猪油调擦胁下；一日夜拔出身内臭物，再将枯矾一两，蛤粉五钱，樟脑一钱为末，少许擦之，抹去病根。
梦遗火盛，饮苦寒以清心，樗柏樗根最妙；
黄连清心饮 黄连、生地、当归、甘草、茯神、酸枣仁、远志、人参、石莲肉，水煎服。治心有所慕而
遗者。
三灰樗柏丸 良姜三钱，芍药、黄柏各二钱，具烧存性，樗根皮一两半，为末，糊丸梧子大。每三十丸，空
心茶汤下。
单樗皮丸 用根白皮炒，为末，酒糊丸。然性凉而燥，亦不可单服；或加青黛、海石、黄柏，煎八物汤下。
治房劳内伤气血，精滑不时，或作梦遗。
梦遗虚脱，膏酸涩以补液，固精固真牢封。
单五味子膏 用北五味子一斤，洗净，水
一宿，以手援去核，再用温水将核洗取余味，通用布滤过，置砂锅内，入冬蜜二斤，漫火熬之，除砂锅斤两外，
煮至二斤四两，成膏为度，待数日后略去火性。每服一二匙，空心白滚汤调服。
金樱膏 经霜后用竹夹夹摘金樱子，先杵去刺，勿令损，以竹刀切作两片，刮去腹内子毛，用水洗过，捣
烂。置砂锅内，水煎至半耗，取出滤去渣，仍以文武火熬似稀饴。每服一匙，酒调服，养精益肾，活血驻颜。
水陆二仙丹 芡实为末，用金樱膏为丸，梧子大。每七八十丸，空心盐酒下，量加秋石为引经尤妙。治遗精
白浊，梦泄脱精等证。
固精丸 知母、黄柏各一两，牡蛎、芡实、莲蕊、茯苓、远志各三钱，龙骨二钱，或加山茱萸，为末，
山药糊丸梧子大。朱砂为衣。每五十丸，盐汤下。治心神不安，肾虚精泄。
秋石固真丸 秋石丹、白茯苓各四两，石莲肉、芡实各二两，为末，枣肉丸梧子大。每三十丸，温酒盐汤任
下。治思虚色欲过度，损伤心气，遗精盗汗，小便频数，肾虚腰痛神效。
敛脾精以石莲猪肚，
石莲散 石莲肉、益智仁、龙骨各等分为末，每二钱，空心米饮调服。治梦遗泄精，小便白浊等证。
猪肚丸 白术五两，苦参三两，牡蛎四两，为末，用猪肚一具煮烂，和前末捣匀，再加肚汁捣半日，
为丸小豆大。每四十丸，日三次，米饮下。久服自觉身肥而梦遗立止。又能进饮食，健肢体。
升肾水以枸杞神芎。
枸杞汤 枸杞子、肉苁蓉、茯苓各一钱，五味子七分，人参、黄 、山栀仁、熟地、石枣肉、甘草各五分，
生姜一片，灯心一握，早空心炒服。治肾虚精滑如神。
神芎汤 升麻、川芎、人参、枸杞子、甘草、远志、黄 、当归、地骨皮、破故纸、杜仲、白术各四分，
姜一片，莲肉七枚，水煎温服。如无家莲肉，以莲花须亦可。治遗精经久，肾虚下陷，玉门不闭，不时漏精，宜
补之引肾水归源。
十味温胆汤 陈皮、半夏、枳实各九分，人参、白茯苓各五分，远志、熟地、酸枣仁、甘草各三分半，五
味子九个，姜煎温服。治梦遗惊惕。
徐氏硫苓丸 矾制硫黄一两，白茯苓二两，知母、黄柏各童便五钱，为末，用黄蜡一两半，溶化和丸梧子
大。每五十丸，盐汤下，治上热下冷梦遗，神效。
热淋清肺透膈，而瘀血必牛膝琥珀；
清肺饮子 茯苓、猪苓、泽泻各二钱，车前子、琥珀、木通、瞿麦、 蓄各一钱，通草、灯心各五分，水
煎热服。治邪在上焦气分，渴而溺涩不利。
透膈散 用消石为末，每服二钱，如热淋，溺赤淋沥，脐下急痛，冷水或黄芩煎汤下；血淋，山栀仁煎
汤下；气淋，小腹胀满，尿后常余沥，木通煎汤下；石淋，茎内割痛，尿中有砂石，令人闷绝，将药用钞纸隔
炒，纸焦再研细，葵子三十粒捣碎煎汤下；劳淋，劳碌劳倦虚损则发葵花煎汤下。
单牛膝膏 牛膝一合，用水五盏，煎至一盏，入麝少许，空心服，或单以酒煮亦可。治死血作淋及肾虚腰
膝疼痿，女人一切血病。一云此药能损胃不食，宜斟酌用之。
参苓琥珀汤 人参五分，茯苓四分，琥珀、柴胡、泽泻各三分，归尾二分，玄胡索七分，甘草梢、川楝子
各钱，灯心十茎，水煎服。治淋涩茎中痛，相引胁下，痛不可忍。
冷淋鹿角生附，而气滞以沉香木通。
鹿角霜丸 鹿角霜、秋石丹、白茯苓各等分为末，面糊丸梧子大。每五十丸，空心米饮下。治劳伤气淋，
小便淋闭，黯如脂膏，疲剧筋力，或伤寒湿亦有此证。
生附散 附子、滑石各五分，木通、半夏、瞿麦各七分半，生姜七片，灯心二十茎，蜜半匙，水煎服。治
饮水过度，或为寒泻，心虚散
耗，遂成冷淋，数起不通，窍中肿痛，憎寒凛凛。
沉香散 沉香、石苇、滑石、王不留行、当归各五钱，葵子，白芍各三钱，甘草、橘皮各一钱，为末。
每二钱，大麦煎汤调服。治气淋，多因五内郁结，气不舒行，阴滞于阳，以致壅滞，小腹胀满，大便多泄，小
便不通。
二木散 木通、木香、当归、芍药、青皮、角茴、槟榔、泽泻、陈皮、甘草各三分，肉桂少许，水煎服。
治冷淋气滞，余沥涩痛，身凉。
二石葵子冷热熨，不怕脬转如塞；
二石散 滑石、寒水石、冬葵子各五盏，用水十盏，煎至五盏，分作二服，治男女脬转，八九日不得小
便者。
冷热熨法 前以冷物熨小腹几次，后以热物熨之，又以冷物熨之，自通，将理自愈。治二便秘塞，或淋沥溺
血，阴中疼痛，此热气所致。
三味葶苈火腑丹，何忧溺秘为癃？
三味葶苈散 通草、茯苓各三两，葶苈二两，为末。每方寸匕水调，日三服。治小便急痛不利，茎中疼痛。
火腑丹 生地二两，木通、黄芩各一两，为末蜜丸梧子大。每三五十丸，木通煎汤下。治心经蕴热溺赤，
五淋涩痛，兼治渴疾。
遗溺鸡 灰，补肾方名大菟；
鸡 散 男用雌，妇用雄，鸡 一具，并肠洗净烧灰，为末。每二钱，空心温酒调服，或加猪脬烧灰。
治遗尿失禁。
大菟丝子散 菟丝子、苁蓉各二两，黑附子、五味子、鹿茸、鸡 、桑螵蛸各一两，为末，酒糊丸梧子
大。每七十丸，空心盐汤下。治内虚里寒，自汗不止，小便不禁。
二苓丸 赤茯苓、白茯苓各等分，水澄为末，别用生地汁同酒熬膏为丸弹子大。每空心嚼一丸，盐汤下。治
心肾俱虚，神志不宁，小便淋涩不禁。
缩泉桑螵蛸散，秘元丹君白龙。
缩泉丸 乌药、益智仁等分为末，酒煮山药，糊丸梧子大。每七十丸，临卧盐酒下。治脬气不足，小便
频数，或加鸡 。
桑螵蛸散 螵蛸、远志、龙骨、菖蒲、茯神、鹿茸、牡蛎、当归等分为末。每二钱，临卧人参汤调服。
治劳伤心肾，小便频数如泔水，能安神定志。
秘元丹 白龙骨二两，诃子十枚，砂仁、辰砂各一两，为末，糯米粥丸芡实大。空心酒下二丸，临卧熟水
下三丸。忌葱、茶、韭。助阳消阴，正气温中，治冷气攻心，腹疼泄泻，自汗遗溺，阳衰足冷，真气不足，一
切内虚里寒等证。
脱肛收涩，缩砂 皮选用；
缩砂散 砂仁、黄连、木贼为末。每二钱米饮下。治大肠虚而夹热，脱肛红肿。
皮散 皮、鳖甲各炙焦一个，磁石五钱，辣桂三钱，为末。每二钱米饮下，仍用草鞋底炙热按入。治
脱肛不收。
单磁石散 为末，每一钱空心米饮下，然此亦镇坠之剂，不可多服。
脱肛敷洗，香荆熊鳖雷同。
洗药 通用∶香附、荆芥、砂仁等分为末，每三钱水煎热洗，或服之亦可，或用陈壁土泡汤熏洗。有虚寒
及用力太过，小儿叫呼，久泻脱者、用五倍子五钱，枯矾、蛇床子少许，为末，水煎洗之，后用赤石脂末少许
掺芭蕉叶上，频用托入。如脱出尺许者，以两凳相并，中空一尺，以瓶盛药水，令满与凳相平，令患者仰卧凳上，
所脱浸于瓶中，逐日浸换，以缩为度。如积冷年久不收者，用锻石炒热，以帛包裹，肛坐其上，冷则别换，
仍以海螵蛸末敷之。如大肠本虚，风毒热邪乘之，致令脱肛红肿者，用单铁粉入白蔹末和匀敷之，即按入。有
热者，用熊胆五分，儿茶二分，冰片一分，为末，人乳调搽肛上，热汁自出，而肛收矣，痔疮亦妙，或用鳖鱼一
个，水煮食之，留汤熏洗，留骨烧灰，敷上即愈。如肛门肿痛及酒客病此者，用木鳖子去壳捣烂刺汤熏洗，另
用少许涂之。如肛门作痒者，及腹中有虫，用生艾、苦楝
根煎汤熏洗，仍以干艾、生姜煎服。凡登厕后须用水洗，又不可用包裹汤药杂物旧纸。
噫！水不胜火身中贼，热不能烦心上工。
五脏资脾以生，万物从口而入。轻为宿食药易消，重为积聚方难执。内伤补中（益气汤）大有减加，
挟外邪六经见证，详伤寒用药赋。挟痰及肥白人喘满吐痰，脉滑身热加竹沥、姜汁、半夏。痰火盛者加茯
苓、黄连，倍陈皮，去升柴，恐升动痰为而生别证。挟热，合火郁汤。心胸瞀闷，身与手足心热，脉洪数，
大便久不快者，加煨大黄；如大便涩滞，一二日一见，致食少食不下者，乃血少血中伏火而不润，加归、地、
麻仁、桃仁；如大便不利，三五日一见者，非血结血闭不通，乃热则生风，病患必显风证，宜服人参黄 汤加
防风、羌活，大便通，一帖即止。内伤病退后余热在脏，燥渴不解者，只用参、 、甘草水煎，入姜汁少许冷
服，或单人参汤加干葛，引胃气上行以润口干；忧思过者，加木香、砂仁、白豆蔻；气滞加青皮。犯房者，
阳虚去升柴，更加桂、附；阴虚去升柴，加熟地、山茱萸、山药；有热加牡丹皮。如梦寐间困乏无力加五味子；
宿食加山楂、麦芽；食不知味加神曲；饥饿日久去柴胡加干山药。心下痞闷加芍药、黄连；腹痞胀加枳实、
浓朴、木香、砂仁，天寒加干姜；心下痞而又觉中寒加附子、黄连；不能食心下痞者，加生姜、陈皮；能食心
下痞者，加黄连、枳实。胃脘当心痛去苦寒药，加草豆蔻；或胁痛缩急加柴胡；腹痛加白芍；寒凉时加半夏、
益智；冷痛加中桂；脐痛加熟地；泄加白芍、茯苓。此方惟上焦痰呕，中焦湿热及伤食膈满者不宜。详见内伤
总方。
调脾生胃（丹）专去寒湿。
人参、白术补气，茯苓渗湿，各二两；麦芽、砂仁消食，半夏曲、南星燥湿痰，陈皮、青皮利气，白豆
蔻、荜澄茄开膈，石莲肉清心，各一两；木香调气三钱；内南星三两，用姜汁浸一霄，调黄泥包煨半日去泥；
为末，用粟米四两作饭焙干，乘热用姜汁和湿再焙，如是制七次，捣烂为丸绿豆大。每五十丸，姜汤下。生胃
消痰、开胸膈、进饮食、肥白寒湿者宜。
伤冷木香丁香以暖脾，
木香见 丸 巴霜五钱，荆三棱、神曲各十两，木香、柴胡各二两，香附、石三棱、草豆蔻各五两，升麻
三两，为末，蒸饼丸绿豆大。每二十丸白汤下，量所伤服之。治伤生冷，心腹满痛。
丁香脾积丸 良姜醋煮、丁香、木香、巴豆各五钱，莪术、三棱各二两，青皮一两，皂荚烧灰三片，百草
霜三匙，为末，糊丸麻子大。每十丸至二十丸，五更汤下，利去三五行，以粥补住。治诸般食积气滞，胸膈胀
满，心腹刺痛。如止脾积气，陈皮煎汤下；吐酸，姜汤下；呕吐，藿香、甘草煎汤下；小肠气，炒茴香酒下；妇
人气血刺痛，醋汤下；呕吐，菖蒲煎汤下；小儿疳气，使君子煎汤下。
食热二黄大黄堪备急。
二黄丸 黄芩二两，黄连一两，升麻、柴胡各三钱，甘草二钱，枳实五钱，为末，蒸饼丸绿豆大。每五七
十丸，白汤或姜汤下。治伤热食痞，兀兀欲吐，烦闷不安。
大黄备急丸 大黄、干姜、巴豆各等分为末，蜜丸小豆大。每三丸，热水或酒下，量大小服之，忌生冷肥
腻。治中恶客忤，心腹胀满，卒痛如锥，口噤尸厥，卒死等证。
除原散 用原食伤物烧存性为末，以连根韭菜一握捣汁调服，过一二时服下药催之，其所伤之物即下而愈。
星术丸 牛胆、南星、白术、石膏、黄芩、芍药、薄荷各等分为末，砂糖调成膏，津液化下，或为丸服
亦好。治吃茶成癖。
宽中山楂，全资神曲作糊；
单山楂丸 山楂蒸熟晒干为末，神曲煮糊丸梧子大。每六七十丸，白汤下。治胁膈痞闷，停滞饮食。
保和枳术，妙在荷叶捣汁。
保和丸 山楂六两，神曲、半夏、茯苓各二两，陈皮、连翘、萝卜子各一两，为末，蒸饼丸梧子大。每七
八十丸，白汤下。治一切食积，健脾加白术六两，名大安丸。
枳术丸 白术二两或三两，枳实一两为末；先将荷叶捣，水浸米煮饭半熟，带饭汤入完荷叶内，就灰火中煨
熟，和前末捣丸绿豆大。每五六十丸，米汤下。此法一补一消，医中王道，近世率以辛热助火消阴，致令胃火
益旺，脾阴愈消，变为肠胃干枯燥结，不知脾胃属土属湿，湿热之病十常八九，岂可偏用热剂？如伤胃脘，
心腹满闷，肢体沉重，加萝卜子五钱，神曲一两，红花一钱；伤湿热不化，加茯苓、芩、连各三钱，泽泻二钱，
大黄一两，神曲糊丸服；伤豆粉、湿面、油腻，加半夏、神曲各一两，陈皮七钱，黄芩五钱，枯矾三钱；伤酥
酪乳饼，一切冷病，加除湿汤一料∶车前子，泽泻各五钱，神曲一两，干生姜、半夏、红花、甘草各三钱，茯
用猪油调和涂抹胁下；一天一夜能拔出体内产生的臭秽物质，再用枯矾一两、蛤粉五钱、樟脑一钱研成粉末，少量涂抹患处，以去除病根。
梦遗且心火旺盛者，饮用苦寒药物以清心火，樗柏（樗树根皮）最为适宜；
黄连清心饮：由黄连、生地黄、当归、甘草、茯神、酸枣仁、远志、人参、石莲子肉组成，水煎服。治疗因心中有所思慕而导致遗精的情况。
三灰樗柏丸：由良姜三钱、芍药二钱、黄柏二钱，这三味药均烧存性，加上樗根皮一两半，研成粉末，用糊剂制成梧桐子大小的丸剂。每次三十丸，空腹时茶汤送服。
单樗皮丸：使用樗树根白皮炒制，研成粉末，用酒糊制成丸剂。然而其性质凉而燥，也不宜单独服用；或者加入青黛、海浮石、黄柏，用八物汤煎服。治疗房劳过度导致的气血内伤，精液滑泄不时，或做梦时遗精。
梦遗导致虚脱者，用酸涩性质的膏剂以补充体液，固摄精气，牢固封藏真元。
单五味子膏：取北五味子一斤，洗净，用水浸泡一夜，用手揉搓去核，再用温水清洗果核以提取残留味道，将滤液合并用布过滤，放入砂锅中，加入冬蜜二斤，用微火熬煮，除去砂锅重量后，煮至剩余二斤四两，成为膏状即可，放置数日后略去火气。每次服用一二匙，空腹时用白开水调服。
金樱膏：经霜后用竹夹采摘金樱子，先捣碎去掉刺，注意不要损伤果实，用竹刀切成两片，刮去内部籽粒的毛，用水洗净，捣烂。放入砂锅中，加水煎至减半，取出过滤去渣，仍用文火和武火交替熬煮至像稀饴糖一样稠。每次服用一匙，用酒调服，可养精益肾，活血驻颜。
水陆二仙丹：将芡实研成粉末，用金樱膏作为粘合剂制成梧桐子大小的丸剂。每次七八十丸，空腹时用盐酒送服，酌情加入秋石作为引经药效果更佳。治疗遗精、白浊、梦中泄精、脱精等症状。
固精丸：知母、黄柏各一两，牡蛎、芡实、莲蕊、茯苓、远志各三钱，龙骨二钱，或者加入山茱萸，研成粉末，用山药糊制成梧桐子大小的丸剂。外用朱砂为衣。每次五十丸，用盐汤送服。治疗心神不安，肾虚精液外泄。
秋石固真丸：秋石丹、白茯苓各四两，石莲子肉、芡实各二两，研成粉末，用枣肉制成梧桐子大小的丸剂。每次三十丸，温酒或盐汤任意送服。治疗思虑过多、色欲过度，损伤心气，出现遗精、盗汗、小便频数，对肾虚腰痛有显著疗效。
收敛脾精可用石莲子和猪肚，
石莲散：石莲子肉、益智仁、龙骨各等分研成粉末，每次二钱，空腹时用米汤调服。治疗梦遗泄精、小便白浊等症状。
猪肚丸：白术五两，苦参三两，牡蛎四两，研成粉末，用一个猪肚煮熟烂，与药末混合捣匀，再加入肚汁继续捣半天，制成小豆大小的丸剂。每次四十丸，每日三次，用米汤送服。长期服用自觉身体丰满且梦遗立即停止。又能增进饮食，强健肢体。
提升肾水可用枸杞子和川芎。
枸杞汤：枸杞子、肉苁蓉、茯苓各一钱，五味子七分，人参、黄芪、山栀仁、熟地黄、石莲子肉、甘草各五分，生姜一片，灯心草一把，早晨空腹炒后服用。治疗肾虚精滑如神效。
神芎汤：升麻、川芎、人参、枸杞子、甘草、远志、黄芪、当归、地骨皮、补骨脂、杜仲、白术各四分，生姜一片，莲子七枚，水煎温服。如果没有家种莲子，用莲花须也可以。治疗遗精日久，肾虚下陷，尿道口不闭合，不时漏精，应当补益并引导肾水归源。
十味温胆汤：陈皮、半夏、枳实各九分，人参、白茯苓各五分，远志、熟地黄、酸枣仁、甘草各三分半，五味子九个，生姜煎服温服。治疗梦遗伴惊恐惕惧。
徐氏硫苓丸：用明矾处理的硫黄一两，白茯苓二两，知母、黄柏各用童便五钱浸制，研成粉末，用黄蜡一两半熔化后混合制成梧桐子大小的丸剂。每次五十丸，盐汤送服，治疗上热下冷引起的梦遗，神效。
热淋需清肺透膈，若有瘀血必用牛膝和琥珀；
清肺饮子：茯苓、猪苓、泽泻各二钱，车前子、琥珀、木通、瞿麦、萹蓄各一钱，通草、灯心草各五分，水煎热服。治疗邪气在上焦气分，口渴且小便涩滞不利。
透膈散：用消石研成粉末，每次二钱。如果是热淋，小便赤红淋漓，脐下急痛，用冷水或黄芩煎汤送服；如果是血淋，用山栀仁煎汤送服；如果是气淋，小腹胀满，尿后常有余沥，用木通煎汤送服；如果是石淋，尿道内割裂样疼痛，尿中有砂石，令人昏闷欲绝，将药物用钞纸隔着炒，纸焦后再研细，用葵子三十粒捣碎煎汤送服；如果是劳淋，因劳累疲劳虚损而发作，用葵花煎汤送服。
单牛膝膏：牛膝一合，用水五盏，煎至一盏，加入少许麝香，空腹服用，或者单纯用酒煮也可。治疗死血（瘀血）作淋以及肾虚导致的腰膝疼痛痿软，妇女一切血病。有一种说法认为此药会损伤胃气导致食欲不振，应斟酌使用。
参苓琥珀汤：人参五分，茯苓四分，琥珀、柴胡、泽泻各三分，当归尾二分，玄胡索七分，甘草梢、川楝子各一钱，灯心草十茎，水煎服。治疗淋证涩痛，尿道中疼痛，牵引胁下，疼痛难以忍受。
冷淋需用鹿角霜和生附子，气滞则用沉香和木通。
鹿角霜丸：鹿角霜、秋石丹、白茯苓各等分研成粉末，面糊制成梧桐子大小的丸剂。每次五十丸，空腹时用米汤送服。治疗劳伤引起的气淋，小便淋闭，尿液暗如脂膏，极度疲乏无力，或者伤寒湿邪也有此证。
生附散：附子、滑石各五分，木通、半夏、瞿麦各七分半，生姜七片，灯心草二十茎，蜂蜜半匙，水煎服。治疗饮水过度，或因寒泻导致心气虚散耗损，遂成冷淋，尿频但排尿不通，窍中肿痛，恶寒战栗。
沉香散：沉香、石苇、滑石、王不留行、当归各五钱，葵子、白芍各三钱，甘草、橘皮各一钱，研成粉末。每次二钱，用大麦煎汤调服。治疗气淋，多因五脏郁结，气机不畅，阴气阻滞于阳气之中，导致壅滞，小腹胀满，大便多泄，小便不通。
二木散：木通、木香、当归、芍药、青皮、角茴香、槟榔、泽泻、陈皮、甘草各三分，肉桂少许，水煎服。治疗冷淋气滞，余沥涩痛，身体发凉。
二石葵子冷热交替熨烫，不怕膀胱扭转如堵塞；
二石散：滑石、寒水石、冬葵子各五盏，用水十盏，煎至五盏，分两次服用，治疗男女膀胱扭转，八九日不能小便的情况。
冷热熨法：先用冷物熨烫小腹几次，然后用热物熨烫，再用冷物熨烫，自然通畅，调理后即可自愈。治疗二便秘塞，或淋沥溺血，阴中疼痛，这是热气所致。
三味葶苈火腑丹，何必担忧小便闭塞成为癃证？
三味葶苈散：通草、茯苓各三两，葶苈子二两，研成粉末。每次一方寸匕，用水调服，每日三次。治疗小便急痛不利，尿道中疼痛。
火腑丹：生地黄二两，木通、黄芩各一两，研成粉末，蜂蜜制成梧桐子大小的丸剂。每次三五十丸，用木通煎汤送服。治疗心经蕴热导致小便赤红，五淋涩痛，兼治口渴疾病。
遗尿可用鸡脬灰，补肾方名为大菟丝子散；
鸡脬散：男性用雌鸡脬，女性用雄鸡脬，鸡脬一个，连同肠子洗净烧成灰，研成粉末。每次二钱，空腹时用温酒调服，或者加入猪脬烧成的灰。治疗遗尿失禁。
大菟丝子散：菟丝子、肉苁蓉各二两，黑附子、五味子、鹿茸、鸡脬、桑螵蛸各一两，研成粉末，用酒糊制成梧桐子大小的丸剂。每次七十丸，空腹时用盐汤送服。治疗内虚里寒，自汗不止，小便不禁。
二苓丸：赤茯苓、白茯苓各等分，用水澄洗研成粉末，另外用生地黄汁同酒熬膏制成弹子大小的丸剂。每次空腹嚼服一丸，盐汤送服。治疗心肾俱虚，神志不宁，小便淋涩不禁。
缩泉丸用桑螵蛸散，秘元丹以白龙骨为主君药。
缩泉丸：乌药、益智仁等分研成粉末，用酒煮山药，糊制成梧桐子大小的丸剂。每次七十丸，临睡前用盐酒送服。治疗膀胱气不足，小便频数，或者加入鸡脬。
桑螵蛸散：桑螵蛸、远志、龙骨、石菖蒲、茯神、鹿茸、牡蛎、当归等分研成粉末。每次二钱，临睡前用人参汤调服。治疗劳伤心肾，小便频数如米泔水，能安神定志。
秘元丹：白龙骨二两，诃子十枚，砂仁、辰砂各一两，研成粉末，用糯米粥制成芡实大小的丸剂。空腹时酒送服二丸，临睡前熟水送服三丸。忌食葱、茶、韭菜。助阳消阴，正气温中，治疗冷气攻心，腹痛泄泻，自汗遗尿，阳衰足冷，真气不足，一切内虚里寒等症状。
脱肛需收涩，选用缩砂和罂粟皮；
缩砂散：砂仁、黄连、木贼研成粉末。每次二钱用米汤送服。治疗大肠虚弱夹杂热邪，脱肛红肿。
罂粟皮散：罂粟皮、鳖甲各炙焦一个，磁石五钱，辣桂三钱，研成粉末。每次二钱用米汤送服，仍用草鞋底炙热按入肛门。治疗脱肛不收。
单磁石散：研成粉末，每次一钱空腹用米汤送服，然而这也是镇坠之剂，不可多服。
脱肛敷洗，香附、荆芥、熊胆、鳖甲雷同使用。
通用洗药：香附、荆芥、砂仁等分研成粉末，每次三钱水煎热洗，或者内服也可以，或者用陈壁土泡汤熏洗。如果有虚寒及用力太过，小儿叫呼，久泻脱肛者，用五倍子五钱，枯矾、蛇床子少许，研成粉末，水煎洗之，之后用赤石脂末少许撒在芭蕉叶上，频繁用来托举回纳。如果脱出尺许长，将两张凳子并排，中间空出一尺，用瓶子盛药水，使水面与凳子持平，让患者仰卧在凳子上，将脱出部分浸入瓶中，每日更换浸泡，以缩回为度。如果是积冷年久不收者，用煅石膏炒热，用布包裹，坐在上面，冷了再换，仍以海螵蛸末敷之。如果大肠本虚，风毒热邪乘之，导致脱肛红肿者，用单铁粉入白蔹末和匀敷之，即按入。有热者，用熊胆五分，儿茶二分，冰片一分，研成粉末，人乳调搽肛上，热汁自出，而肛收矣，痔疮亦妙，或用鳖鱼一个，水煮食之，留汤熏洗，留骨烧灰，敷上即愈。如肛门肿痛及酒客病此者，用木鳖子去壳捣烂刺汤熏洗，另用少许涂之。如肛门作痒者，及腹中有虫，用生艾、苦楝根煎汤熏洗，仍以干艾、生姜煎服。凡登厕后须用水洗，又不可用包裹汤药杂物旧纸。
唉！水不胜火，身中之贼，热不能烦心，乃上工所为。
五脏依赖脾土滋生，万物从口而入。轻症为宿食，药易消除；重症为积聚，方难执掌。内伤用补中益气汤大有加减，若挟外邪则见六经症状，详见《伤寒用药赋》。若挟痰及肥白人喘满吐痰，脉滑身热加竹沥、姜汁、半夏。痰火盛者加茯苓、黄连，倍陈皮，去升麻、柴胡，恐升动痰火而生别证。挟热，合火郁汤。心胸瞀闷，身与手足心热，脉洪数，大便久不快者，加煨大黄；如大便涩滞，一二日一见，致食少食不下者，乃血少血中伏火而不润，加当归、地黄、麻仁、桃仁；如大便不利，三五日一见者，非血结血闭不通，乃热则生风，病患必显风证，宜服人参黄芪汤加防风、羌活，大便通，一帖即止。内伤病退后余热在脏，燥渴不解者，只用参、芪、甘草水煎，入姜汁少许冷服，或单人参汤加干葛，引胃气上行以润口干；忧思过者，加木香、砂仁、白豆蔻；气滞加青皮。犯房者，阳虚去升柴，更加桂、附；阴虚去升柴，加熟地、山茱萸、山药；有热加牡丹皮。如梦寐间困乏无力加五味子；宿食加山楂、麦芽；食不知味加神曲；饥饿日久去柴胡加干山药。心下痞闷加芍药、黄连；腹痞胀加枳实、浓朴、木香、砂仁，天寒加干姜；心下痞而又觉中寒加附子、黄连；不能食心下痞者，加生姜、陈皮；能食心下痞者，加黄连、枳实。胃脘当心痛去苦寒药，加草豆蔻；或胁痛缩急加柴胡；腹痛加白芍；寒凉时加半夏、益智；冷痛加中桂；脐痛加熟地；泄加白芍、茯苓。此方惟上焦痰呕，中焦湿热及伤食膈满者不宜。详见内伤总方。
调脾生胃丹专去寒湿。
人参、白术补气，茯苓渗湿，各二两；麦芽、砂仁消食，半夏曲、南星燥湿痰，陈皮、青皮利气，白豆蔻、荜澄茄开膈，石莲子肉清心，各一两；木香调气三钱；内南星三两，用姜汁浸一宵，调黄泥包煨半日去泥；为末，用粟米四两作饭焙干，乘热用姜汁和湿再焙，如是制七次，捣烂为丸绿豆大。每五十丸，姜汤下。生胃消痰、开胸膈、进饮食、肥白寒湿者宜。
伤冷木香丁香以暖脾，
木香见 丸 巴霜五钱，荆三棱、神曲各十两，木香、柴胡各二两，香附、石三棱、草豆蔻各五两，升麻三两，为末，蒸饼丸绿豆大。每二十丸白汤下，量所伤服之。治伤生冷，心腹满痛。
丁香脾积丸 良姜醋煮、丁香、木香、巴豆各五钱，莪术、三棱各二两，青皮一两，皂荚烧灰三片，百草霜三匙，为末，糊丸麻子大。每十丸至二十丸，五更汤下，利去三五行，以粥补住。治诸般食积气滞，胸膈胀满，心腹刺痛。如止脾积气，陈皮煎汤下；吐酸，姜汤下；呕吐，藿香、甘草煎汤下；小肠气，炒茴香酒下；妇人气血刺痛，醋汤下；呕吐，菖蒲煎汤下；小儿疳气，使君子煎汤下。
食热二黄大黄堪备急。
二黄丸 黄芩二两，黄连一两，升麻、柴胡各三钱，甘草二钱，枳实五钱，为末，蒸饼丸绿豆大。每五七十丸，白汤或姜汤下。治伤热食痞，兀兀欲吐，烦闷不安。
大黄备急丸 大黄、干姜、巴豆各等分为末，蜜丸小豆大。每三丸，热水或酒下，量大小服之，忌生冷肥腻。治中恶客忤，心腹胀满，卒痛如锥，口噤尸厥，卒死等证。
除原散 用原食伤物烧存性为末，以连根韭菜一握捣汁调服，过一二时服下药催之，其所伤之物即下而愈。
星术丸 牛胆、南星、白术、石膏、黄芩、芍药、薄荷各等分为末，砂糖调成膏，津液化下，或为丸服亦好。治吃茶成癖。
宽中山楂，全资神曲作糊；
单山楂丸 山楂蒸熟晒干为末，神曲煮糊丸梧子大。每六七十丸，白汤下。治胁膈痞闷，停滞饮食。
保和枳术，妙在荷叶捣汁。
保和丸 山楂六两，神曲、半夏、茯苓各二两，陈皮、连翘、萝卜子各一两，为末，蒸饼丸梧子大。每七十八十丸，白汤下。治一切食积，健脾加白术六两，名大安丸。
枳术丸 白术二两或三两，枳实一两为末；先将荷叶捣，水浸米煮饭半熟，带饭汤入完荷叶内，就灰火中煨熟，和前末捣丸绿豆大。每五六十丸，米汤下。此法一补一消，医中王道，近世率以辛热助火消阴，致令胃火益旺，脾阴愈消，变为肠胃干枯燥结，不知脾胃属土属湿，湿热之病十常八九，岂可偏用热剂？如伤胃脘，心腹满闷，肢体沉重，加萝卜子五钱，神曲一两，红花一钱；伤湿热不化，加茯苓、芩、连各三钱，泽泻二钱，大黄一两，神曲糊丸服；伤豆粉、湿面、油腻，加半夏、神曲各一两，陈皮七钱，黄芩五钱，枯矾三钱；伤酥酪乳饼，一切冷病，加除湿汤一料∶车前子，泽泻各五钱，神曲一两，干生姜、半夏、红花、甘草各三钱，茯
Apply lard mixed and rubbed on the hypochondrium; within one day and night, it can extract foul-smelling substances from inside the body. Then, take one tael of calcined alum (Ku Fan), five qian of clam powder (Ge Fen), and one qian of camphor (Zhang Nao), grind them into powder, apply a small amount to rub the affected area, thereby eliminating the root cause of the disease.
For nocturnal emission accompanied by excessive heart fire, drink bitter-cold herbs to clear the heart; the root bark of the Toona tree (Chu Bai) is most effective.
Huanglian Qingxin Yin (Coptis Decoction to Clear the Heart): Composed of Huanglian (Coptidis Rhizoma), Shengdi (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Fushen (Poria with Hostwood), Suanzaoren (Ziziphi Spinosae Semen), Yuanzhi (Polygalae Radix), Renshen (Ginseng Radix), and Shilianrou (Nelumbinis Plumula). Decoct in water and take orally. It treats nocturnal emission caused by obsessive thoughts or desires.
Sanhui Chubai Wan (Three-Charred Toona and Phellodendron Pill): Consists of Sanqian of Gao Liangjiang (Alpiniae Officinarum Rhizoma), Erqian of Shaoyao (Paeoniae Radix), and Erqian of Huangbai (Phellodendri Cortex), all charred but retaining their nature (burnt to charcoal); plus one tael and a half of Chugenpi (Toonae Radicis Cortex). Grind into powder, make pills with paste, sized like wutong seeds. Take thirty pills each time, swallowed with tea soup on an empty stomach.
Dan Chupi Wan (Single Toona Bark Pill): Use the white inner bark of the Toona root, stir-fried, ground into powder, and made into pills with wine paste. However, its nature is cool and drying, so it should not be taken alone; alternatively, add Qingdai (Indigo Naturalis), Haishi (Aragaki Shell), and Huangbai (Phellodendri Cortex), decocted in Bayi Tang (Eight-Herb Decoction) for administration. It treats internal injury to qi and blood due to sexual exhaustion, frequent seminal emission without dreams, or nocturnal emission during dreams.
For nocturnal emission leading to deficiency collapse, use sour and astringent pastes to replenish fluids, consolidating essence and securing the true yuan firmly.
Dan Wuweizi Gao (Single Schisandra Paste): Take one jin of Bei Wuweizi (Schisandrae Chinensis Fructus), wash clean, soak in water overnight, remove pits by hand rubbing, then rinse the pits with warm water to extract remaining flavor. Combine the water and pit-rinse, filter through cloth, place in a clay pot, add two jin of winter honey, simmer over low heat. After subtracting the weight of the clay pot, boil until two jin four liang remains, forming a paste. Let stand for a few days to dissipate the "fire" property. Take one or two spoons each time, mixed with plain boiling water on an empty stomach.
Jinying Gao (Cherokee Rose Fruit Paste): Pick Cherokee rose fruits (Jinyingzi) after frost using bamboo clamps. First pound to remove thorns without damaging the fruit. Cut into two pieces with a bamboo knife, scrape off the hairy interior seeds, wash with water, and pound into a pulp. Place in a clay pot, decoct with water until reduced by half. Remove and filter out dregs. Continue simmering over gentle heat until thick like thin malt syrup. Take one spoon each time, mixed with wine. It nourishes essence, benefits the kidneys, invigorates blood, and preserves youthfulness.
Shuilu Erxian Dan (Water-Land Two Immortals Pill): Grind Qianshi (Euryales Semen) into powder. Make pills using Jinying Gao as binder, sized like wutong seeds. Take seventy to eighty pills each time, swallowed with salt wine on an empty stomach. Adding Qiushi (Human Urine Salt) as a guiding herb is especially effective. It treats seminal emission, white turbidity, and dream-emission collapse.
Gu Jing Wan (Consolidate Essence Pill): Zhimu (Anemarrhenae Rhizoma) and Huangbai (Phellodendri Cortex) one tael each; Muli (Ostreae Concha), Qianshi (Euryales Semen), Lianrui (Nelumbinis Stamen), Fuling (Poria), and Yuanzhi (Polygalae Radix) three qian each; Longgu (Fossilized Bones) two qian. Optionally add Shanzhuyu (Corni Fructus). Grind into powder, make pills with yam paste, sized like wutong seeds. Coat with Zhusha (Cinnabar). Take fifty pills each time, swallowed with salt water. It treats restlessness of the mind and kidney deficiency causing seminal leakage.
Qiushi Guzhen Wan (Human Urine Salt Solidify True Pill): Qiushi Dan (Human Urine Salt) and Baifuling (White Poria) four liang each; Shilianrou (Nelumbinis Plumula) and Qianshi (Euryales Semen) two liang each. Grind into powder, make pills with jujube meat, sized like wutong seeds. Take thirty pills each time, swallowed with warm wine or salt water. It treats excessive thinking and lust, damaging heart qi, resulting in nocturnal emission, night sweats, frequent urination, and kidney deficiency lower back pain, with miraculous effect.
To consolidate spleen essence, use Shi Lian and pig stomach.
Shilian San (Stone Lotus Powder): Shi Lianrou (Nelumbinis Plumula), Yizhiren (Alpinia Oxyphylla Fructus), and Longgu (Fossilized Bones) in equal parts, ground into powder. Take two qian each time, mixed with rice water on an empty stomach. It treats nocturnal emission, seminal leakage, and white turbid urine.
Zhudu Wan (Pig Stomach Pill): Baizhu (Atractylodis Macrocephalae Rhizoma) five liang, Kushen (Sophorae Flavescentis Radix) three liang, Muli (Ostreae Concha) four liang. Grind into powder. Boil one pig stomach until soft, mix with the powder and pound evenly. Add stomach juice and pound for half a day. Make pills sized like adzuki beans. Take forty pills each time, three times daily, swallowed with rice water. Long-term use makes the body plump and stops nocturnal emission immediately. It also promotes appetite and strengthens the limbs.
To raise kidney water, use Gouqi and Shenxiong.
Gouqi Tang (Goji Decoction): Gouqizi (Lycii Fructus), Roucongrong (Cynomorii Herba), and Fuling (Poria) one qian each; Wuweizi (Schisandrae Fructus) seven fen; Renshen (Ginseng Radix), Huangqi (Astragali Radix), Shanzhiren (Gardeniae Semen), Shudi (Rehmanniae Radix Preparata), Shizhao rou (likely Nelumbinis Plumula or similar), and Gancao (Glycyrrhizae Radix et Rhizoma) five fen each; one slice of Shengjiang (Zingiberis Rhizoma), one handful of Dengxin (Junci Medulla). Stir-fry in the morning on an empty stomach and take. It treats kidney deficiency with seminal slipperiness with miraculous effect.
Shenxiong Tang (Divining Rod and Ligusticum Decoction): Shengma (Cimicifugae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix), Gouqizi (Lycii Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Yuanzhi (Polygalae Radix), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Digupi (Lycii Cortex), Poguzhi (Psoraleae Fructus), Duzhong (Eucommiae Cortex), and Baizhu (Atractylodis Macrocephalae Rhizoma) four fen each; one slice of Shengjiang (Zingiberis Rhizoma), seven lotus seeds (Lianrou). Decoct in water and take warm. If home-grown lotus seeds are unavailable, lotus flower stamens may be used. It treats chronic nocturnal emission, kidney deficiency with sinking, laxity of the external genitalia, frequent seminal leakage; it tonifies and guides kidney water back to its source.
Shiwei Wendan Tang (Ten-Ingredient Warm Gallbladder Decoction): Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Zhishi (Aurantii Fructus Immaturus) nine fen each; Renshen (Ginseng Radix) and Baifuling (White Poria) five fen each; Yuanzhi (Polygalae Radix), Shudi (Rehmanniae Radix Preparata), Suanzaoren (Ziziphi Spinosae Semen), and Gancao (Glycyrrhizae Radix et Rhizoma) three and a half fen each; nine Wuweizi (Schisandrae Fructus). Decoct with Shengjiang (Zingiberis Rhizoma) and take warm. It treats nocturnal emission with fright and palpitations.
Xu Shi Liuling Wan (Xu's Sulfur and Poria Pill): Liu Huang (Sulfur) processed with Mingfan (Alumen) one tael; Baifuling (White Poria) two liang; Zhimu (Anemarrhenae Rhizoma) and Huangbai (Phellodendri Cortex) five qian each (soaked in child's urine). Grind into powder. Melt one tael and a half of Huangla (Beeswax) and mix to make pills sized like wutong seeds. Take fifty pills each time, swallowed with salt water. It treats nocturnal emission due to upper heat and lower cold, with miraculous effect.
For hot strangury, clear the lungs and open the diaphragm; if there is blood stasis, add Niuxi (Achyranthis Bidentatae Radix) and Hupo (Amber).
Qingfei Yinzi (Clear Lung Infusion): Fuling (Poria), Zhuling (Polyporus), and Zexie (Alismatis Rhizoma) two qian each; Cheqianzi (Plantaginis Semen), Hupo (Amber), Mutong (Akebiae Caulis), Qumai (Dianthi Herba), and Pianxu (Polygoni Avicularis Herba) one qian each; Tongcao (Tetrapanacis Medulla) and Dengxin (Junci Medulla) five fen each. Decoct in water and take hot. It treats pathogenic factors in the upper jiao qi level, thirst, and difficult, painful urination.
Touge San (Penetrating Diaphragm Powder): Use Xiaoshi (Natrii Nitras) ground into powder. Take two qian each time. For hot strangury with red, dripping urine and urgent pain below the umbilicus, swallow with cold water or Huangqin (Scutellariae Radix) decoction. For blood strangury, swallow with Shanzhiren (Gardeniae Semen) decoction. For qi strangury with lower abdominal fullness and post-void dribbling, swallow with Mutong (Akebiae Caulis) decoction. For stone strangury with cutting pain in the urethra, sand/gravel in urine, and fainting, stir-fry the medicine between paper until the paper burns, then grind fine. Swallow with Dongkuizi (Malvae Semen) thirty grains crushed and decocted. For labor strangury triggered by fatigue and weakness, swallow with Sunflower (Kuihua) decoction.
Dan Niuxi Gao (Single Achyranthes Paste): Niuxi (Achyranthis Bidentatae Radix) one he, decoct in five zhan of water until one zhan remains. Add a little Moshe (Musk). Take on an empty stomach, or simply boiled in wine. It treats strangury caused by dead blood (blood stasis) and kidney deficiency causing lower back and knee pain/weakness, and various blood diseases in women. Note: Some say this drug damages stomach qi and causes loss of appetite; use with discretion.
Shenling Hupo Tang (Ginseng, Poria, and Amber Decoction): Renshen (Ginseng Radix) five fen; Fuling (Poria) four fen; Hupo (Amber), Chaihu (Bupleuri Radix), and Zexie (Alismatis Rhizoma) three fen each; Guiwei (Angelicae Sinensis Radix Tail) two fen; Xuanshusuo (Cyperi Rhizoma) seven fen; Gancao Shao (Glycyrrhizae Radix et Rhizoma Tip) and Chuanni Zi (Meliae Fructus) one qian each; ten stems of Dengxin (Junci Medulla). Decoct in water and take. It treats painful, difficult urination with pain in the urethra radiating to the hypochondrium, unbearable pain.
For cold strangury, use Lujiaoshuang (Deer Antler Frost) and Sheng Fuzi (Raw Aconite); for qi stagnation, use Chenxiang (Aquilaria Wood) and Mutong (Akebiae Caulis).
Lujiaoshuang Wan (Deer Antler Frost Pill): Lujiaoshuang (Cervi Cornu Degelatinatum), Qiushi Dan (Human Urine Salt), and Baifuling (White Poria) in equal parts, ground into powder. Make pills with flour paste, sized like wutong seeds. Take fifty pills each time, swallowed with rice water on an empty stomach. It treats qi strangury due to劳伤 (labor injury), difficult and obstructed urination, dark urine like fat grease, extreme fatigue and weakness, or cold-dampness from shaoyin disease presenting similarly.
Sheng Fu San (Raw Aconite Powder): Fuzi (Aconiti Lateralis Radix Preparata - *Note: Text says Sheng Fuzi/Raw, but formula usually uses prepared; translating literally as Raw Aconite per text*) and Huashi (Talcum) five fen each; Mutong (Akebiae Caulis), Banxia (Pinelliae Rhizoma), and Qumai (Dianthi Herba) seven and a half fen each; seven slices of Shengjiang (Zingiberis Rhizoma), twenty stems of Dengxin (Junci Medulla), half spoon of Honey. Decoct in water and take. It treats excessive water intake or cold diarrhea leading to heart qi deficiency and dispersion, resulting in cold strangury with frequent urges but inability to void, swelling and pain in the orifice, and aversion to cold/shivering.
Chenxiang San (Agarwood Powder): Chenxiang (Aquilaria Wood), Shiwei (Pyrosae Folium), Huashi (Talcum), Wangbuliuxing (Vaccariae Semen), and Danggui (Angelicae Sinensis Radix) five qian each; Kuizi (Malvae Semen) and Baishao (Paeoniae Radix Alba) three qian each; Gancao (Glycyrrhizae Radix et Rhizoma) and Ju Pi (Citri Reticulatae Pericarpium) one qian each. Grind into powder. Take two qian each time, mixed with barley decoction. It treats qi strangury, often caused by internal depression and stagnant qi, yin blocking yang, leading to obstruction, lower abdominal fullness, frequent loose stools, and urinary retention.
Er Mu San (Two Woods Powder): Mutong (Akebiae Caulis), Muxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Jiaohuixiang (Foeniculi Fructus), Binglang (Arecae Semen), Zexie (Alismatis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), and Gancao (Glycyrrhizae Radix et Rhizoma) three fen each; a little Rougui (Cinnamomi Cortex). Decoct in water and take. It treats cold strangury with qi stagnation, post-void dribbling, painful urination, and cool body.
Use Er Shi San (Two Stones Powder) with alternating hot and cold compresses; do not fear bladder torsion causing blockage.
Er Shi San (Two Stones Powder): Huashi (Talcum), Hanshuishi (Natrii Sulfas Crysallus), and Dongkuizi (Malvae Semen) five zhan each. Decoct in ten zhan of water until five zhan remain. Divide into two doses. It treats bladder torsion in men and women where urination has been impossible for eight or nine days.
Hot and Cold Compress Method: First apply cold compresses to the lower abdomen several times, then hot compresses, then cold again. The blockage will naturally resolve, and self-care leads to recovery. It treats constipation of both bowels and bladder, or strangury with hematuria, and pain in the yin organs, caused by heat.
Sanwei Tingli San (Three-Ingredient Lepidium Powder) and Huofu Dan (Fire Palace Pill), why worry about urinary retention becoming long-standing strangury?
Sanwei Tingli San (Three-Ingredient Lepidium Powder): Tongcao (Tetrapanacis Medulla) and Fuling (Poria) three liang each; Tingli (Lepidii Semen) two liang. Grind into powder. Take one fangcun bi (square inch scoop) mixed with water, three times daily. It treats urgent and painful urination with difficulty and pain in the urethra.
Huofu Dan (Fire Palace Pill): Shengdi (Rehmanniae Radix) two liang; Mutong (Akebiae Caulis) and Huangqin (Scutellariae Radix) one liang each. Grind into powder, make honey pills sized like wutong seeds. Take thirty to fifty pills each time, swallowed with Mutong (Akebiae Caulis) decoction. It treats heat accumulation in the heart meridian causing red urine, painful strangury of the five types, and also treats thirst diseases.
For enuresis, use Ji Pao (Chicken Bladder) ash; the kidney-tonifying formula is named Da Tu Si Zi San.
Ji Pao San (Chicken Bladder Powder): For males, use female chicken; for females, use male chicken. One Ji Pao (Chicken Bladder), along with intestines, washed clean and burnt to ash. Grind into powder. Take two qian each time, mixed with warm wine on an empty stomach. Can add Zhu Pao (Pig Bladder) ash. It treats enuresis and incontinence.
Da Tusizi San (Large Dodder Seed Powder): Tusizi (Cuscutae Semen) and Rongrong (Cynomorii Herba) two liang each; Hei Fuzi (Black Prepared Aconite), Wuweizi (Schisandrae Fructus), Lurong (Cervi Cornu Degelatinatum), Ji Pao (Chicken Bladder), and Sangpiaoxiao (Mantis Ootheca) one liang each. Grind into powder, make pills with wine paste, sized like wutong seeds. Take seventy pills each time, swallowed with salt water on an empty stomach. It treats internal deficiency and cold, continuous spontaneous sweating, and urinary incontinence.
Er Ling Wan (Two Porias Pill): Chi Fuling (Red Poria) and Bai Fuling (White Poria) in equal parts. Clarify with water to obtain powder. Separately, boil Shengdi (Rehmanniae Radix) juice with wine to make a paste. Make pills sized like彈子 (bullet/egg). Chew one pill on an empty stomach, swallowed with salt water. It treats dual deficiency of heart and kidney, restless spirit, and difficult, painful, incontinent urination.
Suō Quán Wan (Lock Fountain Pill) and Sangpiaoxiao San (Mantis Egg Case Powder); Mi Yuan Dan (Secret Origin Pill) uses Bai Longgu (White Fossilized Bone) as the sovereign herb.
Suō Quán Wan (Lock Fountain Pill): Wuyao (Litseae Fructus) and Yizhiren (Alpinia Oxyphylla Fructus) in equal parts, ground into powder. Boil Shanyao (Dioscoreae Rhizoma) in wine, make pills with paste, sized like wutong seeds. Take seventy pills each time before bed, swallowed with salt wine. It treats insufficient bladder qi, frequent urination, or add Ji Pao (Chicken Bladder).
Sangpiaoxiao San (Mantis Egg Case Powder): Sangpiaoxiao (Mantis Ootheca), Yuanzhi (Polygalae Radix), Longgu (Fossilized Bones), Changpu (Acori Tatarinowii Rhizoma), Fushen (Poria with Hostwood), Lurong (Cervi Cornu Degelatinatum), Muli (Ostreae Concha), and Danggui (Angelicae Sinensis Radix) in equal parts. Grind into powder. Take two qian each time before bed, mixed with Renshen (Ginseng Radix) decoction. It treats heart and kidney damage from overwork, frequent urination resembling rice water, calming the spirit and stabilizing the will.
Mi Yuan Dan (Secret Origin Pill): Bai Longgu (White Fossilized Bone) two liang; Hezi (Terminalia Chebulae Fructus) ten fruits; Sharen (Amomi Fructus) and Chensha (Cinnabar) one liang each. Grind into powder, make pills sized like Euryales seeds with glutinous rice porridge. Swallow two pills with wine on an empty stomach, three pills with warm water before bed. Avoid green onions, tea, and leeks. It assists yang to eliminate yin, corrects qi and warms the middle, treating cold qi attacking the heart, abdominal pain, diarrhea, spontaneous sweating, enuresis, yang deficiency with cold feet, insufficiency of true qi, and all internal deficiency and cold syndromes.
For rectal prolapse, use astringents; select Suosha (Cardamom) and Ying Su Pi (Poppy Shell).
Suosha San (Cardamom Powder): Sharen (Amomi Fructus), Huanglian (Coptidis Rhizoma), and Muzei (Equiseti Herba) ground into powder. Take two qian each time, swallowed with rice water. It treats large intestine deficiency with heat, causing rectal prolapse with redness and swelling.
Ying Su Pi San (Poppy Shell Powder): Ying Su Pi (Papaveris Pericarpium) and Biejia (Trionycis Carapax) each one, roasted until scorched; Cishi (Magnetitum) five qian; Lagui (Cinnamomi Ramulus) three qian. Grind into powder. Take two qian each time, swallowed with rice water. Also apply a heated straw sole to press the prolapse back in. It treats irreducible rectal prolapse.
Dan Cishi San (Single Magnetite Powder): Ground into powder. Take one qian each time, swallowed with rice water on an empty stomach. Note: This is a heavy sedative agent; do not take excessively.
For rectal prolapse application and washing, use Xiangfu (Cyperi Rhizoma), Jingjie (Schizonepetae Herba), Xiongdan (Bear Bile), and Biejia (Trionycis Carapax) interchangeably.
General Washing Medicine: Xiangfu (Cyperi Rhizoma), Jingjie (Schizonepetae Herba), and Sharen (Amomi Fructus) in equal parts, ground into powder. Take three qian each time, decoct in water and wash hot, or take orally. Alternatively, use old wall soil soaked in water for fumigation and washing. For deficiency-cold and excessive exertion, children crying, or prolonged diarrhea causing prolapse: use Wubeizi (Chebulae Fructus) five qian, Kufan (Calcined Alum), and Shechuangzi (Cnidii Fructus) a little, ground into powder, decoct in water and wash. Afterwards, sprinkle a little Chishizhi (Halloysitum Rubrum) on a banana leaf and frequently use it to push the prolapse back in. If prolapsed by a chi length, place two stools together with a one-chi gap. Fill a bottle with medicinal water level with the stools. Have the patient lie supine on the stools, immersing the prolapsed part in the bottle. Change the water daily until retracted. For chronic cold cases that do not retract: roast Duanshi (Calcined Gypsum) hot, wrap in cloth, sit on it. Replace when cool. Apply Haipiaoxiao (Sepiae Endoconcha) powder afterwards. If large intestine deficiency allows wind-toxic heat to invade causing red/swollen prolapse: use Dan Fen (Iron Powder) mixed with Bailian (Trollii Radix) powder, apply evenly, and press back in. For heat cases: use Xiongdan (Bear Bile) five fen, Ercha (Katechu) two fen, Bingpian (Borneolum Syntheticum) one fen, ground into powder, mixed with human milk and applied to the anus. Heat fluid will discharge, and the anus will retract. Also effective for hemorrhoids. Or boil one turtle/bird (Biayu), eat the meat, keep the broth for fumigation/washing, burn bones to ash, and apply. For swollen/painful anus or alcoholics with this condition: remove shell from Mugua (Momordicae Semen - *Text says Mibiezi/Momordicae Semen*), pound into paste, use刺汤 (likely typo for Ci Tang or specific decoction) for fumigation/washing, apply a little separately. For itchy anus and intestinal parasites: decoct Sheng Ai (Artemisiae Argyi Folium) and Kuligen (Meliae Cortex) for fumigation/washing, and decoct dry Ai Ye (Artemisiae Argyi Folium) and Shengjiang (Zingiberis Rhizoma) to take orally. After defecation, must wash with water. Do not use old paper wrapped with medicinal liquids or debris.
Alas! When water cannot overcome fire, it becomes a thief within the body; heat causing vexation in the heart is treated by superior physicians.
The five zang organs rely on the spleen for generation; all things enter through the mouth. Mild cases are retained food, easily digested by medicine; severe cases are accumulations, difficult to treat with formulas. For internal injury, Buyi Tang (Supplement the Middle Decoction) has significant modifications. If complicated by external pathogens, observe six-meridian manifestations; see the "Shaoyang Medication Ode". If complicated by phlegm, especially in obese individuals with wheezing, fullness, and expectoration, with slippery pulse and fever, add Zhuli (Bamboo Sap), Jiangzhi (Ginger Juice), and Banxia (Pinelliae Rhizoma). For severe phlegm-fire, add Fuling (Poria) and Huanglian (Coptidis Rhizoma), double Chenpi (Citri Reticulatae Pericarpium), remove Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) to avoid stirring up phlegm-fire and causing other syndromes. If complicated by heat, combine with Huoyu Tang (Stagnant Fire Decoction). For chest oppression, heat in body and palms/soles, surging-rapid pulse, and chronic constipation, add Wei Dahuang (Baked Rhubarb). If stool is sticky, appearing every one-two days, causing poor appetite, it is blood deficiency with hidden fire failing to moisten; add Danggui (Angelicae Sinensis Radix), Dihuang (Rehmanniae Radix), Mahren (Semen Cannabis), and Taoren (Persicae Semen). If stool is difficult, appearing every three-five days, it is not blood stasis obstruction, but heat generating wind; the patient will show wind signs; take Renshen Huangqi Tang (Ginseng and Astragalus Decoction) plus Fangfeng (Saposhnikoviae Radix) and Qianghuo (Notopterygii Rhizoma et Radix). Once stool passes, one dose suffices. After internal injury subsides, if residual heat remains in zang organs with unrelieved dry thirst, use only Renshen (Ginseng Radix), Huangqi (Astragali Radix), and Gancao (Glycyrrhizae Radix) decocted in water, add a little Ginger Juice, take cold. Or use single Renshen Tang plus Gegen (Puerariae Lobatae Radix) to guide stomach qi upward to moisten dry mouth. For excessive worry/thought, add Muxiang (Aucklandiae Radix), Sharen (Amomi Fructus), and Baidoukou (Amomi Fructus Rotundus). For qi stagnation, add Qingpi (Citri Reticulatae Pericarpium Viride). For sexual excess: if yang deficiency, remove Shengma/Chaihu, add Ronggui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Preparata); if yin deficiency, remove Shengma/Chaihu, add Shudi (Rehmanniae Radix Preparata), Shanzhuyu (Corni Fructus), and Shanyao (Dioscoreae Rhizoma); if heat, add Mudanpi (Moutan Cortex). For fatigue in dreams/sleep, add Wuweizi (Schisandrae Fructus); for retained food, add Shanzha (Crataegi Fructus) and Maiya (Hordei Fructus Germinatus); for loss of taste, add Shenqu (Massa Medicata Fermentata); for prolonged hunger, remove Chaihu, add Gan Shanyao (Dried Yam). For epigastric fullness/stuffiness, add Shaoyao (Paeoniae Radix) and Huanglian (Coptidis Rhizoma); for abdominal distension, add Zhishi (Aurantii Fructus Immaturus), Houpo (Magnoliae Officinalis Cortex), Muxiang (Aucklandiae Radix), and Sharen (Amomi Fructus); in cold weather, add Ganjiang (Zingiberis Rhizoma); for epigastric stuffiness with sensation of cold in the center, add Fuzi (Aconiti Lateralis Radix Preparata) and Huanglian (Coptidis Rhizoma); for inability to eat with epigastric stuffiness, add Shengjiang (Zingiberis Rhizoma) and Chenpi (Citri Reticulatae Pericarpium); for ability to eat with epigastric stuffiness, add Huanglian (Coptidis Rhizoma) and Zhishi (Aurantii Fructus Immaturus). For stomach pain, remove bitter-cold drugs, add Caodoukou (Alpiniae Katsumadai Semen); for hypochondriac pain/tightness, add Chaihu (Bupleuri Radix); for abdominal pain, add Baishao (Paeoniae Radix Alba); for cold pain, add Banxia (Pinelliae Rhizoma) and Yizhi (Alpiniae Oxyphylla Fructus); for cold pain, add Rougui (Cinnamomi Cortex); for umbilical pain, add Shudi (Rehmanniae Radix Preparata); for diarrhea, add Baishao (Paeoniae Radix Alba) and Fuling (Poria). This formula is unsuitable for upper jiao phlegm-vomiting, middle jiao damp-heat, or food stagnation with diaphragmatic fullness. See General Internal Injury Formulas.
Tiao Pi Sheng Wei Dan (Regulate Spleen Generate Stomach Pill) specifically removes cold-dampness.
Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) tonify qi; Fuling (Poria) drains dampness, each two liang; Maiya (Hordei Fructus Germinatus) and Sharen (Amomi Fructus) digest food; Banxia Qu (Pinelliae Massa Fermentata) and Nanxing (Arisaema Cum Bile) dry damp-phlegm; Chenpi (Citri Reticulatae Pericarpium) and Qingpi (Citri Reticulatae Pericarpium Viride) move qi; Baidoukou (Amomi Fructus Rotundus) and Bidengqie (Piperis Longi Fructus) open the diaphragm; Shilianrou (Nelumbinis Plumula) clears the heart, each one liang; Muxiang (Aucklandiae Radix) regulates qi three qian. Nanxing (Arisaema Cum Bile) three liang is soaked in Ginger Juice overnight, wrapped in yellow mud, baked for half a day, mud removed. Grind into powder. Cook four liang of millet into rice, dry-roast while hot, mix with Ginger Juice while wet, roast again. Repeat this process seven times. Pound into powder, make pills sized like mung beans. Take fifty pills each time, swallowed with Ginger Soup. Suitable for generating stomach qi, resolving phlegm, opening chest/diaphragm, promoting appetite, and treating obesity due to cold-dampness.
For cold injury, Muxiang (Aucklandiae Radix) and Dingxiang (Caryophylli Flos) warm the spleen.
Muxiang Jian Wan (*Note: Text likely refers to a specific formula name, possibly corrupted or abbreviated*): Bashuang (Crotonis Semen Extract) five qian, Jingsanleng (Curcumae Radix) and Shenqu (Massa Medicata Fermentata) ten liang each, Muxiang (Aucklandiae Radix) and Chaihu (Bupleuri Radix) two liang each, Xiangfu (Cyperi Rhizoma), Shisanleng (Curcumae Phaeocaulis Rhizoma), and Caodoukou (Alpiniae Katsumadai Semen) five liang each, Shengma (Cimicifugae Rhizoma) three liang. Grind into powder, make pills with steamed dough, sized like mung beans. Take twenty pills each time, swallowed with white water, dosage adjusted to the injury. Treats injury from raw/cold foods, abdominal fullness and pain.
Dingxiang Pi Ji Wan (Clove Spleen Accumulation Pill): Liangjiang (Alpiniae Officinarum Rhizoma) boiled in vinegar, Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Badou (Crotonis Semen) five qian each; Ezhu (Curcumae Longae Rhizoma) and Sanleng (Sparganii Rhizoma) two liang each; Qingpi (Citri Reticulatae Pericarpium Viride) one liang; Saojiao (Gleditsiae Sinensis Spina) burnt to ash three slices; Baicaoshuang (Carbonized Bamboo Charcoal) three spoons. Grind into powder, make pills with paste, sized like hemp seeds. Take ten to twenty pills at dawn, swallowed with soup. Purge three to five movements, then stop with congee. Treats various food stagnations and qi stagnation, chest/diaphragm fullness, stabbing pain in heart/abdomen. For stopping spleen accumulation qi, swallow with Chenpi (Citri Reticulatae Pericarpium) decoction; for acid regurgitation, swallow with Ginger Soup; for vomiting, swallow with Huoxiang (Pogostemonis Herba) and Gancao (Glycyrrhizae Radix et Rhizoma) decoction; for small intestine qi, swallow with stir-fried Huixiang (Foeniculi Fructus) in wine; for women's qi-blood stabbing pain, swallow with Vinegar Water; for vomiting, swallow with Changpu (Acori Tatarinowii Rhizoma) decoction; for pediatric malnutrition qi, swallow with Shijunzi (Quisqualis Fructus) decoction.
For heat injury from food, Erhuang (Two Yellows) and Dahuang (Rhubarb) suffice for emergencies.
Erhuang Wan (Two Yellows Pill): Huangqin (Scutellariae Radix) two liang, Huanglian (Coptidis Rhizoma) one liang, Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) three qian each, Gancao (Glycyrrhizae Radix et Rhizoma) two qian, Zhishi (Aurantii Fructus Immaturus) five qian. Grind into powder, make pills with steamed dough, sized like mung beans. Take fifty to seventy pills each time, swallowed with white water or Ginger Soup. Treats heat-food stagnation with fullness, nausea, restlessness, and discomfort.
Dahuang Beiji Wan (Rhubarb Emergency Pill): Dahuang (Rhei Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), and Badou (Crotonis Semen) in equal parts, ground into powder. Make honey pills sized like adzuki beans. Take three pills each time, swallowed with hot water or wine, dosage adjusted to size/condition. Avoid raw/cold and greasy foods. Treats sudden evil invasion, abdominal fullness, acute stabbing pain, locked jaw, corpse-like coma, and sudden death.
Chuyuan San (Remove Original Source Powder): Burn the original ingested harmful substance to retain its nature, grind into powder. Mix with juice of one handful of connected-root Chinese Leek (Jiucai) and take. After one to two hours, administer a purgative to expel the ingested matter and cure.
Xingzhu Wan (Arisaema and Atractylodes Pill): Niudan (Ovis Bile), Nanxing (Arisaema Cum Bile), Baizhu (Atractylodis Macrocephalae Rhizoma), Shigao (Gypsum Fibrosum), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix), and Bohe (Menthae Haplocalycis Herba) in equal parts, ground into powder. Mix with rock sugar to form paste, dissolve in saliva and take, or make pills. Treats tea addiction.
Kuan Zhong Shan Zha (Broaden Middle Hawthorn), relying entirely on Shenqu (Massa Medicata Fermentata) as paste.
Dan Shan Zha Wan (Single Hawthorn Pill): Steam Shan Zha (Crataegi Fructus) until cooked, dry, grind into powder. Boil Shenqu (Massa Medicata Fermentata) to make paste. Make pills sized like wutong seeds. Take sixty to seventy pills each time, swallowed with white water. Treats hypochondriac/diaphragmatic fullness and food stagnation.
Baohe Zhi Zhu (Preserve Harmony and Aurantium-Atractylodes), wonderful in using He Ye (Nelumbinis Folium) pounded for juice.
Baohe Wan (Preserve Harmony Pill): Shan Zha (Crataegi Fructus) six liang, Shenqu (Massa Medicata Fermentata), Banxia (Pinelliae Rhizoma), Fuling (Poria) two liang each; Chenpi (Citri Reticulatae Pericarpium), Lianqiao (Forsythiae Fructus), Luobozhi (Brassicae Rapae Semen) one liang each. Grind into powder, make pills with steamed dough, sized like wutong seeds. Take seventy to eighty pills each time, swallowed with white water. Treats all food stagnations. To strengthen spleen, add Baizhu (Atractylodis Macrocephalae Rhizoma) six liang, named Da'an Wan (Great Peace Pill).
Zhi Zhu Wan (Aurantium-Atractylodes Pill): Baizhu (Atractylodis Macrocephalae Rhizoma) two or three liang, Zhishi (Aurantii Fructus Immaturus) one liang. Grind into powder. First pound He Ye (Nelumbinis Folium), soak in water, cook rice until half-done. Add rice water to the pounded leaves, simmer in ash fire until cooked. Mix with powder and pound into pills sized like mung beans. Take fifty to sixty pills each time, swallowed with rice water. This method combines tonification and reduction, the royal way of medicine. Recent times tend to use acrid-hot herbs to aid fire and consume yin, causing stomach fire to increase and spleen yin to decrease, leading to dry, hard intestines/stomach. They forget that spleen/stomach belong to earth and dampness; damp-heat diseases account for eight or nine out of ten. How can one偏 (bias) towards hot agents? For stomach injury with abdominal fullness and heaviness, add Luobozhi (Brassicae Rapae Semen) five qian, Shenqu (Massa Medicata Fermentata) one liang, Honghua (Carthami Flos) one qian. For damp-heat stagnation, add Fuling (Poria), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) three qian each, Zexie (Alismatis Rhizoma) two qian, Dahuang (Rhei Radix et Rhizoma) one liang, make pills with Shenqu paste. For injury from bean powder, wet noodles, or grease, add Banxia (Pinelliae Rhizoma) and Shenqu (Massa Medicata Fermentata) one liang each, Chenpi (Citri Reticulatae Pericarpium) seven qian, Huangqin (Scutellariae Radix) five qian, Kufan (Calcined Alum) three qian. For injury from butter, cheese, milk, cakes, and all cold diseases, add one dose of Chushi Tang (Drain Dampness Decoction): Cheqianzi (Plantaginis Semen) and Zexie (Alismatis Rhizoma) five qian each, Shenqu (Massa Medicata Fermentata) one liang, Ganjiang (Zingiberis Rhizoma), Banxia (Pinelliae Rhizoma), Honghua (Carthami Flos), Gancao (Glycyrrhizae Radix et Rhizoma) three qian each...