（东垣）润肠丸 治脾胃中伏火。大便秘涩，或干燥不通，全不思食，乃风燥血秘，
以此润燥和血疏风，自然通矣。
麻子仁 桃仁（各一两。去皮尖，另研） 羌活 当归尾 大黄（煨） 皂角仁 秦艽（各半两）
上为细末，炼蜜和匀，丸梧桐子大。每服四十丸。空心白汤下。
麻仁丸
郁李仁 麻子仁（各六两） 大黄（二两，各生半炒） 山药 防风 枳壳（炒。各七钱半）
槟榔 羌活 木香（各半两）
上为细末，炼蜜丸，梧桐子大。每服三、四十丸，温白汤下。
（《机要》）秦艽丸 治血弱筋燥，阴虚不能养荣，手足不能润动，爪甲干燥，风热甚。
（方见风门。）
（子和）脾约丸 治风燥秘结。（方见本门。）
（东垣）生液甘露饮（一名清凉饮子）治消中能食而瘦，口舌干燥，自汗，大便结燥，
小便频数。
和血益气汤 治口燥便秘，舌上赤脉，此药生津除燥，长肌。
辛润缓肌汤 治肌裂，皮肤诸燥涩不润泽。（三方并见消渴门。）
活血润燥丸 治风秘，血秘，常常结燥。
润肠丸 治结燥。（二方并见秘结门。）
经曰∶诸热瞀螈，皆属于火；诸痛疮痒，皆属于心；诸禁鼓栗，如丧神守，皆属于火；
诸逆冲上，皆属于火；诸腹胀大，皆属于热；诸燥狂越，皆属于火；诸病有声，鼓之如鼓，皆
属于热；诸病 肿，疼酸惊骇，皆属于火；诸转反戾，水液混浊，皆属于热；诸呕吐酸，
暴注下迫，皆属于热。
又曰∶诸热瞀螈，暴喑冒昧，躁扰狂越，骂詈惊骇， 肿疼酸，气逆冲上，禁栗如
丧神守，嚏呕疮痒，喉痹耳鸣，及聋呕涌溢，食不下，目昧不明，暴注 螈，暴病暴死，
皆属于火。
《原病武》曰∶瞀，昏也；螈，动也。热甚则神气昏，心惕跳，肉 动，皆火然也。
暴喑，无声也。金受火邪，浊而不鸣也。金清则善鸣，火盛则金浊，难鸣而喑也。冒，昏冒也；
昧，暗昧也。火气闷热则神昏暗而不清爽也。躁，躁动烦闷也；扰，扰乱也。凡火甚则烦心
不眠，坐卧不宁，神志不定是也。狂越，狂乱而乖越，言语错乱，行止失常也。骂詈，恶声
以辱人也。惊骇，闻声则惊，惕然而恐骇，皆火邪盛，正气无主也。 肿疼酸，足附近 有肉
处，热胜则肿，风胜则动。疼，痛之轻浅；痛，则疼之甚也。酸，似疼非疼，其间侧侧然
酸髓而似疼痛之意也。乃肝木之火，故似酸也。如醉甚之甚，手足股腕皆为之酸髓者是也。
气逆冲上，火气炎上也。禁栗如要神守，战栗摇动而形体丧失保守之神也。嚏呕，鼻中气
痒而作声也。火烁肺金而邪气出鼻
窍，故痒碍而喷嚏也。疮疡，为心火之炽于皮肤也。喉痹，热客上焦，咽喉肿痛，吞津有碍而不
仁之谓也。耳鸣，肾水不滋，火炎上窍而有声，如闻钟鼓蝉鸣之类是也。
呕涌液，食不下∶火气炎上，胃膈热甚，则传化失常，故呕溢而上也。目昧不明，为热
气郁瘅也。平白目无所见，皆热气郁之甚也。暴注 螈∶暴注，卒然而泻也，热甚则流通，
而卒成水泻之类； 螈，动跳也。暴病暴死，火性疾速，如热气郁怫之久，则一时心神昏闷，
筋骨不用，卒然僵仆倒地而死，皆火之为也。
经曰∶壮火之气衰，少火之气壮。壮火食气，气食少火。壮火散气，少火生气。壮火食
气，故气得壮火则耗散；气食少火，故气得少火则长生。犹言少火滋养其气也。
《原病式》曰∶五脏之志过度，则劳伤本志。凡五志所伤，皆热也。所谓阳动阴静，
故形神劳则燥不宁。静则清平也。是故上善若水，下愚若火。如卒暴匮仆，多因五志七情过度
而卒病也。故善为心火之志，病笑者，火之甚也。五志过极，皆为火也。
（李东垣）润肠丸：治疗脾胃中潜伏的火邪。症状为大便秘结涩滞，或者干燥不通，完全不想吃东西。这是由于风燥和血虚秘结所致，用此方滋润燥热、调和血液、疏散风邪，大便自然通畅。
麻子仁、桃仁（各一两，去皮尖，单独研磨）、羌活、当归尾、大黄（煨制）、皂角仁、秦艽（各半两）。
以上药物研成细末，用炼蜜调和均匀，制成梧桐子大小的药丸。每次服用四十丸，空腹时用白开水送服。
麻仁丸：
郁李仁、麻子仁（各六两）、大黄（二两，一半生用一半炒制）、山药、防风、枳壳（炒制，各七钱半）、槟榔、羌活、木香（各半两）。
以上药物研成细末，用炼蜜制成梧桐子大小的药丸。每次服用三四十丸，用温白开水送服。
（刘完素《机要》）秦艽丸：治疗血虚筋脉干燥，阴虚不能滋养营血，导致手足不能润泽活动，指甲干燥，风热严重。（方剂见“风门”章节。）
（李东垣）生液甘露饮（又名清凉饮子）：治疗消渴病中能吃但身体消瘦，口舌干燥，自汗，大便干结燥硬，小便频数。
和血益气汤：治疗口燥便秘，舌上有红色脉络，此药能生津除燥，促进肌肉生长。
辛润缓肌汤：治疗肌肤皲裂，皮肤各种干燥涩滞不润泽。（上述三方均见“消渴门”章节。）
经典经文说：各种因热导致的昏厥抽搐，都归属于火；各种疼痛疮疡瘙痒，都归属于心；各种口噤不语、鼓颔战栗，如同失去神志主宰一样，都归属于火；各种气逆冲上的症状，都归属于火；各种腹部胀大，都归属于热；各种燥热狂乱越常的行为，都归属于火；各种疾病发出声响，叩击时像敲鼓一样中空，都归属于热；各种疾病出现的肿胀、疼痛酸楚、惊恐骇异，都归属于火；各种转筋反折，排泄物浑浊，都归属于热；各种呕吐酸水，突然剧烈腹泻且里急后重，都归属于热。
又说：各种热导致的昏厥抽搐，突然失音、头目昏蒙、烦躁扰乱、狂乱越常、骂人惊骇，肿胀疼痛酸楚，气逆冲上，口噤战栗如同失去神志主宰，打喷嚏呕吐、疮疡瘙痒，喉痹耳鸣及耳聋、呕吐涌溢、饮食不下、视物昏暗不明，突然剧烈腹泻抽搐，突发疾病突然死亡，都归属于火。
《原病式》说：瞀，是昏沉的意思；螈，是抽动的意思。热邪严重时神气昏沉，心脏惕跳，肌肉抽动，这都是火邪在起作用。
暴喑，是指突然失声。肺金受到火邪侵害，变得浑浊而不能鸣响。肺金清肃则善于发声，火盛则使肺金浑浊，难以发声而致喑哑。冒，是昏蒙的意思；昧，是昏暗不明的意思。火气闷热则神志昏暗而不清爽。躁，是躁动烦闷；扰，是扰乱。凡是火邪严重就会导致心烦失眠，坐卧不宁，神志不定。狂越，是狂乱乖张，言语错乱，行为失常。骂詈，是用恶毒的语言侮辱人。惊骇，是听到声音就惊吓，警惕恐惧，这都是火邪盛极，正气无法自主的表现。肿疼酸，指足部附近有肉的地方，热胜则肿胀，风胜则抽动。疼，是轻浅的痛；痛，则是严重的疼。酸，似疼非疼，中间有一种刺骨酸痛且类似疼痛的感觉。这是肝木之火的作用，所以感觉像酸。就像醉酒后极度疲劳，手足大腿手腕都感到刺骨酸痛的情况。气逆冲上，是火性炎上的表现。禁栗如丧神守，是指战栗摇动而形体丧失保守神志的状态。嚏呕，是鼻中气痒而发出声音。火邪灼烧肺金，邪气出于鼻窍，所以因痒碍而打喷嚏。疮疡，是心火炽盛于皮肤所致。喉痹，是热邪客居上焦，咽喉肿痛，吞咽津液有困难且不灵敏。耳鸣，是肾水不能滋养，火炎上窍而有声音，如同听到钟鼓蝉鸣之类。
呕涌液，饮食不下：火气炎上，胃膈热甚，导致传化功能失常，所以呕吐涌溢而上。目昧不明，是由于热气郁积熏蒸。平白无故看不见东西，都是热气郁积严重的结果。暴注螈：暴注，是突然腹泻，热甚则流通，从而突然形成水泻之类；螈，是跳动抽搐。暴病暴死，是因为火性疾速，如果热气郁结日久，就会一时心神昏闷，筋骨不用，突然僵仆倒地而死，这都是火邪造成的。
经典经文说：壮火之气衰，少火之气壮。壮火消耗元气，元气依赖少火。壮火散失元气，少火滋生元气。壮火消耗元气，所以元气得到壮火就会耗散；元气依赖少火，所以元气得到少火就能长生。这就好比说少火滋养元气。
《原病式》说：五脏的情志过度，就会劳伤本脏的情志。凡是五志所伤，都会产生热邪。所谓阳动阴静，所以形体和精神劳累就会燥动不宁。安静则清平。因此，至善的人像水一样柔和，下愚的人像火一样猛烈。比如突然昏倒，多是因为五志七情过度而突然患病。所以善于调节心火的情志，生病表现为笑的，是火邪严重的表现。五志过极，都会化为火邪。
(Li Dongyuan) Run Chang Wan (Intestine-Moistening Pill): Treats latent fire in the Spleen and Stomach. Symptoms include constipation with difficulty, or dryness and obstruction, complete loss of appetite. This is due to wind-dryness and blood-deficiency constipation. This formula moistens dryness, harmonizes blood, and disperses wind, allowing natural bowel movement.
Hemp Seed (Cannabis Fructus), Peach Kernel (Persicae Semen) (each 1 liang, remove skin and tips, grind separately), Qiang Huo (Notopterygii Rhizoma et Radix), Dang Gui Wei (Angelicae Sinensis Radix caulis), Da Huang (Rhei Radix et Rhizoma, baked), Zao Jiao Ren (Gleditsiae Fructus Semen), Qin Jiao (Gentianae Macrophyllae Radix) (each 0.5 liang).
Grind the above herbs into fine powder, mix evenly with refined honey, and make pills the size of a paulownia seed. Take 40 pills each time, swallowed with plain warm water on an empty stomach.
Ma Ren Wan (Hemp Seed Pill):
Yu Li Ren (Prunus japonica Seed), Hemp Seed (Cannabis Fructus) (each 6 liang), Da Huang (Rhei Radix et Rhizoma) (2 liang, half raw, half stir-fried), Shan Yao (Dioscoreae Rhizoma), Fang Feng (Saposhnikoviae Radix), Zhi Ke (Aurantii Fructus, stir-fried) (each 7 qian 5 fen), Bing Lang (Arecae Semen), Qiang Huo (Notopterygii Rhizoma et Radix), Mu Xiang (Aucklandiae Radix) (each 0.5 liang).
Grind the above herbs into fine powder, make pills with refined honey, the size of a paulownia seed. Take 30-40 pills each time, swallowed with warm plain water.
(Liu Wansu's *Ji Yao*) Qin Jiao Wan: Treats blood deficiency causing tendon dryness, Yin deficiency failing to nourish Ying (nutritive Qi), resulting in hands and feet lacking moisture and mobility, dry nails, and severe wind-heat. (Formula see "Wind Gate" chapter.)
(Zhang Congzheng) Pi Yue Wan (Spleen-Restriction Pill): Treats constipation caused by wind-dryness. (Formula see this gate chapter.)
(Li Dongyuan) Sheng Ye Gan Lu Yin (Life Fluid Sweet Dew Drink) (also known as Qing Liang Yin Zi): Treats Xiao Ke (Wasting-Thirst) where the patient eats well but becomes emaciated, has dry mouth and tongue, spontaneous sweating, dry and hard stools, and frequent urination.
He Xue Yi Qi Tang (Harmonize Blood and Boost Qi Decoction): Treats dry mouth and constipation, red meridians on the tongue. This medicine generates fluids, removes dryness, and promotes muscle growth.
Xin Run Huan Ji Tang (Pungent-Moistening Muscle-Soothing Decoction): Treats skin fissures and various skin dryness, roughness, and lack of moisture. (The above three formulas are all in the "Xiao Ke Gate" chapter.)
Huo Xue Run Zao Wan (Invigorate Blood and Moisten Dryness Pill): Treats Wind Bi (constipation due to wind) and Blood Bi (constipation due to blood deficiency), characterized by frequent dry and hard stools.
Run Chang Wan (Intestine-Moistening Pill): Treats dry and hard stools. (The above two formulas are both in the "Bi Jie Gate" chapter.)
The Classics state: All cases of heat-induced dizziness and convulsions belong to Fire; all pain, sores, and itching belong to the Heart; all cases of jaw stiffness, shivering, and chattering teeth, appearing as if losing spiritual control, belong to Fire; all cases of rebellious Qi rushing upward belong to Fire; all cases of abdominal distension and enlargement belong to Heat; all cases of dryness, mania, and unruliness belong to Fire; all diseases producing sounds, where percussion yields a drum-like resonance, belong to Heat; all diseases involving swelling, pain, soreness, fright, and alarm belong to Fire; all cases of twisting and contracture, with turbid urine, belong to Heat; all cases of vomiting acid, sudden profuse diarrhea, and tenesmus belong to Heat.
It is also said: All heat-induced dizziness and convulsions, sudden aphonia, mental confusion, restlessness, mania, cursing, and fright; swelling, pain, and soreness; rebellious Qi rushing upward; jaw stiffness and shivering as if losing spiritual control; sneezing, vomiting, sores, and itching; throat obstruction, tinnitus, and deafness; vomiting and fluid overflow, inability to eat, blurred vision, sudden profuse diarrhea and convulsions, sudden illness and sudden death—all belong to Fire.
*Yuan Bing Shi* states: "Mao" means dizziness; "Yong" means twitching. When heat is severe, the spirit becomes dull, the heart palpitates, and muscles twitch; these are caused by Fire.
"Sudden Aphonia" refers to sudden loss of voice. Metal (Lung) affected by Fire pathogen becomes turbid and cannot resonate. When Metal is clear, it resonates well; when Fire is excessive, Metal becomes turbid, making speech difficult and leading to aphonia. "Mao" means dizziness/confusion; "Mei" means dimness/obscurity. Muggy Fire Qi causes the spirit to be dim and unclear. "Zao" means restless agitation and vexation; "Rao" means disturbance. Severe Fire leads to a vexed heart, insomnia, restlessness in sitting and lying down, and unsettled spirit/mind. "Kuang Yue" means madness and deviation, disordered speech, and abnormal behavior. "Ma Li" means insulting others with foul language. "Jing Hai" means being startled by sound, feeling alert fear and alarm; these occur when Fire pathogen is excessive and Righteous Qi loses mastery. Swelling, pain, and soreness refer to fleshy areas near the feet; excess Heat causes swelling, excess Wind causes movement/twitching. "Teng" is mild pain; "Tong" is severe pain. "Suan" is like pain but not quite pain, a prickling soreness in the marrow resembling pain. This is the Fire of Liver Wood, hence the sensation of sourness. It is like extreme drunkenness where limbs and joints feel deep soreness. Rebellious Qi rushing upward is due to Fire flaring up. "Jin Li Ru Sang Shen Shou" refers to trembling and shaking where the body loses its spiritual guardian. "Ti Ou" is sneezing due to itchiness in the nose from Qi. Fire scorching Lung Metal causes pathogens to exit through nasal orifices, causing itchiness and sneezing. Sores and ulcers are caused by blazing Heart Fire in the skin. "Hou Bi" is heat lodging in the Upper Jiao, causing sore throat and swelling, difficulty swallowing saliva, and insensitivity. Tinnitus is caused by Kidney Water failing to nourish, with Fire flaring to the upper orifices, producing sounds like bells, drums, or cicadas.
Vomiting fluid overflow and inability to eat: Fire flares upward, causing intense heat in the Stomach and Diaphragm, disrupting transmission and transformation, leading to vomiting and reflux. Blurred vision is due to heat Qi stagnating and steaming. Inability to see clearly in broad daylight is due to severe heat Qi stagnation. "Bao Zhu Yong": "Bao Zhu" is sudden diarrhea; severe Heat causes rapid flow, resulting in watery diarrhea. "Yong" is jumping/twitching. Sudden illness and sudden death: Fire nature is swift. If heat Qi stagnates for a long time, it suddenly causes mental confusion, immobility of sinews and bones, leading to sudden collapse and death. These are all caused by Fire.
The Classics state: The Qi of Strong Fire declines; the Qi of Weak Fire strengthens. Strong Fire consumes Qi; Qi nourishes Weak Fire. Strong Fire dissipates Qi; Weak Fire generates Qi. Strong Fire consumes Qi, so Qi dissipated by Strong Fire is depleted; Qi nourished by Weak Fire grows long. This means Weak Fire nourishes Qi.
*Yuan Bing Shi* states: Excessive emotion of the Five Zang organs damages their respective spirits. All injuries from the Five Spirits generate Heat. Yang moves, Yin is still; thus, physical and mental labor leads to dryness and unrest. Stillness brings clarity and peace. Therefore, the supreme good is like water; the lowest ignorance is like fire. Sudden fainting often results from excessive Five Spirits and Seven Emotions causing sudden illness. Thus, managing Heart Fire emotions: illness manifesting as laughter indicates severe Fire. Extreme excess of the Five Spirits all transforms into Fire.