(附论)
夫人因劳伤肾经。肾虚膀胱有热。气不传化。小便淋沥。水道涩痛。劳即发。故谓之劳
淋。
方
地黄丸 治肾虚劳。膀胱结淋涩。
生干地黄(锉焙) 黄 (各一两半) 防风(去叉) 远志 栝蒌子 茯神 黄芩 鹿
茸
(各一
盐
车前子
汤
下。
木通汤(出圣惠方)治劳淋涩滞。小腹引痛。
木通 石苇 王不留行 滑石 白术 瞿麦穗 鸡苏 冬葵子 赤茯苓 木香 当归
赤芍
人参饮 治劳淋水道不利。腰脚无力虚烦。
人参 熟干地黄(切焙) 五味子 郁李仁(汤浸去皮) 山栀子仁 瞿麦穗 木通 木
香
(各
温
服。
黄 汤 治肾虚变劳淋。结涩不利。
黄 (锉二两) 人参 滑石 五味子 白茯苓 磁石 旱莲子(各一两) 桑白皮根
(三
分)
不拘
时。
地黄汤 治劳淋结涩不通。
熟干地黄 人参 石苇(各一两) 王不留行 冬葵子 车前子 桂枝 甘遂 木通(各
半两)
菟丝子丸 治肾劳虚损。溲便不利。淋沥不已。
菟丝子(酒浸) 人参 黄 滑石 芍药 木通 车前子 黄芩 冬葵子(各等分) 上
为末
柴胡散(出圣惠方)治劳淋。每小便茎中痛。卒不能出。引小肠急胀。淋沥
痛
不止。
柴胡(一两去苗) 甘草(一分) 葵根 当归(锉微炒) 白茅根 石苇(去毛) 木
通(各
三分)
食前
温服。
治劳淋心腹烦壅。脐下妨闷。(出圣惠方)
葵子(一合) 川芒硝 滑石 旱莲子 白茅根(锉) 川大黄(锉碎微炒各三分) 桂
心
(一分)
滑石散(出圣惠方)治劳淋阴中涩痛。不得小便。
滑石 冬葵子 钟乳粉(各一两) 桂(去粗皮) 木通(锉一作通草) 王不留行(各
半两)
上
鸡苏饮子(出圣惠方)治劳淋膀胱热盛。津液结涩。小肠胀满。便溺不通。
鸡苏(一两半) 木通 葵子 白茅根 上等分为散。每服半两。以水一大盏。煎五分。
去滓
石苇散 治劳淋日夜数起。小便不利。引阴中痛。
归芍散 治劳淋小腹疼痛。小便不利。
当归 白芍药 鹿茸 熟地黄 上为细末。炼蜜丸如梧桐子大。阿胶汤下三十丸。
榆皮散 治肾气伤懑。劳淋不止。无时遗沥。或热淋妨闷。
榆皮 黄芩 瞿麦 赤茯苓 通草 鸡苏 郁李仁(去皮) 山栀子 上等分。为锉散。
每服
止夜起方(出传信适用方)
用益智二十个。和皮锉碎。用水一碗。煎至七分。临卧热服。
(附论)
人因为劳累损伤肾经。肾虚导致膀胱有热。气化功能失常,无法正常传输和转化。小便淋漓不尽。尿道涩痛。劳累后即发作,所以称为劳淋。
方剂
地黄丸:治疗肾虚引起的劳证,以及膀胱凝结导致的淋证、涩痛。
生干地黄(切碎焙干)、黄耆(各一两半)、防风(去除叉枝)、远志、栝蒌子、茯神、黄芩、鹿茸(各一钱,用盐少许)、车前子。以上药材捣碎为散,用汤药送服。
木通汤(出自《圣惠方》):治疗劳淋导致的涩滞感,小腹牵引疼痛。
木通、石苇、王不留行、滑石、白术、瞿麦穗、鸡苏、冬葵子、赤茯苓、木香、当归、赤芍。
人参饮:治疗劳淋导致的水道不通利,腰脚无力,虚烦不安。
人参、熟干地黄(切片焙干)、五味子、郁李仁(用热水浸泡去皮)、山栀子仁、瞿麦穗、木通、木香(各等分)。温服。
黄耆汤:治疗肾虚转变为劳淋,结涩不通利。
黄耆(切碎二两)、人参、滑石、五味子、白茯苓、磁石、旱莲子(各一两)、桑白皮根(三两)。不拘时间服用。
地黄汤:治疗劳淋结涩不通。
熟干地黄、人参、石苇(各一两)、王不留行、冬葵子、车前子、桂枝、甘遂、木通(各半两)。
菟丝子丸:治疗肾劳虚损,小便不利,淋沥不止。
菟丝子(酒浸)、人参、黄耆、滑石、芍药、木通、车前子、黄芩、冬葵子(各等分)。以上药材研为细末。
柴胡散(出自《圣惠方》):治疗劳淋。每次小便时茎中疼痛,突然无法排出,牵引小肠急胀,淋沥疼痛不止。
柴胡(一两去苗)、甘草(一分)、葵根、当归(切碎微炒)、白茅根、石苇(去毛)、木通(各三分)。食前温服。
治疗劳淋导致的心腹烦闷壅塞,脐下妨碍憋闷。(出自《圣惠方》)
葵子(一合)、川芒硝、滑石、旱莲子、白茅根(切碎)、川大黄(切碎微炒,各三分)、桂心(一分)。
滑石散(出自《圣惠方》):治疗劳淋导致的阴中涩痛,无法排尿。
滑石、冬葵子、钟乳粉(各一两)、桂(去除粗皮)、木通(切碎,一作通草)、王不留行(各半两)。以上药材研为散。
鸡苏饮子(出自《圣惠方》):治疗劳淋导致膀胱热盛,津液结涩,小肠胀满,大小便不通。
鸡苏(一两半)、木通、葵子、白茅根。以上药材等分为散。每次服用半两,用水一大盏,煎至五分,去渣。
归芍散:治疗劳淋导致的小腹疼痛,小便不利。
当归、白芍药、鹿茸、熟地黄。以上药材研为细末,炼蜜制成梧桐子大小的丸剂。用阿胶汤送服三十丸。
榆皮散:治疗肾气受伤郁闷,劳淋不止,无时间规律地遗沥,或者热淋导致妨闷。
榆皮、黄芩、瞿麦、赤茯苓、通草、鸡苏、郁李仁(去皮)、山栀子。以上药材等分,切碎为散。每次服用...(原文此处截断,未完整列出剂量和服法)。
(Attached Discussion)
When a person suffers injury to the Kidney Meridian due to overexertion, Kidney Deficiency (Xu) leads to Heat in the Bladder. The Qi fails to transform and transport, resulting in dribbling urination, astringent pain in the urinary pathway, and exacerbation upon exertion; hence it is called Lao Lin (Exhaustion Strangury).
Formulas
Dihuang Wan: Treats Kidney Deficiency causing exhaustion syndromes, and Lin syndrome with astringency caused by stagnation in the Bladder.
Sheng Gan Di Huang (Cinnamon Twig Decoction - *Note: Context implies Rehmannia*, Sheng Dihuang / Prepared Rehmannia Root), Huang Qi (Astragalus Root) (each 1 liang 5 qian), Fang Feng (Saposhnikovia Root) (devoid of forked tips), Yuan Zhi (Polygala Root), Gua Lou Zi (Trichosanthes Seed), Fu Shen (Poria with Hostwood), Huang Qin (Scutellaria Root), Lu Rong (Deer Antler Velvet) (each 1 qian, with a pinch of salt), Che Qian Zi (Plantago Seed). Crush into powder, take with decoction.
Mutong Tang (from *Shenghui Fang*): Treats astringent stagnation in Lao Lin, with pulling pain in the lower abdomen.
Mu Tong (Akebia Stem), Shi Wei (Pyrrosiae Leaf), Wang Bu Liu Xing (Vaccaria Seed), Hua Shi (Talcum), Bai Zhu (Atractylodes Rhizome), Qu Mai Sui (Dianthus Flower Spike), Ji Su (Elsholtzia Herb), Dong Kui Zi (Malva Seed), Chi Fu Ling (Red Poria), Mu Xiang (Aucklandia Root), Dang Gui (Angelica Sinensis Root), Chi Shao (Red Peony Root).
Renshen Yin: Treats Lao Lin with obstructed urinary pathways, weakness in waist and legs, and deficiency-induced irritability.
Renshen (Ginseng Root), Shu Gan Di Huang (Prepared Rehmannia Root) (sliced and baked), Wu Wei Zi (Schisandra Fruit), Yu Li Ren (Prunus Seed) (soaked in water, skin removed), Shan Zhi Zi Ren (Gardenia Seed), Qu Mai Sui (Dianthus Flower Spike), Mu Tong (Akebia Stem), Mu Xiang (Aucklandia Root) (each equal parts). Take warm.
Huang Qi Tang: Treats Kidney Deficiency transforming into Lao Lin, with stagnation and astringency preventing free flow.
Huang Qi (Astragalus Root) (chopped, 2 liang), Renshen (Ginseng Root), Hua Shi (Talcum), Wu Wei Zi (Schisandra Fruit), Bai Fu Ling (White Poria), Ci Shi (Magnetite), Han Lian Zi (Eclipta Fruit) (each 1 liang), Sang Bai Pi Gen (Mulberry Root Bark) (3 liang). Take at any time.
Dihuang Tang: Treats Lao Lin with stagnation and obstruction.
Shu Gan Di Huang (Prepared Rehmannia Root), Renshen (Ginseng Root), Shi Wei (Pyrrosiae Leaf) (each 1 liang), Wang Bu Liu Xing (Vaccaria Seed), Dong Kui Zi (Malva Seed), Che Qian Zi (Plantago Seed), Gui Zhi (Cinnamon Twig), Gan Sui (Kansui Root), Mu Tong (Akebia Stem) (each half liang).
Tusizi Wan: Treats Kidney Exhaustion with deficiency and damage, difficult urination, and continuous dribbling.
Tusizi (Dodder Seed) (soaked in wine), Renshen (Ginseng Root), Huang Qi (Astragalus Root), Hua Shi (Talcum), Shao Yao (Peony Root), Mu Tong (Akebia Stem), Che Qian Zi (Plantago Seed), Huang Qin (Scutellaria Root), Dong Kui Zi (Malva Seed) (each equal parts). Above ingredients are ground into powder.
Chaihu San (from *Shenghui Fang*): Treats Lao Lin. Pain in the urethra during urination, sudden inability to void, pulling sensation causing urgency and fullness in the Small Intestine, continuous dribbling pain.
Chai Hu (Bupleurum Root) (1 liang, devoid of seedlings), Gan Cao (Licorice Root) (1 fen), Kui Gen (Hibiscus Root), Dang Gui (Angelica Sinensis Root) (chopped and lightly stir-fried), Bai Mao Gen (Imperata Rhizome), Shi Wei (Pyrrosiae Leaf) (devoid of hairs), Mu Tong (Akebia Stem) (each 3 fen). Take warm before meals.
Treating Heart and Abdominal Irritability and Fullness in Lao Lin, with oppression below the umbilicus. (from *Shenghui Fang*)
Kui Zi (Hibiscus Seed) (1 he), Chuan Mang Xiao (Mirabilite), Hua Shi (Talcum), Han Lian Zi (Eclipta Fruit), Bai Mao Gen (Imperata Rhizome) (chopped), Chuan Da Huang (Rhubarb Root) (chopped and lightly stir-fried, each 3 fen), Gui Xin (Cinnamon Bark Center) (1 fen).
Huashi San (from *Shenghui Fang*): Treats Lao Lin with astringent pain in the genitalia and inability to urinate.
Hua Shi (Talcum), Dong Kui Zi (Malva Seed), Zhong Ru Fen (Halloysite Powder) (each 1 liang), Gui (Cinnamon Bark) (devoid of rough bark), Mu Tong (Akebia Stem) (chopped, alternatively Tong Cao), Wang Bu Liu Xing (Vaccaria Seed) (each half liang). Above ingredients are processed into powder.
Jisu Yinzi (from *Shenghui Fang*): Treats Lao Lin with excessive Heat in the Bladder, congealed and astringent fluids, fullness in the Small Intestine, and obstruction of urination and defecation.
Ji Su (Elsholtzia Herb) (1 liang 5 qian), Mu Tong (Akebia Stem), Kui Zi (Hibiscus Seed), Bai Mao Gen (Imperata Rhizome). Above ingredients are divided equally and ground into powder. Take 0.5 liang per dose, decoct with one large cup of water until reduced to 0.5 cup, strain, and drink.
Shiwei San: Treats Lao Lin with frequent day and night urination, difficult urination, and pulling pain in the genitalia.
Guishao San: Treats Lao Lin with lower abdominal pain and difficult urination.
Dang Gui (Angelica Sinensis Root), Bai Shao Yao (White Peony Root), Lu Rong (Deer Antler Velvet), Shu Di Huang (Prepared Rehmannia Root). Above ingredients are ground into fine powder, mixed with refined honey to make pills the size of paulownia seeds. Take 30 pills with Ejiao Tang.
Yupi San: Treats injured Kidney Qi causing depression, continuous Lao Lin, involuntary dribbling without specific timing, or heat strangury causing oppression.
Yu Pi (Mulberry Bark), Huang Qin (Scutellaria Root), Qu Mai (Dianthus Herb), Chi Fu Ling (Red Poria), Tong Cao (Tetrapanax Medulla), Ji Su (Elsholtzia Herb), Yu Li Ren (Prunus Seed) (skin removed), Shan Zhi Zi (Gardenia Fruit). Above ingredients are divided equally, chopped into coarse powder. Each dose... (Original text cuts off here, dosage and administration incomplete).
Zhi Ye Qi Fang (from *Chuanxin Shi Yong Fang*):
Use 20 Yi Zhi (Alpinia Oxyphylla Fruit), chop coarsely with the peel. Use one bowl of water, decoct until 0.7 bowl remains. Take hot before going to bed.