（附便浊）
膀胱与肾为表里，俱主水，为热所乘，乃煎熬而成淋也。如水煎滚则浑，火之症明矣。其名有五∶一曰石淋，肾经
为热所乘，化沙石从小便出，沥沥有声，茎中疼痛；二曰气淋。肾经为肺热所乘，流入膀胱，小便短涩，其痛来去，小
便或赤或白，三曰血淋，心主血，心经热盛，血失其常，渗入膀胱，小便痛而尿血，四曰寒淋，先战栗而后小便方得出
者是也；五曰热淋，三焦郁热，下乘于肾，流入膀胱，小便赤涩，身热而烦。淋者，淋沥而不得通利也。其症，小便引
脐茎中急痛。又有儿在胎中，父母交媾，用兴阳热药，胎中受毒，生下即有此症，当用紫雪丸方效，不在五淋医治。又
有小便混浊，溺出即变米泔白色，此乃饮食伤脾，热结于中，阴阳不分。宜消食清热，分利阴阳，亦不在五淋治例也。
八正散 治心蕴热，口燥咽干，目赤便涩。五淋初起，必先用此分利为主。
畜 瞿麦 滑石 山栀 木通（各一钱） 大黄（二钱） 车前子（一钱，研炒） 甘草（三分）
灯心二十寸，水煎。
立效散 治沙石淋，小便淋沥，茎中疼痛。
木通 海金沙 滑石 山栀 槟榔 甘草 王不留行（各等分）
胡荽二钱，水煎。寒淋，加紫苏、独活。
加味四苓散 治热淋，兼治五淋并效。
茯苓 猪苓 泽泻 白术 木通 生地 山栀 滑石 车前子（炒，另研为末，和服）
各等分，灯心二十寸，水煎。暑月，加香薷、黄连。
清心莲子饮 治五淋，及小便混浊，男子遗精并效。
人参 黄 白茯苓 石莲肉 木通 车前子 地骨皮 黄芩（各一钱） 甘草（五分）
淡竹叶二十片，灯心二十寸，水煎。
厘清饮 治气淋，及小便混浊。
益智仁 川萆 石菖蒲 乌药 茯苓 白芍 黄芩 木通 麦冬 生地
各等分。灯心二十寸，水煎。
金砂散 治石淋疼痛难忍。
郁金 海金砂 滑石 甘草
为末。每服一二钱，灯心、木通汤下。
二仙汤 小便淋沥，腹中急痛。
冬葵子（五钱） 木通（二钱）
分二剂，灯心二十寸，水煎。
葵子散 治五淋痛不可忍，及小便不通。
葵子 车前子 木通 瞿麦 山栀 赤茯 桑皮（各三钱） 茅根（五钱，捣） 甘草（一钱）
为末，每服二三钱，灯心汤调下。
必效饮 治症同前。
山栀 赤芍 滑石 茵陈 生地 赤茯 甘草 车前子 荆芥（各等分）
淡竹叶二十片，灯心二十寸，水煎。气淋，加紫苏、羌活、独活、官桂（少许）。
通秘泻心汤 治血淋，及诸淋并效。
猪苓 泽泻 茯苓 木通 山栀 黄芩 畜 滑石 黄连 车前
各等分。水煎，临服入发灰三分，和匀服。
尿血良方
当归 川芎 白芍 生地 麦冬 木通（各一钱） 甘草（三分） 豆豉（一钱五分）
淡竹叶二十片，灯心二十寸，水煎，临服入藕汁。
又方 以下单方并治血淋。
生蒲黄 赤茯苓 生地 甘草
为末，每服一二钱，人发灰，淡竹叶汤下。
单方
紫苏煎汤服效。
车前叶捣汁服。
琥珀末，薄荷、灯心调下。
发灰井花水调下。
紫雷丸 治儿胎中受热药毒，小便赤涩，淋沥疼痛，啼哭不安，及尿血并效。
黄柏（一两，盐水炒） 知母（五钱，盐酒炒） 玄明粉（八钱） 滑石（八钱） 琥珀（三钱） 黄连（五钱）
甘
草（三钱） 青黛（三钱）
为末，蜜丸，菜子大。每服百丸，木通、生地汤下。
通幽泻毒饮 治症同前。
木通 赤茯 生地 黄连 甘草 大黄（二钱，酒煨） 滑石 牵牛末（各等分）
灯心二十寸，水煎服。唇燥，加麦冬、花粉。
秘方 治大小便不通。
蚯蚓粪（二钱） 百草霜（一钱）
为末。用米泔水，顺水擂服，即通。
润肠丸 治大便秘涩不通，体弱气虚，血热内结，难以转下，此方常服甚佳；及妇人产后，老人虚秘。
大黄（四两，酒蒸二次） 当归（二两） 桃仁（一两，去皮，炒研） 麻仁（二两） 枳实（一两） 熟地（二
两） 郁李仁（二两，净仁）
为末，蜜丸。视大小加减，白滚汤下。
透骨膏 治淋诸药不效，此方甚验。
穿山甲（尾足者） 五灵脂（各二钱） 巴豆（一钱，肉）
用蒜煨熟，同捣为膏。罨脐上，以绢帕缚之，将手烘热，频频熨之。
掩脐膏 治膀胱郁热，小便不通。
螺蛳（一合，捣） 葱白（五个） 麝香（一分） 盐（少许）
共捣成饼。罨脐上，须臾即通。
毛毛酸草捣汁服（加酒少许。）
单灯心汤空心服。
灸法 矾末，安脐中，用艾灸七壮；盐安脐中，艾火灸七壮。
神阙穴（即脐中） 三阴交一穴（灸五壮）
(Attached: Turbid Urine Syndrome)
The Bladder and Kidney are exteriorly-interiorly related, both governing water metabolism. When attacked by heat pathogens, the fluids are boiled down to form Lin syndrome (strangury). Just as boiling water becomes turbid, this clearly indicates a fire-heat pathology. There are five types named: First is Stone Lin (Stone Strangury), where heat in the Kidney channel transforms fluids into sand and stones discharged with urine, producing a gurgling sound and pain in the urethra; Second is Qi Lin (Qi Strangury), where heat from the Lung attacks the Kidney channel, flowing into the Bladder, causing short and scanty urination with difficult flow, pain that comes and goes, and urine that may be red or white; Third is Blood Lin (Blood Strangury), where the Heart governs blood, excessive heat in the Heart channel causes blood to lose its normal course and seep into the Bladder, resulting in painful urination with hematuria; Fourth is Cold Lin (Cold Strangury), characterized by chills and shivering preceding the ability to urinate; Fifth is Heat Lin (Heat Strangury), caused by stagnant heat in the Sanjiao (Triple Burner) descending to attack the Kidney and flowing into the Bladder, leading to red and scanty urination, body fever, and irritability. "Lin" refers to dribbling urination that is not smooth or free. The symptoms include urgent pain in the umbilicus and urethra triggered by urination.
Furthermore, there is a condition in infants where, during fetal development, the parents used aphrodisiac heat-inducing drugs during intercourse, poisoning the fetus. Upon birth, this syndrome appears immediately; it should be treated with Zi Xue Wan (Purple Snow Pill) for efficacy, and it is not covered by the treatment of the Five Lins. Another condition involves turbid urine that turns milky white like rice washings immediately upon discharge. This is due to dietary injury to the Spleen, with heat knotting in the middle jiao, preventing the separation of Yin and Yang. It is suitable to use methods that digest food, clear heat, and separate Yin and Yang; this also falls outside the scope of treating the Five Lins.
Ba Zheng San (Eight Upright Powder): Treats heat accumulation in the Heart, dry mouth and throat, red eyes, and difficult urination. At the onset of any of the Five Lins, this formula must be used first to primarily promote diuresis and drain damp-heat.
Ingredients: Dianthus Herba (Qumai), Talcum (Huashi), Gardeniae Fructus (Shanzhi), Akebia Caulis (Mutong) (each 1 qian), Rheum Radix et Rhizoma (Dahuang) (2 qian), Plantaginis Semen (Cheqianzi) (1 qian, crushed and stir-fried), Glycyrrhizae Radix et Rhizoma (Gancao) (3 fen).
Preparation: Decoct with 20 cun of Juncus effusus (Dengxin).
Li Xiao San (Instant Efficacy Powder): Treats Stone Lin, dribbling urination, and pain in the urethra.
Ingredients: Akebia Caulis (Mutong), Chrysosplenii Herba (Haijinsha), Talcum (Huashi), Gardeniae Fructus (Shanzhi), Arecae Semen (Binglang), Glycyrrhizae Radix et Rhizoma (Gancao), Myricariae Radix (Wangbuliuxing) (equal parts).
Preparation: Decoct with 2 qian of Coriandri Fructus (Husu). For Cold Lin, add Perillae Folium (Zisu) and Angelicae Pubescentis Radix (Duhuo).
Jia Wei Si Ling San (Modified Four-Ling Powder): Treats Heat Lin; also effective for all Five Lins.
Ingredients: Poria (Fuling), Polyporus (Zhuling), Alisma Rhizoma (Zexie), Atractylodis Macrocephalae Rhizoma (Baizhu), Akebia Caulis (Mutong), Rehmanniae Radix (Shengdi), Gardeniae Fructus (Shanzhi), Talcum (Huashi), Plantaginis Semen (Cheqianzi) (stir-fried, ground separately into powder, mixed and taken).
Preparation: Equal parts, decoct with 20 cun of Juncus effusus (Dengxin). In summer months, add Elsholtziae Herba (Xiangru) and Coptidis Rhizoma (Huanglian).
Qing Xin Lian Zi Yin (Clear Heart Lotus Seed Decoction): Treats the Five Lins, turbid urine, and seminal emission in men, all effectively.
Ingredients: Ginseng Radix et Rhizoma (Renshen), Astragali Radix (Huangqi), Poria (Baifuling), Nelumbinis Plumula (Shilianrou), Akebia Caulis (Mutong), Plantaginis Semen (Cheqianzi), Lycii Cortex (Digupi), Scutellariae Radix (Huangqin) (each 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (5 fen).
Preparation: Decoct with 20 leaves of Bambusae Folium (Dan Zhuye) and 20 cun of Juncus effusus (Dengxin).
Li Qing Yin (Clarifying Decoction): Treats Qi Lin and turbid urine.
Ingredients: Alpiniae Oxyphyllae Fructus (Yizhiren), Dioscoreae Hypoglaucae Rhizoma (Chuanbi), Acori Tatarinowii Rhizoma (Shichangpu), Linderae Radix (Wuyao), Poria (Fuling), Paeoniae Radix Alba (Baishao), Scutellariae Radix (Huangqin), Akebia Caulis (Mutong), Ophiopogonis Radix (Maidong), Rehmanniae Radix (Shengdi).
Preparation: Equal parts, decoct with 20 cun of Juncus effusus (Dengxin).
Jin Sha San (Golden Sand Powder): Treats unbearable pain from Stone Lin.
Ingredients: Curcumae Radix (Yujin), Chrysosplenii Herba (Haijinsha), Talcum (Huashi), Glycyrrhizae Radix et Rhizoma (Gancao).
Preparation: Grind into powder. Take 1-2 qian each time, washed down with a decoction of Juncus effusus (Dengxin) and Akebia Caulis (Mutong).
Er Xian Tang (Two Immortals Decoction): Treats dribbling urination and acute abdominal pain.
Ingredients: Abutili Semen (Dongkuizi) (5 qian), Akebia Caulis (Mutong) (2 qian).
Preparation: Divide into two doses, decoct with 20 cun of Juncus effusus (Dengxin).
Kuizi San (Abutilon Seed Powder): Treats unbearable pain from the Five Lins and urinary retention.
Ingredients: Abutili Semen (Kuizi), Plantaginis Semen (Cheqianzi), Akebia Caulis (Mutong), Dianthus Herba (Qumai), Gardeniae Fructus (Shanzhi), Poria Rubra (Chifu), Mori Cortex (Sangpi) (each 3 qian), Imperatae Rhizoma (Maogen) (5 qian, crushed), Glycyrrhizae Radix et Rhizoma (Gancao) (1 qian).
Preparation: Grind into powder, take 2-3 qian each time, mixed with Juncus effusus (Dengxin) decoction.
Bi Xiao Yin (Must-Efficacious Drink): Treats symptoms identical to the above.
Ingredients: Gardeniae Fructus (Shanzhi), Paeoniae Radix Rubra (Chishao), Talcum (Huashi), Artemisiae Scopariae Herba (Yinchen), Rehmanniae Radix (Shengdi), Poria Rubra (Chifu), Glycyrrhizae Radix et Rhizoma (Gancao), Plantaginis Semen (Cheqianzi), Schizonepetae Spica (Jingjie) (equal parts).
Preparation: Decoct with 20 leaves of Bambusae Folium (Dan Zhuye) and 20 cun of Juncus effusus (Dengxin). For Qi Lin, add Perillae Folium (Zisu), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duhuo), and Cinnamomi Ramulus (Guangui) (a small amount).
Tong Mi Xie Xin Tang (Unblock Secretion Drain Heart Decoction): Treats Blood Lin and is effective for all types of Lin syndrome.
Ingredients: Polyporus (Zhuling), Alisma Rhizoma (Zexie), Poria (Fuling), Akebia Caulis (Mutong), Gardeniae Fructus (Shanzhi), Scutellariae Radix (Huangqin), Dianthus Herba (Qumai), Talcum (Huashi), Coptidis Rhizoma (Huanglian), Plantago (Cheqian).
Preparation: Equal parts, decoct with water. Before taking, add 3 fen of hair ash (Fa Hui), mix well, and consume.
Niao Xue Liang Fang (Excellent Formula for Hematuria):
Ingredients: Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Rehmanniae Radix (Shengdi), Ophiopogonis Radix (Maidong), Akebia Caulis (Mutong) (each 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (3 fen), Fermented Soybean (Douchi) (1.5 qian).
Preparation: Decoct with 20 leaves of Bambusae Folium (Dan Zhuye) and 20 cun of Juncus effusus (Dengxin). Before taking, add juice of lotus root (Ou Zhi).
Another Prescription: The following single prescriptions also treat Blood Lin.
Ingredients: Polygoni Multiflori Caulis (Sheng Puhuang - *Note: Typically Puhuang is Pollen Typhae, but text says Sheng Puhuang*), Poria Rubra (Chi Fuling), Rehmanniae Radix (Shengdi), Glycyrrhizae Radix et Rhizoma (Gancao).
Preparation: Grind into powder, take 1-2 qian each time, with hair ash, washed down with Bambusae Folium (Dan Zhuye) decoction.
Single Prescriptions:
Decoct Perillae Folium (Zisu) and drink; effective.
Crush Plantago leaf (Cheqian Ye) and drink the juice.
Amber powder (Hupo Mo), mixed with Mentha (Bohe) and Juncus effusus (Dengxin) decoction.
Hair ash (Fa Hui), mixed with well-water (Jinghua Shui).
Zi Lei Wan (Purple Thunder Pill): Treats infants poisoned by heat-inducing drugs in utero, presenting with red and difficult urination, dribbling pain, restless crying, and hematuria; all effectively treated.
Ingredients: Phellodendri Cortex (Huangbai) (1 liang, stir-fried with salt water), Anemarrhenae Rhizoma (Zhimu) (5 qian, stir-fried with salt wine), Mirabilitum (Xuanmingfen), Talcum (Huashi) (8 qian), Amber (Hupo) (3 qian), Coptidis Rhizoma (Huanglian) (5 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (3 qian), Indigo Naturalis (Qingdai) (3 qian).
Preparation: Grind into powder, make pills with honey, size of rapeseed. Take 100 pills each time, washed down with Akebia Caulis (Mutong) and Rehmanniae Radix (Shengdi) decoction.
Tong You Xie Du Yin (Unblock Darkness Drain Toxin Decoction): Treats symptoms identical to the above.
Ingredients: Akebia Caulis (Mutong), Poria Rubra (Chifu), Rehmanniae Radix (Shengdi), Coptidis Rhizoma (Huanglian), Glycyrrhizae Radix et Rhizoma (Gancao), Rheum Radix et Rhizoma (Dahuang) (2 qian, stir-fried with wine), Talcum (Huashi), Strychni Semen (Qianniu) powder (equal parts).
Preparation: Decoct with 20 cun of Juncus effusus (Dengxin) and drink. If lips are dry, add Ophiopogonis Radix (Maidong) and Trichosanthis Radix (Huafen).
Secret Recipe: Treats constipation of both large and small bowels.
Ingredients: Lumbricus Faeces (Qiuyin Fen) (2 qian), Carbonis Cyperi (Baicaoshuang) (1 qian).
Preparation: Grind into powder. Use rice washing water, grind and take along the flow of water, which will immediately unblock.
Run Chang Wan (Moisten Intestines Pill): Treats severe constipation and difficulty defecating due to weak constitution, qi deficiency, and internal blood-heat knotting, making stool hard to pass; this formula is excellent for regular use; also suitable for postpartum women and elderly people with deficiency-type constipation.
Ingredients: Rheum Radix et Rhizoma (Dahuang) (4 liang, steamed twice with wine), Angelicae Sinensis Radix (Danggui) (2 liang), Persicae Semen (Taoren) (1 liang, skin removed, stir-fried and ground), Cannabis Fructus (Maren) (2 liang), Aurantii Fructus Immaturus (Zhishi) (1 liang), Prepared Rehmanniae Radix (Shudi) (2 liang), Prunus Yedoensis Seed (Yuliren) (2 liang, clean kernel).
Preparation: Grind into powder, make pills with honey. Adjust dosage according to patient's size, take with plain boiled water.
Tou Gu Gao (Bone-Penetrating Ointment): Very effective when other medicines for Lin syndrome fail.
Ingredients: Pangolin Scale (Chuanshanjia - tail feet preferred), Trogopteri Dung (Wulingzhi) (each 2 qian), Crotonis Fructus (Badou) (1 qian, flesh only).
Preparation: Roast with garlic until cooked, crush together into an ointment. Apply to the umbilicus, bind with silk cloth, warm hands frequently, and moxa/iron over the area repeatedly.
Yan Qi Gao (Umbilicus-Covering Ointment): Treats stagnant heat in the Bladder and urinary retention.
Ingredients: Vivipara Liligera (Luosi) (1 he, crushed), Allii Fistulosi Bulb (Congbai) (5 stalks), Moschus (Shexiang) (1 fen), Salt (small amount).
Preparation: Crush together into a cake. Apply to the umbilicus; passage will occur shortly.
Crush Mao Mao Suan Cao (Oxalis corniculata) and drink the juice (add a little wine).
Drink single Deng Xin Tang (Juncus effusus decoction) on an empty stomach.
Moxibustion Method: Place Alum powder (Fan Mo) in the umbilicus, moxa 7 loads; or place salt in the umbilicus, moxa 7 loads.
Acupoints: Shenque (CV-8, i.e., the umbilicus), Sanyinjiao (SP-6) (moxa 5 loads).