《病源论》云∶渴利者,随饮随少便是也。由少时(或无时字)服乳石,石热盛时,房
室过度
液,故随
《葛氏方》治大渴利日饮数斛小便亦尔者方∶
栝蒌 黄连 防己 铅丹(一名铅华)
分等捣末,以苦酒一合,水一合,和作浆,服方寸匕,日三。
《范汪方》治渴,日饮一斛,小便亦如之,栝蒌汤方∶
栝蒌(二两) 黄连(一升) 甘草(二两)
凡三物,水五升,煮取二升半,分三服。
《集验方》治渴日饮一斛者方∶
入地三尺取桑根白皮,炙,令黄黑,细切,以水令相淹煮之,以味浓为度,热饮之。勿
与盐
《病源论》云∶内消病者,不渴而小便多是也。由少服五石,石热结于肾内也热之所作
也。
《短剧方》云∶夫内消之为病,皆热中所作也。小便多于所饮,令人虚极短气。内消者,
食物皆消作小便去而不渴也,治之枸杞汤∶
枸杞枝叶(一斤) 冬根(三两) 栝蒌根(三两) 石膏〔(一名细石)三两,一方
无〕 黄连(
凡五物,切,以水一斗,煮取三升,一服五合,日三。
又云∶治小便多,昼夜数十起方∶
小豆生藿(一把)
凡一物,捣绞平,取汁,频饮三升便愈。亦治小儿利。
《令李方》治小便利多秦胶散方∶
秦胶(一分) 陈芥子(二分)
凡二物,冶下筛,酒服方寸匕,日三。
《诸病源候论》说:渴利这种病,特点是喝多少尿就排多少。这是因为早年(或者有时没有“早”字)服用过石药,石药的热性在体内炽盛,加上房事过度,导致津液耗损,所以出现随饮随尿的症状。
《葛氏方》治疗大渴利,每天喝几斛水、小便量也如此的方法:
栝蒌、黄连、防己、铅丹(又名铅华)。
以上各等份捣成粉末,用醋一合、水一合,调和成浆状,每次服用一方寸匕的药粉,每天三次。
《范汪方》治疗口渴,每天喝一斛水、小便量也如此,栝蒌汤方:
栝蒌(二两)、黄连(一升)、甘草(二两)。
共三味药,用水五升,煎煮取汁二升半,分三次服用。
《集验方》治疗口渴,每天喝一斛水的方法:
挖取地下三尺深的桑根白皮,炙烤至黄黑色,细细切碎,加水没过药材进行煎煮,以味道浓厚为标准,趁热饮用。不要加盐。
《诸病源候论》说:内消病,特点是不口渴但小便多。这是因为早年服用过五石散,石药的热气结聚在肾脏内部所致。
《短剧方》说:内消这种病,都是由热邪引起的。小便量多于饮水量,使人极度虚弱、气短。所谓内消,是指食物进入体内都消化变成小便排出,而不感到口渴。治疗用枸杞汤:
枸杞枝叶(一斤)、冬葵根(三两)、栝蒌根(三两)、石膏(一名细石,三两,另一版本无此药)、黄连(未注明剂量,依上下文推测为适量或沿用前文比例,此处原文缺失具体数值,按原文直译)。
共五味药,切碎,用水一斗,煎煮取汁三升,每次服用五合,每天三次。
又说:治疗小便频数,白天黑夜几十次的方子:
小豆生叶(一把)。
仅这一味药,捣碎绞汁,频繁饮用三升即可痊愈。也能治疗小儿腹泻。
《令李方》治疗小便清长频多的秦胶散方:
秦胶(一分)、陈芥子(二分)。
共两味药,研磨过筛,用酒送服一方寸匕的药粉,每天三次。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) states: "Kelì (Polydipsia and Polyuria)" is characterized by drinking and urinating in equal amounts. This occurs because, in early years (or sometimes without specifying the time), one took mineral drugs (*Shiyao*). The heat from these minerals became excessive in the body, compounded by excessive sexual activity, leading to the depletion of body fluids; thus, whatever is drunk is immediately excreted as urine.
The *Ge Shi Fang* (Prescriptions by Ge Hong) for treating severe Kelì with daily consumption of several hu of water and corresponding polyuria:
Trichosanthes Root (*Gualou*), Coptis Rhizome (*Huanglian*), Stephania Tetrandra (*Fangji*), Lead Tetroxide (*Qiandan*, also known as *Qianhua*).
Grind these ingredients in equal proportions into powder. Mix with one he of vinegar and one he of water to form a paste. Take one fangcunbi (a measure approx. 2-3 cm square) of the powder each time, three times a day.
The *Fan Wang Fang* (Prescriptions by Fan Wang) for treating thirst with daily consumption of one hu of water and corresponding polyuria, Gualou Decoction:
Trichosanthes Root (*Gualou*, 2 liang), Coptis Rhizome (*Huanglian*, 1 sheng), Licorice Root (*Gancao*, 2 liang).
Take these three herbs, add five sheng of water, decoct to obtain two and a half sheng of liquid. Divide into three doses.
The *Jiyan Fang* (Verified Prescriptions) for treating thirst with daily consumption of one hu of water:
Dig up the white inner bark of mulberry roots (*Sanggeng Baipi*) from three chi underground. Roast until yellowish-black, cut finely, and boil in water just enough to cover the herbs. Boil until the flavor is strong, then drink while hot. Do not add salt.
The *Zhubing Yuanhou Lun* states: "Neixiao (Internal Consumption)" is characterized by non-thirsty but frequent urination. This results from taking the Five Minerals Powder (*Wushi San*) in early years, where the heat of the minerals becomes bound within the kidneys.
The *Duanju Fang* (Short Drama Prescriptions) states: "Neixiao" is caused by heat pathogens. Urine output exceeds fluid intake, causing extreme debility and shortness of breath. In Neixiao, food is digested and converted directly into urine and expelled without thirst. Treat with Gouqi Decoction:
Gouqi Branches and Leaves (*Gouqizhiye*, 1 jin), Dongkui Root (*Donggen*, 3 liang), Trichosanthes Root (*Gualougen*, 3 liang), Gypsum (*Shigao*, also known as Xishi, 3 liang; omitted in some versions), Coptis Rhizome (*Huanglian*, dosage missing in source text).
Cut these five herbs, add one dou of water, decoct to obtain three sheng. Take five he per dose, three times a day.
It also states: A prescription for frequent urination, occurring dozens of times day and night:
Fresh Soybean Leaves (*Xiaodou Shenghuo*, one bundle).
Take this single herb, crush and squeeze to extract juice. Drink three sheng frequently until cured. This also treats pediatric diarrhea.
The *Ling Li Fang* (Prescriptions by Ling Li) for treating clear and frequent urination, Qinjiao Powder:
Qinjiao (*Qinjiao*, one fen), Aged Mustard Seed (*Chen Jiezi*, two fen).
Grind these two herbs and sieve. Take one fangcunbi with wine, three times a day.