（第十九）
小儿诸淋者，肾与膀胱也。膀胱与肾为表里，俱主水。水入小肠，下于胞，行于阴为小
便也。膀胱津液内郁，水道不通，停积于胞，热则涩，故令水道不利，小便淋沥，故谓之淋。
其状小便出少，小腹急痛引脐是也。有石淋、气淋、血淋，名虽有五，总属于热。
治淋之法，金沙散立效，五苓散、木通散、八正散、导赤散等剂服之，亦与大方脉相
参用药。
葵子散 治小儿诸淋，小便不通。
葵子 车前子 木通 瞿麦 赤伏苓 桑白皮 栀子 甘草（炙。各等分）
上咀，每服二钱，葱白二寸，煎，乳食前服。
八正散 治心经蕴热遗于小肠，口燥咽干，五淋之证。（方见大人门。）
导赤散 治小儿血淋。（方见热门。）
冬葵子散 治小儿小腹急闷，小便淋漓。
冬葵子（一两） 木通（半两）
为末，每服二钱，灯芯一束煎服。
车前子散 治小水不利。
茯苓 猪苓 香薷 车前子 人参（各等分）
上末，每服二钱，灯芯汤下。
尿血方
生蒲黄 生地黄 赤茯苓 甘草（各等分）
上咀，每服一钱，煎调发灰，食前服。
金沙散 治小便淋沥不通。
郁金 海金沙 滑石 甘草（各等分）
上末，每服二钱，煎木通、灯芯汤下，或冬瓜汤下亦可。
局方五淋散 治诸淋，小便血尿如豆汁，如膏。（方见大人门。）
（第十九）
小儿各种淋证，病位主要在肾与膀胱。膀胱与肾互为表里，共同主管水液代谢。水液进入小肠后，下行至胞宫（此处指下焦泌尿部位），沿阴部运行形成小便。若膀胱内的津液内部郁结，导致水道不通畅，停滞积聚在胞中，受热邪影响则排尿涩痛，因此造成水道不利，小便淋漓不尽，所以称为“淋”。其症状表现为小便排出量少，小腹部拘急疼痛并牵引至肚脐。临床常见石淋、气淋、血淋等，虽然名称有五种，但总归属于热证范畴。
治疗淋证的方法，使用金沙散可立竿见影，五苓散、木通散、八正散、导赤散等方剂服用，也可参考成人内科用药原则进行辨证施治。
葵子散：治疗小儿各种淋证，小便不通畅。
组成：冬葵子、车前子、木通、瞿麦、赤茯苓、桑白皮、栀子、炙甘草（以上药材各等分）。
制法与用法：将药材切碎，每次服用二钱，加葱白二寸，煎煮后，在吃奶或进食前服用。
八正散：治疗心经蕴积热邪波及小肠，出现口燥咽干，以及五淋的症状。（具体方剂内容见成人医案部分。）
冬葵子散：治疗小儿小腹部急迫闷胀，小便淋漓不尽。
组成：冬葵子（一两）、木通（半两）。
制法与用法：研为细末，每次服用二钱，用灯芯草一束煎汤送服。
车前子散：治疗小便排出不利。
组成：茯苓、猪苓、香薷、车前子、人参（以上药材各等分）。
制法与用法：研为细末，每次服用二钱，用灯芯草煎汤送服。
尿血方：
组成：生蒲黄、生地黄、赤茯苓、甘草（以上药材各等分）。
制法与用法：将药材切碎，每次服用一钱，煎煮后调入发灰（血余炭），在进食前服用。
金沙散：治疗小便淋漓不畅甚至不通。
组成：郁金、海金沙、滑石、甘草（以上药材各等分）。
制法与用法：研为细末，每次服用二钱，用木通和灯芯草煎汤送服，或者用冬瓜汤送服也可以。
(19)
Various types of Lin syndrome (stranguria with painful and dribbling urination) in children are related to the Kidney and Bladder. The Bladder and Kidney are exterior-interiorly paired, both governing water metabolism. Water enters the Small Intestine, descends to the Bao (uterus/lower jiao urinary area), and flows through the yin channels to become urine. If the fluids within the Bladder stagnate internally, causing the water passages to be obstructed and accumulating in the Bao, heat causes astringency and pain, thereby leading to dysfunction of the water passages, resulting in scanty, dribbling urination; hence it is called "Lin". Its manifestations include small amounts of urine output, urgency and pain in the lower abdomen radiating to the umbilicus. There are Stone Lin, Qi Lin, and Blood Lin; although there are five names in total, they all generally belong to Heat patterns.
The method for treating Lin syndrome involves using Jinsha San (Golden Sand Powder) which yields immediate results. Decoctions such as Wuling San (Five-Ingredient Poria Decoction), Mutong San (Akebia Decoction), Bazheng San (Eight-Righteousness Decoction), and Daochi San (Guide Out Redness Decoction) can also be administered, referencing the medication principles used for adult internal medicine.
Kuizi San: Treats various types of Lin syndrome in children with obstructed urination.
Ingredients: Dong Kuizi (Abelmoschi Semen, 冬葵子), Cheqianzi (Plantaginis Semen, 车前子), Mutong (Akebiae Caulis, 木通), Qumai (Dianthi Herba, 瞿麦), Chi Fuling (Poria cum Rhizoma Polypori, 赤茯苓), Sangbaipi (Mori Cortex, 桑白皮), Zhizi (Gardeniae Fructus, 栀子), Zhi Gancao (Prepared Licorice Root, 炙甘草). (All ingredients in equal proportions.)
Preparation and Administration: Coarsely crush the herbs. Take two qian per dose, add two cun of Congbai (Scallion Stem, 葱白), decoct, and administer before milk or food intake.
Bazheng San: Treats heat accumulation in the Heart Meridian affecting the Small Intestine, manifesting as dry mouth and throat, and symptoms of the Five Lins. (Formula details see Adult Section.)
Daochi San: Treats Blood Lin in children. (Formula details see Fever Section.)
Dong Kuizi San: Treats urgency and distension in the lower abdomen of children with dribbling urination.
Ingredients: Dong Kuizi (Abelmoschi Semen, 冬葵子) (one liang), Mutong (Akebiae Caulis, 木通) (half liang).
Preparation and Administration: Grind into powder. Take two qian per dose, decoct with a bundle of Dengxin (Juncus Medullary, 灯芯) and take orally.
Cheqianzi San: Treats difficult urination.
Ingredients: Fuling (Poria, 茯苓), Zhuling (Polyporus, 猪苓), Xiangru (Elsholtziae Herba, 香薷), Cheqianzi (Plantaginis Semen, 车前子), Renshen (Ginseng Radix, 人参). (All ingredients in equal proportions.)
Preparation and Administration: Grind into powder. Take two qian per dose, wash down with decoction of Dengxin (Juncus Medullary, 灯芯).
Hematuria Formula:
Ingredients: Sheng Puhuang (Typhae Pollen, 生蒲黄), Sheng Dihuang (Rehmanniae Radix Recens, 生地黄), Chi Fuling (Poria cum Rhizoma Polypori, 赤茯苓), Gancao (Licorice Root, 甘草). (All ingredients in equal proportions.)
Preparation and Administration: Coarsely crush the herbs. Take one qian per dose, decoct, mix with Fa Hui (Hair Charcoal, 发灰), and administer before meals.
Jinsha San: Treats dribbling and obstructed urination.
Ingredients: Yujin (Curcumae Radix, 郁金), Haijinsha (Lygodii Spora, 海金沙), Huashi (Talcum, 滑石), Gancao (Licorice Root, 甘草). (All ingredients in equal proportions.)
Preparation and Administration: Grind into powder. Take two qian per dose, wash down with decoction of Mutong (Akebiae Caulis, 木通) and Dengxin (Juncus Medullary, 灯芯), or alternatively with Winter Melon Soup.
Jul Fang Wulin San: Treats various Lins, where urine contains blood resembling bean juice or paste. (Formula details see Adult Section.)