疮疡作渴，当分经络所属，及血气虚实而治。若 痛发热便利调和者，邪在腑也，用清热消毒散。肿痛发热，大便
秘涩者，邪在脏也，先用泻黄散，如未应，用凉膈散。 痛炽盛，邪在经络也，用仙方活命饮。右关脉洪数有力者，胃
火消烁津液也，用竹叶石膏汤。右关脉数而无力者，胃虚津
液短少也，用补中益气汤。饮食失度，胃气内伤而亡津液者，用钱氏白术散。脓血出多，而气血虚弱者，用八珍汤加五
味子。禀肾不足，而津液短少者，用加减八味丸。其余当临症制宜。
一小儿右颊患疮，作渴饮冷，目黄唇裂，此脾胃实热也，用泻黄散而愈。后伤食作渴，遍身皆黄，少用泻黄散，黄
退而渴益甚，此热退而真气虚也，用白术散而痊。
一女子臂痈，口干饮汤，小便频数，此脾肺气虚，用四君、黄 、干姜及益气汤而愈。
一小儿腹痈溃后，作渴饮汤，此脾胃气虚，用六君、黄 、当归而渴止，用异功散而疮敛。
一女子面疮，作渴饮汤面赤，此脾气虚热也，先用异功散，又用益气汤而愈。
一小儿素食膏粱，口舌生疮，作渴饮冷，手足常热，此胃经积热，先用竹叶石膏汤二剂，又用竹叶黄 汤二剂渐愈，
再用白术散去木香而愈。又一小儿所患同前，先用清肺散，再用凉膈散而愈。
一小儿患瘰 ，面赤作渴，余谓肝肾虚热，用加减八味丸、补中益气汤、六味地黄丸，月余诸症顿愈，佐以九味芦
荟丸而愈。
一小儿口干作渴，发冷泄泻，诸药不效，皆谓不起，右关脉弦数，按之沉伏，寻揣腹中隐伏一块鸡卵大，此肝脾疳
也，用蟾蜍丸，三月而消，兼服地黄丸，三月诸症渐退；却以白术散为主，四味肥儿丸为佐而痊。
一小儿臀疽将愈而作渴，小便频数，面色常赤，脉洪数，按之无力，尺脉为甚，余谓禀父肾虚。不信，乃降火生津，
更作呕腹痛而殁。
一小儿十五岁，面患疮，两足发热作渴，余谓肾经虚热，泛服杂药，小便如淋而殁。
竹叶石膏汤 治胃经气虚内热，患疮作渴。
竹叶 石膏（ 。各三钱） 甘草 人参（各二钱） 麦门冬（五钱）
上每服二钱，姜水煎，婴儿母同服。
竹叶黄 汤 治脾胃经热毒疮疡作渴，神效。
淡竹叶 黄芩（炒） 麦门冬 当归 川芎 甘草 黄 芍药 人参 半夏 石膏（ 。各一钱） 生地黄（二
钱）
上每服二钱，水煎。
黄 六一汤 治疮疡气虚作渴，愈后复渴尤宜服之。
黄 （炙，六钱） 甘草（炙，钱）
上水煎服。
六味地黄丸（加肉桂一两，五味子四两，名加减八味丸）
熟地黄（八两杵膏） 山茱萸肉 干山药（各四两） 泽泻 牡丹皮 白茯苓（各三两）
上为末，入地黄膏量加米糊丸桐子大。每服数丸，温水空心送下。行迟鹤膝加鹿茸、牛膝、五加皮。若因肾肝血虚，
发热作渴，小便淋秘，痰气上壅；或风客淫气，瘰 结核；或四肢发搐，眼目 动；或咳嗽吐血，头目眩晕；或咽喉燥
痛，口舌破裂；或自汗盗汗，便血诸血；或禀肾气不足，肢体形弱，筋挛骨肿；或解颅失音，畏明下窜；或早近女色，
精血亏耗，五脏齐损之症。并宜服之。
泻黄散 治脾胃经实热患疮，口渴饮冷。
藿香叶（七叶） 石膏（ ，五钱） 甘草 防风 山栀仁（炒。各一两）
上为末，每服二钱，水煎，入蜜少许，婴儿乳母服之。
东垣圣愈汤（方见出血不止）
五味异功散（方见用败毒之药）
补中益气汤（方见肌肉不生）
七味白术散（方见发热不止）
清热消毒散（方见热毒口疮）
仙方活命饮（方见热毒疮疡）
清胃散（方见腹痈）
疮疡引起的口渴，应当根据病变所属的经络，以及气血的虚实情况来治疗。如果患处疼痛、发热，但大小便正常调和，说明邪气在腑，使用清热消毒散。如果患处肿胀疼痛、发热，且大便秘结不通，说明邪气在脏，先用泻黄散，如果无效，再用凉膈散。如果局部红肿热痛炽盛，说明邪气在经络，使用仙方活命饮。如果右关脉洪大、数而有力，是胃火消烁津液所致，使用竹叶石膏汤。如果右关脉数而无力，是胃虚导致津液短少，使用补中益气汤。如果因饮食不节制，损伤胃气而亡失津液，使用钱氏白术散。如果脓血排出过多，导致气血虚弱，使用八珍汤加五味子。如果先天禀赋肾不足，导致津液短少，使用加减八味丸。其余情况应当根据具体症状灵活制宜。
有一个小儿右脸颊患疮，口渴想喝冷水，眼睛发黄，嘴唇干裂，这是脾胃实热证，用泻黄散治愈。后来因为伤食导致口渴，全身都发黄，少量服用泻黄散后，黄疸退了但口渴更加严重，这是热退而真气虚弱，用白术散治愈。
有一个女子手臂患痈，口干想喝热水，小便频数，这是脾肺气虚证，用四君子汤、黄芪、干姜及补中益气汤治愈。
有一个小儿腹部患痈溃破后，口渴想喝热水，这是脾胃气虚证，用六君子汤、黄芪、当归使口渴停止，再用异功散使疮口愈合。
有一个女子面部患疮，口渴想喝热水，面色发红，这是脾气虚兼有虚热证，先用异功散，又用补中益气汤治愈。
有一个小儿长期食用油腻精细食物，口舌生疮，口渴想喝冷水，手足经常发热，这是胃经积热证，先用竹叶石膏汤两剂，又用竹叶黄芪汤两剂逐渐好转，再用去掉了木香的白术散治愈。另一个小儿患病相同，先用清肺散，再用凉膈散治愈。
有一个小儿患瘰疬，面色发红且口渴，我认为这是肝肾虚热证，用加减八味丸、补中益气汤、六味地黄丸，一个月多月后各种症状全部痊愈，辅助服用九味芦荟丸而彻底治愈。
有一个小儿口干口渴，发冷并伴有泄泻，各种药物无效，大家都认为无法救治，诊得右关脉弦数，重按沉伏，触摸腹中有隐伏的一块如鸡卵大小的肿块，这是肝脾疳积证，用蟾蜍丸，三个月后肿块消散，同时服用地黄丸，三个月后各种症状逐渐消退；后来以白术散为主药，四味肥儿丸为辅药而痊愈。
有一个小儿臀部疽疮即将痊愈时出现口渴，小便频数，面色常红，脉象洪数，但重按无力，尺脉尤为明显，我认为这是禀受父亲肾虚所致。家属不信，反而采用降火生津的方法治疗，结果患儿再次呕吐、腹痛而死。
有一个十五岁的小儿，面部患疮，两足发热且口渴，我认为这是肾经虚热证，（家属）乱服杂药，导致小便像淋证一样痛苦而死。
竹叶石膏汤：治疗胃经气虚内热，患疮引起口渴。
组成：竹叶、石膏（煅，各三钱）、甘草、人参（各二钱）、麦门冬（五钱）。
用法：每次服用二钱，用生姜水煎煮，婴儿与母亲同服。
竹叶黄芪汤：治疗脾胃经热毒疮疡引起口渴，效果神奇。
组成：淡竹叶、黄芩（炒）、麦门冬、当归、川芎、甘草、黄芪、芍药、人参、半夏、石膏（煅，各一钱）、生地黄（二钱）。
用法：每次服用二钱，用水煎煮。
黄芪六一汤：治疗疮疡气虚引起口渴，病愈后复发口渴尤其适宜服用。
组成：黄芪（炙，六钱）、甘草（炙，一钱）。
用法：用水煎煮服用。
六味地黄丸（加入肉桂一两，五味子四两，名为加减八味丸）
组成：熟地黄（八两捣成膏）、山茱萸肉、干山药（各四两）、泽泻、牡丹皮、白茯苓（各三两）。
用法：研为细末，加入地黄膏，适量加米糊制成梧桐子大小的丸药。每次服用几丸，空腹用温水送下。如果行走迟缓、鹤膝风，可加鹿茸、牛膝、五加皮。如果是由于肝肾血虚，发热口渴，小便淋漓或闭塞，痰气上壅；或者风邪客于淫气，导致瘰疬结核；或者四肢抽搐，眼睑跳动；或者咳嗽吐血，头目眩晕；或者咽喉干燥疼痛，口舌破裂；或者自汗盗汗，便血及各种出血症；或者禀受肾气不足，肢体形体瘦弱，筋挛骨肿；或者解颅失音，畏光向下窜视；或者过早接近女色，精血亏耗，五脏俱损的各种症状，都适宜服用此药。
泻黄散：治疗脾胃经实热患疮，口渴想喝冷水。
组成：藿香叶（七片）、石膏（煅，五钱）、甘草、防风、山栀仁（炒，各一两）。
用法：研为细末，每次服用二钱，用水煎煮，加入少许蜂蜜，婴儿和乳母服用。
东垣圣愈汤（方剂见“出血不止”章节）
五味异功散（方剂见“用败毒之药”章节）
补中益气汤（方剂见“肌肉不生”章节）
七味白术散（方剂见“发热不止”章节）
清热消毒散（方剂见“热毒口疮”章节）
仙方活命饮（方剂见“热毒疮疡”章节）
清胃散（方剂见“腹痈”章节）
Thirst caused by sores and ulcers should be treated by distinguishing the affected meridians and channels, as well as the deficiency or excess of Qi and Blood. If there is pain and fever but bowel movements and urination are harmonious, the pathogen is in the Fu organs; use Qingre Xiaodu San (Clear Heat and Detoxify Powder). If there is swelling, pain, fever, and constipation, the pathogen is in the Zang organs; first use Xiehuang San (Drain the Spleen Powder), and if ineffective, use Liangge San (Cool the Diaphragm Powder). If local redness, swelling, heat, and pain are intense, the pathogen is in the meridians and channels; use Xianfang Huoming Yin (Immortal Life Decoction from the Immortal House). If the pulse at the right Guan position is surging, rapid, and forceful, it indicates Stomach Fire consuming body fluids; use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction). If the pulse at the right Guan position is rapid but weak, it indicates Stomach deficiency with shortness of body fluids; use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If improper diet damages Stomach Qi and causes loss of body fluids, use Qian Shi Baizhu San (Master Qian’s Atractylodes Macrocephala Powder). If excessive discharge of pus and blood leads to Qi and Blood deficiency, use Bazhen Tang (Eight Treasures Decoction) with added Wuweizi (Schisandra Berry). If congenital Kidney insufficiency leads to shortness of body fluids, use Jiajian Bawei Wan (Modified Eight-Flavor Pill). Other cases should be managed flexibly according to clinical presentation.
A child suffered from a sore on the right cheek, with thirst for cold drinks, yellow eyes, and cracked lips. This was identified as Excess Heat in the Spleen and Stomach, cured using Xiehuang San (Drain the Spleen Powder). Later, due to food stagnation causing thirst and generalized jaundice, a small amount of Xiehuang San was administered. After the jaundice subsided, the thirst worsened, indicating that the heat had receded but True Qi was deficient. The condition was cured using Baizhu San (Atractylodes Macrocephala Powder).
A woman suffered from an arm carbuncle, with dry mouth desiring hot drinks and frequent urination. This was identified as Qi deficiency of the Spleen and Lung. She was cured using Sijunzi Tang (Four Gentlemen Decoction), Huangqi (Astragalus Root), Ganjiang (Dried Ginger), and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
A child suffered from an abdominal abscess that ulcerated, followed by thirst for hot drinks. This was identified as Qi deficiency of the Spleen and Stomach. Thirst ceased after administration of Liujunzi Tang (Six Gentlemen Decoction), Huangqi (Astragalus Root), and Danggui (Angelica Sinensis). The wound healed after using Yigong San (Extraordinary Power Powder).
A woman suffered from facial sores, with thirst for hot drinks and a red face. This was identified as Spleen Qi deficiency with empty heat. She was first treated with Yigong San (Extraordinary Power Powder) and then cured using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
A child who frequently consumed rich and greasy foods developed sores in the mouth and tongue, thirst for cold drinks, and constant heat in the hands and feet. This was identified as accumulated heat in the Stomach meridian. Two doses of Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) were given first, followed by two doses of Zhuye Huangqi Tang (Bamboo Leaf and Astragalus Decoction) for gradual improvement. Finally, Baizhu San (Atractylodes Macrocephala Powder) without Muxiang (Vetiver Root) was used for complete recovery. Another child with the same condition was cured using Qingfei San (Clear the Lungs Powder) followed by Liangge San (Cool the Diaphragm Powder).
A child suffered from scrofula (Luo Li, 瘰疬), with a red face and thirst. I diagnosed this as Empty Heat in the Liver and Kidney. Using Jiajian Bawei Wan (Modified Eight-Flavor Pill), Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), all symptoms resolved within a month. Full recovery was achieved with adjunctive treatment using Jiwei Luhui Wan (Nine-Ingredient Aloe Pill).
A child presented with dry mouth, thirst, aversion to cold, and diarrhea. Various medicines failed, and it was believed the case was incurable. The pulse at the right Guan position was wiry and rapid, deep and hidden upon heavy pressure. Palpation revealed a hidden mass in the abdomen, size of a chicken egg. This was diagnosed as Liver-Spleen Gan accumulation (Gan Ji, 疳积). Chan Chu Wan (Toad Pill) was administered, resolving the mass over three months. Concurrently, Dihuang Wan (Rehmannia Pill) was taken, leading to gradual resolution of symptoms over another three months. Subsequently, Baizhu San (Atractylodes Macrocephala Powder) was used as the principal formula, assisted by Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pill), resulting in recovery.
A child’s buttock carbuncle was nearly healed when thirst appeared, accompanied by frequent urination, a persistently red face, and a surging, rapid pulse that was weak upon pressure, especially at the Chi position. I diagnosed this as congenital Kidney deficiency inherited from the father. The family disagreed and instead used methods to clear fire and generate fluids. The child subsequently developed vomiting and abdominal pain and died.
A fifteen-year-old boy suffered from facial sores, with heat in both feet and thirst. I diagnosed this as Empty Heat in the Kidney meridian. Due to indiscriminate use of various medicines, he suffered from urinary symptoms resembling strangury and died.
Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction): Treats internal heat due to Qi deficiency in the Stomach meridian, causing thirst in patients with sores.
Ingredients: Zhuye (Bamboo Leaf), Shigao (Gypsum Fibrosum, calcined, 3 qian each), Gancao (Licorice Root), Renshen (Ginseng Root, 2 qian each), Maimendong (Ophiopogon Tuber, 5 qian).
Usage: Take 2 qian per dose, decoct with ginger water. Infants and their mothers take it together.
Zhuye Huangqi Tang (Bamboo Leaf and Astragalus Decoction): Treats thirst caused by heat-toxin sores and ulcers in the Spleen and Stomach meridians; highly effective.
Ingredients: Danzhuye (Light Bamboo Leaf), Huangqin (Scutellaria Root, stir-fried), Maimendong (Ophiopogon Tuber), Danggui (Angelica Sinensis), Chuanxiong (Sichuan Lovage Rhizome), Gancao (Licorice Root), Huangqi (Astragalus Root), Shaoyao (Peony Root), Renshen (Ginseng Root), Banxia (Pinellia Tuber), Shigao (Gypsum Fibrosum, calcined, 1 qian each), Shengdihuang (Rehmannia Root, 2 qian).
Usage: Take 2 qian per dose, decoct with water.
Huangqi Liuyi Tang (Astragalus Six-to-One Decoction): Treats thirst caused by Qi deficiency in sores and ulcers; particularly suitable for recurrent thirst after recovery.
Ingredients: Huangqi (Astragalus Root, honey-fried, 6 qian), Gancao (Licorice Root, honey-fried, 1 qian).
Usage: Decoct with water and take orally.
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (Add Rougui (Cinnamon Bark, 1 liang) and Wuweizi (Schisandra Berry, 4 liang) to name Jiajian Bawei Wan / Modified Eight-Flavor Pill):
Ingredients: Shudihuang (Prepared Rehmannia Root, pounded into paste, 8 liang), Shanzhuyu (Cornus Fruit), Gaoyao (Dioscorea Rhizome, dried, 4 liang each), Zexie (Alisma Rhizome), Mudanpi (Moutan Cortex), Baifuling (Poria, 3 liang each).
Usage: Grind into powder, mix with Rehmannia paste, add appropriate rice paste to form pills the size of paulownia seeds. Take several pills per dose with warm water on an empty stomach. For delayed walking or "crane knee" deformity, add Lurong (Deer Antler), Niuxi (Achyranthes Root), and Wujia Pi (Five-leaf Acanthopanax Bark). Indications include: empty heat from Liver-Kidney Blood deficiency with fever and thirst; strangury or retention of urine; phlegm-Qi obstruction upward; wind pathogens invading yin-Qi causing scrofula and lymphatic nodules; tetany of limbs; eye twitching; cough with hemoptysis; dizziness and vertigo; dry and painful throat; cracked mouth and tongue; spontaneous or night sweating; hematochezia and other bleeding disorders; congenital Kidney Qi insufficiency with emaciation, muscle spasms, and bone swelling; fontanelle depression with aphonia and photophobia; premature sexual activity leading to essence and blood depletion and damage to the Five Viscera. All these conditions are suitable for this pill.
Xiehuang San (Drain the Spleen Powder): Treats sores caused by Excess Heat in the Spleen and Stomach meridians, with thirst for cold drinks.
Ingredients: Huoxiangye (Patchouli Leaf, 7 leaves), Shigao (Gypsum Fibrosum, calcined, 5 qian), Gancao (Licorice Root), Fangfeng (Saposhnikovia Root), Shanzhiren (Gardenia Seed, stir-fried, 1 liang each).
Usage: Grind into powder. Take 2 qian per dose, decoct with water, add a little honey. Infants and nursing mothers take it.
Dongyuan Shengyu Tang (Dongyuan's Holy Vitality Decoction) (See formula under "Unstoppable Bleeding")
Wuweiyigong San (Five-Ingredient Extraordinary Power Powder) (See formula under "Use of Detoxifying Drugs")
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See formula under "Failure of Muscle Regeneration")
Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder) (See formula under "Unstoppable Fever")
Qingre Xiaodu San (Clear Heat and Detoxify Powder) (See formula under "Heat-Toxin Mouth Ulcers")
Xianfang Huoming Yin (Immortal Life Decoction from the Immortal House) (See formula under "Heat-Toxin Sores and Ulcers")
Qingwei San (Clear the Stomach Powder) (See formula under "Abdominal Abscess")