half da zhan. Filter out the dregs, add the ash of loose hair, boil for two or three more boils. Divide into three doses before meals.
To treat Shi Lin with distending pain below the umbilicus:
Baimaogen (Radix Imperatae, 3 liang, sliced) Lufengfang (Nidus Vespae, 1 liang, lightly roasted) Gehua (Flos Fagopyri Dibotrys, 1 liang)
Crush the above medicines. Add two da zhan of water, boil to obtain one and a half da zhan. Filter out the dregs. Divide into three doses before meals. Stones will be passed.
To treat Shi Lin with unbearable astringent pain in urination, this formula is suitable:
Qu Mai (Herba Polygoni Avicularis, 1 liang) Cheqianzi (Plantaginis Semen, 1.5 liang) Weirui (Rhizoma Polygonati, 1 liang) Huashi (Talcum, 1.5 liang)
Coarsely sieve the above medicines into a powder. Take 4 qian per dose. Add one zhong zhan of water, decoct until six parts remain, filter out the dregs. Take warm before meals.
To treat Deficient Heat in the Bladder, lower discharge of sand/stones with astringent pain, promoting urinary flow, Huashi Gao Formula is suitable:
Huashi (Talcum, 2 liang, finely ground) Mutong (Caulis Akebiae, 1 liang, sliced) Dengxin (Papyrus Medulla, 10 pieces, sliced) Damai (Frumentum Hordei, 0.5 liang) Xiaomai (Frumentum Tritici, 0.5 liang) Su (Butyrum, 0.5 jin) Congbai (Bulbus Allii Cepae, 14 stems) Sangbaip (Cortex Mori Radicis, 0.5 liang, sliced)
Mix the above medicines with butter, decoct slowly over low heat until the green onion turns yellow. Filter through silk cloth to remove dregs. Then add the Huashi powder, boil for five to seven boils. Store in a porcelain box. Before meals, mix half a spoonful with warm water and take.
Another prescription:
Jifenbai (Excrement of Chicken, 1 liang, lightly fried) Xiongjidan (Vesica Urophylacis Galli, 0.5 liang, dried)
Grind the above medicines together until fine. Before meals, mix 1 qian with warm wine. Stop when bowel movement becomes smooth.
Another prescription:
Take the old steamer grate (Zeng KT), burn to ash, grind finely. Before meals, mix 1 qian with warm wine.
Another prescription:
Take Huashi (Talcum), add one small zhan of water, grind thickly and take.
Another prescription:
Stir-fry with chicken feces, grind finely into powder. Mix 1 qian with cold water per dose. Take in the morning until mealtime, stones will be passed.
Another prescription:
Burn Biejia (Carapax et Plastrum Testudinis) to ash, grind finely. Before meals, mix 1 qian with warm wine. Stones will be passed.
Another prescription:
Take Yanfen (Swallow Excrement), grind finely. Mix 2 qian with cold water per dose. Take from morning until evening, stones will be passed.
Another prescription:
Take Kuizi (Abutilonis Semen) collected on the fifth day of the fifth lunar month, lightly fry, grind into powder. Before meals, mix 1 qian with warm wine. Stones will be passed.
Another prescription:
Use Cheqianzi (Plantaginis Semen) 2 he, wrap in silk cloth, add two da zhan of water, decoct to one da zhan. Filter out dregs. Take empty stomach, divide into two warm doses.