（附论）
夫膀胱为渗泄之府。肾气均平。则溲便清。阴阳不调。劳役所伤。则肾气虚而不能制其
肥液
方
沉香散（出圣惠方）治膏淋。脐下妨闷。不得快利。
沉香 黄 （锉） 陈橘皮（汤浸去白） 滑石 榆白皮（锉） 韭子（微炒各一两） 瞿
麦
（三分）
榆白皮汤 治膏淋。
榆皮（洗切焙） 黄芩（去黑心） 瞿麦穗 甘草（炙锉） 滑石（碎） 泽泻（锉） 赤
茯苓
（各一
滑石汤 治膏淋小便肥浊。
滑石 白茯苓 白术 木通 赤芍药 五味子 熟干地黄（焙各一两） 上捣筛。每
服三
钱。
沉香丸 治膏淋。
沉香 肉苁蓉 黄 磁石（火煨三七次） 瞿麦穗 滑石（各一两） 上为末。炼蜜
丸。
如梧
车前子散（出圣惠方）治膏淋。滴下肥液状似膏。与小便俱出。
车前子 贝齿（烧赤） 赤茯苓 白术 木通（锉） 赤芍药（各一两） 上为细末。
每服食
前以
治渴膏淋。（出经验良方）
宣连 麦门冬（去皮各一两） 栝蒌根 上为末。别以麦门冬去心一两。重熬成膏。和
匀
前药
鹿角霜丸（出危氏方）治膏淋多因忧思失忘。意舍不宁。浊气上干。小便淋
闭。或复黄赤白
鹿角霜 白茯苓 秋石（各等分） 上为末糊。为丸如梧桐子大。每服五十丸。米汤下。
磁石丸 治膏淋。小便肥如膏。
磁石（火煨酢淬三七次） 肉苁蓉（酒浸） 泽泻 滑石（各一两） 上为末。炼蜜丸
如梧桐
子大
海金沙散（出仁存方）
滑石末（一两） 甘草末（一分） 上研匀。每末二钱。用麦门冬汤调下。灯心汤调
服亦可。
治膏淋脐下妨闷。不得快利。（出圣惠方）
榆白皮（三两） 蛎粉 肉苁蓉（末各二两） 上二味相和令匀。以水三大盏。煎榆白
皮取
二大
又方（出圣惠方）
以羊骨烧灰。捣细罗为散。每于食前以榆白皮汤调下二钱。
治膏淋尿血。及产妇大喜。汗出污衣赤色。（出圣惠方）
以捣 草汁二升。醋二合和。空腹顿服之。当尿如小豆汁也。又浓煮汁饮。亦治淋沥尿
血。
治膏淋小便不通。上膈多壅。昏闷不快。宜吃此方。若上膈无热。不吃此方。出护
命方
柴胡（去苗） 知母（去心） 贝母（去心） 桔梗 升麻 麻黄（去根） 紫菀（去
土） 杏仁
（去
片。
煎
治膏淋。谓肺热肾虚。元气失守。遗精聚结成条。塞定水道。小便不通。痛不可少
忍。宜吃
知母 射干（去土） 柴胡（去苗） 葶苈（隔纸炒） 通草 滑石 升麻（各等分）
上细杵
罗为
进此
菟丝子丸（出指南方）治膏淋。
菟丝子（去尘土水淘酒浸控干洗捣粗末焙） 桑螵蛸（炙焦各半两） 泽泻（一分）
上为细
末。
(Appended Discussion)
The Bladder (Pangguang) is the fu-organ responsible for the seepage and discharge of fluids. When Kidney Qi (Shenqi) is harmonious and balanced, urination is clear; if Yin and Yang are disharmonious, and the body is damaged by overexertion, leading to Kidney Qi deficiency that fails to control fatty fluids.
Prescriptions
Chenxiang San (Sandalwood Powder), sourced from *Shenghui Fang*, treats Gao Lin (Gum Strangury). Symptoms include a feeling of fullness and oppression below the umbilicus, with an inability to urinate smoothly.
Ingredients: Chenxiang (Aquilaria Wood), Huangqin (Scutellaria Root, crushed), Chenjupi (Aged Tangerine Peel, soaked in decoction and scraped clean of white pith), Huashi (Talcum), Yubaipi (Ulmus Alba Bark, crushed), Jiu Zi (Allium Tuberosum Seed, lightly stir-fried, each 1 liang), Qumai (Dianthus Herb, 3 qian).
Yubaipi Tang (Ulmus Alba Decoction), treats Gao Lin.
Ingredients: Yupi (Ulmus Bark, washed, cut, and dried), Huangqin (Scutellaria Root, black heart removed), Qumaishui (Dianthus Flower Spike), Gancao (Licorice Root, roasted and crushed), Huashi (Talcum, crushed), Zexie (Alisma Rhizome, crushed), Chifuling (Red Poria, each 1 liang).
Huashi Tang (Talcum Decoction), treats Gao Lin characterized by turbid urine resembling fat.
Ingredients: Huashi (Talcum), Bai Fuling (White Poria), Baizhu (Atractylodes Macrocephala Rhizome), Mutong (Akebia Stem), Chi Shaoyao (Red Peony Root), Wuweizi (Schisandra Fruit, each 1 liang). Preparation: Crush and sieve the ingredients. Dosage: Take 3 qian per dose.
Chenxiang Wan (Sandalwood Pill), treats Gao Lin.
Ingredients: Chenxiang (Aquilaria Wood), Roushouyuong (Cistanche Stem), Huangqin (Scutellaria Root), Cishi (Magnetite, calcined and quenched in vinegar seven times), Qumaishui (Dianthus Flower Spike), Huashi (Talcum, each 1 liang). Preparation: Grind into fine powder, mix with refined honey to form pills. Specification: Size of Sophora japonica seeds.
Cheqianzi San (Plantago Seed Powder), sourced from *Shenghui Fang*, treats Gao Lin. Symptoms include dripping fatty fluid resembling gum, discharged together with urine.
Ingredients: Cheqianzi (Plantago Seed), Beichi (Concha Arcae, fired until red), Chifuling (Red Poria), Baizhu (Atractylodes Macrocephala Rhizome), Mutong (Akebia Stem, crushed), Chi Shaoyao (Red Peony Root, each 1 liang). Preparation: Grind into fine powder. Dosage: Take 2 qian before meals, mixed with rice water.
Formula for Thirsty Gao Lin, sourced from *Jingyan Liangfang*.
Ingredients: Xuanlian (Coptis Rhizome), Maidong (Ophiopogon Tuber, peeled, each 1 liang), Gualougen (Trichosanthes Root). Preparation: Grind into fine powder. Separately, take 1 liang of Maidong with heart removed, re-boil into a paste, and mix evenly with the aforementioned powder.
Lujiaoshuang Wan (Deer Antler Frost Pill), sourced from *Wei Shi Fang*, treats Gao Lin often caused by excessive worry and loss of spirit. The mind's residence is unsettled, turbid qi attacks upward, causing strangury and obstruction of urination, or urine appearing yellow, red, or white.
Ingredients: Lujiaoshuang (Deer Antler Frost), Bai Fuling (White Poria), Qushi (Mineral Salt, equal parts). Preparation: Grind into fine powder, use paste as binder to form pills size of Sophora japonica seeds. Dosage: Take 50 pills per dose, swallowed with millet soup.
Cishi Wan (Magnetite Pill), treats Gao Lin. Symptoms include urine turbid like gum.
Ingredients: Cishi (Magnetite, calcined and quenched in vinegar seven times), Roushouyuong (Cistanche Stem, wine-soaked), Zexie (Alisma Rhizome), Huashi (Talcum, each 1 liang). Preparation: Grind into fine powder, mix with refined honey to form pills size of Sophora japonica seeds.
Haijinsha San (Lygodium Spore Powder), sourced from *Ren Cun Fang*.
Ingredients: Huashi Mo (Talcum Powder, 1 liang), Gancao Mo (Licorice Powder, 1 fen). Preparation: Grind uniformly. Dosage: Take 2 qian of powder, mixed with Ophiopogon Decoction. Can also be taken with Dengxin Cao (Juncus Decoction).
Formula for Gao Lin with fullness below the umbilicus and inability to urinate smoothly, sourced from *Shenghui Fang*.
Ingredients: Yubaipi (Ulmus Alba Bark, 3 liang), Lifan (Oyster Shell Powder), Roushouyuong Mo (Cistanche Powder, each 2 liang). Preparation: Mix the two ingredients evenly. Add 3 large bowls of water, decoct Yubaipi to obtain 2 large bowls of liquid.
Another Formula, sourced from *Shenghui Fang*.
Usage: Burn sheep bones to ash, grind finely and sieve into powder. Take 2 qian before meals, mixed with Yubaipi Decoction.
Formula for Gao Lin with hematuria, and for postpartum women who experienced great joy, resulting in sweat staining clothes red, sourced from *Shenghui Fang*.
Usage: Take 2 sheng of juice from crushed [missing character] grass, mix with 2 he of vinegar. Drink on an empty stomach in one go. Urine should resemble mung bean juice. Alternatively, drink concentrated decoction; this also treats strangury with hematuria.
Formula for Gao Lin with urinary obstruction, upper jiao stagnation, dizziness, and discomfort. Suitable for this formula if there is heat in the upper jiao; do not use if no heat. Sourced from *Huming Fang*.
Ingredients: Chaihu (Bupleurum Root, remove sprouts), Zhimu (Anemarrhena Rhizome, remove heart), Beimu (Fritillaria Bulb, remove heart), Jiegeng (Platycodon Root), Shengma (Cimicifuga Rhizome), Mahuang (Ephedra Stem, remove roots), Ziwan (Aster Root, remove soil), Xingren (Apricot Seed, remove skin and tips). Preparation: Process ingredients and decoct in water.
Treatment for Gao Lin. Pathogenesis involves Lung Heat and Kidney Deficiency, loss of Yuan Qi, accumulation of sperm leakage forming strip-like masses, blocking the water passage, causing urinary obstruction and unbearable pain. Suitable for this formula.
Ingredients: Zhimu (Anemarrhena Rhizome), Shegan (Belamcanda Rhizome, remove soil), Chaihu (Bupleurum Root, remove sprouts), Tingli (Descurainia Seed, stir-fried between papers), Tongcao (Tetrapanax Pith), Huashi (Talcum), Shengma (Cimicifuga Rhizome, equal parts). Preparation: Pound finely and sieve into powder. Usage: Administer this powder.
Tusizi Wan (Dodder Seed Pill), sourced from *Zhinan Fang*, treats Gao Lin.
Ingredients: Tusizi (Dodder Seed, remove dust, wash with water, soak in wine, drain, coarsely pound, dry-roast), Sangpiaoxiao (Mantis Egg Case, roasted until scorched, each half liang), Zexie (Alisma Rhizome, 1 fen). Preparation: Grind into fine powder.