淋症所感不一或因房劳。或因忿怒。或因醇酒浓味。房劳者。阴虚火动也。忿怒者。气
动生
来。而痛不可忍者。初则热淋血淋。宜散热利小便。久则煎熬水液。如浊如膏。如砂如石也
。宜开抑。行气。破血滋阴。
凡小肠有气。小便胀。小肠有血。小便涩。小肠有热。小便痛。禁用补气之剂。
膀胱为津液之府。气化则出。寒邪客于胞中。则气不化而成淋。必先寒栗而后溲便涩数
中肿痛。盖冷气入胞。与正气相争。寒气胜。则战寒而作淋。宜散寒扶正。(淋病大率心肾
气郁清浊相干。热蓄膀胱所致。冷气滞于膀胱而作淋者。甚少。)
虚淋者。肾虚精败也。童子精未盛。而御女。老人阴已痿而思色。则精不出而内败。茎
中涩痛成淋者。惟金匮肾气汤可救。若精已竭而复耗之。则大小便牵引而痛。
痈疸症有五善七恶。不可不辨。凡饮食知味。动息自宁。一善也。便利调匀。或微干涩
善也。脓溃肿消。水鲜不臭。三善也。神彩精明。语声清亮。肌肉好恶分明。四善也体气和
平。五善也。七恶者。烦躁时嗽。腹痛渴甚。眼角向鼻泻痢溺如淋。一恶也。气息绵绵。脉
病相反脓血。既泄肿 尤甚脓色臭败。痛不可近。二恶也。目视不正黑睛紧小三恶也。短气
嗜卧面青唇黑。未溃肉黑而陷四恶也。肩背四肢不便已溃青黑筋腐骨黑。五恶也。食不下服药
呕。气噎痰塞身冷自汗。六恶也。声嘶色败。唇鼻青赤面目四肢浮肿七恶也。
痈浅而大也热胜血则为痈脓也。疽深而恶也。
疡。有头小疮也。疹浮小瘾疹也(热胜于阴为疮疡湿滞于血为瘾疹)
Lín zhèng (a syndrome characterized by frequent, short, and scanty urination with dribbling, stinging pain) has various causes: some result from excessive sexual activity, some from anger, and some from consuming strong alcohol or rich, heavy foods. Excessive sexual activity leads to Yin deficiency with hyperactive fire; anger causes Qi rebellion generating pain that is severe and unbearable. In the early stage, it manifests as Rè lín (heat strangury caused by damp-heat accumulating in the lower jiao) or Xuè lín (blood strangury caused by damp-heat injuring collaterals), which should be treated with methods to clear heat, dissipate heat, and promote diuresis. If prolonged, the fluids are scorched, becoming turbid like paste or forming sand-like stones, requiring methods to open stagnation, move Qi, break blood stasis, and nourish Yin.
When there is Qi stagnation in the Small Intestine, urination becomes distended; when there is Blood stasis in the Small Intestine, urination becomes obstructed and unsmooth; when there is Heat in the Small Intestine, urination becomes painful. At this time, Qi-tonifying formulas are strictly contraindicated.
The Bladder is the mansion of body fluids, relying on Qi transformation for excretion. When Cold pathogen lodges in the Bao Zhong (lower jiao urogenital region), Qi transformation fails, leading to strangury. This typically presents first with chills, followed by obstructed, frequent urination accompanied by mid-abdominal swelling and pain. This occurs because Cold Qi enters the Bao, contending with Healthy Qi; when Cold dominates, chills occur and strangury develops. The treatment should focus on dispersing Cold and supporting Healthy Qi. (Most cases of strangury are caused by Qi stagnation in the Heart and Kidney, interference between Clear and Turbid Qi, and Heat accumulation in the Bladder; cases caused solely by Cold Qi stagnation in the Bladder are rare.)
Xū lín (deficiency strangury) is a manifestation of Kidney deficiency and essence deterioration. If young men engage in intercourse before their Essence is fully developed, or if elderly men, whose Yin energy has already declined, still indulge in lust, the Essence cannot exit but rots internally, causing stinging pain in the penis and forming strangury. Only Jinkui Shenqi Tang (Kidney Qi Pill from the Golden Cabinet) can rescue such conditions. If Essence is already exhausted but continues to be depleted, it will cause pulling pain during defecation and urination.
Yong Ju (boils and carbuncles, general terms for superficial suppurative infections) present with Five Good Signs and Seven Bad Signs, which must not fail to be distinguished. Eating with taste and resting naturally without agitation is the First Good Sign. Regular bowel movements and urination, or slight dryness/astringency, is the Second Good Sign. After pus discharges and swelling subsides, with fresh, non-foul-smelling discharge, is the Third Good Sign. Bright spirit, clear voice, and distinct demarcation between healthy and unhealthy flesh is the Fourth Good Sign. Harmonious body breath and calmness is the Fifth Good Sign.
The Seven Bad Signs are: restlessness, frequent coughing, abdominal pain, extreme thirst, excessive eye discharge, diarrhea/dysentery, and painful, strangury-like urination—this is the First Bad Sign. Faint, continuous breathing, pulse contradicting the disease, continued swelling after pus/blood discharge, foul-smelling pus, and unbearable pain upon touch—this is the Second Bad Sign. Misaligned gaze and tight, small black pupils—this is the Third Bad Sign. Shortness of breath, lethargy, blue complexion, black lips, black flesh with depression before ulceration—this is the Fourth Bad Sign. Inconvenience in shoulders, back, arms, and legs; after ulceration, dark green/black color, rotting sinews, and black bones—this is the Fifth Bad Sign. Inability to eat, vomiting after taking medicine, Qi obstruction with phlegm blockage, cold body, and spontaneous sweating—this is the Sixth Bad Sign. Hoarse voice, ruined complexion, blue-red lips and nose, and edema of face, eyes, and limbs—this is the Seventh Bad Sign.
Yong (boil) is superficial and large; when Heat dominates, it transforms into pus. Ju (carbuncle) is deep and malignant.
Yang (ulcer/sore) refers to a sore with a head. Zhen (rash) refers to floating, small nettle-rashes (Heat dominating Yin results in sores/ulcers; Dampness stagnating in Blood results in nettle-rashes).