病源此由劳伤于肾。肾气虚冷故也。肾主水而关窍在阴。阴为尿便之道。脬冷肾损。故
小便白而如脂。或如麸片也。（出第四卷中）
崔氏饮水不知休。小便中如脂。舌干渴方。
黄连（五两） 栝蒌（五两）
上二味捣末。以生地黄汁和丸。并手丸。每食后牛乳下五十丸。日再服之。忌猪肉。
近效消渴肝肺热。焦枯消瘦。或寒热口干。日夜饮水。小便如脂。不止欲死方。
水飞铁粉（三两绝燥者别研入） 鸡 （五枚阴干末入） 牡蛎（二两熬别研如粉入）
黄
连（三两）
上四味捣筛三五度。炼蜜和丸。饮汁下如梧子大五十丸。重者不过食时。轻者手下瘥。
勿传。忌猪肉。
又主消渴口干方。
黄连 豉（曝令干）
上二味一处捣。令成丸。食后饮服四十丸。日再。丸稍大如常药丸。常服有效。忌猪肉
又消渴能饮水。小便甜。有如脂麸片。日夜六七十起方。
冬瓜（一枚） 黄连（十两）
右截瓜头去穣。入黄连末。火中煨之。候黄连熟。布绞取汁。一服一大盏。日再服。但
服两三枚瓜。以瘥为度。一方云∶以瓜汁和黄连末。和如梧子大。以瓜汁空肚下三十丸。日
再服。不瘥。增丸数。忌猪肉冷水。
经验用大牡蛎不计多少。以腊日端午日将黄泥裹 通赤。放冷取出为末。用活鲫鱼煎汤
调下一钱。
病因源于肾气因劳累而受损。这是因为肾气虚弱且伴有寒象。肾主管水液代谢，其窍道位于阴部。阴部是排尿和排便的通道。若膀胱寒冷、肾脏受损，就会导致小便色白且状如脂膏，或者像麦麸片一样。（出自第四卷）
崔氏治疗因饮水无度导致的小便中夹杂脂膏、舌干口渴的方剂：
黄连（五两），栝蒌（五两）
将以上两味药捣成粉末，用生地黄汁调和制成丸药，搓成如手丸大小。每次饭后用牛乳送服五十丸，每日服用两次。忌食猪肉。
近效方治疗消渴症属肝肺热盛，身体焦枯消瘦，或伴有寒热往来、口干，日夜大量饮水，小便如脂膏，病情危急欲死的方剂：
水飞铁粉（三两，需彻底干燥后单独研磨加入），鸡（五枚，阴干后研末加入），牡蛎（二两，煅烧后单独研磨成粉加入），黄连（三两）
将以上四味药捣碎过筛三至五次，用炼蜜调和制成丸药，用饮汁送服，丸药大小如梧桐子，每次五十丸。重症者不过一顿饭的时间即可见效，轻症者服药后立即好转。此方勿外传。忌食猪肉。
又方主治消渴症口干：
黄连，豉（晒干）
将以上两味药一起捣碎，制成丸药。饭后用饮汁送服四十丸，每日两次。丸药稍大，如同常规药丸的大小。常服有效。忌食猪肉。
又方治疗消渴症能大量饮水，小便甜味，状如脂膏或麦麸片，日夜排尿六七十次的方剂：
冬瓜（一枚），黄连（十两）
切去冬瓜头部，挖去瓜瓤，填入黄连末，在火中煨烤。待黄连熟透后，用布绞取汁液。每次服用一大盏，每日两次。只需服用两三个冬瓜，以病愈为限度。另一说法称：用冬瓜汁与黄连末调和，制成如梧桐子大小的丸药，空腹时用冬瓜汁送服三十丸，每日两次。若未痊愈，可增加丸药数量。忌食猪肉和冷水。
经验方使用大牡蛎不限数量，在腊日或端午日用黄泥包裹，烧至通红，放冷后取出研成粉末。用活鲫鱼煎汤调服一钱。
The etiology of this condition stems from kidney injury due to overexertion. This is caused by deficiency and coldness of Kidney Qi (Kidney Energy). The Kidneys govern water metabolism, and their orifices are located in the yin region. The yin region serves as the pathway for urination and defecation. When the bladder is cold and the kidneys are damaged, it results in urine that is white and resembles fat or grease, or appears like bran flakes. (Excerpted from Volume 4)
Cui Shi's prescription for excessive drinking leading to urine containing fatty substances, dry tongue, and thirst:
* Huanglian (Coptidis Rhizoma, 5 liang)
* Gualuan (Trichosanthis Fructus, 5 liang)
Pulverize the above two herbs. Mix with juice of fresh Shengdihuang (Rehmanniae Radix) to form pills, shaping them into hand-sized balls. Take fifty pills after each meal, washed down with cow's milk. Administer twice daily. Avoid pork.
Jin Xiao Fang for Xiao Ke (Wasting-Thirst Syndrome) characterized by heat in the Liver and Lungs, emaciation, alternating chills and fever, dry mouth, excessive drinking day and night, urine resembling fat/grease, and critical condition approaching death:
* Shuifei Tiefen (Calculated Magnetitum, 3 liang, thoroughly dried and ground separately before adding)
* Ji (Gallus gallus domesticus, 5 pieces, dried in shade and ground into powder before adding)
* Muli (Ostreae Concha, 2 liang, calcined and ground into powder separately before adding)
* Huanglian (Coptidis Rhizoma, 3 liang)
Pulverize and sieve the above four herbs three to five times. Mix with refined honey to form pills. Wash down with beverage juice; pills should be the size of wutong seeds, fifty per dose. For severe cases, improvement occurs within one meal time; for mild cases, recovery is immediate. Do not disseminate this formula. Avoid pork.
Another prescription for Xiao Ke (Wasting-Thirst Syndrome) with dry mouth:
* Huanglian (Coptidis Rhizoma)
* Chi (Sojae Semen Praeparatum, sun-dried)
Pulverize the above two herbs together and form pills. Take forty pills after meals, washed down with beverage juice, twice daily. The pills should be slightly larger than standard medicinal pills. Regular use is effective. Avoid pork.
Another prescription for Xiao Ke (Wasting-Thirst Syndrome) with polydipsia, sweet-smelling urine resembling fat/bran flakes, and frequent urination (60-70 times day and night):
* Donggua (Benincasae Fructus, 1 melon)
* Huanglian (Coptidis Rhizoma, 10 liang)
Cut off the head of the melon, remove the pulp, and insert Huanglian powder. Roast in fire until the Huanglian is cooked. Strain through cloth to extract the juice. Take one large cup per dose, twice daily. It suffices to consume two or three melons until recovery. Another method states: Mix melon juice with Huanglian powder to form pills the size of wutong seeds. Take thirty pills on an empty stomach with melon juice, twice daily. If not cured, increase the number of pills. Avoid pork and cold water.
Empirical prescription using large Muli (Ostreae Concha) in unlimited quantity. Wrap in yellow mud and calcine until red-hot on the tenth day of the twelfth lunar month (Lar Day) or the fifth day of the fifth lunar month (Duanwu Festival). Allow to cool, then grind into powder. Take one qian mixed with decoction of live Crucian carp.