钦（左，望丹桥，三月） 阴虚阴火下注，小便淋浊，溺管塞痛，脉小弦数，治宜清理。
冯左（六月） 胞移热于膀胱则癃溺血，又云膀胱不利为癃，小便癃闭溺血，此由阴虚火
炽，心火妄动使然，脉象弦数，治宜清降。
血余炭 童木通 西琥珀 仙鹤草 旱莲草 甘草梢 赤苓 麋衔草 丹皮 海金沙 泽泻 车前子
如气淋者宜萆 厘清饮。
陈左（六月） 肾开窍于于阴，精窍开则
溺窍闭，溺窍开则精窍闭。时乃湿土司令，湿郁热蒸，水道不利，土愈不燥，是以体疲内热，
精滑自遗，小便赤涩，大便闭结，有时跗肿面浮，口苦胃钝，脉左弦数右濡数，切勿以阴虚火炽治之。
元参 童木便 真川柏 川萆 翘壳 鲜生地 益元散（真西珀二分研极细末拌） 车前
草焦山栀 肥知母 淡竹叶。
左（二月） 操用神机，肝木与心火相为煽动，肝胆内寄相火，心火妄动，则相火随之，
精滑不固，五内烦热，体疲 酸，皆属阴分不足之恙，脉弦小数，治宜滋清一法，拟方请政。
台参须 细生地 丹皮 莲子心 大麦冬 东白芍 朱茯苓 车前子 怀山药 左牡蛎 泽泻
或用聚精丸、小滋肾丸等类。
聚精丸方 潼蒺藜 线鱼膘胶（蛤粉炒珠）。
小滋肾丸方 真川柏（三钱） 猪脊髓（一条） 为丸分吞。
附喉科金银散治烂喉痧紧喉风（凡因火喉痛、喉肿、喉间糜烂吹之足，佐汤剂初起尤灵）。
人指甲（五分 ） 鹅管石（三分 ） 真腰黄（二分） 硼砂（三分，漂） 大梅片（一分）
姜蚕（二分，炒断丝，照方修合不可增减）
上六味除指甲梅片外，各研细末，置研器内再研，然后入指甲梅片，研至无声为度，装
内紧塞其口，以防泄气，用时以自来风打入。
钦先生（左侧，望丹桥，三月）：肾阴不足，虚火下注，导致小便淋漓浑浊，尿道阻塞疼痛，脉象细小、弦且数。治疗应当以清热利湿为主。
冯先生左侧（六月）：胞宫之热移于膀胱则出现排尿困难及尿血；又说膀胱气化不利则排尿困难，小便癃闭伴尿血。此症由阴虚火旺，心火妄动所致，脉象弦而数，治疗应当以清降火热为主。
方药：血余炭、童便浸木通、西琥珀、仙鹤草、旱莲草、甘草梢、赤茯苓、麋衔草、牡丹皮、海金沙、泽泻、车前子。
如果是气淋类型，适宜使用萆薢分清饮。
陈先生左侧（六月）：肾开窍于前后二阴，精窍开启时溺窍即闭合，溺窍开启时精窍即闭合。此时正值湿土当令，湿气郁结热气蒸腾，水道不通利，脾土更加不燥，因此身体疲倦内热，精液滑脱自遗，小便红赤涩痛，大便闭结，有时足背浮肿面部浮肿，口苦胃纳呆钝，脉象左手弦数右手濡数，切勿按照阴虚火旺来治疗。
方药：玄参、童便浸木通、真川黄柏、川萆薢、连翘壳、鲜生地、益元散（真西珀二分研成极细末拌入）、车前草、焦山栀、肥知母、淡竹叶。
左侧患者（二月）：过度操劳心神，肝木与心火相互煽动，肝胆内寄相火，心火妄动，则相火随之而起，导致精液滑脱不固，五脏内部烦热，身体疲倦酸痛，都属于阴分不足的病症，脉象弦而小数，治疗应当采用滋阴清热的治法，拟定方剂请指正。
方药：党参须、细生地、牡丹皮、莲子心、大麦冬、东白芍、朱茯苓、车前子、怀山药、左牡蛎、泽泻。
或者使用聚精丸、小滋肾丸等类似方剂。
聚精丸方：潼蒺藜、线鱼鳔胶（蛤粉炒成珠）。
小滋肾丸方：真川黄柏（三钱）、猪脊髓（一条），制成丸药分次吞服。
附喉科金银散治疗烂喉痧紧喉风（凡是因火毒引起的喉痛、喉肿、喉间糜烂，吹药有效，配合汤剂在初起阶段尤其灵验）。
人指甲（五分）、鹅管石（三分）、真腰黄（二分）、硼砂（三分，漂洗）、大梅片（一分）、姜蚕（二分，炒断丝，照方配制不可增减）。
以上六味药，除人指甲和冰片外，其余各味研成细末，放入研器中再共同研磨，然后加入人指甲和冰片，继续研磨至听不到声响为止，装入瓶内并紧紧塞住瓶口，以防药效挥发，使用时用嘴吹入患处。
Mr. Qin (Left side, Wangdan Bridge, March): Kidney Yin deficiency with deficient fire pouring downward, causing strangury with turbid urine, obstruction and pain in the urethra, pulse is fine, wiry, and rapid. Treatment should focus on clearing heat and draining dampness.
Mr. Feng (Left side, June): Heat from the Bao Organ (Uterus/Bladder) transfers to the Bladder, resulting in retention of urine and hematuria; it is also said that when the Bladder fails to move freely, it causes retention of urine. Strangury, urinary retention, and hematuria are caused by Yin deficiency with blazing fire and reckless movement of Heart Fire. The pulse is wiry and rapid. Treatment should focus on clearing and descending fire.
Formula: Xueyu Tan (Charred Human Hair), Tong Ben Mu Tong (Akebia Caulis soaked in children's urine), Xi Hu Po (Western Amber), Xian He Cao (Agrimony Herb), Han Lian Cao (Eclipta Herba), Gan Cao Shao (Glycyrrhizae Radix et Rhizoma tip), Chi Ling (Red Poria), Mi Xian Cao (Milkwort Herb), Dan Pi (Moutan Cortex), Hai Jin Sha (Lygodii Spora), Ze Xie (Alisma Rhizoma), Che Qian Zi (Plantaginis Semen).
If it is Qi Strangury, Bi Xie Fen Qing Yin (Dioscorea Hypoglauca Decoction for Clearing Separation) is appropriate.
Mr. Chen (Left side, June): The Kidney opens into the yin orifices. When the Jing Orifice (seminal opening) opens, the Niao Orifice (urinary opening) closes; when the Niao Orifice opens, the Jing Orifice closes. At this time, Damp Earth is in command. Dampness stagnates and heat steams, causing dysfunction of the water passages. The Earth becomes even less dry, leading to physical fatigue and internal heat, seminal emission without dreams, red and astringent urine, constipation, sometimes edema of the dorsum of the foot and facial puffiness, bitter taste in the mouth, and dull stomach appetite. The left pulse is wiry and rapid, while the right pulse is soggy and rapid. Do not treat this as Yin deficiency with blazing fire.
Formula: Yuan Shen (Scrophulariae Radix), Tong Ben Mu Tong (Akebia Caulis soaked in children's urine), Zhen Chuan Bai (Phellodendri Chinensis Cortex), Chuan Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Qiao Ke (Forsythiae Fructum), Xian Sheng Di (Rehmanniae Radix Fresh), Yi Yuan San (Benefit Prime Powder - mixed with 2 fen of finely powdered Xi Hu Po/Zenith Amber), Che Qian Cao (Plantaginis Herba), Jiao Shan Zhi (Gardeniae Fructus fried), Fei Zhi Mu (Anemarrhenae Rhizoma), Dan Zhu Ye (Lophatheri Herba).
Patient (Left side, February): Overuse of mental energy causes Liver Wood and Heart Fire to fan each other. The Gallbladder and Liver house Ministerial Fire internally. When Heart Fire moves recklessly, Ministerial Fire follows suit, leading to insecure seminal emission, internal vexation and heat in the five viscera, physical fatigue, and soreness. These all belong to deficiencies in the Yin aspect. The pulse is wiry and slightly rapid. Treatment should employ the method of nourishing Yin and clearing heat. A formula is proposed for correction.
Formula: Tai Shen Xu (Codonopsis Radix tendril), Xi Sheng Di (Rehmanniae Radix prepared), Dan Pi (Moutan Cortex), Lian Zi Xin (Nelumbinis Plumula), Da Mai Dong (Ophiopogonis Radix), Dong Bai Shao (Paeoniae Radix Alba), Zhu Fu Ling (Poria with Hostia Sclerotium coated in cinnabar), Che Qian Zi (Plantaginis Semen), Huai Shan Yao (Dioscoreae Rhizoma), Zuo Mu Li (Ostreae Concha), Ze Xie (Alisma Rhizoma).
Alternatively, use Ju Jing Wan (Accumulate Essence Pill) or Xiao Zi Shen Wan (Minor Kidney-Nourishing Pill) and similar formulas.
Ju Jing Wan Formula: Tong Ji Li (Tribuli Fructum), Xian Yu Biao Jiao (Fish Swim Bladder Gelatin, stir-fried with蛤粉/Cochleae Concha powder into pearls).
Xiao Zi Shen Wan Formula: Zhen Chuan Bai (Phellodendri Chinensis Cortex, 3 qian), Zhu Ji Sui (Porcine Medulla Spinalis, one strip). Make into pills and swallow in divided doses.
Appendix: Hou Ke Jin Yin San (Throat Department Gold-Silver Powder) for treating Lan Hou Sha (Rotten Throat Sand) and Jin Hou Feng (Tight Throat Wind) [Effective for throat pain, swelling, and erosion due to fire-toxin; blowing powder combined with decoction is especially effective in the early stage].
Ren Zhi Jia (Human Nail, 5 fen), E Guan Shi (Monimiaceae Stone, 3 fen), Zhen Yao Huang (Real Waist Yellow/Bile Stone, 2 fen), Peng Sha (Borax, 3 fen, washed), Da Mei Pian (Ice Piece/Borneolum Syntheticum, 1 fen), Jiang Can (Silkworm, 2 fen, fried until threads break, prepare according to prescription without addition or subtraction).
The above six ingredients, except for Ren Zhi Jia and Da Mei Pian, are ground into fine powder. Place them in a mortar and grind again. Then add Ren Zhi Jia and Da Mei Pian, grinding until no sound is heard. Pack tightly in a container to prevent volatilization. Use by blowing into the affected area.