论曰暴渴缘热甚腠理开,汗大泄而津液暴燥。故渴而引饮,小便利者,不能为害,若三
焦不和,心肺壅热,胃中干燥,渴而小便不利者,须防变饮证,不可不察。
治心脾壅滞,暴渴引饮。茯苓汤方
赤茯苓(去黑皮) 泽泻 白术 黄连(去须) 桂(去粗皮) 甘草(炙锉各一两) 大
黄(
生用半两)
上七味,粗捣筛,每服三钱匕,水一盏半,入小麦半匙,煎至一盏,去滓温服,不拘时
治内热暴渴不止。枳实汤方
枳实(去瓤麸炒) 茯神(去木) 葛根(锉) 石膏(各二两半)
上四味,粗捣筛,每服三钱匕,水一盏半,煎至一盏,去滓温服,不拘时。
治心脾壅盛,暴渴饮水。黄连散方
黄连(去须) 葛根(锉各二两) 大黄(锉炒半两) 枇杷叶(拭去毛炙一两) 麦
门冬(去
心焙一两半)
上五味,捣罗为散,每服二钱匕,温水调下,不拘时。
治心脾虚热,暴渴不已。地骨皮汤方
地骨皮 栝蒌根 黄连(去须) 麦门冬(去心焙) 黄芩(去黑心各一两) 茯神(去
木)
远志(去心各三分) 甘草(炙锉半两) 石膏(碎二两)
上九味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服、不拘时。
治暴渴,烦躁饮之。麦门冬汤方
麦门冬(去心焙四两) 知母(焙三两) 凝水石(一两半) 青竹茹(揉如鸡子大两
块碎切)
上四味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服、不拘时。
治暴渴,咽燥口干引饮。秦艽汤方
秦艽(去苗土二两) 甘草(炙半两)
上二味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服、不拘时。
治暴渴。地骨皮汤方
地骨皮 栝蒌根(各一两半) 黄连(去须) 土瓜根 麦门冬(去心焙) 车前子(各
一两)
上七味,粗捣筛,每服三钱匕,水一盏半,入生地黄半分切,煎至八分,去滓温服。不
拘时。
治虚躁暴渴。乌梅散方
乌梅肉(焙) 麦门冬(去心焙各一两半) 生干地黄(焙三两) 甘草(炙一两)
上四味,捣罗为散,每服二钱匕,温热水调下,不拘时。
治暴渴。黄 汤方
黄 (锉) 栝蒌根(各一两) 赤茯苓(去黑皮) 甘草(炙各半两) 麦门冬(去
心焙一两
上五味,粗捣筛,每服三钱匕,水一盏半煎至八分,去滓温服。不拘时。
治暴渴,饮水不止,头面虚浮。桑根皮汤方
桑根白皮(锉) 麦门冬(去心焙) 石膏(碎各二两) 赤茯苓(去黑皮) 黄芩(去
黑心)
栝蒌根(各一两半) 栀子仁(半两) 土瓜根(一两)
上八味,粗捣筛,每服三钱匕,水一盏半煎至八分,去滓温服,不拘时。
治暴渴烦热。芦根汤方
芦根(锉) 麦门冬(去心焙) 栝蒌根 地骨皮(各一两) 白茅根(锉) 石膏(碎
各一两)
上九味,粗捣筛,每服五钱匕,水一盏半,生姜一枣大拍碎,小麦半合,竹叶二七片,
煎至八分,去滓,食后温服。
治暴渴心烦,口舌干燥。柴胡汤方
柴胡(去苗) 乌梅肉(炒各二两) 甘草(炙一两) 麦门冬(去心焙一两半)
上四味粗捣筛,每服四钱匕,水一盏半,煎至八分,去滓温服、不拘时。
论述说:暴渴是由于热邪极盛,导致腠理(皮肤毛孔及纹理)开泄,汗液大量流失,从而使津液突然枯竭干燥。因此出现口渴而想饮水的症状。如果小便通畅,则不会造成严重危害;但如果三焦(上、中、下三焦的气化功能)不和,心肺有壅滞之热,胃中干燥,虽然口渴且想饮水,但小便不利,就必须防止转变为饮证(水饮停聚的病症),这一点不可不仔细考察。
治疗心脾壅滞引起的暴渴、引饮不断的茯苓汤方:
赤茯苓(去除黑皮)、泽泻、白术、黄连(去除须根)、桂枝(去除粗皮)、甘草(炙烤后切碎,各一两)、大黄(生用,半两)。
以上七味药,捣碎并筛成粗末,每次服用三钱匕,加水一盏半,放入半匙小麦,煎煮至一盏量,去渣,温服,不拘泥于固定时间。
治疗内热导致的暴渴不止的枳实汤方:
枳实(去除瓤和麸皮,炒制)、茯神(去除木质部)、葛根(锉碎)、石膏(各二两半)。
以上四味药,捣碎并筛成粗末,每次服用三钱匕,加水一盏半,煎煮至一盏量,去渣,温服,不拘泥于固定时间。
治疗心脾壅盛引起的暴渴、饮水不断的黄连散方:
黄连(去除须根)、葛根(锉碎,各二两)、大黄(锉碎并炒制,半两)、枇杷叶(擦拭去毛,炙烤,一两)、麦门冬(去除心,焙干,一两半)。
以上五味药,捣碎过罗制成散剂,每次服用二钱匕,用温水调服,不拘泥于固定时间。
治疗心脾虚热引起的暴渴不已的地骨皮汤方:
地骨皮、栝蒌根、黄连(去除须根)、麦门冬(去除心,焙干)、黄芩(去除黑心,各一两)、茯神(去除木质部)、远志(去除心,各三分)、甘草(炙烤后切碎,半两)、石膏(打碎,二两)。
以上九味药,捣碎并筛成粗末,每次服用三钱匕,加水一盏,煎煮至七分量,去渣,温服,不拘泥于固定时间。
治疗暴渴,伴有烦躁、想喝水的麦门冬汤方:
麦门冬(去除心,焙干,四两)、知母(焙干,三两)、凝水石(一两半)、青竹茹(揉搓如鸡蛋大小的两块,切碎)。
以上四味药,捣碎并筛成粗末,每次服用三钱匕,加水一盏,煎煮至七分量,去渣,温服,不拘泥于固定时间。
治疗暴渴,咽燥口干、想喝水的秦艽汤方:
秦艽(去除苗和泥土,二两)、甘草(炙烤,半两)。
以上两味药,捣碎并筛成粗末,每次服用三钱匕,加水一盏,煎煮至七分量,去渣,温服,不拘泥于固定时间。
治疗暴渴的地骨皮汤方:
地骨皮、栝蒌根(各一两半)、黄连(去除须根)、土瓜根、麦门冬(去除心,焙干)、车前子(各一两)。
以上七味药,捣碎并筛成粗末,每次服用三钱匕,加水一盏半,放入切好的生地黄半分,煎煮至八分量,去渣,温服,不拘泥于固定时间。
治疗虚躁引起的暴渴的乌梅散方:
乌梅肉(焙干)、麦门冬(去除心,焙干,各一两半)、生干地黄(焙干,三两)、甘草(炙烤,一两)。
以上四味药,捣碎过罗制成散剂,每次服用二钱匕,用温热水调服,不拘泥于固定时间。
治疗暴渴的黄耆汤方:
黄耆(锉碎)、栝蒌根(各一两)、赤茯苓(去除黑皮)、甘草(炙烤,各半两)、麦门冬(去除心,焙干,一两)。
以上五味药,捣碎并筛成粗末,每次服用三钱匕,加水一盏半,煎煮至八分量,去渣,温服,不拘泥于固定时间。
治疗暴渴,饮水不止,头面部虚浮的桑根皮汤方:
桑根白皮(锉碎)、麦门冬(去除心,焙干)、石膏(打碎,各二两)、赤茯苓(去除黑皮)、黄芩(去除黑心)、栝蒌根(各一两半)、栀子仁(半两)、土瓜根(一两)。
以上八味药,捣碎并筛成粗末,每次服用三钱匕,加水一盏半,煎煮至八分量,去渣,温服,不拘泥于固定时间。
治疗暴渴烦热的芦根汤方:
芦根(锉碎)、麦门冬(去除心,焙干)、栝蒌根、地骨皮(各一两)、白茅根(锉碎)、石膏(打碎,各一两)。
以上九味药,捣碎并筛成粗末,每次服用五钱匕,加水一盏半,加入拍碎的一枣大生姜、半合小麦、十四片竹叶,煎煮至八分量,去渣,饭后温服。
治疗暴渴心烦,口舌干燥的柴胡汤方:
柴胡(去除苗)、乌梅肉(炒制,各二两)、甘草(炙烤,一两)、麦门冬(去除心,焙干,一两半)。
以上四味药,捣碎并筛成粗末,每次服用四钱匕,加水一盏半,煎煮至八分量,去渣,温服,不拘泥于固定时间。
Discourse states: Sudden thirst arises from extreme heat, causing the couli (pores and interstices of the skin) to open, leading to profuse sweating and sudden dryness of body fluids. Consequently, there is thirst with a desire to drink. If urination is smooth, it does not cause harm; however, if the Sanjiao (Triple Burner) is disharmonious, with stagnation and heat in the Heart and Lungs, and dryness in the Stomach, accompanied by thirst, desire to drink, but difficult urination, one must guard against transformation into Yin syndrome (syndrome of fluid retention). This must be carefully examined.
Fuling Tang (Poria Decoction) for treating sudden thirst and excessive drinking due to stagnation in the Heart and Spleen:
Chifuling (Red Poria,去皮 removed black skin), Zexie (Rhizoma Alismatis), Baizhu (Radix Atractylodis Macrocephalae), Huanglian (Rhizoma Coptidis,须须 removed), Guizhi (Ramulus Cinnamomi,粗皮 coarse bark removed), Gancao (Radix Glycyrrhizae, roasted and cut, each 1 liang), Dahuang (Radix et Rhizoma Rhei, raw used, 0.5 liang).
The above seven herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi (approx. 9g), boiled with 1.5 zhan (approx. 300ml) of water, adding half a spoonful of Xiaomai (Frumentum Tritici), decocted until 1 zhan remains. Strain and take warm, without restriction on time.
Zhishi Tang (Immature Bitter Orange Decoction) for treating incessant sudden thirst due to internal heat:
Zhishi (Fructus Aurantii Immaturus,瓤 pulp and 麸 bran removed, stir-fried), Fushen (Sclerotium Poriae cum Radice,木 wood removed), Gegen (Radix Puerariae), Shigao (Gypsum Fibrosum, each 2.5 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled with 1.5 zhan of water, decocted until 1 zhan remains. Strain and take warm, without restriction on time.
Huanglian San (Coptis Powder) for treating sudden thirst and excessive drinking due to excess in the Heart and Spleen:
Huanglian (Rhizoma Coptidis,须须 removed), Gegen (Radix Puerariae, cut, each 2 liang), Dahuang (Radix et Rhizoma Rhei, cut and stir-fried, 0.5 liang), Pipaye (Folium Eriobotryae,毛 hairs wiped off, roasted, 1 liang), Maimendong (Tuber Ophiopogonis,心 heart removed, dried, 1.5 liang).
The above five herbs are crushed, sifted into powder. Each dose consists of 2 qianbi, taken with warm water, without restriction on time.
Digupi Tang (Cortex Lycii Decoction) for treating incessant sudden thirst due to deficiency-heat in the Heart and Spleen:
Digupi (Cortex Lycii), Gualougen (Radix Trichosanthis), Huanglian (Rhizoma Coptidis,须须 removed), Maimendong (Tuber Ophiopogonis,心 heart removed, dried), Huangqin (Radix Scutellariae,黑心 black heart removed, each 1 liang), Fushen (Sclerotium Poriae cum Radice,木 wood removed), Yuanzhi (Radix Polygalae,心 heart removed, each 3 fen), Gancao (Radix Glycyrrhizae, roasted and cut, 0.5 liang), Shigao (Gypsum Fibrosum, crushed, 2 liang).
The above nine herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled with 1 zhan of water, decocted until 7/10 remains. Strain and take warm, without restriction on time.
Maimendong Tang (Ophiopogon Decoction) for treating sudden thirst with irritability and desire to drink:
Maimendong (Tuber Ophiopogonis,心 heart removed, dried, 4 liang), Zhimu (Rhizoma Anemarrhenae, dried, 3 liang), Ningshuishi (Alumen, 1.5 liang), Qingzhuru (Spiritus Bambusae in Taenia, green bamboo shavings, kneaded into egg-sized pieces, cut, 2 pieces).
The above four herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled with 1 zhan of water, decocted until 7/10 remains. Strain and take warm, without restriction on time.
Qinjiao Tang (Radix Gentianae Macrophyllae Decoction) for treating sudden thirst with dry throat and mouth and desire to drink:
Qinjiao (Radix Gentianae Macrophyllae,苗 sprouts and 土 soil removed, 2 liang), Gancao (Radix Glycyrrhizae, roasted, 0.5 liang).
The above two herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled with 1 zhan of water, decocted until 7/10 remains. Strain and take warm, without restriction on time.
Digupi Tang (Cortex Lycii Decoction) for treating sudden thirst:
Digupi (Cortex Lycii), Gualougen (Radix Trichosanthis, each 1.5 liang), Huanglian (Rhizoma Coptidis,须须 removed), Tugua-gen (Radix Cucumeris Melonis), Maimendong (Tuber Ophiopogonis,心 heart removed, dried), Cheqianzi (Semen Plantaginis, each 1 liang).
The above seven herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled with 1.5 zhan of water, adding 0.5 fen of freshly cut Shengdihuang (Radix Rehmanniae), decocted until 8/10 remains. Strain and take warm, without restriction on time.
Wumei San (Mume Fruit Powder) for treating sudden thirst due to deficiency and restlessness:
Wumei-rong (Endocarpium Mume, dried), Maimendong (Tuber Ophiopogonis,心 heart removed, dried, each 1.5 liang), Shenggan-dihuang (Radix Rehmanniae Preparata, dried, 3 liang), Gancao (Radix Glycyrrhizae, roasted, 1 liang).
The above four herbs are crushed, sifted into powder. Each dose consists of 2 qianbi, taken with warm hot water, without restriction on time.
Huangqi Tang (Astragalus Decoction) for treating sudden thirst:
Huangqi (Radix Astragali, cut), Gualougen (Radix Trichosanthis, each 1 liang), Chifuling (Red Poria,去皮 removed black skin), Gancao (Radix Glycyrrhizae, roasted, each 0.5 liang), Maimendong (Tuber Ophiopogonis,心 heart removed, dried, 1 liang).
The above five herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled with 1.5 zhan of water, decocted until 8/10 remains. Strain and take warm, without restriction on time.
Sangbaipi Tang (Morus Root Bark Decoction) for treating sudden thirst, incessant drinking, and puffiness of the head and face:
Sangbaipi (Cortex Mori, cut), Maimendong (Tuber Ophiopogonis,心 heart removed, dried), Shigao (Gypsum Fibrosum, crushed, each 2 liang), Chifuling (Red Poria,去皮 removed black skin), Huangqin (Radix Scutellariae,黑心 black heart removed), Gualougen (Radix Trichosanthis, each 1.5 liang), Zhizi-ren (Semen Gardeniae, 0.5 liang), Tugua-gen (Radix Cucumeris Melonis, 1 liang).
The above eight herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi, boiled with 1.5 zhan of water, decocted until 8/10 remains. Strain and take warm, without restriction on time.
Lugen Tang (Phragmitis Rhizoma Decoction) for treating sudden thirst with vexing heat:
Lugen (Rhizoma Phragmitis, cut), Maimendong (Tuber Ophiopogonis,心 heart removed, dried), Gualougen (Radix Trichosanthis), Digupi (Cortex Lycii, each 1 liang), Baimaogen (Rhizoma Imperatae, cut), Shigao (Gypsum Fibrosum, crushed, each 1 liang).
The above nine herbs are coarsely crushed and sieved. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water, adding ginger piece the size of a date (crushed), 0.5 he of Xiaomai (Frumentum Tritici), and 14 leaves of Zhuye (Folium Bambusae), decocted until 8/10 remains. Strain and take warm after meals.
Chaihu Tang (Bupleurum Decoction) for treating sudden thirst with mental distress and dry mouth and tongue:
Chaihu (Radix Bupleuri,苗 sprouts removed), Wumei-rong (Endocarpium Mume, stir-fried, each 2 liang), Gancao (Radix Glycyrrhizae, roasted, 1 liang), Maimendong (Tuber Ophiopogonis,心 heart removed, dried, 1.5 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of 4 qianbi, boiled with 1.5 zhan of water, decocted until 8/10 remains. Strain and take warm, without restriction on time.