利小便。
葵子（半升） 地榆（三两） 滑石（二两） 石苇（去毛） 石楠叶 通草（各一两）
上为散，饮服方寸匕，日三服良。
治诸淋疼痛不可忍，及砂石淋皆治。
上用大萝卜切一指浓四五片，以好白蜜二两，浸少时，安净铁铲上，慢火炙干，再蘸蜜
再炙，番覆炙令香软，不可焦，待蜜尽为度，候温细嚼，以盐汤一盏送下，立效。
治一切淋沥，服药未效。
上用生铁刀一口，多年者最佳，用石一块，磨以盆内，碗盛水磨之澄清。每服半盏，或
一盏，不拘时服。一方磨剪刀交股水一盏，服之即通。
益原散（三钱） 茴香（二钱，微炒黄，捶碎）
上为细末，水一盅半，煎至一盅，不拘时服。
治诸淋闭涩不通，大抵诸淋由肾与膀胱热也。肾与膀胱为表里，俱属于水，
脬，中行于阴，为小便也。肾气不通于阴，水液之道路，膀胱为津液府，津液内
水道不通，停积于脬，肾热而气涩，故水道不利，小便淋涩，故谓之淋。其状小
以小腹引脐急痛。又有气淋石淋血淋，形证殊异，主疗不同，今以治之。
车前子 滑石（各一两）
上为细末，每服半钱，食前米饮调服，日三服。一方涂脐四畔，约四寸，水和调服亦
可。
治五淋，小便不利，茎中痛欲死。
上用牛膝浓煎汁饮极效，酒煎亦可。一方以根煮服之。一方捶碎一两，用水二盏，煎至
一盏，去滓，一日五服。有叶朝议亲人患血淋，流下小便盆内，凝聚如 ，久而有变如鼠
，但无足耳。百治不瘥，遇一名医，言服此药，虽未愈而血色渐淡，久乃复旧。后十年其病
再作，又服此药瘥矣。《经验方》陈氏云∶予在临汀，妻党方守夷吾，以其《编类集要方》
见示，遂刊于郡斋。后鄂渚得九江守王南强书云∶老人久苦此淋疾，百药不效，偶见临汀《
集要方》中，用牛膝者服之而愈。乃致谢云。尝闻郡士有苦此者，再试亦验。因检本草，自
载治小便不利，茎中痛欲死，却将煮饮。今再检出，表其神验。
To promote diuresis.
Dong Kui Zi (Seminal Malvae Kikoyae, half sheng) Di Yu (Radix Sanguisorbae, three liang) Hua Shi (Talcum, two liang) Shi Wei (Herba Pyri Astragali, remove hairs) Shi Nan Ye (Folium Nandinae) Tong Cao (Medulla Tetrapanacis, one liang each)
Grind the above ingredients into a powder. Take one fang cun bi with warm water, three times daily for good effect.
It treats all types of strangury with unbearable pain, as well as lithiasic strangury.
Take four slices of large radish, each about one finger thick and four to five inches long. Soak them in two liang of fine white honey for a short while. Place them on a clean iron spatula and slowly roast until dry. Dip them in honey again and roast, flipping repeatedly until fragrant and soft, being careful not to burn them. Continue until the honey is fully absorbed. When cool enough, chew thoroughly and swallow with a cup of salted water. The effect will be immediate.
It treats all types of dribbling strangury when previous medications have been ineffective.
Take one raw iron knife, preferably an old one. Grind it with a stone in a basin, adding water from a bowl to grind until the water becomes clear. Take half a zhan or one zhan at a time, without restriction on timing. Another method uses the water obtained by grinding crossed scissors, one zhan, which promotes urination immediately upon ingestion.
Yi Yuan San (three qian) Hui Xiang (Fructus Foeniculi, two qian, lightly stir-fried until yellow and crushed)
Grind the above ingredients into a fine powder. Add one and a half zhong of water, decoct until one zhong remains. Take at any time.
It treats various stranguries characterized by obstruction and涩滞 (astringency/stagnation). Generally, all types of strangury are caused by heat in the Kidney and Bladder. The Kidney and Bladder are interior-exteriorly related and both belong to the water element. The Pao (Bladder) runs along the midline through the yin region and is responsible for urination. If Kidney Qi does not communicate with the yin region, the pathway for fluid metabolism is blocked. The Bladder is the mansion of body fluids; if fluids stagnate internally and the water pathways are obstructed, they accumulate in the Pao. Kidney heat causes Qi stagnation, leading to dysfunctional water pathways, resulting in dribbling and painful urination, hence termed "strangury." Its manifestations include acute pain radiating from the lower abdomen to the umbilicus. There are also Qi Strangury, Lithiasic Strangury, and Hematuric Strangury, which present with distinct symptoms and require different treatments. This prescription addresses these conditions.
Che Qian Zi (Semen Plantaginis) Hua Shi (Talcum, one liang each)
Grind the above ingredients into a fine powder. Take half a qian before meals, mixed with rice water. Take three times daily. Alternatively, apply the powder around the navel, covering an area of approximately four cun, mix with water, and ingest.
It treats the five types of strangury with difficult urination and excruciating pain in the urethra.
Decoct Radix Achyranthis Bidentatae (Niu Xi) to make a concentrated juice and drink it; this is highly effective. Decoction with wine is also acceptable. Another method involves boiling the root. Yet another method crushes one liang of Niu Xi, adds two zhan of water, decocts to one zhan, removes the dregs, and takes five doses throughout the day. A relative of Councilor You had hematuric strangury, where urine filled the basin, coagulating like jelly, and later resembling rat droppings but without legs. Numerous treatments failed. A famous physician advised taking this medicine. Although not completely cured initially, the blood color gradually faded, and health was restored over time. Ten years later, the disease recurred, and taking this medicine again led to recovery. Chen Shi in *Experience Formulas* stated: While in Linting, Fang Shou Yiwu, a relative of my wife, showed me his *Collected Essential Formulas*, which I then published in the prefectural office. Later, Wang Nanqiang, Prefect of Jiujiang in Ezhou, wrote saying an elderly man suffered long-term from this strangury, unresponsive to many medicines. He accidentally saw the use of Niu Xi in the *Linting Collected Essential Formulas*, took it, and recovered. He expressed his gratitude. It was heard that a scholar in the prefecture suffered from this condition; trying it again proved effective. Consulting the Materia Medica, it records treating difficult urination and excruciating urethral pain by boiling and drinking. Now re-examining it, I highlight its miraculous efficacy.