病源气淋者，肾虚膀胱热气胀所为也，膀胱与肾为表里，膀胱热，热气流入胞，热则生
实，令胞内气胀，则少腹满，肾气不能制其小便，故成淋耳，其状膀胱小便皆满，尿涩常有
余沥
千金疗气淋方。
灸关元五十壮。
又方
挟玉泉相去一寸半，灸三十壮。
又方
水三升，煮豉一升，一沸去滓，纳盐一合，顿服之。
又方
捣葵子末，汤和服方寸匕。
又方
空腹单茹蜀葵一满口。
病源膏淋者，淋而有肥状如膏，故谓之膏淋，亦曰肉淋，此肾虚不能制于肥液，故与小
便俱出也。（出第十四卷中）
千金疗膏淋方。
捣 草汁三升，醋三合和，空腹顿服，当如大豆汁下，一名葛 也。
又膏淋之为病，尿似膏自出，疗之一如气淋也。（并出第二十一卷中）
许仁则疗小便淋涩方，此病有数种，有石淋，有热淋，有气淋，气淋者，气壅塞，小便
不通，遂成气淋，此病自须依前疗水气法，石淋者，缘先服石，石气不散，壅遏生热，故成
石淋
热，
瞿麦穗（三两） 冬葵子（一升） 榆白皮（切一升） 桑根皮（六两） 白茅根（切
一升） 石苇（四两去毛）
上药切，以水一斗，煮取三升，去滓，分温三服，每服如人行十里久，服三五剂后，宜
合大虫魄五味散服佳。
又方
大虫魄（六两） 石苇（三两去毛） 瞿麦穗（四两） 冬葵子（一升） 茯苓（六两）
上药捣筛为散，煮桑白皮作饮子，初服一方寸匕，日再服，稍加至三匕。忌酢物。（吴
升同出下卷中）
【病源】气淋，是由于肾虚导致膀胱热气胀满所引起的。膀胱与肾互为表里，膀胱有热，热气流入胞宫（此处指下焦泌尿生殖区域），热则产生实邪，致使胞内气机胀满，从而出现小腹部胀满；肾气不能制约小便，因此形成淋证。其症状表现为膀胱和小便部位均感胀满，排尿涩滞且常有尿后余沥不尽的感觉。
又一方：
用水三升，煮豆豉一升，煮沸一次后滤去药渣，加入盐一合，一次性服下。
又一方：
将冬葵子捣成粉末，用汤水调和，服用方寸匕大小的量。
又一方：
空腹直接咀嚼食用一整口蜀葵。
【病源】膏淋，是指淋证中排出物状如脂膏，所以称为膏淋，也称为肉淋。这是因为肾虚不能制约肥液（脂膏类物质），使其随小便一同排出。（出自第十四卷）
《千金方》治疗膏淋的方剂：
取葛根汁三升，醋三合混合，空腹一次性服下，服药后应当像排出大豆汁样的东西，葛根又名葛 。
又论膏淋这种病，尿液似膏脂自行流出，治疗方法与气淋相同。（均出自第二十一卷）
许仁则治疗小便淋涩的方剂，此病有多种类型，有石淋、热淋、气淋。气淋，是因气机壅塞，小便不通，从而形成气淋，此病必须依照前文治疗水气的方法进行。石淋，是因为先前服用过金石类药物，石气不散，壅遏体内产生热邪，从而形成石淋。
瞿麦穗（三两）、冬葵子（一升）、榆白皮（切丝一升）、桑根皮（六两）、白茅根（切丝一升）、石苇（四两，去毛）。
以上药物切碎，用水一斗，煎煮至剩余三升，滤去药渣，分三次温服。每次服药间隔约人行走十里路的时间，服用三五剂后，最好配合服用大虫魄五味散效果更佳。
又一方：
大虫魄（六两）、石苇（三两，去毛）、瞿麦穗（四两）、冬葵子（一升）、茯苓（六两）。
以上药物捣碎筛成细粉，用桑白皮煮水作为饮剂送服。初次服用一方寸匕，每日服用两次，逐渐增加至每次三匕。忌食酸醋类食物。（吴升同出下卷中）
[Pathogenesis] Qi Lin (Qi-type strangury) is caused by Kidney deficiency leading to heat and distension in the Bladder. The Bladder and Kidney are exterior-interiorly related. When there is heat in the Bladder, pathogenic heat flows into the Bao (uterus/lower jiao urinary-reproductive area). Heat generates excess conditions, causing qi stagnation and distension within the Bao, resulting in fullness of the lower abdomen. Since Kidney Qi fails to control urination, strangury ensues. Its manifestations include a sensation of fullness in both the Bladder and during urination, dysuria with frequent post-void dribbling.
Qianjin Fang for treating Qi Lin:
Moxibustion on Guanyuan (CV4), 50 moxa cones.
Another prescription:
Moxibustion at a point one-and-a-half cun lateral to Yuquan, 30 moxa cones.
Another prescription:
Take three sheng of water, boil one sheng of Dou Chi (Fermented Soybean), remove dregs after one boiling, add one ge of salt, and take in one dose.
Another prescription:
Powder Dong Kui Zi (Malvae Semen), mix with decoction, and take a volume equivalent to a fangcun bi (a square-inch measure).
Another prescription:
Chew a full mouthful of Shu Kui (Hollyhock herb) on an empty stomach.
[Pathogenesis] Gao Lin (Gao-type strangury) refers to strangury where the discharge resembles paste or fat, hence named Gao Lin, also called Rou Lin (Meat-type strangury). This occurs because Kidney deficiency fails to restrain fatty fluids, allowing them to exit together with urine. (From Volume XIV)
Qianjin Fang for treating Gao Lin:
Take three sheng of Ge Gen juice (Kudzu Root juice), mix with three ge of vinegar, and take on an empty stomach in one dose. After taking this, one should pass something resembling soybean juice; Ge Gen is also known as Ge .
Furthermore, regarding the disease of Gao Lin, where urine exits like paste, the treatment is the same as that for Qi Lin. (All from Volume XXI)
Xu Renze's prescription for treating dysuria and strangury: This disease has several types, including Shi Lin (Stone-type strangury), Re Lin (Heat-type strangury), and Qi Lin. Qi Lin arises from qi obstruction and blockage of urination. This condition must be treated according to the previous methods for treating water-qig edema. Shi Lin arises from prior ingestion of mineral drugs; the qi of these minerals does not dissipate, causing obstruction and generating heat, thus forming Shi Lin.
Qu Mai Sui (Herba Diantherae Spike, 3 liang), Dong Kui Zi (Malvae Semen, 1 sheng), Yu Bai Pi (Cortex Ulci, sliced, 1 sheng), Sang Gen Pi (Cortex Mori Radicis, 6 liang), Bai Mao Gen (Rhizoma Imperatae, sliced, 1 sheng), Shi Wei (Folium Pyrrosiae, 4 liang, de-haired).
Cut the above herbs, add ten dou of water, decoct until three sheng remain, filter out the dregs, and divide into three warm doses. Take each dose at intervals corresponding to walking ten li. After taking three to five doses, it is advisable to combine with Da Chong Po Wu Wei San (Five-Ingredient Powder of Large Insect Soul).
Another prescription:
Da Chong Po (Large Insect Soul, 6 liang), Shi Wei (Folium Pyrrosiae, 3 liang, de-haired), Qu Mai Sui (Herba Diantherae Spike, 4 liang), Dong Kui Zi (Malvae Semen, 1 sheng), Fu Ling (Poria, 6 liang).
Pulverize and sieve the above herbs into powder. Decoct Sang Bai Pi (Cortex Mori Radicis) to make a drink. Initially take one fangcun bi, twice daily, gradually increasing to three fangcun bi. Avoid acidic foods. (Wu Sheng, also from the lower volume)