石膏火 ，同琥珀、滑石，乃石淋之要药，然须质壮初起者宜之。（《医通》）
蒲公英为治淋通品，诸家不言治淋，试之甚验。（《本草备要》）
渗泄诸方 阿胶汤，若血随小便出，每便辄痛，由心气
留热，搏于小肠。盖心主血，遇热即流散，渗于脬中。诊其心脉大散而数疾，谓之血淋，宜此阿胶汤。其下痛
不涩者，非热非淋，由惊气而乘心，心气散溢，血无所归，诊其脉濡弱。宜地榆饮子（方在后）。
猪苓 茯苓 泽泻 滑石 阿胶（各四分） 车前子（二分）
上为粗末，每服五钱，水二盏，煎至一盏，去滓温服，不以时。（《鸡峰》）（按∶此
方为血淋而设，然猪苓汤实为治淋第一方，故列之于首。）
通神散，治小便壅闭，脐下结硬，小便所壮如撒火，或变砂石淋。
白茯苓（三钱） 泽泻（三钱） 木猪苓（半两去黑皮） 白术（二钱） 滑石（五钱） 甘草（
二钱） 肉桂（一钱去粗皮）
上七味同为细末，每服二钱，沸汤调下，后多饮热水三两盏，多利小便效。（《圣效》）
二神散，治诸淋急痛。
黄色海金沙（七钱半） 滑石（半两）
上为细末，每服二钱半，多用灯心、木通、麦门冬草，新水煎，入蜜调下。（《直指》）（按∶此
本《幼幼》汉东王先生方，名如圣散，各一分，煎灯心汤调下。）《得效》
海金砂散，治膏淋，于本方加甘草，用麦门冬汤下。
硼砂散，治沙石淋急痛。
硼砂（细研） 琥珀 赤茯苓 蜀葵子 陈橘皮（不去白等分）
上末，每服二钱半，用葱头二片，去心麦门冬二十一粒，蜜二匙，新水煎取清汁调下。或绿豆水浸，和
皮研清汁调下。（《直指》）
沙石淋方。
黑豆（一百二十粒） 粉草（一寸生锉）
上以新水煎，乘热入滑石末一钱调和，空腹服。（《直指》）
凡大人小儿病砂石淋，及五种淋涩癃闭，并脐腹痛，益元散主之，以长流水调下。盖因热在膀胱，燥其
津液。（《治法杂论》）《袖珍》引张子和治卒淋痛，加茴香。《元戎》淋者加栀子。
秘方，治沙淋茎中痛，服此必待沙出乃安。
石首鱼脑骨（十个火 ） 滑石（二钱半） 琥珀（三分）
上为细末，每服一钱，空心煎木通汤调下。（《统旨》）
（按∶此方亦出《正传》，无琥珀。）
清利诸方 《短剧》地肤汤（按∶《千金》地肤子汤），疗下焦诸结热，小便赤黄，数起出少，
大痛或便血云云，诸淋服之即通方。
地肤草（三两（按∶《千金》作地肤子） 知母 猪苓（去皮） 瞿麦 黄芩 升麻 通草（各二
两） 海藻（一两） 葵子（一升） 枳实（二两炙）
上十味切，以水九升，煮取三升，分为三服。大小便皆闭者，加大黄三两。（《外台》）
五淋散，治肾气不足，膀胱有热，水道不通，淋沥不宣，出少起多，脐腹急痛，蓄作有时，劳倦
即发，或尿如豆汁，或如砂石。
山栀子仁（炒十四两） 淡竹叶（四两） 赤芍药 茯苓（去皮各半斤） 山茵陈（去根二两） 木
通（去节） 甘草（炙） 滑石（各四两）
上捣罗为末，每服三钱，水一盏，煎至八分，空心服。（《和剂》）（按∶原方用茯苓、当归、甘草、栀子、芍药
五味。又导赤丸与此相似。）
《方脉正宗》治五淋并赤白浊，木通、生地黄、海金沙各二钱，甘草、茯苓、黄连、黄芩各一钱，竹
叶五十片，灯心五十根，水煎服，临服时加白果汁十茶匙。（《汇言》）
龙胆泻肝汤，治肝经湿热，两拗肿痛，或腹中疼痛，或小便涩滞等证。
龙胆草（酒拌炒黄） 泽泻（各一钱） 车前子（炒） 木通 生地黄（酒拌） 当归（酒拌） 山
栀（炒） 黄芩（炒） 甘草（各五分）
上水煎服。（《准绳》）
内外蛀疳，身热小便涩滞，宜服小柴胡汤，加龙胆草、黄连、车前子。（《疮疡经验全书》）
内外蛀疳疮，并小便一切疾。
苍术（二钱） 黄柏（二钱） 秦艽（一钱） 滑石（二钱）
水煎服。如小便涩滞疼痛，加甘草节、蒲黄。（同上）
葛粉丸，治男女淋病疼痛，效速，勿轻忽之。
沙糖（《本草》云∶治心肺大肠热。） 葛粉
和丸如桐子大，井花水化开一二丸。（《纲目》）
泻下诸方（互见治血中）《广济》疗热淋方。
车前草（切一升） 通草（三两切） 葵根（切一升） 芒硝（六分汤成下）
上四味，以水七升，煮取二升，绞去滓，内硝，分温三服，服别相去如人行六七里，微利为度。忌热食。
（《外台》）
《灵菀方》治五种淋疾一劳淋、血淋、气淋、热淋、石淋，及小便不通至甚者，透格散。用硝石
一两，不夹泥土雪白者，生研为细末，每服二钱。诸淋各根据汤使如后∶劳淋，劳倦虚损则发，小便不出，小
腹急痛，葵子末煎汤下，通后便须服补虚丸散。（按∶以下诸淋，原举其证，概与《巢源》
同，仍节之。）血淋、热淋，并用冷水调下。气淋，木通煎汤温调。石淋，将药末先入铫内，隔纸炒至纸焦为
度，再研令细，用温水调下。小便不通，小麦汤下。卒患诸淋，并只以冷水调下，并空心先调使药消散
如水即服之，更以汤使送下。服诸药未效者，服此立愈。（《本草》）
朴硝散，治五淋。
朴硝 海金沙 皂角（烧存性）
上三味各等分为细末，沙糖井花水调下。（《经验良方》）治淋浊妙方，牙皂、滑石、竹叶、灯心、皮
硝（少许），热汤，露一宿，次早温眼。（《济世全书》）
治石淋及血淋，下砂石兼碎血片，小腹结痛闷绝，犀角散。
犀角屑 石韦 王不留行 滑石 蒲黄（以上各一两） 黄芩 大黄（各三分） 木通 葵子 赤
芍药（各一两半） 车前子（二两）
上为末，每服三钱，以水一中盏，煎至六分，去滓温服，以利为度。（《神巧》）
导赤丸，治心肾凝滞，膀胱有热，小便不通，风热相搏，淋沥不宣，或服补药过多，水道蹇涩，出
少起数，脐腹急痛，攻疰阴间。
山栀子仁（炒一十二两） 赤芍药 滑石 茯苓（去皮各四两） 生干地黄（焙） 木通（去节各
半斤） 大黄（炒十五两）
上为细末，炼蜜为丸，如梧桐子大，每服二十丸至三十丸，食后用温热水吞下。（《和剂》）（按∶
此以钱氏导赤散为原，其方用生地黄、甘草、木通，用竹叶水煎。）
治石淋，水道涩痛，频下砂石，宜服神效琥珀散方。
琥珀（半两） 磁石（半两烧酒淬七遍细研水飞过） 桂心（半两） 滑
石（半两） 葵子（半两） 川大黄（半两锉碎微炒） 腻粉（半两） 木通（半两锉） 木香（半两）
上件药捣细罗为散，每于食前，以葱白、灯心汤调下二钱。（《圣惠》）
郁金黄连丸（秘方）治心神炎上，肾水不升，致使水火不得相济，故火以炎上，水流下淋，膀胱受心火
所炽，而脬囊中积热，或癃闭不通，或遗泄不禁，或白浊如泔水，或膏淋如脓，或如栀子汁，或如砂石米
粒，或如粉糊相似者，俱热证，此药悉皆治之。
郁金 黄连（各一两） 黄芩 琥珀（研） 大黄（酒浸各二两） 滑石（四两） 黑牵牛（炒取末
二两） 白茯苓（四两）
上为末，水丸如梧桐子，每服五十丸，沸汤下，空心服。如用消导饮食降心火，可加沉香五钱。（《
袖珍》）
《简便方》治赤白浊淋，痛涩不通，大黄为末，每用六分，用鸡子一个，破顶入药，搅匀蒸熟，
空心食之，不过三服愈。（《汇言》）
治血诸方 治血淋及尿血，水道涩痛，郁金散方。
郁金（一两） 蘧麦（一两） 生干地黄（一两） 车前叶（一两） 滑石（一两） 川芒硝（一两）
上件药捣粗罗为散，每服四钱，以水一中盏，煎至六分，去滓温服，如人行十里再服，以瘥为度。（《圣惠》）
治淋血，热痛不可忍，大黄散方。
大黄（略蒸熟切焙二两） 乱发（烧灰，一两）
上二味捣罗为散，每服二钱匕，温热水调下，日三服。（《圣济》）
治淋血，用桃仁承气汤，空心服效。（《传信尤易方》）
犀角地黄汤，治小肠淋沥出血，疼痛难忍。余癸丑夏，尝
苦淋漓之疾，出血不已，得黄应明授此方，数服而愈。（《朱氏》）
治血淋，心烦，水道中涩痛，宜服此方。
生干地黄（二两） 郁金 蒲黄（各一两）
上件药捣细罗为散，每于食前，煎车前子叶汤，调下三钱。（《圣惠》）《幼幼》张涣
蒲黄散，治血淋，于本方去郁金，加冬葵子，水煎。
治卒淋沥，小便痛涩，当归散方。
当归 乱发灰（一分） 猪苓（三分） 海蛤（三分细研） 汉防己 甘遂（煨令黄） 蒲黄 赤芍药（各三分）
上件药捣细罗为散，煎木通、葱白汤调下一钱。（同上）
七宝散，若沙石自小便出，出辄欲死，此由故热伏留肠
间，与水液相搏结而成石，诊其脉散涩而无常度，谓之石淋。
琥珀 没药 乳香 蒲黄 百部根 桃胶 郁李仁（汤浸去皮研。入面少许研匀令干。入温水和作饼子。
焙为末。）
上各等分研匀，温酒调下一钱，腹空服仍先用引药。
好胡桃一个，烧存性。
上细研，酒一盏调服，移时服七宝散。（《鸡峰》）
地榆饮子，治小便凝涩。
新香附子 新地榆
上 咀，各浓煎汤一盏，先呷附子汤，次呷地榆汤，以尽为度，未知再服。（同上）
琥珀丸，治热淋疼痛。
琥珀（半两研） 乳香（半两研） 桃胶（半两研）
上拌研匀，糊为丸绿豆大，每服一二十丸，煎萱草汤下。（《小儿总微论》）
琥珀散，治五淋涩痛，小便有脓血出。
琥珀（研） 海金沙（研） 没药 蒲黄（研各一两）
上为细末，每服三钱，食前浓煎萱草根汤调下，日进二服。（《御药》）
木香灯草丸，治阴形中痛，小便涩滞，或浓溺不通。
木香 红花 灯草（以上各三两）
上件为细末，糯米粉酒打糊丸，如梧桐子大，每服七十丸，温酒送下，食前日进三服。（同上）
王尚书神效方，治血淋。
海螵蛸 生干地黄 赤茯苓（等分）
上为末，每服一钱，煎柏叶、车前草汤调下。（《经验良方》）
三生益元散，此治血淋之方也。
生柏叶 生藕节 生车前（各汁一杯） 益元散（三钱） 调服。（《方考》）
许（十八），血淋，尿管溺出而痛，脉沉实，形色苍黑，治从腑热。
芦荟 山栀 郁李仁 红花 当归 酒大黄 龙胆草 丹皮（《临证指南》）
小便不利，茎中痛欲死，牛膝饮方，亦疗妇人血结腹坚痛方。取牛膝一大把并叶，无多少，（按∶《本
草》引此有酒字）煮饮之，立愈验。（《肘后》）（按∶《外台》引《备急》云∶生牛膝一名牛唇，掘取根
煮服之立瘥。《肘后》同。）牛膝，治淋之圣药也。但虚人当用补剂，盐治之耳。（《纲目》）陈日华《经验
方》云∶方夷吾所编《集要方》，予刻之临汀。后在鄂渚，得九江守王南强书云∶老人久苦淋疾，百药不效，
偶见临汀《集要方》中用牛膝者，服之而愈。又叶朝议亲人患血淋，流下小便在盆内凝如 ，
久而有变如鼠形，但无足尔。百治不效，一村医用牛膝根煎浓汁，日饮五服，名地髓汤，虽未即愈，而血色
渐淡，久乃复旧。后十余年病又作，服之又瘥。（《本草纲目》）
《集验方》治五淋，苦杖不计多少为末，每服二钱，用饭饮下，不拘时候。（《本草》）（按∶虎杖
陈藏器《本草》云∶一名苦杖。）治妇人诸般淋，苦杖根俗呼为杜牛膝，多取净洗碎之，以一合，用水五盏，
煎一盏，去滓，用麝香、乳香少许研调下。鄞县武尉耿梦得，其内人患砂石淋者十三年矣，每漩痛楚不可忍，
溺器中小便，下砂石剥剥有声，百方不效，偶得此方啜之，一夕而愈，目所见也。（《本事》）
补肾诸方 菟丝子丸，若脂肥随便而下，策策而痛，由肾气虚衰，精液不收，气不禁固，诊其脉
散涩而微，谓之膏淋，宜此。
菟丝子（拣净水淘酒浸一宿乘润先捣为粗末焙） 桑螵蛸（二两） 泽泻（一分）
上为细末，炼蜜和丸，如梧桐子大，米饮下三十丸，空心。（《鸡峰》）
地黄鹿茸丸，治虚淋。（入桃胶煎亦得。）
熟地黄 赤芍药 当归 赤茯苓 桃胶（各一两） 鹿茸（半两） 血余（四两）
上为细末，白面糊和丸，如梧桐子大，每服二十丸，空心食前，温酒或灯草汤下。（同上）
鹿角霜丸，治膏淋，多因忧思失志，意舍不宁，浊气乾清，小便淋闭，或复黄赤白黯如
脂膏状，疲剧筋力，或伤寒湿，多有此证。
鹿角霜 白茯苓 秋石（各等分）
上为末，糊丸梧桐子大，每服五十丸，米汤下。（《三
因》）《直指》秋石丸，治浊气乾清，精散而成膏淋。于本
方去鹿角霜，加桑螵蛸、鹿角胶。《玉案》于本方加海金沙。
八味丸，治冷淋，小便秘涩，数起不通。（《得效》）
温通诸方 治冷淋，小腹气满，不得宣通，木香散方。
Dahuang Huo (calcined Gypsum) combined with Hupo (Amber) and Huashi (Talcum) is a key medicine for treating Shilin (Stone Lin, a type of strangury characterized by the passage of stones). However, it is only suitable for patients with strong constitution and early-stage disease. (*Yitong*)
Pugongying (Dandelion) is a common herb for treating Lin syndrome. Although various materia medica texts do not explicitly mention its efficacy in treating Lin, clinical practice proves it to be very effective. (*Bencao Bei Yao*)
**Formulas for Percolation and Drainage**
**Ejiao Tang (Donkey-Hide Gelatin Decoction)**: If blood appears in the urine and pain occurs with each urination, this is caused by heat lingering in the Heart Qi, clashing with the Small Intestine. Since the Heart governs Blood, when exposed to heat, the blood scatters and渗 (seeps) into the Pao (Bladder). If the Heart pulse is found to be large, scattered, and rapid, it is called Xuelin (Blood Lin), and this Ejiao Tang is appropriate. If there is pain in the lower abdomen but no astringency, it is neither Heat nor Lin; rather, it is caused by Shock Qi invading the Heart, causing Heart Qi to scatter and Blood to have no place to reside. The pulse would be found to be Ru (Soggy) and Ruo (Weak). In such cases, Diyú Yinzi (Sanguisorba Decoction) is appropriate (formula follows later).
Zhu Ling (Polyporus), Fuling (Poria), Zexie (Alisma), Huashi (Talcum) (each 4 fen), Cheqianzi (Plantago Seed) (2 fen).
Grind the above ingredients into a coarse powder. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, remove the dregs, and take warm. Administer at any time. (*Jifeng*) (Note: This formula is specifically designed for Xuelin. However, Zhuling Tang is actually the premier formula for treating Lin syndromes, so it is listed first.)
**Tongshen San (Divine Spirit Powder)**: Treats urinary obstruction and blockage, hardness and knotting below the umbilicus, burning sensation in urination as if scattering fire, or transformation into Shishilin (Stone Stone Lin).
Baifuling (White Poria) (3 qian), Zexie (Alisma) (3 qian), Mu Zhu Ling (Wild Polyporus) (0.5 liang, remove black skin), Baizhu (Atractylodes Macrocephala Rhizome) (2 qian), Huashi (Talcum) (5 qian), Gancao (Licorice Root) (2 qian), Rougui (Cinnamon Bark) (1 qian, remove rough bark).
Grind the above seven herbs into a fine powder. Take 2 qian per dose, mix with boiling water. Drink plenty of hot water afterwards (2-3 zhan); increased urination indicates efficacy. (*Shengxiao*)
**Ershen San (Two Divine Herbs Powder)**: Treats acute pain in various Lin syndromes.
Huangse Haijinsha (Yellow Golden Sand) (7.5 qian), Huashi (Talcum) (0.5 liang).
Grind into a fine powder. Take 2.5 qian per dose, decoct with Dengxin (Juncus Effusus), Mutong (Akebia Stem), and Maimendong (Ophiopogon Tuber) in fresh water, and take mixed with honey. (*Zhizhi*) (Note: This originates from the *Youyou Xinshu*, a formula by Mr. Wang Handong, originally named Rusheng San, taking equal parts, decocted in Dengxin water.) *Defa Ji*
**Haijinsha San (Golden Sand Powder)**: Treats Gaolin (Gauze/Chalky Lin). Add Gancao (Licorice Root) to this base formula, and administer with Maimendong Tang (Ophiopogon Decoction).
**Pengsha San (Borax Powder)**: Treats acute pain in Shashilin (Sand-Stone Lin).
Pengsha (Borax) (finely ground), Hupo (Amber), Chi Fuling (Red Poria), Shuhuaizi (Malva Seed), Chen Jupi (Aged Tangerine Peel, white pith retained) (equal parts).
Grind into powder. Take 2.5 qian per dose, decoct with 2 green onion heads, 21 grains of heart-extracted Maimendong (Ophiopogon Tuber), and 2 spoons of honey in fresh water to extract clear juice, then take mixed. Alternatively, soak in mung bean water, grind with the peel to extract clear juice, and take mixed. (*Zhizhi*)
**Formula for Shashilin (Sand-Stone Lin)**.
Heidou (Black Soybean) (120 grains), Fencǎo (Powdered Licorice) (1 cun, raw and chopped).
Decoct in fresh water. While hot, mix in 1 qian of Huashi (Talcum) powder. Take on an empty stomach. (*Zhizhi*)
For adults and children suffering from Shashilin, or the five types of Lin causing astringency and Longbi (urinary retention), accompanied by abdominal pain, Yiyuan San (Beneficial Element Powder) is the primary treatment, taken with long-flowing water. This is because heat in the Bladder has dried up the body fluids. (*Zhifa Zalun*) *Xiuozhen Fang* cites Zhang Zihe treating sudden Lin pain, adding Huixiang (Fennel). *Yuanrong* adds Zhizi (Gardenia) for Lin.
Secret Formula: Treats pain in the urethra from Sha Lin. Relief is achieved only after the sand is expelled.
Shishouyu Naogu (Fish Head Bone, calcined) (10 pieces), Huashi (Talcum) (2.5 qian), Hupo (Amber) (3 fen).
Grind into fine powder. Take 1 qian per dose, decoct Mutong (Akebia Stem) and take on an empty stomach. (*Tongzhi*)
(Note: This formula also appears in *Zhengchuan*, without Amber.)
**Formulas for Clearing and Purging**
*Duanju Fang*'s Difuk Tang (Note: *Qianjin Fang* calls it Difuzi Tang) treats various stagnant heats in the Lower Jiao, red and yellow urine, frequent small-volume urination, severe pain, or hematuria. It is a formula that unblocks all types of Lin upon ingestion.
Difucǎo (Kochia Herb) (3 liang, Note: *Qianjin Fang* uses Difuzi/Kochia Fruit), Zhimu (Anemarrhena Rhizome), Zhuling (Polyporus, remove skin), Qumai (Dianthus Herb), Huangqin (Scutellaria Root), Shengma (Cimicifuga Rhizome), Tongcao (Tetrapanax Pith) (each 2 liang), Haizao (Sargassum Thallus) (1 liang), Kuizi (Malva Seed) (1 sheng), Zhishi (Immature Bitter Orange) (2 liang, stir-fried).
Cut the above ten herbs. Decoct in 9 sheng of water until 3 sheng remain. Divide into three doses. If both stool and urine are blocked, add Dahuang (Rhubarb Root) 3 liang. (*Waitai Miyao*)
**Wulin San (Five Lin Powder)**: Treats insufficiency of Kidney Qi, Heat in the Bladder, obstruction of the Water Dao (Urinary Pathway), dribbling and incomplete voiding, small volume but frequent urination, urgent abdominal pain, episodic attacks triggered by fatigue, urine resembling bean curd dregs or sand/stones.
Shanzhiziren (Gardenia Seed, stir-fried) (14 liang), Danzhuye (Light Bamboo Leaf) (4 liang), Chishaoyao (Red Peony Root), Fuling (Poria, remove skin, each 0.5 jin), Shanyinchén (Artemisia Capillaris), Mutong (Akebia Stem, remove joints), Gancao (Licorice Root, stir-fried), Huashi (Talcum) (each 4 liang).
Pulverize and sieve into powder. Take 3 qian per dose, add 1 zhan of water, decoct until 0.8 zhan remains. Take on an empty stomach. (*Heji Ju Fang*) (Note: The original formula uses Fuling, Danggui, Gancao, Zhizi, Shaoyao – five herbs. Also, Daochi Wan is similar to this.)
*Fangmai Zhengzong* treats Wulin and Red/White Turbidity: Mutong (Akebia Stem), Sheng Dihuang (Rehmannia Root), Haijinsha (Golden Sand) each 2 qian; Gancao (Licorice Root), Fuling (Poria), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root) each 1 qian; 50 Zhu Ye (Bamboo Leaves), 50 Dengxin (Juncus Effusus). Decoct in water. Before taking, add 10 tea spoons of Bai Guo Juice (Ginkgo Nut Juice). (*Huiyan*)
**Longdan Xiegan Tang (Gentian Liver-Draining Decoction)**: Treats Damp-Heat in the Liver Meridian, swelling and pain of the genitals, abdominal pain, or astringent/difficult urination.
Longdancao (Gentiana Root, stir-fried with wine), Zexie (Alisma) (each 1 qian), Cheqianzi (Plantago Seed, stir-fried), Mutong (Akebia Stem), Sheng Dihuang (Rehmannia Root, soaked in wine), Danggui (Angelica Sinensis, soaked in wine), Shanzhi (Gardenia, stir-fried), Huangqin (Scutellaria Root, stir-fried), Gancao (Licorice Root) (each 5 fen).
Decoct in water and take. (*Zhunseng*)
For internal and external Zhu Gan (flesh-eating ulcers) with fever and astringent urination, Xiaochaihu Tang (Minor Bupleurum Decoction) is appropriate, added with Longdancao (Gentiana Root), Huanglian (Coptis Rhizome), and Cheqianzi (Plantago Seed). (*Chuayang Jingquan Quanshu*)
For internal and external Zhu Gan sores, and all urinary diseases.
Cangzhu (Atractylodes Rhizome) (2 qian), Huangbai (Phellodendron Bark) (2 qian), Qinjiao (Gentiana Macrophylla Rhizome) (1 qian), Huashi (Talcum) (2 qian).
Decoct in water. If urination is astringent and painful, add Gancaojie (Licorice Joint) and Puhuang (Lycopodium Spore). (Same source)
**Ge Fen Wan (Kudzu Starch Pill)**: Treats painful Lin in men and women, with rapid effect. Do not neglect it.
Shatang (Sugar) (*Bencao* states: treats Heat in Heart, Lungs, Large Intestine), Gefen (Kudzu Starch).
Mix into pills the size of Sophora seeds. Dissolve 1-2 pills in Jinghua Shui (well water drawn at dawn). (*Bencao Gangmu*)
**Formulas for Purging Downwards** (See also formulas for Blood disorders)
*Guangji Fang* treats Re Lin (Heat Lin).
Cheqiancao (Plantago Herb, chopped) (1 sheng), Tongcao (Tetrapanax Pith, chopped, 3 liang), Kuigen (Malva Root, chopped) (1 sheng), Mangxiao (Mirabilite) (6 fen, add when decoction is ready).
Decoct the above four herbs in 7 sheng of water until 2 sheng remain. Strain and remove dregs, add Mangxiao. Divide into three warm doses. Space doses apart by the time it takes to walk 6-7 li. Stop if mild diarrhea occurs. Avoid hot food. (*Waitai Miyao*)
*Lingwan Fang* treats the five types of Lin: Laolin (Fatigue Lin), Xuelin (Blood Lin), Qilin (Qi Lin), Relin (Heat Lin), Shilin (Stone Lin), and severe urinary obstruction, using Touge San (Penetrating Obstruction Powder). Use Xiaoshi (Niter) 1 liang, pure white without soil impurities, raw-ground to fine powder. Take 2 qian per dose. For different Lin types, use the following guiding liquids:
Laolin (Fatigue Lin): Triggered by fatigue and deficiency, inability to urinate, urgent lower abdominal pain. Take with Kui Zi (Malva Seed) decoction. After unblocking, must take Bu Xu (Tonify Deficiency) pills/powders. (Note: Symptoms described here generally match *Zhubing Yuanhou Lun*).
Xuelin (Blood Lin) and Relin (Heat Lin): Mix with cold water.
Qilin (Qi Lin): Warm mix with Mutong (Akebia Stem) decoction.
Shilin (Stone Lin): Stir-fry the powder in a pot over paper until the paper burns, re-grind finely, mix with warm water.
Urinary Obstruction: Take with Wheat decoction.
Sudden onset of various Lin: Mix with cold water. Take on an empty stomach first to dissipate the medication like water, then follow with decoction. If other medicines fail, this one brings immediate cure. (*Bencao*)
**Puxiao San (Saltpeter Powder)**: Treats Wulin (Five Lin).
Puxiao (Saltpeter), Haijinsha (Golden Sand), Zaojiao (Tamarisk Pod, burnt to retain nature).
Grind the above three herbs into equal parts fine powder. Take mixed with rock sugar and well water. (*Jingyan Liangfang*)
Wonderful formula for Lin and Turbidity: Ya Zao (Toothed Tamarisk), Huashi (Talcum), Zhuye (Bamboo Leaf), Dengxin (Juncus Effusus), Pixiao (Saltpeter, small amount). Place in hot water, leave exposed overnight. Warm and drink the next morning. (*Jishi Quanshu*)
Treats Shilin (Stone Lin) and Xuelin (Blood Lin), expelling sand/stones and broken blood clots, severe lower abdominal knotting pain and fainting, Xijiao San (Rhino Horn Powder).
Xijiao Xie (Rhino Horn chips), Shiwei (Pyrrosia Leaf), Wangbuliuxing (Vaccaria Seed), Huashi (Talcum), Puhuang (Lycopodium Spore) (each 1 liang), Huangqin (Scutellaria Root), Dahuang (Rhubarb Root) (each 3 fen), Mutong (Akebia Stem), Kuizi (Malva Seed), Chishaoyao (Red Peony Root) (each 1.5 liang), Cheqianzi (Plantago Seed) (2 liang).
Grind into powder. Take 3 qian per dose, decoct in 1 zhong zhan of water until 0.6 zhan remains. Strain and take warm. Stop when purgation occurs. (*Shenqiao*)
**Daochi Wan (Guide Out Red Pill)**: Treats stagnation of Heart and Kidney, Heat in the Bladder, urinary obstruction, Wind-Heat clashing, dribbling Lin, or excessive intake of tonics causing sluggish urinary pathways, small volume/frequent urination, urgent abdominal pain, radiating to the yin organs.
Shanzhiziren (Gardenia Seed, stir-fried) (12 liang), Chishaoyao (Red Peony Root), Huashi (Talcum), Fuling (Poria, remove skin, each 4 liang), Sheng Gan Dihuang (Raw Rehmannia Root, dried/baked), Mutong (Akebia Stem, remove joints, each 0.5 jin), Dahuang (Rhubarb Root, stir-fried) (15 liang).
Grind into fine powder. Make pills with refined honey, size of Sophora seeds. Take 20-30 pills per dose, swallow with warm water after meals. (*Heji Ju Fang*) (Note: Based on Qian Yi's Daochi San, which uses Sheng Dihuang, Gancao, Mutong, decocted with Zhu Ye/Water.)
Treats Shilin (Stone Lin), astringent/painful urinary pathway, frequent passage of sand/stones. Shenxiao Hupo San (Divine Efficacy Amber Powder) is appropriate.
Hupo (Amber) (0.5 liang), Cishi (Magnetite) (0.5 liang, calcined in wine 7 times, finely ground, water-floted), Guixin (Cinnamon Heart) (0.5 liang), Huashi (Talcum) (0.5 liang), Kuizi (Malva Seed) (0.5 liang), Chuan Dahuang (Rhubarb Root, chopped and lightly stir-fried) (0.5 liang), Nifen (Calomel) (0.5 liang), Mutong (Akebia Stem, chopped) (0.5 liang), Muxiang (Aucklandia Root) (0.5 liang).
Pulverize into powder. Take 2 qian before meals, mixed with Congbai (Green Onion White) and Dengxin (Juncus Effusus) decoction. (*Shenghui*)
**Yujin Huanglian Wan (Curcuma and Coptis Pill)** (Secret Formula): Treats Heart Fire flaring upward, Kidney Water failing to ascend, preventing mutual interaction of Water and Fire. Thus Fire flares up, Water flows down into Lin. Bladder is scorched by Heart Fire, accumulating Heat in the Pao (Bladder). Symptoms include Longbi (obstruction), involuntary leakage, White Turbidity like rice water, Gaolin (Chalky Lin) like pus, color like Gardenia juice, sand/stone grains, or paste-like consistency. All are Heat patterns, treated by this medicine.
Yujin (Curcuma), Huanglian (Coptis Rhizome) (each 1 liang), Huangqin (Scutellaria Root), Hupo (Amber, ground), Dahuang (Rhubarb Root, wine-soaked) (each 2 liang), Huashi (Talcum) (4 liang), Hei Qianniu (Black Morning Glory Seed, stir-fried, powder taken) (2 liang), Baifuling (White Poria) (4 liang).
Grind into powder. Make water pills size of Sophora seeds. Take 50 pills per dose, with boiling water, on an empty stomach. To aid digestion and descend Heart Fire, add Chenxiang (Aquilaria Wood) 5 qian. (*Xiuzhen Fang*)
*Bianjian Fang* treats Red/White Turbidity Lin, painful/astringent obstruction. Dahuang (Rhubarb Root) powder, 6 fen per dose. Crack one egg, insert powder, mix well, steam熟 (cook thoroughly). Eat on an empty stomach. Cure within 3 doses. (*Huiyan*)
**Formulas for Treating Blood**
Treats Xuelin (Blood Lin) and Hematuria, astringent/painful urinary pathway. Yujin San (Curcuma Powder).
Yujin (Curcuma) (1 liang), Qumai (Dianthus Herb) (1 liang), Sheng Gan Dihuang (Raw Rehmannia Root) (1 liang), Cheqianye (Plantago Leaf) (1 liang), Huashi (Talcum) (1 liang), Chuan Mangxiao (Mirabilite) (1 liang).
Coarsely grind into powder. Take 4 qian per dose, decoct in 1 zhong zhan of water until 0.6 zhan remains. Strain and take warm. Repeat after walking 10 li. Continue until cured. (*Shenghui*)
Treats Lin blood, unbearable heat and pain. Dahuang San (Rhubarb Powder).
Dahuang (Rhubarb Root, slightly steamed, cut, dried, 2 liang), Luankfa (Loose Hair, burnt to ash) (1 liang).
Grind into powder. Take 2 qian per dose, mixed with warm water. Three times daily. (*Shengji Zonglu*)
Treats Lin blood. Taoren Chengqi Tang (Peach Kernel and Magnolia Bark Decoction) taken on an empty stomach is effective. (*Chuanxin Youyi Fang*)
**Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction)**: Treats dribbling bleeding from the Small Intestine, unbearable pain. In the summer of Gui Chou year, I suffered from persistent dribbling and bleeding. Received this formula from Huang Yingming. Took several doses and was cured. (*Zhu Shi Ji Yan Fang*)
Treats Xuelin (Blood Lin), restlessness, astringent pain in the urinary tract.
Sheng Gan Dihuang (Raw Rehmannia Root) (2 liang), Yujin (Curcuma), Puhuang (Lycopodium Spore) (each 1 liang).
Finely grind into powder. Before meals, decoct Cheqianziye (Plantago Seed/Leaf) and take 3 qian mixed. (*Shenghui*) *Youyou Xinshu* Zhang Huan
**Puhuang San (Lycopodium Powder)**: Treats Xuelin (Blood Lin). Remove Yujin (Curcuma) from this base formula, add Dongkuizi (Winter Malva Seed), decoct in water.
Treats sudden Lin dribbling, painful/astringent urination. Danggui San (Angelica Powder).
Danggui (Angelica Sinensis), Luankfa Hui (Loose Hair Ash) (1 fen), Zhuling (Polyporus) (3 fen), Hai Ge (Clam Shell, finely ground) (3 fen), Han Fangji (Stephania Tetrandra), Gansui (Euphorbia Lathyris, baked until yellow), Puhuang (Lycopodium Spore), Chishaoyao (Red Peony Root) (each 3 fen).
Finely grind into powder. Decoct Mutong (Akebia Stem) and Congbai (Green Onion White), take 1 qian mixed. (Same source)
**Qibao San (Seven Treasures Powder)**: If sand/stones pass through urine, followed by near-death sensation, this is due to old heat lingering in the intestines, clashing with fluids to form stones. Pulse is scattered, astringent, and irregular. Called Shilin (Stone Lin).
Hupo (Amber), Moyao (Myrrh), Ruxiang (Frankincense), Puhuang (Lycopodium Spore), Baibu (Veratrum Root), Taojiao (Peach Gum), Yuliren (Prunus Armeniaca Seed, soaked in water, skin removed, ground; add little flour, grind evenly until dry; mix with warm water to make cakes, bake into powder).
Grind equal parts evenly. Take 1 qian mixed with warm wine, on an empty stomach. First use guiding medicine.
Good Walnut (1 piece), burnt to retain nature.
Grind finely, take mixed with 1 zhan of wine. After some time, take Qibao San. (*Jifeng*)
**Diyú Yinzi (Sanguisorba Decoction)**: Treats coagulated/astringent urination.
Xin Xiangfu (New Cyperus Rhizome), Xin Diyú (New Sanguisorba Root).
Chop. Decoct each strongly to 1 zhan. Drink Xiangfu Tang first, then Diyú Tang. Finish completely. If ineffective, repeat. (Same source)
**Hupo Wan (Amber Pill)**: Treats Re Lin (Heat Lin) pain.
Hupo (Amber, 0.5 liang, ground), Ruxiang (Frankincense, 0.5 liang, ground), Taojiao (Peach Gum, 0.5 liang, ground).
Mix and grind evenly. Make pills with paste, size of mung beans. Take 10-20 pills per dose, with Xuancao (Daylily) decoction. (*Xiao'er Zongwei Lun*)
**Hupo San (Amber Powder)**: Treats Wulin (Five Lin) astringent pain, pus and blood in urine.
Hupo (Amber, ground), Haijinsha (Golden Sand, ground), Moyao (Myrrh), Puhuang (Lycopodium Spore, ground) (each 1 liang).
Fine powder. Take 3 qian before meals, mixed with thickly decocted Xuancgen (Daylily Root) decoction. Twice daily. (*Yuyao*)
**Muxiang Dengcao Wan (Aucklandia and Juncus Pill)**: Treats pain in the Yin region, astringent urination, or thick urine obstruction.
Muxiang (Aucklandia Root), Honghua (Carthamus Flower), Dengcao (Juncus Effusus) (each 3 liang).
Fine powder. Make pills with glutinous rice flour and wine paste, size of Sophora seeds. Take 70 pills per dose, with warm wine. Before meals, three times daily. (Same source)
**Minister Wang's Divine Efficacy Formula**: Treats Xuelin (Blood Lin).
Haipiaoxiao (Cuttlefish Bone), Sheng Gan Dihuang (Raw Rehmannia Root), Chi Fuling (Red Poria) (equal parts).
Powder. Take 1 qian per dose, mixed with Baiye (Mulberry Leaf) and Cheqiancao (Plantago Herb) decoction. (*Jingyan Liangfang*)
**Sansheng Yiyuan San (Three Raw Ingredients Beneficial Element Powder)**: A formula for treating Xuelin (Blood Lin).
Sheng Baiye (Raw Mulberry Leaf), Sheng Oujie (Raw Lotus Node), Sheng Cheqian (Raw Plantago) (each 1 cup of juice), Yiyuan San (Beneficial Element Powder) (3 qian). Mix and take. (*Fangkao*)
Xu (18 years old), Xuelin (Blood Lin), pain in urethra during urination, pulse Chen (Deep) and Shi (Excess), complexion dark/black. Treatment focuses on Fu Organ Heat.
Luhui (Aloe), Shanzhi (Gardenia), Yuliren (Prunus Seed), Honghua (Carthamus Flower), Danggui (Angelica Sinensis), Jiu Dahuang (Wine-processed Rhubarb), Longdancao (Gentiana Root), Danpi (Moutan Cortex). (*Linzheng Zhinan*)
Urination difficult, excruciating pain in glans. Niuxi Yin (Achilles Vine Decoction) also treats women with Blood accumulation and hard abdominal pain. Take a large handful of Niuxi (Achilles Vine) including leaves, no fixed amount. (Note: *Bencao* cites this with "wine"). Boil and drink. Immediate cure verified. (*Zhouhou*) (Note: *Waitai* cites *Beiji* saying: Raw Niuxi, also called Niuchun, dig up roots and boil/take. Immediate cure. *Zhouhou* agrees.) Niuxi is the sacred herb for treating Lin. However, for deficient persons, use Tonifying formulas, treated with Salt. (*Bencao Gangmu*) Chen Rihua *Jingyan Fang* says: Fang Yiwu compiled *Jiyao Fang*, which I printed in Linting. Later in Ezhou, received letter from Wang Nanqiang, Prefect of Jiujiang: An elderly man suffered long-term Lin, ineffective with hundreds of medicines. Accidentally saw Niuxi in Linting *Jiyao Fang*, took it and was cured. Also, relative of Yichao Yi suffered Xuelin (Blood Lin), urine in basin congealed like blood clot, later changed shape like a rat (no feet). Hundreds of treatments failed. A village doctor used Niuxi root decocted to thick juice, 5 doses daily, named Disui Tang (Earth Marrow Decoction). Though not immediately cured, blood color faded gradually, eventually returned to normal. Disease recurred after 10+ years, took again and healed. (*Bencao Gangmu*)
*Jiyan Fang* treats Wulin (Five Lin). Kuzhang (Polygonum Multiflorum Stem/Huazhang) in any amount, ground to powder. Take 2 qian per dose, with rice drink. Any time. (*Bencao*) (Note: Huazhang, Chen Cangqi *Bencao* says: also known as Kuzhang.) Treats various Lin in women. Kuzhang root, commonly called Dunniumi (False Achillea), take clean washed and crushed amount (1 he), decoct in 5 zhan water until 1 zhan remains. Strain. Mix with small amount of Shexiang (Musk) and Ruxiang (Frankincense). Geng Mengde, Military Officer of Yin County, his wife suffered Shashilin (Sand-Stone Lin) for 13 years. Urination pain unbearable, sound of sand/stones in urinal. Hundred formulas failed. Accidentally got this formula, drank it, cured in one night. Witnessed with own eyes. (*Benshi*)
**Formulas for Tonifying Kidney**
**Tusizi Wan (Dodder Seed Pill)**: If fatty substance passes freely, with prickling pain, caused by Kidney Qi deficiency and decay, essence not retained, Qi unable to secure. Pulse is scattered, astringent, and weak. Called Gaolin (Chalky Lin). This formula is appropriate.
Tusizi (Dodder Seed, select, wash with clean water, soak in wine overnight, pound while moist into coarse powder, bake), Sangpiaoxiao (Mantis Egg-case) (2 liang), Zexie (Alisma) (1 fen).
Fine powder. Mix with refined honey, make pills size of Sophora seeds. Take 30 pills with Rice Drink, on an empty stomach. (*Jifeng*)
**Dihuang Lurong Wan (Rehmannia and Deer Antler Pill)**: Treats Xu Lin (Deficiency Lin). (Adding Taojiao/Peach Gum for decoction is also acceptable.)
Shu Dihuang (Prepared Rehmannia Root), Chishaoyao (Red Peony Root), Danggui (Angelica Sinensis), Chi Fuling (Red Poria), Taojiao (Peach Gum) (each 1 liang), Lurong (Deer Antler) (0.5 liang), Xuyu (Congealed Blood/Hair) (4 liang).
Fine powder. Mix with wheat paste, make pills size of Sophora seeds. Take 20 pills per dose, before meals/empty stomach, with warm wine or Dengcao (Juncus) decoction. (Same source)
**Lu Jiaoshuang Wan (Deer Antler Frost Pill)**: Treats Gaolin (Chalky Lin), often due to worry/thoughts disturbing the mind, turbid Qi interfering with Clear Yang, urinary Lin/obstruction, or recurrence of yellow/red/white/dark urine resembling fat/grease. Exhaustion of strength. Or Cold Damage with Dampness, often presents this pattern.
Lu Jiaoshuang (Deer Antler Frost), Baifuling (White Poria), Qiushi (Child’s Urine Salt) (equal parts).
Fine powder. Make pills with paste, size of Sophora seeds. Take 50 pills per dose, with Rice Soup. (*Sanyin*) *Zhizhi Fang* Qiushi Wan treats Turbid Qi interfering with Clear Yang, essence scattering into Gaolin. Remove Lu Jiaoshuang from this base formula, add Sangpiaoxiao (Mantis Egg-case) and Lujiao Jiao (Deer Antler Glue). *Yu An* adds Haijinsha (Golden Sand) to this base formula.
**Bawei Wan (Eight Ingredient Pill)**: Treats Leng Lin (Cold Lin), small urinary obstruction/astringency, frequent attempts without passage. (*Defa*)
**Formulas for Warming and Unblocking**
Treats Leng Lin (Cold Lin), fullness of Qi in lower abdomen, inability to diffuse/unblock. Muxiang San (Aucklandia Powder).