乳石发动。小便淋涩者。热归肾。热气所致也。盖肾主水而恶燥。水行小肠入胞为溲。
使肾
也。
方
滑石散（出圣济总录）治乳石发动。患淋。积年、或数日、辄发。
滑石（二两） 冬葵子 瞿麦穗 陈橘皮（去白焙各一两） 赤茯苓（去黑皮） 芍药 黄
芩
（去
白皮饮
调
桑白皮饮（出圣济总录）下前药
桑根白皮（锉一两半） 木通（锉） 百合（各二两） 白茅根（锉二两半） 甘草（炙）
滑石
（各
即
食
泽泻散（出圣惠方）治乳石发动。小便淋涩不通。心中烦热。小腹妨痛。
泽泻（三分） 瞿麦 玄参 黄芩 木通（锉） 麦门冬（去心） 赤茯苓（各一两） 甘
草
（半两
淡
竹叶
麦门冬散（出圣惠方）治乳石发动。小便赤涩。心腹烦闷。
麦门冬（去心） 车前子 葵根（锉） 黄芩（各三分） 赤茯苓 川芒硝 川升麻 木
通
（锉各
滓温
服。
地黄散（出圣惠方）治乳石发动。小肠中热。下血淋涩。脐下 痛。
生干地黄（二两） 犀角屑 蜀葵根（锉） 当归（锉微炒各三分） 赤芍药 黄芩 木
通
（锉各一两） 葵子 甘草（生锉各半两）
上为粗散。每服四钱。以水一中盏。入淡竹叶二七片。
升麻散（出圣惠方）治乳石发动。热气盛实。四体烦闷。气脉紧数。小便淋
涩。宜
川升麻 黄柏（炙微赤锉碎） 甘草（炙微赤锉碎） 黄芩 滑石（各一两） 犀角屑 蒲
黄
（各
竹叶二
七
滑石散（出圣惠方）治乳石发动。小便淋涩。小腹妨闷。心神烦热。
滑石（二两） 木通（锉） 石苇（去毛） 瞿麦 川芒硝 冬葵子 黄芩 白茆根（锉
各一
两）
三
四服。
犀角散（出圣惠方）治乳石发动。心神烦热。小便淋涩。脐下疼痛。
犀角屑 川升麻 玄参 川大黄（锉碎微炒） 赤芍药 木通 当归（锉微炒各一两） 滑
石（
滓
温
滑石木通汤（出圣济总录）治乳石发动淋涩。
滑石（五两） 木通（锉三两） 石苇（去毛） 瞿麦穗（各二两） 冬葵子（五合） 上
粗捣
筛。每
分温
鸡苏汤（出圣济总录）治乳石发动。血淋不止。
鸡苏（一握去根锉曝） 石膏（碎二两） 竹叶（一握切） 蜀葵子（别为末一两） 葵
子（为
末每
一钱
大黄汤（出圣济总录）治乳石发动。热结。小便淋涩。小腹痛。
大黄（锉炒） 芍药 赤茯苓（去黑皮各一两） 大麻仁（半升别研每服旋入一合） 上
除麻
仁外
日
车前汤（出圣济总录）治乳石发动。热淋涩痛。
车前草（去根锉） 葵根（削洗令净切片曝干各二两） 木通（锉一两半） 上粗捣筛。
每服
四钱
螵蛸汤（出圣济总录）治乳石发动。热结。小便淋涩。小腹痛。
桑螵蛸（炙黄二十枚） 黄芩（去黑心一两） 上细锉每服五钱。水二盏煎至一盏。去
滓。
分作
治乳石发。卒患淋方。（出圣惠方）
以船底青苔一块。如鸭子大。用水三盏。煎至一盏半去滓。分温二服。空心日午各一。
茅根汤 治乳石发热淋。及发热。体气昏浊。不痛不痒。小便赤涩。
用白茅根净洗锉曝干半斤。粗捣筛。每服五钱。水二盏。煎至一盏。去滓温服。食前日
二。
治乳石石淋。状如碎沙石下者。
用车前子一升。绢囊盛。以水五盏。煎至二盏。经宿勿食顿服之。须臾沙石自下。
葵子汤 治乳石发热。小便数少如淋。
用冬葵子拣五合。如无子切陈根一两亦得。粗捣筛。每服四钱。水一盏半。煎至八分。
去滓
治乳石发热。口干小便涩。
用葳蕤五两。捣碎每服三钱。水一盏煎取七分。去滓温服。但得微利即瘥。
又方
用甘蔗削去皮。寸截。嚼咽汁。如口痛不能嚼者。取汁饮之。先曾利即切服。盖甘蔗能
利大
若患淋者。为久坐温处。或乘鞍马坐处太热。热入膀胱故也。\x
但冷食冷水。洗冷石熨腹。不过一日即瘥止。千金翼云若不止可下之。不下则杀人。
When the properties of "Rushi" (mineral drugs) are activated, symptoms of strangury (dysuria with frequent, painful urination) and astringency occur. This is caused by heat returning to the Kidney, resulting from excessive heat. The Kidney governs water and dislikes dryness; water flows through the Small Intestine into the Bladder to form urine.
Huashi San (Talcum Powder Decoction) (from *Shengji Zonglu*) treats the activation of Rushi properties. It addresses strangury that recurs over years or days.
Ingredients: Huashi (Talcum, 2 liang), Dongkuizi (Malva Seed), Qumai (Herba Dianthi), Chenjupi (Exocarpium Citri Reticulatae, peeled, baked, 1 liang each), Chifuling (Polyporus, black skin removed), Shaoyao (Radix Paeoniae Rubra/Lactiflorae), Huangqin (Radix Scutellariae, white skin removed). Preparation: Decoct and take with liquid.
Sangbaipi Yin (Morus Alba Root Bark Infusion) (from *Shengji Zonglu*) is taken after the previous medicine.
Ingredients: Sanggenbaidi (Cortex Mori Radicis, chopped, 1.5 liang), Mutong (Caulis Akebiae, chopped), Baihe (Bulbus Lilii, 2 liang each), Baimaogen (Rhizoma Imperatae, chopped, 2.5 liang), Gancao (Radix Glycyrrhizae, honey-fried), Huashi (Talcum). Preparation: Take immediately after meals.
Zexie San (Alisma Powder) (from *Shenghui Fang*) treats the activation of Rushi properties, characterized by obstructed and astringent urination, mental restlessness and heat in the heart, and discomfort/pain in the lower abdomen.
Ingredients: Zexie (Rhizoma Alismatis, 3 fen), Qumai (Herba Dianthi), Xuanshen (Radix Scrophulariae), Huangqin (Radix Scutellariae), Mutong (Caulis Akebiae, chopped), Maimendong (Radix Ophiopogonis, core removed), Chifuling (Polyporus, 1 liang each), Gancao (Radix Glyccyrrhizae, 0.5 liang), Danzhuye (Leaf of Bambusa).
Maimendong San (Ophiopogon Powder) (from *Shenghui Fang*) treats the activation of Rushi properties, characterized by red and astringent urine, and mental/abdominal restlessness.
Ingredients: Maimendong (Radix Ophiopogonis, core removed), Cheqianzi (Seed Plantaginis), Kuigen (Root Malvae), Huangqin (Radix Scutellariae, 3 fen each), Chifuling (Polyporus), Chuanniaoxiao (Natrii Sulfas), Chuan Shengma (Rhizoma Cimicifugae), Mutong (Caulis Akebiae, chopped). Preparation: Decoct, remove dregs, and take warm.
Dihuang San (Rehmannia Powder) (from *Shenghui Fang*) treats the activation of Rushi properties, characterized by heat in the Small Intestine, hematuria with strangury, and pain below the umbilicus.
Ingredients: Shenggandihuang (Radix Rehmanniae Preparata, 2 liang), Xijiaoxie (Cornu Rhinocerotis), Shukuigen (Root Malvae), Danggui (Radix Angelicae Sinensis, chopped and lightly fried, 3 fen each), Chishaoyao (Radix Paeoniae Rubra), Huangqin (Radix Scutellariae), Mutong (Caulis Akebiae, chopped, 1 liang each), Kuizi (Seed Malvae), Gancao (Radix Glycyrrhizae, raw and chopped, 0.5 liang). Preparation: Grind into coarse powder. Take 4 qian per dose with one zhongzhan of water, adding fourteen leaves of Danshuye.
Shengma San (Cimicifuga Powder) (from *Shenghui Fang*) treats the activation of Rushi properties, characterized by excess heat, limb restlessness, tight and rapid pulse, and strangury. Recommended formula:
Ingredients: Chuan Shengma (Rhizoma Cimicifugae), Huangbai (Cortex Phellodendri, honey-fried, slightly reddish, chopped), Gancao (Radix Glycyrrhizae, honey-fried, slightly reddish, chopped), Huangqin (Radix Scutellariae), Huashi (Talcum, 1 liang each), Xijiaoxie (Cornu Rhinocerotis), Puhuang (Pollen Typhae). Preparation: Add fourteen leaves of Zhuye.
Huashi San (Talcum Powder) (from *Shenghui Fang*) treats the activation of Rushi properties, characterized by strangury, abdominal discomfort and fullness, and mental restlessness with heat.
Ingredients: Huashi (Talcum, 2 liang), Mutong (Caulis Akebiae, chopped), Shiwei (Folium Pyrrosiae, hairs removed), Qumai (Herba Dianthi), Chuanniaoxiao (Natrii Sulfas), Dongkuizi (Seed Malvae), Huangqin (Radix Scutellariae), Baimaogen (Rhizoma Imperatae, chopped, 1 liang each). Dosage: Three to four doses.
Xijiao San (Rhinoceros Horn Powder) (from *Shenghui Fang*) treats the activation of Rushi properties, characterized by mental restlessness with heat, strangury, and pain below the umbilicus.
Ingredients: Xijiaoxie (Cornu Rhinocerotis), Chuan Shengma (Rhizoma Cimicifugae), Xuanshen (Radix Scrophulariae), Chuan Dahuang (Radix et Rhizoma Rhei, chopped and lightly fried), Chishaoyao (Radix Paeoniae Rubra), Mutong (Caulis Akebiae), Danggui (Radix Angelicae Sinensis, chopped and lightly fried, 1 liang each), Huashi (Talcum). Preparation: Decoct, remove dregs, and take warm.
Huashi Mutong Tang (Talcum and Akebia Decoction) (from *Shengji Zonglu*) treats strangury due to Rushi activation.
Ingredients: Huashi (Talcum, 5 liang), Mutong (Caulis Akebiae, chopped, 3 liang), Shiwei (Folium Pyrrosiae, hairs removed), Qumaisui (Spica Dianthi, 2 liang each), Dongkuizi (Seed Malvae, 5 he). Preparation: Coarsely crush and sieve. Take divided doses, warm.
Jisu Tang (Elsholtzia Decoction) (from *Shengji Zonglu*) treats continuous bloody strangury due to Rushi activation.
Ingredients: Jisu (Herba Elsholtziae, one handful, roots removed, chopped and dried), Shigao (Gypsum Fibrosum, crushed, 2 liang), Zhuye (Leaf of Bambusa, one handful, cut), Shukuaizi (Seed Malvae, separately ground into powder, 1 liang), Kuizi (Seed Malvae, ground into powder). Dosage: One qian per dose.
Dahuang Tang (Rhubarb Decoction) (from *Shengji Zonglu*) treats Rushi activation with heat accumulation, strangury, and lower abdominal pain.
Ingredients: Dahuang (Radix et Rhizoma Rhei, chopped and fried), Shaoyao (Radix Paeoniae), Chifuling (Polyporus, black skin removed, 1 liang each), Damaoren (Semen Cannabis, half sheng, separately ground, add one he per dose). Preparation: Exclude Hemp Seed initially... Daily administration.
Cheqian Tang (Plantago Decoction) (from *Shengji Zonglu*) treats hot strangury with astringency and pain due to Rushi activation.
Ingredients: Cheqiancao (Herba Plantaginis, roots removed, chopped), Kuigen (Root Malvae, peeled, washed, sliced, and dried, 2 liang each), Mutong (Caulis Akebiae, chopped, 1.5 liang). Preparation: Coarsely crush and sieve. Take 4 qian per dose.
Piaoxiao Tang (Mantis Egg Case Decoction) (from *Shengji Zonglu*) treats Rushi activation with heat accumulation, strangury, and lower abdominal pain.
Ingredients: Sangpiaoxiao (Oötheca Mantidis, honey-fried until yellow, 20 pieces), Huangqin (Radix Scutellariae, black heart removed, 1 liang). Preparation: Finely chop. Take 5 qian per dose with two zhan of water, decoct to one zhan. Remove dregs. Divide into doses.
Formula for sudden strangury due to Rushi activation (from *Shenghui Fang*):
Take a piece of green moss from the bottom of a boat, size of a duck. Use three zhan of water, decoct to one and a half zhan. Remove dregs. Divide into two warm doses. Take on an empty stomach and at noon.
Maogen Tang (Imperata Root Decoction) treats fever-strangury due to Rushi, fever, turbid body qi, absence of pain/itching, and red/astringent urine.
Ingredients: Baimaogen (Rhizoma Imperatae, cleaned, chopped, dried, 0.5 jin). Preparation: Coarsely crush and sieve. Take 5 qian per dose with two zhan of water, decoct to one zhan. Remove dregs and take warm before meals. Twice daily.
Treatment for Rushi-induced lithiasis (stone strangury), where fragments resembling sand/stones are passed:
Use one sheng of Cheqianzi (Seed Plantaginis). Place in a silk bag. Decoct with five zhan of water until two zhan remain. Do not eat overnight, then take as a single dose. Sand/stones will pass shortly thereafter.
Kuizi Tang (Malva Seed Decoction) treats fever due to Rushi, frequent and scanty urination resembling strangury.
Ingredients: Dongkuizi (Seed Malvae, selected, 5 he). If seeds are unavailable, use 1 liang of old root. Preparation: Coarsely crush and sieve. Take 4 qian per dose with one and a half zhan of water, decoct to eight parts. Remove dregs.
Treatment for fever due to Rushi, dry mouth, and astringent urine:
Use Weirui (Radix Polygonati Odorati), 5 liang. Crush. Take 3 qian per dose with one zhan of water, decoct to seven parts. Remove dregs and take warm. Recovery occurs upon mild purgation.
Another Formula:
Use Sugarcane, peel and cut into inch-length pieces. Chew and swallow the juice. If mouth pain prevents chewing, drink the extracted juice. If previously purged, take cautiously. Sugarcane promotes bowel movement...
If strangury occurs, it is often due to prolonged sitting in warm places or riding horses/saddles causing excessive heat entering the Bladder.
Simply consume cold food/water, wash with cold stones, or apply cold stone compresses to the abdomen. Recovery should occur within one day. *Qianjin Yi* states: If it does not stop, purgation is necessary; failure to purge may be fatal.