叙曰∶淋一也,五疾判焉。必剖析其病情,治疗如法,始可奏功。若冒厥禁忌,纵若情
欲,则日药之不足矣。考方八首,而治法之大者庶几哉!
生柏叶 生藕节 生车前(各汁一杯) 益元散(三钱,调服)
此主血淋之方也。
丹溪云∶淋虽有五,皆主于热。此知要之言也。是方也,三物之生,皆能疗热。析而论
之,则柏叶凉心、藕节消血、车前导利。益元散者,滑石、甘草也。滑石能清六腑之热。而
甘草者,和中泻火,能协木石之性者也。
木香 木通 槟榔 茴香(小者,略炒) 赤芍药(炒) 当归 青皮(炒) 泽泻 橘
皮(
去白)甘草(各五分)
里气凝滞,小便淋沥,身冷者,名曰气淋,此方主之。
气行则利,气滞则涩,故里气凝滞,则小便淋沥;身冷者,阳气不舒也,乃天地闭塞而
成冬,阳气潜藏之象也。药味辛香而轻枯者阳胜,故能理气于阳,木香、茴香、橘皮、木通
是也。辛苦而润实者阴胜,故能理气于阴,青皮、槟榔、当归、赤芍是也。泽泻之咸,能引
诸药直走膀胱。甘草之甘,能调诸药以和六腑。脬气不滞,则淋沥愈矣。
川萆 石菖蒲 益智仁 乌药(各三钱)
膏浊频数,漩白如油,光彩不足者,名曰膏淋,此方主之。
膀胱者,水渎之区也。胃中湿热乘之,则小便混浊,譬之湿土之令行,而山泽昏瞑也。
陶隐君曰∶燥可以去湿,故萆 、菖蒲、乌药、益智,皆燥物也,可以平湿土之敦阜。湿土
既治,则天清地明,万类皆洁矣,而况于膀胱乎!
序言说:淋证虽然只有一种名称,但可细分为五种病证。必须仔细剖析其病情,治疗合乎法度,才能取得疗效。如果违背禁忌,放纵情欲,那么每天服药也不足以治愈。考察这八首方剂,其中治疗大法的大致原则也就在这里了!
生柏叶、生藕节、生车前(各取汁液一杯)、益元散(三钱,调服)。
这是主治血淋的方剂。
丹溪说:淋证虽然有五种,但都以热邪为主。这是抓住要领的话。这个方子中,三种药材的生用,都能治疗热邪。分析来说,柏叶能清心凉血,藕节能消散瘀血,车前子能通利水道。益元散由滑石和甘草组成。滑石能清除六腑的热邪。而甘草,能调和脾胃、泻火,能够协调木香与石药的药性。
木香、木通、槟榔、茴香(小的,略炒)、赤芍药(炒)、当归、青皮(炒)、泽泻、橘皮(去白)、甘草(各五分)。
里气凝滞,小便淋漓不畅,身体发冷的,称为气淋,此方主治。
气行则通畅,气滞则涩阻,所以里气凝滞,导致小便淋漓;身体发冷,是阳气不能舒展的表现,就像天地闭塞而成冬季,是阳气潜藏的象。药物气味辛香且质地轻枯的属阳胜,所以能调理阳分的气机,如木香、茴香、橘皮、木通就是这类。味道辛苦且质地润实的属阴胜,所以能调理阴分的气机,如青皮、槟榔、当归、赤芍就是这类。泽泻的咸味,能引导诸药直达膀胱。甘草的甘味,能调和诸药以和合六腑。膀胱之气不再凝滞,那么淋漓之症就会痊愈。
川萆薢、石菖蒲、益智仁、乌药(各三钱)。
尿液浑浊频数,尿色白如油光,面色光彩不足的,称为膏淋,此方主治。
膀胱是水液汇聚的区域。胃中的湿热侵犯于此,就会导致小便混浊,好比湿土当令之时,山泽昏暗不明。陶隐居说:燥性能去除湿气,所以萆薢、菖蒲、乌药、益智仁,都是燥性药物,可以平抑湿土的厚重壅盛。湿土得到治理,那么天清地明,万物都洁净了,何况是膀胱呢!
Preface states: Although Lin syndrome (dysuria) is referred to by a single name, it is differentiated into five types. One must carefully analyze the pathological conditions and apply treatments according to proper principles to achieve efficacy. If one violates contraindications or indulges in desires, even daily medication will be insufficient for cure. Examining these eight prescriptions, the major therapeutic principles are thus summarized!
Fresh Biye (Cacumen Platycladi), Fresh Oujie (Nodus Nelumbinis Rhizomatis), Fresh Cheqiancao (Herba Plantaginis) (each providing one cup of juice), Yiyuan San (Three qian, taken with water).
This is the prescription primarily for Xuelin (blood dysuria).
Danxi stated: Although there are five types of Lin syndrome, they are all primarily caused by Heat. This is a statement grasping the essential point. In this prescription, the raw usage of the three herbs can all treat Heat. Analyzing them separately: Biye cools the Heart and stops bleeding; Oujie dissipates blood stasis; Cheqian facilitates urination. Yiyuan San consists of Huashi (Talcum) and Gancao (Radix Glycyrrhizae). Huashi can clear Heat from the Six Fu organs. Gancao harmonizes the Middle Jiao and drains Fire, thereby coordinating the properties of the aromatic herbs and minerals.
Muxiang (Radix Aucklandiae), Mutong (Caulis Akebiae), Binglang (Areca Seed), Huixiang (Fructus Foeniculi) (small ones, slightly stir-fried), Chishao (Radix Paeoniae Rubra) (stir-fried), Danggui (Radix Angelicae Sinensis), Qingpi (Pericarpium Citri Reticulatae Viride) (stir-fried), Zexie (Rhizoma Alismatis), Juqi (Pericarpium Citri Reticulatae) (white pith removed), Gancao (Radix Glycyrrhizae) (each 5 fen).
When internal Qi stagnates, causing dribbling dysuria and coldness of the body, it is named Qilin (Qi dysuria); this prescription treats it.
When Qi moves, flow is smooth; when Qi stagnates, flow is obstructed. Thus, internal Qi stagnation leads to dribbling dysuria. Coldness of the body indicates that Yang Qi cannot expand, resembling the closure of Heaven and Earth forming Winter, which is the image of Yang Qi hiding and storing. Herbs with pungent, fragrant aromas and light, dry textures belong to Yang superiority, thus they can regulate Qi in the Yang aspect, such as Muxiang, Huixiang, Juqi, and Mutong. Herbs with bitter-pungent tastes and moist, solid textures belong to Yin superiority, thus they can regulate Qi in the Yin aspect, such as Qingpi, Binglang, Danggui, and Chishao. The salty nature of Zexie guides the various herbs directly to the Bladder. The sweet nature of Gancao harmonizes the various drugs to balance the Six Fu organs. When Qi in the bladder does not stagnate, the dribbling dysuria will heal.
Chuan Bixie (Rhizoma Dioscoreae Hypoglaucae), Shichangpu (Rhizoma Acori Tatarinowii), Yizhiren (Semen Alpiniae Oxyphyllae), Wuyao (Radix Linderne Radiculatae) (each 3 qian).
When urine is turbid and frequent, white like oil with luster, and facial luster is deficient, it is named Gaolin (Gelatinous dysuria); this prescription treats it.
The Bladder is the area where water accumulates. When Damp-Heat from the Stomach invades this area, urine becomes turbid, analogous to how mountain and marshes become dim when the season of Damp Earth prevails. Tao Hongjing said: Dryness can remove Dampness. Therefore, Bixie, Changpu, Wuyao, and Yizhiren are all drying substances, capable of flattening the excessive accumulation of Damp Earth. Once Damp Earth is governed, Heaven becomes clear and Earth bright, and all things become pure; how much more so the Bladder!