丹皮(二两) 泽泻(一两五钱) 潼沙苑(盐水炒三两) 建莲肉(二两)
共研末,以阿胶四两,溶化为丸,每服三钱。
廖(左) 久浊色带黄稠,茎中有时作痛,每晨目带红赤,腿股酸楚,步履维艰。脉细弦微滑。肾虚湿热伏
留未楚,精水混淆不分,精关遂难扃固。拟理湿泄热,而化败浊。
制半夏 生薏仁 益智仁 石菖蒲 川萆 上广皮 白术 茯苓 白果肉(打) 二妙丸(二钱先服)
秦(左) 温化湿寒,淋痛逐渐减轻。然稍涉劳顿,辄复作痛。再兼劳淋法治。
熟地炭(四钱) 大麦冬(三钱) 丹皮(二钱) 茯苓(一钱五分) 泽泻(一钱五分) 生山药(三钱)
五味子(五粒) 萸肉(三钱) 生熟谷芽(各一钱五分)
戴(左) 向有精浊旧恙,湿热内盛,湿注于肠,致大便泄浊,小溲黄赤,精浊泛而更盛,内热胃钝。恐湿热
熏蒸,致有身热之类。
制半夏(三钱) 川萆 (二钱) 川朴(一钱) 腹皮(二钱) 猪赤苓(各二钱) 泽泻(一钱五分)
广皮(一钱) 生熟薏仁(各二钱) 滑石(四钱) 二妙丸(二钱先服)
戴(左) 脉濡不滑,右尺鼓指。小溲虽不作痛,而马口仍带干结。下焦湿热逗留,驾轻就熟,不能霍全者为此。
黑山栀(三钱) 车前子(二钱) 肥知母(二钱) 泽泻(一钱五分) 龙胆草(四分) 滑石(四钱)
瞿麦(二钱) 木通(六分) 猪苓(二钱) 淡竹叶(一钱五分) 猪肚丸(盐汤下二钱)
秦(左) 肾虚逗留湿热,小溲淋痛,时作时止。前贤谓小肠有血则小便涩,小肠有气则小便胀,小肠有
火则小便痛。厘清火府,以图徐退。
大生地 甘草梢 黑山栀 赤白苓 建泽泻 细木通 车前子 滑石 淡竹叶 知柏八味丸
左 高年气虚,湿热下注为浊。宜从补气之中,参以分利。
人参须 野于术 广皮 赤白苓 生熟米仁 制半夏 川萆 猪苓 杜仲 生熟谷芽
左 小溲漩脚起沫,有时作痛。脉象左大。此肾虚而湿热留恋。拟苦以泄之,咸以化之。
秋石(三钱) 牡蛎(三钱) 车前子(二钱) 茯苓神(各二钱) 大贡菜(二只) 大补阴丸(四钱分二次
服)
左 淋痛甚剧,此湿热蕴结也。
木通(一钱) 滑石(四钱) 瞿麦(二钱) 炒丹皮(二钱) 黄柏(一钱五分) 草梢(六分)
川萆 (二钱) 车前子(三钱) 龙胆草(五分) 黑山栀(三钱) 清宁丸(三钱另服)
左 由白浊而转溲血,尿管作痛。此肾虚湿热,未可轻视。
生地炭 蒲黄炭 丹皮炭 海金砂 甘草梢 滑石块 黑山栀 当归炭 淡竹叶 藕汁 西血珀(四分研末藕汁调
服)
左 溲涩作痛,咳嗽痰多。湿热蕴阻膀胱。当疏风利湿。
前胡 木通 橘红 瞿麦 车前子 牛蒡子 杏仁 枳壳 蓄 萆 石菖蒲 清宁丸(三钱)
左 血淋痛剧,湿热蕴结膀胱。
海金砂 丹皮炭 黑山栀 淡芩 甘草梢 车前子 生地炭 炒小蓟 赤苓 淡竹叶 上沉香 西血珀(二味研细
先调服)
Danhui (Radix Paeoniae Rubra, 2 liang), Zexie (Rhizoma Alismatis, 1.5 liang), Tongshayuan (Semen Astragali Complanati, stir-fried with salt water, 3 liang), Jianlianrou (Endocarpium Nelumbinis, 2 liang).
Grind all into fine powder. Use Ejiao (Colla Corii Asini) 4 liang, melt it, and make pills. Take 3 qian per dose.
Patient Liao (Left pulse): Long-standing turbid urine, yellow and thick; occasional pain in the urethra; eyes red in the morning; soreness and heaviness in the thighs and legs, making walking difficult. The pulse is fine, wiry, and slightly slippery. Kidney deficiency with latent damp-heat that has not been cleared; essence and fluids are confused, failing to separate, causing the essence gate to be insecure. The proposed treatment is to resolve dampness and drain heat, transforming the turbid pathogen.
Zhi Banxia (Pinelliae Rhizoma Preparatum), Sheng Yiren (Coicis Semen), Yizhiren (Bletillae Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma), Chuan Biexie (Dioscoreae Hypoglaucae Rhizoma), Shang Guangpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Baiguorou (Semen Ginkgo, crushed), Ermiao Wan (Two Marvels Pill, take 2 qian first).
Patient Qin (Left pulse): After warming and transforming cold-dampness, the dysuria pain gradually subsided. However, slight exertion triggers recurrence of pain. Further treat according to the method for Fatigue Dysuria (Lao Lin).
Shudi Tan (Carbonized Radix Rehmanniae Praeparata, 4 qian), Da Maidong (Ophiopogonis Radix, 3 qian), Danpi (Radix Paeoniae Rubra, 2 qian), Fuling (Poria, 1.5 qian), Zexie (Rhizoma Alismatis, 1.5 qian), Sheng Shanyao (Rhizoma Dioscoreae Oppositae, 3 qian).
Wuweizi (Fructus Schisandrae Chinensis, 5 grains), Yurou (Fructus Corni Officinalis, 3 qian), Sheng Shu Guya (Germinatio Milii et Zizani, raw and cooked, each 1.5 qian).
Patient Dai (Left pulse): Previously suffered from chronic Essence Turbidity (Jing Zhuo). Damp-heat is abundant internally; dampness pours into the intestines, causing stool with turbid discharge; urine is yellow and red; essence turbidity overflows and worsens; internal heat and dull stomach qi. Fear that damp-heat steaming may lead to fever-like symptoms.
Zhi Banxia (Pinelliae Rhizoma Preparatum, 3 qian), Chuan Biexie (Dioscoreae Hypoglaucae Rhizoma, 2 qian), Chuan Po (Cortex Magnoliae Officinalis, 1 qian), Fupi (Pericarpium Benincasae, 2 qian), Zhuling (Polyporus) and Chiling (Poria cum Pino, each 2 qian), Zexie (Rhizoma Alismatis, 1.5 qian).
Guangpi (Citri Reticulatae Pericarpium, 1 qian), Sheng Shu Yiren (Coicis Semen, raw and cooked, each 2 qian), Huashi (Talcum, 4 qian), Ermiao Wan (Two Marvels Pill, take 2 qian first).
Patient Dai (Left pulse): The pulse is soggy but not slippery; the right Chi position beats forcefully against the finger. Although urination is no longer painful, the meatus remains dry and constricted. This is due to lingering damp-heat in the Lower Jiao, which recurs easily and cannot be completely cured.
Heishanzhi (Fructus Gardeniae Jasminoidis, 3 qian), Cheqianzi (Plantaginis Semen, 2 qian), Fei Zhimu (Radix Anemarrhenae, 2 qian), Zexie (Rhizoma Alismatis, 1.5 qian), Longdancao (Radix et Rhizoma Gentianae, 0.4 qian), Huashi (Talcum, 4 qian).
Qumai (Herba Diantherae, 2 qian), Mutong (Caulis Akebiae, 0.6 fen), Zhuling (Polyporus, 2 qian), Danzhuye (Folium Bambusae, 1.5 qian), Zhudu Wan (Pig Stomach Pill, take 2 qian with salt water).
Patient Qin (Left pulse): Kidney deficiency with lingering damp-heat causes dysuria and pain, coming and going. Ancients said: "If there is blood in the Small Intestine, urination is astringent; if there is Qi stagnation, urination is distending; if there is Fire, urination is painful." Now clarify the Fire Mansion (Small Intestine) to aim for gradual resolution.
Da Shengdi (Radix Rehmanniae Recens, large size), Gancao Shao (Radix Glycyrrhizae Preparata, tip), Heishanzhi (Fructus Gardeniae Jasminoidis), Chi Bai Ling (Poria with Red Cortex and White Flesh), Jian Zexie (Rhizoma Alismatis), Xi Mutong (Caulis Akebiae), Cheqianzi (Plantaginis Semen), Huashi (Talcum), Danzhuye (Folium Bambusae), Zhibai Bawei Wan (Anemarrhenae, Phellodendri et Rehmanniae Eight-Ingredient Pill).
Patient Zuo: Advanced age with Qi deficiency; damp-heat pouring downward causes turbidity. Treatment should involve tonifying Qi while incorporating methods to separate and drain.
Renshen Xu (Ginseng Radix et Rhizoma, whiskers), Ye Yuzhu (Atractylodis Macrocephalae Rhizoma, wild origin), Guangpi (Citri Reticulatae Pericarpium), Chi Bai Ling (Poria with Red Cortex and White Flesh), Sheng Shu Yiren (Coicis Semen, raw and cooked), Zhi Banxia (Pinelliae Rhizoma Preparatum), Chuan Biexie (Dioscoreae Hypoglaucae Rhizoma), Zhuling (Polyporus), Duzhong (Cortex Eucommiae), Sheng Shu Guya (Germinatio Milii et Zizani, raw and cooked).
Patient Zuo: Urine vortex shows foam, sometimes painful. The left pulse is large. This indicates Kidney deficiency with lingering damp-heat. Propose using bitter substances to drain and salty substances to transform.
Qiushi (Urina Hominis Depurata, 3 qian), Muli (Concha Ostreae, 3 qian), Cheqianzi (Plantaginis Semen, 2 qian), Fushen (Poria cum Radix Pini, each 2 qian), Dagongcai (Seaweed, 2 pieces), Dabu Yin Wan (Great Tonify Yin Pill, take 4 qian divided into two doses).
Patient Zuo: Dysuria pain is severe, indicating damp-heat accumulation.
Mutong (Caulis Akebiae, 1 qian), Huashi (Talcum, 4 qian), Qumai (Herba Diantherae, 2 qian), Chao Danpi (Radix Paeoniae Rubra, fried, 2 qian), Huangbai (Cortex Phellodendri Amurensis, 1.5 qian), Cao Shao (Radix Glycyrrhizae Preparata, tip, 0.6 fen).
Chuan Biexie (Dioscoreae Hypoglaucae Rhizoma, 2 qian), Cheqianzi (Plantaginis Semen, 3 qian), Longdancao (Radix et Rhizoma Gentianae, 0.5 fen), Heishanzhi (Fructus Gardeniae Jasminoidis, 3 qian), Qingning Wan (Clear Peace Pill, take 3 qian separately).
Patient Zuo: Transitioned from white turbidity to hematuria, with urethral pain. This is Kidney deficiency with damp-heat; do not underestimate it.
Shengdi Tan (Carbonized Radix Rehmanniae Recens), Puhuang Tan (Carbonized Pollen Typhae), Danpi Tan (Carbonized Radix Paeoniae Rubra), Haijinsha (Spore Lygodii Sporangium), Gancao Shao (Radix Glycyrrhizae Preparata, tip), Huashi Kuai (Talcum chunks), Heishanzhi (Fructus Gardeniae Jasminoidis), Danggui Tan (Carbonized Radix Angelicae Sinensis), Danzhuye (Folium Bambusae), Oujiang (Juice of Rhizoma Nelumbinis), Xixuepo (Succinum Occidentale, 0.4 fen ground to powder, mixed with lotus root juice).
Patient Zuo: Urine is astringent and painful, accompanied by cough and profuse phlegm. Damp-heat accumulates and obstructs the Bladder. Should disperse wind and promote diuresis to remove dampness.
Qianhu (Radix Peucedani), Mutong (Caulis Akebiae), Juhong (Exocarpium Citri Grandis), Qumai (Herba Diantherae), Cheqianzi (Plantaginis Semen), Niubangzi (Fructus Arctii), Xingren (Semen Armeniacae Amarum), Zhike (Fructus Aurantii Immaturus), Xu Shu (Herba Siegesbeckiae), Biexie (Dioscoreae Hypoglaucae Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma), Qingning Wan (Clear Peace Pill, 3 qian).
Patient Zuo: Blood dysuria pain is severe; damp-heat accumulates in the Bladder.
Haijinsha (Spore Lygodii Sporangium), Danpi Tan (Carbonized Radix Paeoniae Rubra), Heishanzhi (Fructus Gardeniae Jasminoidis), Dan Qin (Radix Scutellariae, light processing), Gancao Shao (Radix Glycyrrhizae Preparata, tip), Cheqianzi (Plantaginis Semen), Shengdi Tan (Carbonized Radix Rehmanniae Recens), Chao Xiaoji (Herba Cirsii Japonici, fried), Chiling (Poria with Red Cortex), Danzhuye (Folium Bambusae), Shang Chenxiang (Aquilariae Lignum Resinatum, superior grade), Xixuepo (Succinum Occidentale, these two finely ground and taken first mixed).