（论一首 方四十九首 证一首 灸法十五首）
论曰∶热结中焦则为坚，下焦则为溺血，令人淋闭不通，此多是虚损人，服大散，下焦
客热所为。亦有自然下焦热者，但自少，可善候之。
凡气淋之为病，溺难涩常有余沥，石淋之为病。茎中痛溺不得卒出。膏淋之为病，尿似
膏自出。劳淋之为病，劳倦即发痛引气冲下。热淋之为病，热即发，甚则尿血，治之皆与气
淋同。凡人候鼻头色黄者，小便难也。
治下焦结热，小便赤黄不利，数起出少，茎痛或血出，温病后余热及霍乱后当风取热，
过度饮酒房劳，及行步冒热冷冻饮料逐热，热结下焦及散石热动关格，小腹坚，胞胀如斗，有此
诸淋，悉治之立验方。
地肤子（三两） 知母 黄芩 猪苓 瞿麦 枳实（一作松实） 升麻 通草 葵子 海
藻
（各
上十味为末，以水一斗，煮取三升，分三服，大小便皆闭者加大黄三两。女人房劳，肾
中有热，小便难不利，小腹满痛，脉沉细者，加猪肾一具。（崔氏云∶若加肾，可用水一斗
五升先煮肾，取一斗汁，纳药煎之。《短剧方》不用枳实。）
治百种淋，寒淋、热淋、劳淋，小便涩，胞中满，腹急痛方∶
通草 石苇 甘草 王不留行（各二两） 冬葵子 滑石 瞿麦 白术 芍药（各三两）
上九味 咀，以水一斗，煮取三升，分三服。（《古今录验》有当归二两，治下筛，以
麦粥清服方寸匕，日三。）
又方 滑石 石苇 栝蒌根（各二两）
上三味治下筛，大麦饮服方寸匕，日三。
治诸种淋方∶
葵根（八两） 茅根 石首鱼头石（各三两） 甘草（一两） 通草（二两） 贝子（五
合） 大
麻根（五两）
上七味为末，以水一斗二升，煮取五升，分五服，日三夜二，亦主石淋。
又方 榆皮 车前子 冬瓜子（各一升） 鲤鱼齿 桃胶 通草 地脉（各二两） 瞿
麦
（四两）
上八味 咀，以水一斗，煮取三升，分三服，日三。
又方 细白沙三升，熬令极热，以酒三升淋取汁，服一合。
治淋痛方∶
滑石（四两） 贝子（七枚，烧碎） 茯苓 白术 通草 芍药（各二两）
上六味为末，酒服方寸匕，日二服。十日瘥。
又方 葵子（五合） 茯苓 白术 当归（各二两）
上四味 咀，以水七升，煮取二升，分三服，日三。
又方 取猪脂，酒服三合，日三。小儿服一合，腊月者。
治小便不利，茎中疼痛，小腹急痛者方∶
通草 茯苓（各三两） 葶苈（二两）
上三味治下筛，以水服方寸匕，日三。
又方 蒲黄 滑石（各等分）
上二味治下筛，酒服方寸匕，日三。
治小便不利，膀胱胀，水气流肿方∶
水上浮萍曝干为末，服方寸匕，日三。
治小便不通方∶
滑石（三两） 葵子（二两） 榆根白皮（一两）
上三味治下筛，煮麻子汁一升半，取一升以散二方寸匕和，分三服，即通。
又方 水四升洗甑带取汁，煮葵子，取二升半，分二服。
又方 胡燕屎 豉（各一合）
上二味捣，丸如梧子大，服三丸，日三。
又方 发去垢烧末，葵子一升，以饮服方寸匕，日三。
又方 石首鱼头石为末，水服方寸匕。日三。
又方 鲤鱼齿烧灰，酒服方寸匕，日三。
又方 石槽塞灰土，以井花水服之，日三。
又方 车前子一味为末，服方寸匕，日三，服百日止。
治卒不得小便方∶
吞鸡子白取瘥。（葛氏云∶吞黄。）
又方 车前草（一把） 桑白皮（半两）
上二味 咀，以水三升，煎取一升，顿服之。
治妇人卒不得小便方∶
郁李仁二十枚蒸末，服之立下。（一本作杏仁二七枚）。
又方 紫菀为末，以井花水服三指撮，立通。血出者，四五度服之。
治黄胆后小便淋沥方∶
猪肾（一具切） 茯苓（一斤） 瞿麦（六两） 车前根（切三升） 黄芩（三两） 椒
目（三合
绵裹） 泽泻 地肤子（各四两）
上八味 咀，以水二斗，煮车前取一斗六升，去滓，下猪肾，煮取一斗二升，去肾下
药，煮取三升，分为三服。
治气淋方∶
水三升煮舡底苔如鸭子大，取二升，顿服。
又方 水三升，煮豉一升，一沸去滓，纳盐一合，顿服，亦可单煮豉汁服之。
又方 捣葵子末，汤服方寸匕。
又方 空腹单茹蜀葵一满口。
又方 熬盐热熨小腹，冷复易。亦治小便血。（《肘后方》治小便不通）。
（总论一篇，方剂四十九首，证候一篇，灸法十五首）
总论说：热邪结聚在中焦，就会形成坚硬的积块；结聚在下焦，就会导致尿血，使人出现淋证和闭证，小便不通畅。这种情况多见于身体虚弱亏损的人，服用发散力过大的药物后，导致下焦产生客居的热邪所致。也有的是下焦自然有热，这种人从小就有，可以好好调养观察。
凡是气淋这种病，表现为排尿困难涩滞，经常有余沥不尽；石淋这种病，表现为尿道中疼痛，小便不能突然排出；膏淋这种病，表现为尿液像膏脂一样自行流出；劳淋这种病，表现为劳累疲倦时就发作，疼痛牵引气机冲向下部；热淋这种病，表现为受热就发作，严重的甚至尿血，治疗这些淋证的方法都与气淋相同。大凡人如果观察到鼻头颜色发黄，就是小便困难的征象。
治疗下焦结热，小便赤黄不利，次数多但每次量少，尿道疼痛或出血，温病后的余热以及霍乱后受风取热，过度饮酒和房事劳累，以及行走时冒热、喝冷冻饮料以驱热，导致热邪结聚在下焦及散石热动引起关格（小便不通与呕吐并见），小腹坚硬，膀胱胀满如斗状，有上述各种淋证，都用这个方子治疗，立刻见效。
地肤子（三两） 知母 黄芩 猪苓 瞿麦 枳实（一作松实） 升麻 通草 葵子 海藻
以上十味药研成末，用水一斗，煮取三升，分三次服用。大小便都闭塞的，加大黄三两。妇女因房事劳累，肾中有热，小便困难不利，小腹满痛，脉象沉细的，加猪肾一个。（崔氏说：如果加肾，可用水一斗五升先煮肾，取一斗汁，再纳入药物煎煮。《短剧方》不用枳实。）
治疗百种淋证，包括寒淋、热淋、劳淋，小便涩滞，膀胱中胀满，腹部急痛的方子：
通草 石苇 甘草 王不留行（各二两） 冬葵子 滑石 瞿麦 白术 芍药（各三两）
以上九味药切碎，用水一斗，煮取三升，分三次服用。（《古今录验》中有当归二两，治好后筛成细粉，用麦粥的清液送服一方寸匕的药末，每天三次。）
又一方：
滑石 石苇 栝蒌根（各二两）
以上三味药研碎过筛，用大麦饮送服一方寸匕的药末，每天三次。
治疗各种淋证的方子：
葵根（八两） 茅根 石首鱼头石（各三两） 甘草（一两） 通草（二两） 贝子（五合） 大麻根（五两）
以上七味药研成末，用水一斗二升，煮取五升，分五次服用，白天三次，晚上两次，也主治石淋。
又一方：
榆皮 车前子 冬瓜子（各一升） 鲤鱼齿 桃胶 通草 地脉（各二两） 瞿麦（四两）
以上八味药切碎，用水一斗，煮取三升，分三次服用，每天三次。
又一方：
细白沙三升，炒至极热，用酒三升淋浇取汁，服用一合。
治疗淋证疼痛的方子：
滑石（四两） 贝子（七枚，烧碎） 茯苓 白术 通草 芍药（各二两）
以上六味药研成末，用酒送服一方寸匕的药末，每天两次。十天痊愈。
又一方：
葵子（五合） 茯苓 白术 当归（各二两）
以上四味药切碎，用水七升，煮取二升，分三次服用，每天三次。
又一方：
取猪脂，用酒送服三合，每天三次。小儿服用一合，腊月制作的猪脂为佳。
治疗小便不利，尿道疼痛，小腹急痛的方子：
通草 茯苓（各三两） 葶苈（二两）
以上三味药研碎过筛，用水送服一方寸匕的药末，每天三次。
又一方：
蒲黄 滑石（各等分）
以上两味药研碎过筛，用酒送服一方寸匕的药末，每天三次。
治疗小便不利，膀胱胀满，水气流注导致浮肿的方子：
水上浮萍晒干研成末，服用一方寸匕，每天三次。
治疗小便不通的方子：
滑石（三两） 葵子（二两） 榆根白皮（一两）
以上三味药研碎过筛，用麻子汁一升半，取一升，将两方寸匕的药散混合其中，分三次服用，小便即可通畅。
又一方：
用水四升洗蒸笼带取汁，煮葵子，取二升半，分两次服用。
又一方：
胡燕屎 豆豉（各一合）
以上两味药捣烂，制成梧桐子大小的丸药，每次服用三丸，每天三次。
又一方：
头发去垢烧成灰，葵子一升，用饮液送服一方寸匕的药末，每天三次。
又一方：
石首鱼头石研成末，用水送服一方寸匕，每天三次。
又一方：
鲤鱼齿烧成灰，用酒送服一方寸匕，每天三次。
又一方：
石槽里塞入灰土，用井花水送服，每天三次。
又一方：
车前子一味药研成末，服用一方寸匕，每天三次，连续服用一百天止。
治疗突然无法小便的方子：
吞服鸡蛋清直到痊愈。（葛氏说：吞服蛋黄。）
又一方：
车前草（一把） 桑白皮（半两）
以上两味药切碎，用水三升，煎取一升，一次性服用。
治疗妇人突然无法小便的方子：
郁李仁二十枚蒸熟研末，服用后立即通利。（另一版本作杏仁十四枚）。
又一方：
紫菀研成末，用井花水送服三指撮的药末，立即通畅。如果有出血，服用四五次。
治疗黄疸后小便淋漓不尽的方子：
猪肾（一个，切开） 茯苓（一斤） 瞿麦（六两） 车前根（切三升） 黄芩（三两） 椒目（三合，绵裹） 泽泻 地肤子（各四两）
以上八味药切碎，用水二斗，先煮车前子取一斗六升，去渣，放入猪肾，煮取一斗二升，取出猪肾，再放入其他药物，煮取三升，分为三次服用。
治疗气淋的方子：
用水三升煮船底苔，煮至鸭子大小，取二升，一次性服用。
又一方：
用水三升，煮豆豉一升，煮沸一次后去渣，加入盐一合，一次性服用，也可以单煮豆豉汁服用。
又一方：
捣葵子为末，用汤水送服一方寸匕。
又一方：
空腹直接生吃蜀葵满口。
又一方：
炒热的盐热敷小腹，冷了再换。也治疗小便出血。（《肘后方》治疗小便不通）。
(One general discussion, forty-nine prescriptions, one syndrome description, fifteen moxibustion methods)
The general discussion states: When heat pathogen accumulates in the middle jiao (middle burner), it forms hard masses; when it accumulates in the lower jiao (lower burner), it leads to hematuria (blood in urine), causing strangury (lin syndrome) and retention of urine (bi syndrome), resulting in obstructed urination. This is mostly caused by deficiency and damage in individuals who have taken strong dispersing herbs, leading to guest heat in the lower jiao. There are also cases where there is naturally heat in the lower jiao; such people have had it since childhood and can be managed with careful observation and nourishment.
For Qi-strangury (Qi Lin), the disease manifests as difficult and astringent urination, often with residual dripping; for Stone-strangury (Shi Lin), the disease manifests as pain in the urethra and inability to void urine suddenly; for Paste-strangury (Gao Lin), the disease manifests as urine flowing out resembling paste; for Labor-strangury (Lao Lin), the disease manifests as onset of pain triggered by fatigue or overexertion, with qi rushing downward; for Heat-strangury (Re Lin), the disease manifests as onset triggered by heat exposure, and in severe cases, hematuria. The treatment for these stranguries is the same as that for Qi-strangury. In general, if a person's nose tip appears yellow, it indicates difficulty in urination.
Prescription for treating heat accumulation in the lower jiao, red and yellow turbid urine with difficult flow, frequent but scanty voiding, penile pain or bleeding, residual heat after warm diseases, wind-heat contraction after cholera-like disorders, excessive alcohol consumption and sexual indulgence, walking in heat while drinking cold beverages to dispel heat, leading to heat knotting in the lower jiao and moving stones causing Guan-Ge (obstruction with vomiting), hardness of the lower abdomen, bladder distension like a bowl. For all the above stranguries, this prescription provides immediate verification.
Di Fu Zi (Kochia Scoparia Herb, 3 liang) Zhi Mu (Anemarrhenae Rhizoma, unknown amount) Huang Qin (Scutellariae Radix, unknown amount) Zhu Ling (Polyporus, unknown amount) Qu Mai (Dianthi Herba, unknown amount) Zhi Shi (Aurantii Fructus Immaturus, unknown amount) [Alternative: Song Shi] Sheng Ma (Cimicifugae Rhizoma, unknown amount) Tong Cao (Tetrapanacis Medulla, unknown amount) Kui Zi (Abutilonis Semen, unknown amount) Hai Zao (Sargassum, unknown amount)
Grind the above ten ingredients into powder. Boil in 1 dou (approx. 10 liters) of water until reduced to 3 sheng (approx. 3 liters). Divide into three doses. If both stool and urine are obstructed, add Da Huang (Rhei Radix et Rhizoma, 3 liang). For women suffering from kidney heat due to sexual fatigue, difficult and obstructed urination, lower abdominal fullness and pain, and a deep, fine pulse, add one pig kidney. (Cui Shi stated: If adding kidney, first boil the kidney in 1.5 dou of water until 1 dou of juice remains, then add the medicinal powder and decoct. The "Short Drama Formula" does not use Zhi Shi.)
Prescription for treating hundred types of stranguries, including Cold-strangury, Heat-strangury, Labor-strangury, astringent urination, bladder fullness, and acute abdominal pain:
Tong Cao (Tetrapanacis Medulla, 2 liang) Shi Wei (Pyrrosiae Folium, 2 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang) Wang Bu Liu Xing (Vaccariae Semen, 2 liang) Dong Kui Zi (Abutilonis Semen, 3 liang) Hua Shi (Talcum, 3 liang) Qu Mai (Dianthi Herba, 3 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 liang) Shao Yao (Paeoniae Radix Alba, 3 liang)
Chop the above nine ingredients. Boil in 1 dou of water until reduced to 3 sheng. Divide into three doses. (The "Ancient and Modern Verified Records" includes Dang Gui (Angelicae Sinensis Radix, 2 liang). After processing and sieving, take 1 cun bi (approx. 5g) with clear wheat gruel, three times daily.)
Another formula:
Hua Shi (Talcum, 2 liang) Shi Wei (Pyrrosiae Folium, 2 liang) Gua Lou Gen (Trichosanthis Radix, 2 liang)
Process and sieve the above three ingredients. Take 1 cun bi with barley drink, three times daily.
Prescription for various types of stranguries:
Kui Gen (Abutilon Root, 8 liang) Mao Gen (Imperatae Rhizoma, 3 liang) Shi Shou Yu Tou Shi (Stonefish Head Stones, 3 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang) Tong Cao (Tetrapanacis Medulla, 2 liang) Bei Zi (Concha Meretricis, 5 he) Da Ma Gen (Cannabis Root, 5 liang)
Grind the above seven ingredients into powder. Boil in 1.2 dou of water until reduced to 5 sheng. Divide into five doses: three times during the day and twice at night. This also treats Stone-strangury.
Another formula:
Yu Pi (Ulmus Bark, 1 sheng) Che Qian Zi (Plantaginis Semen, 1 sheng) Dong Gua Zi (Benincasae Semen, 1 sheng) Li Yu Chi (Carp Teeth, 2 liang) Tao Jiao (Peach Gum, 2 liang) Tong Cao (Tetrapanacis Medulla, 2 liang) Di Mai (unknown herb, 2 liang) Qu Mai (Dianthi Herba, 4 liang)
Chop the above eight ingredients. Boil in 1 dou of water until reduced to 3 sheng. Divide into three doses, three times daily.
Another formula:
Take 3 sheng of fine white sand, roast until extremely hot, pour 3 sheng of wine over it to extract the juice, and take 1 ge (approx. 20ml).
Prescription for treating strangury pain:
Hua Shi (Talcum, 4 liang) Bei Zi (Concha Meretricis, 7 pieces, calcined and crushed) Fu Ling (Poria, 2 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 liang) Tong Cao (Tetrapanacis Medulla, 2 liang) Shao Yao (Paeoniae Radix Alba, 2 liang)
Grind the above six ingredients into powder. Take 1 cun bi with wine, twice daily. Cure within ten days.
Another formula:
Kui Zi (Abutilonis Semen, 5 he) Fu Ling (Poria, 2 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 liang) Dang Gui (Angelicae Sinensis Radix, 2 liang)
Chop the above four ingredients. Boil in 7 sheng of water until reduced to 2 sheng. Divide into three doses, three times daily.
Another formula:
Take Pig Fat (Zhi), take 3 ge with wine, three times daily. Children take 1 ge; fat from the twelfth lunar month is preferred.
Prescription for treating difficult urination, penile pain, and acute lower abdominal pain:
Tong Cao (Tetrapanacis Medulla, 3 liang) Fu Ling (Poria, 3 liang) Ting Li (Descurainiae Semen seu Lepidii Semen, 2 liang)
Process and sieve the above three ingredients. Take 1 cun bi with water, three times daily.
Another formula:
Pu Huang (Typhae Pollen, equal parts) Hua Shi (Talcum, equal parts)
Process and sieve the above two ingredients. Take 1 cun bi with wine, three times daily.
Prescription for treating difficult urination, bladder distension, and edema caused by water qi flow:
Dry and powder the floating duckweed (Ping Cai) found on water surface. Take 1 cun bi, three times daily.
Prescription for treating urinary retention:
Hua Shi (Talcum, 3 liang) Kui Zi (Abutilonis Semen, 2 liang) Yu Gen Bai Pi (Ulmus Root Bark, 1 liang)
Process and sieve the above three ingredients. Boil hemp seed juice to 1.5 sheng, reduce to 1 sheng. Mix with 2 cun bi of the powder. Divide into three doses; urination will immediately unblock.
Another formula:
Use 4 sheng of water to wash steamer bands to obtain juice. Decoct Kui Zi until 2.5 sheng remain. Divide into two doses.
Another formula:
Hu Yan Shi (Swallow Droppings, 1 he) Chi (Fermented Soybean, 1 he)
Pound and mix, form pills the size of wu zi (wisteria seeds). Take 3 pills, three times daily.
Another formula:
Burn human hair (Fa) free of dirt to ash. Take 1 sheng of Kui Zi. Take 1 cun bi with drink, three times daily.
Another formula:
Powder the Stonefish Head Stones. Take 1 cun bi with water, three times daily.
Another formula:
Burn Carp Teeth to ash. Take 1 cun bi with wine, three times daily.
Another formula:
Pack ash and soil from stone troughs. Take with well water (Jing Hua Shui), three times daily.
Another formula:
Powder Che Qian Zi (Plantaginis Semen). Take 1 cun bi, three times daily. Continue for 100 days to stop.
Prescription for sudden inability to urinate:
Swallow egg white until cured. (Ge Shi stated: Swallow egg yolk.)
Another formula:
Che Qian Cao (Plantaginis Herba, 1 bundle) Sang Bai Pi (Mori Cortex, 0.5 liang)
Chop the above two ingredients. Decoct in 3 sheng of water until reduced to 1 sheng. Take in one dose.
Prescription for sudden inability to urinate in women:
Steam and powder 20 Yu Li Ren (Pruni Semen). Take to induce immediate urination. (Another version uses 14 Xing Ren (Armeniacae Semen Amarum)).
Another formula:
Powder Zi Wan (Adenophorae Radix). Take 3 finger-pinches with well water for immediate relief. If blood is present, take 4-5 times.
Prescription for dribbling urination after jaundice:
Zhu Shen (Pig Kidney, 1 piece, sliced) Fu Ling (Poria, 1 jin) Qu Mai (Dianthi Herba, 6 liang) Che Qian Gen (Plantago Root, cut 3 sheng) Huang Qin (Scutellariae Radix, 3 liang) Jiao Mu (Zanthoxyli Semen, 3 he, wrapped in silk) Ze Xie (Alismatis Rhizoma, unknown amount) Di Fu Zi (Kochia Scoparia Herb, 4 liang)
Chop the above eight ingredients. Boil in 2 dou of water. First decoct Che Qian Gen until 1.6 dou remains. Strain. Add Zhu Shen. Decoct until 1.2 dou remains. Remove Zhu Shen. Add remaining herbs. Decoct until 3 sheng remains. Divide into three doses.
Prescription for treating Qi-strangury:
Boil boat-bottom moss (Chuan Di Tai) in 3 sheng of water until reduced to the size of a duck. Take 2 sheng in one dose.
Another formula:
Decoct 1 sheng of Chi (Fermented Soybean) in 3 sheng of water. After one boil, strain. Add 1 he of salt. Take in one dose. Alternatively, drink the decoction alone.
Another formula:
Powder Kui Zi. Take 1 cun bi with hot water.
Another formula:
Eat a mouthful of fresh Shu Kui (Malva verticillata) on an empty stomach.
Another formula:
Apply hot roasted salt compresses to the lower abdomen. Replace when cool. Also treats hematuria. (The "Handbook of Prescriptions for Emergencies" treats urinary retention).