小蓟 生地黄 滑石 通草 蒲黄（炒） 藕节 淡竹叶 当归 栀子（炒） 甘草（各
半
两）
下焦结热血淋者，此方主之。
下焦之病，责于湿热。法曰∶病在下者，引而竭之。故用生地、栀子凉而导之，以竭其
热。用滑石、通草、竹叶淡而渗之，以竭其湿。用小蓟、藕节、蒲黄消而逐之，以去其瘀血。
当归养血于阴，甘草调气于阳。古人治下焦瘀热之病，必用渗药开其溺窍者，围师必缺之义
也。
小蓟 琥珀（等分，为末）
此亦治血淋之方也。
蓟根能治下焦瘀血，琥珀能治膀胱结热。
牛膝（三斤，煎膏一斤，空心盐水化下四钱）
此亦血淋之方也。
牛膝质润而苦咸，形实而修长。质润故能活血，苦咸故能胜热，形实故能就下，修长
，故能导小肠而利膀胱。
玄胡索（一两） 朴硝（三分）
分二次服。
此治阳邪陷入下焦，令人尿血之方也。
阳邪者，热病伤寒之毒也。下焦者，阴血所居，阳邪入之，故令尿血。玄胡索味苦而辛
，苦故能胜热，辛故能理血。佐以朴硝，取其咸寒，利于就下而已。
人参（去芦） 白术（炒） 茯苓（去皮） 川芎（洗净） 当归（酒洗） 白芍药（炒）
桂（炒
，等分）
风邪入于肠胃，泄下鲜血，或肠胃湿毒，下如豆汁瘀血者，此方主之。
风，阳邪也，血得之则善行，故下鲜血。湿，阴邪也，血得之则败坏，故如豆汁。气血
虚而后邪凑之，故用人参、白术、茯苓以补气。用川药、当归、芍药以养血。肉桂之辛，可
以散风邪，肉桂之热，可以 湿毒，血药得之可以调营，气药得之可以益卫。又曰∶白术、
茯苓能壮脾而疗湿，川芎、肉桂能入血而驱风。
小蓟、生地黄、滑石、通草、蒲黄（炒制）、藕节、淡竹叶、当归、栀子（炒制）、甘草（各半两）
下焦的疾病，归责于湿热之邪。医法说：病位在下部的，应当用引导的方法使其竭尽。所以使用生地、栀子，性凉而能导引，以消除热邪；使用滑石、通草、淡竹叶，性淡而能渗利，以消除湿邪；使用小蓟、藕节、蒲黄，性消而能驱逐，以去除瘀血。当归在阴分养血，甘草在阳分调气。古人治疗下焦瘀热之病，必定使用渗利药物开通溺窍，这是“包围敌军时必留缺口”的道理。
这也是治疗血淋的方剂。
牛膝（三斤，煎煮成膏一斤，空腹时用盐水化开服用四钱）
这也是治疗血淋的方剂。
牛膝质地滋润且味苦咸，形体坚实且修长。质地滋润故能活血，味苦咸故能胜热，形体坚实故能趋下，修长故能引导小肠之气并通利膀胱。
分两次服用。
所谓阳邪，是指热病伤寒中的毒邪。下焦是阴血居住的地方，阳邪侵入其中，所以导致尿血。玄胡索味道苦而辛，苦故能胜热，辛故能理血。辅以朴硝，取其咸寒之性，利于药力趋下而已。
人参（去芦头）、白术（炒制）、茯苓（去皮）、川芎（洗净）、当归（酒洗）、白芍药（炒制）、桂枝（炒制，等量）
风邪侵入肠胃，导致排泄鲜血，或者因肠胃湿毒，排泄物像豆汁样的瘀血者，此方主治。
风，属于阳邪，血液遇到它则善于运行，所以排出鲜血。湿，属于阴邪，血液遇到它则败坏，所以像豆汁一样。气血虚弱之后邪气才凑集于此，所以用人参、白术、茯苓来补气。使用川芎、当归、芍药来养血。肉桂的辛味，可以疏散风邪，肉桂的热性，可以温散湿毒，血药得到它可以调和营气，气药得到它可以益助卫气。又说：白术、茯苓能强壮脾胃并治疗湿邪，川芎、肉桂能入血分并驱除风邪。
Xiaoji Yinzi (Little Thistle Decoction): Radix Cirsii Japonici (Xiaoji), Rhizoma et Radix Notopterygii (Shengdihuang), Talcum (Huashi), Herba Epimedii (Tongcao), Semen Ziziphi Spinosae (Puhuang, stir-fried), Rhizoma Nelumbinis (Oujie), Folium Nelumbinis (Dan Zhuye), Radix Angelicae Sinensis (Danggui), Fructus Gardeniae (Zhizi, stir-fried), Radix Glycyrrhizae (Gancao) (each half tael).
For patients with hematuria due to the accumulation of blood-heat in the Lower Jiao (Lower Burner), this formula is indicated.
Diseases of the Lower Jiao are attributed to damp-heat. The method states: "For diseases located below, guide and exhaust them." Therefore, Shengdi Huang and Zhizi are used for their cooling nature to guide and eliminate heat; Huashi, Tongcao, and Dan Zhuye are used for their bland nature to percolate and eliminate dampness; Xiaoji, Oujie, and Puhuang are used for their resolving nature to drive out and remove blood stasis. Dang Gui nourishes blood within the Yin, and Gan Cao regulates Qi within the Yang. In ancient times, when treating diseases of blood-stasis and heat in the Lower Jiao, it was necessary to use diuretic herbs to open the urinary orifice, following the principle of "leaving a gap when surrounding an army."
Xiaoji (Radix Cirsii Japonici), Hupo (Succinum) (equal parts, ground into powder).
This is also a formula for treating hematuria.
Jigen (Rhizoma Imperatae) can treat blood stasis in the Lower Jiao, and Hupo can treat accumulated heat in the Bladder.
Niuxi (Radix Achyranthis Bidentatae) (three jin, decocted into one jin of paste, taken orally dissolved in salt water on an empty stomach, four qian).
This is also a formula for treating hematuria.
Niuxi is moist in texture and bitter-salty in taste, solid in form and long in shape. Its moisture allows it to invigorate blood; its bitterness and salinity allow it to overcome heat; its solidity allows it to descend; its length allows it to guide the Small Intestine and benefit the Bladder.
Yanhusuo (Rhizoma Corydalis), Xiaoyan (Natrii Sulfas) (one tael, three fen respectively).
Take in two doses.
This is a formula for treating hematuria caused by Yang pathogenic factors sinking into the Lower Jiao.
Yang pathogens refer to the toxic heat of febrile diseases and cold damage. The Lower Jiao is the residence of Yin blood; when Yang pathogens enter, they cause hematuria. Yanhusuo is bitter and acrid; bitterness overcomes heat, and acridity regulates blood. It is assisted by Xiaoyan, taking advantage of its salty-cold nature to facilitate descent.
Renshen (Radix Ginseng, rhizome removed), Baizhu (Rhizoma Atractylodis Macrocephalae, stir-fried), Fuling (Poria, peel removed), Chuanxiong (Rhizoma Chuanxiong, washed), Dang Gui (Radix Angelicae Sinensis, wine-washed), Baishao (Radix Paeoniae Alba, stir-fried), Rougui (Cortex Cinnamomi, stir-fried) (equal parts).
For cases where Wind pathogen enters the Stomach and Intestines causing bloody diarrhea, or where intestinal damp-toxin causes discharge resembling bean curd dregs or blood stasis, this formula is indicated.
Wind is a Yang pathogen; when blood encounters it, it moves freely, resulting in fresh blood discharge. Dampness is a Yin pathogen; when blood encounters it, it becomes corrupted, resembling bean curd dregs. After Qi and Blood become deficient, pathogens gather there; therefore, Renshen, Baizhu, and Fuling are used to tonify Qi. Chuanxiong, Dang Gui, and Baishao are used to nourish Blood. The acridity of Rougui can disperse Wind pathogen, and its heat can warm-dispel damp-toxin. Blood-invigorating herbs combined with it can harmonize Ying (Nutritive) Qi, while Qi-tonifying herbs combined with it can benefit Wei (Defensive) Qi. It is also said: Baizhu and Fuling can strengthen the Spleen and treat dampness; Chuanxiong and Rougui can enter the Blood level and expel Wind.