治砂淋，亦名石淋。
黄色生鸡内金（一两，鸡鸭皆有肫皮而鸡者色黄宜去净砂石） 生黄 （八钱） 知母（八钱） 生杭芍
（六钱） 蓬砂（六钱） 朴硝（五钱） 硝石（五钱）
共轧细，炼蜜为丸，桐子大，食前开水送服三钱，日两次。
石淋之证，因三焦气化瘀滞，或又劳心劳力过度，或房劳过度，膀胱暗生内热。内热与瘀滞煎熬，久而结
成砂石，杜塞溺道，疼楚异常。其结之小者，可用药化之，若大如桃、杏核以上者，不易化矣。须用西人剖
取之法，此有关性命之证，剖取之法虽险，犹可于险中求稳也。
鸡内金为鸡之脾胃，原能消化砂石。蓬砂可为金、银、铜焊药，其性原能柔五金、治骨鲠，故亦善消硬物。
朴硝，《神农本草经》谓其能化七十二种石。硝石，《神农本草经》不载，而《名医别录》载之，亦谓其能化
七十二种石。想此二物性味相近，古原不分，即包括于朴硝条中，至陶隐居始别之，而其化石之能则同也。然
诸药皆消破之品，恐于元气有伤，故加黄 以补助气分，气分壮旺，益能运化药力。犹恐黄 性热，与淋证不
宜，故又加知母、
芍药以解热滋阴，而芍药之性，又善引诸药之力至膀胱也。
按∶此证有救急之法。当石杜塞不通时，则仰卧溺之可通。若仍不通，或侧卧、或立、或以手按地，俾石
离其杜塞之处即可通。
黄色生鸡内金（一两，鸡和鸭都有肫皮，但鸡的呈黄色，适宜使用，需去除干净砂石） 生黄芪（八钱） 知母（八钱） 生杭芍药（六钱） 蓬砂（六钱） 朴硝（五钱） 硝石（五钱）
共同研磨成细粉，用炼蜜制成丸药，大小如梧桐子，饭前用开水送服三钱，每日两次。
石淋这一病证，是由于三焦气机瘀滞，或者又因劳心劳力过度，或房事过度，导致膀胱暗中产生内热。内热与瘀滞相互煎熬，久而久之结成砂石，堵塞尿道，疼痛异常剧烈。其中结块较小的，可以用药物化解；如果结块大如桃、杏核以上的，就不容易化解了。必须采用西医的手术取出方法，这是关乎性命的重要病症，虽然手术取出有风险，但仍可在风险中寻求稳妥。
鸡内金是鸡的脾胃部分，原本就能消化砂石。蓬砂可以作为金、银、铜的焊接药，其性质原本就能软化金属、治疗骨鲠，所以也善于消除硬物。朴硝，《神农本草经》说它能化解七十二种石头。硝石，《神农本草经》未记载，但《名医别录》中有记载，也说它能化解七十二种石头。猜想这两味药的性味相近，古代原本不区分，即包含在朴硝条目中，直到陶弘景才将它们分开，但它们化石的能力是一样的。然而这些药物都是消破类的药材，恐怕会损伤元气，所以加入黄芪来补助气分，气分壮旺，更能运化药力。又担心黄芪性热，不适合淋证，所以又加入知母、芍药来清热滋阴，而芍药的药性，又善于引导诸药的力量到达膀胱。
按：此证有急救的方法。当结石堵塞不通时，仰卧排尿即可通畅。如果仍然不通，可以侧卧、站立，或者用手按地，使结石离开堵塞之处即可通畅。
Treatment for Sand Lin (Sand-type strangury), also known as Stone Lin (Stone-type strangury).
Raw Chicken Gizzard Membrane, yellow variety (1 liang; both chickens and ducks have gizzard linings, but the chicken's is yellow and suitable for use; ensure all sand/grit is removed) Raw Astragalus Root (8 qian) Anemarrhena Rhizome (8 qian) Raw Hang Peony Root (6 qian) Realgar (6 qian) Mirabilite (5 qian) Niter (5 qian)
Grind all ingredients into a fine powder. Mix with refined honey to form pills, sized like tung tree seeds. Take 3 qian with warm water before meals, twice daily.
The syndrome of Stone Lin arises from Qi stagnation and blood stasis in the Sanjiao (Triple Burner), or due to excessive mental and physical labor, or excessive sexual activity, leading to latent internal heat in the Bladder. The internal heat and stasis boil and simmer over time, eventually forming stones that obstruct the urinary tract, causing extreme pain. Smaller stones can be dissolved by medication; however, stones larger than peach or apricot kernels are difficult to dissolve. In such cases, surgical removal by Western medicine is necessary. This is a critical condition involving life and death; although surgical extraction carries risks, it allows one to seek stability amidst danger.
Chicken Gizzard Membrane is the stomach/intestine lining of the chicken, which naturally possesses the ability to digest stones. Realgar can be used as a soldering agent for gold, silver, and copper; its nature naturally softens metals and treats fishbones stuck in the throat, thus it is also effective at dissolving hard substances. Mirabilite: *Shennong Bencao Jing* states it can dissolve seventy-two types of stones. Niter: Not recorded in *Shennong Bencao Jing*, but recorded in *Mingyi Bielu*, stating it can also dissolve seventy-two types of stones. It is presumed that these two substances have similar properties and flavors, and were originally not distinguished in ancient texts, being included under the entry for Mirabilite, until Tao Hongjing separated them, though their stone-dissolving capabilities remain the same. However, since all these drugs are agents of dissolution and breakdown, they may potentially damage Yuan Qi (Original Qi). Therefore, Astragalus Root is added to tonify and support the Qi level. When Qi is robust, it further aids in transporting and transforming the medicinal power. Fearing that Astragalus Root is too hot in nature and unsuitable for Lin syndromes, Anemarrhena Rhizome and Peony Root are added to clear heat and nourish Yin. Furthermore, Peony Root has the property of guiding the power of other herbs to the Bladder.
Note: There is an emergency method for this condition. When stones block the flow completely, lying supine while urinating may restore flow. If it remains blocked, one may lie on the side, stand up, or press hands against the ground, allowing the stone to dislodge from the obstruction site, thereby restoring flow.