【参苓琥珀汤】中统三年六月中。黄明之小便淋。茎中痛不可忍。相引胁下痛。制此服之
。大效。
人参（五分） 茯苓（去皮。四分） 川楝子（去核。锉炒。一钱） 琥珀（三分）
生甘草（一钱） 玄胡索（七分） 泽泻 柴胡
当归梢（各三分）
上九味 咀。都作一服。用长流水三盏。煎至一盏。去渣。温服。空心食前。
【水芝丸】治下焦真气虚弱。小便频多。日夜无度。此方得之于高丽国王。
莲实（去皮。不以多少。先以好酒浸一二宿。用猪肚一个。却将酒浸莲实入在内。用水煮熟。
取出将莲实切开。于火上焙干秤用）
上为末。醋糊丸如鸡头大。每服五十丸。温酒送下。空心食前。
中书右丞合刺合孙。病小便数而欠。日夜约去二十余行。脐腹胀满。腰脚沉重。不得安卧。至
元癸未季春下旬。予奉圣旨治之。遂往诊视。脉得沉缓。时时带数。尝记小便不利者有三。不可一
概而论也。若津液偏
渗于肠胃。大便泄泻。而小便涩少。一也。宜分利而已。若热搏下焦津液。则热湿而不行。二也。
必渗泄则愈。若脾胃气涩。不能通利水道下输膀胱而化者。三也。可顺气令施化而出也。今右丞
平素膏粱。湿热内蓄。不得施化。膀胱窍涩。是以起数而见少也。非渗泄分利。则不能快利。遂处
一方。名曰茯苓琥珀汤。内经曰。甘缓而淡渗。热搏津液内蓄。脐胀腹满。当须缓之泄之。必以甘
淡为主。是用茯苓为君。滑石甘寒、滑以利窍。猪苓、琥珀之淡以渗泄而利水道。故用三味为臣、
脾恶湿。湿气内蓄。则脾气不治。益脾胜湿。必用甘为助。故以甘草、白术为佐。咸入肾。咸味下
泄为阴。泽泻之咸以泻伏水。肾恶燥。急食辛以润之。津液不行。以辛散之。桂枝味辛。散湿润燥
。此为因用。故以二物为使。煎用长流甘澜水。使不助其肾气。大作汤剂。令直达于下而急速也。
两服减半。旬日良愈。
【茯苓琥珀汤】
茯苓（去皮） 琥珀 白术（各半两） 泽泻（一两）
滑石（七钱） 木猪苓（半两。去皮） 甘草（炙） 桂（去皮。各三钱）
上八味为末。每服五钱。用长流甘澜水煎一盏。调下。空心食前。待少时。以美膳压之。
【参苓琥珀汤】中统三年（1262年）六月。黄明患小便淋沥涩痛，尿道疼痛难忍，疼痛牵引至胁下部位。制作服用此方，效果显著。
人参（五分） 茯苓（去皮，四分） 川楝子（去核，锉碎炒制，一钱） 琥珀（三分）
生甘草（一钱） 玄胡索（七分） 泽泻 柴胡
当归梢（各三分）
以上九味药，捣碎成粗末。全部作为一剂服用。用长流水三盏，煎煮至一盏，滤去药渣。温服，空腹、饭前服用。
【水芝丸】治疗下焦真气虚弱，小便频数且量多，日夜无节制。此方是从高丽国王处获得的。
莲实（去皮，用量不限，先用好酒浸泡一至两个夜晚，取一个猪肚，将酒浸过的莲实放入猪肚内，加水煮熟，取出莲实切开，在火上焙干后称量使用）
以上药材研为细末，用醋糊制成如鸡头米大小的丸剂。每次服用五十丸，用温酒送下。空腹、饭前服用。
中书右丞合刺合孙，患病表现为小便频数但排尿不畅（欠），日夜大约二十余次。脐腹部胀满，腰脚沉重，无法安卧。至元癸未年（1283年）春季下旬，我奉皇帝诏令为其治病，于是前往诊视。脉象沉缓，时常带有数象。我曾记得小便不利有三种情况，不可一概而论。如果津液偏渗于肠胃，导致大便泄泻，而小便涩少，这是第一种情况。适宜采用分利的方法治疗。如果热邪搏结于下焦津液，导致湿热阻滞而不行，这是第二种情况。必须通过渗湿泄热才能痊愈。如果脾胃气机涩滞，不能通利水道并下输膀胱进行气化，这是第三种情况。可以顺气以助气化而出。如今右丞平时饮食肥甘厚味，湿热内蕴，无法气化，膀胱窍道涩滞，所以起夜频繁但尿量少。如果不是通过渗湿泄热、分利水道，就不能畅快利尿。于是开出一方，名为茯苓琥珀汤。《内经》说：甘味能缓急，淡味能渗湿。热邪搏结津液内蕴，导致脐腹胀满，应当缓和并泄热。必须以甘淡药物为主。因此用茯苓作为君药。滑石味甘性寒，滑利以通窍；猪苓、琥珀味淡，能渗湿泄热以利水道。所以用这三味药作为臣药。脾恶湿，湿气内蕴，则脾气不得运化。补益脾气、胜湿，必须用甘味药作为辅助。所以用甘草、白术作为佐药。咸味入肾，咸味下行属阴。泽泻味咸，能泻伏留之水。肾恶燥，急需食用辛味药以润之。津液不行，需用辛味药发散。桂枝味辛，能散湿润燥。这是根据病情因势利导的使用。所以用这两味药作为使药。煎药时使用长流甘澜水，使其不助长肾气。制成大剂量的汤剂，令药力直达下焦且迅速见效。服用两剂后症状减半，十日左右完全康复。
【茯苓琥珀汤】
茯苓（去皮） 琥珀 白术（各半两） 泽泻（一两）
滑石（七钱） 木猪苓（半两，去皮） 甘草（炙） 桂（去皮，各三钱）
以上八味药研为细末。每次服用五钱，用长流甘澜水煎煮至一盏，调匀服用。空腹、饭前服用。服药后稍待片刻，用美味膳食压住药气。
[Shenling Hupo Tang (Ginseng, Poria, and Amber Decoction)] In the sixth month of Zhongtong Year 3 (1262), Huang Ming suffered from strangury (Lin syndrome) with dysuria. The pain in the urethra was unbearable, radiating to the hypochondriac region. This prescription was prepared and taken, yielding excellent results.
Ren Shen (Panax ginseng Radix et Rhizoma, 5 fen) Fu Ling (Poria, peeled, 4 fen) Chuan Lian Zi (Toosendan Fructus, pitted, crushed, and stir-fried, 1 qian) Hu Po (Amber, 3 fen)
Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 1 qian) Xuan Hu Suo (Corydalis Rhizoma, 7 fen) Ze Xie (Alismatis Rhizoma) Chai Hu (Bupleuri Radix)
Dang Gui Shao (Angelicae Sinensis Radix tip, each 3 fen)
The above nine herbs are coarsely crushed. All are combined as one dose. Boil in 3 cups of running water until reduced to 1 cup. Strain and discard the dregs. Take warm on an empty stomach before meals.
[Shuizhi Wan (Lotus Seed Pill)] Treats deficiency of true Qi in the Lower Jiao, characterized by frequent and excessive urination without day-night regulation. This prescription was obtained from the King of Goryeo.
Lian Shi (Nelumbinis Semen, peeled, quantity as needed; first soak in good wine for 1-2 nights; take one pig stomach, place the wine-soaked lotus seeds inside, boil in water until cooked; remove the lotus seeds, cut them open, dry over fire, and weigh for use)
The above ingredients are ground into fine powder. Form pills with vinegar paste, sized like a chestnut. Take 50 pills per dose, delivered with warm wine. Take on an empty stomach before meals.
He La He Sun, Right Vice Director of the Secretariat, suffered from frequency of urination with incomplete emptying (Xiao Bian Shu Er Qian), voiding approximately twenty times daily. His umbilical and abdominal regions were distended and full, his waist and legs felt heavy, and he could not lie down comfortably. In the late spring of Guiwei Year of Zhiyuan (1283), I received an imperial edict to treat him, so I went to examine him. The pulse was deep and slow, occasionally rapid. I recall that there are three types of difficult urination (Xiao Bian Bu Li); they cannot be treated uniformly. If body fluids leak abnormally into the intestines and stomach, causing diarrhea while urine becomes scanty and astringent, this is the first type. It is suitable for treatment via separation and drainage (Fen Li). If heat binds with fluids in the Lower Jiao, causing damp-heat stagnation, this is the second type. It must be cured by渗泄 (shen xie - promoting urination to drain dampness/heat). If Spleen and Stomach Qi is stagnant, failing to unblock the water passages and transport fluids downward to the Bladder for transformation, this is the third type. One can promote Qi movement to facilitate transformation and excretion. Currently, the Right Vice Director usually consumes rich and sweet foods, leading to internal accumulation of damp-heat, which fails to transform. The orifices of the Bladder are astringent/stagnant, hence the frequent urge but small volume of urine. Without promoting urination to drain dampness and separating fluids, smooth diuresis cannot be achieved. Therefore, I prescribed a formula named Fuling Hupo Tang. The *Neijing* states: "Sweet flavors soothe and relieve tension, while bland flavors promote permeability and leaching out." When heat binds with fluids internally accumulating, causing umbilical and abdominal distension, it must be relieved and drained. Bland and sweet substances should be the mainstay. Thus, Fu Ling (Poria) is used as the Sovereign herb. Hua Shi (Talcum) is sweet and cold, slippery to unblock orifices; Zhu Ling (Polyporus) and Hu Po (Amber) are bland to leach out dampness and benefit water passages. Therefore, these three are used as Ministers. The Spleen dislikes dampness; if dampness accumulates internally, Spleen Qi fails to govern. To tonify the Spleen and overcome dampness, sweet substances must assist. Therefore, Gan Cao (Licorice) and Bai Zhu (Atractylodis Macrocephalae Rhizoma) are used as Assistants. Salty flavors enter the Kidney; salty tastes descend and belong to Yin. Ze Xie (Alisma) is salty and drains retained water. The Kidney dislikes dryness; urgently eat pungent flavors to moisten it. When fluids do not circulate, disperse them with pungent flavors. Gui Zhi (Cinnamomi Ramulus) is pungent, dispersing dampness and moistening dryness. This is usage based on the condition. Therefore, these two are used as Envoys. Boil using running Ganlan Water (whirling water) so as not to aid Kidney Qi. Prepare as a large decoction to allow direct and rapid action to the Lower Jiao. After two doses, symptoms halved; within ten days, full recovery was achieved.
[Fuling Hupo Tang]
Fu Ling (Poria, peeled) Hu Po (Amber) Bai Zhu (Atractylodis Macrocephalae Rhizoma, each half liang) Ze Xie (Alismatis Rhizoma, 1 liang)
Hua Shi (Talcum, 7 qian) Mu Zhu Ling (Polyporus, half liang, peeled) Gan Cao (Licorice, honey-fried) Gui Rou (Cinnamon Bark, peeled, each 3 qian)
The above eight herbs are ground into powder. Take 5 qian per dose. Boil in running Ganlan Water until reduced to 1 cup, mix and take. Take on an empty stomach before meals. Wait a short while, then press the medicine with a delicious meal.