利小便。
葵子(半升) 地榆(三两) 滑石(二两) 石苇(去毛) 石楠叶 通草(各一两)
上为散,饮服方寸匕,日三服良。
治诸淋疼痛不可忍,及砂石淋皆治。
上用大萝卜切一指浓四五片,以好白蜜二两,浸少时,安净铁铲上,慢火炙干,再蘸蜜
再炙,番覆炙令香软,不可焦,待蜜尽为度,候温细嚼,以盐汤一盏送下,立效。
治一切淋沥,服药未效。
上用生铁刀一口,多年者最佳,用石一块,磨以盆内,碗盛水磨之澄清。每服半盏,或
一盏,不拘时服。一方磨剪刀交股水一盏,服之即通。
益原散(三钱) 茴香(二钱,微炒黄,捶碎)
上为细末,水一盅半,煎至一盅,不拘时服。
治诸淋闭涩不通,大抵诸淋由肾与膀胱热也。肾与膀胱为表里,俱属于水,
脬,中行于阴,为小便也。肾气不通于阴,水液之道路,膀胱为津液府,津液内
水道不通,停积于脬,肾热而气涩,故水道不利,小便淋涩,故谓之淋。其状小
以小腹引脐急痛。又有气淋石淋血淋,形证殊异,主疗不同,今以治之。
车前子 滑石(各一两)
上为细末,每服半钱,食前米饮调服,日三服。一方涂脐四畔,约四寸,水和调服亦
可。
治五淋,小便不利,茎中痛欲死。
上用牛膝浓煎汁饮极效,酒煎亦可。一方以根煮服之。一方捶碎一两,用水二盏,煎至
一盏,去滓,一日五服。有叶朝议亲人患血淋,流下小便盆内,凝聚如 ,久而有变如鼠
,但无足耳。百治不瘥,遇一名医,言服此药,虽未愈而血色渐淡,久乃复旧。后十年其病
再作,又服此药瘥矣。《经验方》陈氏云∶予在临汀,妻党方守夷吾,以其《编类集要方》
见示,遂刊于郡斋。后鄂渚得九江守王南强书云∶老人久苦此淋疾,百药不效,偶见临汀《
集要方》中,用牛膝者服之而愈。乃致谢云。尝闻郡士有苦此者,再试亦验。因检本草,自
载治小便不利,茎中痛欲死,却将煮饮。今再检出,表其神验。
通利小便。
冬葵子(半升) 地榆(三两) 滑石(二两) 石韦(去除毛刺) 石楠叶 木通(各一两)
将上述药物研成散剂,用温水送服一方寸匕,每日服用三次,效果良好。
治疗各种淋证疼痛难以忍受,以及砂石淋均有效。
取上面提到的大萝卜切成厚约一指、长约四至五寸的四片,用好白蜜二两浸泡片刻,放在干净的铁铲上,用慢火烤干,再次蘸取蜂蜜再烤,反复翻转烘烤至香气软糯,注意不要烤焦,直到蜂蜜完全被吸收为止,待温度适宜时细细咀嚼,用一杯盐汤送下,立即见效。
治疗所有淋漓不尽的淋证,服药后未见疗效者。
取一口生铁刀一把,以年代久远的为佳,用一块石头在盆内研磨,碗中盛水进行研磨,使水澄清。每次服用半盏,或一盏,不限时间服用。另一方法是用剪刀交叉处磨出的水一盏,服用后即可通畅。
益元散(三钱) 小茴香(二钱,微炒至黄色,捣碎)
将上述药物研成细末,用水一盅半,煎煮至一盅,不限时间服用。
治疗各种淋证闭塞涩滞不通,大抵各种淋证都是由肾与膀胱有热所致。肾与膀胱互为表里,都属于水液代谢系统,胞脬(膀胱),位于身体中线行于阴部,负责排泄小便。肾气不能通达于阴部,导致水液运行的道路受阻,膀胱是津液汇聚之所,津液在体内停滞,水道不通,积聚在胞脬中,肾热而气机涩滞,所以水道不利,小便淋漓涩痛,因此称为淋。其症状表现为小腹牵引脐部急痛。又有气淋、石淋、血淋,形态和证候各不相同,主治方法也不同,现在针对这些情况进行治疗。
车前子 滑石(各一两)
将上述药物研成细末,每次服用半钱,饭前用米汤调服,每日服用三次。另一种方法是将药粉涂抹在肚脐周围,面积约四寸,用水调和后内服也可以。
治疗五种淋证,小便不利,尿道中疼痛欲死。
取牛膝浓煎汁饮用极效,用酒煎煮也可以。另一种方法是用牛膝根煮服。还有一种方法是将牛膝捣碎一两,用水二盏,煎煮至一盏,去渣,一日服用五次。有朝议大夫的亲眷患血淋,尿液流下充满盆内,凝聚如胶冻状,时间久了变得像老鼠屎一样,只是没有脚而已。经过多种治疗无效,遇到一位名医,说服用此药,虽然未痊愈但血色逐渐变淡,久而久之恢复如初。十年后病情复发,再次服用此药痊愈了。《经验方》陈氏说:我在临汀时,妻子的同乡方守夷吾向我展示他的《编类集要方》,于是将其刊印在郡斋。后来在鄂渚得到九江太守王南强的书信说:老人长期苦于这种淋疾,百药无效,偶然看到临汀《集要方》中用牛膝的方法,服用后痊愈。于是表示感谢。曾听说郡中有士人苦于此病,再次尝试也验证了疗效。因此查阅本草,自载治疗小便不利,尿道中疼痛欲死,却将煮饮。现在再次检出,表彰其神效。
To promote diuresis.
Dong Kui Zi (Seminal Malvae Kikoyae, half sheng) Di Yu (Radix Sanguisorbae, three liang) Hua Shi (Talcum, two liang) Shi Wei (Herba Pyri Astragali, remove hairs) Shi Nan Ye (Folium Nandinae) Tong Cao (Medulla Tetrapanacis, one liang each)
Grind the above ingredients into a powder. Take one fang cun bi with warm water, three times daily for good effect.
It treats all types of strangury with unbearable pain, as well as lithiasic strangury.
Take four slices of large radish, each about one finger thick and four to five inches long. Soak them in two liang of fine white honey for a short while. Place them on a clean iron spatula and slowly roast until dry. Dip them in honey again and roast, flipping repeatedly until fragrant and soft, being careful not to burn them. Continue until the honey is fully absorbed. When cool enough, chew thoroughly and swallow with a cup of salted water. The effect will be immediate.
It treats all types of dribbling strangury when previous medications have been ineffective.
Take one raw iron knife, preferably an old one. Grind it with a stone in a basin, adding water from a bowl to grind until the water becomes clear. Take half a zhan or one zhan at a time, without restriction on timing. Another method uses the water obtained by grinding crossed scissors, one zhan, which promotes urination immediately upon ingestion.
Yi Yuan San (three qian) Hui Xiang (Fructus Foeniculi, two qian, lightly stir-fried until yellow and crushed)
Grind the above ingredients into a fine powder. Add one and a half zhong of water, decoct until one zhong remains. Take at any time.
It treats various stranguries characterized by obstruction and涩滞 (astringency/stagnation). Generally, all types of strangury are caused by heat in the Kidney and Bladder. The Kidney and Bladder are interior-exteriorly related and both belong to the water element. The Pao (Bladder) runs along the midline through the yin region and is responsible for urination. If Kidney Qi does not communicate with the yin region, the pathway for fluid metabolism is blocked. The Bladder is the mansion of body fluids; if fluids stagnate internally and the water pathways are obstructed, they accumulate in the Pao. Kidney heat causes Qi stagnation, leading to dysfunctional water pathways, resulting in dribbling and painful urination, hence termed "strangury." Its manifestations include acute pain radiating from the lower abdomen to the umbilicus. There are also Qi Strangury, Lithiasic Strangury, and Hematuric Strangury, which present with distinct symptoms and require different treatments. This prescription addresses these conditions.
Che Qian Zi (Semen Plantaginis) Hua Shi (Talcum, one liang each)
Grind the above ingredients into a fine powder. Take half a qian before meals, mixed with rice water. Take three times daily. Alternatively, apply the powder around the navel, covering an area of approximately four cun, mix with water, and ingest.
It treats the five types of strangury with difficult urination and excruciating pain in the urethra.
Decoct Radix Achyranthis Bidentatae (Niu Xi) to make a concentrated juice and drink it; this is highly effective. Decoction with wine is also acceptable. Another method involves boiling the root. Yet another method crushes one liang of Niu Xi, adds two zhan of water, decocts to one zhan, removes the dregs, and takes five doses throughout the day. A relative of Councilor You had hematuric strangury, where urine filled the basin, coagulating like jelly, and later resembling rat droppings but without legs. Numerous treatments failed. A famous physician advised taking this medicine. Although not completely cured initially, the blood color gradually faded, and health was restored over time. Ten years later, the disease recurred, and taking this medicine again led to recovery. Chen Shi in *Experience Formulas* stated: While in Linting, Fang Shou Yiwu, a relative of my wife, showed me his *Collected Essential Formulas*, which I then published in the prefectural office. Later, Wang Nanqiang, Prefect of Jiujiang in Ezhou, wrote saying an elderly man suffered long-term from this strangury, unresponsive to many medicines. He accidentally saw the use of Niu Xi in the *Linting Collected Essential Formulas*, took it, and recovered. He expressed his gratitude. It was heard that a scholar in the prefecture suffered from this condition; trying it again proved effective. Consulting the Materia Medica, it records treating difficult urination and excruciating urethral pain by boiling and drinking. Now re-examining it, I highlight its miraculous efficacy.