冷气入胞成寒淋，小便闭塞胀难禁，淋漓不断腹隐痛，五苓倍桂小茴神。
【注】寒淋者，皆因风寒乘入膀胱，致下焦受冷，遂成寒淋。其候小便闭塞，胀痛难
禁，不时淋漓，少腹隐痛。须以五苓散倍加肉桂、小茴香治之，其淋自愈。
五苓散
白术（土炒） 泽泻 猪苓 赤茯苓 肉桂 小茴香
水煎服。
【方歌】五苓治寒淋，白术泽猪苓，肉桂加倍用，茴香赤茯苓。
膀胱蓄热淋证成，十味导赤有奇功，小腹胀满大便结，急服八正莫少停。
【注】热淋者，膀胱蓄热而成也。小便不通，淋漓涩痛，以十味导赤汤主之。若少腹
胀满，引脐作痛，大便秘结者，以八正散主之。
十味导赤汤
生地 山栀子 木通 瞿麦 滑石 淡竹叶 茵陈蒿 黄芩 甘草（生） 猪苓
水煎服。
【方歌】十味导赤药最灵，生地山栀合木通，瞿麦滑石淡竹叶，茵陈黄芩草猪苓。
八正散（方见不小便）
湿热蓄久石淋成，溲如沙石茎中疼，轻者须用葵子散，重则八正可相从。
【注】石淋者，逢尿则茎中作痛，常带沙石之状，因膀胱蓄热日久所致。正如汤瓶久
经火炼，底结白 也。轻则葵子散主之，重则八正散主之。
葵子散
桑皮（炒） 瞿麦 栀子 赤茯苓 木通 车前子 甘草（生） 葵子
水煎服。
【方歌】葵子散治石淋证，桑皮翟麦山栀仁，赤苓木通车前子，甘草葵子共和匀。
八正散（方见不小便）
Cold qi entering the bladder forms Cold Lin (cold strangury), characterized by urinary obstruction, abdominal distension that is difficult to endure, continuous dribbling, and dull pain in the abdomen. Wuling San (Five-Ingredient Powder with Poria) with doubled Guizhi (Cinnamon Twig) and Xiaohuixiang (Fennel Fruit) is miraculous.
[Note] Cold Lin is caused by wind-cold pathogens invading the Bladder, leading to cold in the Lower Jiao (Lower Burner), thus forming Cold Lin. Its manifestations include urinary obstruction, unbearable distending pain, intermittent dribbling, and dull pain in the Shaofu (lower abdomen). It must be treated with Wuling San augmented with Rougui (Cinnamon Bark) and Xiaohuixiang (Fennel Fruit), after which the strangury will heal itself.
Wuling San (Five-Ingredient Powder with Poria)
Baizhu (Atractylodis Rhizoma, stir-fried with soil) Zexie (Alismatis Rhizoma) Zhuling (Polyporus) Chifuling (Poria with Red Coir) Rougui (Cinnamon Bark) Xiaohuixiang (Foeniculi Fructus)
Decoct in water and take orally.
[Prescription Verse] Wuling treats cold strangury, Baizhu, Zexie, and Zhuling; double the use of Rougui, mix with Fennel and red Poria.
Heat accumulation in the Bladder forms Heat Lin (heat strangury); Shiwai Daochi Tang (Ten-Ingredient Decoction to Guide Out Fire) has remarkable efficacy. If there is lower abdominal distension and fullness accompanied by constipation, immediately administer Bazheng San (Eight-Herb Corrective Powder) without delay.
[Note] Heat Lin is formed by heat accumulation in the Bladder. Symptoms include urinary retention, dribbling with astringent pain; treat primarily with Shiwai Daochi Tang. If there is lower abdominal distension and fullness, pain radiating to the umbilicus, and dry stool, treat primarily with Bazheng San.
Shiwai Daochi Tang (Ten-Ingredient Decoction to Guide Out Fire)
Shengdi (Rehmanniae Radix Preparata) Shanzhizi (Gardeniae Fructus) Mutong (Akebiae Caulis) Qumai (Dianthi Herba) Huashi (Talcum) Danzhuye (Lophatheri Folium) Yinchenshao (Artemisiae Scopariae Herba) Huangqin (Scutellariae Radix) Gancao (Glycyrrhizae Radix et Rhizoma, raw) Zhuling (Polyporus)
Decoct in water and take orally.
[Prescription Verse] The ten ingredients of Daochi are most effective: Shengdi, Shanzhizi, and Mutong combine; Qumai, Huashi, and Danzhuye; Yinchen, Huangqin, Gancao, and Zhuling.
Bazheng San (Eight-Herb Corrective Powder) (See prescription under "Urination Difficulties")
Long-term accumulation of damp-heat forms Stone Lin (stone strangury); urination resembles sand and stones with pain in the urethra. For mild cases, Kuizi San (Malva Seed Powder) is required; for severe cases, Bazheng San can follow.
[Note] Stone Lin is characterized by pain in the urethra during urination, often passing material resembling sand or stones. It is caused by long-term heat accumulation in the Bladder. Just as a kettle bottom becomes encrusted with white scale after prolonged heating, so too does this condition form. Mild cases are treated with Kuizi San; severe cases are treated with Bazheng San.
Kuizi San (Malva Seed Powder)
Sangpi (Mori Cortex) Qumai (Dianthi Herba) Zhizi (Gardeniae Fructus) Chifuling (Poria with Red Coir) Mutong (Akebiae Caulis) Cheqianzi (Plantaginis Semen) Gancao (Glycyrrhizae Radix et Rhizoma, raw) Kuizi (Malvae Semen)
Decoct in water and take orally.
[Prescription Verse] Kuizi San treats stone strangury: Sangpi, Qumai, and Zhizi kernel; Chifuling, Mutong, and Cheqianzi; Gancao and Kuizi are mixed evenly.
Bazheng San (Eight-Herb Corrective Powder) (See prescription under "Urination Difficulties")