《巢氏病源》小儿血淋候∶血淋者，是热之甚。甚者则尿血，谓之血淋。心主血，血之行身，通遍经络，循
环腑脏。其热甚者，血即散失其常，经溢渗入胞，而成血淋矣。
《圣惠》∶夫小儿血淋者，是热淋之甚，则变成血淋也。心主于血，血之行身，通于膀胱，而热气流入于脬，
即成血淋矣。
《圣惠》治小儿血淋涩痛，心躁体热。犀角屑散方
犀角（屑） 黄芩 石韦（去毛） 当归（锉） 赤芍药（以上各半两） 蒲黄（一两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生地黄半分，青竹茹半分。煎至六分，去滓，不
计时候。量儿大小分减服之。
《圣惠》又方
车前子 茅根（锉。各一两）
上件药捣，粗罗为散。每服一钱，以水一小盏，入生地黄一分，煎至六分，去滓，不计时候。量儿大小分
减服之。
《圣惠》治小儿血淋，日夜淋涩，小腹及阴中疼痛。露蜂房灰散方
露蜂房（灰） 乱发（灰。各一分） 滑石（一两） 海蛤（半两）
上件药都细研为散。不计时候，以温水调下半钱。量儿大小以意加减。
《圣惠》又方
榆白皮（锉） 瞿麦 蒲黄（以上各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至六分，去滓。不计时候，分温二服。
《圣惠》又方
车前叶（汁） 冬瓜（汁） 蜜（各一合）
上件药相和令匀，看儿大小分减服之。
《圣惠》又方
石韦（一两，去毛） 白胶（炙令黄燥） 戎盐（各半两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓。不计时候。量儿大小分减温服。
《圣惠》又方
上用牯牛阴聚毛，烧灰细研，不计时候，以粥饮调下半钱。量儿大小加减服之。
《圣惠》又方
上用蜥蜴一枚，烧灰细研为散。不计时候，以温酒调下半钱。量儿大小加减服之。
《谭氏殊圣》方∶小儿淋病最愁人，惊痛连心不暂停。尿血有时三两滴，忽然惊叫不堪听。石韦石燕酸浆草，立便
通流保再生。
通神散
石燕子（一个） 石韦（半两，共为末）
上煎，醋草子汤下。甚者三服，大人半钱，小儿一字。醋草子即酸浆草也。
张涣蒲黄散方 治膀胱热甚血淋，水道涩痛。
蒲黄 冬葵子 生地黄（各半两）
上件药捣，粗罗为细末。每服一钱，以水一大盏，煎至六分，去滓温服。量儿大小加减。
《凤髓经》姜黄散 治小儿血淋方。
上姜黄一味，为细末。每服半钱，酒调下，日进三服。若通利，不可再服。
《吉氏家传》治便血并血淋方。
黄芩 巴戟 菊花 白术（各等分）
上件为末。用灯心煎汤，同麝香腊茶下二钱。
长沙医者丁时发传姜黄散 治血淋方。
上姜黄末半钱或十字，轻粉少许相和，沙糖水调下。
According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the syndrome of hematuric strangury in children: Hematuric strangury is caused by extreme heat. When the heat is severe, it leads to blood in the urine, which is termed hematuric strangury. The Heart governs blood; blood circulates throughout the body, penetrating the meridians and cycling through the zang-fu organs. When heat is extreme, blood scatters and loses its normal course, overflowing from the vessels and seeping into the bladder, thereby forming hematuric strangury.
*Tai Ping Sheng Hui Fang* (Imperial Grace Formulas of the Taiping Era) states: Hematuric strangury in children is a progression from heat strangury that has worsened. The Heart governs blood, which circulates through the body and reaches the bladder. If hot qi flows into the bladder (pao), hematuric strangury results.
*Xingjiao Xie San* (Rhinoceros Horn Scrapings Powder) from *Tai Ping Sheng Hui Fang*, treating hematuric strangury with dysuria, irritability, and fever in children:
*Rhinoceri Cornu* (scraped) *Scutellariae Radix* (Huangqin, 黄芩) *Pyrrosiae Folium* (Shiwei, 石韦, de-haired) *Angelicae Sinensis Radix* (Danggui, 当归, sliced) *Paeoniae Rubra* (Chishao, 赤芍药) (each half liang above) *Polygoni Citrini Pollen* (Puhuang, 蒲黄) (one liang).
Crush the above herbs and sieve them coarsely into a powder. Take one qian per dose, with one small cup of water, adding *Rehmanniae Radix Recens* (Shengdihuang, 生地黄) half a fen and *Bambusae Caulis in Decorticatus* (Qingzhuru, 青竹茹) half a fen. Decoct until six parts remain, strain, and administer at any time, adjusting the dose according to the child's age and size.
Another formula from *Tai Ping Sheng Hui Fang*:
*Plantaginis Semen* (Cheqianzi, 车前子) *Imperatae Rhizoma* (Maogen, 茅根, sliced) (each one liang).
Crush the above herbs and sieve them coarsely into a powder. Take one qian per dose, with one small cup of water, adding *Rehmanniae Radix Recens* (Shengdihuang, 生地黄) one fen. Decoct until six parts remain, strain, and administer at any time, adjusting the dose according to the child's age and size.
*Lufengfang Hui San* (Exposed Bee Nest Ash Powder) from *Tai Ping Sheng Hui Fang*, treating hematuric strangury with day-and-night dysuria, pain in the lower abdomen, and genital pain in children:
*Lufengfang* (ash) *Capilli Humani Carbonisatus* (Luancha, ash) (each one fen) *Talcum* (Huashi, 滑石) (one liang) *Concha Arcae* (Haiha, 海蛤) (half liang).
Finely grind all the above herbs into a powder. Administer half a qian mixed with warm water at any time, adjusting the dose according to the child's age and size.
Another formula from *Tai Ping Sheng Hui Fang*:
*Ulmus Cortex* (Yubaipi, 榆白皮, sliced) *Dianthi Herba* (Qumai, 瞿麦) *Polygoni Citrini Pollen* (Puhuang, 蒲黄) (each half liang).
Crush the above herbs and sieve them coarsely into a powder. Take one qian per dose, with one small cup of water. Decoct until six parts remain, strain, and divide into two warm doses taken at any time.
Another formula from *Tai Ping Sheng Hui Fang*:
*Plantaginis Folium* (juice) *Benincasae Exocarpium* (Donggua, 冬瓜, juice) *Mel* (Mifengmi, 蜜) (each one he).
Mix the above ingredients evenly and administer in reduced doses according to the child's age and size.
Another formula from *Tai Ping Sheng Hui Fang*:
*Pyrrosiae Folium* (one liang, de-haired) *Colla Corii Asini* (Baijiao, 白胶, roasted until yellow and dry) *Sal Regalis* (Rongyan, 戎盐) (each half liang).
Crush the above herbs and sieve them coarsely into a powder. Take one qian per dose, with one small cup of water. Decoct until five parts remain, strain, and administer warm in adjusted doses according to the child's age and size at any time.
Another formula from *Tai Ping Sheng Hui Fang*:
Take the pubic hair of a male ox, burn it to ash, and grind finely. Administer half a qian mixed with rice gruel at any time, adjusting the dose according to the child's age and size.
Another formula from *Tai Ping Sheng Hui Fang*:
Take one lizard, burn it to ash, and grind finely into a powder. Administer half a qian mixed with warm wine at any time, adjusting the dose according to the child's age and size.
From *Tan Shi Shu Sheng* (Special Miracles by Tan): "Pediatric strangury is most distressing; fright and pain connect to the heart without pause. Blood in urine may be only two or three drops at a time, followed by sudden screams unbearable to hear. Use *Pyrrosiae Folium* (Shiwei, 石韦), *Lapis Fossils* (Shiyanshi, 石燕子), and *Physalis Fructus* (Suanjiangcao, 酸浆草); they immediately restore flow and ensure survival."
*Tongshen San* (Divine Communication Powder):
*Lapis Fossils* (Shiyanzi, 石燕子) (one piece) *Pyrrosiae Folium* (Shiwei, 石韦) (half liang, ground together into powder).
Decoct and administer with decoction of *Physalis Fructus* (Cucaozhi tang, 醋草子汤). For severe cases, take three doses; adults take half a qian, children take one zi measure. *Cucaozhi* is *Physalis Fructus*.
Zhang Huan's *Puhuang San* (Polygoni Citrini Pollen Powder): Treating hematuric strangury due to excessive bladder heat with painful, difficult urination.
*Polygoni Citrini Pollen* (Puhuang, 蒲黄) *Malvae Semen* (Dongkuizi, 冬葵子) *Rehmanniae Radix Recens* (Shengdihuang, 生地黄) (each half liang).
Crush the above herbs and sieve them into a fine powder. Take one qian per dose, with one large cup of water. Decoct until six parts remain, strain, and take warm. Adjust the dose according to the child's age and size.
*Jianghuang San* (Curcuma Longa Powder) from *Feng Sui Jing*: A formula for pediatric hematuric strangury.
Use only *Curcumae Longae Rhizoma* (Jianghuang, 姜黄), ground into a fine powder. Take half a qian per dose, mixed with wine, administered three times daily. If urination becomes smooth, do not continue administration.
Formula for treating hematochezia and hematuric strangury from *Ji Shi Jia Chuan* (Ji Family Transmission):
*Scutellariae Radix* (Huangqin, 黄芩) *Morindae Officinalis Radix* (Baji, 巴戟) *Chrysanthemi Flos* (Juhua, 菊花) *Atractylodis Macrocephalae Rhizoma* (Baizhu, 白术) (equal parts).
Grind the above into powder. Prepare a decoction with *Junci Medulla* (Dengxin, 灯心) and administer two qian mixed with *Moschum* (Shexiang, 麝香) and aged tea.
*Jianghuang San* (Curcuma Longa Powder) transmitted by Ding Shifa, a physician from Changsha: A formula for hematuric strangury.
Take half a qian or a cross-measure of *Curcumae Longae Rhizoma* (Jianghuang, 姜黄) powder, mix with a small amount of *Calomelas* (Qingfen, 轻粉), and administer mixed with sugar water.