夫小肠实则生热，热则心下急痹，口张，舌上生疮，身热来去，汗出，心烦身重，小腹
胀急，小便赤涩不利，则是小肠实热之候也。
治小肠实热，则心下急痹，口舌生疮，宜服郁金散方。
郁金（一两） 白附子（三分炮裂） 羌活（一两） 甘草（半两炙微赤，锉） 黄连
（一两去
须） 黄芩（三分） 川大黄（一两锉，微炒） 麦门冬（一两半去心，焙） 川升麻（三
分）
上件药，捣细罗为散。每服，食后煎，麦门冬汤。调下一钱。忌炙爆热面。
治小肠实热，小便黄赤，涩结不通，宜服黄连散方。
黄连（去须） 车前子 木通（锉） （以上各一两） 汉防己 瞿麦 犀角屑（以上
各三分）
上件药，捣粗罗为散。每服三钱，以水一中盏，煎至六分，去滓，不计时候温服。
治小肠实热，头面赤，汗多出，小腹不利，宜服赤茯苓散方。
赤茯苓 麦门冬（去心） 赤芍药 槟榔 生干地黄 木通（锉） 黄芩（以上各三分）
甘
草〔二（一）分炙微赤，锉〕
上件药，捣筛为散。每服四钱，以水一中盏，煎至六分，去滓，不计时候温服。
治小肠实热，心烦，满口生疮，小便赤涩，宜服犀角散方。
犀角屑（三分） 瞿麦（三分） 麦门冬（一两去心） 栀子（三分） 赤茯苓（三分）
木通（
三分锉）
浸，去皮
尖、双
上件药，捣筛为散。每服四钱，以水一中盏，入竹叶二七片，煎至六分，去滓，不计时
候温服。
治小肠实热，心胸烦闷，小便涩，小腹中急痛，宜服木通散方。
木通（一两锉） 槟榔 羚羊角屑 赤芍药 黄芩 当归（锉，微炒） 车前子（以上
各三
分） 甘草（半两炙微赤锉）
上件药，捣筛为散。每服四钱，以水一中盏，煎至六分，去滓，食前温服。
治小肠实热，口干舌燥，心胞（胸）烦闷，小便不利，宜服升麻散方。
川升麻 黄柏（锉） 杏仁（汤浸去皮尖双仁麸炒微黄） 犀角屑 栝蒌根 葵子
桑根白皮（锉） 木通（锉） 葳蕤 川大黄（锉碎，微炒各三分） 甘草（半两炮微赤锉）
上件药，捣筛为散。每服四钱，以水一中盏，煎至六分，去滓，食前温服。
治小肠实热，心中烦闷，小便出血，宜服此方。
生地黄（一两） 葱白（五茎） 白茅根（一两）
上件药，细切。以水一大盏半，煎至八分，去滓，食前分温二服。
治小肠实热，小腹胀满，小便赤涩，宜服海蛤丸方。
海蛤（三分） 汉防己（半两） 甜葶苈（半两隔纸炒令香熟） 槟榔（半两） 木通
（半两锉
上件药，捣罗为末，炼蜜和丸，如梧桐子大。每服，食前冬葵根汤，下二十丸。
小肠实证会产生内热，热邪会导致心下部位拘急痹阻，张口呼吸，舌面生疮，身体发热且时作时止，出汗，心烦意乱且身体沉重，小腹部胀满急迫，小便颜色红赤、涩滞且排尿不畅，这就是小肠实热的证候表现。
治疗小肠实热，症见心下拘急痹阻，口舌生疮，适宜服用郁金散方。
郁金（一两） 白附子（三分，炮制后裂开） 羌活（一两） 甘草（半两，炙至微红，切碎） 黄连（一两，去除须根） 黄芩（三分） 川大黄（一两，切碎，微炒） 麦门冬（一两半，去心，焙干） 川升麻（三分）
以上药物，捣碎过细罗制成散剂。每次服用，饭后煎煮，用麦门冬汤送服一钱。忌食烤炸、燥热及面食。
治疗小肠实热，症见小便黄赤，涩滞结聚不通，适宜服用黄连散方。
黄连（去除须根） 车前子 木通（切碎） （以上各一两） 汉防己 瞿麦 犀角屑（以上各三分）
以上药物，捣碎过粗罗制成散剂。每次服用三钱，用水一中盏，煎至六分，滤去药渣，不限时候温服。
治疗小肠实热，症见头面部发红，汗出较多，小腹部排尿不利，适宜服用赤茯苓散方。
赤茯苓 麦门冬（去心） 赤芍药 槟榔 生干地黄 木通（切碎） 黄芩（以上各三分） 甘草〔二（一）分，炙至微红，切碎〕
以上药物，捣碎筛选制成散剂。每次服用四钱，用水一中盏，煎至六分，滤去药渣，不限时候温服。
治疗小肠实热，症见心烦，满口生疮，小便红赤涩滞，适宜服用犀角散方。
犀角屑（三分） 瞿麦（三分） 麦门冬（一两，去心） 栀子（三分） 赤茯苓（三分） 木通（三分，切碎）
以上药物，捣碎筛选制成散剂。每次服用四钱，用水一中盏，加入竹叶十四片，煎至六分，滤去药渣，不限时候温服。
治疗小肠实热，症见心胸烦闷，小便涩滞，小腹部急痛，适宜服用木通散方。
木通（一两，切碎） 槟榔 羚羊角屑 赤芍药 黄芩 当归（切碎，微炒） 车前子（以上各三分） 甘草（半两，炙至微红，切碎）
以上药物，捣碎筛选制成散剂。每次服用四钱，用水一中盏，煎至六分，滤去药渣，饭前温服。
治疗小肠实热，症见口干舌燥，心包（胸中）烦闷，小便不利，适宜服用升麻散方。
川升麻 黄柏（切碎） 杏仁（热水浸泡去皮尖及双仁，麸炒至微黄） 犀角屑 栝蒌根 葵子 桑根白皮（切碎） 木通（切碎） 葳蕤 川大黄（切碎，微炒，各三分） 甘草（半两，炮制至微红，切碎）
以上药物，捣碎筛选制成散剂。每次服用四钱，用水一中盏，煎至六分，滤去药渣，饭前温服。
治疗小肠实热，症见心中烦闷，小便出血，适宜服用此方。
生地黄（一两） 葱白（五茎） 白茅根（一两）
以上药物，细细切碎。用水一大盏半，煎至八分，滤去药渣，饭前分两次温服。
治疗小肠实热，症见小腹胀满，小便红赤涩滞，适宜服用海蛤丸方。
海蛤（三分） 汉防己（半两） 甜葶苈（半两，隔纸炒至香熟） 槟榔（半两） 木通（半两，切碎）
以上药物，捣碎过罗制成粉末，用炼蜜调和制成丸药，大小如梧桐子。每次服用，饭前用冬葵根汤送服二十丸。
When the Small Intestine is in a state of excess, heat is generated. Heat causes urgency and bi-syndrome (obstruction) below the heart, open mouth breathing, sores on the tongue, intermittent fever, sweating, irritability with heaviness of the body, distension and urgency in the lower abdomen, and red, scanty, and difficult urination. These are the manifestations of excess heat in the Small Intestine.
To treat excess heat in the Small Intestine, characterized by urgency and bi-syndrome below the heart, and sores in the mouth and tongue, it is appropriate to take Yujin San (Curcuma Powder).
Jinyu (Turmeric Tuber, *Curcumae Radix*) (1 liang), Baifuzi (Aconitum Bulb, *Aconiti Kusnezoffii Rhizoma*) (3 fen, processed until cracked), Qianghuo (Notopterygium Rhizome, *Notopterygii Rhizoma et Radix*) (1 liang), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (0.5 liang, honey-fried until slightly red, crushed), Huanglian (Coptis Rhizome, *Coptidis Rhizoma*) (1 liang, remove mustache-like roots), Huangqin (Scutellaria Root, *Scutellariae Radix*) (3 fen), Chuan Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) (1 liang, crushed, lightly stir-fried), Maimendong (Ophiopogon Tuber, *Ophiopogonis Tuber*) (1.5 liang, remove heart, baked), Chuanshengma (Bupleurum Root, *Bupleuri Radix*) (3 fen).
The above herbs are finely pounded and passed through a fine sieve to make a powder. For each dose, decoct after meals and take 1 qian with Maimendong Decoction. Avoid roasted, fried, hot, and wheat-based foods.
To treat excess heat in the Small Intestine, characterized by yellow-red urine, and obstructed, difficult urination, it is appropriate to take Huanglian San (Coptis Powder).
Huanglian (Coptis Rhizome, *Coptidis Rhizoma*) (remove mustache-like roots), Cheqianzi (Plantago Seed, *Plantaginis Semen*), Mutong (Akebia Stem, *Akebiae Caulis*) (crushed) (each 1 liang above), Han Fangji (Stephania Root, *Stephaniae Tetrandrae Radix*), Qumai (Dianthus Herb, *Dianthi Herba*), Xijiaoxie (Rhino Horn Shavings, *Rhinocerotis Cornu*) (each 3 fen above).
The above herbs are coarsely pounded and passed through a coarse sieve to make a powder. Take 3 qian per dose, decoct with one zhong of water until reduced to six-tenths, filter out the dregs, and take warm at any time.
To treat excess heat in the Small Intestine, characterized by redness of the head and face, excessive sweating, and difficulty in urination from the lower abdomen, it is appropriate to take Chi Fuling San (Red Poria Powder).
Chi Fuling (Red Poria, *Poria* with Red Cortex), Maimendong (Ophiopogon Tuber, *Ophiopogonis Tuber*) (remove heart), Chi Shaoyao (Red Peony Root, *Paeoniae Radix Rubra*), Binglang (Areca Seed, *Arecae Semen*), Sheng Gan Dihuang (Rehmannia Root, *Rehmanniae Radix*), Mutong (Akebia Stem, *Akebiae Caulis*) (crushed), Huangqin (Scutellaria Root, *Scutellariae Radix*) (each 3 fen above), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) [2 (or 1) fen, honey-fried until slightly red, crushed].
The above herbs are pounded and sifted to make a powder. Take 4 qian per dose, decoct with one zhong of water until reduced to six-tenths, filter out the dregs, and take warm at any time.
To treat excess heat in the Small Intestine, characterized by irritability, sores all over the mouth, and red, scanty, and difficult urination, it is appropriate to take Xijiao San (Rhino Horn Powder).
Xijiaoxie (Rhino Horn Shavings, *Rhinocerotis Cornu*) (3 fen), Qumai (Dianthus Herb, *Dianthi Herba*) (3 fen), Maimendong (Ophiopogon Tuber, *Ophiopogonis Tuber*) (1 liang, remove heart), Zhizi (Gardenia Fruit, *Gardeniae Fructus*) (3 fen), Chi Fuling (Red Poria, *Poria* with Red Cortex) (3 fen), Mutong (Akebia Stem, *Akebiae Caulis*) (3 fen, crushed).
The above herbs are pounded and sifted to make a powder. Take 4 qian per dose, decoct with one zhong of water and fourteen leaves of Zhu Ye (Bamboo Leaf, *Phyllostachys nigra* var. *henonis* folium), reduce to six-tenths, filter out the dregs, and take warm at any time.
To treat excess heat in the Small Intestine, characterized by chest and heart irritability, scanty and difficult urination, and urgent pain in the lower abdomen, it is appropriate to take Mutong San (Akebia Stem Powder).
Mutong (Akebia Stem, *Akebiae Caulis*) (1 liang, crushed), Binglang (Areca Seed, *Arecae Semen*), Lingyangjiaoxie (Antelope Horn Shavings, *Saigae Tataricae Cornu*), Chi Shaoyao (Red Peony Root, *Paeoniae Radix Rubra*), Huangqin (Scutellaria Root, *Scutellariae Radix*), Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) (crushed, lightly stir-fried), Cheqianzi (Plantago Seed, *Plantaginis Semen*) (each 3 fen above), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (0.5 liang, honey-fried until slightly red, crushed).
The above herbs are pounded and sifted to make a powder. Take 4 qian per dose, decoct with one zhong of water until reduced to six-tenths, filter out the dregs, and take warm before meals.
To treat excess heat in the Small Intestine, characterized by dry mouth and tongue, chest and heart irritability, and difficult urination, it is appropriate to take Shengma San (Bupleurum Root Powder).
Chuanshengma (Bupleurum Root, *Bupleuri Radix*), Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*), Xingren (Apricot Seed, *Armeniacae Semen Amarum*) (soaked in water, remove skin and tips, remove double kernels, stir-fried with bran until slightly yellow), Xijiaoxie (Rhino Horn Shavings, *Rhinocerotis Cornu*), Gualougen (Trichosanthes Root, *Trichosanthis Radix*), Kuizi (Abelmoschus Seed, *Abelmoschi Moschatus Semen*), Sanggenbaipi (Mulberry Root Bark, *Mori Radicis Cortex*), Mutong (Akebia Stem, *Akebiae Caulis*) (crushed), Weirui (Polygonatum Tuber, *Polygonati Odorati Rhizoma*), Chuan Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) (crushed, lightly stir-fried, each 3 fen above), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (0.5 liang, processed until slightly red, crushed).
The above herbs are pounded and sifted to make a powder. Take 4 qian per dose, decoct with one zhong of water until reduced to six-tenths, filter out the dregs, and take warm before meals.
To treat excess heat in the Small Intestine, characterized by chest irritability and hematuria, this formula is appropriate.
Sheng Dihuang (Rehmannia Root, *Rehmanniae Radix Recens*) (1 liang), Congbai (Green Onion White, *Allii Fistulosi Bulbus*) (5 stalks), Baimaogen (Imperata Rhizome, *Imperatae Rhizoma*) (1 liang).
The above herbs are finely chopped. Decoct with one and a half zhongs of water until reduced to eight-tenths, filter out the dregs, and divide into two warm doses to be taken before meals.
To treat excess heat in the Small Intestine, characterized by lower abdominal distension and fullness, and red, scanty, and difficult urination, it is appropriate to take Hai Ge Wan (Clam Pill).
Haige (Clam Shell, *Concha Arcae*), Han Fangji (Stephania Root, *Stephaniae Tetrandrae Radix*) (0.5 liang), Tian Tingli (Descurainia Seed, *Descurainiae Semen*), Binglang (Areca Seed, *Arecae Semen*) (0.5 liang above), Mutong (Akebia Stem, *Akebiae Caulis*) (0.5 liang, crushed).
The above herbs are pounded and passed through a sieve to make a powder. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, washed down with Dong Kui Gen Decoction (Malva Root Decoction) before meals.