治阳虚白浊，小便频数，漩白如油，名曰膏淋（肾气虚则不能管束，而小便数；膀胱有
热
川萆 石菖蒲 乌药 益智仁（等分） 甘草梢（减半。）入盐，食前服。一方加茯
苓。
此手足少阴、足厥阴、阳明药也。萆 能泄阳明厥阴湿热，去浊而厘清（史国信曰∶若
欲兴阳，先滋筋力；若欲便清，先分肝火。萆 能泄阳明之湿，入厥阴、清肝火）；乌药能
疏邪逆诸气，逐寒而温肾；益智脾药，兼入心肾，固肾气而散结（乌药、益智等分，山药糊
丸，名缩泉丸，盐汤下，治便数；）石菖蒲开九窍而通心；甘草梢达茎中而止痛；使湿热去
而心肾通，则气化行而淋浊止矣，此以疏泄而为禁止者也（《外台秘要》曰∶肾水虚则心肺
俱热，使小便赤而涩也；肾既虚热，膀胱不足，加之以渴饮，则小便淋漓，由脏虚不能主其
腑也。）
治气淋，血淋，膏淋，砂淋（心肾气郁，清浊相干，热蓄膀胱，溺涩而痛曰淋。气淋，
便涩余沥；血淋，尿血而痛；膏淋，便出如膏；砂淋，精结成石；劳淋，遇劳即发；冷淋，
寒战后溲。大抵多属于热，热甚生湿，则水液混浊而为淋。若冷气滞于膀胱而作淋者，十不
一二也）
滑石（二钱） 琥珀 木通 蓄 木香 当归 郁金（炒，一钱。）为末，服。
此手足少阴、太阳药也。滑石滑可去着，利窍行水； 蓄苦能下降，利便通淋；琥珀能
降肺气，通于膀胱；木通能泻心火，入于（小肠小肠为心之腑，主热者也。诸热应于心者，
其水必自小肠渗入膀胱，经所谓胞移热于膀胱，则癃溺血是也。胞，心包；）血淋由于血乱，
当归能引血归经；气淋由于气滞，木香能升降诸气；诸淋由心肝火盛，郁金能凉心散肝，下
气而破血也（大法郁金、琥珀开郁，青皮、木香行气，蒲黄、牛膝破血，黄柏、生地滋阴。
东垣用药凡
治疗阳气虚弱导致的白浊，小便次数频繁，尿液浑浊如油脂，这种病症称为膏淋（肾气虚弱则无法固摄，导致小便频数；膀胱有热）。
配方：川萆薢、石菖蒲、乌药、益智仁（各等分），甘草梢（用量减半）。服用时加入盐，饭前服用。另一版本方剂中加入茯苓。
此方是作用于手少阴心经、足少阴肾经、足厥阴肝经和足阳明胃经的药物组合。川萆薢能清泄阳明经和厥阴经的湿热，去除浊邪而澄清清液（史国信说：如果想要振奋阳气，先要滋养筋力；如果想要小便清澈，先要分清肝火。川萆薢能清泄阳明经的湿气，进入厥阴经以清肝火）；乌药能疏通逆乱的各种气机，驱逐寒气并温补肾阳；益智仁是脾脏的药物，兼入心肾二经，能固护肾气并消散结滞（乌药和益智仁等分，用山药糊制作丸剂，名为缩泉丸，用盐汤送服，治疗小便频数）；石菖蒲能开通九窍并通利心神；甘草梢能直达阴茎部位并止痛；使得湿热去除且心肾相通，那么气化功能运行正常，淋证和白浊就会停止，这是通过疏泄来达到禁止（固摄）效果的方法（《外台秘要》说：肾水虚弱则心肺都产生热邪，导致小便赤涩；肾脏既虚且有热，加上膀胱津液不足，再加之口渴饮水，就会导致小便淋漓不尽，这是因为脏腑虚弱不能主宰其腑的功能。）
治疗气淋、血淋、膏淋、砂淋（心肾之气郁结，清浊之气相互干扰，热邪蓄积在膀胱，排尿涩痛称为淋证。气淋，表现为排尿涩滞且有剩余滴沥；血淋，表现为尿血且疼痛；膏淋，表现为排出物如膏脂；砂淋，表现为精微物质凝结成结石；劳淋，表现为劳累后即发作；冷淋，表现为寒战之后排尿。大抵淋证多属于热证，热盛生湿，导致水液浑浊而形成淋证。如果是冷气阻滞于膀胱而引发淋证的，十中不到一二）。
配方：滑石（二钱）、琥珀、木通、瞿麦、木香、当归、郁金（炒制，一钱）。研为细末，服用。
此方是作用于手少阴心经、足少阴肾经、手太阳小肠经和足太阳膀胱经的药物组合。滑石质地滑利可以去除黏着之邪，通利窍道并引导水液下行；瞿麦味苦能向下行降，通利小便并治疗淋证；琥珀能下降肺气，通达膀胱；木通能泻除心火，进入小肠（小肠是心的腑，主司热邪。各种热邪应于心者，其水液必然从小肠渗入膀胱，医经所谓“胞移热于膀胱，则癃溺血”即是此意。这里的“胞”，指心包络）；血淋是由于血液运行紊乱，当归能引导血液回归经脉；气淋是由于气机阻滞，木香能升降调节各种气机；各种淋证多因心肝火盛所致，郁金能清凉心火并疏散肝火，下气并破散瘀血（一般法则：郁金、琥珀用于开郁，青皮、木香用于行气，蒲黄、牛膝用于破血，黄柏、生地用于滋阴。李东垣用药凡是……）
Treats white turbidity caused by Yang deficiency, frequent urination, and urine that is turbid like oil, a condition known as Gao Lin (Gum-like Strangury) (When Kidney Qi is deficient, it cannot control and restrain, leading to frequent urination; when there is heat in the Bladder).
Formula: Chuan Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Shi Chang Pu (Acori Tatarinowii Rhizoma), Wu Yao (Linderae Radix), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus) (equal parts), Gan Cao Shao (Licorice Root Tip) (half dose). Take with salt before meals. Another variant adds Fu Ling (Poria).
This prescription consists of herbs acting on the Hand-Shaoyin Heart Meridian, Foot-Shaoyin Kidney Meridian, Foot-Jueyin Liver Meridian, and Foot-Yangming Stomach Meridian. Chuan Bi Xie can drain damp-heat from the Yangming and Jueyin meridians, removing turbidity and clarifying clarity (Shi Guoxin stated: "If you wish to invigorate Yang, first nourish the sinews; if you wish for clear urination, first differentiate Liver fire. Chuan Bi Xie drains dampness from the Yangming meridian and enters the Jueyin to clear Liver fire"); Wu Yao can soothe rebellious Qi, expel cold, and warm the Kidney; Yi Zhi Ren is a Spleen herb that also enters the Heart and Kidney, securing Kidney Qi and dissipating nodules (Wu Yao and Yi Zhi Ren in equal parts, made into pills with Dioscorea paste, named Suo Quan Wan, taken with salt water, treats frequent urination); Shi Chang Pu opens the nine orifices and unblocks the Heart; Gan Cao Shao reaches the urethra to relieve pain; thus, when damp-heat is removed and Heart and Kidney communicate, Qi transformation proceeds, and strangury and turbidity cease. This is a method of using draining and dispersing actions to achieve astringency (The *Waitai Miyao* states: "When Kidney Water is deficient, both Heart and Lung become hot, causing red and difficult urination; since the Kidney is deficient and hot, and the Bladder lacks fluids, compounded by thirst and drinking, urination becomes dribbling, because the Zang organs are too weak to govern their corresponding Fu organs.")
Treats Qi Lin (Qi Strangury), Xue Lin (Blood Strangury), Gao Lin (Gum-like Strangury), and Sha Lin (Gravel Strangury) (When Heart and Kidney Qi are stagnant, clear and turbid energies interfere with each other, and heat accumulates in the Bladder, causing painful and difficult urination, termed Lin syndrome. Qi Lin presents with difficult urination and residual dripping; Xue Lin presents with blood in urine and pain; Gao Lin presents with discharge resembling gum/paste; Sha Lin presents with essence condensing into stones; Lao Lin (Fatigue Strangury) occurs upon exertion; Leng Lin (Cold Strangury) involves chills followed by urination. Generally, these mostly belong to Heat syndromes; excessive heat generates dampness, causing fluid turbidity and forming Lin. Cases where cold qi stagnates in the Bladder causing Lin account for less than one or two out of ten).
Formula: Hua Shi (Talcum, 2 qian), Hu Po (Amber), Mu Tong (Akebiae Caulis), Qu Mai (Polygoni Avicularis Herba), Mu Xiang (Aucklandiae Radix), Dang Gui (Angelicae Sinensis Radix), Yu Jin (Curcumae Longae Radix) (stir-fried, 1 qian). Grind into powder and take.
This prescription consists of herbs acting on the Hand-Shaoyin Heart Meridian, Foot-Shaoyin Kidney Meridian, Hand-Taiyang Small Intestine Meridian, and Foot-Taiyang Bladder Meridian. Hua Shi is slippery and removes adhesion, benefiting orifices and promoting water flow; Qu Mai is bitter and descends, benefiting urination and treating strangury; Hu Po descends Lung Qi and communicates with the Bladder; Mu Tong drains Heart Fire and enters the Small Intestine (The Small Intestine is the Fu organ of the Heart, governing heat. For various heat conditions corresponding to the Heart, its fluids must seep from the Small Intestine into the Bladder; as the Classics state, "when the Bao [Pericardium] transfers heat to the Bladder, there is retention of urine and hematuria." Here, "Bao" refers to the Pericardium); Xue Lin arises from chaotic blood flow, and Dang Gui guides blood back to its vessels; Qi Lin arises from Qi stagnation, and Mu Xiang regulates the ascending and descending of all Qi; various Lin syndromes are due to excess Fire in the Heart and Liver, and Yu Jin cools the Heart and disperses the Liver, directs Qi downward, and breaks blood stasis (General principles: Yu Jin and Hu Po open stagnation; Qing Pi and Mu Xiang move Qi; Pu Huang and Niu Xi break blood stasis; Huang Bo and Sheng Di nourish Yin. Li Dongyuan's medication principles generally...)