劳淋者,劳伤肾气,内生虚热,热传膀胱,气不施化,以致小便淋涩作痛。此证劳倦即
发,故谓之劳淋,其候小腹痛引茎中者是也。
菟丝子丸 治肾劳虚损,溲便不利,淋沥不已。
菟丝子(酒浸,别研) 人参 黄 芍药 滑石(各一两) 木通 车前(各一两) 黄芩
(三分) 冬葵子(一合,炒)
上为末,蜜丸梧子大,每服二十丸,食前温酒或盐汤下,日二。
白芍药丸 治劳淋,小腹痛,小便不利。
白芍药 熟地黄 当归 鹿茸(各一两)
上细末蜜丸,梧桐子大,每服三十丸,阿胶汤下。
血淋者,热在下焦,令人淋闭不通,热盛则搏于血脉,血得热而流溢,入于胞中,与溲
便俱下,故为血淋也。
白茅根汤
白茅根 芍药 木通 车前子(各三两) 滑石(碎) 黄芩(各一两半) 乱发(烧灰,半
两) 冬葵子(微炒,半两)
上八味捣筛,每服三钱,水煎温服,日三。
鸡苏散
鸡苏叶 竹叶(各二两) 滑石 木通(各五两) 小蓟根(一两) 生地黄(六两)
每服五钱,水煎温服不拘时,以利为度。
四汁饮
葡萄汁 生藕汁 生地汁 蜜五合
上俱取自然汁,与蜜和匀,每服七分一盏,银石器内慢火煎沸,温服不拘时。
瞿麦汤
治血淋、尿血。
烂滑石 赤芍 瞿麦穗 车前子(生) 赤茯苓 石韦(去毛) 桑白皮(炒) 阿胶(炒)
黄芩 生地黄(洗焙) 甘草(炙) 白茅根(等分)
上为细末,每服二钱,人发灰一钱,沸汤调下。
琥珀散
琥珀为细末,每服二钱,灯芯一握,脑荷少许,煎汤调下。
茅根饮子(张仲文方) 治胞络中虚热,小便赤淋,此心气虚而热气乘之也。
茅根(一升) 茯苓(三两) 人参 干地黄(各二两)
上四味,以水五升,煮取一升五合,分温五六服,一日服尽验。
又方(陶氏)
苎根十枚,水五升,煮取二升,一服血止神验。
《本事》火府丹 治心经蕴热,小便赤少,五淋塞痛。
生干地黄(二两) 黄芩(一两) 木通(三两)
上为末,炼蜜丸桐子大,每五十丸,灯心汤下。
新定
生地(三钱) 麦冬(二钱) 茅根(五钱) 竹叶(三钱) 滑石(二钱) 葵子(一钱) 川木
通(一钱) 黄芩(一钱)
上作一服,水煎服。虚人用缓,加甘草五分;实人用急,加川芒硝一钱。
牛膝膏 治死血作淋。
牛膝(四两,去芦,酒浸一宿) 桃仁(去皮,炒) 归尾(酒浸,各一两) 生地 赤芍(
各一两五钱) 川芎(五钱)
上锉片,用甜水十盅,炭火慢慢煎至二盅,入麝香少许,分作四次,空心服。
Lao Lin (Strain Strangury) results from strain damaging Kidney Qi, generating internal deficient heat. This heat transmits to the Bladder, impairing Qi transformation, leading to dribbling, astringency, and pain in urination. This condition manifests upon fatigue or overwork, hence the name Lao Lin; its symptoms include lower abdominal pain radiating to the glans penis.
Tusizi Wan (Cuscuta Pill): Treats Kidney strain with deficiency and damage, difficult urination, and persistent dribbling strangury.
Ingredients: Tusizi (Cuscutae Semen, soaked in wine, separately ground), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix Alba), Huashi (Talcum, each 1 liang); Mutong (Akebiae Caulis), Cheqian (Plantaginis Semen, each 1 liang); Huangqin (Scutellariae Radix, 3 fen); Dongkuizi (Malvae Semen, 1 he, stir-fried).
Preparation and Administration: Grind the above into powder, mix with honey to make pills the size of wu zi (wu berry). Take 20 pills per dose before meals, washed down with warm wine or salted water decoction, twice daily.
Baishaoyao Wan (White Peony Pill): Treats Lao Lin, lower abdominal pain, and difficult urination.
Ingredients: Baishaoyao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix), Lurong (Cervi Cornu Degelatinatum, each 1 liang).
Preparation and Administration: Grind finely, mix with honey to make pills the size of wu zi. Take 30 pills per dose, washed down with Ejiao (Donkey-hide Gelatin) decoction.
Xue Lin (Blood Strangury) is caused by heat in the Lower Jiao, leading to strangury and obstruction. When heat is excessive, it agitates the blood vessels; blood, heated, flows and overflows into the bladder (Paomedium), exiting together with urine, thus termed Xue Lin.
Baimaogen Tang (Imperata Decoction):
Ingredients: Baimaogen (Imperatae Rhizoma), Shaoyao (Paeoniae Radix), Mutong (Akebiae Caulis), Cheqianzi (Plantaginis Semen, each 3 liang); Huashi (Talcum, crushed), Huangqin (Scutellariae Radix, each 1.5 liang); Luankui (Human Hair Ash, half liang); Dongkuizi (Malvae Semen, slightly stir-fried, half liang).
Preparation and Administration: Pound and sieve the eight ingredients. Take 3 qian per dose, decoct in water and take warm, three times daily.
Jisu San (Mint Powder):
Ingredients: Jisu Ye (Menthae Haplocalycis Herba), Zhuye (Bambusae Folium, each 2 liang); Huashi (Talcum), Mutong (Akebiae Caulis, each 5 liang); Xiaoji Gen (Radix Cirsii Japonici, 1 liang); Shengdihuang (Rehmanniae Radix Recens, 6 liang).
Preparation and Administration: Take 5 qian per dose, decoct in water and take warm at any time, until urination becomes smooth.
Sizhi Yin (Four Juices Drink):
Ingredients: Putaozhi (Vitis Vinifera Juice), Sheng'ouzhizhi (Nymphaeae Nelumbinis Rhizoma Juice), Shengdijizhi (Rehmanniae Radix Recens Juice), Fengmi (Honey, 5 he).
Preparation and Administration: Extract natural juices from all ingredients, mix evenly with honey. Take one cup (7 qian), boil slowly in silver or earthenware vessel until boiling, take warm at any time.
Qumai Tang (Persicaria Decoction):
Indications: Xue Lin (Blood Strangury), Hematuria.
Ingredients: Lanshuishi (Talcum, weathered), Chishao (Paeoniae Radix Rubra), Qumaishui (Persicae Flos), Cheqianzi (Plantaginis Semen, raw), Chi Fuling (Poria with Red Hosta Root), Shiwei (Dewevreae Folium, de-hairied), Sangbaipi (Mori Cortex, stir-fried), Ejiao (Asini Corii Colla, stir-fried), Huangqin (Scutellariae Radix), Shengdihuang (Rehmanniae Radix Recens, washed and dried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Baimaogen (Imperatae Rhizoma, equal parts).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, add 1 qian of human hair ash, mix with boiling water and take.
Hupo San (Amber Powder):
Preparation and Administration: Grind Hupo (Electrum) into fine powder. Take 2 qian per dose, decoct Dengxin (Junci Medulla, one handful) and Naohé (Borneolum Syntheticum, a small amount) in water, mix with powder and take.
Maogen Yinzi (Imperata Infusion, Formula from Zhang Zhongwen): Treats deficient heat in the Bladder collaterals, red and painful dribbling strangury, caused by Heart Qi deficiency allowing heat to invade.
Ingredients: Maogen (Imperatae Rhizoma, 1 sheng), Fuling (Poria, 3 liang), Renshen (Ginseng Radix et Rhizoma), Ganyedi Huang (Rehmanniae Radix Preparata, each 2 liang).
Preparation and Administration: Add 5 sheng of water to the four ingredients, decoct to obtain 1.5 sheng. Divide into 5-6 doses, take warm, finish within one day for efficacy.
Another Formula (by Tao):
Ingredients: Zhu Gen (Bambusae Caulis, 10 pieces).
Preparation and Administration: Decoct in 5 sheng of water to obtain 2 sheng. Take once; stops bleeding with miraculous effect.
Huofu Dan (Fire Mansion Pill, from Ben Shi Fang): Treats latent heat in the Heart Meridian, red and scanty urine, and obstructive pain in the five types of strangury.
Ingredients: Shenggan Dihuang (Rehmanniae Radix Preparata, 2 liang), Huangqin (Scutellariae Radix, 1 liang), Mutong (Akebiae Caulis, 3 liang).
Preparation and Administration: Grind into powder, mix with refined honey to make pills the size of tung zi (tung nut). Take 50 pills per dose, washed down with Dengxin (Junci Medulla) decoction.
Newly Formulated Prescription:
Ingredients: Shengdi (Rehmanniae Radix Recens, 3 qian), Maidong (Ophiopogonis Tuber, 2 qian), Maogen (Imperatae Rhizoma, 5 qian), Zhuye (Bambusae Folium, 3 qian), Huashi (Talcum, 2 qian), Kuizi (Malvae Semen, 1 qian), Chuan Mutong (Akebiae Caulis, 1 qian), Huangqin (Scutellariae Radix, 1 qian).
Preparation and Administration: As one dose, decoct in water and take. For deficient persons, use a mild approach, add Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen); for excess persons, use an urgent approach, add Chuan Mangxiao (Natrii Sulfas, 1 qian).
Niuxi Gao (Achyranthes Paste): Treats strangury caused by dead blood (stasis).
Ingredients: Niuxi (Achyranthis Bidentatae Radix, 4 liang, remove root crown, soak in wine overnight), Taoren (Pruni Semen, remove skin, stir-fried), Guiwei (Angelicae Sinensis Radix cauda, soaked in wine, each 1 liang); Shengdi (Rehmanniae Radix Recens), Chishao (Paeoniae Radix Rubra, each 1.5 liang); Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 qian).
Preparation and Administration: Slice the ingredients, use 10 zhong of sweet water, slowly decoct over charcoal fire until reduced to 2 zhong. Add a small amount of Shexiang (Moschus). Divide into four doses, take on an empty stomach.