治下焦有热,及诸淋闭不通。
地肤子(三两) 知母 黄芩 猪苓(去皮) 瞿麦 枳实(麸炒) 升麻 通草 葵子(炒)
海藻(洗去腥,各二两)
上为锉散。每服四钱,水一盏半,煎七分,去滓,空心服。大便俱闭者,加大黄。女人
房劳,小便难,大腹满痛,脉沉细者,用猪肾半只,水二盏,煎盏半,去肾,下药,煎七分服。
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,梧子大。每服五十丸,米汤下。
治膏淋及尿血。
草
上捣汁二升,醋二合和,空腹服一盏。又浓煮汁饮,亦治淋沥尿血。
治血淋。多因下焦结热,小便黄赤,淋闭疼痛,所出如血,或外挟风冷风热,
或内伤志劳神,或房室过度,丹石发动。便鲜赤者,为风热伤心;瘀血者,为风冷伤肾,及
大小便俱出血者。
瞿麦穗(一两) 甘草(炙,三分) 山栀子(半两,炒)
上同为末。每五钱至七钱,水一碗,入连须葱根七个、灯芯五十茎、生姜五片,同煎至
七分,时时温服,不拘时候。既云血寒则瘀,此药末必匀治,宜煎木通汤下麝香鹿茸丸、菟
丝子丸等,所以《养生方》云∶不可专以血得热则淖溢为说,于理甚明,不复详引。鹿茸丸
、菟丝子丸,方见后虚损门。
治疗下焦有热邪,以及各类淋证、小便闭塞不通。
地肤子(三两) 知母 黄芩 猪苓(去皮) 瞿麦 枳实(麸炒) 升麻 通草 葵子(炒)
海藻(洗净去除腥味,以上各药均为二两)
将上述药物捣碎成粗散。每次服用四钱,加水一盏半,煎煮至七分满,滤去药渣,空腹服用。如果大便也闭塞不通的,加大黄。女性因房劳过度导致小便困难,腹部胀满疼痛,脉象沉细的,用猪肾半只,加水二盏,煎煮至一盏半,去掉猪肾,加入其他药物,再煎煮至七分满服用。
治疗膏淋。多因忧愁思虑、意志消沉,导致意舍(神志居所)不宁,浊气干扰清阳,小便淋涩闭塞,或者尿液呈黄、赤、白、暗色如脂膏状,极度疲劳乏力,或者是伤寒湿邪侵袭,多有此证候。
鹿角霜 白茯苓 秋石(各等分)
将上述药物研为细末,用米糊制作丸剂,大小如梧桐子。每次服用五十丸,用米汤送服。
治疗膏淋及尿血。
取[原文此处缺失药材名,仅存“草”字,推测为某草药]捣取汁液二升,加入醋二合调和,空腹服用一盏。又可用浓汁煮后饮用,也能治疗淋沥不尽和尿血。
治疗血淋。多因下焦结聚热邪,小便黄赤,淋涩闭塞且疼痛,排出的尿液像血一样,或者外感风冷或风热之邪,或者内伤情志劳神,或者房事过度,丹石类药物发作。排出鲜红色血液的,是风热损伤心脏;排出瘀血的,是风冷损伤肾脏,以及大小便同时出血的情况。
瞿麦穗(一两) 甘草(炙,三分) 山栀子(半两,炒)
将上述药物共同研为细末。每次取五钱至七钱,加水一碗,放入带须葱根七个、灯芯草五十茎、生姜五片,一同煎煮至七分满,不时温服,不拘泥于特定时间。既然说血寒则形成瘀血,此药末必须均匀配制,适宜用木通汤送服麝香鹿茸丸、菟丝子丸等,所以《养生方》中说:不能专门以“血得热则流动溢出”来解释,道理非常明白,不再详细引用。鹿茸丸、菟丝子丸,方剂见后文虚损门。
Treats heat in the Lower Jiao (Lower Burner), and various types of strangury with urinary obstruction.
Di Fu Zi (Kochiae Fructus, 3 liang) Zhi Mu (Anemarrhenae Rhizoma) Huang Qin (Scutellariae Radix) Zhu Ling (Polypori Umbellati Sclerotium, peeled) Qu Mai (Dianthi Herba) Zhi Shi (Aurantii Fructus Immaturus, bran-fried) Sheng Ma (Ephedrae Herba or Cimicifugae Rhizoma - context suggests Ephedrae here due to 'Sheng', but typically Cimicifugae; keeping literal: Sheng Ma) Tong Cao (Tetrapanacis Medulla) Kui Zi (Abutilonis Semen, fried)
Hai Zao (Sargassum, washed to remove fishy smell, all ingredients above are 2 liang each).
Grind the above into a coarse powder. Take 4 qian per dose, add 1.5 zhan of water, decoct until reduced to 0.7 zhan, strain off the dregs, and take on an empty stomach. If stool is also obstructed, add Da Huang. For women suffering from difficult urination due to sexual exhaustion, abdominal fullness and pain, with a deep and fine pulse, use half a pig kidney, add 2 zhan of water, decoct until reduced to 1.5 zhan, remove the kidney, add the other medicines, decoct until reduced to 0.7 zhan, and take.
Treats Gao Lin (Gummy Strangury). This often arises from worry, thought, and loss of will, causing instability of the Yi She (residence of intention/shen), where turbid qi disturbs the clear yang, leading to dribbling and obstruction of urine, or urine appearing yellow, red, white, or dark like fat paste, causing extreme fatigue and weakness. It may also result from cold-heat dampness invasion, where this syndrome is common.
Lu Jiao Shuang (Cervi Cornus Degelatinati Cortex) Bai Fu Ling (Poria) Qiu Shi (Natrii Uras) (all in equal parts).
Grind the above into a fine powder, mix with rice paste to make pills the size of wu zi (cibotii seeds). Take 50 pills per dose, down with millet soup.
Treats Gao Lin (Gummy Strangury) and hematuria.
[Herb name missing in source, only "Cao" remains]. Crush and extract juice, 2 sheng, mix with 2 he of vinegar, take one zhan on an empty stomach. Alternatively, boil thick juice and drink it; this also treats dribbling strangury and hematuria.
Treats Xue Lin (Bloody Strangury). This is mostly due to heat accumulation in the Lower Jiao, resulting in yellow and red urine, dribbling, obstruction, and pain, with discharge resembling blood. It may be compounded by external wind-cold or wind-heat, internal injury from emotional labor, excessive sexual activity, or activation of Dan Shi (mineral drugs). Fresh bright red discharge indicates wind-heat injuring the Heart; dark clotted blood indicates wind-cold injuring the Kidney; simultaneous bleeding from both large and small intestines is also covered.
Qu Mai Sui (Dianthi Flos) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 fen) Shan Zhi Zi (Gardeniae Fructus, 0.5 liang, fried).
Grind the above together into a powder. Take 5 to 7 qian per dose, add 1 wan of water, include 7 scallion roots with whiskers, 50 stems of Deng Xin Cao (Junci Medulla), and 5 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct together until reduced to 0.7 wan, take warm occasionally, without restriction on time. Since it is said that cold blood leads to stasis, this powder must be prepared evenly; it is suitable to take with Mu Tong Decoction along with She Xiang Lu Rong Wan (Moschus and Cervi Cornu Pill) or Tu Si Zi Wan (Cuscutae Seed Pill), as stated in *Yang Sheng Fang*: one cannot solely rely on the theory that "blood becomes fluid and overflows when heated," for the logic is very clear, so further citation is omitted. Lu Rong Wan and Tu Si Zi Wan can be found in the Xu Sun Men (Deficiency Section) later.