治大渴秘方。
深掘一大栝蒌根，浓削去皮至白处止，寸切，水浸一日一夜，易水经五日，取出烂捣碎
研之，以绢袋滤，如出粉法干之，水服方寸匕，日三四。亦可作粉粥乳酪中食之，不限多少，
瘥止。
又方 栝蒌粉和鸡子曝干，更杵为末，水服方寸七，日三。丸服亦可。
又方 水和栝蒌散服方寸匕。亦可蜜丸如梧子大，服三十丸。
又方 浓煮竹根汁饮之，瘥止。
又方 渍豉汁任性多少，饮之。
又方 以青粱米煮取汁，饮之，以瘥止。
论曰∶夫内消之为病，当由热中所致，小便多于所饮，令人虚极短气。夫内消者，食物
皆消作小便，又不渴。贞观十年梓州刺史李文博，先服白石英既久，忽房道强盛，经月余，
渐患渴，经数日，小便大利，日夜百行，百方治之，渐以增剧，四体羸 ，不能起止，精
神恍惚，口舌焦干而卒。此病虽稀，甚可畏也。利时六脉沉细微弱，服枸杞汤即效，但不能
长愈。服铅丹散亦即减，其间将服除热宣补丸。
治渴而利者方。
枸杞枝叶（一斤） 黄连 栝萎根 甘草 石膏（各三两）
上五味 咀，以水一斗，煮取三升，分五服，日三夜二。剧者多合，渴即饮之。
治消渴，止小便数兼消中方。
铅丹 胡粉 甘草 泽泻 石膏 栝蒌根 赤石脂 白石脂（《肘后》作贝母）
上八味各五分治下筛，水服方寸匕，日三。壮人服匕半。一年病者，一日愈。二年病者
，二日愈。渴甚者，夜二服。腹痛者减之。丸服亦佳，每服十丸。伤多令人腹痛。（张文仲
云
药了经三两日，宜烂煮羊肝肚，空腹服之。或作羹亦得。宜汤淡食之，候小便得咸，更即
宜苁蓉丸，兼煮散将息方。见《外台》第十一卷中）。
治疗严重口渴的秘方。
深挖一根大的栝蒌根，厚削去外皮直到露出白色部分为止，切成一寸长的段，用水浸泡一天一夜，期间更换水，共经过五天，取出后捣烂研碎，用绢袋过滤，像提取淀粉的方法那样干燥，每次用水送服一方寸匕的药粉，每天三到四次。也可以做成粉粥或加入乳酪中食用，不限数量，病愈即止。
另一个方子：将栝蒌粉与鸡蛋混合，晒干，再捣成粉末，用水送服一方寸七的药末，每天三次。制成丸剂服用也可以。
又一个方子：用水调服栝蒌散，每次一方寸匕。也可以炼蜜制成梧桐子大小的丸剂，每次服用三十丸。
又一个方子：浓煮竹根汁饮用，病愈即止。
又一个方子：浸泡豆豉汁，按个人喜好适量饮用。
又一个方子：用青粱米煮取汁液饮用，病愈即止。
论述说：内消这种病，应当是由体内热邪所致，小便量多于饮水量，使人极度虚弱、气短。所谓内消，食物都消化变成小便排出，而且不觉得口渴。贞观十年，梓州刺史李文博，长期服用白石英，忽然房事过度旺盛，持续一个多月，逐渐患上口渴症，几天后，小便大量排出，日夜达一百次，用各种方法治疗，病情逐渐加重，四肢消瘦，不能起身行走，精神恍惚，口舌焦干而死。这种病虽然少见，但非常可怕。发病时六脉沉细微弱，服用枸杞汤立即见效，但不能彻底痊愈。服用铅丹散也立即减轻，这期间还曾服用除热宣补丸。
治疗口渴兼腹泻的方子。
枸杞枝叶（一斤） 黄连 栝蒌根 甘草 石膏（各三两）
以上五味药切碎，用水一斗，煮取三升，分五次服用，白天三次，夜晚两次。病情严重的多煎几副，口渴就饮用它。
治疗消渴，减少小便次数兼有消耗症状的方子。
铅丹 胡粉 甘草 泽泻 石膏 栝蒌根 赤石脂 白石脂（《肘后备急方》作贝母）
以上八味药各五分，捣碎过筛，用水送服一方寸匕，每天三次。体格强壮的人服用半匕。患病一年的，一天治愈。患病两年的，两天治愈。口渴严重的，晚上服用两次。腹痛者减量。制成丸剂服用也很好，每次服用十丸。过量服用会导致腹痛。（张文仲说：服药结束后两三天，宜烂煮羊肝和羊肚，空腹服用。或者做成羹也可以。宜清淡饮食，等到小便变咸后，更适宜服用苁蓉丸，并配合煮散调养。见《外台秘要》第十一卷中）。
Secret recipe for treating severe thirst.
Deeply dig up a large *Trichosanthes radices* (Gualou Gen, 栝蒌根), thickly peel off the skin until the white part is exposed, cut into one-cun segments, soak in water for one day and one night, change the water every five days, take out, pound thoroughly until mushy, grind it, filter through a silk bag, dry it like extracting starch, take with water, one fangcun bi (a measure of volume) each time, three to four times a day. It can also be made into powder porridge or eaten with milk curd, without limit on quantity, stop when cured.
Another prescription: Mix *Trichosanthes radices* powder with egg, dry in the sun, pound again into powder, take with water, one fangcun qi (a slightly larger measure) each time, three times a day. Pill form is also acceptable.
Another prescription: Take *Trichosanthes* powder mixed with water, one fangcun bi each time. Can also be made into honey pills the size of *Celastrus orbiculatus* seeds (Wuzi, 梧子), take thirty pills each time.
Another prescription: Boil bamboo root juice strongly and drink it, stop when cured.
Another prescription: Soak fermented soybeans (*Douchi*, 豆豉) in water, drink as much as desired.
Another prescription: Boil green millet (*Qingliangmi*, 青粱米) to extract the juice, drink it, stop when cured.
Discussion states: The disease of internal consumption (Neixiao, 内消) is caused by heat in the interior. Urination exceeds fluid intake, causing extreme deficiency and shortness of breath. In internal consumption, food is digested and excreted directly as urine, and there is no sensation of thirst. In the tenth year of Zhenguan, Li Wenbo, Prefect of Zizhou, had taken *Quartzum Album* (Baishiyin, 白石英) for a long time. Suddenly, his sexual desire became excessively strong, lasting for over a month. Gradually, he suffered from thirst. After a few days, urination became excessive, occurring one hundred times a day and night. He tried various treatments, but the condition worsened. His limbs became emaciated, unable to rise or walk; his spirit was confused, mouth and tongue scorched and dry, and he died. Although this disease is rare, it is very fearful. During the episode, all six pulses were deep, fine, weak, and thin. Taking *Gouqi Tang* (Goji Berry Decoction) showed immediate effect, but did not lead to complete recovery. Taking *Qiandan San* (Lead Carbonate Powder) also reduced symptoms immediately. During this period, he also took *Chure Xuanbu Wan* (Heat-Removing and Tonifying Pill).
Prescription for treating thirst accompanied by diarrhea.
*Lycium chinense* branches and leaves (one jin), *Coptidis Rhizoma* (Huanglian, 黄连), *Trichosanthes radices* (Gualou Gen, 栝蒌根), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), *Gypsum Fibrosum* (Shigao, 石膏) (each three liang).
The above five medicines are chopped, boiled in ten dou of water to obtain three sheng, divided into five doses, taken three times during the day and twice at night. For severe cases, prepare more decoction; drink when thirsty.
Prescription for treating Xiao Ke (Wasting-Thirst Syndrome) to reduce frequent urination and consumption symptoms.
*Minii Preparatio* (Qiandan, 铅丹), *Plumbi Subcarbonas* (Hufen, 胡粉), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), *Alismatis Rhizoma* (Zexie, 泽泻), *Gypsum Fibrosum* (Shigao, 石膏), *Trichosanthes radices* (Gualou Gen, 栝蒌根), *Kaolin* (Chishizhi, 赤石脂), *Kaolin* (Baishizhi, 白石脂) (*Zhou Hou Bei Ji Fang* uses *Fritillariae Cirrhosae Bulbus* (Beimu, 贝母)).
The above eight medicines, each five fen, are pounded and sifted. Take with water, one fangcun bi each time, three times a day. Strong individuals take half a bi. Those ill for one year are cured in one day. Those ill for two years are cured in two days. For severe thirst, take twice at night. Reduce dosage if abdominal pain occurs. Pill form is also good, take ten pills each time. Excessive intake causes abdominal pain. (Zhang Wenzhong says: Two or three days after finishing the medicine, it is advisable to boil mutton liver and tripe thoroughly and take them on an empty stomach. Making soup is also acceptable. Eat bland food. When urine becomes salty, it is more suitable to take *Congrong Wan* (Cistanche Pill) and use the decoction powder for care. See Volume 11 of *Waitai Miyao*).