淋闭，虚则补其母，清肺气而泻火。渴而大便闭，小便赤，热在上焦气分，宜利膀胱，
清心莲子饮；不渴而闭，热在下焦血分，宜滋阴，四物汤加黄柏、知母。无阳则阴无以生，无阴
则阳无以化。血虚气滞，下焦热也，滋肾丸空心送下百丸，前阴必下异物为验。因房劳腰肾
如坐水中，用补中益气加附子。久病不愈，益智、小茴、滑石煎服。
暑湿而作淋痛者，车前，滑石、木通、栀子各二钱，桂心三分，灯心煎服。
淋证因房劳度，宜温肾，八珍汤加茯神、杜仲、杞子各一钱。如阴囊冰冷者，补中益气
汤加附子。淋久则气下陷，囊冷则下焦虚寒，故温而升之也。
沙淋，小水不得出，用猪尿胞一枚，口头入小竹管，内将口气吹满，用绳扎紧尿胞，插
在尿孔内，解去所扎绳，将所吹气挤送在内，其尿自出无滞。
石淋，用土牛膝一握，煎汤，入麝香半分、乳香三分服。
凡淋痛者为实，不痛者为虚。实用升麻葛根汤加连翘、木通；虚用补中益气汤。
血淋，用车前叶煎汤；石淋，用琉璃，研末酒下，有效。
验案
一人患淋而嗽，此脾气不舒，不能升阳，致浊火下行，而肺气不能受脾土之润，故又兼
嗽也。用陈皮、白术、当归、白芍、茯苓、柴胡、升麻，则淋或反甚而后可止也。盖苓、术起脾
、柴、升提清，清气初升，则浊阴愈降，故初必反甚，久则清尽升而浊尽消矣。
淋证与癃闭，若属虚证，则采用“虚则补其母”的原则，通过清肃肺气以泻除火邪。若口渴且大便闭塞、小便色赤，此为热邪位于上焦气分，适宜通利膀胱，使用清心莲子饮；若不口渴而小便闭塞，此为热邪位于下焦血分，适宜滋阴降火，使用四物汤加黄柏、知母。无阳则阴无法生成，无阴则阳无法化生。若因血虚导致气机阻滞，兼有下焦热邪，应在空腹时服用滋肾丸一百丸，以前阴排出异物作为药效验证。若因房劳过度导致腰肾感觉如坐水中般寒冷，使用补中益气汤加附子。久病不愈者，可用益智仁、小茴香、滑石煎服。
因暑湿引发的淋痛，用车前子、滑石、木通、栀子各二钱，桂心三分，灯心草煎服。
淋证因房劳过度所致，宜温补肾肾，使用八珍汤加茯神、杜仲、枸杞子各一钱。若出现阴囊冰冷者，使用补中益气汤加附子。淋证日久则气机下陷，阴囊冷说明下焦虚寒，故需用温补升提之法。
沙淋（尿液中有砂石），小便不通，取猪膀胱一个，在口部插入小竹管，向内吹气使其充满，用绳子扎紧膀胱口，将其插入尿道内，解开所扎的绳子，将吹入的气体挤压送入体内，尿液即可自然通畅排出。
石淋（尿液中有结石），取土牛膝一把，煎汤，加入麝香半分、乳香三分服用。
凡是淋证疼痛者属实证，不疼痛者属虚证。实证使用升麻葛根汤加连翘、木通；虚证使用补中益气汤。
血淋，用车前叶煎汤服用；石淋，使用琉璃（此处指代某种矿物药或特指药物，古籍中常指代特定矿物或比喻，按原文保留），研成粉末，用酒送服，有效。
验案：
有一人患淋证并伴有咳嗽，这是脾气不舒展，不能升发阳气，导致浊火下行，致使肺气无法受到脾土的滋润，因此兼见咳嗽。使用陈皮、白术、当归、白芍、茯苓、柴胡、升麻，起初淋证可能会反而加重，之后才会停止。这是因为茯苓、白术能健脾，柴胡、升麻能提升清气，当清气刚开始上升时，浊阴之气会更加下降，所以起初必然感觉加重，久而久之，清气完全升发，浊气完全消散，病症自解。
Lin syndrome (dysuria) and Gong bi (urinary retention), if due to deficiency, should be treated by tonifying the mother organ; clear Lung Qi to drain fire. If accompanied by thirst, constipation, and dark urine, the heat is in the Qi level of the Upper Jiao; it is appropriate to promote diuresis via the Bladder, using Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction). If there is no thirst but urinary retention exists, the heat is in the Blood level of the Lower Jiao; it is appropriate to nourish Yin, using Siwu Tang (Four Substances Decoction) with added Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma). Without Yang, Yin cannot be generated; without Yin, Yang cannot be transformed. If blood deficiency leads to Qi stagnation with heat in the Lower Jiao, take Zishen Wan (Kidney-Nourishing Pill) on an empty stomach, one hundred pills; the discharge of foreign matter from the anterior orifice serves as a sign of efficacy. For cases caused by sexual exhaustion where the lower back and kidneys feel cold as if sitting in water, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Fuzi (Aconiti Lateralis Radix Praeparata). For chronic illness that does not resolve, use Yizhi (Alpiniae Oxyphyllae Fructus), Xiaohui (Foeniculi Fructus), and Shishi (Talcum) decocted and taken orally.
For Lin pain caused by summerheat-dampness, use Cheqian (Plantaginis Semen), Shishi (Talcum), Mutong (Akebiae Caulis), and Zhizi (Gardeniae Fructus) each 2 qian, Guixin (Cinnamomi Cortex) 3 fen, and Dengxincao (Junci Medulla) decocted and taken orally.
Lin syndrome caused by excessive sexual activity should be treated by warming the Kidneys, using Bazhen Tang (Eight Treasures Decoction) with added Fushen (Poria cum Radix), Duzhong (Eucommiae Cortex), and Gouqi (Lycii Fructus) each 1 qian. If the scrotum feels cold, use Buzhong Yiqi Tang with added Fuzi. Prolonged Lin syndrome leads to sinking of Qi; cold scrotum indicates deficiency-cold in the Lower Jiao; therefore, warming and ascending methods are used.
Shalin (Sand Lin), where urine cannot exit, take one pig bladder, insert a small bamboo tube into the oral opening, blow air inside to inflate it tightly, tie the opening with a rope, insert it into the urethra, untie the rope, and squeeze the blown air into the body; the urine will then flow out smoothly.
Shilin (Stone Lin), take a handful of Tu Niuxi (Achyranthis Bidentatae Radix), decoct in water, add Shexiang (Moschus) half a fen and Ruxiang (Olibanum) three fen, and take orally.
Generally, Lin pain indicates excess patterns, while absence of pain indicates deficiency patterns. For excess patterns, use Shengma Gegen Tang (Kudzu and Cimicifuga Decoction) with added Qiaoying (Forsythiae Fructus) and Mutong; for deficiency patterns, use Buzhong Yiqi Tang.
Xuelin (Blood Lin), decoct Cheqianye (Plantaginis Herba); for Shilin, use Liuli (Glaze/Glass - *note: historically refers to specific mineral substances or glass powder in some contexts, kept literal*), grind into powder, and take with wine; this is effective.
Case Record:
A person suffered from Lin syndrome accompanied by cough. This was due to Spleen Qi failing to unblock and ascend Yang, causing turbid fire to descend, preventing Lung Qi from receiving the moistening influence of Spleen Earth, thus resulting in cough. Use Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Fuling (Poria), Chaihu (Bupleuri Radix), and Shengma (Cimicifugae Rhizoma). Initially, the Lin symptoms may worsen before subsiding. This is because Fuling and Baizhu strengthen the Spleen, while Chaihu and Shengma lift clear Yang. When clear Qi begins to ascend, turbid Yin descends further; hence, there is an initial worsening. Over time, as clear Qi fully ascends and turbidity dissipates, the condition resolves.