《巢氏病源》小儿石淋候∶石淋者，淋而出石也。肾主水，水结则化为石，故肾容砂石。肾为热所乘，热则
成淋。其状小便茎中痛，尿不能卒出，时自痛引小肠，膀胱里急，砂石从小便道出。甚者，水道塞痛，令闷绝也。
《葛氏肘后》小儿淋若石淋方。
上散，牯牛阴头毛烧末，以酱汁一服一刀圭，日再之。
《外台》文仲疗小儿淋兼石淋方。
榆皮 瞿麦（各六分）
上二味切，以水一升，煮取半升，去滓，分温服之。
《外台》文仲又方
小麦（一合） 葱白（一握）
上二味，以水一升煮，去滓，取一半分服之。
《圣惠》治小儿石淋，水道中涩痛不可忍。葵子散方
冬葵子 石楠 榆白皮（锉） 石韦（去毛） 木通（锉。以上各半两） 滑石（一两，细研）
上件药捣，细罗为散。每服以葱白汤调下半钱，日三、四服。量儿大小以意加减。
《圣惠》又方
滑石（二两） 石韦（去毛） 子芩（各三分）
上件药捣，细罗为散。每服以粥饮调下半钱，日三、四服。量儿大小以意加减。
《圣惠》治小儿石淋涩痛心烦方。
甘草（炙微赤，锉） 干姜（炮制，锉。各一两） 鸡粪白（半两，微炒）
上件药捣，细罗为散。每服煎小麦饮调下半钱，日三、四服。量儿大小加减服之。
《圣惠》治小儿五、七岁石淋，茎中有砂石不可出者，宜服鸡粪白散方
上用鸡粪白一两，炒令黄，捣、细罗为散。以水一大盏，露一宿。每服用此水一合，调散半钱服之。日
三、四服，当下砂石。量儿大小以意加减。
《圣惠》又方
上捣细瞿麦一两，罗为散。每服以温酒调下半钱，日三、四服。量儿大小以意加减。
《圣惠》又方
上以桃胶半两，热汤一中盏，化胶令消，去滓。量儿大小分减频服。
《婴孺》治小儿石淋，小便难方。
上蝇屎以饮，服一刀圭。
《婴孺》治小儿石淋、气淋。桂心散方
桂心（一分） 蜂房（二分）
上为末，酒或麦汁服一刀圭。
《吉氏家传》石韦散 治小儿风热。砂石淋方
石韦（去毛） 海金砂 木通 滑石（以上各等分）
上为末。每半钱或一钱，瞿麦汤下。
《巢氏病源》中关于小儿石淋的论述：所谓石淋，是指排尿时伴有砂石排出。肾主司水液代谢，若水液凝结不化，则形成砂石，因此肾脏内容纳砂石。当肾脏受到热邪侵袭，热盛则引发淋证。其症状表现为小便尿道疼痛，尿液不能立即顺畅排出，时常出现疼痛牵引至小肠的感觉，膀胱内部急迫不适，砂石随小便排出。病情严重者，水道被堵塞导致剧烈疼痛，甚至使人因剧痛而昏厥。
《葛氏肘后》中治疗小儿淋证及石淋的方剂。
将上述药物制成散剂，取牡牛阴头毛烧成炭末，用酱汁送服一刀圭的量，每日服用两次。
《外台秘要》中文仲治疗小儿淋证兼石淋的方剂。
榆皮、瞿麦（各六分）
将以上两味药切碎，用水一升煎煮，取药汁半升，滤去药渣，分次温服。
《外台秘要》中文仲的另一个方剂
小麦（一合）、葱白（一握）
将以上两味药，用水一升煎煮，滤去药渣，取一半药量分次服用。
《太平圣惠方》治疗小儿石淋，尿道涩痛难以忍受的葵子散方。
冬葵子、石楠、榆白皮（锉碎）、石韦（去毛）、木通（锉碎。以上各半两）、滑石（一两，细研）
将上述药物捣碎，过细筛制成散剂。每次服用半钱，用葱白汤调服，每日三至四次。根据患儿年龄大小酌情增减剂量。
《太平圣惠方》的另一个方剂
滑石（二两）、石韦（去毛）、黄芩（各三分）
将上述药物捣碎，过细筛制成散剂。每次服用半钱，用米粥饮调服，每日三至四次。根据患儿年龄大小酌情增减剂量。
《太平圣惠方》治疗小儿石淋涩痛伴心烦的方剂。
甘草（炙至微赤，锉碎）、干姜（炮制，锉碎。各一两）、鸡粪白（半两，微炒）
将上述药物捣碎，过细筛制成散剂。每次服用半钱，用煎好的小麦饮调服，每日三至四次。根据患儿年龄大小酌情增减剂量服用。
《太平圣惠方》治疗五至七岁小儿石淋，尿道中有砂石无法排出的，宜服用鸡粪白散方。
取鸡粪白一两，炒至黄色，捣碎并过细筛制成散剂。用水一大盏，露天放置一夜。每次取此水一合，调服散剂半钱，每日三至四次，可使砂石排出。根据患儿年龄大小酌情增减剂量。
《太平圣惠方》的另一个方剂
将瞿麦捣碎过筛为一两散剂。每次服用半钱，用温酒调服，每日三至四次。根据患儿年龄大小酌情增减剂量。
《太平圣惠方》的另一个方剂
取桃胶半两，用热汤一中盏化开桃胶使其溶解，滤去杂质。根据患儿年龄大小分次减少频服。
《婴孺书》治疗小儿石淋，小便困难的方剂。
取苍蝇屎，用水送服，剂量为一刀圭。
《婴孺书》治疗小儿石淋、气淋的桂心散方。
桂心（一分）、蜂房（二分）
将上述药物研为细末，用酒或麦汁送服一刀圭。
《吉氏家传》石韦散，治疗小儿风热所致砂石淋的方剂。
石韦（去毛）、海金砂、木通、滑石（以上各等分）
将上述药物研为细末。每次服用半钱或一钱，用瞿麦汤送服。
According to *Chao Shi Bing Yuan* (Pathogenesis of Diseases by Master Chao) regarding the syndrome of pediatric lithuria (stone strangury): Lithuria refers to the passage of stones during urination. The Kidney governs water metabolism; when water condenses and fails to transform, it forms stones, thus the Kidney accommodates sand and stones. When the Kidney is invaded by pathogenic heat, excessive heat leads to strangury. The clinical manifestations include pain in the urethra during urination, inability to void urine immediately and smoothly, frequent pain radiating to the small intestine, urgency and discomfort within the bladder, and the discharge of sand and stones via the urinary tract. In severe cases, the urinary pathway becomes obstructed causing intense pain, potentially leading to syncope due to pain.
From *Ge Shi Zhou Hou* (Emergency Prescriptions from the Elbow Sleeve of Master Ge), a prescription for treating pediatric strangury and lithuria:
Prepare the above ingredients as a powder. Burn the hair from the prepuce of a male ox to ash. Administer one "dao gui" (a traditional Chinese unit of volume/weight for powders) mixed with soy sauce, twice daily.
From *Wai Tai Mi Yao* (Essential Prescriptions Worth a Thousand Gold) by Wen Zhong, a prescription for treating pediatric strangury complicated by lithuria:
Celtis Cortex (Yu Pi) and Dianthera Herba (Qu Mai), each 6 fen.
Cut the two herbs, decoct them in one sheng of water until half remains. Strain the dregs and administer warm in divided doses.
Another prescription by Wen Zhong in *Wai Tai Mi Yao*:
Triticum Semen (Xiao Mai), one he; Scallion White (Cong Bai), one handful.
Decoct the two ingredients in one sheng of water, strain, and take half the volume in divided doses.
From *Tai Ping Sheng Hui Fang* (Holy惠民 Formulas of the Taiping Era), Kui Zi San for treating pediatric lithuria with unbearable astringent pain in the urinary tract:
Abutilon Semen (Dong Kui Zi), Ficus Nankingensis Folium (Shi Nan), Ulmus Pumila Cortex (Yu Bai Pi, crushed), Pyrosia Volubilis Folium (Shi Wei, de-haired), Akebia Caulis (Mu Tong, crushed). Each of the above: 0.5 liang. Talcum (Hua Shi), 1 liang, finely ground.
Pound the mentioned medicines, sift through a fine sieve to make a powder. For each dose, mix half a qian with scallion white decoction and take orally. Take three to four times daily. Adjust the dosage according to the child's age and condition.
Another prescription from *Tai Ping Sheng Hui Fang*:
Talcum (Hua Shi), 2 liang; Pyrosia Volubilis Folium (Shi Wei, de-haired); Scutellaria Radix (Zi Qin, i.e., Huang Qin), each 3 fen.
Pound the mentioned medicines, sift through a fine sieve to make a powder. For each dose, mix half a qian with rice gruel liquid and take orally. Take three to four times daily. Adjust the dosage according to the child's age and condition.
From *Tai Ping Sheng Hui Fang*, a prescription for pediatric lithuria with astringent pain accompanied by irritability:
Glycyrrhiza Radix et Rhizoma (Gan Cao), roasted until slightly red and crushed; Zingiberis Rhizoma (Gan Jiang), processed and crushed. Each 1 liang. Gallus Gallus Excrement Album (Ji Fen Bai), 0.5 liang, lightly stir-fried.
Pound the mentioned medicines, sift through a fine sieve to make a powder. For each dose, mix half a qian with decocted wheat beverage and take orally. Take three to four times daily. Adjust the dosage according to the child's age.
From *Tai Ping Sheng Hui Fang*, Ji Fen Bai San for five- to seven-year-old children with lithuria where sand and stones in the urethra cannot be expelled:
Take 1 liang of Gallus Gallus Excrement Album, stir-fry until yellow, pound, and sift through a fine sieve to make a powder. Soak in one da zhen of water overnight exposed to the dew. For each dose, take one he of this water to mix with half a qian of the powder and take orally. Take three to four times daily to promote the expulsion of sand and stones. Adjust the dosage according to the child's age.
Another prescription from *Tai Ping Sheng Hui Fang*:
Pound Dianthera Herba (Qu Mai) finely to obtain one liang of powder. For each dose, mix half a qian with warm wine and take orally. Take three to four times daily. Adjust the dosage according to the child's age.
Another prescription from *Tai Ping Sheng Hui Fang*:
Take 0.5 liang of Prunus Mume Gum (Tao Jiao), dissolve it in one zhong zhen of hot water until melted. Strain the dregs. Divide into frequent small doses according to the child's age.
From *Ying Ru Shu*, a prescription for pediatric lithuria with difficult urination:
Administer Musca Domestica Excrement (Shang Fei Shi) with drinking water, one dao gui per dose.
From *Ying Ru Shu*, Gui Xin San for pediatric lithuria and qi-strangury:
Cinnamomi Ramulus (Gui Xin), 1 fen; Vespa Nidus (Feng Fang), 2 fen.
Grind into powder. Administer one dao gui with wine or malt juice.
From *Ji Shi Jia Chuan*, Shi Wei San for treating wind-heat in children causing stone strangury:
Pyrosia Volubilis Folium (Shi Wei, de-haired);金黄色孢子粉 (Hai Jin Sha); Akebia Caulis (Mu Tong); Talcum (Hua Shi). All in equal proportions.
Grind into powder. For each dose, take half a qian or one qian, administered with Qu Mai decoction.