夫卒淋涩者。由膀胱有热故也。膀胱为津液之府。与肾俱主于水。水入小肠。下于脬为
溲便。今脏腑有热。则津液内溢。水道不利。故卒成淋涩也。
治卒淋沥。小便痛涩。当归散方。
当归（三分锉微炒） 乱发灰（一分） 猪苓（三分去黑皮） 海蛤（三分细研） 汉
防己〔三
（二）分〕 甘遂（三分煨令黄） 蒲黄（三分） 赤芍药（三分）
上件药。捣细罗为散。每于食前。煎木通葱白汤调下一钱。
治卒淋沥。秘涩不通。宜服此方。
木通（一两锉） 子芩（一两） 滑石（一两） 甘草（一分炙微赤锉） 漏芦（三分）
甜葶苈
（一分隔纸炒令紫色）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食前温服。
治心热。小便卒淋涩赤痛。蘧麦散方。
蘧麦（一两） 葵子（半两） 木通（半两锉） 冬瓜仁（一两半） 子芩（一两） 白
茅根（一
握锉） 滑石（一两）
上件药。捣粗罗为散。每服三钱。以水一中盏。入竹叶二七片。煎至六分。去滓。每于
食前温服。以利为度。
治小便卒淋。水道中涩痛。赤茯苓散方。
赤茯苓（一两） 滑石（二两） 石苇（一两去毛） 蘧麦（一两） 蒲黄（一两） 葵
子（一两）
榆白皮（一两锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。每于食前温服。
治小便卒淋涩不通。宜服此方。
蘧麦（一两） 葵子（一合） 石苇（一两去毛） 白茅根（一两） 桑白皮（一两）
上件药。细锉和匀。每服半两。以水一大盏。煎至五分。去滓。每于食前温服。
治卒淋。小便不通。疼痛烦闷。坐卧不得。宜服麻根散方。
麻根（一两） 大麻子（一两） 子芩（一两） 乱发灰（半两）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。每于食前温服。
又方。
蘧麦（一两） 石苇（一两去毛） 滑石（二两） 葵子（一两） 石燕（一两） 车
前子（一两）
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治小便卒淋涩。水道热痛。葵子散方。
葵子（一两） 蘧麦（一两） 木通（一两锉） 滑石〔三（二）两〕 榆白皮（一两
锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。入葱白二茎。煎至六分。去滓。每于食
前温服。
又方。
石苇（一两去毛） 蘧麦（一两） 滑石（二两） 车前子（一两） 象牙屑（半两）
上件药。捣筛为散。每服半两。以水一大盏。入灯心二（一）束煎至七分。去滓。食前
分
为二服。
治卒小便淋涩不通。桑白皮散方。
桑根白皮（三分锉） 子芩（一两） 蘧麦（半两） 陈橘皮（半两汤浸去白瓤焙） 葵
子（一
两） 牵牛子（一两微炒）
上件药。捣细罗为散。每于食前。煎生姜灯心汤调下二钱。
又方。
栝蒌根（一两） 滑石（二两） 石苇（一两去毛）
上件药。捣细罗为散。每于食前。煮大麦汤调下三（二）钱。
又方。
车前叶（一握研绞取汁） 蜜（一合）
上件药相和令匀。空腹顿服。
又方。
葱（十四茎并根碎切） 滑石（三钱）
上件药。将葱置碗中。以汤八分烹之。令却少时间。待通口。调滑石末分为二服。
又方。
郁金末（一两） 大麻根（二两锉） 葱白（一握）
上件药。以水二大盏。煎取一盏三分。去滓。食前分为三服。
治卒小便淋涩痛。宜服此方。
大麦（三两）
上以水二大盏。煎取一盏三分。去滓。入生姜汁半合。蜜半合相和。食前分为三服服之
又方。
石燕（七枚） 桑根白皮（三两锉）
上件药。以水二大盏。煎取一盏半。去滓。食前分为三服。
又方。
葵子（一合末） 朴硝（一两）
上件药。以水二大盏。煎取一盏三分。去滓。食前分为三服。
又方。
芭蕉根（四两切） 葳蕤（一两锉）
上件药。以水二大盏。煎至一盏三分。去滓。入滑石末三（二）钱。搅令匀。食前分为
三
服。服之。
又方。
紫草（一两锉）
上捣细罗为散。每于食前。以井华水调下二钱。
又方。
钱（三百文）
上以水五升。煮取三升。去钱。每于食前。适寒温。饮一小盏。
又方。
鸡肠草（五两）
上以水二大盏。煮取一盏三分 去滓。食前分为三服。
又方。
鱼头中石子（二两）
上捣细罗为散。每于食前。以冷水调下一钱。
又方。
上用牛耳中毛一撮。烧灰细研。水调。食前服之。
突然发作的淋证且排尿涩痛，是由于膀胱有热所致。膀胱是津液汇聚的府库，与肾脏共同主管水液代谢。水进入小肠后，下行至膀胱成为尿液排出。如今脏腑内有热邪，导致津液外溢，水道不通畅，因此突然形成淋证和排尿涩痛。
治疗突然发作的淋沥不尽、小便疼痛涩滞的当归散方：
当归（三分，切碎，微炒）、乱发灰（一分）、猪苓（三分，去掉黑色外皮）、海蛤（三分，细研）、汉防己（三分）、甘遂（三分，煨至黄色）、蒲黄（三分）、赤芍药（三分）。
以上药物，捣碎过细罗制成散剂。每次在饭前，用木通葱白汤调服一钱。
治疗突然发作的淋沥不尽、秘结不通，适宜服用此方：
木通（一两，切碎）、子芩（即黄芩，一两）、滑石（一两）、甘草（一分，炙至微红并切碎）、漏芦（三分）、甜葶苈（一分，隔纸炒至紫色）。
以上药物，捣碎过粗罗制成散剂。每次服用三钱，用水一中盏，煎至六分，去渣。每次在饭前温服。
治疗心经有热，突然小便淋涩、色赤且疼痛的蘧麦散方：
蘧麦（一两）、葵子（半两）、木通（半两，切碎）、冬瓜仁（一两半）、子芩（一两）、白茅根（一把，切碎）、滑石（一两）。
以上药物，捣碎过粗罗制成散剂。每次服用三钱，用水一中盏，加入竹叶十四片，煎至六分，去渣。每次在饭前温服，以通利为度。
治疗突然小便淋沥，尿道中涩痛的赤茯苓散方：
赤茯苓（一两）、滑石（二两）、石苇（一两，去毛）、蘧麦（一两）、蒲黄（一两）、葵子（一两）、榆白皮（一两，切碎）。
以上药物，捣碎过粗罗制成散剂。每次服用四钱，用水一中盏，煎至六分，去渣。每次在饭前温服。
治疗突然小便淋涩不通，适宜服用此方：
蘧麦（一两）、葵子（一合）、石苇（一两，去毛）、白茅根（一两）、桑白皮（一两）。
以上药物，切碎拌匀。每次服用半两，用水一大盏，煎至五分，去渣。每次在饭前温服。
治疗突然淋证，小便不通，疼痛烦闷，坐卧不安，适宜服用麻根散方：
麻根（一两）、大麻子（一两）、子芩（一两）、乱发灰（半两）。
以上药物，捣碎过粗罗制成散剂。每次服用四钱，用水一中盏，煎至六分，去渣。每次在饭前温服。
又一方：
蘧麦（一两）、石苇（一两，去毛）、滑石（二两）、葵子（一两）、石燕（一两）、车前子（一两）。
以上药物，捣碎过细罗制成散剂。每次在饭前，用米粥汁调服二钱。
治疗突然小便淋涩，尿道热痛，葵子散方：
葵子（一两）、蘧麦（一两）、木通（一两，切碎）、滑石（二两）、榆白皮（一两，切碎）。
以上药物，捣碎过粗罗制成散剂。每次服用四钱，用水一中盏，加入葱白两根，煎至六分，去渣。每次在饭前温服。
又一方：
石苇（一两，去毛）、蘧麦（一两）、滑石（二两）、车前子（一两）、象牙屑（半两）。
以上药物，捣碎筛成散剂。每次服用半两，用水一大盏，加入灯心草一束，煎至七分，去渣。饭前分两次服用。
治疗突然小便淋涩不通，桑白皮散方：
桑根白皮（三分，切碎）、子芩（一两）、蘧麦（半两）、陈橘皮（半两，汤浸去白瓤焙干）、葵子（一两）、牵牛子（一两，微炒）。
以上药物，捣碎过细罗制成散剂。每次在饭前，用生姜灯心汤调服二钱。
又一方：
栝蒌根（一两）、滑石（二两）、石苇（一两，去毛）。
以上药物，捣碎过细罗制成散剂。每次在饭前，用大麦汤调服二钱。
又一方：
车前叶（一把，研磨绞取汁液）、蜜（一合）。
以上药物混合均匀，空腹一次性服用。
又一方：
葱（十四茎，连根切碎）、滑石（三钱）。
以上药物，将葱放入碗中，用沸水八分冲泡。稍等片刻，待温度适宜入口时，调入滑石末，分两次服用。
又一方：
郁金末（一两）、大麻根（二两，切碎）、葱白（一把）。
以上药物，用水两大盏，煎取一盏三分，去渣。饭前分三次服用。
治疗突然小便淋涩痛，适宜服用此方：
大麦（三两）。
以上用水两大盏，煎取一盏三分，去渣，加入生姜汁半合、蜜半合混合均匀。饭前分三次服用。
又一方：
石燕（七枚）、桑根白皮（三两，切碎）。
以上药物，用水两大盏，煎取一盏半，去渣。饭前分三次服用。
又一方：
葵子（一合，研末）、朴硝（一两）。
以上药物，用水两大盏，煎取一盏三分，去渣。饭前分三次服用。
又一方：
芭蕉根（四两，切碎）、葳蕤（一两，切碎）。
以上药物，用水两大盏，煎至一盏三分，去渣，加入滑石末二钱，搅匀。饭前分三次服用。
又一方：
紫草（一两，切碎）。
以上捣碎过细罗制成散剂。每次在饭前，用井华水（清晨第一次打的井水）调服二钱。
又一方：
铜钱（三百文）。
以上用水五升，煮取三升，取出铜钱。每次在饭前，趁温热饮一小盏。
又一方：
鸡肠草（五两）。
以上用水两大盏，煮取一盏三分，去渣。饭前分三次服用。
Sudden onset of strangury (Strangury) with difficult and painful urination is caused by heat in the Bladder. The Bladder is the mansion of body fluids (Jin-Ye) and, together with the Kidney, governs water metabolism. Water enters the Small Intestine, descends to the Pao (Bladder), and becomes urine for excretion. Now, due to heat in the Zang-Fu organs, body fluids overflow internally, and the water pathways become obstructed. Thus, sudden strangury and difficult urination occur.
Danggui San (Angelica Sinensis Powder) for treating sudden strangury with dribbling and painful, difficult urination:
Danggui (Radix Angelicae Sinensis, 3 fen, crushed, slightly stir-fried), Luankui Hui (Ash of Hair, 1 fen), Zhuling (Polyporus, 3 fen, remove black skin), Hai Ge (Concha Arcae, 3 fen, finely ground), Han Fangji (Radix Stephaniae Tetrandrae, 3 fen), Gansui (Radix Euphorbiae Kansui, 3 fen, baked until yellow), Puhuang (Pollen Typhae, 3 fen), Chishao Yao (Radix Paeoniae Rubra, 3 fen).
The above medicines are crushed, passed through a fine sieve, and made into a powder. Before meals, take 1 qian mixed with a decoction of Mutong (Caulis Akebiae) and Congbai (White Part of Allii Fistulosi).
For treating sudden strangury with dribbling and constipation/blockage, this formula is suitable:
Mutong (Caulis Akebiae, 1 liang, crushed), Ziqin (Radix Scutellariae, 1 liang), Huashi (Talcum, 1 liang), Gancao (Radix Glycyrrhizae, 1 fen, honey-fried until slightly red and crushed), Loulu (Radix Rhapontici, 3 fen), Tiantingli (Semen Lepidii seu Descurainiae, 1 fen, stir-fried between papers until purple).
The above medicines are crushed, passed through a coarse sieve, and made into a powder. Take 3 qian per dose. Add one zhong of water, boil down to 6 fen, remove the dregs. Take warm before meals.
Ju Mai San (Fagopyrum Dibotrys Powder) for treating Heart heat causing sudden strangury with dark red, painful, and difficult urination:
Qu Mai (Fagopyrum Dibotrys, 1 liang), Kuizi (Semen Malvae, half liang), Mutong (Caulis Akebiae, half liang, crushed), Donggua Ren (Semen Benincasae, 1.5 liang), Ziqin (Radix Scutellariae, 1 liang), Baimaogen (Rhizoma Imperatae, one handful, crushed), Huashi (Talcum, 1 liang).
The above medicines are crushed, passed through a coarse sieve, and made into a powder. Take 3 qian per dose. Add one zhong of water and fourteen leaves of Zhuye (Leaf of Bambusa), boil down to 6 fen, remove the dregs. Take warm before meals. Stop when urination becomes free.
Chifuling San (Red Poria Powder) for treating sudden strangury with painful obstruction in the urinary pathway:
Chifuling (Poria Cocos with Red Skin, 1 liang), Huashi (Talcum, 2 liang), Shiwei (Folium Pyri Sorbifoliae, 1 liang, remove hairs), Qu Mai (Fagopyrum Dibotrys, 1 liang), Puhuang (Pollen Typhae, 1 liang), Kuizi (Semen Malvae, 1 liang), Yubai Pi (Cortex Ulmi, 1 liang, crushed).
The above medicines are crushed, passed through a coarse sieve, and made into a powder. Take 4 qian per dose. Add one zhong of water, boil down to 6 fen, remove the dregs. Take warm before meals.
For treating sudden strangury with difficult and blocked urination, this formula is suitable:
Qu Mai (Fagopyrum Dibotrys, 1 liang), Kuizi (Semen Malvae, 1 he), Shiwei (Folium Pyri Sorbifoliae, 1 liang, remove hairs), Baimaogen (Rhizoma Imperatae, 1 liang), Sangbaipi (Cortex Mori Radicis, 1 liang).
The above medicines are finely crushed and mixed evenly. Take half liang per dose. Add one large zhong of water, boil down to 5 fen, remove the dregs. Take warm before meals.
Magen San (Hemp Root Powder) for treating sudden strangury with inability to urinate, pain, restlessness, and inability to sit or lie comfortably:
Magen (Root of Cannabis Sativa, 1 liang), Dama Zi (Semen Cannabis, 1 liang), Ziqin (Radix Scutellariae, 1 liang), Luankui Hui (Ash of Hair, half liang).
The above medicines are crushed, passed through a coarse sieve, and made into a powder. Take 4 qian per dose. Add one zhong of water, boil down to 6 fen, remove the dregs. Take warm before meals.
Another prescription:
Qu Mai (Fagopyrum Dibotrys, 1 liang), Shiwei (Folium Pyri Sorbifoliae, 1 liang, remove hairs), Huashi (Talcum, 2 liang), Kuizi (Semen Malvae, 1 liang), Shiyan (Lithospermum Erythrorhizon? Note: Context suggests a stone/mineral or specific herb named Shiyan, often Lithodora or similar diuretic stone in ancient texts, here kept as Shiyan), Cheqianzi (Semen Plantaginis, 1 liang).
The above medicines are crushed, passed through a fine sieve, and made into a powder. Before meals, take 2 qian mixed with rice broth.
Kuizi San (Malva Seed Powder) for treating sudden strangury with heat and pain in the urinary pathway:
Kuizi (Semen Malvae, 1 liang), Qu Mai (Fagopyrum Dibotrys, 1 liang), Mutong (Caulis Akebiae, 1 liang, crushed), Huashi (Talcum, 2 liang), Yubai Pi (Cortex Ulmi, 1 liang, crushed).
The above medicines are crushed, passed through a coarse sieve, and made into a powder. Take 4 qian per dose. Add one zhong of water and two stalks of Congbai (White Part of Allii Fistulosi), boil down to 6 fen, remove the dregs. Take warm before meals.
Another prescription:
Shiwei (Folium Pyri Sorbifoliae, 1 liang, remove hairs), Qu Mai (Fagopyrum Dibotrys, 1 liang), Huashi (Talcum, 2 liang), Cheqianzi (Semen Plantaginis, 1 liang), Xiangya Xie (Ivory Shavings, half liang).
The above medicines are crushed, sifted, and made into a powder. Take half liang per dose. Add one large zhong of water and one bundle of Dengxin Cao (Medulla Junci), boil down to 7 fen, remove the dregs. Divide into two doses before meals.
Sangbaipi San (Mulberry Root Bark Powder) for treating sudden strangury with difficult and blocked urination:
Sangen Baipi (Cortex Mori Radicis, 3 fen, crushed), Ziqin (Radix Scutellariae, 1 liang), Qu Mai (Fagopyrum Dibotrys, half liang), Chen Ju Pi (Pericarpium Citri Reticulatae, half liang, soaked in water, remove white pith, dried), Kuizi (Semen Malvae, 1 liang), Qianniuzi (Semen Pharbitidis, 1 liang, slightly stir-fried).
The above medicines are crushed, passed through a fine sieve, and made into a powder. Before meals, take 2 qian mixed with a decoction of Shengjiang (Rhizoma Zingiberis Recens) and Dengxin Cao (Medulla Junci).
Another prescription:
Gualou Gen (Radix Trichosanthis, 1 liang), Huashi (Talcum, 2 liang), Shiwei (Folium Pyri Sorbifoliae, 1 liang, remove hairs).
The above medicines are crushed, passed through a fine sieve, and made into a powder. Before meals, take 2 qian mixed with a decoction of Damai (Hordeum Vulgare).
Another prescription:
Cheqian Ye (Folium Plantaginis, one handful, crushed and juice extracted), Mi (Honey, 1 he).
Mix the above ingredients evenly. Take once on an empty stomach.
Another prescription:
Cong (Scallion, 14 stalks, including roots, crushed and chopped), Huashi (Talcum, 3 qian).
Place the scallion in a bowl, pour 8 fen of boiling water over it. Wait a short while until it is warm enough to drink. Mix in the Huashi powder and divide into two doses.
Another prescription:
Yujin Mo (Curcuma Longa Powder, 1 liang), Dama Gen (Root of Cannabis Sativa, 2 liang, crushed), Congbai (White Part of Allii Fistulosi, one handful).
Add two large zhongs of water, boil down to 1.3 zhongs, remove the dregs. Divide into three doses before meals.
For treating sudden strangury with painful urination, this formula is suitable:
Damai (Hordeum Vulgare, 3 liang).
Add two large zhongs of water, boil down to 1.3 zhongs, remove the dregs. Add Banhe (half he) of Shengjiangzhi (Ginger Juice) and Banhe (half he) of Mi (Honey), mix well. Divide into three doses before meals.
Another prescription:
Shiyan (Stone Swallow? Likely a mineral or specific herb, 7 pieces), Sanggen Baipi (Cortex Mori Radicis, 3 liang, crushed).
Add two large zhongs of water, boil down to 1.5 zhongs, remove the dregs. Divide into three doses before meals.
Another prescription:
Kuizi Mo (Malva Seed Powder, 1 he), Puxiao (Natrii Sulfas, 1 liang).
Add two large zhongs of water, boil down to 1.3 zhongs, remove the dregs. Divide into three doses before meals.
Another prescription:
Bajiao Gen (Root of Musa Basjoo, 4 liang, cut), Weirui (Rhizoma Anemarrhenae, 1 liang, crushed).
Add two large zhongs of water, boil down to 1.3 zhongs, remove the dregs. Add 2 qian of Huashi Mo (Talcum Powder), mix well. Divide into three doses before meals.
Another prescription:
Zicao (Radix Arnebiae seu Lithospermi, 1 liang, crushed).
Crush and pass through a fine sieve to make a powder. Before meals, take 2 qian mixed with Jinghua Shui (Well water drawn at dawn).
Another prescription:
Qian (Copper Coins, 300 wen).
Boil in five sheng of water until reduced to three sheng. Remove the coins. Before meals, drink one small zhong at a comfortable temperature.
Another prescription:
Jichang Cao (Herba Siegesbeckiae Orientalis? Or similar, 5 liang).
Add two large zhongs of water, boil down to 1.3 zhongs, remove the dregs. Divide into three doses before meals.
Another prescription:
Yutou Zhong Shizi (Stones from Fish Heads, 2 liang).
Crush and pass through a fine sieve to make a powder. Before meals, take 1 qian mixed with cold water.
Another prescription:
Take a pinch of hair from a cow's ear, burn it to ash, grind finely, mix with water, and take before meals.