《金匮要略》曰∶淋之为病，小便如粟状，小腹弦急，痛引脐中，趺阳脉数，胃中有热，
即消谷引食，大便必坚，小便即数。淋家不可发汗，发汗则必便血。小便不利者，有
水气，其人苦渴，用后丸主之。
栝蒌瞿麦丸
栝蒌根（二两） 茯苓 薯蓣（各三两） 附子（一枚，炮） 瞿麦（一两）
上五味，末之，炼蜜丸，梧子大。饮服三丸，日三服，不知，增至七八丸。以小便
利，腹中温为知。
小便不利，蒲灰散主之。滑石白鱼散、茯苓戎盐汤并主之。
蒲灰散
蒲灰（一两七钱半） 滑石（三分）
上二味，杵为散，饮服方寸匕，日三服。
滑石白鱼散
滑石 乱发（烧存性） 白鱼（各五钱）
上三味，杵为散，饮服半钱匕，日三服。
茯苓戎盐汤
茯苓（半斤） 白术（二两） 戎盐（弹丸大一枚）
上三味
五芩散（见消瘅。）
〔热淋〕
益元散（见伤暑。）
火府丹（《本事》） 治心经蕴热，小便赤少，五淋涩痛。黄芩（一两） 生干地黄（二两） 木通（三两）
上为末，炼蜜丸，如桐子大。每服五十
丸，木通煎汤下。
导赤散 治心虚蕴热，小便赤淋，或成淋痛。（见发热。）
石韦散（《和剂》） 治肾气不足，膀胱有热，水道不通，淋沥不宣，出少起数，脐腹急痛，
蓄作有时，劳倦即发，或尿如豆汁，或便出砂石，并皆治之。
芍药 白术 滑石 葵子 瞿麦（各三两） 石韦（去毛） 木通（各二两） 当归（去芦） 甘草（炙）
王不留行（各一两）
上为细末，每服二钱，煎小麦汤调下，日二三服，空心。
地肤子汤（《济生》） 治诸病后体虚触热，热结下焦，遂成淋疾，小便赤涩，数起少出，
茎痛如刺，或尿出血。
地肤子 猪苓（各一钱半） 海藻（洗去咸） 甘草梢 瞿麦（去梗） 通草 黄芩 知母 枳实
（麸炒） 升麻 葵子（各一钱）
上作一服，水二盅，姜三片，煎一盅，不拘时服。
五淋散 治膀胱有热，水道不通，淋沥不止，脐腹急痛，或尿如豆汁，或如砂石，膏
淋尿血，并皆治之。
山茵陈 淡竹叶（各一钱） 木通 滑石 甘草（炙。各一钱半） 山栀仁（炒） 赤芍药 赤茯
苓（各二钱）
上作一服，水二盅，煎至一盅，食前服。
郁金黄连丸 治心火炎上，肾水不升，致使水火不得相济，故火独炎上，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，或如粉糊相似，俱为热证，此药治之。
郁金 黄连（各一两） 琥珀（研） 大黄（酒浸） 黄芩（各二两） 白茯苓 滑石（各四两） 黑牵
牛（炒，取头末，三两）
上为细末，滴水为丸，如梧桐子大。每服五十丸，空心白汤下。
琥珀茯苓丸 治膀胱经积热，以致小便癃闭淋沥。
琥珀（另研） 赤茯苓（去皮） 滑石（桂府者，另研） 知母（去毛） 黄柏（去粗皮） 蛤粉（另研） 川木
通（去皮） 当归 泽泻（各二两） 人参 赤芍药 山栀仁 黄连（去须） 大黄（蒸） 黄芩（去腐
）白术 瞿麦 蓄 猪苓（各一两） 木香（半两）
上为细末，入另研药研匀，滴水和丸，如桐子大。每服四十丸，清晨用温白汤送下。
榆白皮汤 治热淋，小腹胀满，数涩疼痛。
榆白皮 赤茯苓 甘遂（煨） 瞿麦 犀角屑 山栀子 木通 子芩 滑石（各半两） 川
芒硝（一两）
上为散，每服三钱，水一盏，煎至五分，去滓，食前温服。
瞿麦汤 治心经蕴热，小便淋涩赤痛。
瞿麦穗（七钱半） 冬瓜子 茅根（各半两） 黄芩（去黑心，六钱） 木通（二钱半） 竹叶（一把）
滑石（二两，研为细末，分作三帖） 葵子（二合）
上除滑石外，粗捣筛，分作三剂，每剂用水三盏，煎至二盏，去滓，入滑石末一帖
搅匀，食前分温服。
麦门冬散 治心热气壅，涩滞成淋，脐下妨闷。
麦门冬（去心） 木通 赤芍药 葵子（各一两） 滑石（二两） 川芒硝（一两半）
上为散，每服四钱，水一盏，生姜半分，葱白二茎，煎至六分，去滓，食前温服。
四汁饮 治热淋，小便赤涩疼痛。
葡萄（取自然汁） 生藕（取汁） 生地黄（取汁） 白蜜（各五合）
上和匀，每服七分一盏，银石器内慢火熬沸，不拘时，温服。
治热淋方
上用大田螺十五枚，以净水养，待田螺吐出泥，澄去上面清水，以底下浓泥，入腻
粉半钱，调涂脐上，尿立通。将田螺便放长江，如留田螺或杀，其病则不效。
又方 用白茅根切四斤，以水一斗五升，
煮取五升，服一升，日三夜二。又方，用泉水饮之。
〔气淋〕
瞿麦汤
瞿麦穗 黄连（去须） 大黄（蒸） 枳壳（去穣，麸炒） 当归（切，焙） 羌活（去芦） 木通 牵牛
延胡索 桔梗 大腹皮 射干（各一两半） 桂心（去粗皮，半两）
上 咀，每服四钱匕，水一盏半，生姜七片，煎至八分，去滓，有拘时，温服。
石韦散
石韦（去毛） 赤芍药（各半两） 白茅根 木通 瞿麦 川芒硝 葵子 木香（各一两） 滑石（二两）
上为 咀，每服四钱，水一盏，煎至六分，去滓，食前温服。
榆枝汤
榆枝（半两） 石燕子（三枚）
上捣筛，每服三钱匕，水一盏，煎至七分，不拘时，温服。
木香流气饮（见气。）
沉香散 治气淋，多因五内郁结，气不舒行，阴滞于阳，而致壅滞，小腹胀满，便
尿不通，大便分泄，小便方利。
沉香 石韦（去毛） 滑石 王不留行 当归（各半两） 葵子 白芍药（各七钱半） 甘草 橘
皮（各二钱半）
上为末，每服二钱，煎大麦汤下。
八物汤（虚劳。）
〔血淋〕
牛膝膏 治死血作淋。
桃仁（去皮，炒） 归尾（酒洗。各一两） 牛膝（四两，去芦，酒浸一宿） 赤芍药 生地黄（酒洗。各
一两五钱） 川芎（五钱）
俱锉片，用甜水十盅，炭火慢慢煎至二盅，入麝香少杵，分作四次，空心服。如夏
月，用凉水换，此膏不坏。
立效散 治小便淋闭作痛，有时尿血，下焦结热。
瞿麦穗 山栀子（炒） 甘草（各三钱）
上作一服，水二盅，煎至一盅，食前服。
小蓟饮子 柿蒂散 当归汤 羚羊角饮 鸡苏饮子 金黄散 神效方 发灰散（并见
溲血。）
车前草方 治小肠有热，血淋急痛。
上用生车前草洗净，臼内捣细，每服准一盏许，井水调，滤清汁，食前服。若沙石
淋，则以寒水石火 ，研为细末和之。
〔膏淋〕
鹿角霜丸（《三因》）
鹿角霜 白茯苓 秋石（各等分）
上为细末，糊丸如梧桐子大。每服五十丸，米饮下。
沉香散 治膏淋，脐下妨闷，不得快利。
沉香 陈皮（汤浸，去白，涪） 黄 （各七钱半） 瞿麦（三两） 榆白皮 韭子（炒） 滑石（各一两）
黄芩 甘草（炙。各半两）
上为细末，每服二钱，食前用清粥饮调服。
沉香丸
沉香 肉苁蓉（酒浸，切，焙） 荆芥穗 磁石（火 醋淬三七次） 黄 滑石（各一两）
上为细末，蜜丸如梧子大。每服三十丸，温酒送下。
磁石丸
泽泻 肉苁蓉（酒浸，切，焙） 磁石（火 醋淬三七次） 滑石（各一两）
制丸服法同上。
海金砂散
海金砂 滑石（各一两，为末） 甘草（二钱半，为末）
上研匀，每服二钱，食前煎麦门冬汤调服，灯芯汤亦可。
菟丝子丸
菟丝子（去尘土，水淘净，酒浸控干，蒸，捣，焙） 桑螵蛸（炙。各半两） 泽泻（二钱半）
上为细末，炼蜜丸，如桐子大。每服二十丸，空心清米饮送下。
大菟丝子丸（咳嗽。） 鹿茸丸（溲血。）
〔沙石淋〕
神效琥珀散 治石淋，水道涩痛，频下沙石。
琥珀 桂心 滑石 川大黄（微炒） 葵子 腻粉 木通 木香 磁石（火 酒淬七次，细研水飞。各半两）
上为细末，每服二钱，用灯芯，葱白汤调服。
如圣散 治沙淋。
马兰花 麦门冬（去心） 白茅根 车前子 甜葶苈 苦葶苈（炒） 檀香 连翘（各等分）
上为末，每服四钱，水煎服。如渴，加黄芩同煎，入烧盐少许服。
石燕丸（《三因》） 治石淋，因忧郁，气注下焦，结所食咸气而成，令人小便碜痛不可
忍，出沙石而后小便通。
石燕（火烧令通赤，水中淬三次，研极细水飞，焙干） 石韦（去毛） 瞿麦穗 滑石（各一两）
上为细末，面糊丸，梧桐子大。每服十丸，食前用瞿麦、灯芯煎汤送下，日二三服。
甚即以石韦去毛、瞿麦穗、木通各四钱，陈皮、茯苓各三钱，为末，每服三钱，以水一
盏，煎七分，去渣服。
独圣散 治沙石淋。
黄蜀葵（花子俱用，炒，一两）
上为细末，每服一钱匕，食前米饮调服。
〔劳淋〕
地黄丸 治肾虚劳，膀胱结淋沥。
生地黄（切，焙） 黄 （各一两半） 防风（去杈） 远志（甘草水煮，去心） 茯神（去木） 鹿茸（去毛，
酥炙） 黄芩（去黑心） 栝蒌（以上各一两） 人参（一两二钱半） 石韦（去毛） 当归（焙。各半两） 赤芍
药戎盐（研） 蒲黄 甘草（炙。各七钱半） 车前子 滑石（各二两）
上为细末，蜜丸如梧子大。每服二十丸，食前温酒下，盐汤亦可。
黄 汤 治肾虚变劳淋，结涩不利。
黄 （二两） 人参 五味子 白茯苓（去皮） 旱莲子 磁石（火 醋淬） 滑石（各一两） 桑白
皮（七钱半） 枳壳（去瓤，麸炒） 黄芩（各半两）
上捣筛，每服三钱匕，水一盏，煎七分，服无时。
白芍药丸 治劳淋，小腹疼痛，小便不利。
白芍药 熟地黄 当归 鹿茸（各一两）
上为细末，蜜丸如梧桐子大。每服三十丸，阿胶汤下。
〔冷淋〕
肉苁蓉丸
肉苁蓉（酒浸，切，焙） 熟地黄 山药 石斛（去根） 牛膝（酒浸，切，焙） 官桂（去粗皮） 槟榔
（各半两） 附子（炮，去皮脐） 黄 （各一两） 黄连（去须，七钱半） 细辛（去苗叶） 甘草（炙。各二钱半）
上为末，蜜丸梧子大。每服二十丸，盐酒下。
泽泻散 治冷淋，小便涩痛胀满。
泽泻 鸡苏 石韦（去毛，炙） 赤茯苓（去皮） 蒲黄 当归 琥珀（另研） 槟榔（各一两） 枳
壳（麸炒） 桑螵蛸（炒。各半两） 官桂（七钱半）
上为细末，每服二钱匕，用冬葵子煎汤调服，或木通汤亦可。
沉香散 治冷淋，脐下妨闷，小便疼痛不可忍。
沉香 石韦（去毛） 滑石 当归 王不留行 瞿麦（各半两） 葵子 赤芍药 白术（各七
钱半） 甘草（炙，二钱半）
上为细末，每服二钱，空心用大麦汤调服，以利为度。
槟榔散 治冷淋，腹胁胀满，小肠急痛。
槟榔 当归 木香（各半两） 母丁香 桂心（各二钱半） 龙脑（一钱，细研） 猪苓（一两，去黑皮）
为细末，每服一钱，不拘时，生姜、葱汤调服。
生附散 治冷淋，小便秘涩，数起不通，窍中疼痛，憎寒凛凛。多因饮水过度，或为
寒泣，心虚气耗，皆有此证。
附子（生用，去皮脐） 滑石（各半两） 瞿麦 半夏（汤洗七次） 木通（各七钱半）
上为末，每服二大钱，水二盏，生姜七片，灯芯二十茎，蜜半匙，煎七分，空心服。
地髓汤 治五淋，小便不利，茎中痛欲死。
牛膝一合，净洗，以水五盏，煎耗其四，留其一，去滓，加麝香少许研调服，无时。
八味丸（见虚劳。）
〔痛〕
参苓琥珀汤（《宝鉴》） 治小便淋沥，茎中痛不可忍，相引胁下痛。
人参（五分） 茯苓（四分） 琥珀 泽泻 柴胡 当归梢（各三分） 玄胡索（七分） 川楝子（去
核，炒） 甘草（生。各一钱）
上作一服，用长流水三盏，煎至一盏，食前服。
车前子散 治诸淋，小便痛不可忍。
车前子 淡竹叶 赤茯苓 荆芥穗（各二钱半） 灯芯（二十茎）
上作一服，新汲水二盅，煎至一盅，食前服。
二神散 治诸淋急痛。
海金砂（七钱） 滑石（五钱）
上为细末，每服二钱半，用灯芯、木通、麦门冬，新汲水煎，入蜜少许，食前调服。
海金砂散 治诸淋涩痛。
海金砂 肉桂 炙甘草（各二钱） 赤茯苓 猪苓 白术 芍药（各三钱） 泽泻（五钱） 滑
石（七钱） 石韦（一钱，去毛）
上为细末，每服三钱，水一盏，灯芯三十茎，同煎至七分，去滓，空心温服。
治淋痛方
滑石（四两） 茯苓 白术 贝母 通草 芍药（各二两）
上为末，酒调服方寸匕，日二服，十日瘥。
瞑眩膏 治诸淋疼痛不可忍，及砂石淋皆治。
上用大萝卜，切一指浓，四五片，以好白蜜二两浸少时，安净铁铲上，慢火炙干，再
蘸蜜再炙，反复炙令香软，不可焦，待蜜尽为度，候温细嚼，以盐汤一盏送下，立效。
治尿淋痛
The *Jingui Yaolue* states: In cases of Lin syndrome (a disease characterized by frequent, urgent, and painful urination with a sense of incomplete emptying), the urine resembles millet grains, the lower abdomen is tense and acute, and pain radiates to the umbilicus. The Fuyang pulse (pulse at the dorsum pedis, reflecting stomach Qi) is rapid, indicating heat in the stomach; this leads to quick digestion and increased appetite, hard stools, and frequent urination. Patients with chronic Lin should not be treated with diaphoresis (sweating methods); if sweating is induced, hematuria will inevitably occur. For those with difficult urination accompanied by water retention and severe thirst, the following pill is indicated.
Gualou Qumei Wan (Trichosanthes Root and Epimedium Pill)
Gualou Gen (Trichosanthis Radix, 2 liang), Fuling (Poria, 3 liang), Shuyu (Dioscoreae Rhizoma, i.e., Shan Yao, 3 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 piece, processed), Qumai (Dianthi Herba, 1 liang).
The above five herbs are powdered, mixed with refined honey, and formed into pills the size of wax tree seeds. Take 3 pills with water three times daily; if ineffective, increase gradually to 7–8 pills per dose. Recovery is indicated by free urination and warmth in the abdomen.
For difficult urination, Puhui San is indicated. Huashi Baiyu San and Fuling Rongyan Tang are also indicated for this condition.
Puhui San
Puhui (Typhae Pollinis Pulvis, 1 liang 7 qian 5 fen), Huashi (Talcum, 3 fen).
The above two herbs are pounded into powder. Take one fangcun bi (square-inch measure) with water three times daily.
Huashi Baiyu San
Huashi (Talcum), Luafa (Hominis Pilus Carbonisatus, hair burned but retaining efficacy), Baiyu (Pteridis Massae, fern rhizome, each 5 qian).
The above three herbs are pounded into powder. Take half a qianbi with water three times daily.
Fuling Rongyan Tang
Fuling (Poria, 0.5 jin), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Rongyan (Natrii Chloridum Rubrum, rock salt, size of a bullet).
(The decoction method is omitted in the original text but implied.)
Wuling San (See Xiaodao chapter.)
[Re Lin / Heat-Type Lin]
Yiyuan San (See Shangshu chapter.)
Huofu Dan (from *Benshi Fang*) treats latent heat in the Heart channel, red scanty urine, and painful obstruction in the five types of Lin. Huangqin (Scutellariae Radix, 1 liang), Sheng Gan Dihuang (Rehmanniae Radix Recens, 2 liang), Mutong (Akebiae Caulis, 3 liang).
Powder these herbs, mix with refined honey, and form pills the size of wax tree seeds. Take 50 pills per dose, washed down with a decoction of Mutong.
Daochi San treats deficiency-heat in the Heart, red dribbling urine, or painful Lin. (See Refa chapter.)
Shiwei San (from *Heji Jufang*) treats insufficient Kidney Qi, heat in the Bladder, obstructed urinary pathways, dribbling and incomplete voiding, scanty frequent urination, urgent pain in the umbilical and abdominal regions, periodic exacerbations triggered by fatigue, turbid urine resembling bean soup, or passage of sand and stones. All these conditions are treated by this formula. Shaoyao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Huashi (Talcum), Kuizi (Abutilonis Semen), Qumai (Dianthi Herba, each 3 liang), Shiwei (Pteridis Folium, de-haired), Mutong (Akebiae Caulis, each 2 liang), Danggui (Angelicae Sinensis Radix, radix removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Wangbuliuxing (Vaccariae Semen, each 1 liang).
Powder finely. Take 2 qian per dose, mixed with a wheat decoction, two to three times daily on an empty stomach.
Difuzi Tang (from *Jisheng Fang*) treats post-illness weakness combined with heat pathogen, heat knotting in the Lower Jiao resulting in Lin disease, red and astringent urine, frequent scanty voiding, stinging pain in the urethra, or hematuria. Difuzi (Kochiae Scopariae Herba), Zhuling (Polyporus, each 1 qian 5 fen), Haizao (Sargassum, washed to remove salinity), Gancao Shao (Glycyrrhizae Radix tip), Qumai (Dianthi Herba, stems removed), Tongcao (Akebiae Caulis), Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Zhishi (Aurantii Fructus, bran-fried), Shengma (Cimicifugae Rhizoma), Kuizi (Abutilonis Semen, each 1 qian).
This constitutes one dose. Decoct with 2 sheng of water and 3 slices of ginger until 1 sheng remains. Drink warm at any time.
Wulin San treats heat in the Bladder, obstructed urinary pathways, continuous dribbling, urgent abdominal pain, turbid urine like bean soup, sand-like sediment, Gao Lin (fatty Lin), and hematuria. All are treated by this formula. Shanyinchen (Artemisiae Capillaris Herba), Danzhuye (Lophatheri Herba, each 1 qian), Mutong (Akebiae Caulis), Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 qian 5 fen), Shanzhiren (Gardeniae Semen, fried), Chishaoyao (Paeoniae Radix Rubra), Chifuling (Poria with Red Core, each 2 qian).
One dose. Decoct with 2 sheng of water until 1 sheng remains. Take before meals.
Yujin Huanglian Wan treats flaming Heart fire failing to descend and Kidney water failing to ascend, preventing the mutual nourishment of Water and Fire. Thus, fire flares upward while water flows downward as Lin. The Bladder is scorched by Heart fire, leading to heat accumulation in the bladder sac, causing strangury or complete retention, involuntary leakage, white turbidity like rice water, purulent Gao Lin, yellow juice-like urine, sand/stones, or paste-like discharge. These are all heat patterns treated by this medicine. Yujin (Curcumae Radix), Huanglian (Coptidis Rhizoma, each 1 liang), Hupo (Electroplachi Carapax et Plastrum, ground), Dahuang (Rhei Radix et Rhizoma, wine-soaked), Huangqin (Scutellariae Radix, each 2 liang), Bai Fuling (Poria, 4 liang), Huashi (Talcum, 4 liang), Hei Qianniu ( Pharbitidis Semen Nigrum, fried, head powder only, 3 liang).
Powder finely, add water drop by drop to form pills the size of wax tree seeds. Take 50 pills per dose on an empty stomach with plain boiled water.
Hupo Fuling Wan treats accumulated heat in the Bladder channel causing strangury and dribbling. Hupo (Electroplachi Carapax et Plastrum, separately ground), Chifuling (Poria with Red Core, peeled), Huashi (Talcum from Guifu, separately ground), Zhimu (Anemarrhenae Rhizoma, de-haired), Huangbai (Phellodendri Cortex, rough bark removed), Hafan (Concha Arcae Pulvis, separately ground), Chuan Mutong (Akebiae Caulis, peeled), Danggui (Angelicae Sinensis Radix), Zexie (Alismatis Rhizoma, each 2 liang), Renshen (Ginseng Radix), Chishaoyao (Paeoniae Radix Rubra), Shanzhiren (Gardeniae Semen), Huanglian (Coptidis Rhizoma, mustache removed), Dahuang (Rhei Radix et Rhizoma, steamed), Huangqin (Scutellariae Radix, rotten parts removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Qumai (Dianthi Herba), Luba (Herba Siegesbeckiae), Zhuling (Polyporus, each 1 liang), Muxiang (Aucklandiae Radix, 0.5 liang).
Powder finely, mix with separately ground ingredients, add water to form pills the size of wax tree seeds. Take 40 pills in the early morning with warm plain water.
Yubai Pi Tang treats Re Lin, lower abdominal fullness, frequent astringent painful urination. Yubai Pi (Ulmus Cortex), Chifuling (Poria with Red Core), Gansui (Euphorbiae Kansui Radix, baked), Qumai (Dianthi Herba), Xijiao (Rhinocerotis Cornu, shaved), Shanzhizi (Gardeniae Fructus), Mutong (Akebiae Caulis), Ziqin (Scutellariae Radix), Huashi (Talcum, each 0.5 liang), Chuan Mangxiao (Natrii Sulfas, 1 liang).
Make into powder. Take 3 qian per dose, decoct with 1 sheng of water until 0.5 sheng remains. Strain and take warm before meals.
Qumai Tang treats latent heat in the Heart channel, astringent red painful urination. Qumai Sui (Dianthi Flos, 7 qian 5 fen), Dongguazi (Benincasae Semen), Maogen (Imperatae Rhizoma, each 0.5 liang), Huangqin (Scutellariae Radix, black heart removed, 6 qian), Mutong (Akebiae Caulis, 2 qian 5 fen), Zhuye (Bambusae Folium, 1 bundle), Huashi (Talcum, 2 liang, ground fine, divided into 3 portions), Kuizi (Abutilonis Semen, 2 he).
Except for Huashi, coarsely crush and sieve, dividing into 3 doses. Decoct each dose with 3 sheng of water until 2 sheng remain. Strain, add one portion of Huashi powder, stir well, and take warm in divided doses before meals.
Mendong San treats Heart heat qi stagnation, astringency leading to Lin, and oppression below the umbilicus. Mendong (Ophiopogonis Radix, heart removed), Mutong (Akebiae Caulis), Chishaoyao (Paeoniae Radix Rubra), Kuizi (Abutilonis Semen, each 1 liang), Huashi (Talcum, 2 liang), Chuan Mangxiao (Natrii Sulfas, 1.5 liang).
Make into powder. Take 4 qian per dose, decoct with 1 sheng of water, 0.5 fen of ginger, and 2 stalks of scallion white until 0.6 sheng remains. Strain and take warm before meals.
Sizhi Yin treats Re Lin, red astringent painful urination. Putao (Vitis Vinifera Fruit, natural juice), Sheng Ou (Nelumbinis Rhizoma, juice), Sheng Dihuang (Rehmanniae Radix Recens, juice), Baimi (Mel, each 5 he).
Mix evenly. Take 0.7 sheng per dose, boil slowly in silver or earthenware vessel until boiling. Drink warm at any time.
Formula for Treating Re Lin
Take 15 large river snails, raise in clean water until they expel mud. Clarify and discard the clear upper water; use the thick mud at the bottom. Mix with 0.5 qian of Nifen (Calomelas), apply to the umbilicus. Urine will flow immediately. Release the snails back into the Yangtze River; if kept or killed, the treatment will fail.
Another Formula: Cut 4 jin of Baimaogen (Imperatae Rhizoma), decoct with 1.5 dou of water until 5 sheng remain. Take 1 sheng per dose, three times daily and twice at night. Another method: drink spring water.
[Qi Lin / Qi-Type Lin]
Qumai Tang
Qumai Sui (Dianthi Flos), Huanglian (Coptidis Rhizoma, mustache removed), Dahuang (Rhei Radix et Rhizoma, steamed), Zhike (Aurantii Fructus, pulp removed, bran-fried), Danggui (Angelicae Sinensis Radix, sliced and dried), Qianghuo (Notopterygii Rhizoma et Radix, radix removed), Mutong (Akebiae Caulis), Qianniu (Pharbitidis Semen), Yanhusuo (Corydalis Rhizoma), Jiegeng (Platycodonis Radix), Dafupi (Arecae Pericarpium), Shegan (Belamcandae Rhizoma, each 1.5 liang), Guixin (Cinnamomi Ramulus, rough bark removed, 0.5 liang).
Cut into small pieces. Take 4 qianbi per dose, decoct with 1.5 sheng of water and 7 slices of ginger until 0.8 sheng remains. Strain and take warm at any time.
Shiwei San
Shiwei (Pteridis Folium, de-haired), Chishaoyao (Paeoniae Radix Rubra, each 0.5 liang), Baimaogen (Imperatae Rhizoma), Mutong (Akebiae Caulis), Qumai (Dianthi Herba), Chuan Mangxiao (Natrii Sulfas), Kuizi (Abutilonis Semen), Muxiang (Aucklandiae Radix, each 1 liang), Huashi (Talcum, 2 liang).
Cut into small pieces. Take 4 qian per dose, decoct with 1 sheng of water until 0.6 sheng remains. Strain and take warm before meals.
Yuzhi Tang
Yuzhi (Ulmi Ramulus, 0.5 liang), Shiyanzi (Petreidae Concha, 3 pieces).
Crush and sieve. Take 3 qianbi per dose, decoct with 1 sheng of water until 0.7 sheng remains. Drink warm at any time.
Muxiang Liuqi Yin (See Qi disease chapter.)
Chenxiang San treats Qi Lin, often caused by internal organ stagnation and unsmooth Qi movement, where Yin stagnates blocking Yang, leading to obstruction, lower abdominal fullness, and difficulty in urination and defecation; urination becomes smooth only after defecation. Chenxiang (Aquilariae Lignum Resinatum), Shiwei (Pteridis Folium, de-haired), Huashi (Talcum), Wangbuliuxing (Vaccariae Semen), Danggui (Angelicae Sinensis Radix, each 0.5 liang), Kuizi (Abutilonis Semen), Baishaoyao (Paeoniae Radix Alba, each 7 qian 5 fen), Gancao (Glycyrrhizae Radix et Rhizoma), Jupi (Citri Reticulatae Pericarpium, each 2 qian 5 fen).
Powder finely. Take 2 qian per dose, washed down with a barley decoction.
Bayi Tang (See Xulao chapter.)
[Xue Lin / Blood-Type Lin]
Niuxi Gao treats stagnant blood causing Lin. Taoren (Persicae Semen, peeled and fried), Guiwei (Angelicae Sinensis Radix tail, wine-washed, each 1 liang), Niuxi (Achyranthis Bidentatae Radix, 4 liang, radix removed, wine-soaked overnight), Chishaoyao (Paeoniae Radix Rubra), Sheng Dihuang (Rehmanniae Radix Recens, wine-washed, each 1.5 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 qian).
All cut into slices. Decoct with 10 sheng of sweet water over charcoal fire until 2 sheng remain. Add a little Moshe (Muscus), pound uniformly, divide into four doses, take on an empty stomach. In summer, keep cool with cold water to prevent spoilage.
Lixiao San treats painful strangury and retention, occasional hematuria, and Lower Jiao heat knotting. Qumai Sui (Dianthi Flos), Shanzhizi (Gardeniae Fructus, fried), Gancao (Glycyrrhizae Radix et Rhizoma, each 3 qian).
One dose. Decoct with 2 sheng of water until 1 sheng remains. Take before meals.
Xiaoji Yinzi, Shidi San, Danggui Tang, Lingyangjiao Yin, Jisu Yinzi, Jinhuang San, Shenxiao Fang, Fahui San (All see Soushou chapter.)
Cheqiancao Fang treats Small Intestine heat causing urgent painful Xue Lin. Wash fresh Cheqiancao (Plantaginis Herba), pound finely in a mortar. Take approximately 1 sheng per dose, mix with well water, filter the clear juice, and take before meals. For Shashi Lin, calcinate Hanshui Shi (Halloysitum Rubrum), grind fine, and mix.
[Gao Lin / Fatty-Type Lin]
Lujiao Shuang Wan (from *Sanyin Fang*)
Lujiao Shuang (Cornu Cervi Pantotrichum Preparatum), Bai Fuling (Poria), Qiushi (Lacunae Urinae Coagulatum, equal parts).
Powder finely, make pills with rice paste the size of wax tree seeds. Take 50 pills per dose with rice drink.
Chenxiang San treats Gao Lin, oppression below the umbilicus, inability to pass urine smoothly. Chenxiang (Aquilariae Lignum Resinatum), Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, Fuzhou origin), Huangqi (Astragali Radix, each 7 qian 5 fen), Qumai (Dianthi Herba, 3 liang), Yubai Pi (Ulmus Cortex), Jiu Zi (Allii Tuberosi Semen, fried), Huashi (Talcum, each 1 liang), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 0.5 liang).
Powder finely. Take 2 qian per dose before meals, mixed with thin porridge drink.
Chenxiang Wan
Chenxiang (Aquilariae Lignum Resinatum), Roucongrong (Cynomorii Herba, wine-soaked, sliced, dried), Jingjie Sui (Schizonepetae Spica), Cishi (Hematitum, calcined and quenched in vinegar 3–7 times), Huangqi (Astragali Radix), Huashi (Talcum, each 1 liang).
Powder finely, make honey pills the size of wax tree seeds. Take 30 pills per dose with warm wine.
Cishi Wan
Zexie (Alismatis Rhizoma), Roucongrong (Cynomorii Herba, wine-soaked, sliced, dried), Cishi (Hematitum, calcined and quenched in vinegar 3–7 times), Huashi (Talcum, each 1 liang).
Preparation and administration same as above.
Haijinsha San
Haijinsha (Lygodii Spora), Huashi (Talcum, each 1 liang, powdered), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian 5 fen, powdered).
Grind uniformly. Take 2 qian per dose before meals, mixed with Ophiopogon decoction; Dengxin Tang (Junci Medulla decoction) is also acceptable.
Tusizi Wan
Tusizi (Cuscutae Semen, cleaned of dust, washed, wine-soaked, drained, steamed, pounded, dried), Sangpiaoxiao (Mantidis Oötheca, roasted, each 0.5 liang), Zexie (Alismatis Rhizoma, 2 qian 5 fen).
Powder finely, make honey pills the size of wax tree seeds. Take 20 pills per dose on an empty stomach with clear rice drink.
Da Tusizi Wan (See Ke Sou chapter.) Lurong Wan (See Soushou chapter.)
[Shashi Lin / Stone-Type Lin]
Shenxiao Hupo San treats Shi Lin, astringent painful urinary pathways, frequent passage of sand and stones. Hupo (Electroplachi Carapax et Plastrum), Guixin (Cinnamomi Ramulus), Huashi (Talcum), Chuan Dahuang (Rhei Radix et Rhizoma, slightly fried), Kuizi (Abutilonis Semen), Nifen (Calomelas), Mutong (Akebiae Caulis), Muxiang (Aucklandiae Radix), Cishi (Hematitum, calcined and quenched in wine 7 times, finely ground and floated in water, each 0.5 liang).
Powder finely. Take 2 qian per dose, mixed with Dengxin and Scallion White decoction.
Rusheng San treats Sha Lin. Malanhua (Iris Tectorii Flos), Mendong (Ophiopogonis Radix, heart removed), Baimaogen (Imperatae Rhizoma), Cheqianzi (Plantaginis Semen), Tian Tingli (Descurainiae Semen, sweet), Ku Tingli (Descurainiae Semen, bitter, fried), Tanxiang (Santalum Album Lignum), Lianqiao (Forsythiae Fructus, equal parts).
Powder finely. Take 4 qian per dose, decoct with water. If thirsty, add Huangqin and decoct together, take with a little burnt salt.
Shiyan Wan (from *Sanyin Fang*) treats Shi Lin caused by depression, Qi sinking to the Lower Jiao, and accumulation of salty food flavors, causing unbearable gritty painful urination until sand/stones are passed. Shiyan (Petreidae Concha, fired until red, quenched in water 3 times, ground extremely fine and floated, dried), Shiwei (Pteridis Folium, de-haired), Qumai Sui (Dianthi Flos), Huashi (Talcum, each 1 liang).
Powder finely, make pills with flour paste the size of wax tree seeds. Take 10 pills per dose before meals, washed down with Qumai and Dengxin decoction, two to three times daily.
If severe, use Shiwei (de-haired), Qumai Sui, Mutong (each 4 qian), Chenpi, Fuling (each 3 qian), powder them. Take 3 qian per dose, decoct with 1 sheng of water until 0.7 sheng remains, strain and take.
Dusheng San treats Shashi Lin. Huang Shukui (Malvae Verticillatae Flos et Semen, both used, fried, 1 liang).
Powder finely. Take 1 qianbi per dose before meals, mixed with rice drink.
[Lao Lin / Fatigue-Type Lin]
Dihuang Wan treats Kidney deficiency fatigue, Bladder knotting causing dribbling. Sheng Dihuang (Rehmanniae Radix Recens, sliced, dried), Huangqi (Astragali Radix, each 1.5 liang), Fangfeng (Saposhnikoviae Radix, branches removed), Yuanzhi (Polygalae Radix, boiled in Licorice water, heart removed), Fushen (Poria with Pine Root, wood removed), Lurong (Cornu Cervi Pantotrichum, hair removed, roasted in butter), Huangqin (Scutellariae Radix, black heart removed), Gualou (Trichosanthis Radix, each 1 liang above), Renshen (Ginseng Radix, 1.25 liang), Shiwei (Pteridis Folium, de-haired), Danggui (Angelicae Sinensis Radix, dried, each 0.5 liang), Chishaoyao (Paeoniae Radix Rubra), Rongyan (Natrii Chloridum Rubrum, ground), Puhuang (Typpae Pollinis), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 7 qian 5 fen), Cheqianzi (Plantaginis Semen), Huashi (Talcum, each 2 liang).
Powder finely, make honey pills the size of wax tree seeds. Take 20 pills per dose before meals with warm wine; salt water is also acceptable.
Huangqi Tang treats Kidney deficiency transforming into Lao Lin, knotting and astringency without smooth flow. Huangqi (Astragali Radix, 2 liang), Renshen (Ginseng Radix), Wuweizi (Schisandrae Fructus), Bai Fuling (Poria, peeled), Hanlian Zi (Ecliptae Fructus), Cishi (Hematitum, calcined and quenched in vinegar), Huashi (Talcum, each 1 liang), Sangbaipi (Mori Cortex, 7 qian 5 fen), Zhike (Aurantii Fructus, pulp removed, bran-fried), Huangqin (Scutellariae Radix, each 0.5 liang).
Crush and sieve. Take 3 qianbi per dose, decoct with 1 sheng of water until 0.7 sheng remains. Take at any time.
Baishaoyao Wan treats Lao Lin, lower abdominal pain, difficult urination. Baishaoyao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix), Lurong (Cornu Cervi Pantotrichum, each 1 liang).
Powder finely, make honey pills the size of wax tree seeds. Take 30 pills per dose with Ejiao decoction.
[Leng Lin / Cold-Type Lin]
Roucongrong Wan
Roucongrong (Cynomorii Herba, wine-soaked, sliced, dried), Shudihuang (Rehmanniae Radix Preparata), Shanyao (Dioscoreae Rhizoma), Shihu (Dendrobii Caulis, roots removed), Niuxi (Achyranthis Bidentatae Radix, wine-soaked, sliced, dried), Guanzi Gui (Cinnamomi Cortex, rough bark removed), Binglang (Arecae Semen, each 0.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, skin and navel removed), Huangqi (Astragali Radix, each 1 liang), Huanglian (Coptidis Rhizoma, mustache removed, 7 qian 5 fen), Xixin (Asari Radix et Rhizoma, leaves and stems removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 2 qian 5 fen).
Powder finely, make honey pills the size of wax tree seeds. Take 20 pills per dose with salt wine.
Zexie San treats Leng Lin, astringent painful distending urination. Zexie (Alismatis Rhizoma), Jisu (Elsholtziae Herba), Shiwei (Pteridis Folium, de-haired, roasted), Chifuling (Poria with Red Core, peeled), Puhuang (Typpae Pollinis), Danggui (Angelicae Sinensis Radix), Hupo (Electroplachi Carapax et Plastrum, separately ground), Binglang (Arecae Semen, each 1 liang), Zhike (Aurantii Fructus, bran-fried), Sangpiaoxiao (Mantidis Oötheca, roasted, each 0.5 liang), Guanzi Gui (Cinnamomi Cortex, 7 qian 5 fen).
Powder finely. Take 2 qianbi per dose, mixed with Dongkuizi (Malvae Semen) decoction; Mutong decoction is also acceptable.
Chenxiang San treats Leng Lin, oppression below the umbilicus, unbearable painful urination. Chenxiang (Aquilariae Lignum Resinatum), Shiwei (Pteridis Folium, de-haired), Huashi (Talcum), Danggui (Angelicae Sinensis Radix), Wangbuliuxing (Vaccariae Semen), Qumai (Dianthi Herba, each 0.5 liang), Kuizi (Abutilonis Semen), Chishaoyao (Paeoniae Radix Rubra), Baizhu (Atractylodis Macrocephalae Rhizoma, each 7 qian 5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 qian 5 fen).
Powder finely. Take 2 qian per dose on an empty stomach, mixed with barley decoction, until relief is achieved.
Binglang San treats Leng Lin, abdominal and hypochondriac distension, urgent Small Intestine pain. Binglang (Arecae Semen), Danggui (Angelicae Sinensis Radix), Muxiang (Aucklandiae Radix, each 0.5 liang), Mudingxiang (Syzygii Aromatici Flos), Guixin (Cinnamomi Ramulus, each 2 qian 5 fen), Longnao (Borneolum Syntheticum, 1 qian, finely ground), Zhuling (Polyporus, 1 liang, black skin removed).
Powder finely. Take 1 qian per dose at any time, mixed with Ginger and Scallion decoction.
Shengfu San treats Leng Lin, difficult and infrequent urination despite frequency, pain in the orifice, aversion to cold and trembling. Often caused by excessive water intake, cold condensation, Heart deficiency, or Qi exhaustion. Sheng Fuzi (Aconiti Lateralis Radix, raw, skin and navel removed), Huashi (Talcum, each 0.5 liang), Qumai (Dianthi Herba), Banxia (Pinelliae Rhizoma, washed seven times in hot water), Mutong (Akebiae Caulis, each 7 qian 5 fen).
Powder finely. Take 2 large qian per dose, decoct with 2 sheng of water, 7 slices of ginger, 20 stalks of Dengxin, and half a spoon of honey until 0.7 sheng remains. Take on an empty stomach.
Disui Tang treats the five types of Lin, difficult urination, excruciating urethral pain. Niuxi (Achyranthis Bidentatae Radix, 1 he, washed clean), decoct with 5 sheng of water until 4 are consumed and 1 remains. Strain, add a little Mushe (Muscus), grind and mix. Take at any time.
Bawei Wan (See Xulao chapter.)
[Tong Lin / Painful Lin]
Shenling Hupo Tang (from *Baojian*) treats dribbling urination, unbearable urethral pain radiating to hypochondriac pain. Renshen (Ginseng Radix, 5 fen), Fuling (Poria, 4 fen), Hupo (Electroplachi Carapax et Plastrum), Zexie (Alismatis Rhizoma), Chaihu (Bupleuri Radix), Danggui Shao (Angelicae Sinensis Radix tip, each 3 fen), Xuanshen (Scrophulariae Radix, 7 fen), Chuan Lianzi (Toosendan Fructus, kernel removed, fried), Gancao (Glycyrrhizae Radix et Rhizoma, raw, each 1 qian).
One dose. Decoct with 3 sheng of flowing water until 1 sheng remains. Take before meals.
Cheqianzi San treats various Lin syndromes, unbearable painful urination. Cheqianzi (Plantaginis Semen), Danzhuye (Lophatheri Herba), Chifuling (Poria with Red Core), Jingjie Sui (Schizonepetae Spica, each 2 qian 5 fen), Dengxin (Junci Medulla, 20 stalks).
One dose. Decoct with 2 sheng of fresh well water until 1 sheng remains. Take before meals.
Ershen San treats acute pain in various Lin syndromes. Haijinsha (Lygodii Spora, 7 qian), Huashi (Talcum, 5 qian).
Powder finely. Take 2 qian 5 fen per dose, decoct with Dengxin, Mutong, Mendong, and fresh well water, add a little honey, and take before meals.
Haijinsha San treats astringent pain in various Lin syndromes. Haijinsha (Lygodii Spora), Rougui (Cinnamomi Cortex), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 2 qian), Chifuling (Poria with Red Core), Zhuling (Polyporus), Baizhu (Atractylodis Macrocephalae Rhizoma), Shaoyao (Paeoniae Radix, each 3 qian), Zexie (Alismatis Rhizoma, 5 qian), Huashi (Talcum, 7 qian), Shiwei (Pteridis Folium, 1 qian, de-haired).
Powder finely. Take 3 qian per dose, decoct with 1 sheng of water and 30 stalks of Dengxin until 0.7 sheng remains. Strain and take warm on an empty stomach.
Formula for Treating Lin Pain
Huashi (Talcum, 4 liang), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Beimu (Fritillariae Cirrhosae Bulbus), Tongcao (Akebiae Caulis), Shaoyao (Paeoniae Radix, each 2 liang).
Powder finely. Take one fangcun bi mixed with wine, twice daily. Cure in ten days.
Mianxuan Gao treats unbearable pain in various Lin syndromes and Shashi Lin. Take a large radish, slice 1 finger-thick, 4–5 slices. Soak in 2 liang of good white honey briefly. Place on a clean iron spatula, roast slowly over low fire until dry, dip in honey again, and roast repeatedly until fragrant and soft, avoiding burning. Continue until honey is exhausted. Chew finely when warm, wash down with 1 sheng of salt water. Immediate effect.
Formula for Treating Urinary Lin Pain