淋痛一证，今人多用八正厘清等方，然有效有不效者，盖阴茎有精溺二窍，若因湿热阻
闭膀
胱，病在溺窍，则前药投之是矣。尚因房劳忍精，病在精窍，乃有形败浊，阻于隧道，徒进
清利无益。此证叶香岩论之甚详，言古有虎杖散，近世不识此药，治用杜牛膝根绞汁一盅，
冲入麝香少许，隔汤炖服，并宗朱南阳方法，用两头尖川楝子韭白归尾等味，曹某患此证，
予仿前法治愈，后治数人俱验，因并识之。
王妇周体痹痛，医作风治，卧箦月余，肢挛头晕。予见之曰∶此痹证也。躯壳外疾，虽
无害
命之理，但病久寝食不安，神形困顿，速救根本，犹可支撑。若见病医病，则殆矣。方定十
全大补汤，加枸杞、杜仲、鹿角胶，两服未应，众疑之。予曰∶缓则疗病，急则顾命。今病
势败坏如斯，舍是不救。且补虚与攻实不同，非数十剂莫效。又服十日，周身发肿，众称病
变，予曰勿忧。凡风寒客于人，壮者气行则已，怯者着而为病，本由营气不足，邪陷于里，
今服补剂，托邪外出，乃佳兆也。仍命照方多服，痛止肿消而愈。识此为治痹恣用风燥药者
戒。
嘉庆癸亥岁，予因夏热，夜卧石地受凉，秋后臂痛，莫能屈伸。初服温经散邪之剂，不
效，
外贴膏药，又不效。思筋骨间病，药力难到，古有暖洗一法，日洗药水，其痛如故。偶阅《
韩氏医通》云∶有痿痹疾者，偎卧患处于壮阴之怀，久之生气和浃，病气潜消。试仿其法，
将痛臂夜令室人以热体偎之，数日而愈。按《归田录》云∶人气能粉犀，则疗痹。固其宜矣
。
淋痛这一病证，如今的人多使用八正散、厘清汤等方剂治疗，然而有的有效，有的无效。这是因为阴茎有精窍和溺窍两个孔道，如果是因为湿热阻滞闭塞膀胱，病变在溺窍，那么使用前面的药物投治是正确的。如果是由于房事劳累而强忍精液不泄，导致病变在精窍，这是有形的败浊之物，阻塞了隧道，仅仅服用清热利湿的药物是没有益处的。这个病证叶天士论述得非常详细，他说古代有虎杖散，近代人不知道这种药，治疗时采用杜牛膝根绞取汁液一杯，冲入少许麝香，隔水炖热后服用，并且遵循朱南阳的方法，使用两头尖、川楝子、韭菜白、当归尾等药材。曹某患了这个病证，我仿照前人的方法治愈了他，后来治疗几个人也都验证有效，因此一并记录下来。
王氏妇人全身痹痛，医生误认为是风邪所致，让她卧床一个多月，导致肢体拘挛、头晕。我见到她时说：这是痹证。体表的疾病，虽然没有什么致命的道理，但是病久导致寝食不安，精神和形体困顿疲惫，迅速救治根本，还可以支撑得住。如果见病医病（只针对症状治疗），那就危险了。于是拟定十全大补汤，加入枸杞、杜仲、鹿角胶，服了两副没有见效，众人对此表示怀疑。我说：缓则疗病，急则顾命。现在病情败坏到如此地步，除了这个方法别无他法可以救活。而且补虚与攻实不同，不是几十副药是不会见效的。又服用了十天，周身发肿，众人称赞这是病情变化（恶化），我说不要担忧。凡是风寒客居于人体，身体强壮的人气机运行通畅就会痊愈，虚弱的人邪气留着就成为疾病，原本是由于营气不足，邪气陷入体内，现在服用补益药剂，托举邪气外出，这是好的征兆啊。仍然命令按照原方多服用，疼痛停止、肿胀消退而痊愈。记录这一点是为了告诫那些在治疗痹证时肆意使用风燥药物的人。
嘉庆癸亥年，我因为夏天炎热，夜晚睡在石地上受凉，秋天之后手臂疼痛，不能屈伸。起初服用温经散邪的药剂，没有效果，外贴膏药，也没有效果。思考筋骨间的疾病，药力难以到达，古代有一种暖洗的方法，每天用药水清洗，但疼痛依旧如故。偶然阅读《韩氏医通》说：有痿痹疾病的人，躺在患病处靠近壮年男子阴部怀抱中，久而久之生气调和渗透，病气潜然消解。尝试仿效这种方法，让妻子在夜间用温暖的身体偎依我的痛臂，几天后就痊愈了。查阅《归田录》说：人气能够磨粉犀角，就能治疗痹证。这确实是适宜的道理。
Linctus Pain (Painful Urination)
The syndrome of Linctus Pain (painful urination) is currently often treated with formulas such as Bazheng San (Eight-Positive Powder) and Liqing Tang (Clearing-Clearing Decoction). However, some cases are effective while others are not. This is because the penis has two orifices: the Jing Qiao (Semen Orifice) and the Niao Qiao (Urine Orifice). If the pathology lies in the Niao Qiao due to damp-heat obstructing and closing the bladder, then administering the aforementioned medicines is appropriate. However, if the pathology lies in the Jing Qiao due to sexual fatigue and forced retention of semen, resulting in有形 (有形 refers to tangible/physical) turbid waste blocking the tunnels, merely advancing clearing and draining remedies is of no benefit. Ye Tianshi discussed this syndrome in great detail, stating that there was an ancient formula called Huzhang San (Polygonum cuspidatum Powder), but people in recent times do not recognize this herb. For treatment, one should squeeze the juice from the root of Achyranthes bidentata (Duniu Xi, 杜牛膝) for one cup, mix in a small amount of Moschus (Shexiang, 麝香), and take it after steaming in hot water. Furthermore, follow the method of Zhu Nanyang, using herbs such as Aconitum coreanum (Liangtoujian, 两头尖), Melia azedarach (Chuanlianzi, 川楝子), Allium tuberosum (Jiubai, 韭白), and Angelica sinensis caulis (Guiwei, 归尾). Cao suffered from this syndrome, and I cured him by imitating the previous methods. Subsequently, treating several other patients yielded similar results, so I recorded this together.
Mrs. Wang suffered from generalized Bi Syndrome (Obstruction Syndrome) pain. The physician diagnosed it as Wind pathogen, keeping her bedridden for over a month, leading to limb spasms and dizziness. Upon seeing her, I said: "This is Bi Syndrome. Although external ailments of the body shell generally do not pose a fatal risk, prolonged illness causing insomnia and poor appetite leads to exhaustion of spirit and form. Rapidly addressing the root cause can still sustain life. If one treats only the symptoms without addressing the root, it will be perilous." Therefore, I prescribed Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction), adding Gouqi (Lycium Fruit), Duzhong (Eucommia Bark), and Cervus Cornu Gelatinum (Lujiaojiao, 鹿角胶). After two doses, there was no response, and the public doubted this approach. I said: "When the condition is slow, treat the disease; when urgent, preserve life. Now the condition is so deteriorated that without this method, rescue is impossible. Moreover, tonifying deficiency differs from attacking excess; it requires dozens of doses to show efficacy." After ten more days of administration, the whole body became swollen. The crowd claimed this was a worsening of the disease. I said, "Do not worry. When wind and cold pathogens invade the human body, those with robust qi flow recover easily, while those with deficient qi allow the pathogen to settle and cause disease. The root cause here is insufficient Ying Qi (Nutritive Qi), allowing the pathogen to sink inward. Now, taking tonifying agents helps push the pathogen outward, which is a favorable sign." I continued to order adherence to the prescription. Eventually, the pain ceased, the swelling subsided, and she recovered. This record serves as a warning against the indiscriminate use of drying wind-dispelling drugs in treating Bi Syndrome.
In the Guihai year of the Jiaqing reign, due to summer heat, I slept on stone ground at night and caught cold. After autumn arrived, my arm hurt, unable to flex or extend. Initially, I took decoctions to warm the meridians and disperse pathogens, but they were ineffective. External application of plasters also failed. Considering that diseases between the sinews and bones are difficult for medicinal power to reach, I recalled an ancient method of warm washing. Daily washing with medicinal water did not alleviate the pain.偶然ly reading Han Shi Yi Tong (Han's Medical Insights), I found: "For those suffering from Wei-Bi (Atrophy and Obstruction) diseases, lying next to the embrace of a vigorous young man's yin region for a long time allows vital qi to harmonize and permeate, causing pathogenic qi to dissipate secretly." I tried imitating this method, having my wife warmly embrace my painful arm at night. After a few days, I recovered. Consulting Gui Tian Lu (Records from the Fields), it states: "Human qi can powder rhinoceros horn, thereby treating Bi." Indeed, this is appropriate.