论曰肾与膀胱为表里，下通于胞，宣行水道，肾脏虚弱，冷气客于下焦，邪正交争，满
于胞内，水道不宣，故其状先寒颤，然后便溺成淋，谓之冷淋也。
治冷淋小便涩，榆皮汤方
榆皮 桂（去粗皮） 芎 （各半两） 木通 瞿麦穗（各一两） 人参（三分）
上六味，锉如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服不拘时。
治冷淋寒颤，小便涩痛，茅根饮方
茅根 菝 竹叶 五味子（各一两半） 乌梅（去核焙十五枚） 石膏（五两） 人
参（二两）
上七味，锉如麻豆大，每服五钱匕，水一盏半，煎至一盏，去滓温服不拘时。
治冷淋寒颤涩痛，菝 饮方
菝 土瓜根 黄 （锉） 地骨皮 五味子（各二两） 人参 牡蛎（ 各一两半） 石
膏（碎四两）
上八味，粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓温服不拘时。
治冷淋、溲便冷涩，菟丝子散方
菟丝子（酒浸别捣） 肉苁蓉（酒浸切焙各一两） 五味子 黄 （锉） 鸡 黄皮 蒲
黄（各一两半） 硝石（研半两）
上七味，捣罗为散，每服二钱匕，温酒调下不拘时。
治冷淋，肉苁蓉丸方
肉苁蓉（酒浸切焙） 熟干地黄（焙） 山芋 石槲（去根） 牛膝（酒浸切焙） 桂
（去粗皮
细辛（去苗叶
上一十二味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，盐酒下不拘时。
治肾虚膀胱冷，淋沥不利，黄 丸方
黄 （锉） 黄连（去须） 土瓜根（锉各二两半） 玄参（三两） 地骨皮（锉） 菝
（锉）
一两半）
上一十一味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，盐酒下不拘时。
治冷淋，菟丝石脂散方
菟丝子（酒浸别捣） 白石脂 牡蛎（ 研各二两） 桂（去粗皮） 土瓜根（锉各一
两）
上五味，捣研为散，每服二钱匕 煮大麦粥饮调下，空心食前。
治冷淋、诸方不瘥者，麝香散方
麝香（不拘多少）
上一味细研，每服半钱匕，空心温酒调下。
治冷淋、小便涩痛，泽泻散方
泽泻 鸡苏 赤茯苓（去黑皮） 石苇（去毛炙） 当归（切炒） 蒲黄 槟榔（锉） 琥
珀（
上一十一味，捣研为散，每服二钱匕，煎冬葵子汤调下，木通汤亦得，不拘时。
治冷淋小便多，或不禁，宜服菟丝子散方。
菟丝子（酒浸一宿别捣一两） 蒲黄 黄连（去须各一两半） 硝石（半两） 肉苁蓉
（酒浸
上七味，捣罗为细散，每空腹温酒调三钱匕服，日二。
治阴汗小便多冷淋等，蜀椒丸方
蜀椒（去目及闭口者炒出汗三两） 杏仁（汤去皮尖双仁炒黄研四两）
上二味，先以醇酒一升半，熬令酒尽，取椒焙为末，杏仁别捣，相和为丸，如梧桐子大，
每日空心盐汤下二十丸，晚再服。
论述说：肾与膀胱互为表里，向下连通于胞宫（此处指代下焦泌尿生殖区域），主管疏通和运行水液通道。若肾脏虚弱，寒气侵袭并停留于下焦，邪气与正气相互交争，导致气机壅滞充满于胞内，致使水道不通畅，所以其症状表现为先出现寒战，随后小便排出困难形成淋证，这被称为冷淋。
治疗冷淋、小便涩滞不畅的榆皮汤方：
榆皮、桂枝（去除粗糙的外皮）、川芎（各半两）、木通、瞿麦穗（各一两）、人参（三分）。
以上六味药，切碎如麻子或豆类大小，每次服用五钱匕，加水一盏半，煎煮至剩余八分水量，滤去药渣，温服，服药时间不拘泥。
治疗冷淋伴有寒战、小便涩痛难忍的茅根饮方：
白茅根、菝葜、竹叶、五味子（各一两半）、乌梅（去核后焙干十五枚）、石膏（五两）、人参（二两）。
以上七味药，切碎如麻子或豆类大小，每次服用五钱匕，加水一盏半，煎煮至剩余一盏水量，滤去药渣，温服，服药时间不拘泥。
治疗冷淋伴有寒战、涩痛的菝葜饮方：
菝葜、土瓜根、黄芪（切碎）、地骨皮、五味子（各二两）、人参、牡蛎（各一两半）、石膏（捣碎四两）。
以上八味药，粗捣后过筛，每次服用五钱匕，加水一盏半，煎煮至剩余七分水量，滤去药渣，温服，服药时间不拘泥。
治疗冷淋、小便冷而涩滞不畅的菟丝子散方：
菟丝子（用酒浸泡后单独捣碎）、肉苁蓉（用酒浸泡、切片、焙干，各一两）、五味子、黄芪（切碎）、鸡内金（即鸡黄皮）、蒲黄（各一两半）、硝石（研细半两）。
以上七味药，捣碎过筛制成散剂，每次服用二钱匕，用温酒调服，服药时间不拘泥。
治疗冷淋的肉苁蓉丸方：
肉苁蓉（用酒浸泡、切片、焙干）、熟干地黄（焙干）、山芋（即山药）、石槲（去除根部）、牛膝（用酒浸泡、切片、焙干）、桂枝（去除粗糙外皮）、细辛（去除苗叶）。
以上十二味药，捣碎过筛制成粉末，用炼蜜制成梧桐子大小的药丸，每次服用二十丸，用盐酒送服，服药时间不拘泥。
治疗肾虚膀胱寒冷、淋沥不尽不利的黄芪丸方：
黄芪（切碎）、黄连（去除须根）、土瓜根（切碎，各二两半）、玄参（三两）、地骨皮（切碎）、菝葜（切碎，一两半）。
以上十一味药，捣碎过筛制成粉末，用炼蜜制成梧桐子大小的药丸，每次服用二十丸，用盐酒送服，服药时间不拘泥。
治疗冷淋的菟丝子白石脂散方：
菟丝子（用酒浸泡后单独捣碎）、白石脂、牡蛎（研细，各二两）、桂枝（去除粗糙外皮）、土瓜根（切碎，各一两）。
以上五味药，捣碎研细制成散剂，每次服用二钱匕，用煮大麦粥的米汤调服，空腹及进食前服用。
治疗冷淋、其他方剂治疗无效的麝香散方：
麝香（数量不限）。
以上一味药，细细研磨，每次服用半钱匕，空腹时用温酒调服。
治疗冷淋、小便涩痛难忍的泽泻散方：
泽泻、鸡苏（即紫苏或荆芥类，此处指唇形科植物）、赤茯苓（去除黑皮）、石韦（去除毛刺并炙烤）、当归（切片炒制）、蒲黄、槟榔（切碎）、琥珀（未列全量，依原文结构推断为散剂成分之一，原文此处可能有缺漏，按原文翻译）、以及其他未完全列出的药物（原文“上一十一味”暗示共有十一味，但列举中部分剂量缺失或排版断裂，此处仅翻译可见部分）。*注：根据原文“上一十一味”，实际配方应包含更多药材，但文本中仅明确列出上述部分及“琥珀”等，其余隐含在“捣研为散”中。* 每次服用二钱匕，用冬葵子煎汤调服，也可用木通汤调服，服药时间不拘泥。
治疗冷淋、小便频多，或不能自禁的菟丝子散方：
菟丝子（用酒浸泡一夜后单独捣碎一两）、蒲黄、黄连（去除须根，各一两半）、硝石（半两）、肉苁蓉（用酒浸泡...原文此处截断，依前文逻辑应为处理过的肉苁蓉）。
以上七味药，捣碎过筛制成细散，每次空腹用温酒调服三钱匕，每日两次。
治疗阴部汗出、小便多、冷淋等的蜀椒丸方：
蜀椒（去除目及闭口者，炒至出汗，三两）、杏仁（热水去皮尖，双仁者炒黄研碎，四两）。
以上两味药，先用醇酒一升半，熬煮至酒尽，取蜀椒焙干研成粉末，杏仁单独捣碎，两者混合制成梧桐子大小的药丸，每天空腹时盐开水送服二十丸，晚上再服一次。
Commentary states: The Kidney and the Bladder are exteriorly-interiorly related, extending downward to connect with the Bao (uterus/lower jiao reproductive-urinary region), governing the unblocking and circulation of the water pathways. If the Kidney is deficient and cold pathogenic factors invade and lodge in the lower jiao, evil qi and righteous qi contend with each other, causing qi stagnation and fullness within the Bao, thereby obstructing the water pathways. Consequently, the clinical manifestation presents initially with chills, followed by difficult urination forming Lin syndrome (dysuria/pollakiuria), which is termed Cold Lin.
Formula for Treating Cold Lin with Astringent Urine: Yupi Tang (Elm Bark Decoction)
Ulmi Cortex (Yupi), Cinnamomi Ramulus (Guizhi, removed from rough bark), Chuanxiong Rhizoma (Chuanxiong) (each 0.5 liang), Akebiae Caulis (Mutong), Agastachidis Spica (Qumai Sui) (each 1 liang), Ginseng Radix et Rhizoma (Renshen) (3 fen).
The above six herbs are chopped into pieces the size of hemp seeds or beans. Each dose consists of 5 qianbi (approx. 2.5-3g), boiled with 1.5 zhan (approx. 300ml) of water until reduced to 0.8 zhan. Strain the dregs and take warm, at any time.
Formula for Treating Cold Lin with Chills and Painful, Astringent Urine: Maogen Yin (Imperata Root Drink)
Imperatae Rhizoma (Maogen), Smilacis Glabrae Rhizoma (Baqia), Bambusae Folium (Zhuye), Schisandrae Fructus (Wuweizi) (each 1.5 liang), Mume Fructus (Wumei, pitted and baked, 15 pieces), Gypsum Fibrosum (Shigao) (5 liang), Ginseng Radix et Rhizoma (Renshen) (2 liang).
The above seven herbs are chopped into pieces the size of hemp seeds or beans. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water until reduced to 1 zhan. Strain the dregs and take warm, at any time.
Formula for Treating Cold Lin with Chills and Astringent Pain: Baqia Yin (Smilax Root Drink)
Smilacis Glabrae Rhizoma (Baqia), Trichosanthis Radix (Tugua Gen), Astragali Radix (Huangqi, chopped), Lycii Cortex (Digupi), Schisandrae Fructus (Wuweizi) (each 2 liang), Ginseng Radix et Rhizoma (Renshen), Ostrea Concha (Muli) (each 1.5 liang), Gypsum Fibrosum (Shigao, crushed) (4 liang).
The above eight herbs are coarsely pounded and sieved. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water until reduced to 0.7 zhan. Strain the dregs and take warm, at any time.
Formula for Treating Cold Lin with Cold and Astringent Urine: Tusi Zi San (Cuscuta Seed Powder)
Cuscutae Semen (Tusi Zi, soaked in wine and pounded separately), Cynomorii Herba (Roucongrong, soaked in wine, sliced, and baked, each 1 liang), Schisandrae Fructus (Wuweizi), Astragali Radix (Huangqi, chopped), Endothelium Corneum Gigeriae Galli (Jineijin/Jihuangpi), Poria Cocos (Fuling - *Note: Text says Jihuangpi, likely referring to Jineijin*), Polygoni Multiflori Caulis? No, text says "Ji Huang Pi" (Chicken Yellow Skin/Endothelium Corneum Gigeriae Galli), Polygoni Multiflori Caulis? No, text lists "Pu Huang" (Lygodii Spora) (each 1.5 liang), Natrii Sulfas (Xiaoshi, ground) (0.5 liang).
*Correction based on standard TCM texts*: "Ji Huang Pi" usually refers to Endothelium Corneum Gigeriae Galli (Jineijin).
The above seven herbs are pounded and sifted into a powder. Each dose consists of 2 qianbi, taken with warm wine, at any time.
Formula for Treating Cold Lin: Roucongrong Wan (Cynomorium Pill)
Cynomorii Herba (Roucongrong, soaked in wine, sliced, and baked), Prepared Rehmanniae Radix (Shudihuang), Dioscoreae Rhizoma (Shanyu/Dioscorea opposita), Lithospermi Radix et Rhizoma (Shihu - *Note: Shihu usually refers to Dendrobium, but in Song dynasty texts might refer to Lithospermum or similar; context suggests warming/drying herb, possibly a typo for Shi Hu or specific local name, keeping literal translation*), Achyranthis Bidentatae Radix (Niuxi, soaked in wine, sliced, and baked), Cinnamomi Ramulus (Guizhi, removed from rough bark), Asari Radix et Rhizoma (Xixin, removed from seedlings and leaves).
The above twelve herbs are pounded and sifted into powder. Honey pills are made the size of paulownia seeds. Each dose consists of 20 pills, taken with salt wine, at any time.
Formula for Treating Kidney Deficiency and Cold Bladder with Incomplete Voiding: Huangqi Wan (Astragalus Pill)
Astragali Radix (Huangqi, chopped), Coptidis Rhizoma (Huanglian, removed from roots), Trichosanthis Radix (Tugua Gen, chopped, each 2.5 liang), Scrophulariae Radix (Xuanshen) (3 liang), Lycii Cortex (Digupi, chopped), Smilacis Glabrae Rhizoma (Baqia, chopped) (1.5 liang).
*Note: Text mentions 11 ingredients but lists fewer explicitly with doses in this snippet, implying missing items or condensed list.*
The above eleven herbs are pounded and sifted into powder. Honey pills are made the size of paulownia seeds. Each dose consists of 20 pills, taken with salt wine, at any time.
Formula for Treating Cold Lin: Tusi Zi Baishi Zhi San (Cuscuta and White Halloysite Powder)
Cuscutae Semen (Tusi Zi, soaked in wine and pounded separately), Halloysitum Rubrum (Baishizhi - *Note: Usually Hongshizhi, but text says Baishi Zhi*), Ostrea Concha (Muli, ground, each 2 liang), Cinnamomi Ramulus (Guizhi, removed from rough bark), Trichosanthis Radix (Tugua Gen, chopped) (each 1 liang).
The above five herbs are pounded and ground into powder. Each dose consists of 2 qianbi, taken with barley porridge decoction, before meals and on an empty stomach.
Formula for Treating Cold Lin Unresponsive to Other Formulas: Shexiang San (Musk Powder)
Moschus (Shexiang, amount unspecified).
The above single herb is finely ground. Each dose consists of half a qianbi, taken with warm wine on an empty stomach.
Formula for Treating Cold Lin with Painful, Astringent Urine: Zexie San (Alisma Powder)
Alismatis Rhizoma (Zexie), Elsholtziae Herba (Jisu - *Note: Jisu often refers to Elsholtzia or Perilla leaf depending on context, here likely Elsholtzia*), Polyporus (Chifuling, removed from black skin), Pyri Folium? No, Shiwei (Lehmannia/Vaccaria leaf, de-haired and roasted), Angelicae Sinensis Radix (Danggui, sliced and stir-fried), Lygodii Spora (Puhuang), Arecae Semen (Binglang, chopped), Succinum (Hupo - *Text cuts off dosage*).
*Note: Text states "Eleven flavors" but lists fewer fully. Following instruction to translate visible content.*
The above herbs are pounded and ground into powder. Each dose consists of 2 qianbi, taken with Winter Melon Seed (Dongkuizi) decoction, or Mutong decoction is also acceptable, at any time.
Formula for Treating Cold Lin with Frequent Urination or Incontinence: Tusi Zi San (Cuscuta Seed Powder)
Cuscutae Semen (Tusi Zi, soaked in wine overnight and pounded separately, 1 liang), Lygodii Spora (Puhuang), Coptidis Rhizoma (Huanglian, removed from roots, each 1.5 liang), Natrii Sulfas (Xiaoshi) (0.5 liang), Cynomorii Herba (Roucongrong, soaked in wine...).
The above seven herbs are pounded and sifted into fine powder. Each dose consists of 3 qianbi, taken with warm wine on an empty stomach, twice daily.
Formula for Treating Genital Sweating, Frequent Urination, and Cold Lin: Shujiao Wan (Sichuan Pepper Pill)
Zanthoxyli Fructus (Shujiao, remove eyes and closed-mouth ones, stir-fry until oil appears, 3 liang), Armeniacae Semen Amarum (Xingren, blanch to remove skin and tips, stir-fry until yellow and grind, 4 liang).
The above two herbs are first simmered in 1.5 sheng of strong wine until the wine is evaporated. Take the pepper, bake it, and grind it into powder. Grind the almonds separately. Mix them to form pills the size of paulownia seeds. Take 20 pills with salt water on an empty stomach every morning, and take again in the evening.