心疳面赤脉络赤，壮热有汗时烦惊，咬牙弄舌口燥渴，口舌生疮小便红，
胸膈满闷喜伏卧，懒食干瘦吐利频，泻心导赤珍珠治，茯神调理可收功。
[注]
心属火，色赤主血脉，
故心疳则见面红目脉络赤，壮热有汗，时时惊烦，咬牙弄舌，口舌干燥，
渴饮生疮，小便红赤，胸膈满闷，睡喜伏卧，懒食干瘦，或吐或利也，
热盛者，泻心导赤汤主之，
热盛兼惊者，珍珠散主之，
病久心虚者，茯神汤调理之。
(泻心导赤汤) 方见木舌。
(珍珠散) 珍珠三钱 麦冬五钱去心 天竺黄三钱 金箔二十五片
牛黄一钱 胡黄连三钱 生甘草二钱 羚羊角 大黄 当归各三钱
朱砂二钱 雄黄一钱 茯神五钱 犀角三钱 以上细末，每五分，茵陈汤调服
（茯神汤）茯神 当归 炙甘草 人参 引用龙眼肉水煎服 烦热者加麦冬
（方歌）
茯神汤内用茯神，当归甘草共人参，若是烦热麦冬入，清补兼施功最纯。
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疳证门
肥甘积热伤津液，大渴引饮心烦热，速用清热甘露宜，热减津生渴自歇。
【注】
疳渴者，多因肥疳积热煎耗脾胃，以致津液亏损，
故不时大渴引饮，心神烦热，
速用清热甘露饮，其渴自愈。为生地清肺饮以疏解之
（清热甘露饮）生地黄 麦冬去心 石斛 知母生 枇杷叶蜜炙 石膏煆
甘草生 茵陈蒿 黄芩 引用灯心水煎服
（方歌）
耗液伤津成疳渴，清热甘露饮如神，生地麦冬斛知母，枇杷石膏草茵芩
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疳证门
心疳的症状表现为面色红赤，舌下脉络颜色鲜红，身体高热且伴有汗出，时常感到烦躁和惊悸，牙齿紧咬，舌头不自主地伸缩或弄动，口腔干燥且口渴，口腔和舌头上生疮，小便颜色发红，胸部和膈部感觉胀满闷塞，喜欢趴着睡觉，食欲不振，身体干枯消瘦，频繁出现呕吐和腹泻。治疗心疳应使用泻心导赤汤和珍珠散，并配合茯神汤进行调理，即可取得疗效。
[注释]
心脏属火，其色为赤，主要主管血脉，因此心疳患者会出现面红、目络及舌下脉络发红的症状，伴有高热有汗，时时惊悸烦躁，咬牙弄舌，口舌干燥，因渴而饮水导致生疮，小便红赤，胸膈满闷，睡眠时喜欢伏卧，食欲减退，身体干瘦，或者出现呕吐或腹泻的情况。如果热势炽盛，主治方剂为泻心导赤汤；如果热盛兼有惊悸症状，主治方剂为珍珠散；如果病程日久导致心气虚弱，则用茯神汤进行调理。
（泻心导赤汤）此方的具体组成见“木舌”章节。
（珍珠散）配方包括：珍珠三钱，麦冬五钱（去心），天竺黄三钱，金箔二十五片，牛黄一钱，胡黄连三钱，生甘草二钱，羚羊角，大黄，当归各三钱，朱砂二钱，雄黄一钱，茯神五钱，犀角三钱。以上药材研成细末，每次服用五分，用茵陈汤调服。
（茯神汤）配方包括：茯神，当归，炙甘草，人参。煎服时加入龙眼肉作为药引。若伴有烦热症状，可加麦冬。
（方歌）
茯神汤中使用茯神，当归与甘草共同配伍人参，若是伴有烦热加入麦冬，清补兼施的功效最为纯正。
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疳证门
肥甘厚味积滞化热会损伤津液，导致极度口渴、大量饮水、心烦发热，此时应迅速使用清热甘露饮，待热势减退、津液恢复，口渴自然停止。
【注释】
疳渴症，多是因为肥疳（由饮食肥甘引起的疳证）积热煎熬耗损脾胃，导致津液亏损，因此不时出现极度口渴、大量饮水，心神烦热的症状，应迅速使用清热甘露饮，其口渴症状自然会痊愈。这是为了通过生地清肺饮来疏解病情。
（清热甘露饮）配方包括：生地黄，麦冬（去心），石斛，知母（生用），枇杷叶（蜜炙），石膏（煅烧），甘草（生用），茵陈蒿，黄芩。煎服时加入灯心草作为药引。
（方歌）
耗伤津液形成疳渴，清热甘露饮效果如神，方中包含生地、麦冬、石斛、知母，以及枇杷、石膏、甘草、茵陈、黄芩。
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疳证门
Xin Gan (Heart Garn Disease) presents with a red face, red sublingual vessels, high fever with sweating, frequent irritability and palpitations, teeth grinding, tongue protrusion or manipulation, dry mouth and thirst, sores in the mouth and on the tongue, red urine, chest and diaphragm fullness and oppression, preference for sleeping in a prone position, loss of appetite, emaciation, and frequent vomiting and diarrhea. Xin Gan should be treated with Xiexin Daochi Tang (Bupleurum and Gardenia Decoction to Drain Heart Fire and Guide Heat Out) and Zhenzhu San (Pearl Powder), combined with Fushen Tang (Poria Decoction) for regulation, which will yield results.
[Note]
The Heart belongs to Fire, its color is Red, and it governs the blood vessels. Therefore, Xin Gan manifests as a red face, red eye and sublingual vessels, high fever with sweating, frequent palpitations and irritability, teeth grinding, tongue manipulation, dry mouth and tongue, sores caused by excessive drinking due to thirst, red urine, chest and diaphragm fullness, preference for prone sleeping, loss of appetite, emaciation, or vomiting and diarrhea. If heat is intense, Xiexin Daochi Tang (Bupleurum and Gardenia Decoction to Drain Heart Fire and Guide Heat Out) is the primary formula; if heat is intense accompanied by palpitations, Zhenzhu San (Pearl Powder) is the primary formula; if the disease has persisted for a long time leading to Heart deficiency, Fushen Tang (Poria Decoction) is used for regulation.
(Xiexin Daochi Tang (Bupleurum and Gardenia Decoction to Drain Heart Fire and Guide Heat Out)) See the section on Muthe (Wood Tongue) for the prescription details.
(Zhenzhu San (Pearl Powder)) Prescription: Zhenzhu (Pearl) 3 qian, Maidong (Ophiopogonis Radix) 5 qian (remove heart), Tianzhuhuang (Calami Rhizoma cum Borneolo) 3 qian, Jinbo (Gold Leaf) 25 pieces, Niuhuang (Calculus Bovis) 1 qian, Huhuanglian (Picrorhizae Rhizoma) 3 qian, Sheng Gancao (Glycyrrhizae Radix et Rhizoma) 2 qian, Lingyangjiao (Saigae Tataricae Cornu) 3 qian, Dahuang (Rhei Radix et Rhizoma) 3 qian, Danggui (Angelicae Sinensis Radix) 3 qian, Zhusha (Cinnabaris) 2 qian, Xionghuang (Realgar) 1 qian, Fushen (Poria cum Radix Pini) 5 qian, Xijiao (Rhino Ceratostigmae Cornu) 3 qian. Grind all into fine powder. Take 0.5 fen per dose, mixed with Yinchen Tang (Artemisiae Scopariae Decoction).
(Fushen Tang (Poria Decoction)) Prescription: Fushen (Poria cum Radix Pini), Danggui (Angelicae Sinensis Radix), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix et Rhizoma). Use Longyanrou (Longan Aril) water as an adjuvant for decoction. If irritability and heat are present, add Maidong (Ophiopogonis Radix).
(Verse)
Fushen Tang uses Fushen (Poria cum Radix Pini),
Danggui (Angelicae Sinensis Radix) and Gancao (Glycyrrhizae Radix et Rhizoma) together with Renshen (Ginseng Radix et Rhizoma),
If there is irritability and heat, add Maidong (Ophiopogonis Radix),
Clearing and tonifying simultaneously yields the purest efficacy.
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Garn Syndrome Section
Accumulation of heat from rich and sweet foods damages body fluids, causing extreme thirst with excessive drinking, irritability, and heat. Quickly use Qingre Ganlu Yin (Heat-Clearing Sweet Dew Decoction); when heat subsides and fluids regenerate, thirst naturally ceases.
[Note]
Ganke (Garn Thirst) is mostly caused by accumulation of heat from Fei Gan (Fat Garn) frying and consuming the Spleen and Stomach, leading to fluid depletion. Thus, there is frequent extreme thirst with excessive drinking and irritability of the Heart Spirit. Quickly use Qingre Ganlu Yin (Heat-Clearing Sweet Dew Decoction), and the thirst will heal itself. This is to resolve the condition using Shengdi Qingfei Yin (Rehmannia Lung-Clearing Decoction).
(Qingre Ganlu Yin (Heat-Clearing Sweet Dew Decoction)) Prescription: Shengdihuang (Rehmanniae Radix), Maidong (Ophiopogonis Radix, remove heart), Shihu (Dendrobii Caulis), Zhimu (Anemarrhenae Rhizoma, raw), Pipaye (Loquat Leaf, honey-fried), Shigao (Gypsum Fibrosum, calcined), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Yinchenshao (Artemisiae Scopariae Herba), Huangqin (Scutellariae Radix). Use Dengxincao (Junci Medulla) as an adjuvant for decoction.
(Verse)
Fluid consumption and Jin damage form Ganke (Garn Thirst),
Qingre Ganlu Yin (Heat-Clearing Sweet Dew Decoction) works like magic,
Shengdi (Rehmanniae Radix), Maidong (Ophiopogonis Radix), Shihu (Dendrobii Caulis), Zhimu (Anemarrhenae Rhizoma),
Pipa (Loquat Leaf), Shigao (Gypsum Fibrosum), Cao (Glycyrrhizae Radix et Rhizoma), Yinchen (Artemisiae Scopariae Herba), Qin (Scutellariae Radix).
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Garn Syndrome Section