（附论）
夫肾虚则不能制小便。膀胱挟热。则水道涩。肾虚则膀胱热。胞内气胀。小腹坚满。而
生淋
方
瞿麦汤 治气淋涩滞。
瞿麦穗 黄连 大黄 枳壳 当归 桔梗 牵牛子 大腹 木通 羌活 延胡索 射干
桂
不拘
时
白芷散 治气淋结涩。小便不通。
用白芷醋浸。焙干二两。捣为细散。煎木通汤调二钱。连进二服。
治急气淋。阴肾肿。
用泥葱半斤煨过。烂捣贴脐。
芍药汤 治气淋小便不通。
赤芍药 大黄 当归 芎 （各二两） 桂（去粗皮） 人参 细辛 桃白皮 真珠末
（半
两）
十味滑石散 治气淋脐腹满结。小便不利。
吴茱萸散（出圣惠方） 治气淋。腹胀不通。
吴茱萸 干姜 赤芍药 桂心 当归 桃白皮 人参 细辛 真珠末 雄黄（各一分）
上为
小盏
沉香散（出三因方）治气淋多因五脏郁结。气不得舒。阴滞于阳而至壅闭。
小
腹胀满。使溺
当归 沉香 石苇 滑石 王不留行（各半两） 葵子 白芍药（各三分） 甘草 橘
皮
上为
木香散（出圣惠方）治气淋小腹疼痛。
木香（一两） 细辛 赤茯苓（各三分） 鸡苏 槟榔（各一两） 人参 当归 桃仁
（各半
两）
石苇散 治气壅不通。小便淋结。脐下妨闷疼痛。
石苇 赤芍药（各半两） 白茅根 木通 瞿麦 滑石（各一两） 葵子 川芒硝 木
香
（各一
木通汤 治气淋结涩不通。
木通 木香 细辛 草豆蔻 人参 桃仁 肉豆蔻 赤茯苓 上捣筛。每服三钱。水一
盏。
瞿麦汤 治气淋膀胱热结。小便不通。
瞿麦穗 黄芩 鸡苏（各一两） 当归 木通 白茯苓 芍药 滑石（各三分） 上捣
筛。
每服
茯苓散（出圣惠方）治气淋小腹胀闷。脐下时时切痛。
赤茯苓 白术 赤芍药（各一两） 葵子 木通 榆皮 白茅根 上为散。每服三钱。
水
一盏
桑根白皮汤（出圣惠方）专治气淋腹胁胀满。脐下血结。小便疼痛。
桑根白皮 木通 百合 白茅根 鸡苏 赤芍药 上等分为散。每服四钱。水一盏。煎
六分
大黄丸 治气淋小便不快。
大黄 赤芍药（各一两） 黄芩 杏仁 芒硝（各一两半） 上为末。和匀。炼蜜为丸
如梧
桐子
榆白皮汤 治气淋结涩。泄便不利。
海金沙散 治气淋结涩不快。
海金沙（别捣二两） 滑石（研细） 甘草 山栀子（各一两） 上将甘草、栀子仁二
味。捣
罗为
贝齿汤 因气成淋。小便成痛。或泄血。或如豆汁。
贝齿（研一枚） 冬葵子（研半合） 石膏（一两半） 滑石（碎一两） 上捣末如麻
豆大。每
服五
通神散 治气淋结涩不通。
葵子汤 治气壅不通。小便淋涩结。脐下妨闷疼痛。
葵子（一合） 生茅根（二两） 青橘皮（一两） 上为散。水二大盏。葱白五茎。煎
取一盏
二分
石苇汤 治气淋。小便不利胀满。
石苇（一两） 鸡肠草（三两） 上捣筛。每服三钱。水一盏。煎七分。去滓。温服。
不拘
时。
榆枝汤 治气淋。脐下满急切痛。
榆枝（半两） 石燕子（三枚） 上捣筛。每服三钱。水一盏。煎七分。去滓。温服。
不拘
时。
绵灰散 治气淋。结痛不通。
好白绵（四两烧灰） 麝香（少许） 上和匀。每服二钱。温葱酒调下。连服三服。
治气淋涩泄痛
香罗（半两） 腻粉（一两） 上为末。研令匀。以软饭和丸。如小豆大。每服于食前
以冷
水下
治气淋寒淋。小腹满及手脚冷。
山荆根（二两） 苣KT （一两为末） 上以水三大盏。先煎山荆根。取一大盏半。
去滓。
下苣KT 末搅滤取白汁。食前。分三服。
又方
榆白皮 当归（各半两） 上细锉。水一大盏。煎六分。去滓。磨入石燕一枚。顿服。
治气淋方
用水三升。煮豉一升。一沸去滓。入盐一合。顿服。一方。可单煮豉汁服。
又方
上捣葵子末。汤服方寸匕。
又方
上空腹单茹蜀葵一满口。
治气淋脐腹切痛
用盐和醋调下。
治气淋脐下切痛\x
用盐和豉捣作饼子。填在脐中。向盐上灸二七壮瘥。
【附论】
肾虚则无法控制小便。膀胱伴有热邪，导致水道涩滞。肾虚且膀胱有热，胞内气机胀满，小腹坚硬胀满，从而产生淋证。
方剂
瞿麦汤：治疗气淋导致的涩滞不畅。
药材：瞿麦穗、黄连、大黄、枳壳、当归、桔梗、牵牛子、大腹（皮）、木通、羌活、延胡索、射干、桂枝。
用法：不拘时间。
白芷散：治疗气淋结滞涩痛，小便不通。
用法：用白芷经醋浸泡后，焙干至二两，捣成细散。煎煮木通汤调服二钱，连续服用两次。
治疗急性的气淋，阴器及睾丸肿胀。
用法：用泥葱半斤煨熟，烂捣后贴敷于脐部。
芍药汤：治疗气淋导致的小便不通。
药材：赤芍药、大黄、当归、川芎（各二两）、桂枝（去粗皮）、人参、细辛、桃白皮、真珠末（半两）。
吴茱萸散（出自《圣惠方》）：治疗气淋，腹胀不通。
药材：吴茱萸、干姜、赤芍药、桂心、当归、桃白皮、人参、细辛、真珠末、雄黄（各一分）。
用法：上药研为细末，每服三钱，水一盏，煎至六分，温服。
沉香散（出自《三因方》）：治疗气淋多因五脏郁结，气机不得舒展，阴气阻滞于阳气而导致壅闭。小腹胀满，排尿困难。
药材：当归、沉香、石苇、滑石、王不留行（各半两）、冬葵子、白芍药（各三分）、甘草、橘皮。
用法：上药研为细末，每服三钱，水一盏，煎至六分，温服。
木香散（出自《圣惠方》）：治疗气淋导致的小腹疼痛。
药材：木香（一两）、细辛、赤茯苓（各三分）、鸡苏、槟榔（各一两）、人参、当归、桃仁（各半两）。
用法：上药研为细末，每服三钱，水一盏，煎至六分，温服。
石苇散：治疗气机壅滞不通，小便淋沥结涩，脐下妨碍闷痛。
药材：石苇、赤芍药（各半两）、白茅根、木通、瞿麦、滑石（各一两）、冬葵子、川芒硝、木香（各一钱？原文缺单位，依例推测或保留原意）。
用法：上药研为细末，每服三钱，水一盏，煎至六分，温服。
木通汤：治疗气淋结滞涩痛不通。
药材：木通、木香、细辛、草豆蔻、人参、桃仁、肉豆蔻、赤茯苓。
用法：上药捣筛，每服三钱，水一盏，煎至六分，温服。
瞿麦汤：治疗气淋膀胱热结，小便不通。
药材：瞿麦穗、黄芩、鸡苏（各一两）、当归、木通、白茯苓、芍药、滑石（各三分）。
用法：上药捣筛，每服三钱，水一盏，煎至六分，温服。
茯苓散（出自《圣惠方》）：治疗气淋小腹胀闷，脐下时时剧烈疼痛。
药材：赤茯苓、白术、赤芍药（各一两）、冬葵子、木通、榆皮、白茅根。
用法：上药研为散，每服三钱，水一盏，煎至六分，温服。
桑根白皮汤（出自《圣惠方》）：专治气淋腹胁胀满，脐下血结，小便疼痛。
药材：桑根白皮、木通、百合、白茅根、鸡苏、赤芍药。
用法：上等分为散，每服四钱，水一盏，煎至六分，温服。
大黄丸：治疗气淋小便不快。
药材：大黄、赤芍药（各一两）、黄芩、杏仁、芒硝（各一两半）。
用法：上药研为末，和匀，炼蜜为丸，如梧桐子大。每服三十丸，温水送下。
榆白皮汤：治疗气淋结滞涩痛，泄便不利。
药材：榆白皮、当归（各半两）。
用法：上药细锉，水一大盏，煎至六分，去滓，磨入石燕一枚，顿服。
海金沙散：治疗气淋结滞涩痛不快。
药材：海金沙（别捣二两）、滑石（研细）、甘草、山栀子（各一两）。
用法：上将甘草、栀子仁二味，捣罗为细末，和匀海金沙。每服三钱，水一盏，煎至六分，温服。
贝齿汤：因气而成淋，小便疼痛，或出血，或如豆汁样。
药材：贝齿（研一枚）、冬葵子（研半合）、石膏（一两半）、滑石（碎一两）。
用法：上药捣末如麻豆大，每服五钱，水一盏，煎至六分，去滓，温服。
葵子汤：治疗气机壅滞不通，小便淋涩结，脐下妨碍闷痛。
药材：冬葵子（一合）、生茅根（二两）、青橘皮（一两）。
用法：上药研为散，水二大盏，葱白五茎，煎取一盏，温服。
石苇汤：治疗气淋，小便不利胀满。
药材：石苇（一两）、鸡肠草（三两）。
用法：上药捣筛，每服三钱，水一盏，煎七分，去滓，温服，不拘时间。
榆枝汤：治疗气淋，脐下满急切痛。
药材：榆枝（半两）、石燕子（三枚）。
用法：上药捣筛，每服三钱，水一盏，煎七分，去滓，温服，不拘时间。
绵灰散：治疗气淋，结痛不通。
药材：好白绵（四两烧灰）、麝香（少许）。
用法：上和匀，每服二钱，温葱酒调下，连服三服。
治疗气淋涩泄痛：
药材：香罗（半两）、腻粉（一两）。
用法：上为末，研令匀，以软饭和丸，如小豆大。每服于食前以冷水送下。
治疗气淋寒淋，小腹满及手脚冷：
药材：山荆根（二两）、苣KT（一两为末，注：苣KT疑为苣荬菜或类似草药，此处依原文转录）。
用法：上以水三大盏，先煎山荆根，取一大盏半，去滓，下苣KT末搅滤取白汁，食前，分三服。
又方：
药材：榆白皮、当归（各半两）。
用法：上细锉，水一大盏，煎六分，去滓，磨入石燕一枚，顿服。
治气淋方：
用法：用水三升，煮豉一升，一沸去滓，入盐一合，顿服。一方，可单煮豉汁服。
又方：
用法：上捣葵子末，汤服方寸匕。
又方：
用法：上空腹单茹蜀葵一满口。
[Attached Discussion]
Kidney deficiency fails to control urination. The bladder harbors heat, causing the water passages to become obstructed and sluggish. With kidney deficiency and bladder heat, qi distends within the bladder (pao), leading to hardness and fullness in the lower abdomen, thereby generating strangury (Lin syndrome).
Formulas
Qumai Tang (Dodecatemon Decoction): Treats Qi strangury characterized by obstruction and sluggishness.
Ingredients: Qumai Sui (Dodecatemon Flower Spike), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma), Zhiqiao (Aurantii Fructus), Danggui (Angelicae Sinensis Radix), Jiegeng (Platycodonis Radix), Qianniuzi (Pharbitidis Semen), Dafu (Arecae Pericarpium), Mutong (Akebiae Caulis), Qianghuo (Notopterygii Rhizoma et Radix), Yanhusuo (Corydalis Rhizoma), Shegan (Belamcandae Rhizoma), Guizhi (Cinnamomi Ramulus).
Usage: Take at any time.
Baizhi San (Angelicae Dahuricae Powder): Treats Qi strangury with knotting, obstruction, and sluggishness, accompanied by inability to urinate.
Usage: Soak Baizhi (Angelicae Dahuricae Radix) in vinegar, bake until dry to obtain two liang, grind into a fine powder. Mix two qian with Mutong Tang (Akebiae Caulis Decoction) and take orally. Continue for two doses.
For acute Qi strangury with swelling of the yin organs and testes:
Usage: Roast half a jin of Niconcong (Allium tuberosum bulb grown in mud) until soft, mash thoroughly, and apply as a paste to the umbilicus.
Shaoyao Tang (Paeonia Decoction): Treats Qi strangury resulting in inability to urinate.
Ingredients: Chishaoyao (Red Paeoniae Radix), Dahuang (Rhei Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Xiong (Ligustici Chuanxiong Rhizoma) (two liang each), Guizhi (Cinnamomi Ramulus) (deprived of coarse bark), Renshen (Ginseng Radix), Xixin (Asari Radix et Rhizoma), Taobaipi (Pruni Persicae Cortex), Zhenzhumo (Margarita Pulveratum) (half a liang).
Shiwei San (Ten-Ingredient Talcum Powder): Treats Qi strangury with fullness and knotting in the umbilical and abdominal regions, and difficulty in urination.
Wuzhuyu San (Evodiae Fructus Powder) (from *Shenghui Fang*): Treats Qi strangury with abdominal distension and obstruction.
Ingredients: Wuzhuyu (Evodiae Fructus), Ganjiang (Zingiberis Rhizoma), Chishaoyao (Red Paeoniae Radix), Guixin (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix), Taobaipi (Pruni Persicae Cortex), Renshen (Ginseng Radix), Xixin (Asari Radix et Rhizoma), Zhenzhumo (Margarita Pulveratum), Xionghuang (Realgar) (one fen each).
Usage: Grind the above herbs into a fine powder. Take three qian per dose, decoct in one zhan of water until reduced to six parts, and take warm.
Chenxiang San (Aquilariae Wood Powder) (from *Sanyin Fang*): Treats Qi strangury often caused by stagnation and knotting in the five zang organs, where qi cannot diffuse freely, leading to yin obstructing yang and resulting in blockage. Symptoms include lower abdominal fullness and difficulty in urination.
Ingredients: Danggui (Angelicae Sinensis Radix), Chenxiang (Aquilariae Lignum Resinatum), Shiwei (Pyri Folium), Huashi (Talcum), Wangbuliuxing (Vaccariae Semen), Kuizi (Abutili Semen), Baishaoyao (White Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Juapi (Citri Reticulatae Pericarpium).
Usage: Grind the above herbs into a fine powder. Take three qian per dose, decoct in one zhan of water until reduced to six parts, and take warm.
Muxiang San (Costi Root Powder) (from *Shenghui Fang*): Treats Qi strangury with lower abdominal pain.
Ingredients: Muxiang (Aucklandiae Radix) (one liang), Xixin (Asari Radix et Rhizoma), Chi Fuling (Red Poria) (three fen each), Jisu (Elsholtziae Herba), Binglang (Arecae Semen) (one liang each), Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), Tao Ren (Persicae Semen) (half a liang each).
Usage: Grind the above herbs into a fine powder. Take three qian per dose, decoct in one zhan of water until reduced to six parts, and take warm.
Shiwei San (Pyri Folium Powder): Treats qi stagnation and obstruction, with strangury and knotting in urination, and discomfort, stuffiness, and pain below the umbilicus.
Ingredients: Shiwei (Pyri Folium), Chishaoyao (Red Paeoniae Radix) (half a liang each), Baimaogen (Imperatae Rhizoma), Mutong (Akebiae Caulis), Qumai (Dodecatemon Herba), Huashi (Talcum) (one liang each), Kuizi (Abutili Semen), Chuan Mangxiao (Sodium Sulfas), Muxiang (Aucklandiae Radix).
Usage: Grind the above herbs into a fine powder. Take three qian per dose, decoct in one zhan of water until reduced to six parts, and take warm.
Mutong Tang (Akebiae Caulis Decoction): Treats Qi strangury with knotting, obstruction, and sluggishness.
Ingredients: Mutong (Akebiae Caulis), Muxiang (Aucklandiae Radix), Xixin (Asari Radix et Rhizoma), Caodoukou (Cardamomi Fructus), Renshen (Ginseng Radix), Tao Ren (Persicae Semen), Roudoukou (Myristicae Semen), Chi Fuling (Red Poria).
Usage: Pound and sieve the above herbs. Take three qian per dose, decoct in one zhan of water until reduced to six parts, and take warm.
Qumai Tang (Dodecatemon Decoction): Treats Qi strangury with heat knotting in the bladder and inability to urinate.
Ingredients: Qumai Sui (Dodecatemon Flower Spike), Huangqin (Scutellariae Radix), Jisu (Elsholtziae Herba) (one liang each), Danggui (Angelicae Sinensis Radix), Mutong (Akebiae Caulis), Bai Fuling (White Poria), Shaoyao (Paeoniae Radix), Huashi (Talcum) (three fen each).
Usage: Pound and sieve the above herbs. Take three qian per dose, decoct in one zhan of water until reduced to six parts, and take warm.
Fuling San (Poria Powder) (from *Shenghui Fang*): Treats Qi strangury with lower abdominal distension and stuffiness, and intermittent severe pain below the umbilicus.
Ingredients: Chi Fuling (Red Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Chishaoyao (Red Paeoniae Radix) (one liang each), Kuizi (Abutili Semen), Mutong (Akebiae Caulis), Yupi (Ulmus Cortex), Baimaogen (Imperatae Rhizoma).
Usage: Grind the above herbs into a powder. Take three qian per dose, decoct in one zhan of water until reduced to six parts, and take warm.
Sanggenbaipi Tang (Mulberry Root Bark Decoction) (from *Shenghui Fang*): Specifically treats Qi strangury with abdominal and hypochondriac distension, blood knotting below the umbilicus, and painful urination.
Ingredients: Sanggenbaipi (Mori Cortex), Mutong (Akebiae Caulis), Baihe (Lilii Bulbus), Baimaogen (Imperatae Rhizoma), Jisu (Elsholtziae Herba), Chishaoyao (Red Paeoniae Radix).
Usage: Divide equally and grind into a powder. Take four qian per dose, decoct in one zhan of water until reduced to six parts, and take warm.
Dahuang Wan (Rhei Pill): Treats Qi strangury with slow or difficult urination.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Chishaoyao (Red Paeoniae Radix) (one liang each), Huangqin (Scutellariae Radix), Xingren (Armeniacae Semen Amarum), Mangxiao (Sodium Sulfas) (one and a half liang each).
Usage: Grind the above herbs into powder, mix evenly, and form pills with refined honey, sized like wutong seeds. Take thirty pills per dose with warm water.
Yubaipi Tang (Ulmus Alburnum Decoction): Treats Qi strangury with knotting, obstruction, and sluggishness, accompanied by difficult defecation.
Ingredients: Yubaipi (Ulmus Alburnum), Danggui (Angelicae Sinensis Radix) (half a liang each).
Usage: Cut finely, decoct in one zhan of water until reduced to six parts, strain, grind in one Shiyanzi (Stone Swallow), and take in one dose.
Haijinsha San (Lygodii Spora Powder): Treats Qi strangury with knotting, obstruction, and sluggishness.
Ingredients: Haijinsha (Lygodii Spora) (separately pounded to two liang), Huashi (Talcum) (finely ground), Gancao (Glycyrrhizae Radix et Rhizoma), Shanzhizi (Gardeniae Fructus) (one liang each).
Usage: Pound Gancao and Zhizi Ren (Gardeniae Fructus Seed) into a fine powder, mix evenly with Haijinsha. Take three qian per dose, decoct in one zhan of water until reduced to six parts, and take warm.
Beichi Tang (Concha Meretricis Decoction): Strangury caused by qi, with painful urination, hematuria, or urine resembling bean curd dregs.
Ingredients: Beichi (Concha Meretricis) (one shell, ground), Dongkuizi (Abutili Semen) (half he, ground), Shigao (Gypsum Fibrosum) (one and a half liang), Huashi (Talcum) (crushed, one liang).
Usage: Pound the above herbs into particles the size of hemp seeds. Take five qian per dose, decoct in one zhan of water until reduced to six parts, strain, and take warm.
Tongshen San (Divine Spirit Powder): Treats Qi strangury with knotting and obstruction.
(Ingredients not listed in original text).
Kuizi Tang (Abutili Seed Decoction): Treats qi stagnation and obstruction, with strangury, sluggishness, and knotting in urination, and discomfort, stuffiness, and pain below the umbilicus.
Ingredients: Kuizi (Abutili Semen) (one he), Sheng Maogen (Fresh Imperatae Rhizoma) (two liang), Qing Juapi (Green Citri Reticulatae Pericarpium) (one liang).
Usage: Grind into a powder. Use two large zhan of water and five stalks of Congbai (Scallion White), decoct until one zhan remains, and take warm.
Shiwei Tang (Pyri Folium Decoction): Treats Qi strangury with difficulty in urination and distension/fullness.
Ingredients: Shiwei (Pyri Folium) (one liang), Jichangcao (Houttuyniae Herba) (three liang).
Usage: Pound and sieve. Take three qian per dose, decoct in one zhan of water until seven parts remain, strain, and take warm. Do not restrict time.
Yuzhi Tang (Ulmus Branch Decoction): Treats Qi strangury with fullness and urgent, cutting pain below the umbilicus.
Ingredients: Yuzhi (Ulmus Ramulus) (half a liang), Shiyanzi (Lapides Hirundinis) (three pieces).
Usage: Pound and sieve. Take three qian per dose, decoct in one zhan of water until seven parts remain, strain, and take warm. Do not restrict time.
Mianhui San (Cotton Ash Powder): Treats Qi strangury with knotting, pain, and obstruction.
Ingredients: Hao Baimian (Good White Cotton) (four liang, burned to ash), Shexiang (Moschus) (a small amount).
Usage: Mix evenly. Take two qian per dose, mixed with warm scallion wine. Take continuously for three doses.
For Qi strangury with sluggish discharge and pain:
Ingredients: Xiangluo (Agarwood/Resinous Wood fragment? Note: Term is obscure, likely specific preparation), Nifen (Calomel/Nitride of Mercury? Note: Toxic, historical context only).
Usage: Grind into powder, mix evenly, bind with soft rice into pills the size of small beans. Take before meals with cold water.
For Qi strangury and Cold strangury, with lower abdominal fullness and cold hands and feet:
Ingredients: Shan Jinggen (Root of Mountain Hawthorn? Note: Obscure term), Ju KT (Ju Mai Cai? Note: Obscure term).
Usage: Use three large zhan of water. First decoct Shan Jinggen until one and a half zhan remains, strain. Add Ju KT powder, stir, filter to extract white juice. Take before meals, divided into three doses.
Another Formula:
Ingredients: Yubaipi (Ulmus Alburnum), Danggui (Angelicae Sinensis Radix) (half a liang each).
Usage: Cut finely, decoct in one zhan of water until six parts remain, strain, grind in one Shiyanzi (Stone Swallow), and take in one dose.
Formula for Treating Qi Strangury:
Usage: Use three sheng of water, boil one sheng of Chi Dou (Black Soybean) until it boils once, strain. Add one he of salt, and take in one dose. Another method: Boil only the soybean juice and take.
Another Formula:
Usage: Pound Kuizi (Abutili Semen) into powder, take with decoction using a cunbi measure.
Another Formula:
Usage: On an empty stomach, chew a full mouth of Shuhui (Malva verticillata) alone.
For Qi Strangury with Severe Pain in Umbilical and Abdominal Regions:
Usage: Mix with salt and vinegar, then take.
For Qi Strangury with Severe Pain Below the Umbilicus:
Usage: Mix salt and fermented soybeans (Chi Dou) into a cake, place in the umbilicus, and moxa on top of the salt for fourteen burns (two times seven) until cured.