金匮肾气丸治肾虚小便淋涩及妇人子淋
(方见补虚门)
钱氏导赤散治心经蕴热小便赤涩或成淋痛
(方见热门)
局方五淋散治膀胱有热水道不通淋涩不出或尿如豆汁或成沙石或如膏或热怫便血
赤茯苓(六钱) 赤芍 山栀子(各二钱) 当归 甘草(各五钱)
上 咀每半两入灯芯水煎
本事火府丹治小便赤少及五淋涩痛
木通 黄芩(各一两) 生地黄(二两)
上为末炼蜜丸如梧子大每五十丸木通汤下
济生小苏饮子治下焦结热尿血成淋
生地黄 小蓟根 通草 滑石 山栀仁 蒲黄(炒) 淡竹叶 当归 藕节 甘草
上等分为 咀每半两水煎空心服
琥珀散治五淋涩痛小便脓血
琥珀 海金沙 没药 蒲黄(各研)
上各一两和匀每三钱食前煎萱草根汤调下日二服
按以上诸方并血分药也
局方八正散治小便热淋涩痛
清心莲子饮治小便浊或涩
(方并见热门)
立效散治下焦热结小便黄赤淋 疼痛或有血出
瞿麦穗(一两) 甘草(三分) 山栀(炒去皮半两)
上为末每五钱入葱白灯芯姜煎食前时时服
济生地肤子散治诸病后体虚触热热结下焦遂成淋病小便赤涩数起少出
猪苓 地肤子 知母 黄芩 海藻 通草 瞿麦 枳实(炒) 升麻 葵子
上 咀每半两水煎入姜
按以上方又气中之血药也
海金沙散治小便淋沥及下焦湿热气不施化或五种淋疾癃闭不通
海金沙(研) 木通 瞿麦穗 滑石 通草(各半两) 杏仁(去皮尖一两)
上为末每五钱水煎入灯芯二十根
宝鉴茯苓琥珀汤治小便数而欠淋涩脉沉缓时时带数
五苓散加琥珀(半两) 滑石(七分) 甘草(三分)
上细末每五钱长流水煎服食前
按以上方并气分药也
局方石苇散治膀胱有热水道不通淋沥不出脐腹急痛蓄作有时劳倦即发或尿如豆汁或出沙
石
芍药 白术 滑石 葵子 当归 瞿麦(各三钱) 石苇 木通(各二钱) 甘草 王不留
行
上为末每二钱空心小麦汤调下
按此血中之气药也与以上并治热之剂
三因生附散治淋而脉沉数小便秘涩数起不通窍中痛
附子 滑石(各半两) 瞿麦 木通 半夏(各一两半)
上为末每二钱入姜三片灯芯二十茎蜜半匙水煎食前服
按此治窍之剂也
金匮肾气丸治疗肾虚引起的小便淋沥涩痛，以及妇女子淋（妊娠期间小便淋沥涩痛）。
（方剂见补虚门）
钱氏导赤散治疗心经蕴积热邪导致的小便红赤涩痛，或发展为淋证疼痛。
（方剂见热门）
局方五淋散治疗膀胱有热、水道不通导致的淋沥涩痛，尿不出；或者尿液像豆汁一样浑浊，或结成沙石，或像膏脂一样粘稠，或伴有因热郁而出现的便血。
赤茯苓（六钱）、赤芍、山栀子（各二钱）、当归、甘草（各五钱）。
以上药材切碎，每取半两，加入灯芯草和水煎煮服用。
本事火府丹治疗小便红赤量少及五种淋证的涩痛。
木通、黄芩（各一两）、生地黄（二两）。
以上药材研为细末，用炼蜜制成梧桐子大小的药丸，每次五十丸，用木通汤送服。
济生小蓟饮子治疗下焦结聚热邪导致的尿血并发展为淋证。
生地黄、小蓟根、通草、滑石、山栀仁、蒲黄（炒制）、淡竹叶、当归、藕节、甘草。
以上药材等分切碎，每取半两，用水煎煮，空腹服用。
琥珀散治疗五种淋证的涩痛，小便中有脓血。
琥珀、海金沙、没药、蒲黄（各研碎）。
以上各取一两混合均匀，每次三钱，饭前用萱草根汤调服，每日两次。
按：以上各方均属于血分药物。
局方八正散治疗小便热淋涩痛。
清心莲子饮治疗小便浑浊或涩滞。
（以上方剂均见热门）
立效散治疗下焦热结导致的小便黄赤淋沥疼痛，或有血液排出。
瞿麦穗（一两）、甘草（三分）、山栀子（炒去壳，半两）。
以上药材研为细末，每次五钱，加入葱白、灯芯草、生姜煎煮，饭前不时服用。
济生地肤子散治疗各种疾病之后，身体虚弱又触受热邪，热结于下焦，遂成淋病，表现为小便红赤涩滞、频数但量少。
猪苓、地肤子、知母、黄芩、海藻、通草、瞿麦、枳实（炒制）、升麻、葵子。
以上药材切碎，每取半两，用水煎煮，加入生姜。
按：以上方剂又属于气分中的血药。
海金沙散治疗小便淋沥不尽及下焦湿热导致的气机不化，或五种淋疾癃闭不通。
海金沙（研碎）、木通、瞿麦穗、滑石、通草（各半两）、杏仁（去皮尖，一两）。
以上药材研为细末，每次五钱，用水煎煮，加入二十根灯芯草。
宝鉴茯苓琥珀汤治疗小便频数且伴有欠伸感、淋沥涩痛、脉象沉缓且时时带有数象。
五苓散加琥珀（半两）、滑石（七分）、甘草（三分）。
以上药材研为细末，每次五钱，用长流水煎服，饭前服用。
按：以上方剂均属于气分药物。
局方石苇散治疗膀胱有热、水道不通导致的淋沥不出，脐腹急痛，发作有时，劳累疲倦即诱发；或者尿液像豆汁一样浑浊，或排出沙石。
芍药、白术、滑石、葵子、当归、瞿麦（各三钱）、石苇、木通（各二钱）、甘草、王不留行。
以上药材研为细末，每次二钱，空腹时用小麦汤调服。
按：此方属于血中之气药，与以上各方均为治疗热证的方剂。
三因生附散治疗淋证而脉象沉数、小便闭塞涩滞、频数不通、尿道中疼痛。
附子、滑石（各半两）、瞿麦、木通、半夏（各一两半）。
以上药材研为细末，每次二钱，加入三片生姜、二十茎灯芯草、半匙蜂蜜，用水煎煮，饭前服用。
按：此方是治疗尿道窍道疾病的方剂。
Jinkui Shenqi Wan (Golden Cabinet Kidney Qi Pill) treats kidney deficiency manifesting as strangury with dribbling and astringency, as well as zilin (strangury during pregnancy) in women.
(See formula in the Tonifying Deficiency section)
Qian's Daochi San (Guiding Red Powder) treats heat accumulation in the Heart Meridian causing red and astringent urine, or progression to painful strangury.
(See formula in the Heat section)
Jufang Wulin San (Bureau of Medical Welfare Five Stranguries Powder) treats heat in the Bladder causing obstruction of the water pathways, resulting in dribbling strangury that cannot be voided; or urine resembling bean dregs, sandstones, or paste-like consistency; or hematochezia due to heat stagnation.
Chifushling (Red Poria), Chishao (Red Peony Root), Shanzhizi (Gardeniae Fructus) (each 2 qian), Danggui (Angelicae Sinensis Radix), Gancao (Licorice Root) (each 5 qian).
The above are cut into pieces. For every half liang, add Dengxincao (Juncus effusus) and water, then decoct.
Ben Shi Huofu Dan (Handbook of Effective Prescriptions Fire Palace Pill) treats scanty, red urine and painful astringency of the five types of strangury.
Mutong (Akebiae Caulis), Huangqin (Scutellariae Radix) (each 1 liang), Shengdihuang (Rehmanniae Radix) (2 liang).
The above are powdered, mixed with refined honey, and formed into pills the size of wutong seeds. Take 50 pills each time, washed down with Mutong Tang (Decoction of Akebiae Caulis).
Jisheng Xiaoji Yinzi (Jisheng Small Thistle Drink) treats blood in urine progressing to strangury due to heat knotting in the Lower Jiao.
Shengdihuang (Rehmanniae Radix), Xiaoji Gen (Cirsii Japonici Radix), Tongcao (Tetrapanacis Medulla), Huashi (Talcum), Shanzhiren (Gardeniae Semen), Puhuang (Typhae Pollen) (stir-fried), Danzhuye (Lophatheri Herba), Danggui (Angelicae Sinensis Radix), Oujie (Nelumbinis Node), Gancao (Licorice Root).
The above are equal parts, cut into pieces. For every half liang, decoct in water and take on an empty stomach.
Hupo San (Amber Powder) treats painful astringency of the five types of strangury, with pus and blood in the urine.
Hupo (Succinum), Haijinsha (Lygodii Spora), Moyao (Myrrha), Puhuang (Typhae Pollen) (each ground).
Take one liang of each, mix evenly. Take 3 qian before meals, mixed with Xuancgen Tang (Decoction of Hemerocallis Radix). Take twice daily.
Note: The above formulas all belong to blood-level medicines.
Jufang Bazheng San (Bureau of Medical Welfare Eight Rectifications Powder) treats hot strangury with astringency and pain.
Qingxin Lianzi Yin (Clear Heart Lotus Seed Drink) treats turbid or astringent urine.
(Both formulas see Heat section)
Lixiao San (Instant Effect Powder) treats yellow-red dribbling strangury with pain, possibly with blood discharge, due to heat knotting in the Lower Jiao.
Qumai Sui (Dianthi Caulis et Flos), Gancao (Licorice Root) (3 fen), Shanzhi (Gardeniae Fructus) (stir-fried, husked, half liang).
The above are powdered. Take 5 qian each time, decoct with Congbai (Allii Fistulosi Bulbus), Dengxincao (Juncus effusus), and Jiang (Zingiberis Rhizoma). Take frequently before meals.
Jisheng Difuzi San (Jisheng Kochia Seed Powder) treats strangury caused by body weakness after various diseases combined with external heat, leading to heat knotting in the Lower Jiao. Symptoms include red, astringent, frequent but scanty urination.
Zhuling (Polyporus), Difuzi (Kochiae Fructus), Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix), Haizao (Sargassum), Tongcao (Tetrapanacis Medulla), Qumai (Dianthi Caulis et Flos), Zhishi (Aurantii Fructus) (stir-fried), Shengma (Cimicifugae Rhizoma), Kuizi (Abutili Semen).
The above are cut into pieces. For every half liang, decoct in water with Jiang (Zingiberis Rhizoma).
Note: The above formulas belong to blood-medicines within the qi level.
Haijinsha San (Haijinsha Powder) treats dribbling strangury and qi transformation failure due to damp-heat in the Lower Jiao, or urinary retention and obstruction of the five types of strangury.
Haijinsha (Lygodii Spora) (ground), Mutong (Akebiae Caulis), Qumai Sui (Dianthi Caulis et Flos), Huashi (Talcum), Tongcao (Tetrapanacis Medulla) (each half liang), Xingren (Pruni Semen) (husked and core removed, 1 liang).
The above are powdered. Take 5 qian each time, decoct in water with 20 stalks of Dengxincao (Juncus effusus).
Baojian Fuling Hupo Tang (Treasure Mirror Poria Amber Decoction) treats frequent urination with yawning, dribbling strangury with astringency, pulse deep and slow but occasionally rapid.
Wuling San (Five Ingredient Powder with Pulled Powder) plus Hupo (Succinum) (half liang), Huashi (Talcum) (7 fen), Gancao (Licorice Root) (3 fen).
The above are finely powdered. Take 5 qian each time, decoct in long-flowing water. Take before meals.
Note: The above formulas all belong to qi-level medicines.
Jufang Shiwei San (Bureau of Medical Welfare Pyrosia Powder) treats heat in the Bladder causing obstruction of water pathways, resulting in inability to void urine, urgent and painful abdomen, intermittent attacks triggered by fatigue, or urine resembling bean dregs or sandstones.
Shaoyao (Paeoniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Huashi (Talcum), Kuizi (Abutili Semen), Danggui (Angelicae Sinensis Radix), Qumai (Dianthi Caulis et Flos) (each 3 qian), Shiwei (Pyrosiae Folium), Mutong (Akebiae Caulis) (each 2 qian), Gancao (Licorice Root), Wangbuliuxing (Vaccariae Semen).
The above are powdered. Take 2 qian each time on an empty stomach, mixed with Xiaomai Tang (Decoction of Tritici Fructus).
Note: This formula belongs to qi-medicines within the blood level. It, along with the above, treats heat conditions.
Sanyin Shengfu San (Three Causes Raw Aconite Powder) treats strangury with a deep and rapid pulse, blocked and astringent urination, frequent attempts without passage, and pain in the urethra.
Fuzi (Aconiti Lateralis Radix Praeparata), Huashi (Talcum) (each half liang), Qumai (Dianthi Caulis et Flos), Mutong (Akebiae Caulis), Banxia (Pinelliae Rhizoma) (each 1.5 liang).
The above are powdered. Take 2 qian each time, add 3 slices of Jiang (Zingiberis Rhizoma), 20 stalks of Dengxincao (Juncus effusus), and half spoonful of honey. Decoct in water and take before meals.
Note: This is a formula treating the orifice/urethra.