脐中着盐,灸三壮。(葛氏治小便不通)。
气淋,灸关元五十壮。 又灸挟玉泉相去一寸半,三十壮。
石淋方∶
车前子二升,以绢袋盛,水九升,煮取三升,隔宿不得食,平旦空腹顿服之。石即出。
(《备急方》云∶治热淋)。
又方 取浮石使满一手许为末,水三升,醋一升,煮取二升,澄清,服一升,不过三
服,石出。(淳酒煮之亦治嗽)。
又方 桃胶枣许大,夏以冷水三合,冬以汤三合,和服,日三。当下石子如豆卵,以
石尽止。(亦治小儿痛淋。)
石淋,脐下三十六种病不得小便,灸关元三十壮。
又灸气门三十壮。
又灸水泉三十壮。(足大敦是也)。
治膏淋方∶
捣 草汁三升,醋二合,和、空腹顿服之,当尿如小豆汁也。又浓煮汁饮,亦治淋沥
,(苏澄用疗尿血。
治五劳七伤,八风十二痹,劳结为血淋,热结为肉淋,小便不通,茎中痛,及小腹痛不
可忍者方∶
滑石 桂心 冬葵子 王不留行 通草 车前子(各二分) 甘遂(一分) 石苇(四
分)
上八味治下筛,以麻子饮半升,和服方寸匕,日三。尿沙石出。(一方加榆白皮三分。)
劳淋,灸足太阴百壮,穴在内踝上三寸,三报之。
治热淋方∶
葵根(切一升,冬用子,夏用苗) 大枣(二七枚)
上二味以水三升,煮取一升二合,分二服。热者加黄芩一两。出难加滑石二两。血者加
茜根三两。痛者加芍药二两。
又方 白茅根切四斤,以水一斗五升,煮取五升,服一升,日三夜二。
又方 常煮冬葵根作饮服之。
治血淋小便碜痛方∶
鸡苏(二两) 通草 滑石(各五两) 竹叶(一把) 生地黄(半斤) 小蓟根(一
两)
上六味 咀,以水九升,煎取三升,去滓,温分三服。
在肚脐中填入食盐,施灸三壮。(葛氏用于治疗小便不通)。
气淋,灸关元穴五十壮。另外,再灸位于玉泉穴旁开一寸半处的穴位,三十壮。
治疗石淋的方剂:
车前子二升,用绢袋装好,加水九升,煮取三升药液。服药前一晚禁食,清晨空腹一次性服下。结石即可排出。
(《备急方》记载:此法治疗热淋)。
另一个方子:取浮石适量填满一手掌,研成粉末,加水三升、醋一升,煮取二升,澄清后服用一升,不超过三次,结石即可排出。(用淳酒煮浮石也能治疗咳嗽)。
又一个方子:取桃胶如枣核大小,夏季用冷水三合,冬季用热水三合,调和后服用,每日三次。应当排出像豆卵大小的石子,直到结石排尽为止。(也能治疗小儿痛淋)。
石淋,以及脐下三十六种导致小便不通的疾病,灸关元穴三十壮。
另外灸气门穴三十壮。
另外灸水泉穴三十壮。(足大敦穴即是此处)。
治疗膏淋的方剂:
捣取萹蓄草汁三升,加入醋二合,混合均匀,空腹一次性服下,应当出现尿液像小豆汁一样的情况。另外浓煮汁液饮用,也能治疗淋沥不尽的症状。(苏澄曾用此法治疗尿血)。
治疗五劳七伤、八风十二痹,因劳结形成血淋,热结形成肉淋,小便不通,尿道疼痛,以及小腹疼痛难以忍受的方剂:
滑石、桂心、冬葵子、王不留行、通草、车前子(各二分),甘遂(一分),石苇(四分)。
以上八味药处理后过筛,用麻子汤半升送服一方寸匕的药粉,每日三次。尿液中会排出沙石。(另一版本加榆白皮三分)。
劳淋,灸足太阴脾经穴位百壮,该穴位在内踝上三寸处,重复施灸三次。
治疗热淋的方剂:
葵根(切制一升,冬季用种子,夏季用幼苗)、大枣(十四枚)。
以上两味药加水三升,煮取一升二合,分两次服用。若热象明显,加黄芩一两;排尿困难者加滑石二两;尿血者加茜根三两;疼痛者加芍药二两。
另一个方子:取白茅根切制四斤,加水一斗五升,煮取五升,每次服用一升,每日三次,夜间两次。
又一个方子:经常煮冬葵根当作茶饮服用。
治疗血淋且小便涩痛的方剂:
鸡苏(二两)、通草、滑石(各五两)、竹叶(一把)、生地黄(半斤)、小蓟根(一两)。
以上六味药切碎,加水九升,煎取三升药液,去渣,温服,分三次服用。
Place salt in the umbilicus and moxibustion with three moxa cones. (Ge Shi's method for treating urinary retention).
For Qi Lin (Qi-type strangury), moxibustion at Guanyuan (CV 4) with fifty moxa cones. Additionally, moxibustion at a point one and a half cun lateral to Yuquan, thirty moxa cones.
Formula for Stone Lin (Stone-type strangury):
Cheqianzi (Plantaginis Semen, Plantago Seed) two sheng, placed in a silk bag, boiled in nine sheng of water until three sheng remain. The patient must fast overnight and take the decoction in one dose on an empty stomach in the morning. The stones will be expelled.
(The *Beiji Fang* states: This treats Re Lin (Heat-type strangury)).
Another formula: Take enough Fusshi (Pumice) to fill a hand, grind into powder, boil with three sheng of water and one sheng of vinegar until two sheng remain. Clarify the liquid and take one sheng. Within three doses, the stones will be expelled. (Boiling Pumice in pure wine also treats cough).
Yet another formula: Take Taojiao (Pruni Mume Resin) the size of a jujube. In summer, mix with three he of cold water; in winter, mix with three he of warm water. Take this three times daily. Small stones like bean eggs should be passed. Stop when all stones are expelled. (Also treats Tong Lin (painful strangury) in children).
For Stone Lin, and thirty-six types of diseases below the umbilicus causing urinary retention, moxibustion at Guanyuan (CV 4) with thirty moxa cones.
Additionally, moxibustion at Qimen (CV 12? Note: Text says Qimen, likely referring to a specific local point or typo for another point, kept as Qimen) with thirty moxa cones.
Additionally, moxibustion at Shuiquan (KI 5) with thirty moxa cones. (The text notes Zu Dadun is here, though anatomically distinct, we follow the source text's identification).
Formula for Gao Lin (Gouty/Cloudy-type strangury):
Crush Pianxu (Persicae Herba? Note: Text says "Dao [blank] cao zhi", context implies Bian Xu or similar diuretic herb, often Pian Xu or Bian Huo Dian. Given "caozhi", likely Bian Xu juice. WHO term for Bian Xu is Herba Polygoni Avicularis), extract three sheng of juice, mix with two he of vinegar. Take on an empty stomach in one dose. Urine should resemble mung bean soup juice. Alternatively, drink concentrated decoction; it also treats dribbling strangury. (Su Cheng used this to treat hematuria).
Formula for treating Wu Lao Qi Shang (Five Exhaustions and Seven Injuries), Ba Feng (Eight Winds), Shi Er Bi (Twelve Obstructions), where labor accumulation causes Xue Lin (Blood-type strangury), heat accumulation causes Rou Lin (Flesh-type strangury), urinary retention, pain in the glans penis, and unbearable lower abdominal pain:
Huashi (Talcum), Guixin (Cinnamomi Cortex), Dongkuizi (Malvae Semen), Wangbuliuxing (Vaccariae Semen), Tongcao (Tetrapanacis Medulla), Cheqianzi (Plantaginis Semen) (each two fen), Gansui (Kansui Radix) (one fen), Shiwei (Pyri Folium) (four fen).
Process these eight ingredients and sift. Take one fangcun bi (square-inch measure) of powder mixed with half a sheng of Sesame Decoction, three times daily. Sand and stones will be excreted. (Another version adds Yubai Pi (Ulmus Root Bark) three fen).
For Lao Lin (Fatigue-type strangury), moxibustion at the Foot-Taiyin Spleen channel point with one hundred moxa cones. The point is three cun above the medial malleolus. Repeat the treatment three times.
Formula for Re Lin (Heat-type strangury):
Kuigen (Malvae Radix) (sliced one sheng; use seeds in winter, seedlings in summer), Dazao (Jujubae Fructus, Jujube Fruit) (fourteen pieces).
Boil these two ingredients in three sheng of water until one sheng er he remains. Divide into two doses. If heat signs are prominent, add Huangqin (Scutellariae Radix, Scutellaria Root) one liang. If urination is difficult, add Huashi (Talcum) two liang. If blood is present, add Qiangengen (Rubiae Radix et Rhizoma, Rubia Root) three liang. If pain is present, add Shaoyao (Paeoniae Radix, Peony Root) two liang.
Another formula: Slice Baimaogen (Imperatae Rhizoma, Imperata Rhizome) four jin, boil in fifteen dou of water until five sheng remain. Take one sheng per dose, three times during the day and twice at night.
Yet another formula: Frequently boil Dongkuigen (Malvae Radix, Malva Root) and drink as tea.
Formula for Xue Lin (Blood-type strangury) with gritty pain during urination:
Jisu (Elsholtziae Herba, Elsholtzia Herb), Tongcao (Tetrapanacis Medulla), Huashi (Talcum) (each five liang), Zhuye (Bambusae Folium, Bamboo Leaf), Shengdihuang (Rehmanniae Radix, Rehmannia Root), Xiaoji Gen (Cirsii Japonici Radix, Japanese Thistle Root) (one liang).
Chop these six ingredients, boil in nine sheng of water until three sheng remain. Strain and take the decoction warm, divided into three doses.