桂枝三两 甘草（炙）二两 生姜（切）三两 牡蛎（熬）五两 龙骨四两 大枣（
擘）十二枚 蜀漆（洗去脚）三两
右为末，以水一斗二升，先煮蜀漆，减二升，内诸药，煮取三升，去滓，温服。
@@@
火逆下之，因烧针烦躁者，桂枝甘草龙骨牡蛎汤主之。
【注】
火逆者，谓凡火劫取汗致逆者也。此火逆因火针也。烧针劫汗，而复下之，火逆之邪
，虽因下减，而烦躁一证独不除者，盖因汗下，大伤津液而然也。故用桂枝、甘草以
救表，龙骨、牡蛎以固中，不治烦躁而烦躁自愈也。
【集注】
喻昌曰：此证误而又误，虽无惊狂等变，然烦躁则外邪未尽之候，亦真阳欲亡之机也
。
程应旄曰，火逆下之，里气虚矣，不治其虚，更加烧针，自致亡阳。但见烦躁证，而
不尽如前条之惊狂起卧不安者，由热势之缓急有殊，故前方之加减稍异，总不容烦躁
之以假乱真也。
桂枝一两 甘草（炙）二两 龙骨二两 牡蛎（熬）二两
右四味，为末，以水五升，煮取二升半，去滓，温服八合，日三服。
【集解】
汪琥曰：此方即桂枝去芍药，加蜀漆龙骨牡蛎救逆汤，制小其剂而用之也。火邪迫内
，则生烦躁，虽烦躁似带表邪，不宜散以桂枝之辛热，而火逆既经下之，则阴血受伤
，较之救逆汤，似当增芍药也。
音切
灼音酌 摸未各切 痿乌魁切 唾汤卧切 炊音吹 □音讦 眴与旬同
桂枝三两，甘草（炙）二两，生姜（切片）三两，牡蛎（煅制）五两，龙骨四两，大枣（掰开）十二枚，蜀漆（洗涤去除泥沙脚土）三两。
以上七味药，研成粗末，用水一斗二升，先煮蜀漆，水量减少二升后，加入其余药物，煎煮至剩余三升，滤去药渣，温服。
@@@
因火疗导致逆证，又经过攻下法治疗，随后因烧针而出现烦躁症状的，主治方剂为桂枝甘草龙骨牡蛎汤。
【注】
所谓“火逆”，是指凡是使用火法强行发汗而导致气机逆乱的病症。这里的火逆特指因火针所致。使用烧针强行发汗，之后又误用攻下法，虽然火逆之邪气因攻下而有所减轻，但“烦躁”这一症状却单独无法消除，这是因为汗法和下法大伤津液所导致的缘故。因此，使用桂枝、甘草来救助表气，使用龙骨、牡蛎来固护中焦，不直接治疗烦躁，但烦躁会自行痊愈。
【集注】
喻昌说：此证是误治后又误治，虽然没有出现惊狂等变证，但烦躁是外邪未尽的表现，也是真阳即将亡失的征兆。
程应旄说，火逆并加以攻下，里气已经虚弱，如果不治疗其虚损，反而再加烧针，自然会导致亡阳。只见到烦躁的症状，而没有像前一条所述那样出现惊狂、起卧不安的情况，是因为热势的缓急有所不同，所以前方剂的加减略有差异，总之不能容许将烦躁这种假象混淆为真象。
桂枝一两，甘草（炙）二两，龙骨二两，牡蛎（煅制）二两。
以上四味药，研成粗末，用水五升，煎煮至剩余二升半，滤去药渣，每次温服八合，每日服用三次。
【集解】
汪琥说：此方即是桂枝去芍药加蜀漆龙骨牡蛎救逆汤，只是减小了剂量来使用。火邪逼迫入内，则产生烦躁，虽然烦躁似乎带有表邪，不宜用桂枝的辛热来发散，但火逆既然已经经过攻下，阴血已经受伤，相较于救逆汤，似乎应当增加芍药。
音切
灼音同“酌”，摸未各切，痿乌魁切，唾汤卧切，炊音同“吹”，□音同“讦”，眴与旬同。
Guizhi (Cinnamon Twig) 3 liang, Gancao (Licorice Root, prepared with honey) 2 liang, Shengjiang (Fresh Ginger, sliced) 3 liang, Muli (Oyster Shell, calcined) 5 liang, Longgu (Fossilized Bone) 4 liang, Dazao (Jujube Fruit, torn open) 12 pieces, Shuqi (Pyrrosiae Herba, washed to remove soil) 3 liang.
The above seven herbs are ground into coarse powder. Add 12 sheng of water, first decoct Shuqi until the volume reduces by 2 sheng, then add the remaining herbs. Decoct until 3 sheng remains, strain the dregs, and take warm.
@@@
For cases where fire therapy causes adverse reactions, followed by purgation, and subsequently agitation and restlessness due to burning needle therapy, Guizhi Gancao Longgu Muli Tang (Cinnamon Twig, Licorice, Fossilized Bone, and Oyster Shell Decoction) is the primary treatment.
[Annotation]
"Fire adverse reaction" refers to any condition where qi mechanism becomes disordered due to forced sweating via fire methods. Here, it specifically refers to that caused by fire needles. Using burning needles to force sweat, followed by erroneous purgation, although the pathogenic factors from fire adverse reaction are somewhat reduced by purgation, the symptom of "agitation and restlessness" alone persists. This is because sweating and purging severely damage body fluids. Therefore, Guizhi and Gancao are used to rescue the exterior qi, while Longgu and Muli are used to secure the middle jiao. By not directly treating the agitation, it resolves spontaneously.
[Collected Annotations]
Yu Chang stated: This condition results from misdiagnosis compounded by further error. Although there are no severe changes such as fright or mania, agitation and restlessness indicate that external pathogens remain unresolved and signal the impending loss of true yang.
Cheng Yingmao stated: Fire adverse reaction combined with purgation leaves the interior qi deficient. If this deficiency is not treated, and burning needles are applied additionally, it naturally leads to the collapse of yang. The presence of only agitation and restlessness, without the extreme restlessness and inability to lie still seen in the previous clause, indicates a difference in the severity and urgency of the heat pathogen. Thus, the modifications to the previous formula differ slightly. Ultimately, one must not allow the false appearance of agitation to be confused with the true pathology.
Guizhi (Cinnamon Twig) 1 liang, Gancao (Licorice Root, prepared with honey) 2 liang, Longgu (Fossilized Bone) 2 liang, Muli (Oyster Shell, calcined) 2 liang.
The above four herbs are ground into coarse powder. Add 5 sheng of water, decoct until 2.5 sheng remains, strain the dregs, and take 8 ge of the warm liquid per dose, three times daily.
[Collected Exegesis]
Wang Hu stated: This formula is essentially Guizhi Qushaoyao Jia Shuqi Longgu Muli Jiuniu Tang (Cinnamon Twig Decoction without Paeonia, plus Pyrrosiae Herba, Fossilized Bone, and Oyster Shell for Rescue), but administered in a reduced dosage. When fire pathogen forces inward, it generates agitation and restlessness. Although agitation seems to carry exterior pathogen characteristics, dispersing it with the acrid and hot nature of Guizhi is inappropriate. Furthermore, since the fire adverse reaction has already undergone purgation, yin blood is injured. Compared to Jiuniu Tang, adding Shaoyao (White Peony Root) might seem appropriate.
Phonetic Guide
Zhuo sounds like Zhuo; Mo follows the pronunciation of Wei; Wei sounds like Kui; Tuo follows the pronunciation of Wo; Chui sounds like Chui; [Character] sounds like Jie; Xuan is identical to Xun.