大全云∶产后诸淋，因热气客于脬中，内虚则频数，热则小便涩痛，故谓之淋。又有因
气虚挟热，热邪搏血，渗入胞中，血随小便而出，为血淋者。（热邪搏血则有之，渗入胞中则
未也，如交肠症，亦岂渗入而来耶）
三因论曰∶治诸产前后淋 ，其法不同，产前当安胎，产后当去血，如其冷热膏石气淋
等，为治则一，但量其虚实而用之，瞿麦蒲黄最是产后要药，唯当究其所因，则不失其机要
矣。（五淋一治有悖，若然则冷热无分矣）
薛氏曰∶按前证若膀胱虚热，用六味丸，若阴虚而阳无以化，用滋肾丸，盖土生金，金
生水，当滋化源也，仍参淋沥频数门调治。
一产妇小水淋沥，或时自出，用分利降火之剂，二年不愈。余以为肺肾之气虚，用补中
益气汤六味地黄丸而痊。（以分利降火之剂太过，故用此药补之）
茅根汤 治产后诸淋，无问冷热膏石气结，悉主之。（此方甚良）
白茅根（五钱） 瞿麦穗 白茯苓（各二钱半） 葵子 人参（各一钱二分半） 蒲黄 桃胶 滑石
甘草（各六分） 紫贝（一个， ） 石首鱼脑砂（二个， ）（紫贝、石首皆治石淋要药）
上锉，分二帖，加生姜三片，灯心二十根，水煎服，或为末，每服二钱，木通煎汤调下，如
气壅闭，木通、橘皮煎汤调下。
滑石散 治产后热淋。
滑石（一两二钱半，研） 通草 车前子 葵子（各一两）
上为末，以浆水调服方寸匕，至二匕为妙。
滑石通淋散 产后小便紧涩不通者，因血热积于小肠，经水不利，恣食热毒之物而成
淋涩故也。
赤茯苓 泽泻 木通 黄连 猪苓（各八分） 白术 瞿麦 山栀子 车前子（各等分） 滑石（四分）
上锉，加灯心十二茎，水煎，空心热服。
石韦散 治妇人小便卒淋涩。
石韦 黄芩 木通 榆白皮 葵子 瞿麦穗 甘草（各等分）
上 咀，每服八钱，加生姜三片，水煎，食前温服。
加味四物汤 诸淋皆属于热，用此累效。
当归 川芎 赤芍药 生地黄 甘草梢 杜牛膝 木通（各一钱） 桃仁（去皮尖，五个） 滑
石（一钱半） 木香
上锉，水煎服。
一方 疗产后淋，小便痛及血淋。
白茅根（五分） 瞿麦 车前子（各二两） 鲤鱼齿（一百枚，为末） 通草（三两） 冬葵子（三分）
上以水三升煮取一升，入鱼齿末，空心服。
张氏方 疗产后小便不通，淋 。
陈皮一两去白，为末，空心温酒调下二钱，一服便通。（小肠气道也，肝主之，陈皮、杏
仁皆利气药，故有验）
疗卒不得小便方
杏仁十四枚去皮尖，炒为末，和饮顿服。
灸脐法 治产后小便不通，腹胀如鼓，闷乱不醒，盖缘未产之前内积冷气，遂致产时尿
胞运动不顺。（积冷者用此，所谓气化则能出矣）
用盐填脐中，却以葱白剥去粗皮，十余根作一缚，切一指浓，安盐上，用大艾炷满葱饼
上，以火灸之，觉热气入腹内，实时便通，神验。
《大全》说：产后各种淋证，是因为热气侵入膀胱中，体内虚弱则小便频数，有热则小便涩痛，所以称为淋。又有因为气虚夹杂热邪，热邪与血相搏结，渗入胞宫，血液随着小便排出，这就是血淋。（热邪与血相搏结是有的，但渗入胞宫则未必，比如交肠症，难道也是渗入而来的吗？）
《三因论》说：治疗生产前后各种淋证，方法不同，产前应当安胎，产后应当祛瘀，至于冷淋、热淋、膏淋、石淋、气淋等，治疗方法大体一致，只需根据患者的虚实情况来用药，瞿麦和蒲黄是最适合产后使用的药物，只要探究其病因，就不会失去治疗的要领。（五淋统一治疗是有悖理的，如果那样，冷热就不分开了。）
薛己说：按照上述症状，如果是膀胱虚热，使用六味丸；如果是阴虚而阳气无法气化，使用滋肾丸，因为土生金，金生水，应当滋养化源，同时参考“淋沥频数”门的方法进行调理。
有一位产妇小便淋漓不尽，有时自行流出，服用分利降火的药剂，两年未愈。我认为这是肺肾之气虚弱，使用补中益气汤合六味地黄丸而痊愈。（因为之前使用分利降火的药剂太过，所以用这些药来补益。）
茅根汤：治疗产后各种淋证，不论冷淋、热淋、膏淋、石淋、气淋、血淋，都主治。（此方效果很好）
白茅根（五钱） 瞿麦穗 白茯苓（各二钱半） 葵子 人参（各一钱二分半） 蒲黄 桃胶 滑石 甘草（各六分） 紫贝（一个，研细） 石首鱼脑砂（二个，研细）（紫贝、石首鱼脑砂都是治疗石淋的要药）
以上切碎，分为两帖，加生姜三片，灯心草二十根，水煎服，或者制成粉末，每次服用二钱，用木通煎汤送下，如果气机壅滞闭塞，用木通、橘皮煎汤送下。
以上制成粉末，用浆水调服一方寸匕，用到两方寸匕为妙。
滑石通淋散：产后小便紧涩不通的，是因为血热积聚在小肠，月经不畅，恣意食用热毒之物而形成淋涩的缘故。
赤茯苓 泽泻 木通 黄连 猪苓（各八分） 白术 瞿麦 山栀子 车前子（各等分） 滑石（四分）
以上切碎，加灯心草十二茎，水煎，空腹热服。
以上切碎，每次服用八钱，加生姜三片，水煎，饭前温服。
当归 川芎 赤芍药 生地黄 甘草梢 杜牛膝 木通（各一钱） 桃仁（去皮尖，五个） 滑石（一钱半） 木香
以上切碎，水煎服。
白茅根（五分） 瞿麦 车前子（各二两） 鲤鱼齿（一百枚，研末） 通草（三两） 冬葵子（三分）
以上用水三升煮取一升，加入鱼齿末，空腹服用。
陈皮一两去白，研末，空腹用温酒调服二钱，一次服用后小便即通。（小肠主司气道，由肝所主，陈皮、杏仁都是理气药，所以有效）
治疗突然不能小便的方子
杏仁十四枚去皮尖，炒后研末，混合饮料一次性服用。
灸脐法：治疗产后小便不通，腹胀如鼓，烦闷混乱不醒，大概是因为生产之前体内积聚冷气，导致生产时尿胞运动不顺。（积冷者适用此法，所谓气化则能排尿）
用盐填满肚脐中，然后用葱白剥去粗皮，十余根扎成一束，切一指厚，放在盐上，用大艾炷铺满葱饼，用火灸之，感觉到热气进入腹内，立即小便通畅，非常灵验。
The *Daquan* states: Various types of lin syndrome (strangury) occurring postpartum are caused by heat pathogens invading the bladder. Internal deficiency leads to frequent urination, while heat causes painful and difficult urination, hence it is called lin syndrome. There are also cases where qi deficiency combined with heat pathogens causes the heat to contend with blood, infiltrating the uterus, with blood exiting via urine, known as bloody lin syndrome. (While heat contending with blood exists, infiltration into the uterus is questionable; for instance, in jiaochang syndrome [bowel-bladder misdirection], is it not also due to infiltration?)
The *Sanyin Lun* states: The treatment methods for various lin syndromes before and after childbirth differ. Before childbirth, one should stabilize the fetus; after childbirth, one should eliminate blood stasis. For cold lin, hot lin, gao lin (mucous strangury), shi lin (calculus strangury), and qi lin (gas strangury), the general treatment principles are the same, but one must assess excess or deficiency to apply appropriate therapy. Qumai (Herba Dianthi) and Puhuang (Pollen Typhae) are the most important herbs for postpartum use. By investigating the etiology, one will not miss the key points of treatment. (Treating all five types of lin syndrome uniformly is contradictory; if so, cold and heat would not be distinguished.)
Xue Ji stated: Regarding the aforementioned symptoms, if there is deficient-heat in the bladder, use Liuwei Wan (Six-Ingredient Rehmannia Pill). If there is yin deficiency leading to an inability of yang to transform fluids, use Zishen Wan (Kidney-Nourishing Pill). Since Earth generates Metal, and Metal generates Water, one should nourish the source of transformation, while also referring to the "Frequent and Dribbling Urination" section for regulation.
A postpartum patient suffered from dribbling urination and occasional spontaneous leakage. After two years of unsuccessful treatment with diuretic and fire-clearing agents, I diagnosed it as deficiency of lung and kidney qi. She recovered using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) combined with Liuwadihuang Wan (Six-Ingredient Pill with Rehmannia). (The previous use of diuretic and fire-clearing agents was excessive, necessitating this tonic approach.)
Maogen Tang (Imperata Rhizome Decoction): Treats various postpartum lin syndromes, regardless of cold, heat, gao, shi, qi, or xue lin. (This formula is very effective.)
Baimaogen (Rhizoma Imperatae, 5 qian), Qumai Sui (Spica Dianthi), Baifuling (Poria, 2.5 qian each), Kuizi (Fructus Abutilonis), Renshen (Radix Ginseng, 1.25 qian each), Puhuang (Pollen Typhae), Taojiao (Arbor Vitae Gum), Huashi (Talcum), Gancao (Radix Glycyrrhizae, 0.6 qian each), Zi Bei (Concha Arcae, one piece, ground), Shishouyu Naosha (Otolithus Otolithus, two pieces, ground). (Zi Bei and Shishouyu Naosha are key herbs for treating shi lin.)
Decoct these ingredients, divided into two doses, with three slices of fresh ginger and twenty stalks of Dengxin Cao (Caulis Junci). Take orally after decocting with water. Alternatively, grind into powder, take 2 qian per dose, washed down with a decoction of Mutong (Caulis Akebiae). If there is qi stagnation and obstruction, wash down with a decoction of Mutong and Ju Pi (Pericarpium Citri Reticulatae).
Huashi San (Talcum Powder): Treats postpartum hot lin syndrome.
Huashi (Talcum, 1.25 liang, ground), Tongcao (Medulla Tetrapanacis), Cheqianzi (Semen Plantaginis), Kuizi (Fructus Abutilonis, 1 liang each).
Grind into powder. Mix with Jiangshui (fermented grain liquid) and take one fangcun bi (approx. 5g) per dose; taking two fangcun bi is optimal.
Huashi Tonglin San (Talcum Unblocking Lin Decoction): Used when postpartum urination is tight, astringent, and obstructed. This condition arises from blood-heat accumulating in the small intestine, irregular menstruation, and indulgence in toxic-hot foods, resulting in lin-strangury.
Chifuling (Red Poria), Zexie (Rhizoma Alismatis), Mutong (Caulis Akebiae), Huanglian (Rhizoma Coptidis), Zhuling (Polyporus, 0.8 qian each), Baizhu (Rhizoma Atractylodis Macrocephalae), Qumai (Herba Dianthi), Shanzhizi (Fructus Gardeniae), Cheqianzi (Semen Plantaginis, equal parts), Huashi (Talcum, 0.4 qian).
Decoct with twelve stalks of Dengxin Cao. Take orally warm on an empty stomach.
Shiwei San (Pyrosma Leaf Powder): Treats sudden urinary strangury in women.
Shiwei (Folium Pyrrosiae), Huangqin (Radix Scutellariae), Mutong (Caulis Akebiae), Yu Bai Pi (Cortex Ulmi), Kuizi (Fructus Abutilonis), Qumai Sui (Spica Dianthi), Gancao (Radix Glycyrrhizae, equal parts).
Cut into pieces. Take 8 qian per dose with three slices of fresh ginger. Decoct with water and take warm before meals.
Jiawei Siwu Tang (Modified Four Substances Decoction): All lin syndromes belong to heat; this formula has proven effective repeatedly.
Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Chi Shaoyao (Radix Paeoniae Rubra), Sheng Dihuang (Radix Rehmanniae Preparata), Gancao Shao (Apex Radicis Glycyrrhizae), Dunniumxi (Radix Achyranthis Bidentatae), Mutong (Caulis Akebiae, 1 qian each), Taoren (Semen Persicae, peeled and cored, five seeds), Huashi (Talcum, 1.5 qian), Muxiang (Radix Aucklandiae).
Decoct with water and take orally.
Another Prescription: Treats postpartum lin syndrome, painful urination, and bloody lin syndrome.
Baimaogen (Rhizoma Imperatae, 0.5 qian), Qumai (Herba Dianthi), Cheqianzi (Semen Plantaginis, 2 liang each), Liyu Chi (Cyprinus Carpio Teeth, 100 pieces, ground), Tongcao (Medulla Tetrapanacis, 3 liang), Dongkuizi (Fructus Abutilonis, 0.3 qian).
Boil in three sheng of water until one sheng remains. Add the fish tooth powder and take on an empty stomach.
Zhang's Formula: Treats postpartum urinary retention and strangury.
Chenpi (Pericarpium Citri Reticulatae, 1 liang, white pith removed), ground into powder. Take 2 qian with warm wine on an empty stomach. Urination resumes immediately after one dose. (The small intestine governs qi pathways, controlled by the liver. Chenpi and Xingren are both qi-moving herbs, hence their efficacy.)
Prescription for Sudden Urinary Retention
Xingren (Semen Pruni Armeniacae, 14 seeds, peeled and cored), stir-fried and ground into powder. Mix with drink and consume in one dose.
Moxibustion at the Navel Method: Treats postpartum urinary retention, abdominal distension like a drum, and confusion/unconsciousness. This is likely due to internal accumulation of cold pathogens prior to childbirth, causing improper movement of the bladder during delivery. (Applicable for accumulated cold; as stated, "when qi transforms, urination occurs.")
Fill the navel with salt. Peel the coarse skin off more than ten stalks of Congbai (White Part of Allii Fistulosi) and bind them together. Cut to a thickness of one finger and place on the salt. Place a large moxa cone on top of the green onion cake and ignite. When heat sensation enters the abdomen, urination will resume immediately. This is highly effective.