沙石淋者，膀胱结热，水液燥聚，有如沙石，随溺而出，其大者留碍水道，痛引小腹，
令人闷绝也。
人参散方
人参 通草 青盐（研） 海金砂（别研，各一钱） 莎草根（炒去毛，半两）
上为散，合研匀，每服二钱，空心米饮下。
海金沙散
海金沙 滑石 石膏 木通 井泉石（碎） 甘草（炙）
上六味等分为散，煎灯心汤调下二钱，不拘时。
鳖甲散
鳖甲烧存性，捣罗为散，每服三钱，空心温酒调下。
茅根汤
茅根（细切，一斤） 葛花（为末，一两） 露蜂房（为末，二两）
上分三服，每服以水三盏，煎温服。
《三因》石燕丸 治石淋，因忧郁气注下焦，结所食咸气而成，令人小便郁痛不
可忍，出沙石而后小便通。
石燕（火烧通赤，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，面糊丸梧子大，每服十丸，食前用瞿麦、灯心煎汤送下，日二三服。
《外台》疗石淋方
石首鱼头（十四枚） 当归（等分）
二味杵散，以水二升，煮一升，顿服立愈，或单服鱼头石亦佳。
白茅汤 治妇人产后诸淋，无论膏石冷热皆治之。
白茅根（五钱） 瞿麦 白茯苓（各二钱半） 滑石（七分） 人参（各一钱二分半） 蒲黄
桃胶 葵子（各七分） 甘草（五分） 紫贝（二个， ） 石首鱼头中骨（四个， ）
上锉，分二帖，入姜三片，灯心二十茎，空心水煎服。
Sha Shi Lin (Sand and Stone Strangury) is caused by heat accumulation in the Bladder, leading to the drying and concentration of body fluids into substances resembling sand or stones, which are discharged with urine. Larger stones may remain and obstruct the urinary pathway, causing pain that radiates to the lower abdomen, resulting in severe distress or even fainting.
**Rensan San (Ginseng Powder)**
* Renshen (Radix Ginseng)
* Tongcao (Tetrapanacis Medulla)
* Qingyan (Halitum)
* Haijinsha (Spore of Lygodii Sporangium)
* Suocaogen (Rhizoma Cyperi Rotundi)
Grind all ingredients into a powder, mix evenly. Take 2 qian per dose, administered orally on an empty stomach with rice water.
**Haijinsha San (Lygodii Sporangium Powder)**
* Haijinsha (Spore of Lygodii Sporangium)
* Huashi (Talcum)
* Shigao (Gypsum Fibrosum)
* Mutong (Caulis Akebiae)
* Jingquanshi (Mineral drug)
* Gancao (Radix Glycyrrhizae Preparata)
Grind the six ingredients into equal parts to form a powder. Mix 2 qian with decoction of Jiaxin (Herba Centellae Asiaticae) and take orally at any time.
**Biejia San (Trionycis Carapax Powder)**
* Biejia (Carapax et Plastrum Testudinis)
Burn Biejia until it retains its therapeutic properties, crush and sieve into a powder. Take 3 qian per dose, administered orally on an empty stomach with warm wine.
**Maogen Tang (Imperatae Rhizoma Decoction)**
* Maogen (Radix Imperatae Cylindricae)
* Gehua (Flos Fabaegrinae)
* Lufengfang (Nidus Vespae)
Divide the ingredients into three doses. For each dose, add three zhan of water, decoct, and take warm.
**Shiyan Wan (Lithodis Pilula) from *San Yin Fang***
Indicated for Shi Lin (Stone Strangury) caused by melancholy leading to Qi stagnation in the Lower Jiao, condensing with salty food residues. Symptoms include unbearable urinary obstruction and pain, relieved only after passing sand or stones.
* Shiyan (Lithodis)
* Shiwei (Folium Pyrrosiae)
* Qumai (Herba Dianthi)
* Huashi (Talcum)
Grind into fine powder, bind with wheat paste to make pills the size of wutong seeds. Take 10 pills before meals, delivered with decoction of Qumai and Jiaxin. Take two to three times daily.
**Shilun Fang (Stone Strangury Formula) from *Waitai Mi Yao***
* Shishouyutou (Caput Pseudosciaenae Crocodilinae)
* Danggui (Radix Angelicae Sinensis)
Pound into powder. Add two sheng of water, boil down to one sheng, and take in one dose for immediate cure. Alternatively, using only fish head bones is also effective.
**Baimao Tang (White Imperata Decoction)**
Indicated for various types of strangury in postpartum women, treating both hot and cold conditions, including Gao Lin (Chylous Strangury) and Shi Lin (Stone Strangury).
* Baimaogen (Radix Imperatae Cylindricae)
* Qumai (Herba Dianthi)
* Baifuling (Poria)
* Huashi (Talcum)
* Renshen (Radix Ginseng)
* Puhuang (Pollen Typhae)
* Tao jiao (Resina Pruni Persicae)
* Kuizi (Semen Malvae)
* Gancao (Radix Glycyrrhizae Preparata)
* Zi bei (Concha Arcae)
* Shishouyutou zhonggu (Os Capitis Pseudosciaenae Crocodilinae)
Cut into pieces, divide into two doses. Add three slices of Shengjiang (Rhizoma Zingiberis Recens) and twenty stems of Jiaxin (Herba Centellae Asiaticae). Decoct in water and take on an empty stomach.