关格，必用吐，提其气之横格，不必在出痰也。有痰宜吐者，二陈汤吐之，吐中
便有降。有中气虚不运者，补气药中升降。寒在上，热在下，脉两手寸俱盛四倍以上。
戴云∶关格者，谓膈中觉有所碍，欲升不升，欲降不降，欲食不食，此谓气之横格也。
淋有五，皆属乎热。解热利小便，山栀子之类，山栀子去皮一合，白汤送下。淋者
，小便淋沥，欲去不去，
不去又来，皆属于热也。
入方∶治老人气虚而淋者。
人参 白术 木通 山栀
地髓汤 治死血作淋，痛不可忍，此证亦能损胃不食。
杜牛膝（一合）
上以水五钟煎，耗其四而留其一，去滓，入麝香少许。空心服之。又只单以酒煎，亦可
，又名苦杖散。老人虚寒者，八味丸或六味地黄丸为要药。
又方 治气虚而淋者。
八物汤加黄 、虎杖、甘草煎汤服，诸药中可加牛膝。
〔附录〕诸淋所发，皆肾虚而膀胱生热也。水火不交，心肾气郁遂使阴阳乖舛，清浊相干
蓄在下焦，故膀胱里急，膏血砂石，从小便道出焉。于是有欲出不出淋沥不断之状，甚者
塞其间，则令人闷绝矣。大凡小肠有气则小便胀，小肠有血则小便涩，小肠有热则小便痛
痛者为血淋，不痛者为尿血，败精结者为沙，精结散者为膏，金石结者为石，小便涩常有余
沥者为气，揣木揆原，各从其类也。执剂之法，并用流行滞气，疏利小便，清解邪热。其
调平心火，又三者之纲领焉。心清则小便自利，心平则血不妄行。最不可用补气之药，气
补而愈胀，血得补而愈涩，热得补而愈盛。水窦不行，加之谷道闭遏，未见其有能生者也。
虽然，肾气虚弱，囊中受寒，亦有挟冷而小便淋涩，其状先寒战而后溲便。盖冷气与正气交
争，冷气盛则寒战而成淋，正气盛则寒战解而得便溺也。又有胞系转戾之不通者，是不可
不
尿入房使水气上逆，气迫于胞，故屈戾而不得舒张也。胞落则殂。
淋闭，古方为癃。癃者，罢也。不通为癃，不约为遗，小便滴沥涩痛者谓之淋，小便急
满不通者谓之闭，宜五苓散、灯心汤调服。若脐下胀满，更加琥珀末一钱，甚效。
有淋病下诸通利药不能通者，或用木香流气饮，或别用通气香剂才愈者，此乃气淋，出
于冷热淋之外。血淋一证，须看血色分冷热。色鲜者，心小肠实热；色瘀者，肾膀胱虚冷。若
的是冷淋及下元虚冷，血色瘀者，并宜汉椒根锉碎，不以多
少，白水煎，后冷服。若热极成淋，服药不效者，宜减桂五苓散加木通、滑石、灯心、瞿
麦各少许，蜜水调下。
附方
二神散 治诸淋急痛。
海金砂（七钱半） 滑石（半两）
上为末。每服二钱半，多用灯心、木通、麦门冬煎，入蜜少许，调下。
五淋散 治诸淋。
赤茯苓 赤芍 山栀仁 生甘草（七钱半）当归 加黄芩（五钱）
每服五钱，水煎，空心服。
车前子散 治诸淋，小便痛不可忍。
车前子（不炒，半两） 淡竹叶 荆芥穗（能通窍） 赤茯苓 灯心（各二钱半）
上作二服，水煎。
又方 治小肠有热，血淋急痛。
生车前草洗净，臼内捣细，每服准一盏许，井水调，摅清汁，食前服。若沙淋，则以
寒水石为末，水调服。
茯苓调血汤 治酒面过度，房劳后，小便下血。
赤茯苓（一两） 赤芍 川芎 半夏曲（各五钱） 前胡 柴胡 青皮 枳壳 北梗 桑皮 白
茅根 灯心 甘草（炙，各二钱半）
每服三钱，姜三片，蜜一匙，水煎服。
沙石淋方
黑豆（一百二十粒） 生粉草（一寸）
上以水煎乘热入滑石末一钱，空心服。
木香汤 治冷气凝滞，小便淋涩作痛，身体冷。
木香 木通 槟榔 大茴香（炒） 当归 赤芍 青皮 泽泻 橘皮 甘草
上每服三钱，姜三片，入桂少许，煎服。
又方 治小便淋痛，下沙石，或赤涩。
萱草根
上用一握，捣取汁服；或嫩苗煮食之，亦可。
又方 治卒淋痛。
益元散（二钱） 茴香（一钱，微炒黄）
上为末。水煎服。
又方 治淋，茎中痛，其肝经气滞有热。
甘草梢子（一味）。
上用水煎，空心服。
又方 治苦病淋而茎中痛不可忍者。
六君子汤，或四君子汤，加黄柏、知母、滑石、石苇、琥珀煎服。方见脾胃类。
《博济方》治五淋。
赤芍药（一两） 槟榔（一个，面裹煨）
上为末。每服一钱，水煎，空心服。
又方 治热淋、血淋效。
赤小豆（不以多少，炒熟）
上为末。每服二钱，煨葱一根，温酒调服。
通秘散 治血淋，痛不可忍。
陈皮 香附 赤茯苓（等分）
上锉散。每服二钱，水煎，空心服。
白薇散 治血淋、热淋。
白薇 赤芍（等分）
上为末。每服二钱，温酒调下，立效。或加槟榔。
发灰散 治血淋，若单小便出血，为茎衄，皆主之。
乱发不以多少
烧灰，入麝香少许，每服用米醋泡汤调下。
治淋，以葵子末等分，用米饮空心调下，最治妇人胞转不尿。
沉香散 治气淋，多因五内郁结，气不舒行，阴滞于阳，而致壅滞，小腹胀满，便溺不
通，大便分泄，小便方利。
沉香 石苇（去毛） 滑石 王不留行 当归（各半两） 葵子 芍药（七钱半）甘草 陈皮（二钱半）
上为末。每服二钱半，煎大麦汤调下。
又方 治淋。
人参（一钱） 白术（一钱半） 泽泻（七分） 麦门冬（半钱） 赤茯苓（七分） 甘草（半钱） 滑石（半钱）
竹叶（三十片） 灯心（二十茎）
上锉。作一服，水煎。
又方
海金沙七钱半 滑石五钱
煎木通、麦门冬、车前草汤，服二钱。
生附汤 治冷淋，小便秘涩，数起不通，窍中苦痛，憎寒凛
凛，多因饮水过度，或为寒湿，心虚志耗，皆有此
附子（去皮脐） 滑石（各半两） 瞿麦 木通（七钱半） 半夏
上锉散。每服三钱，水一钟，生姜三片，灯心
八正散 治大人小儿心经蕴热，脏腑秘结，小便赤涩，癃闭不通，热淋血淋并宜。
车前 瞿麦 蓄 滑石 甘草 山栀 木通 大黄（面裹煨，各等分） 灯心（二十茎）
上每服五钱，水煎，空心服。
清心莲子饮 治上盛下虚，心火炎上，口苦咽干，烦渴微热，小便赤涩，或欲成淋。
黄 石莲肉 白茯苓 人参（各七钱半） 黄芩 甘草（炙） 地骨皮 麦门冬 车前子（各五钱）
上每服五钱，水煎。发热，加柴胡、薄荷。
又方 治诸淋。
五苓散（二钱） 益元散（一钱） 灯心（三十茎）
上水煎，空心服。或云益元散只加车前末一钱。又或去前二件，只加阿胶末一钱。
又方 治热淋血淋。
麻根（十个）
上以水四碗，煎去三留一，空心服，甚效。
又方 治淋疾。
石燕子（十个，捣如黍米大） 新桑白皮（三两，锉，同拌匀）
上将二物分作七帖，每用水一盏，煎七分，去渣，空心午前至夜各一服。
参茯琥珀汤 治淋，茎中痛不可忍，相引胁下痛。
人参（五分） 茯苓（四分） 琥珀（三分） 川楝子（炒，一钱） 生甘草（一钱） 玄胡索（七分） 泽泻
柴胡（各三分） 当归梢（三分）
上作一服，长流水煎，空心服。
灸法 治小便淋涩不通。用食盐，不以多少，炒热，放温，填脐中，却以艾灸七壮，即
八味丸见诸补损
六味地黄丸 八物汤 并见补损。
五苓散 见中暑。
木香流气饮 见气类。
关格病，必须使用吐法，以提升横逆阻滞之气，不一定非要吐出痰液。如果有痰且适宜用吐法，可用二陈汤催吐，在吐的过程中自然就有降气的作用。如果是中气虚弱导致气机不运转的，应在补气药中加入升降气机的药物。症状表现为寒邪在上焦，热邪在下焦，两手寸脉都盛大四倍以上。
戴元礼说：关格病，是指胸膈中间感觉有阻碍，想上升不能上升，想下降不能下降，想吃东西却吃不下，这叫做气的横逆阻滞。
淋证有五种，都属于热证。治疗应清热利小便，如山栀子之类的药物。山栀子去皮一合，用白开水送服。淋证的表现是小便淋漓不尽，想排出不出来，不排又反复来，都属于热证。
地髓汤：治疗死血（瘀血）引起的淋证，疼痛难以忍受，此证也能损伤胃气导致食欲不振。
杜牛膝（一合）。
以上用水五钟煎煮，蒸发掉四份，保留一份，去渣，加入少许麝香。空腹服用。也可以只用酒煎煮，同样有效，又名苦杖散。对于老人虚寒体质者，八味丸或六味地黄丸是主要药物。
又一方：治疗气虚引起的淋证。
八物汤加黄芪、虎杖、甘草煎汤服用，诸药中可加入牛膝。
〔附录〕各种淋证的发生，都是肾虚而膀胱生热所致。水火不交，心肾之气郁结，致使阴阳失调，清浊相混，蓄积在下焦，所以膀胱内部急迫，膏脂、血液、砂石从小便道排出。于是出现想排出不出来、淋漓不断的情况，严重时堵塞其间，就会使人闷绝昏迷。大凡小肠有气则小便胀，小肠有血则小便涩，小肠有热则小便痛。痛的是血淋，不痛的是尿血，败精凝结成沙，精液散乱成膏，金石凝结成石，小便涩滞常有余沥的是气淋。推究其本源，各从其类。用药的原则，是用流通滞气、疏利小便、清解邪热的方法。其中调理平复心火，又是这三者的纲领。心清则小便自然通利，心平则血液不妄行。最不可使用补气药，气补了反而更加胀满，血得补则更加涩滞，热得补则更加旺盛。水道不通，加上谷道闭塞，未见能存活的。虽然如此，肾气虚弱，囊中受寒，也有挟带寒气而导致小便淋涩的，其症状是先寒战而后排尿。这是冷气与正气交争，冷气盛则寒战而成淋，正气盛则寒战解除而得以排尿。又有胞系扭转导致不通的，这也是不可忽视的原因。房事后尿液进入膀胱使水气上逆，气逼迫于膀胱，所以屈曲扭转而不能舒张。膀胱破裂则会死亡。
淋闭，古方称为癃。癃，意为疲乏、无力。不通畅称为癃，不约束称为遗，小便滴沥涩痛称为淋，小便急迫胀满不通称为闭，宜用五苓散、灯心汤调服。如果脐下胀满，再加琥珀末一钱，效果很好。
有淋病患者，用了各种通利药都不能通利的，有的用木香流气饮，或者另外用通气香剂才痊愈的，这是气淋，出于冷热淋之外。血淋这一证，须看血色来分辨冷热。颜色鲜红的，是心和小肠实热；颜色暗紫的，是肾和膀胱虚冷。如果确实是冷淋及下元虚冷，血色暗紫的，都宜用汉椒根锉碎，不论多少，用白水煎煮，放凉后服用。如果热极成淋，服药无效的，宜用减桂五苓散加木通、滑石、灯心、瞿麦各少许，蜜水调下。
附方：
二神散：治疗各种淋证急痛。
海金砂（七钱半）、滑石（半两）。
以上研为末。每次服用二钱半，多用灯心、木通、麦门冬煎煮，加入少许蜂蜜，调服。
五淋散：治疗各种淋证。
赤茯苓、赤芍、山栀仁、生甘草（七钱半）、当归、加黄芩（五钱）。
每次服用五钱，水煎，空腹服用。
车前子散：治疗各种淋证，小便疼痛难以忍受。
车前子（不炒，半两）、淡竹叶、荆芥穗（能通窍）、赤茯苓、灯心（各二钱半）。
以上分为两服，水煎。
又一方：治疗小肠有热，血淋急痛。
生车前草洗净，在臼内捣细，每次取约一盏量，井水调服，滤出清汁，饭前服用。如果是沙淋，则以寒水石研末，水调服。
茯苓调血汤：治疗饮酒面食过度，房劳后，小便下血。
赤茯苓（一两）、赤芍、川芎、半夏曲（各五钱）、前胡、柴胡、青皮、枳壳、北梗、桑皮、白茅根、灯心、甘草（炙，各二钱半）。
每次服用三钱，姜三片，蜜一匙，水煎服。
沙石淋方：
黑豆（一百二十粒）、生粉草（一寸）。
以上用水煎，趁热加入滑石末一钱，空腹服用。
木香汤：治疗冷气凝滞，小便淋涩作痛，身体发冷。
木香、木通、槟榔、大茴香（炒）、当归、赤芍、青皮、泽泻、橘皮、甘草。
以上每次服用三钱，姜三片，加入少许桂枝，煎服。
又一方：治疗小便淋痛，排出沙石，或赤涩。
萱草根。
以上用一把，捣取汁服用；或者嫩苗煮食，也可以。
又一方：治疗突然发生的淋痛。
益元散（二钱）、茴香（一钱，微炒黄）。
以上研为末。水煎服。
又一方：治疗淋证，尿道中疼痛，这是肝经气滞有热。
甘草梢子（一味）。
以上用水煎，空腹服用。
又一方：治疗苦于淋证而尿道中疼痛难以忍受的。
六君子汤，或四君子汤，加黄柏、知母、滑石、石苇、琥珀煎服。方剂见脾胃类。
《博济方》治五淋。
赤芍药（一两）、槟榔（一个，面裹煨）。
以上研为末。每次服用一钱，水煎，空腹服用。
又一方：治疗热淋、血淋有效。
赤小豆（不论多少，炒熟）。
以上研为末。每次服用二钱，煨葱一根，温酒调服。
通秘散：治疗血淋，疼痛难以忍受。
陈皮、香附、赤茯苓（等分）。
以上锉散。每次服用二钱，水煎，空腹服用。
白薇散：治疗血淋、热淋。
白薇、赤芍（等分）。
以上研为末。每次服用二钱，温酒调下，立即见效。或者加槟榔。
发灰散：治疗血淋，如果单是小便出血，为茎衄（尿道出血），都主治之。
乱发不论多少。
烧成灰，加入少许麝香，每次用米醋泡汤调下。
治疗淋证，以葵子末等分，用米饮空腹调下，最能治疗妇人胞转（膀胱扭转）不尿。
沉香散：治疗气淋，多因五脏郁结，气不舒展运行，阴滞于阳，而导致壅滞，小腹胀满，便溺不通，大便分泄，小便方才通利。
沉香、石苇（去毛）、滑石、王不留行、当归（各半两）、葵子、芍药（七钱半）、甘草、陈皮（二钱半）。
以上研为末。每次服用二钱半，煎大麦汤调下。
又一方：治疗淋证。
人参（一钱）、白术（一钱半）、泽泻（七分）、麦门冬（半钱）、赤茯苓（七分）、甘草（半钱）、滑石（半钱）、竹叶（三十片）、灯心（二十茎）。
以上锉散。作一服，水煎。
又一方：
海金沙七钱半、滑石五钱。
煎木通、麦门冬、车前草汤，服用二钱。
生附汤：治疗冷淋，小便秘涩，次数多但不通，尿道中痛苦疼痛，怕冷凛冽，多因饮水过度，或为寒湿，心虚志耗，都有此证。
附子（去皮脐）、滑石（各半两）、瞿麦、木通（七钱半）、半夏。
以上锉散。每次服用三钱，水一钟，生姜三片，灯心。
八正散：治疗大人小儿心经蕴热，脏腑秘结，小便赤涩，癃闭不通，热淋血淋都适宜。
车前、瞿麦、蓄、滑石、甘草、山栀、木通、大黄（面裹煨，各等分）、灯心（二十茎）。
以上每次服用五钱，水煎，空腹服用。
清心莲子饮：治疗上盛下虚，心火炎上，口苦咽干，烦渴微热，小便赤涩，或欲成淋。
黄芪、石莲肉、白茯苓、人参（各七钱半）、黄芩、甘草（炙）、地骨皮、麦门冬、车前子（各五钱）。
以上每次服用五钱，水煎。发热，加柴胡、薄荷。
又一方：治疗各种淋证。
五苓散（二钱）、益元散（一钱）、灯心（三十茎）。
以上水煎，空腹服用。有人说益元散只加车前末一钱。或者去掉前两件，只加阿胶末一钱。
又一方：治疗热淋血淋。
麻根（十个）。
以上用水四碗，煎去三留一，空腹服用，效果很好。
又一方：治疗淋疾。
石燕子（十个，捣如黍米大）、新桑白皮（三两，锉，同拌匀）。
以上将二物分作七帖，每用水一盏，煎至七分，去渣，空腹午前至夜各一服。
参茯琥珀汤：治疗淋证，尿道中疼痛难以忍受，牵引胁下疼痛。
人参（五分）、茯苓（四分）、琥珀（三分）、川楝子（炒，一钱）、生甘草（一钱）、玄胡索（七分）、泽泻、柴胡（各三分）、当归梢（三分）。
以上作一服，长流水煎，空腹服用。
Guan-Ge (Obstruction and Repletion) must be treated with emesis to lift the qi that is horizontally obstructed; it is not necessary to expel phlegm. If there is phlegm suitable for emesis, Er Chen Tang (Two Aged Decoction) should be used to induce vomiting; within the vomiting process, descending action naturally occurs. If it is due to deficiency of Middle Qi failing to transport, ascending and descending herbs should be added to Qi-tonifying medicines. The presentation involves Cold in the Upper Jiao and Heat in the Lower Jiao, with both Cun (inch) pulses on the two hands being four times larger than normal.
Dai Yuanli stated: Guan-Ge refers to a sensation of obstruction in the chest and diaphragm, where one wishes to ascend but cannot, wishes to descend but cannot, wishes to eat but cannot. This is called horizontal obstruction of Qi.
Lin Syndrome (Strangury) has five types, all belonging to Heat. Treatment should involve clearing Heat and promoting urination, using herbs such as Gardenia Fruit (Shan Zhi Zi). One he of peeled Gardenia Fruit should be taken with warm water. Lin Syndrome presents as dribbling urine, wanting to pass but unable, unable yet recurring, all belonging to Heat.
Formula: For elderly patients suffering from Lin due to Qi deficiency.
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma), Mu Tong (Akebiae Caulis), Shan Zhi Zi (Gardeniae Fructus).
Di Sui Tang (Earth Marrow Decoction): Treats Lin caused by fixed blood (blood stasis), with unbearable pain. This condition can also damage Stomach Qi, leading to loss of appetite.
Du Niu Xi (Achyranthis Bidentatae Radix) (one he).
Decoct the above with five zhong of water until four parts are consumed and one part remains. Strain, add a small amount of Moschus (She Xiang). Take on an empty stomach. It may also be decocted solely with wine, which is effective, and is also known as Ku Zhang San (Bitter Staff Powder). For elderly patients with Deficiency-Cold constitution, Ba Wei Wan (Eight-Ingredient Pill with Rehmannia) or Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) are essential medicines.
Another formula: For Lin caused by Qi deficiency.
Ba Wu Tang (Eight-Ingredient Decoction) plus Huang Qi (Astragali Radix), Hu Zhang (Polygoni Cuspidati Rhizoma et Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) decocted in water and taken. Niu Xi (Achyranthis Bidentatae Radix) may be added to these herbs.
[Appendix] The onset of various Lin syndromes is due to Kidney Deficiency and Heat generated in the Bladder. Water and Fire do not interact; Heart and Kidney Qi become stagnant, causing Yin and Yang to deviate from harmony, and clear and turbid elements to mix. Accumulation occurs in the Lower Jiao, causing urgency in the Bladder interior, so semen-like fluid, blood, and sand/stones are discharged through the urinary tract. Thus, there is a state of wanting to pass but unable, with continuous dribbling. In severe cases, blockage causes suffocation and fainting. Generally, if Small Intestine has Qi stagnation, there is urinary distension; if Blood, there is urinary difficulty; if Heat, there is urinary pain. Pain indicates Blood Lin; no pain indicates Hematuria. Congealed essence forms Sand; scattered essence forms Semen-like Lin; mineral stones form Stone Lin; urinary difficulty with residual drops indicates Qi Lin. Tracing back to the origin, each follows its category. The method of prescribing involves circulating stagnant Qi, draining and benefiting urination, and clearing/dissipating pathogenic Heat. Among these, regulating and calming Heart Fire is the guideline. When Heart is clear, urination flows freely; when Heart is calm, blood does not move recklessly. It is most inadvisable to use Qi-tonifying herbs; tonifying Qi worsens distension, tonifying Blood worsens stasis, and tonifying Heat exacerbates it. If the water passages do not flow, compounded by blocked grain passages, survival is unlikely. Although, if Kidney Qi is weak and the scrotum/Bladder receives Cold, there may be Cold-complicated urinary dribbling and difficulty, presenting first with chills followed by urination. This is a struggle between Cold Qi and Healthy Qi; when Cold Qi is strong, chills occur and Lin develops; when Healthy Qi is strong, chills resolve and urination occurs. There is also non-patency due to torsion of the bladder ligaments, which must not be ignored. Sexual intercourse with urine retention causes Water Qi to reverse upward; Qi presses against the Bladder, causing torsion and inability to expand. If the Bladder ruptures, death ensues.
Lin and Bi (Retention), in ancient formulas, are called Long (Stagnation). Long means fatigue/inability. Non-patency is Long; lack of control is Yi (Enuresis); dribbling and painful urination is Lin; urgent fullness and non-patency is Bi. Wuling San (Five-Ingredient Powder with Poria) and Deng Xin Tang (Juncus Decoction) should be taken together. If there is distension below the umbilicus, adding 1 qian of Polychroite (Hu Po) powder is very effective.
For Lin patients who cannot be unblocked by various draining/patency-promoting drugs, some recover using Mu Xiang Liu Qi Yin (Costus Flowing Qi Decoction) or other aromatic Qi-unblocking agents. This is Qi Lin, distinct from Cold and Hot Lin. For Blood Lin, observe the blood color to distinguish Cold and Heat. Bright red indicates Excess Heat in the Heart and Small Intestine; dark/clotted indicates Deficiency-Cold in the Kidney and Bladder. If it is indeed Cold Lin and Lower Yuan Deficiency-Cold with dark blood, Han Jiao Gen (Zanthoxyli Radix) should be chopped, boiled in plain water regardless of quantity, and taken cold after cooling. If extreme Heat causes Lin and medication is ineffective, Jian Gui Wu Ling San (Wuling San without Cinnamon Twig) plus Mu Tong, Hua Shi (Talcum), Deng Xin, Qu Mai (Polygalae Herba) in small amounts, taken with honey-water, is appropriate.
Attached Formulas:
Er Shen San (Two Divine Powder): Treats acute pain in various Lin syndromes.
Hai Jin Sha (Lygodii Spora) (7.5 qian), Hua Shi (Talcum) (0.5 liang).
Grind into powder. Take 2.5 qian per dose, decoct with abundant Deng Xin, Mu Tong, and Mai Dong (Ophiopogonis Radix), add a little honey, and take mixed.
Wu Lin San (Five Lin Powder): Treats various Lin syndromes.
Chi Fu Ling (Poria with Red Host), Chi Shao (Paeoniae Radix Rubra), Shan Zhi Ren (Gardeniae Semen), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma) (7.5 qian), Dang Gui (Angelicae Sinensis Radix), add Huang Qin (Scutellariae Radix) (5 qian).
Take 5 qian per dose, decoct in water, take on an empty stomach.
Che Qian Zi San (Plantaginis Seed Powder): Treats various Lin syndromes with unbearable urinary pain.
Che Qian Zi (Plantaginis Semen) (not fried, 0.5 liang), Dan Zhu Ye (Lophatheri Herba), Jing Jie Sui (Schizonepetae Spica, capable of opening orifices), Chi Fu Ling, Deng Xin (each 2.5 qian).
Divide into two doses, decoct in water.
Another formula: Treats Heat in Small Intestine, acute Blood Lin pain.
Fresh Che Qian Cao (Plantaginis Herba), washed and pounded finely in a mortar. Take approximately one zhan per dose, mix with well water, filter the clear juice, and take before meals. For Sand Lin, take Han Shui Shi (Halloysitum Rubrum) powder mixed with water.
Fu Ling Tiao Xue Tang (Poria Regulating Blood Decoction): Treats hematuria after excessive consumption of alcohol/wheat products and sexual exertion.
Chi Fu Ling (1 liang), Chi Shao, Chuan Xiong (Ligustici Chuanxiong Rhizoma), Ban Xia Qu (Pinelliae Fermentatum) (each 5 qian), Qian Hu (Peucedani Radix), Chai Hu (Bupleuri Radix), Qing Pi (Citri Reticulatae Pericarpium Viride), Zhi Ke (Aurantii Fructus), Bei Jing (Platycodonis Radix), Sang Bai Pi (Mori Cortex), Bai Mao Gen (Imperatae Rhizoma), Deng Xin, Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (each 2.5 qian).
Take 3 qian per dose, with 3 slices of Ginger, 1 spoon of Honey, decocted in water.
Sha Shi Lin Fang (Sand-Stone Lin Formula):
Hei Dou (Black Soybean) (120 grains), Sheng Fen Cao (Raw Liquorice Root) (1 cun).
Decoct in water, while hot, add 1 qian of Hua Shi powder, take on an empty stomach.
Mu Xiang Tang (Costus Decoction): Treats Cold Qi stagnation, painful dribbling dysuria, and cold body.
Mu Xiang (Aucklandiae Radix), Mu Tong, Bing Lang (Arecae Semen), Da Hui Xiang (Foeniculi Fructus, fried), Dang Gui, Chi Shao, Qing Pi, Ze Xie (Alismatis Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Gan Cao.
Take 3 qian per dose, with 3 slices of Ginger and a small amount of Gui Zhi (Cinnamomi Ramulus), decocted in water.
Another formula: Treats painful urinary dribbling, passing sand/stones, or red/astringent urine.
Xuan Cao Gen (Hemerocallis Radix).
Take one handful, pound to extract juice and drink; or boil young shoots and eat them.
Another formula: Treats sudden Lin pain.
Yi Yuan San (Benefiting Origin Powder) (2 qian), Hui Xiang (Foeniculi Fructus) (1 qian, lightly fried yellow).
Grind into powder. Decoct in water and take.
Another formula: Treats Lin with penile pain, indicating Liver Meridian Qi stagnation with Heat.
Gan Cao Shao Zi (Licorice Tip) (single herb).
Decoct in water and take on an empty stomach.
Another formula: Treats severe Lin with unbearable penile pain.
Liu Jun Zi Tang (Six Gentlemen Decoction) or Si Jun Zi Tang (Four Gentlemen Decoction), plus Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), Hua Shi, Shi Wei (Pyrrosiae Folium), Hu Po (Electrum) decocted and taken. See Spleen/Stomach category for formula details.
"Bo Ji Fang" treats Five Lin.
Chi Shao Yao (Paeoniae Radix Rubra) (1 liang), Bing Lang (Arecae Semen, wrapped in flour and baked).
Grind into powder. Take 1 qian per dose, decoct in water, take on an empty stomach.
Another formula: Effective for Hot Lin and Blood Lin.
Chi Xiao Dou (Vigna Angularis Semen) (quantity unspecified, fried cooked).
Grind into powder. Take 2 qian per dose, with one roasted Scallion stem, mixed with warm wine.
Tong Mi San (Unblocking Obstruction Powder): Treats Blood Lin with unbearable pain.
Chen Pi (Citri Reticulatae Pericarpium), Xiang Fu (Cyperi Rhizoma), Chi Fu Ling (equal parts).
Cut into pieces. Take 2 qian per dose, decoct in water, take on an empty stomach.
Bai Wei San (Veronicae Root Powder): Treats Blood Lin and Hot Lin.
Bai Wei (Veronicae Radix), Chi Shao (equal parts).
Grind into powder. Take 2 qian per dose, mixed with warm wine, immediate effect. May add Bing Lang.
Fa Hui San (Hair Ash Powder): Treats Blood Lin, including isolated hematuria (penile epistaxis).
Luan Fa (Disordered Hair) (quantity unspecified).
Burn to ash, add a small amount of She Xiang (Moschus). Take per dose mixed with rice vinegar and soup.
To treat Lin, equal parts of Kui Zi (Malvae Semen) powder mixed with rice drink on an empty stomach best treats female bladder torsion (Bao Zhuan) causing anuria.
Chen Xiang San (Aquilariae Wood Powder): Treats Qi Lin, often caused by internal organ stagnation, failure of Qi to circulate smoothly, Yin stagnating in Yang, leading to congestion, lower abdominal fullness, obstruction of urination and defecation, with only slight relief of urination.
Chen Xiang (Aquilariae Lignum Resinatum), Shi Wei (Pyrrosiae Folium, de-haired), Hua Shi, Wang Bu Liu Xing (Vaccariae Semen), Dang Gui (each 0.5 liang), Kui Zi, Shao Yao (Paeoniae Radix) (7.5 qian), Gan Cao, Chen Pi (2.5 qian).
Grind into powder. Take 2.5 qian per dose, mixed with decocted Barley water.
Another formula: Treats Lin.
Ren Shen (1 qian), Bai Zhu (1.5 qian), Ze Xie (0.7 qian), Mai Dong (0.5 qian), Chi Fu Ling (0.7 qian), Gan Cao (0.5 qian), Hua Shi (0.5 qian), Zhu Ye (30 leaves), Deng Xin (20 stems).
Cut into pieces. Make one dose, decoct in water.
Another formula:
Hai Jin Sha 7.5 qian, Hua Shi 5 qian.
Decoct in Mu Tong, Mai Dong, and Che Qian Cao soup, take 2 qian.
Sheng Fu Tang (Raw Aconite Decoction): Treats Cold Lin, constipated and difficult urination, frequent urges with no passage, painful urethra, aversion to cold and shivering. Often due to excessive water intake, Cold-Dampness, Heart Deficiency, or mental exhaustion.
Fu Zi (Aconiti Lateralis Radix Praeparata, peeled and core removed), Hua Shi (each 0.5 liang), Qu Mai, Mu Tong (7.5 qian), Ban Xia.
Cut into pieces. Take 3 qian per dose, with 1 zhong of water, 3 slices of Ginger, Deng Xin.
Ba Zheng San (Eight Upright Powder): Treats Heat accumulation in Heart Meridian in adults and children, organ constipation, red and difficult urination, Long/Bi obstruction. Suitable for Hot Lin and Blood Lin.
Che Qian, Qu Mai, Bian Xu (Polygoni Avicularis Herba), Hua Shi, Gan Cao, Shan Zhi Zi, Mu Tong, Da Huang (Rhei Radix et Rhizoma, wrapped in flour and baked, equal parts), Deng Xin (20 stems).
Take 5 qian per dose, decoct in water, take on an empty stomach.
Qing Xin Lian Zi Yin (Clear Heart Lotus Seed Decoction): Treats Upper Excess and Lower Deficiency, Heart Fire flaring upward, bitter taste in mouth, dry throat, irritability/thirst with mild fever, red and difficult urination, or impending Lin.
Huang Qi (Astragali Radix), Shi Lian Rou (Nelumbinis Plumula), Bai Fu Ling, Ren Shen (each 7.5 qian), Huang Qin, Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Di Gu Pi (Lycii Cortex), Mai Dong, Che Qian Zi (each 5 qian).
Take 5 qian per dose, decoct in water. Add Chai Hu and Bo He (Menthae Haplocalycis Herba) if feverish.
Another formula: Treats various Lin syndromes.
Wu Ling San (2 qian), Yi Yuan San (1 qian), Deng Xin (30 stems).
Decoct in water, take on an empty stomach. Some say add only 1 qian of Che Qian powder to Yi Yuan San. Or remove the previous two items and add only 1 qian of E Jiao (Asini Corii Colla) powder.
Another formula: Treats Hot Lin and Blood Lin.
Ma Gen (Morus Radix) (10 roots).
Decoct with 4 bowls of water until 3 are gone and 1 remains. Take on an empty stomach; very effective.
Another formula: Treats Lin disease.
Shi Yan Zi (Stone Swallow Egg, 10, pounded to millet size), Xin Sang Bai Pi (Fresh Mori Cortex, 3 liang, cut and mixed evenly).
Divide the two materials into seven portions. Use 1 zhong of water per portion, decoct to 0.7 zhong, strain. Take one dose on an empty stomach before noon and one at night.
Shen Fu Hu Po Tang (Ginseng, Poria, and Electrum Decoction): Treats Lin with unbearable penile pain radiating to hypochondriac pain.
Ren Shen (0.5 fen), Fu Ling (0.4 fen), Hu Po (0.3 fen), Chuan Li Zi (Toosendan Fructus, fried, 1 qian), Sheng Gan Cao (1 qian), Yan Hu Suo (Corydalis Rhizoma, 0.7 fen), Ze Xie, Chai Hu (each 0.3 fen), Dang Gui Shao (Dang Gui tip, 0.3 fen).
Make one dose, decoct in flowing long water, take on an empty stomach.
Moxibustion Method: Treats difficult and obstructed urinary dribbling. Use Salt, quantity unspecified, stir-fry until hot, let cool slightly, fill into the umbilicus, then apply moxa with 7 cones. Immediate effect.
Ba Wei Wan (Eight-Ingredient Pill with Rehmannia) - see Tonifying Deficiency section.
Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia), Ba Wu Tang (Eight-Ingredient Decoction) - see Tonifying Deficiency section.
Wu Ling San (Five-Ingredient Powder with Poria) - see Summerheat section.
Mu Xiang Liu Qi Yin (Costus Flowing Qi Decoction) - see Qi category.