虫（熬）五分 斑蝥（去足熬）二分 地胆（去足熬）二分 猪苓三分
上为末，每服四分匕，小麦汁下，日三夜二。有热者，去猪苓。服药二日后，以器盛小
便，当有所下。肉淋则下碎肉；血淋下如短绳。若如肉脓；气淋下如羹上肥；石淋下石或下
砂，剧者十日即愈。
石淋者，淋而出石也。其症小便则茎里痛，溺不能卒出，痛引小腹膀胱，里急，砂石从
小便导出，甚者塞痛，令闷绝。治用∶
柏子仁 芥子 滑石各等分
捣为末，以米汁饮服方寸匕，三服当效。
热淋者，三焦有热气，搏于肾，流入于胞而成淋也。治用∶
滑石二两 栝蒌三两 石苇（去毛）二分
上为散，以大麦粥清服方寸匕，日三。
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，治用∶
白茅根 芍药 木通 车前子各三两 滑石 黄芩各一两五钱 乱发（烧灰） 冬葵子
（微炒）各五钱
上八味捣筛，每服三钱。水煎温服，日三。
劳淋者，谓劳伤肾气而生热成淋也。其状尿留茎内，数起不出，引少腹痛，小便不利，
劳倦即发，故云劳淋。方用∶
滑石三分 王不留行 冬葵子 车前子 桂心 甘遂 通草各二分 石苇（去毛）四分
上为散，以麻子粥和服方寸匕，日三服，尿清瘥。
虫（炒制）五分，斑蝥（去除足部并炒制）二分，地胆（去除足部并炒制）二分，猪苓三分。
以上药物研为细末，每次服用四分匕的量，用小麦汁送服，每日三次，夜间两次。若有热象者，去掉猪苓。服药两天后，用容器盛接小便，应当有排泄物排出。肉淋则排出碎肉状物；血淋排出如短绳状的物质。若排出物如同肉脓；气淋排出物如同羹汤表面的浮油；石淋排出砂石或砂粒，病情严重者十日即可痊愈。
石淋，是指排尿时伴有结石排出的病证。其症状是小便时尿道内疼痛，尿液不能立即排出，疼痛牵引至小腹和膀胱，感到腹部急迫，砂石从小便中导出，严重时堵塞疼痛，导致昏厥。治疗使用：
柏子仁、芥子、滑石各等分。
捣碎研为细末，用米汤送服方寸匕的量，服用三次应当见效。
热淋，是由于三焦有热气，与肾相搏结，流入胞宫而形成的淋证。治疗使用：
滑石二两，栝蒌三两，石苇（去除毛刺）二分。
以上药物研为散剂，用大麦粥的清液送服方寸匕的量，每日三次。
血淋，是热邪位于下焦。使人淋沥闭塞不通，热势旺盛则搏结于血脉，血液受热而流溢，进入胞中，与尿液一同排出，所以称为血淋。治疗使用：
白茅根、芍药、木通、车前子各三两，滑石、黄芩各一两五钱，乱发（烧成灰）、冬葵子（微炒）各五钱。
以上八味药捣碎过筛，每次服用三钱。用水煎煮后温服，每日三次。
劳淋，是指因劳累损伤肾气而生热形成淋证。其表现是尿液滞留于尿道内，频繁起夜却无法排出，牵引少腹疼痛，小便不利，劳累后即发作，所以称为劳淋。方剂使用：
滑石三分，王不留行、冬葵子、车前子、桂心、甘遂、通草各二分，石苇（去除毛刺）四分。
以上药物研为散剂，用麻子粥调和后送服方寸匕的量，每日服用三次，待尿液变清即痊愈。
Chong (Stinkbug, *Eupolyphaga sinensis*) (stir-fried) 5 fen, Banmao (Mustard Beetle, *Mylabris phalerata*) (remove feet and stir-fried) 2 fen, Dichang (Ground Beetle, *Blatta orientalis* or similar species used in ancient texts, often referring to *Pheretima* or specific beetles depending on context, here likely a specific beetle variant) (remove feet and stir-fried) 2 fen, Zhuling (Polyporus, *Polyporus umbellatus*) 3 fen.
Crush the above ingredients into powder. Take 4 fenbi per dose, administered with wheat juice. Take three times daily and twice at night. If there is heat, remove Zhuling. After two days of taking the medicine, collect urine in a vessel; excrement should be discharged. In Roulin (Flesh Strangury), fragmented flesh-like matter is discharged; in Xuelin (Blood Strangury), material resembling short ropes is discharged. If the discharge resembles pus from meat; in Qilin (Qi Strangury), the discharge resembles the fat floating on soup; in Shilin (Stone Strangury), stones or sand are discharged. Severe cases will heal within ten days.
Shilin (Stone Strangury) refers to strangury accompanied by the passage of stones. Its symptoms include pain in the urethra during urination, inability to void urine immediately, pain radiating to the lower abdomen and bladder, urgency, and the discharge of sand and stones from the urethra. In severe cases, blockage and pain cause fainting. Treatment uses:
Baiziren (Biota Seed, *Biota orientalis*), Jiezi (Mustard Seed, *Sinapis alba*), Huashi (Talcum, *Talcum*) in equal parts.
Grind into powder. Administer one fangcunbi with rice water. Three doses should yield efficacy.
Relin (Heat Strangury) is caused by heat qi in the Sanjiao (Triple Burner) clashing with the Kidney and flowing into the Bladder (Paomao), resulting in strangury. Treatment uses:
Huashi (Talcum, *Talcum*) 2 liang, Gualou (Trichosanthes Fruit, *Trichosanthes kirilowii*) 3 liang, Shiwei (Leaves of Pyrus Calleryana, *Pyrus calleryana*) (remove hairs) 2 fen.
Grind the above into a powder. Administer one fangcunbi with the clear liquid of barley porridge, three times daily.
Xuelin (Blood Strangury) involves heat in the Lower Jiao. It causes strangury and obstruction. When heat is excessive, it clashes with the blood vessels; blood, heated, overflows into the Paomao (Bladder) and is discharged together with urine, hence named Blood Strangury. Treatment uses:
Baimaogen (Rhizoma Imperatae, *Imperata cylindrica*), Shaoyao (Peony Root, *Paeonia lactiflora*), Mutong (Akebia Stem, *Akebia quinata*), Cheqianzi (Plantago Seed, *Plantago asiatica*) each 3 liang; Huashi (Talcum, *Talcum*), Huangqin (Scutellaria Root, *Scutellaria baicalensis*) each 1.5 liang; Luanfa (Human Hair, *Capilli Humani*) (burned to ash), Dongkuizi (Malva Seed, *Malva verticillata*) (lightly stir-fried) each 5 qian.
Crush and sieve the above eight ingredients. Take 3 qian per dose. Decoct in water and take warm, three times daily.
Laolin (Fatigue Strangury) refers to strangury generated by heat arising from fatigue damaging Kidney Qi. Its presentation includes urine retention in the urethra, frequent urges without voiding, pain radiating to the lower abdomen, difficult urination, and onset triggered by fatigue, hence named Fatigue Strangury. Formula uses:
Huashi (Talcum, *Talcum*) 3 fen, Wangbuliuxing (Vaccaria Seed, *Vaccaria segetalis*), Dongkuizi (Malva Seed, *Malva verticillata*), Cheqianzi (Plantago Seed, *Plantago asiatica*), Guixin (Cinnamon Twig, *Cinnamomum cassia*), Gansui (Kansui Root, *Euphorbia kansui), Tongcao (Tetrapanax Pith, *Tetrapanax papyrifer*) each 2 fen; Shiwei (Leaves of Pyrus Calleryana, *Pyrus calleryana*) (remove hairs) 4 fen.
Grind the above into a powder. Mix with hemp seed porridge and administer one fangcunbi, three times daily. Recovery occurs when urine becomes clear.