浊者。小水不清也。方书皆责之肾。今则求之于脾。脾土之湿热下注。则为浊病。湿胜
于热则白。热胜于湿则赤。治之之法。不外导其湿热。湿热去。则浊者清矣。
医鉴曰。淋浊之病细数何妨。少阴微者。气闭膀胱。女人见之。阴中生疮大实易愈。细
涩则亡。
一浊病初起。宜导其湿热。宜
二陈汤。加苍术白术黄柏萆 主之。如赤浊。加丹参。（八十三）
一浊病稍久。当固其精道。利其水治。宜萆 厘清饮（八十三）
一内经云。中气虚而溺为之变。与浊症不同。宜
四君子汤。一补中益气汤。（五）
一命门火衰。气不摄精。每致败精为浊。宜桂附八味丸。加菟丝子车前子。以导败精。
一浊出精窍。与淋出溺窍者不同。病之稍久。宜固肾。不宜利水。此要旨也。
伤寒门。以自汗为伤风。盗汗为少阳症。其余杂病。自汗为阳虚。盗汗为阴虚。然阴阳
互为其根。自汗亦有阴虚者。盗汗亦阳虚者。宜辨而治之。
一阳虚自汗。其人常畏寒。宜
参附汤。（一百零五）术附汤。（一百零五） 附汤。（一百零五）
一阴虚盗汗。其人常发热。宜
当归六黄汤。（六）
一阴阳两虚。自汗盗汗。怔忡不眠烦躁等症。宜
归脾汤。加麦冬五味。（二十）
人参养荣汤。（十二）
一自汗发热。为前此伤风医不得法所致。宜玉屏风散（八十七）
浊病，是指小便浑浊不清。方书多将其归咎于肾脏病变，如今则从脾脏寻求病因。脾土湿热下注，便形成浊病。湿邪胜于热邪则表现为白浊，热邪胜于湿邪则表现为赤浊。治疗原则，不外乎疏导清除湿热。湿热去除，浑浊的小便自然澄清。
《医鉴》说：淋证和浊病的脉象细数并无大碍。若属少阴病轻症，是气机闭塞于膀胱所致；女性患者出现此症，外阴生疮，属于实证容易治愈；若脉象细涩，则预后不良（主死）。
一、浊病初起，应当疏导其湿热。宜用二陈汤，加入苍术、白术、黄柏、萆薢为主治方剂。（见第八十三条）
二、浊病病程稍久，应当固摄精道，通利水道。宜用萆薢分清饮。（见第八十三条）
三、《内经》说：中气虚弱导致小便异常变化，这与浊病不同。宜用四君子汤，或补中益气汤。（见第五条）
四、命门火衰，气不能固摄精气，常导致败精化为浊物。宜用桂附八味丸，加入菟丝子、车前子，以引导排出败精。
五、浊物从精窍排出，与淋证从溺窍（尿道）排出者不同。病情稍久，应当固护肾脏，不宜使用利尿药物。这是关键要点。
伤寒门类中，将自汗视为伤风症状，盗汗视为少阳病症状。其余杂病中，自汗多为阳虚，盗汗多为阴虚。然而阴阳互为根本，自汗也有阴虚的情况，盗汗也有阳虚的情况。应当仔细辨别并治疗。
一、阳虚导致的自汗，患者常怕冷。宜用参附汤。（见第一百零五条）、术附汤。（见第一百零五条）、附子汤。（见第一百零五条）
二、阴虚导致的盗汗，患者常发热。宜用当归六黄汤。（见第六条）
三、阴阳两虚，出现自汗、盗汗，以及怔忡、失眠、烦躁等症状。宜用归脾汤，加入麦冬、五味子。（见第二十条）。人参养荣汤。（见第十二条）
Turbid discharge (Zhuo Bing) refers to cloudy and impure urine. Formulary texts generally attribute this condition to the Kidney, whereas current practice seeks its origin in the Spleen. Damp-heat from the Spleen Earth descending downward results in turbid discharge. When dampness exceeds heat, it manifests as white turbidity; when heat exceeds dampness, it manifests as red turbidity. The method of treatment is nothing more than guiding out and clearing the damp-heat. Once the damp-heat is eliminated, the turbid urine becomes clear.
*Yi Jian* states: Regarding Lin syndrome (Strangury) and Turbid discharge, a fine and rapid pulse is not necessarily detrimental. In mild cases of Shaoyin disease, it is due to Qi obstruction in the Bladder. If seen in women accompanied by sores in the vagina, it is a substantial excess pattern that is easy to cure. However, a fine and choppy pulse indicates death.
1. For early-stage turbid discharge, one should guide out the damp-heat. The appropriate formula is Erchen Tang (Two-Aged Decoction), modified with Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangbai (Phellodendri Cortex), and Bibing (Dioscoreae Hypoglaucae Rhizoma). For red turbidity, add Danshen (Salviae Miltiorrhizae Radix et Rhizoma). (See Article 83)
2. For turbid discharge persisting for some time, one should consolidate the essence pathway and promote water metabolism. The appropriate formula is Bixie Fenqing Yin (Cocculus Decoction for Clarifying Turbidity). (See Article 83)
3. *Neijing* states: Deficiency of Middle Qi causes abnormalities in urination, which differs from turbid discharge. The appropriate formulas are Sijunzi Tang (Four Gentlemen Decoction) or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). (See Article 5)
4. Decline of Mingmen Fire (Gate of Life Yang) leads to an inability of Qi to secure essence, often resulting in degenerated essence transforming into turbidity. The appropriate formula is Guifu Bawei Wan (Cinnamon Twig and Aconite Pill containing Eight Ingredients), added with Tusizi (Cuscutae Semen) and Cheqianzi (Plantaginis Semen), to guide out the degenerated essence.
5. Turbid discharge exiting from the essence orifice (seminal duct) differs from Lin syndrome exiting from the urinary orifice. In conditions lasting longer, one should tonify the Kidney and avoid using diuretics. This is a crucial principle.
In the Treatise on Cold Damage section, spontaneous sweating is attributed to Wind injury, and night sweating to Shaoyang syndrome. In other miscellaneous diseases, spontaneous sweating is attributed to Yang deficiency, and night sweating to Yin deficiency. However, Yin and Yang are mutually rooted; spontaneous sweating can also result from Yin deficiency, and night sweating from Yang deficiency. These must be differentiated and treated accordingly.
1. Spontaneous sweating due to Yang deficiency: The patient often fears cold. The appropriate formulas are Shenfu Tang (Ginseng and Aconite Decoction), Shufu Tang (Atractylodes and Aconite Decoction), or Fuzi Tang (Aconite Decoction). (See Article 105)
2. Night sweating due to Yin deficiency: The patient often experiences fever. The appropriate formula is Danggui Liuhuang Tang (Angelica Hexa-Huang Decoction). (See Article 6)
3. Deficiency of both Yin and Yang, presenting with spontaneous sweating, night sweating, palpitations, insomnia, and irritability: The appropriate formula is Guipi Tang (Restore the Spleen Decoction), added with Maidong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus). (See Article 20). Renshen Yangrong Tang (Ginseng Nourishing the Vigor Decoction). (See Article 12)
4. Spontaneous sweating accompanied by fever, caused by improper treatment of previous Wind injury: The appropriate formula is Yupingfeng San (Jade Windscreen Powder). (See Article 87)