(淋沥 余见小便不通)
关元、主胞闭塞。小便不通。劳热石淋。又主石淋。脐下三十六疾。不得小便。并灸足
太阳
。悬钟、主五淋。大敦、气门、主五淋不得尿。气冲、主腹中满热。淋闭不得尿。交
信、主气淋。复留、主血淋。明下云、疗五淋。小便如散灰色。关元、涌泉、主胞转气
淋。长强、小肠俞、主淋癃。关元、阴陵泉、主肾病不可俯仰。气癃。曲泉、主癃闭。
行间、主癃闭。茎中痛。然谷、主癃疝。
曲骨、主小腹胀。血癃。小便难。包肓、 边、主癃闭下重。不得小便。阴跷、主
女子淋(明云∶疗诸淋。见淋沥。)
石门、疗气淋。小便黄。(下)长强、疗五淋。曲骨、疗五淋。小便黄。至阴、疗小便淋。失精。(下)
中极、治五淋。小便赤涩。(明下又云尿道痛。)失精。脐下结如覆杯。阳气虚惫。(铜)
复留、治五淋。小便如散火。
次、治赤淋。(见便不利。)然谷、曲骨、治淋沥。(见小腹痛。)太冲、治淋。
阴陵泉、治气淋。寒热不节。
交信、治气淋。 疝阴急。股引 内廉骨痛。明云、疗气淋、卒疝。大小便难。箕门
淋。遗溺。鼠鼷肿痛。小便不通。大钟、治实则小便淋闭。洒洒腰脊强痛。大便秘涩。嗜
卧口中热。虚则呕逆多寒。欲闭户而处。少气不足。胸胀喘息。舌干。咽中食噎不得下。善
惊恐不乐。喉鸣咳唾血。气淋。灸关元五十壮。或盐着脐中灸三壮。(千)石淋、灸关元、或
气门、或大敦各三十壮。劳淋、灸足太阴百壮。血淋、灸丹田、或复留各随年。五淋不小便
。中封二七壮。或大敦七壮。(余见千金。)水泉、治女小便淋沥。委阳、志室(见阴痛
。)中 、治小便淋沥。阴跷、疗妇人淋沥。阴挺出。(铜同。)四肢淫泺心闷。及诸淋
。(明)关元、(明同。)治不觉遗沥。(铜见脐痛。)小肠俞、治淋沥。(见小便赤。)
予壮年寓学。忽有遗沥之患。因阅方书。见有用五倍子末酒调服者。服之而愈。药若相
投。
岂在多品。而亦无事于灸也。故附着于此。若欲治淋疾。则有王不留行子神效。彭侍郎以治
张道士。服三粒愈。(见既效方。)有妇人患淋。卧病久之。服诸药愈甚。其夫入夜来告急。
予令取此花叶十余叶。令研细煎服。翌朝再来。云病已减八分。再与数叶煎服。即愈。(一
名剪金花。一名金盏银台。)
(淋沥:余见小便不通)
关元穴,主治胞宫闭塞导致的小便不通。劳热引起的石淋。又主治石淋。脐下三十六种疾病。无法排尿。并灸足太阳经。
悬钟穴,主治五淋。大敦穴(气门),主治五淋导致的无法排尿。气冲穴,主治腹中胀满发热。淋证闭阻导致无法排尿。交信穴,主治气淋。复溜穴,主治血淋。《明堂经》下篇记载,治疗五淋。小便排出如散开的灰色粉末状。关元穴、涌泉穴,主治胞转气淋。长强穴、小肠俞穴,主治淋癃。关元穴、阴陵泉穴,主治肾病导致的无法俯仰。气癃。曲泉穴,主治癃闭。行间穴,主治癃闭。茎中疼痛。然谷穴,主治癃疝。
曲骨穴,主治小腹胀痛。血癃。排尿困难。包肓穴、边穴,主治癃闭伴下身沉重感。无法排尿。阴跷穴,主治女子淋证(《明堂经》记载:治疗各种淋证,详见淋沥条)。
石门穴,治疗气淋。小便发黄。(下篇)长强穴,治疗五淋。曲骨穴,治疗五淋。小便发黄。至阴穴,治疗小便淋沥。遗精。(下篇)
中极穴,治疗五淋。小便赤红涩痛。(《明堂经》下篇又说尿道疼痛。)遗精。脐下结块如倒扣的杯子。阳气虚衰疲惫。(《铜人腧穴针灸图经》)
复溜穴,治疗五淋。小便如散开的火苗状。
次髎穴,治疗赤淋。(见便不利条。)然谷穴、曲骨穴,治疗淋沥。(见小腹痛条。)太冲穴,治疗淋证。
阴陵泉穴,治疗气淋。寒热不调。
交信穴,治疗气淋。疝气致阴部拘急。大腿内侧牵引至骨头疼痛。《明堂经》记载,治疗气淋、卒发性疝气。大小便困难。箕门穴治淋。遗尿。鼠鼷部肿痛。小便不通。大钟穴,实证治疗小便淋闭。战栗性腰脊强痛。大便秘涩。嗜睡口中发热。虚证治疗呕逆多寒。想要关门独处。少气不足。胸胀喘息。舌干。咽喉中有食物噎塞感无法下咽。容易惊恐不乐。喉鸣咳唾带血。气淋。灸关元穴五十壮。或者将盐放在脐中灸三壮。(《千金方》)石淋,灸关元穴,或气门穴,或大敦穴各三十壮。劳淋,灸足太阴经穴百壮。血淋,灸丹田穴,或复溜穴各随患者年龄定壮数。五淋导致无法排尿。中封穴二七壮。或大敦穴七壮。(余见《千金方》)水泉穴,治疗女性小便淋沥。委阳穴、志室穴(见阴痛条)、中渎穴,治疗小便淋沥。阴跷穴,治疗妇人淋沥。阴挺出。(《铜人腧穴针灸图经》相同。)四肢淫泺心闷。以及各种淋证。(《明堂经》)关元穴(《明堂经》相同。)治疗不觉知的遗沥。(《铜人腧穴针灸图经》见脐痛条。)小肠俞穴,治疗淋沥。(见小便赤条。)
我在壮年时寓居求学,忽然患上遗沥的毛病。于是查阅医书,见到有用五倍子末调酒服用的方法,服用后痊愈。药物如果对症,难道在于品种繁多吗?而且也不必使用艾灸。所以将此附记于此。如果想要治疗淋疾,那么王不留行子有神奇疗效。彭侍郎用它治疗张道士,服用三粒即愈。(见《既效方》)。有一位妇人患淋证,卧病很久,服用各种药物病情反而加重。她的丈夫在夜里来告急。我让她取这种花叶十余片,研磨细碎煎服。第二天早上再来,说病已减轻十分之八。再给几片煎服,随即痊愈。(一名剪金花,一名金盏银台。)
(Lin Li: As seen by me, incomplete urination)
Guanyuan (CV 4), indicated for bladder closure causing urinary retention. Labor-heat-induced lithiasis (stone strangury). Also indicated for lithiasis. Thirty-six diseases below the navel. Inability to urinate. Moxibustion on Foot-Taiyang Bladder Channel.
Xuanzhong (GB 39), indicated for Five Stranguries (Wu Lin). Dadun (LR 1), also known as Qi Men, indicated for Five Stranguries causing inability to urinate. Qichong (ST 30), indicated for abdominal fullness and heat. Strangury obstruction causing inability to urinate. Jiaoxin (KI 8), indicated for Qi Strangury. Fuliou (KI 7), indicated for Blood Strangury. The *Mingtang Jing* (Classic of the Acupoints) lower volume records treatment of Five Stranguries. Urine discharge resembling scattered grey powder. Guanyuan (CV 4), Yongquan (KI 1), indicated for Bao Zhuan Qi Strangury (uterine displacement with Qi strangury). Changqiang (GV 1), Xiaochangshu (BL 27), indicated for Lin Long (strangury and retention). Guanyuan (CV 4), Yinlingquan (SP 9), indicated for Kidney disease causing inability to bend or straighten. Qi Long. Ququan (LR 8), indicated for Long Bi (retention). Xingjian (LR 2), indicated for Long Bi. Pain in the glans penis. Ran gu (KI 2), indicated for Long Shan (strangury hernia).
Qugu (CV 2), indicated for lower abdominal distension. Blood Long. Difficulty urinating. Baohuang (EX-CA 1), Bian (EX-CA 2), indicated for Long Bi with heaviness in the lower body. Inability to urinate. Yinqiao (KI 6), indicated for female Lin (The *Mingtang Jing* records: treats various Lin, see Lin Li entry).
Shimen (CV 5), treats Qi Strangury. Yellow urine. (Lower volume) Changqiang (GV 1), treats Five Stranguries. Qugu (CV 2), treats Five Stranguries. Yellow urine. Zhiyin (BL 67), treats urinary Lin. Spermatorrhea. (Lower volume)
Zhongji (CV 3), treats Five Stranguries. Red and astringent urine. (The *Mingtang Jing* lower volume further states urethral pain.) Spermatorrhea. Abdominal mass below the navel like an inverted cup. Deficiency and exhaustion of Yang Qi. (*Tongren Shuxue Zhenjiu Tujing*)
Fuliou (KI 7), treats Five Stranguries. Urine resembling scattered fire.
Ciliao (BL 32), treats Chi Lin (red strangury). (See Bu Li Ti entry.) Ran gu (KI 2), Qugu (CV 2), treat Lin Li. (See Xiao Fu Tong entry.) Taichong (LR 3), treats Lin.
Yinlingquan (SP 9), treats Qi Strangury. Unregulated cold and heat.
Jiaoxin (KI 8), treats Qi Strangury. Hernia causing tension in the yin organs. Thigh inner side pulling to bone pain. The *Mingtang Jing* records treatment of Qi Strangury, acute hernia. Difficulty in both urination and defecation. Jimen (SP 11) treats Lin. Enuresis. Swelling and pain in the inguinal region. Urinary retention. Dazhong (KI 4), excess syndrome treats urinary Lin and retention. Chills with stiffness and pain in the waist and spine. Constipation with dry stool. Lethargy with heat in the mouth. Deficiency syndrome treats vomiting and regurgitation with excessive cold. Desire to stay indoors with doors closed. Shortness of breath and insufficiency. Chest distension and panting. Dry tongue. Sensation of food stuck in the throat unable to descend. Prone to fear, fright, and unhappiness. Hoarse cough with bloody sputum. Qi Strangury. Moxibustion on Guanyuan (CV 4) fifty moxa cones. Or place salt in the umbilicus and moxibustion three cones. (*Qianjin Fang*) Lithiasis, moxibustion on Guanyuan (CV 4), or Qi Men (LR 1), or Dadun (LR 1), thirty cones each. Lao Lin (fatigue strangury), moxibustion on Foot-Taiyin Spleen Channel one hundred cones. Blood Lin, moxibustion on Dantian (CV 4 or KI 14) or Fuliou (KI 7), number of cones according to age. Five Stranguries with no urination. Zhongfeng (LR 4) fourteen cones. Or Dadun (LR 1) seven cones. (See *Qianjin Fang* for details.) Shuiquan (KI 5), treats female urinary Lin Li. Weiyang (BL 37), Zhishi (BL 54) (see Yin Tong entry), Zhongdu (LR 6), treat urinary Lin Li. Yinqiao (KI 6), treats female Lin Li. Uterine prolapse. (*Tongren Shuxue Zhenjiu Tujing* same.) Four limbs with damp-cold sensation and chest oppression. And various Lin syndromes. (*Mingtang Jing*) Guanyuan (CV 4) (*Mingtang Jing* same.) Treats unconscious dribbling of urine. (*Tongren Shuxue Zhenjiu Tujing* see Qi Tong entry.) Xiaochangshu (BL 27), treats Lin Li. (See Xiao Bian Chi entry.)
In my youth, while residing for study, I suddenly suffered from dribbling urine. I consulted medical texts and found a method using powder of *Galae Fructus* (Chinese Gall, Wubeizi) mixed with wine. After taking it, I recovered. If a medicine is suitable, does it matter if there are many ingredients? Nor was moxibustion necessary. Therefore, I record this here. If one wishes to treat Lin diseases, *Polygonatum aviculare* seeds (Wu Buliu Xing Zi) have miraculous efficacy. Vice-Inspector Peng used it to treat Daoist Zhang; after taking three pills, he recovered. (See *Jixiao Fang*). A woman suffered from Lin, bedridden for a long time, and her condition worsened despite taking various medicines. Her husband came seeking urgent help at night. I instructed her to take more than ten leaves of this flower, grind them finely, and decoct for administration. She returned the next morning, stating her illness had decreased by eight-tenths. Given a few more leaves to decoct and take, she recovered immediately. (Also known as Jian Jin Hua, or Jin Zhan Yin Tai.)