治三焦火热寐汗切牙睡语悸惕溺血淋闭烦热口疮咽痛
大黄 黄芩 黄连 黄柏 上为末蜜丸如弹子大每服一丸滚白汤送下
治肝火
川黄连（不俱多少用姜汁炒紫色） 上为末用粥丸绿豆大每服五十丸滚白汤送下
左金丸 泻肝火
黄连（六两） 吴茱萸 上为末用粥丸绿豆大每服五十丸食远白汤送下
治胃火并食积痰火
软石膏 为细末醋糊丸绿豆大每服五六十丸清米汤送下
滋肾丸 降肾火
黄柏（酒拌炒二两） 知母（酒浸二两） 肉桂（一钱不见火） 上为末炼蜜丸如桐子
大每服
五六十丸空心滚白汤送下
治阴火方见虚门
大率有痰 有风热 有湿热 有血虚
痛风者百节走痛古方谓之历节风是也
痛风者是百节走注疼痛或痛处作肿或发热手足不能举动谓之历节风是也盖因感受风湿之
邪郁于经络入而生热津化为痰治当分其上下辨其风湿以豁痰养血痰自瘳矣
一因风而作痛者宜用 小续命汤加减
一因湿而作痛者宜用 当归拈痛汤 苍术复煎散
一因痰而作痛者宜用 二陈汤加减
一因血虚而作痛者宜用 四物汤加减 或当归活血汤
一痛因上中下用药
○上部多从于风治用风药 川芎 防风 羌活 独活 威灵仙之类
○中部血虚宜用养血活血之药 当归 生地黄 桃仁 乳香 红花之类
○下部多从于湿治用湿药 苍术 木瓜 牛膝 薏苡仁 防己之类
一痰饮为痛宜用 活痰顺气之药 陈皮 南星 半夏 白芥子之类
一湿热为痛宜用 酒黄芩黄柏之类
一湿寒为痛宜用 官桂附子之类
一肩脊痛不能回顾者是太阳经气郁而不行宜用风药以散之宜用 防风通圣散
一脊痛项强腰似折项似拔宜用 羌活胜湿汤
一凡肢节痛必须用薄桂引至疼痛之处或用酒炒方得入经络
治疗三焦火热引起的盗汗、磨牙、睡中呓语、心悸惊恐、尿血、淋证闭塞、烦热、口疮、咽痛。
大黄、黄芩、黄连、黄柏，以上药物研为细末，用蜂蜜炼制成如弹子大小的蜜丸。每次服用一丸，用滚开的白开水送服。
治疗肝火。
川黄连（用量不拘，需用姜汁炒至紫色），以上药物研为细末，用米粥糊制成如绿豆大小的药丸。每次服用五十丸，用滚开的白开水送服。
左金丸：泻肝火。
黄连（六两）、吴茱萸，以上药物研为细末，用米粥糊制成如绿豆大小的药丸。每次服用五十丸，在饭后较远的时间用白开水送服。
治疗胃火并伴有食积和痰火。
软石膏，研为细末，用醋糊制成如绿豆大小的药丸。每次服用五六十丸，用清米汤送服。
滋肾丸：降肾火。
黄柏（酒拌后炒制二两）、知母（酒浸二两）、肉桂（一钱，不可见火），以上药物研为细末，用炼蜜制成如梧桐子大小的蜜丸。每次服用五六十丸，空腹时用滚开的白开水送服。
治疗阴火的方剂见“虚损”门类。
大抵痛风的原因有：有痰、有风热、有湿热、有血虚。
所谓痛风，是指全身关节游走性疼痛，古方称之为历节风。
痛风是指全身关节游走性疼痛，或者疼痛部位肿胀，或者发热，手足不能活动，这称为历节风。这是因为感受了风湿邪气，郁结在经络之中，入里化热，津液凝聚化为痰浊。治疗应当分辨病位的上下，辨别是风还是湿，以豁痰养血为主，痰浊自除，疾病即可痊愈。
风热型的脉象浮数；湿热型的脉象沉数；湿痰型的脉象沉滑；血虚型的脉象濡弱。
一种是因为风邪作痛，适宜用小续命汤加减治疗。
一种是因为湿邪作痛，适宜用当归拈痛汤或苍术复煎散治疗。
一种是因为痰邪作痛，适宜用二陈汤加减治疗。
一种是因为血虚作痛，适宜用四物汤加减，或者用当归活血汤治疗。
根据疼痛部位的上、中、下分别用药：
○上部疼痛多从风论治，使用风药，如川芎、防风、羌活、独活、威灵仙之类。
○中部疼痛多因血虚，适宜使用养血活血的药物，如当归、生地黄、桃仁、乳香、红花之类。
○下部疼痛多从湿论治，使用祛湿药，如苍术、木瓜、牛膝、薏苡仁、防己之类。
一种是因为痰饮作痛，适宜使用化痰顺气的药物，如陈皮、南星、半夏、白芥子之类。
一种是因为湿热作痛，适宜使用酒黄芩、黄柏之类。
一种是因为湿寒作痛，适宜使用官桂、附子之类。
一种肩脊疼痛且不能回顾的，是太阳经气机郁滞不行所致，适宜用风药来疏散，宜用防风通圣散。
一种脊痛、项强、腰部像要折断、颈部像被拉扯的，适宜用羌活胜湿汤。
凡是肢体关节疼痛，必须使用薄桂（肉桂）引导药力到达疼痛之处，或者用酒炒制才能进入经络。
Treatment for Sanjiao (Triple Burner) Fire-Heat causing night sweats, teeth grinding during sleep, somniloquy (sleep-talking), palpitations with fright, hematuria, stranguria with obstruction, vexation and heat, mouth ulcers, and sore throat.
Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex). The above herbs are ground into fine powder, mixed with honey to form pills the size of a bullet. Take one pill per dose, swallowed with boiling plain water.
Treatment for Liver Fire.
Chuan Huanglian (Coptidis Rhizoma) (quantity not restricted, stir-fried with ginger juice until purple). The above herb is ground into fine powder, mixed with rice porridge paste to form pills the size of mung beans. Take fifty pills per dose, swallowed with boiling plain water.
Zuojin Wan (Left Metal Pill): Drains Liver Fire.
Huanglian (Coptidis Rhizoma) (six liang), Wuzhuyu (Evodiae Fructus). The above herbs are ground into fine powder, mixed with rice porridge paste to form pills the size of mung beans. Take fifty pills per dose, swallowed with plain water at a time far removed from meals.
Treatment for Stomach Fire accompanied by food stagnation and phlegm-fire.
Ruanshigao (Gypsum Fibrosum), ground into fine powder, mixed with vinegar paste to form pills the size of mung beans. Take fifty to sixty pills per dose, swallowed with clear rice soup.
Zishen Wan (Kidney-Nourishing Pill): Descends Kidney Fire.
Huangbai (Phellodendri Cortex) (two liang, mixed with wine and stir-fried), Zhimu (Anemarrhenae Rhizoma) (two liang, soaked in wine), Rougui (Cinnamomi Cortex) (one qian, avoid direct fire). The above herbs are ground into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Take fifty to sixty pills per dose, swallowed with boiling plain water on an empty stomach.
The prescription for treating Yin Fire is found in the "Deficiency" section.
Generally, the causes include: Phlegm, Wind-Heat, Damp-Heat, and Blood Deficiency.
Tongfeng (Wind-Pain/Gout) refers to wandering pain throughout all joints; ancient texts call this Lijie Feng (Joint-Wandering Wind).
Tongfeng refers to wandering pain throughout all joints, or swelling at the painful sites, or fever, with inability to move hands and feet; this is called Lijie Feng (Joint-Wandering Wind). This occurs because Wind-Damp pathogenic factors are contracted and stagnate in the meridians, transforming into Heat internally, causing body fluids to condense into Phlegm. Treatment should distinguish between upper and lower locations and differentiate between Wind and Dampness, employing methods to resolve Phlegm and nourish Blood; once Phlegm is resolved, the disease will heal spontaneously.
Pulse of Wind-Heat type is floating and rapid; Pulse of Damp-Heat type is deep and rapid; Pulse of Damp-Phlegm type is deep and slippery; Pulse of Blood Deficiency type is soggy and weak.
One type caused by Wind requires modification of Xiao Xuming Tang (Minor Continuation of Life Decoction).
One type caused by Dampness requires Danggui Niangtong Tang (Angelica Joint-Alleviating Decoction) or Cangzhu Fujian San (Atractylodes Double-Decoction Powder).
One type caused by Phlegm requires modification of Erchen Tang (Two-Aged Decoction).
One type caused by Blood Deficiency requires modification of Siwu Tang (Four Substances Decoction) or Danggui Huoxue Tang (Angelica Blood-Invigorating Decoction).
Medication varies according to the upper, middle, and lower parts of the body where pain occurs:
○ Upper part pain is mostly treated from the perspective of Wind, using Wind-dispersing herbs such as Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), and Weilingxian (Pedicularis Radix).
○ Middle part pain is often due to Blood Deficiency, requiring blood-nourishing and blood-invigorating herbs such as Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix), Taoren (Persicae Semen), Ruxiang (Olibanum), and Honghua (Carthami Flos).
○ Lower part pain is mostly treated from the perspective of Dampness, using damp-resolving herbs such as Cangzhu (Atractylodis Rhizoma), Mugua (Chaenomelis Fructus), Niuxi (Achyranthis Bidentatae Radix), Yiyiren (Coicis Semen), and Fangji (Stephaniae Tetrandrae Radix).
One type caused by Phlegm-Fluids requires phlegm-resolving and qi-smoothing herbs such as Chenpi (Citri Reticulatae Pericarpium), Nanxing (Arisaematis Cum Bile), Banxia (Pinelliae Rhizoma), and Baijiezi (Sinapis Semen).
One type caused by Damp-Heat requires Jiuhuangqin (Scutellariae Radix processed with wine) and Huangbai (Phellodendri Cortex).
One type caused by Damp-Cold requires Guanzi Gui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Praeparata).
Shoulder and back pain with inability to look back indicates stagnation and non-circulation of Taiyang (Greater Yang) meridian Qi; it should be dispersed with Wind-dispersing herbs, specifically using Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder).
Spinal pain, neck stiffness, sensation of waist breaking, and sensation of neck pulling require Qianghuo Shengshi Tang (Notopterygium Rain-Dispelling Decoction).
For any joint pain, Bo Gui (thin Cinnamon Twig/Cortex) must be used to guide the medication to the site of pain, or it must be stir-fried with wine to enter the meridians.