若砂石自小便出出辄欲死此由故热伏留肠间与水液相搏结而成石诊其脉散涩而无常度谓
之石
琥珀 没药 乳香 蒲黄 百部末 桃胶 郁李仁（汤浸去皮研入面少许研匀令干入温
水和
上各等分研匀温酒调下一钱腹空服仍先用引药好胡桃一个烧存性
上细研酒一盏调服移时服七宝散
若血随小便出每便辄痛由心气留热搏于小肠盖心主血遇热即流散渗于脬中诊其心脉大散
而数
宜地
猪苓 茯苓 泽泻 滑石 阿胶（各四分） 车前子（二分）
上为粗末每服五钱水二盏煎至一盏去滓温服不以时
治小便凝涩不通
葵子 车前子 茯苓 白术 木通 赤芍药
上各等分为细末每服二钱酒调下
又方
若便辄微痛渐渐艰难数往而欲出痛不可忍亦由心与小肠受热肠中热则传道涩或由服五石
及其
赤茯苓（一两） 葵子 石苇 泽泻 白术（各半两）
上为粗末每服五钱水二盏煎至一盏去滓温服食后
治脬寒小便频数（又一方覆盆子二两）
益智仁（二两半） 石菖蒲（一两） 白龙骨（三分） 川乌头（一两生去皮脐锉用牡
蛎粉一两炒）
上为细末酒煮面糊和丸如梧桐子大每服空心煎益智汤下四十丸
治虚热小便利而多或因当风取冷香港脚发动兼消渴消肾脉细而弱服此汤立减
阿胶（半两） 干姜（七两） 麻子 远志（各一两半） 附子（一个）
上为粗末每服三钱水二盏煎至一盏服之说云小便多利日夜数十行至不计数者频服
如果砂石从小便排出，排完后患者就想要死去，这是由于旧有的热邪潜伏在肠间，与水液相互搏结而形成结石。诊察其脉象，呈现散乱、涩滞且没有常规规律的特点，这被称为石淋（泌尿系结石）。
琥珀、没药、乳香、蒲黄、百部末、桃胶、郁李仁（用汤水浸泡，去皮后研磨，加入少许面粉，研磨均匀使其干燥），将上述药物各取等份，研磨均匀。温酒调服一钱，空腹服用。在此之前，先使用引药：好胡桃一个，烧至存性（保留药性，外部焦黑内部焦黄），细研后用一盏酒调服。过一段时间后再服用七宝散。
如果血液随着小便排出，每次排尿都疼痛，这是因为心气留滞热邪，搏结于小肠。因为心主血，遇到热邪就会流散，渗入膀胱。诊察其心脉，呈现盛大、散乱且快速的特点。
宜用地黄、猪苓、茯苓、泽泻、滑石、阿胶（各四分）、车前子（二分）。将上述药物制成粗末，每次服用五钱，加水两盏，煎煮至一盏，去除药渣，温服，不限定具体时间。
治疗小便凝滞涩痛不通畅。
葵子、车前子、茯苓、白术、木通、赤芍药。将上述药物各取等份，研为细末，每次服用二钱，用酒调服。
又一方：
如果排尿时轻微疼痛，逐渐变得困难，频繁想去排尿却难以排出，疼痛难忍，这也是由于心与小肠受热，肠中热盛导致传导涩滞；或者是因为服用五石散及其相关药物所致。
赤茯苓（一两）、葵子、石苇、泽泻、白术（各半两）。将上述药物制成粗末，每次服用五钱，加水两盏，煎煮至一盏，去除药渣，温服，饭后服用。
益智仁（二两半）、石菖蒲（一两）、白龙骨（三分）、川乌头（一两，生用，去皮脐，锉碎，与牡蛎粉一两同炒）。将上述药物研为细末，用酒煮面糊和丸，如梧桐子大小。每次空腹服用，煎煮益智汤送下四十丸。
治疗虚热导致的小便清长而多，或者因当风受冷引发香港脚（足部肿痛或麻木）发作，兼有消渴、消肾症状，脉象细弱，服用此汤剂可立即见效。
阿胶（半两）、干姜（七两）、麻子、远志（各一两半）、附子（一个）。将上述药物制成粗末，每次服用三钱，加水两盏，煎煮至一盏服用。据说小便多利，日夜数十次，甚至无法计数的情况，频繁服用此方。
If gravel or stones are passed in the urine, and the patient feels as if dying immediately after passing them, this is caused by latent heat from previous conditions lingering in the intestines, where it clashes with body fluids to form stones. Palpation of the pulse reveals a scattered (San), choppy (Se) quality without regularity; this condition is termed Stone Lin (Urinary Calculi).
Hupo (Succinite), Moyao (Myrrh), Ruxiang (Frankincense), Puhuang (Tiger Lily Pollen), Baibu End (Stemona Root Powder), Tao Jiao (Peach Gum), Yuli Ren (Prunus Persica Seed, soaked in decoction, skin removed, ground, mixed with a little flour, ground evenly until dry). Take equal parts of the above, grind evenly. Mix one qian with warm wine for oral administration, taken on an empty stomach. Prior to this, use a guiding medicine: one good walnut, roasted until "preserving its nature" (charred outside but retaining internal properties), finely ground and mixed with one cup of wine for administration. After some time, administer Qibao San.
If blood flows out with the urine, causing pain with each urination, this is due to heart Qi retaining heat that clashes with the Small Intestine. Since the Heart governs Blood, when encountering heat, the blood scatters and渗 (seeps) into the Bladder. Palpation of the Heart pulse reveals a large (Da), scattered (San), and rapid (Shu) quality.
It is appropriate to use Dihuang (Rehmannia Root), Zhuling (Polyporus), Fuling (Poria), Zexie (Alisma), Huashi (Talcum), Ejiao (Donkey-hide Gelatin, 4 fen each), and Cheqianzi (Plantago Seed, 2 fen). Grind the above into a coarse powder. For each dose, take 5 qian, add two zhan of water, boil down to one zhan, remove the dregs, and take warm. Administer at any time.
To treat stagnant and obstructed urination with difficulty and pain.
Kuizi (Abelmoschus Manihot Seed), Cheqianzi (Plantago Seed), Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome), Mutong (Akebia Stem), Chishao Yao (Red Peony Root). Take equal parts of the above, grind into a fine powder. For each dose, take 2 qian, mix with wine for oral administration.
Another prescription:
If there is slight pain upon urination, gradually becoming difficult, with frequent urges to urinate but inability to pass, accompanied by unbearable pain, this is also due to heat in the Heart and Small Intestine. Heat in the intestines causes sluggish transmission, or it may result from taking Wushi San (Five-Mineral Powder) and related substances.
Chifuling (Red Poria), Kuizi (Abelmoschus Manihot Seed), Shiwei (Pyrola Leaf), Zexie (Alisma), Baizhu (Atractylodes Macrocephala Rhizome, 1 liang each; Shiwei and Zexie half liang each). Grind the above into a coarse powder. For each dose, take 5 qian, add two zhan of water, boil down to one zhan, remove the dregs, and take warm after meals.
To treat urinary frequency caused by Bladder Cold (Another formula: Fupenzi [Rubus Fruit], 2 liang).
Yizhi Ren (Alpinia Oxyphylla Fruit, 2.5 liang), Shichangpu (Acorus Tatarinowii Rhizome, 1 liang), Bailonggu (Fossilized Bones, 3 fen), Chuan Wutou (Aconitum Carmichaelii Lateral Root, 1 liang, raw, skin and umbilicus removed, chopped, stir-fried with 1 liang of Moli Fen [Oyster Shell Powder]). Grind the above into a fine powder. Use wine-boiled wheat paste to make pills the size of Sophora seeds. For each dose, take 40 pills on an empty stomach, administered with a decoction of Yizhi Ren.
To treat deficiency-heat causing clear, profuse urination, or when exposure to wind and cold triggers Hongxiangjiao (Gouty Arthritis/Foot Swelling), combined with Xiao Ke (Wasting-Thirst) and Xiao Shen (Kidney Wasting). If the pulse is thin and weak, administering this decoction will yield immediate results.
Ejiao (Donkey-hide Gelatin, half liang), Ganjiang (Dried Ginger, 7 liang), Maziren (Hemp Seed), Yuanzhi (Polygala Root, 1.5 liang each), Fuzi (Prepared Aconite Root, 1 piece). Grind the above into a coarse powder. For each dose, take 3 qian, add two zhan of water, boil down to one zhan, and take. It is said that for cases of excessive urination, occurring dozens of times day and night, even uncountable, frequent administration of this formula is effective.