病源石淋者,淋而出石也,肾主水,水结则化为石,故肾客砂石,肾虚为热所乘,热则
成淋
塞痛,
范汪疗石淋方。
鳖甲烧灰捣筛为散,酒服方寸匕,频服数剂,当去石也。(肘后同)
又方
取人家篱墙上连蔓 阔,掘出见其根挽断,以杯于坎中承其汁,服之一升,石自当出,
若不出更服一升。
又方
取车前子二升,用绢囊盛之,以水八升,煮取三升,去滓,顿服之,移日又服,石当下
也,宿勿食服之神良。(肘后千金同)
又方
柏子仁 芥子 滑石(各等分)
上三味捣筛为散,以麦汁饮服方寸匕,日三服,已效。
又方
牛角烧灰服方寸匕,日五六服,任意饮酒。
又方
瞿麦子捣为末,酒服方寸匕,日三服,至一二日,当下石,又香薷捣作屑,以酢浆饮服
方寸匕,日三,至二三日当下石。(并出第十五卷中)
短剧疗石淋方。
浮石取满一手,捣为末,以水三升,苦酒一升,煮取二升,澄清,温服一升,不过再三
服,石即出。(古今录验千金崔氏同出第四卷中)
集验疗石淋方。
鲤鱼齿一升,贝齿一升,捣筛,以三岁苦酒和,分为三服,宿不食,旦服一份,日中服
一份,暮服一份。(古今录验范汪同)
文仲石淋方。
桃胶如枣大,夏月着三合冷水中,冬月以汤三合和之,一服,日三,当下石,石尽即止
。(千金古今录验同)
又方
浓煮车前草汁饮之,良也。(古今录验同出第四卷中)
古今录验疗石淋及诸淋方。
石首鱼头石(十四枚) 当归(等分)
上二味捣筛为散,以水二升,煮取一升,顿服立愈,单用鱼头石亦佳。
又石淋石苇散方
石苇(去毛) 滑石(各三分)
上二味捣筛为散,用米汁若蜜服一刀圭,日二服。(范汪同)
又方
取生 叶捣绞取汁,三升为三服,石自出。(范汪同)
又滑石散,疗石淋,茎中疼痛沥沥,昼夜百余行,内出石及血方。
滑石(二十分) 石苇(去毛) 当归 通草 地胆(去足熬) 钟乳(研各二分) 车
前子(三分) 瞿麦 蛇床子(二分) 细辛 蜂房(炙各一分)
上十一味为散,以葵汁麦粥服方寸匕,日三。
又疗石淋沥沥茎中痛,昼夜百行,或血出延命散方。
滑石 牛角 (烧灰) 芒硝(各二两) 瞿麦(三两) 车前子 露蜂房(炙) 贝
子(烧
)柏子仁 鱼齿(炙) 鸡矢白 苦瓠子(烧) 牛阴头毛(各一两) 妇人阴上毛(二
分一
本无)
上十三味捣筛为散,以葵汁服方寸匕,日三服。
又疗石淋方。
取鸡子陈者一枚,用苦酒一升,以鸡子合苦酒置器中,以油纸三四重密封头,不令水得
入,沉井中一宿,平旦取剥去皮,吞其黄,石即消去。(并出第二十六卷中)
病因方面,石淋的成因是排尿时排出砂石。肾主水液代谢,水液凝结则化为结石,因此砂石滞留于肾。若肾虚且受热邪侵袭,热邪会导致淋证发作,出现尿道阻塞疼痛的症状。
范汪治疗石淋的方剂:
将鳖甲烧成灰,捣碎过筛制成散剂,用酒送服一方寸匕的量,频繁服用数剂后,结石应当能排出。(此法与《肘后备急方》相同)
另一个方子:
取人家篱笆墙上连根生长的菟丝子(此处原文“蔓”前缺字,结合语境及《肘后》通常指菟丝子或类似缠绕植物,但依原文仅译“连蔓...阔”,暂译为“连蔓生长的植物叶片/茎”),挖出直到看见根部并挽断,用杯子在坑中承接流出的汁液,服用一升,结石自然应当排出,如果未排出再服用一升。
又一个方子:
取车前子二升,用绢袋装好,加水八升,煮至剩余三升,滤去药渣,一次性服下,过一段时间再服一次,结石应当下行排出,前一晚不要进食,服药效果神妙良效。(此法与《肘后备急方》、《千金方》相同)
又一个方子:
柏子仁、芥子、滑石(各等分)。
以上三味药捣碎过筛制成散剂,用麦汁送服一方寸匕的量,每日三次,已经见效。
又一个方子:
牛角烧成灰服用一方寸匕的量,每日五到六次,随意饮酒。
又一个方子:
瞿麦子捣成粉末,用酒送服一方寸匕的量,每日三次,一到两天后,结石应当下行排出;另外香薷捣成碎屑,用醋浆送服一方寸匕的量,每日三次,两三天后结石应当下行排出。(均出自第十五卷)
《短剧》治疗石淋的方剂:
取满一手掌的浮石,捣成粉末,用水三升、醋一升,煮至剩余二升,澄清后,温服一升,不超过两三次服用,结石即可排出。(此方与《古今录验》、《千金方》、崔氏方同出自第四卷)
《集验》治疗石淋的方剂:
鲤鱼齿一升,贝齿一升,捣碎过筛,用三年的陈醋调和,分为三份服用,前一晚不进食,早晨服一份,中午服一份,晚上服一份。(与《古今录验》、范汪方相同)
文仲治疗石淋的方剂:
桃胶如枣核大小,夏季放入三合冷水中,冬季用三合热水调和它,每次服用,每日三次,结石应当下行排出,结石排尽即停止。(与《千金方》、《古今录验》相同)
又一个方子:
浓煮车前草汁饮用,效果很好。(与《古今录验》同出自第四卷)
《古今录验》治疗石淋及各类淋证的方剂:
石首鱼头石(十四枚)、当归(等分)。
以上两味药捣碎过筛制成散剂,用水二升,煮至剩余一升,一次性服下立刻痊愈,单用鱼头石也很好。
又石淋石苇散方:
石苇(去毛)、滑石(各三分)。
以上两味药捣碎过筛制成散剂,用米汤或蜂蜜送服一刀圭的量,每日两次。(与范汪方相同)
又一个方子:
取生[某]叶捣碎绞取汁液,三升分为三次服用,结石自然排出。(与范汪方相同)
又滑石散,治疗石淋,尿道中疼痛淋漓不尽,白天黑夜一百多次排尿,体内排出结石及血液的方剂:
滑石(二十分)、石苇(去毛)、当归、通草、地胆(去足炒制)、钟乳(研细,各二分)、车前子(三分)、瞿麦、蛇床子(二分)、细辛、蜂房(炙制,各一分)。
以上十一味药制成散剂,用葵汁或麦粥送服一方寸匕的量,每日三次。
又治疗石淋淋漓、尿道中疼痛,白天黑夜一百多次排尿,或者出血的延命散方:
滑石、牛角(烧成灰)、芒硝(各二两)、瞿麦(三两)、车前子、露蜂房(炙制)、贝子(烧制)、柏子仁、鱼齿(炙制)、鸡矢白、苦瓠子(烧制)、牛阴头毛(各一两)、妇人阴上毛(二分,原本没有此味药)。
以上十三味药捣碎过筛制成散剂,用葵汁送服一方寸匕的量,每日三次服用。
又一个治疗石淋的方子:
取一枚陈旧的鸡蛋,用一升醋,将鸡蛋和醋放在容器中,用三四层油纸密封容器口,不让水进入,沉入井中一夜,天亮时取出剥去蛋壳,吞服蛋黄,结石即刻消除。(均出自第二十六卷)
Etiology: The cause of Stone Lin (Stone strangury) is the passage of stones during urination. The Kidney governs water metabolism; when water stagnates and condenses, it transforms into stones. Therefore, sand and stones lodge in the Kidney. If the Kidney is deficient and attacked by Heat pathogenic factors, the Heat leads to the onset of Lin syndrome, causing obstruction and pain in the urinary tract.
Fan Wang's prescription for treating Stone Lin:
Calcinate turtle plastron (Bie Jia), grind into powder, and sieve. Take one cun bi (a measure of volume) with wine. Administer frequently over several doses; the stone should be expelled. (Same as *Zhou Hou Bei Ji Fang*)
Another prescription:
Take the leaves/stems of a vine growing on a fence wall, dig up to the root, break it off, place a cup in the pit to catch the exuded juice, and take one sheng (a measure of volume). The stone should naturally pass. If it does not pass, take another sheng.
Another prescription:
Take two sheng of Plantaginis Semen (Che Qian Zi), place in a silk bag, add eight sheng of water, boil down to three sheng, remove dregs, and take in one dose. Take another dose after some time; the stone should descend. Do not eat the night before; this method is miraculous and effective. (Same as *Zhou Hou Bei Ji Fang* and *Qian Jin Fang*)
Another prescription:
Bai Zi Ren (Biota Seed), Mustard Seed (Jie Zi), Talcum (Hua Shi) (equal parts).
Grind these three herbs into powder. Take one cun bi with wheat juice, three times daily. Effective.
Another prescription:
Calcinate ox horn (Niu Jiao) and take one cun bi, five to six times daily. Drink alcohol as desired.
Another prescription:
Grind Qu Mai Zi (Seed of Agrostis/Galege) into powder, take one cun bi with wine, three times daily. Within one to two days, the stone should descend. Alternatively, crush Xiang Ru (Mosla Herb) into fragments, take one cun bi with vinegar juice, three times daily. Within two to three days, the stone should descend. (Both from Volume 15)
*Duan Ju*'s prescription for treating Stone Lin:
Take enough pumice stone (Fu Shi) to fill one hand, grind into powder. Add three sheng of water and one sheng of vinegar (Ku Jiu), boil down to two sheng. Clarify, warm, and take one sheng. After no more than two or three doses, the stone will be expelled. (Same as *Gu Jin Lu Yan*, *Qian Jin Fang*, and Cui Shi's formula, all from Volume 4)
*Ji Yan*'s prescription for treating Stone Lin:
Take one sheng of carp teeth (Li Yu Chi) and one sheng of shell teeth (Bei Chi). Grind and sieve. Mix with three-year-old vinegar (Ku Jiu). Divide into three doses. Fast overnight. Take one dose in the morning, one at noon, and one in the evening. (Same as *Gu Jin Lu Yan* and Fan Wang)
Wen Zhong's prescription for Stone Lin:
Take peach gum (Tao Jiao) the size of a jujube. In summer, soak in three he of cold water; in winter, mix with three he of hot water. Take once, three times daily. The stone should descend. Stop when the stone is fully expelled. (Same as *Qian Jin Fang* and *Gu Jin Lu Yan*)
Another prescription:
Boil fresh Plantago herb (Che Qian Cao) juice thickly and drink it. It is excellent. (Same as *Gu Jin Lu Yan*, from Volume 4)
*Gu Jin Lu Yan*'s prescription for treating Stone Lin and various types of Lin:
Larimichthys crocea head stone (Shi Shou Yu Tou Shi) (14 pieces), Angelicae Sinensis Radix (Dang Gui) (equal parts).
Grind these two ingredients into powder. Add two sheng of water, boil down to one sheng, and take in one dose. Cure immediately. Using only the fish head stone is also good.
Another prescription for Stone Lin: Shi Wei San:
Sheath-flower Privet Leaf (Shi Wei) (remove hairs), Talcum (Hua Shi) (3 fen each).
Grind these two ingredients into powder. Take one dao gui with rice juice or honey, twice daily. (Same as Fan Wang)
Another prescription:
Take fresh [missing character] leaves, crush and squeeze out the juice. Three sheng divided into three doses. The stone will naturally pass. (Same as Fan Wang)
Another prescription: Hua Shi San, for treating Stone Lin with pain in the urethra, dribbling urine, frequent urination over a hundred times day and night, and expulsion of stones and blood:
Talcum (Hua Shi) (20 fen), Sheath-flower Privet Leaf (Shi Wei) (remove hairs), Angelicae Sinensis Radix (Dang Gui), Tetrapanacis Medulla (Tong Cao), Gromwell Root (Di Dan) (remove feet and stir-fry), Milky Spore (Zhong Ru) (grind, 2 fen each), Plantaginis Semen (Che Qian Zi) (3 fen), Agrostidis Herba (Qu Mai), Cnidii Fructus (She Chuang Zi) (2 fen), Asari Radix et Rhizoma (Xi Xin), Vespa Nidus (Feng Fang) (stir-fry, 1 fen each).
Make eleven ingredients into powder. Take one cun bi with Malva juice or millet gruel, three times daily.
Another prescription: Yan Ming San, for treating Stone Lin with dribbling pain in the urethra, frequent urination over a hundred times day and night, or bleeding:
Talcum (Hua Shi), Calcined Ox Horn (Niu Jiao), Mirabilite (Mang Xiao) (2 liang each), Agrostidis Herba (Qu Mai) (3 liang), Plantaginis Semen (Che Qian Zi), Vespa Nidus (Lu Feng Fang) (stir-fry), Concha Meretricis et Cyclinae (Bei Zi) (calcined), Biota Seed (Bai Zi Ren), Calcined Fish Teeth (Yu Chi) (stir-fried), Chicken Vomit (Ji Shi Bai), Burnt Bitter Bottle Gourd Seeds (Ku Hu Zi), Hair from Bull's Prepuce (Niu Yin Tou Mao) (1 liang each), Hair from Woman's Pubis (Fu Ren Yin Shang Mao) (2 fen, originally absent).
Grind thirteen ingredients into powder. Take one cun bi with Malva juice, three times daily.
Another prescription for treating Stone Lin:
Take one old chicken egg. Add one sheng of vinegar. Place the egg and vinegar in a vessel. Seal the top with three to four layers of oiled paper tightly to prevent water entry. Submerge in a well overnight. At dawn, take out, peel off the shell, and swallow the yolk. The stone will dissolve and disappear. (All from Volume 26)