集验论五淋者,石淋,气淋,膏淋,劳淋,热淋也,石淋之为病,小便茎中痛,尿不得
猝出,时自出,痛引少腹,膀胱里急,气淋之为病,小便难,常有余沥,膏淋之为病,尿似
膏白出,少腹膀胱里急,劳淋之为病,倦即发,痛引气冲,小便不利,热淋之为病,热即发
,其尿血后如豆汁状,蓄作有时,五淋各异,疗方用杂,故不载也。(并出第五卷中)
范汪疗五淋方。
虫(五分熬一作虻虫) 斑蝥(二分去翅足熬) 地胆(二分去足熬) 猪苓(三分)
上四味捣筛为散,每服四分匕,日进三服,夜二服,但少腹有热者,去猪苓,服药二日
后,以器盛小便,当有所下,肉淋者下碎肉,血淋者下如短绳,若如肉脓,气淋者下如羹上
肥,石淋下石或下砂,剧者十日即愈,禁食羹猪肉,生鱼,葱,盐,醋,以小麦汁服之良。
又疗五淋神良,延命散方
滑石 石(烧半白) 石膏 车前子 露蜂房(炙并白子用之) 贝子(捣着苦酒中
二
三宿取细者用之) 柏子仁 鱼齿(捣令熟) 鸡矢白 苦瓠中穣(并子熬) 特牛阴头毛
(烧) 芒硝(熬令汁尽各一分) 白鸡 里黄皮(熬) 妇人阴上毛(二分烧一本无)
上十四味捣筛为散,每服半钱匕,加至一钱匕,日三夜一服以葵子饮下之,三日愈,甚
者不过六七日愈,小便以器盛之,当见石及诸物也。(并出第十五卷中)
必效疗五淋方。
白茅根四斤锉之,以水一斗五升,煮取五升,去滓,分三四服。(肘后千金同出第三卷
中)
《集验方》论述五淋,即石淋、气淋、膏淋、劳淋、热淋。石淋这种病,小便尿道中疼痛,尿液不能突然排出,有时自行流出,疼痛牵引至小腹,膀胱内部拘急紧迫。气淋这种病,小便困难,经常有尿后余沥不尽的感觉。膏淋这种病,尿液像膏脂一样白色流出,小腹和膀胱内部拘急紧迫。劳淋这种病,劳累后即发作,疼痛牵引至气冲穴部位,小便不利。热淋这种病,发热时即发作,其后排出的尿液像豆汁状,症状时发时止,有一定的规律。五淋各不相同,治疗方剂用法杂乱,所以不在此记载。(均出自第五卷)
范汪治疗五淋的方剂。
虻虫(五分,炒制,一作虻虫),斑蝥(二分,去翅足,炒制),地胆(二分,去足,炒制),猪苓(三分)。
以上四味药捣碎过筛制成散剂,每次服用四分匕的量,每天进服三次,夜间服两次。如果只有小腹有热感者,去掉猪苓。服药两天后,用容器盛接小便,应当会有异物排出:肉淋者排出碎肉,血淋者排出像短绳一样的东西,若像肉脓;气淋者排出像羹汤表面的浮油;石淋者排出结石或砂粒。病情严重者十日即可痊愈。禁忌食用羹汤、猪肉、生鱼、葱、盐、醋,用小麦汁送服效果良好。
又一种治疗五淋神效良方的延命散方。
滑石,石(烧至半白),石膏,车前子,露蜂房(炙烤,并用其中的蜂子),贝子(捣碎放入苦酒中浸泡两三个夜晚,取细者使用),柏子仁,鱼齿(捣烂使其熟透),鸡矢白,苦瓠中的瓤(连同种子一起炒制),特牛阴头毛(烧焦),芒硝(炒至汁液干尽,各一分),白鸡里黄皮(炒制),妇人阴上毛(二分,烧焦,另一版本无此味)。
以上十四味药捣碎过筛制成散剂,每次服用半钱匕的量,加量至一钱匕,每天三次,夜间一次,用葵子饮送服。三日可愈,严重者不超过六七日痊愈。用小便盛器承接,应当能看到结石及其他异物。(均出自第十五卷)
必效方治疗五淋的方剂。
白茅根四斤,锉碎,用水一斗五升,煮取五升,去渣,分三四次服用。(《肘后方》《千金方》同样出自第三卷)
Ji Yan Fang discusses the five types of Lin syndrome (dysuria with frequency and urgency), namely Shi Lin (Stone Lin), Qi Lin (Qi Lin), Gao Lin (Gelatinous Lin), Lao Lin (Fatigue Lin), and Re Lin (Heat Lin). The disease of Shi Lin is characterized by pain in the urethra, inability to urinate suddenly, intermittent spontaneous discharge, pain radiating to the lower abdomen, and a sensation of fullness and urgency in the bladder. The disease of Qi Lin is characterized by difficulty in urination and frequent post-void dribbling. The disease of Gao Lin is characterized by urine flowing out like gelatinous white fluid, accompanied by a sensation of fullness and urgency in the lower abdomen and bladder. The disease of Lao Lin occurs upon fatigue, with pain radiating to the Qichong point (ST30) and difficult urination. The disease of Re Lin occurs upon fever, with urine resembling bean dregs after onset; symptoms come and go at specific intervals. Since the five types of Lin differ from each other and their treatment formulas are varied, they are not recorded here. (All extracted from Volume 5)
Fan Wang's formula for treating the five types of Lin.
Machong (Blatta orientalis / Blatta germanica? Note: Text says "Chong" but annotation says "Meng Chong" or "Blatta", WHO standard often uses *Blattae Pergamenum* or similar depending on context, here interpreted as insect part) (2.5 fen, stir-fried; alternatively Meng Chong [Asio otus? No, Meng Chong usually refers to Blatta or similar insect]), Banmao (Mylabris phalerata / Mylabris cichorii) (1.5 fen, remove wings and feet, stir-fried), Dicha (Euphorbia kansui root? Note: Di Dan usually refers to Euphorbia kansui or similar toxic root) (1.5 fen, remove feet, stir-fried), Zhuling (Polyporus umbellatus) (4.5 fen).
Crush and sieve the above four ingredients into a powder. Take 2.5 fen-bi per dose, administered three times daily and twice at night. If there is only heat in the lower abdomen, remove Zhuling. After two days of taking the medicine, collect urine in a vessel; foreign matter should be discharged. For Rou Lin (Flesh Lin), fragmented flesh is discharged; for Xue Lin (Blood Lin), matter resembling short strings is discharged; if it resembles pus-like flesh; for Qi Lin, matter resembling the scum on soup is discharged; for Shi Lin, stones or sand are discharged. Severe cases will heal within ten days. Avoid consuming soup, pork, raw fish, green onions, salt, and vinegar. Taking it with wheat juice is beneficial.
Another miraculous and effective formula for treating the five types of Lin, Yanming San Powder.
Huashi (Talcum), Shi (Calcined mineral stone, heated until half-white), Shigao (Gypsum Fibrosum), Cheqianzi (Plantaginis Semen), Lufengfang (Apiis Cera / Honeycomb, roasted, using the bee larvae inside), Beizi (Concha Meretricis / Concha Arcae, crushed and soaked in Ku Jiu [bitter wine/vinegar] for two to three nights, use the fine ones], Baiziren (Platycladi Semen), Yuchi (Fish teeth/dental remains, crushed until soft), Jishibai (Chicken droppings/white part), Kuhua zhong rang (Pith of bitter gourd/bottle gourd, stir-fried with seeds), Te Niu yintou mao (Hair from the prepuce of a male ox, burnt), Mangxiao (Natrii Sulfas, stir-fried until juice is dry, each 1 fen), Baiji li huangpi (Inner yellow skin of white chicken crop/stomach lining, stir-fried), Furen yinshang mao (Hair from the vulva of a woman, 2 fen, burnt; this ingredient is absent in another version).
Crush and sieve the above fourteen ingredients into a powder. Take 0.5 qian-bi per dose, increasing up to 1 qian-bi. Administer three times daily and once at night, taken down with Kui Zi Yin (Abutilon seed decoction). It will heal in three days; severe cases will heal within six to seven days. Collect urine in a vessel; stones and other substances should be visible. (All extracted from Volume 15)
Bi Xiao Formula for treating the Lin syndrome.
Baimaogen (Imperatae Rhizoma) 4 jin, cut into small pieces. Boil in 1 dou 5 sheng of water until reduced to 5 sheng. Remove the dregs. Divide into three or four doses. (Also found in Zhou Hou Bei Ji Fang and Qian Jin Yao Fang, extracted from Volume 3)