初起肿痛发热，小水涩滞，肝经湿热也，宜泻肝渗湿。肿痛坚硬， 发寒热，口燥咽干，大便秘者，通利
二便。玉茎肿痛，
小便如淋，自汗盗汗，时或尿血，清心滋肾。茎窍作痒，时出白浊，发热口干、津液少者，益肾清心。溃后肿
痛，小便赤涩，日则安静，夜则疼甚，滋阴泻火。溃烂不已，肿痛又作，疼痛日深，秽气不回，清肝解毒。
一童子十五岁，玉茎肿痛，外皮浮肿，比常粗大一倍。他医治之以解毒清肝等药，愈肿愈痛。予视之，亦
用泻火清热渗湿等剂，俱不见效，诊之脉细数而无力，此中气不足，脾经湿水乘虚流注、停聚不散，当行从治
法也。以四物汤合平胃散加木香、熟附子、人参各五分，一服肿痛顿退，又四、五服而全消。
一男子肿痛发寒热，以荆防败毒散二服而退。又以龙胆泻肝汤，肿痛亦减；用四物加黄柏、知母而消。
一男子年四十，色欲过度，小便涩痛，出如白浆，结冻成块，此肾伤湿热为患。朝以八味丸，午用八珍汤
加山萸、牡丹皮、黄柏、知母，服之月余而涩肿亦退，小便渐清，但窍中常有滑精，不时渗出，久致腰湾脚膝
无力。偶以三因胜骏丸，服至月余，前症悉愈。
一男子茎头腐烂，小水涩痛。外以珍珠散，内服木通汤，四服涩痛亦止。更服四物汤加黄柏、花粉而痊。
一男子初婚玉茎伤损，出血疼甚。先以葱汤浸洗良久，随用珍珠散加冰片掺之，腐皮渐干，痛亦渐止；内
服四物汤加木通、山栀，四服其肿痛渐止而愈。
一男子皮肿光亮，发热疼甚。外敷如意金黄散，内服龙胆泻肝汤加大黄，便痛稍愈，去大黄又服而消。
初起时出现肿痛、发热，小便涩滞不畅，这是肝经湿热所致，适宜采用泻肝渗湿的治疗方法。若肿痛坚硬，伴有发冷发热，口燥咽干，大便秘结，则需通利大小便。玉茎（阴茎）肿痛，小便如同淋证般涩痛，自汗或盗汗，有时尿血，宜清心滋肾。茎窍瘙痒，时常流出白浊分泌物，伴有发热口干、津液减少者，宜益肾清心。溃烂后仍有肿痛，小便赤红涩痛，白天相对安静，夜间疼痛加剧，宜滋阴泻火。溃烂久不愈合，肿痛再次发作，疼痛日益加深，散发恶臭气味不散，宜清肝解毒。
一个十五岁的童子，玉茎肿痛，外皮浮肿，比平时粗大一倍。其他医生用解毒清肝等药物治疗，结果肿胀更甚，疼痛加重。我诊治时，也使用泻火清热渗湿的方剂，但都不见效。诊察其脉象细数而无力，这是中气不足，脾经的湿水乘虚流注并停聚不散所致，应当采用“从治法”（即顺从其假象而治的方法）。于是用四物汤合平胃散，加入木香、熟附子、人参各五分，服用一剂后肿痛立刻消退，又服四五剂后完全消散。
另一个男子，肿痛并伴有发冷发热，服用两剂荆防败毒散后退热消肿。随后服用龙胆泻肝汤，肿痛减轻；再用四物汤加黄柏、知母，症状消除。
一个四十岁的男子，因房事过度，小便涩痛，排出如白浆般的液体，凝结成块，这是肾伤湿热为患。早晨服用八味丸，中午服用八珍汤加山萸肉、牡丹皮、黄柏、知母，服药月余后，涩肿消退，小便逐渐清澈，但尿道口常有滑精，不时渗出，久而久之导致腰弯脚膝无力。偶然使用三因胜骏丸，服用月余后，之前的病症全部痊愈。
一个男子阴茎头腐烂，小便涩痛。外用珍珠散，内服木通汤，服用四剂后涩痛停止。再服用四物汤加黄柏、天花粉而痊愈。
一个男子新婚时玉茎受损，出血且疼痛剧烈。先用葱汤浸泡清洗良久，随即用珍珠散加冰片掺敷患处，腐皮逐渐干燥，疼痛也逐渐停止；内服四物汤加木通、山栀，服用四剂后肿痛渐止而愈。
一个男子皮肤肿胀光亮，发热且疼痛剧烈。外敷如意金黄散，内服龙胆泻肝汤加大黄，排便和疼痛稍有好转，去掉大黄后再服用而消散。
At the initial stage, presenting with swelling, pain, and fever, along with difficult and obstructed urination, this is caused by damp-heat in the Liver channel; the appropriate treatment is to purge the Liver and leach out dampness. If the swelling and pain are hard and firm, accompanied by alternating chills and fever, dry mouth and throat, and constipation, it is necessary to unblock and promote the discharge of both urine and feces. For swelling and pain of the *Yujing* (penis), urinary symptoms resembling strangury, spontaneous sweating or night sweats, and occasional hematuria, the method is to clear the Heart and nourish the Kidney. For itching at the urethral orifice, frequent discharge of white turbid fluid, fever, dry mouth, and decreased body fluids, the method is to benefit the Kidney and clear the Heart. After ulceration, if swelling and pain persist, urine is red and astringent, the patient is quiet during the day but suffers severe pain at night, the method is to nourish Yin and purge fire. If ulceration does not heal, swelling and pain recur, pain deepens daily, and foul odor persists, the method is to clear the Liver and detoxify.
A fifteen-year-old boy presented with swelling and pain of the penis, external skin edema, and the organ was twice as thick as usual. Other physicians treated him with herbs for detoxification and clearing the Liver, resulting in increased swelling and pain. Upon examination, I also used formulas for purging fire, clearing heat, and leaching out dampness, but they were ineffective. His pulse was fine, rapid, and weak, indicating deficiency of Middle Qi, where damp-water from the Spleen channel flowed into the deficiency and stagnated without dispersing. Therefore, the "following treatment" method (treating according to the apparent false syndrome) should be employed. A combination of *Siwu Tang* (Four Substances Decoction) and *Pingwei San* (Powder for Leveling the Stomach), with each of *Muxiang* (Aucklandiae Radix), *Shu Fuzi* (Prepared Aconite Root), and *Renshen* (Ginseng Radix et Rhizoma) added in 5 fen doses, resulted in immediate reduction of swelling and pain after one dose, and complete resolution after four or five doses.
Another male patient presented with swelling, pain, chills, and fever. Two doses of *Jingfang Baidu San* (Schizonepeta and Saposhnikovia Powder for Overcoming Toxins) resolved the fever and swelling. Subsequently, *Longdan Xiegan Tang* (Gentian Liver-Purging Decoction) reduced the swelling and pain; finally, *Siwu Tang* (Four Substances Decoction) with added *Huangbai* (Phellodendri Cortex) and *Zhimu* (Anemarrhenae Rhizoma) eliminated the symptoms.
A forty-year-old man, due to excessive sexual activity, experienced difficult and painful urination, discharging white paste-like fluid that coagulated into clumps. This was caused by Kidney injury and damp-heat. In the morning, he took *Bawei Wan* (Eight-Ingredient Pill); at noon, he took *Bazhen Tang* (Eight-Treasure Decoction) with added *Shanyuzi* (Corni Fructus), *Mudanpi* (Moutan Cortex), *Huangbai* (Phellodendri Cortex), and *Zhimu* (Anemarrhenae Rhizoma). After more than a month of medication, the difficulty and swelling subsided, and urination gradually cleared. However, seminal emission persisted, with occasional leakage, leading over time to weakness in the lower back and knees. He happened to take *Sanyin Shengjun Wan* (Three Causes Victory Horse Pill); after a month of use, all previous symptoms were completely cured.
A male patient had ulceration of the glans penis with difficult and painful urination. Externally, *Zhenzhu San* (Pearl Powder) was applied; internally, *Mutong Tang* (Akebia Decoction) was administered. After four doses, the difficulty and pain ceased. Further administration of *Siwu Tang* (Four Substances Decoction) with added *Huangbai* (Phellodendri Cortex) and *Huafen* (Trichosanthis Radix) led to recovery.
A male patient suffered injury to the penis upon first marriage, with bleeding and severe pain. Initially, the area was soaked and washed for a long time in green onion soup, followed by the application of *Zhenzhu San* (Pearl Powder) mixed with *Bingpian* (Borneolum Syntheticum). The necrotic skin gradually dried, and the pain subsided. Internally, *Siwu Tang* (Four Substances Decoction) with added *Mutong* (Akebiae Caulis) and *Shanzhi* (Gardeniae Fructus) was taken; after four doses, the swelling and pain gradually ceased, and he recovered.
A male patient presented with shiny, swollen skin, fever, and severe pain. *Ruyi Jinhuang San* (Ruyi Golden Yellow Powder) was applied externally, and *Longdan Xiegan Tang* (Gentian Liver-Purging Decoction) with added *Dahuang* (Rhei Radix et Rhizoma) was taken internally. Bowel movements and pain improved slightly; after removing *Dahuang*, continued administration led to resolution.