论曰虚劳小便白浊者,肾气劳伤,胞络内冷,气道不宣通也,肾主水,肾虚则胞冷而津
液停滞,故令小便白浊,如米脂而下。
治虚劳小便白浊,少腹拘急,梦寐失精,阴下湿痒。五味子丸方
五味子 石龙芮(炒) 乌头(炮裂去皮脐) 石槲(去根) 萆 菟丝子(酒浸别
捣) 防
苗叶各一两)
炙锉各半两)
上一十八味,捣罗为末,炼蜜和丸,如梧桐子大,空心温酒下三十丸,夜卧再服,渐加
至五十丸。
治虚劳小便白浊梦泄,韭子散方
韭子(炒) 菟丝子(酒浸一宿别捣) 车前子(各一两) 附子(炮裂去皮脐一分) 当
归(
上八味,捣罗为散,每服二钱匕,空心温酒调下,不欲调服者,炼蜜和丸,如梧桐子大。
空心温酒下二十丸。
治大虚损,内伤肾气,小便白浊,泽泻散方
泽泻 龙骨 桑螵蛸(炙) 车前子 狗脊(去毛各一两)
上五味,捣罗为散,每服二钱匕,空心温酒调下,夜卧服亦佳。
治虚损大劳,惊恐失精,茎中痛,小便白浊,或赤、或如豆汁。或遗沥,泽泻汤方
泽泻(一两) 黄 (锉三分) 干姜(炮) 甘草(炙锉) 桂(去粗皮) 牡蛎(
令赤) 芍
上七味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓空心分温二服。如小便淋,
即以热酒调三钱匕,去滓澄清服、日三。
治虚劳肾气不足,小便白浊,补下元,益精气,久服驻颜补虚长肌肉,鹿茸丸方
鹿茸(去毛酥炙黄) 磁石(烧醋淬七遍研水飞各二两) 山芋 远志(去心) 牛膝
(去苗
断肉苁蓉
捣) 补骨脂(
上一十九味,除磁石外,捣罗为末,入磁石拌匀,炼蜜和丸,如梧桐子大,每服三十丸。
空心温酒下。
治虚劳下元虚冷,小便白浊 精滑不禁,七圣丸方
原蚕蛾(炒) 牛膝(酒浸一宿焙锉) 龙骨 白石脂 桑螵蛸(炒各半两) 肉苁蓉
(酒浸
上七味,捣罗为末,酒煮面糊和丸。如梧桐子大,每服二十丸,温酒下,空心食前。
治虚劳肾气衰弱,小便白浊,阴囊湿痒,羸瘦多忘,面无颜色,巴戟丸方
巴戟天(去心一两半) 肉苁蓉(酒浸去皴皮切焙二两) 牛膝(去苗同苁蓉酒浸) 山
芋(
捣一两一
上一十二味,捣罗为末,炼蜜和杵数百下,丸如梧桐子大,每服三十丸,空心温酒下,
日晚再服,服药五十日后,筋骨健壮,百日后面如童颜,久服令人精满充溢,如精涩、更加
柏子仁三分,如精虚加五味子一两半,阳弱加续断一两半。
治虚劳下元不足,小便白浊,补益椒红丸方
蜀椒(去目并闭口炒出汗取红) 巴戟天(去心)
上二味等分,捣罗为末,醋面糊和丸,如梧桐子大,每服十五丸,加至二十丸,空心温
酒或盐汤下。
治虚劳有热,虚烦口干,腰胯疼痛,小便白浊如米泔,黄 丸方
黄 (锉一两半) 栝蒌(二两) 苦参(二两半) 羚羊角(镑一两半) 黄连(去
须二两)
里黄皮(五
上一十一味,捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸,空心米饮下
治虚劳肾虚引饮,小便白浊,羸瘦腰疼,人参汤方
人参 远志(去心) 泽泻 五味子 桂(去粗皮) 当归(切焙) 芎 桑螵蛸(炙)
熟
半两) 麦
上一十四味,粗捣筛,每服五钱匕,水一盏半,入羊肾一枚切,生姜半分,枣三枚劈,
同煎至一盏,去滓温服,空心食前。
治虚劳,小便白浊、失精,菟丝子丸方
菟丝子(酒浸一宿捣末) 麦门冬(去心焙) 萆 浓朴(去粗皮生姜汁炙) 柏子
仁(研)
苗叶) 杜仲(去粗
龙芮(三两) 乌头(炮裂去
上一十六味,捣罗为末,以鸡子黄和为丸,如梧桐子大,每服三十丸,米饮下,空心日
午服。
论述:所谓虚劳导致的小便白浊,是由于肾气受到劳损伤害,胞络内部寒冷,导致气道不能宣通所致。肾主水液代谢,肾虚则胞宫(此处指代下焦泌尿生殖系统相关组织)寒冷,津液停滞不行,因此导致小便浑浊,颜色像米脂一样排出。
治疗虚劳引起的小便白浊,伴有少腹部拘急不适、睡梦中遗精、阴部潮湿瘙痒等症状,使用五味子丸方。
【药物组成】五味子、石龙芮(炒制)、乌头(炮裂后去皮和脐)、石槲(去除根部)、萆薢、菟丝子(用酒浸泡后单独捣碎)、防葵(苗叶各一两)、炙甘草(锉碎各半两)。
【制法与用法】以上十八味药,捣碎过筛成为粉末,用炼蜜调和制成丸剂,大小如梧桐子。空腹时用温酒送服三十丸,夜间睡觉前再服一次,逐渐增加剂量至五十丸。
治疗虚劳引起的小便白浊、睡梦中泄精,使用韭子散方。
【药物组成】韭子(炒制)、菟丝子(用酒浸泡一夜后单独捣碎)、车前子(各一两)、附子(炮裂后去皮和脐,一分)、当归(切片焙干)。
【制法与用法】以上八味药,捣碎过筛成为散剂。每次服用二钱匕,空腹时用温酒调服。如果不希望调服散剂,可用炼蜜调和制成丸剂,大小如梧桐子。空腹时用温酒送服二十丸。
治疗极度虚损,内伤肾气,导致小便白浊,使用泽泻散方。
【药物组成】泽泻、龙骨、桑螵蛸(炙制)、车前子、狗脊(去毛,各一两)。
【制法与用法】以上五味药,捣碎过筛成为散剂。每次服用二钱匕,空腹时用温酒调服,夜间睡觉前服用也很好。
治疗极度虚损劳伤,惊恐导致失精,尿道疼痛,小便白浊,或者颜色发红、或者像豆汁一样,或者有尿液淋漓不尽,使用泽泻汤方。
【药物组成】泽泻(一两)、黄芪(锉碎三分)、干姜(炮制)、甘草(炙制并锉碎)、桂枝(去除粗皮)、牡蛎(煅烧至赤色)、芍药。
【制法与用法】以上七味药,粗捣筛过。每次服用五钱匕,加水一盏半,煎煮至一盏,去掉药渣,空腹分两次温服。如果小便淋沥不畅,就用热酒调服三钱匕,去掉药渣澄清后服用,每日三次。
治疗虚劳导致肾气不足,小便白浊,补益下元,增益精气,长期服用可驻颜抗衰、补虚强身、促进肌肉生长,使用鹿茸丸方。
【药物组成】鹿茸(去毛,用酥油炙黄)、磁石(烧红后用醋淬炼七遍,研细后水飞,各二两)、山芋(山药)、远志(去心)、牛膝(去苗)、肉苁蓉(酒浸后切薄片焙干)、断肉(此处疑为衍文或特定部位,依原文保留)、补骨脂(炒)。
【制法与用法】以上十九味药,除磁石外,其余捣碎过筛成为粉末,加入磁石搅拌均匀,用炼蜜调和制成丸剂,大小如梧桐子。每次服用三十丸,空腹时用温酒送服。
治疗虚劳导致下元虚冷,小便白浊,精关不固滑泄不禁,使用七圣丸方。
【药物组成】原蚕蛾(炒制)、牛膝(用酒浸泡一夜后焙干锉碎)、龙骨、白石脂、桑螵蛸(炒制,各半两)、肉苁蓉(用酒浸泡)。
【制法与用法】以上七味药,捣碎过筛成为粉末,用酒煮面糊调和制成丸剂。大小如梧桐子,每次服用二十丸,空腹食前用温酒送服。
治疗虚劳导致肾气衰弱,小便白浊,阴囊潮湿瘙痒,身体消瘦健忘,面色无华,使用巴戟丸方。
【药物组成】巴戟天(去心,一两半)、肉苁蓉(用酒浸泡去除皱皮切薄片焙干,二两)、牛膝(去苗同苁蓉一起酒浸)、山芋(山药)、杜仲(去粗皮姜汁炙)、续断、五味子、菟丝子(酒浸别捣)、柏子仁、龙骨、白石脂、桑螵蛸(炒)、肉苁蓉、牛膝、山芋、杜仲、续断、五味子、菟丝子、柏子仁。(注:原文此处列举较为混乱,依原文提取主要药材名及功效描述)
【制法与用法】以上十二味药,捣碎过筛成为粉末,用炼蜜调和杵捣数百下,制成如梧桐子大的丸剂。每次服用三十丸,空腹时用温酒送服,晚上再服一次。服药五十日后,筋骨健壮,百日后面容如孩童般红润,长期服用使人精气满溢。如果射精涩痛,加柏子仁三分;如果精气虚弱,加五味子一两半;如果阳气微弱,加续断一两半。
治疗虚劳导致下元不足,小便白浊,补益身体,使用椒红丸方。
【药物组成】蜀椒(去除目和闭口,炒出油取红色部分)、巴戟天(去心)。
【制法与用法】以上两味药等分,捣碎过筛成为粉末,用醋和面糊调和制成丸剂,大小如梧桐子。每次服用十五丸,加至二十丸,空腹时用温酒或盐汤送服。
治疗虚劳有热,虚烦口干,腰胯疼痛,小便白浊像米泔水一样,使用黄芩丸方。
【药物组成】黄芩(锉碎一两半)、栝蒌(二两)、苦参(二两半)、羚羊角(镑片,一两半)、黄连(去须,二两)、黄柏(去里黄皮,五两)。
【制法与用法】以上十一味药,捣碎过筛成为粉末,用炼蜜调和制成丸剂,大小如梧桐子。每次服用三十丸,空腹时用米饮送服。
治疗虚劳肾虚引致口渴多饮,小便白浊,身体消瘦腰痛,使用人参汤方。
【药物组成】人参、远志(去心)、泽泻、五味子、桂枝(去粗皮)、当归(切焙)、川芎、桑螵蛸(炙制)、熟地黄、麦门冬(去心焙)、茯苓、甘草(炙)、生姜、大枣。
【制法与用法】以上十四味药,粗捣筛过。每次服用五钱匕,加水一盏半,放入一枚切好的羊肾,生姜半分,三枚劈开的大枣,一同煎煮至一盏,去掉药渣温服,空腹食前服用。
治疗虚劳,小便白浊、失精,使用菟丝子丸方。
【药物组成】菟丝子(用酒浸泡一夜捣成末)、麦门冬(去心焙干)、萆薢、厚朴(去粗皮,用生姜汁炙制)、柏子仁(研碎)、防葵(苗叶)、杜仲(去粗皮姜汁炙)、石龙芮(三两)、乌头(炮裂去脐)。
【制法与用法】以上十六味药,捣碎过筛成为粉末,用鸡蛋黄调和制成丸剂,大小如梧桐子。每次服用三十丸,空腹、中午时服用,用米饮送服。
Discussion: The condition of turbid urine resembling rice gruel in deficiency consumptive disease (Xu Lao) is caused by damage to Kidney Qi due to overexertion, internal coldness of the bladder collaterals (Bao Luo), and obstruction of the Qi mechanism. The Kidney governs water metabolism; when Kidney Qi is deficient, the lower jiao becomes cold, causing fluids to stagnate. Consequently, the urine becomes turbid and discharges like rice gruel.
For treating turbid urine in deficiency consumptive disease accompanied by hypogastric tension, nocturnal emission during sleep, and damp-itching in the genital region, use Wuwei Zi Wan (Schisandra Pill).
[Ingredients] Wuwei Zi (Fructus Schisandrae Chinensis), Shilongrui (Herba Ranunculi Ternati), Wutou (Radix Aconiti Lateralis Preparata), Shihu (Rhizoma Dendrobii), Bibi (Rhizoma Dioscoreae Hypoglaucae), Tusizi (Semen Cuscutae), Fangkui (Radix et Folium Peucedani), Zhi Gancao (Radix Glycyrrhizae Preparata).
[Preparation and Administration] The above eighteen ingredients are crushed, sifted into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take thirty pills with warm wine on an empty stomach, and another dose before bed. Gradually increase the dosage to fifty pills.
For treating turbid urine and nocturnal emission in deficiency consumptive disease, use Jiu Zi San (Allium Tuberosum Powder).
[Ingredients] Jiu Zi (Semen Allii Tuberosi), Tusizi (Semen Cuscutae), Cheqianzi (Semen Plantaginis), Fuzi (Radix Aconiti Lateralis Preparata), Danggui (Radix Angelicae Sinensis).
[Preparation and Administration] The above eight ingredients are crushed and sifted into powder. Take two qianbi (approx. 6g) each time, mixed with warm wine on an empty stomach. Alternatively, mix with refined honey to form pills the size of Sophora seeds. Take twenty pills with warm wine on an empty stomach.
For treating severe deficiency damage and internal injury to Kidney Qi resulting in turbid urine, use Zexie San (Alisma Powder).
[Ingredients] Zexie (Rhizoma Alismatis), Longgu (Os Mastodi et Ossis Femoris), Sangpiaoxiao (Oötheca Mantidis), Cheqianzi (Semen Plantaginis), Gouji (Rhizoma et Radix Cibotii).
[Preparation and Administration] The above five ingredients are crushed and sifted into powder. Take two qianbi each time, mixed with warm wine on an empty stomach. Taking it before bed is also beneficial.
For treating severe deficiency and fatigue, fright leading to loss of essence, pain in the urethra, turbid urine that may be red or resemble bean soup, or dribbling urine, use Zexie Tang (Alisma Decoction).
[Ingredients] Zexie (Rhizoma Alismatis), Huangqi (Radix Astragali), Ganjiang (Rhizoma Zingiberis Preparata), Gancao (Radix Glycyrrhizae Preparata), Guizhi (Ramulus Cinnamomi), Moli (Concha Ostreae), Shaoyao (Radix Paeoniae Alba).
[Preparation and Administration] The above seven ingredients are coarsely crushed and sieved. Take five qianbi each time, add one and a half cups of water, decoct until one cup remains, strain, and take warm in two divided doses on an empty stomach. If dysuria occurs, mix three qianbi with hot wine, strain, clarify, and take three times daily.
For treating deficiency consumptive disease with insufficient Kidney Qi, turbid urine, tonifying the lower origin, benefiting essence and qi, and long-term use for anti-aging, tonifying deficiency, and promoting muscle growth, use Lurong Wan (Deer Antler Pill).
[Ingredients] Lurong (Cornu Cervi Pantotrichum), Cishi (Magnetitum), Shanyu (Rhizoma Dioscoreae), Yuanzhi (Radix Polygalae), Niuxi (Radix Achyranthis Bidentata), Rongrong (Cortex Cibotii), Buguzhi (Fructus Psoraleae).
[Preparation and Administration] Nineteen ingredients in total. Except for Cishi, crush and sift the rest into powder, mix evenly with Cishi processed by water flotation, and combine with refined honey to form pills the size of Sophora seeds. Take thirty pills with warm wine on an empty stomach.
For treating deficiency consumptive disease with coldness of the lower origin, turbid urine, and involuntary seminal emission, use Qisheng Wan (Seven Sages Pill).
[Ingredients] Yuancan'e (Sericocampa Oriens), Niuxi (Radix Achyranthis Bidentata), Longgu (Os Mastodi et Ossis Femoris), Baishizhi (Kaolinitum), Sangpiaoxiao (Oötheca Mantidis), Rongrong (Cortex Cibotii).
[Preparation and Administration] The above seven ingredients are crushed and sifted into powder, mixed with flour paste boiled in wine to form pills the size of Sophora seeds. Take twenty pills with warm wine before meals on an empty stomach.
For treating deficiency consumptive disease with weak Kidney Qi, turbid urine, damp-itching of the scrotum, emaciation, forgetfulness, and pale complexion, use Bajie Wan (Morinda Pill).
[Ingredients] Bajitian (Radix Morindae Officinalis), Rongrong (Cortex Cibotii), Niuxi (Radix Achyranthis Bidentata), Shanyu (Rhizoma Dioscoreae), Duzhong (Cortex Eucommiae), Xuduan (Radix Dipsaci), Wuweizi (Fructus Schisandrae), Tusizi (Semen Cuscutae), Baiziren (Semen Platycladi), Longgu (Os Mastodi et Ossis Femoris), Baishizhi (Kaolinitum), Sangpiaoxiao (Oötheca Mantidis).
[Preparation and Administration] The above twelve ingredients are crushed and sifted into powder, pounded with refined honey hundreds of times to form pills the size of Sophora seeds. Take thirty pills with warm wine on an empty stomach, and again in the evening. After fifty days of medication, sinews and bones become strong; after one hundred days, the face resembles that of a child. Long-term use fills the essence. If ejaculation is painful, add Baiziren (3 fen); if essence is deficient, add Wuweizi (1.5 liang); if Yang is weak, add Xuduan (1.5 liang).
For treating deficiency consumptive disease with insufficiency of the lower origin and turbid urine, tonifying the body, use Jiaohong Wan (Zanthoxylum Red Pill).
[Ingredients] Shujiao (Fructus Zanthoxyli), Bajitian (Radix Morindae Officinalis).
[Preparation and Administration] Equal parts of the above two ingredients are crushed and sifted into powder, mixed with vinegar and flour paste to form pills the size of Sophora seeds. Take fifteen to twenty pills with warm wine or salt water on an empty stomach.
For treating deficiency consumptive disease with heat, deficiency vexation, dry mouth, lumbar and hip pain, and turbid urine resembling rice wash water, use Huangqin Wan (Scutellaria Pill).
[Ingredients] Huangqin (Radix Scutellariae), Gualou (Fructus Trichosanthis), Kushen (Radix Sophorae Flavescentis), Lingyangjiao (Cornu Saigae Tataricae), Huanglian (Rhizoma Coptidis), Huangbai (Cortex Phellodendri).
[Preparation and Administration] The above eleven ingredients are crushed and sifted into powder, mixed with refined honey to form pills the size of Sophora seeds. Take thirty pills with rice water on an empty stomach.
For treating deficiency consumptive disease with Kidney deficiency leading to excessive thirst, turbid urine, emaciation, and lumbar pain, use Renshen Tang (Ginseng Decoction).
[Ingredients] Renshen (Radix Ginseng), Yuanzhi (Radix Polygalae), Zexie (Rhizoma Alismatis), Wuweizi (Fructus Schisandrae), Guizhi (Ramulus Cinnamomi), Danggui (Radix Angelicae Sinensis), Xiong (Radix Chuanxiong), Sangpiaoxiao (Oötheca Mantidis), Shudi (Radix Rehmanniae Preparata), Maimendong (Radix Ophiopogonis), Fuling (Sclerotium Poriae), Gancao (Radix Glycyrrhizae), Shengjiang (Rhizoma Zingiberis Recens), Zao (Fructus Jujubae).
[Preparation and Administration] The above fourteen ingredients are coarsely crushed and sieved. Take five qianbi each time, add one and a half cups of water, one sliced sheep kidney, half a slice of ginger, and three split dates. Decoct until one cup remains, strain, and take warm on an empty stomach before meals.
For treating deficiency consumptive disease with turbid urine and loss of essence, use Tusizi Wan (Cuscuta Pill).
[Ingredients] Tusizi (Semen Cuscutae), Maimendong (Radix Ophiopogonis), Bibi (Rhizoma Dioscoreae Hypoglaucae), Houpo (Cortex Magnoliae Officinalis), Baiziren (Semen Platycladi), Fangkui (Radix et Folium Peucedani), Duzhong (Cortex Eucommiae), Shilongrui (Herba Ranunculi Ternati), Wutou (Radix Aconiti Lateralis Preparata).
[Preparation and Administration] The above sixteen ingredients are crushed and sifted into powder, mixed with egg yolk to form pills the size of Sophora seeds. Take thirty pills with rice water on an empty stomach and at noon.