《病源论》云∶热淋者,三焦有热,气搏于肾、流入于胞而成淋也。其状小便赤涩。亦
有宿
《葛氏方》热淋方∶
取白茅根四斤,锉(子卧反,破也、折伤也)之,水一斗五升,煮令得五升汁,服日三。
(《
又方∶末滑石屑,水服一二合。
《录验方》治热淋方∶
芦心,切,三升,水五升,煮取二升,三服。
《千金方》治热淋方∶
常煮冬葵根作饮服之。
又方∶灸亦与气淋同之。
又方∶葵根一升(冬用子) 大枣(二七枚,去核)
二味,水三升煮取一升二合,分二服,热加黄芩一两,出难加滑石二两。
《龙门方》疗热淋方∶
服冷水三升,行一里即下瘥。
又方∶灸两足外踝中央,随年壮,有石下。
《广济方》疗热淋小便涩痛方∶
车前(切,一升) 通草(三两) 葵根(切,一升) 芒硝(六分)
汤成,切,以水七升,煮取二升,去滓,纳芒硝,分温三服,忌药食。
《病源论》云∶寒淋者其病状,先寒战然后尿是也。由肾气虚弱,下焦受于冷气,入胞
(补
《新录方》∶治寒淋少腹下冷,手足亦冷方∶
葵子(一升) 曲末(一升)
水六升,煮取三升半,三服。
又方∶葵子一升,小麦一升,水六升,煮取三升,三服。
《病源论》云∶关格,大小便不通也。大便不通,谓之内关;小便不通,谓之外格;二
便俱
《千金方》治关格大小便不通芒硝汤方∶
芒硝〔(一名石脾)五两〕 大黄(八两) 夕药(四两) 杏仁(四两) 麻仁(三
两) 乌栖树根
凡六味,以水七升,煮取三升,分三服。
又方∶灸脐下一寸三分壮。
又方∶灸横纹百壮。
又方∶甑带煮取汁,和蒲黄方寸匕,日三服。
又方∶葵子一升,榆皮切一升,水五升,煮取二升,分三服。
《葛氏方》∶治卒关格大小便并不通支满欲死,二三日则杀人方∶
取盐,以苦酒和涂脐中,干复易之。
又方∶自取手十指爪甲烧末,以酒浆服。
又方∶葵子二升,水四升,煮取一升,顿服之。纳猪膏如鸡子一丸亦佳。
《集验方》治久不得大小便方∶
猪脂如鸡子,着一杯酒中,煮之令沸,顿服。
又方∶煮葵根汁,服,弥佳。
《范汪方》治大小便不出方∶
豆酱纳下部中,令人吹则通小便,以盐纳茎中则利,良。
《经心方》滑石散治大小便不通方∶
滑石(二两) 榆皮(一两) 葵子(一两)
凡三物,作散,浓煮麻子一升,半取一升,以两匕和服,不过二,大小便通。(《千金方》
同之。)
《广利方》∶理气壅、关格不通、小便淋结、脐下妨闷兼痛方∶
冬葵子二大合,生茅根一握,以水一大升半,煎取六大合,去滓,分温二服。
又云∶关隔不通、胞胀妨闷、大小便不通方∶
冬葵子(三大合,绵裹,碎) 滑石(十二分,碎) 芒硝(十分,汤成下)
切,以水二大升,煎取八大合,去滓,空腹分温再服,服别如人行四五里。忌肉、面。
《诸病源候论》说:热淋,是由于三焦有热,热气搏结于肾脏,流入膀胱而形成的淋证。其症状表现为小便颜色红赤且排尿涩痛。也有因宿疾引发的。
《葛氏方》治疗热淋的方剂:
取白茅根四斤,锉碎(子卧反,意为破开、折断),用水一斗五升,煮至剩余五升药汁,每日服用三次。
又一方:将滑石研成细末,用水送服一二合。
《录验方》治疗热淋的方剂:
取芦心,切碎,用量为三升,用水五升,煮至剩余二升,分三次服用。
又一方:葵根一升(冬季用葵子)大枣二十一枚(去核)。
以上两味药,用水三升煮至剩余一升二合,分两次服用。若热象重者加黄芩一两,若排尿困难者加滑石二两。
《龙门方》治疗热淋的方剂:
服用冷水三升,行走一里路后,结石即排出而痊愈。
又一方:灸双侧足外踝中央,壮数随患者年龄而定,若有结石可排出。
《广济方》治疗热淋导致小便涩痛的方剂:
车前草(切碎,一升)通草(三两)葵根(切碎,一升)芒硝(六分)。
煎汤完成后,切碎药材,用水七升,煮至剩余二升,滤去药渣,加入芒硝,分三次温服,服药期间忌口某些药物和食物。
《诸病源候论》说:寒淋的症状是,先出现寒战,然后才排尿。这是由于肾气虚弱,下焦受到冷气侵袭,寒气进入膀胱所致。
《新录方》:治疗寒淋伴有小腹部及下部寒冷,手足也冷的方剂:
葵子(一升)神曲末(一升)。
用水六升,煮至剩余三升半,分三次服用。
又一方:葵子一升,小麦一升,用水六升,煮至剩余三升,分三次服用。
《诸病源候论》说:关格,是指大小便都不通畅。大便不通称为内关;小便不通称为外格;大小便都闭塞不通则病情危重。
《千金方》治疗关格大小便不通的芒硝汤方:
芒硝(又名石脾)五两大黄八两芍药四两杏仁四两火麻仁三两乌喙树根。
共六味药,用水七升,煮至剩余三升,分三次服用。
又一方:灸脐下一寸三分,施灸三壮。
又一方:灸横纹处一百壮。
又一方:用甑带煮取汁液,调和蒲黄一方寸匕,每日服用三次。
又一方:葵子一升,榆皮切碎一升,用水五升,煮至剩余二升,分三次服用。
《葛氏方》:治疗突然发生关格,大小便完全不通,腹胀满欲死,若拖延两三天则会导致死亡的方剂:
取盐,用醋调和涂抹在肚脐中,干了就更换。
又一方:自行取十个手指的指甲烧成灰烬,用酒或浆水送服。
又一方:葵子二升,用水四升,煮至剩余一升,一次性顿服。加入如鸡蛋大小的猪油丸也很好。
《集验方》治疗长期无法大小便的方剂:
猪脂如鸡蛋大小,放入一杯酒中,煮沸后一次性顿服。
又一方:煮葵根汁服用,效果更好。
《范汪方》治疗大小便排不出的方剂:
豆酱纳入肛门中,让人向其中吹气则能通小便,将盐纳入尿道中则能利小便,效果良好。
《经心方》滑石散治疗大小便不通的方剂:
滑石(二两)榆皮(一两)葵子(一两)。
共三味药,制成散剂,浓煮麻子一升,取汁一升,用两汤匙散剂调和服用,不超过两次,大小便即可通畅。(《千金方》与此相同。)
《广利方》:调理气机壅滞、关格不通、小便淋沥结聚、脐下胀闷兼疼痛的方剂:
冬葵子两大合,生茅根一把,用水一大升半,煎至剩余六大合,滤去药渣,分两次温服。
又说:治疗关隔不通、膀胱胀满不适、大小便不通的方剂:
冬葵子(三大合,用绵布包裹,捣碎)滑石(十二分,捣碎)芒硝(十分,待汤成后加入)。
切碎药材,用水两大升,煎至剩余八大合,滤去药渣,空腹分两次温服,每次服药间隔约人行走四五里的时间。忌食肉类、面食。
*Zhubing Yuanhou Lun* states: Re-lin (Heat Strangury) is caused by heat in the Sanjiao (Triple Burner), where qi clashes with the Kidney and flows into the Bladder, resulting in strangury. Its manifestations include red and astringent urination. There are also cases arising from chronic conditions.
*Ge Shi Fang*: A prescription for treating re-lin (Heat Strangury):
Take four jin of Bai Mao Gen (Rhizoma Imperatae), chop it, and decoct it in one dou five sheng of water until five sheng of liquid remains. Take orally three times a day.
Another prescription: Grind Hua Shi (Talcum) into fine powder, take orally with water, one or two he.
*Lu Yan Fang*: A prescription for treating re-lin (Heat Strangury):
Take Lu Xin (Reed Heart), cut it, use three sheng, decoct in five sheng of water until two sheng remain. Take in three doses.
*Qian Jin Fang*: A prescription for treating re-lin (Heat Strangury):
Decoct Dong Kui Gen (Radix Malvae Tschonoskii) regularly and drink it as tea.
Another prescription: Moxibustion treatment is the same as that for Qi-lin (Qi Strangury).
Another prescription: Kui Gen (Radix Malvae Tschonoskii) one sheng (use Kui Zi in winter), Da Zao (Jujubae Fructus) twenty-one pieces (pitted).
These two ingredients, decoct in three sheng of water until one sheng er he remain. Divide into two doses. If heat symptoms are severe, add Huang Qin (Scutellariae Radix) one liang; if urination is difficult, add Hua Shi (Talcum) two liang.
*Long Men Fang*: A prescription for treating re-lin (Heat Strangury):
Drink three sheng of cold water; after walking one li, the stone will pass and the patient will recover.
Another prescription: Moxibustion on the center of both lateral malleoli of the feet, number of moxa cones according to the patient's age, stones may be expelled.
*Guang Ji Fang*: A prescription for treating re-lin (Heat Strangury) with astringent and painful urination:
Che Qian Cao (Plantaginis Herba) cut, one sheng; Tong Cao (Tetrapanacis Medulla) three liang; Kui Gen (Radix Malvae Tschonoskii) cut, one sheng; Mang Xiao (Natrii Sulfas) six fen.
After decoction, cut the herbs, decoct in seven sheng of water until two sheng remain, strain the dregs, add Mang Xiao (Natrii Sulfas), divide into three warm doses. Observe dietary restrictions during medication.
*Zhubing Yuanhou Lun* states: The symptoms of Han-lin (Cold Strangury) are chills first, followed by urination. This is due to deficiency of Kidney qi, cold qi invading the Lower Jiao (Lower Burner), and entering the Bladder.
*Xin Lu Fang*: A prescription for treating Han-lin (Cold Strangury) with coldness in the lower abdomen and extremities:
Kui Zi (Malvae Semen) one sheng; Qu Mo (Medicated Leaven Powder) one sheng.
Decoct in six sheng of water until three sheng ban remain. Take in three doses.
Another prescription: Kui Zi (Malvae Semen) one sheng, Xiao Mai (Tritici Fructus) one sheng, decoct in six sheng of water until three sheng remain. Take in three doses.
*Zhubing Yuanhou Lun* states: Guan Ge (Obstruction and Reflux) refers to the obstruction of both defecation and urination. Obstruction of defecation is called Nei Guan (Internal Obstruction); obstruction of urination is called Wai Ge (External Reflux); obstruction of both is critical.
*Qian Jin Fang*: Mang Xiao Tang (Sodium Sulfate Decoction) for treating Guan Ge (Obstruction and Reflux) with obstruction of both defecation and urination:
Mang Xiao (Natrii Sulfas) [also known as Shi Pi] five liang; Da Huang (Rhei Radix et Rhizoma) eight liang; Shao Yao (Paeoniae Radix Alba) four liang; Xing Ren (Armeniacae Semen Amarum) four liang; Ma Ren (Cannabis Fructus) three liang; Wu Xi Shu Gen (Aconiti Caulis Radix).
Six ingredients in total. Decoct in seven sheng of water until three sheng remain. Divide into three doses.
Another prescription: Moxibustion 3 cones at 1 cun 3 fen below the umbilicus.
Another prescription: Moxibustion 100 cones on the transverse wrinkle.
Another prescription: Decoct Zeng Dai (Steamer Strap) for juice, mix with Pu Huang (Typhonii Pollen) one fang cun bi, take orally three times a day.
Another prescription: Kui Zi (Malvae Semen) one sheng, Yu Pi (Ulmus Cortex) cut one sheng, decoct in five sheng of water until two sheng remain. Divide into three doses.
*Ge Shi Fang*: A prescription for sudden onset of Guan Ge (Obstruction and Reflux) with complete obstruction of both defecation and urination, abdominal fullness causing death-like distress, which leads to death if delayed for two or three days:
Take salt, mix with Ku Jiu (Bitter Vinegar), apply to the umbilicus. Replace when dry.
Another prescription: Burn the fingernails of all ten fingers into powder, take orally with wine or grain mash liquid.
Another prescription: Kui Zi (Malvae Semen) two sheng, decoct in four sheng of water until one sheng remains. Take in one dose. Adding a pill of Zhu Gao (Porcine Fat) the size of a chicken egg is also good.
*Ji Yan Fang*: A prescription for long-term inability to defecate or urinate:
Zhu Zhi (Porcine Fat) the size of a chicken egg, place in one cup of wine, boil until bubbling, take in one dose.
Another prescription: Decoct Kui Gen (Radix Malvae Tschonoskii) juice and take orally, this is better.
*Fan Wang Fang*: A prescription for inability to expel feces and urine:
Place Dou Jiang (Fermented Soybean Paste) into the anus; have someone blow air into it to promote urination. Place salt into the urethra to promote urination; this is effective.
*Jing Xin Fang*: Hua Shi San (Talcum Powder) for treating obstruction of both defecation and urination:
Hua Shi (Talcum) two liang; Yu Pi (Ulmus Cortex) one liang; Kui Zi (Malvae Semen) one liang.
Three ingredients in total. Make into powder. Decoct Ma Zi (Hemp Seed) one sheng thickly, take one sheng of the liquid. Mix with two spoons of powder and take orally. Within two doses, defecation and urination will become unobstructed. (*Qian Jin Fang* is identical.)
*Guang Li Fang*: A prescription for regulating qi stagnation, Guan Ge (Obstruction and Reflux) with obstruction, Linjie (Strangury accumulation) of urination, and distending pain below the umbilicus:
Dong Kui Zi (Malvae Semen) two large he, Sheng Mao Gen (Rhizoma Imperatae) one handful. Decoct in one da sheng half of water until six da he remain. Strain, divide into two warm doses.
Also stated: A prescription for Guan Ge (Obstruction and Reflux) with obstruction, bladder distension and discomfort, and obstruction of both defecation and urination:
Dong Kui Zi (Malvae Semen) three da he (wrapped in silk, crushed); Hua Shi (Talcum) twelve fen (crushed); Mang Xiao (Natrii Sulfas) ten fen (add when decoction is ready).
Cut the herbs, decoct in two da sheng of water until eight da he remain. Strain. Take orally in two warm doses on an empty stomach. The interval between doses should be equivalent to walking four or five li. Avoid meat and wheat products.