治湿热内攻，心腹胀满，小便不利，大便滑泻。（小水并于大肠，故小便不利，
滑泻。）及水肿等证。
滑石（六钱） 甘草 赤茯苓（一钱） 猪苓 泽泻 白术土炒桂（五分） 陈皮（钱
半） 木香槟
赤茯猪苓泽泻，泻火行水，白术补脾，肉桂化气，此五苓散也。滑石清热利湿，甘草泻
火调
以通
（局方） 治湿热下注，咽干口渴，少腹急满，小便不通。（湿热下注，小腹急满，则
小盒饭行矣。而卒不行者，热秘之也。）或淋痛尿血，或因热为肿。
车前子 木通 瞿麦 蓄 滑石 甘草梢 栀子（炒黑） 大黄 加灯草煎，一方加
木香。
木通灯草，清肺热而降心火。肺为气化之原，心为小肠之合也。车前清肝热而通膀胱，
肝脉
散结
也。
湿，
胱，
生水
燥脾
水自
后吐
散，盖
，则下
开，而下窍始出也。）
（东垣） 治湿热相搏，肢节烦痛，肩背沉重。或遍身疼痛，或香港脚肿痛，脚膝
脓水不绝。及湿热发黄，脉沉实紧数动滑者。（湿则肿，热则痛。足膝疮肿，湿热下
发黄，湿热熏蒸脾胃也。香港脚多主水湿，亦有夹风夹寒之异。湿热胜而为病，或成水
或成赤肿丹毒，或如疝气攻上引下，俱可用此汤损益为治。凡手足前廉属阳明，后廉
外廉属少阳，内廉属厥阴，内前廉属太阴，内后廉属少阴。以臂贴身垂下，大指居
居后定之。手足痛者，当分是何经络，用本经药为引，行其气血则愈。太阳羌活防
升麻白芷葛根，少阳柴胡，厥阴吴茱萸川芎青皮，太阴苍术白芍，少阴独活细辛。
茵陈（酒炒） 羌活 防风 升麻 葛根 苍术 白术 甘草（炙） 黄芩（酒炒） 苦
参（酒炒）
羌活透关节，防风散留湿，为君。升葛味薄，引而上行，苦以发之。白术甘温和平，苍
术辛
炒以
胃。
滞得
【大橘皮汤】（出自《局方》）治疗湿热内攻，导致心腹胀满，小便不通畅，大便滑泄。（因为小便利道的水液并入大肠，所以出现小便不利、大便滑泄的症状。）以及水肿等证候。
滑石（六钱） 甘草 赤茯苓（一钱） 猪苓 泽泻 白术（土炒） 肉桂（五分） 陈皮（一钱半） 木香 槟榔。
赤茯苓、猪苓、泽泻，能泻火行水；白术补益脾气；肉桂化气行水。这五味药组成了五苓散。滑石清热利湿，甘草泻火调和，加上陈皮理气，木香、槟榔行气导滞，共同起到通利水道的作用。
【八正散】（出自《局方》）治疗湿热下注，咽喉干燥口渴，小腹部拘急胀满，小便完全不通。（湿热下注于小腹，导致小腹胀满，按理说小便应当通畅，但突然不能通行，这是因为热邪秘结所致。）或者出现淋证疼痛、尿血，或者因热邪导致的水肿。
车前子 木通 瞿麦 萹蓄 滑石 甘草梢 栀子（炒黑） 大黄。煎煮时加灯心草，另一版本方剂中加入木香。
木通和灯心草，清肺热而下降心火。肺是气化功能的根源，心与小肠相表里。车前子清肝热并通利膀胱，肝经脉络散布于阴器，具有散结的作用。
【当归拈痛汤】（出自李东垣）治疗湿热相互搏结，肢体关节烦扰疼痛，肩背沉重。或者全身疼痛，或者脚气肿痛，脚膝部脓水流出不止。以及湿热导致的发黄，脉象沉实、紧数、动滑者。（湿气重则肿胀，热邪盛则疼痛。足膝部的疮肿，多由湿热下注引起；发黄，是湿热熏蒸脾胃所致。脚气病多主水湿，也有夹杂风邪或寒邪的不同。湿热胜极而致病，可能形成水肿，或者赤肿丹毒，或者像疝气一样攻冲上下，都可以用此汤加减来治疗。凡是手足的前面属阳明经，后面外侧属少阳经，内侧属厥阴经，内侧前面属太阴经，内侧后面属少阴经。将手臂贴身垂下，大拇指所在的位置可以据此确定经络走向。手足疼痛者，应当分辨属于哪条经络，使用本经的药物作为引经药，运行气血即可痊愈。太阳经用羌活、防风、升麻、白芷、葛根；少阳经用柴胡；厥阴经用吴茱萸、川芎、青皮；太阴经用苍术、白芍；少阴经用独活、细辛。）
茵陈（酒炒） 羌活 防风 升麻 葛根 苍术 白术 甘草（炙） 黄芩（酒炒） 苦参（酒炒） 知母 薏苡仁 当归身 人参 甘草（此处原文未列全，根据常规当归拈痛汤补全逻辑，但严格按原文提取仅列出原文有的：茵陈、羌活、防风、升麻、葛根、苍术、白术、甘草、黄芩、苦参）。
羌活透达关节，防风散除留滞的湿气，作为君药。升麻、葛根气味轻薄，引导药力上行，苦味药物发散邪气。白术甘温平和，苍术辛烈燥脾，共同健运脾胃。
[Da Jupi Tang (Great Tangerine Peel Decoction)] (from *Ju Fang*) treats internal attack of damp-heat, resulting in fullness and distension of the heart and abdomen, difficult urination, and loose diarrhea. (Because fluids from the lower orifice merge into the large intestine, difficult urination and loose diarrhea occur.) It also treats conditions such as edema.
Shihuashi (Talcum, 6 qian), Gancao (Licorice Root), Chifuling (Red Poria, 1 qian), Zhuling (Polyporus), Zexie (Alisma), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried with soil), Rougui (Cinnamon Bark, 5 fen), Chenpi (Tangerine Peel, 1.5 qian), Muxiang (Aucklandia Root), Binglang (Areca Seed).
Chifuling, Zhuling, and Zexie drain fire and promote water metabolism; Baizhu tonifies spleen qi; Rougui transforms qi and promotes water metabolism. These five herbs constitute Wuling San (Five-Poria Decoction). Shihuashi clears heat and promotes dampness drainage; Gancao drains fire and harmonizes; combined with Chenpi to regulate qi, and Muxiang and Binglang to move qi and guide stagnation, they collectively facilitate the free flow of water passages.
[Bazheng San (Eight-Utensils Powder)] (from *Ju Fang*) treats damp-heat pouring downward, causing dry throat and thirst, urgency and fullness in the lower abdomen, and complete urinary retention. (Damp-heat pouring downward causes lower abdominal fullness; logically urination should be smooth, but sudden retention occurs due to heat constipation.) It also treats strangury with pain and hematuria, or edema caused by heat.
Cheqianzi (Plantago Seed), Mutong (Akebia Stem), Qumai (Dianthus Herb), Pianxu (Persicaria Herb), Shihuashi (Talcum), Gancao Gao (Licorice Root Tip), Zhizi (Gardenia Fruit, stir-fried until black), Dahuang (Rhubarb Root and Rhizome). Decoct with Dengcao (Juncus Effusus Pith); another version adds Muxiang (Aucklandia Root).
Mutong and Dengcao clear lung heat and descend heart fire. The Lung is the origin of qi transformation, and the Heart is interiorly-exteriorly related to the Small Intestine. Cheqianzi clears liver heat and unblocks the Bladder; the Liver meridian distributes around the genitalia, possessing the function of dissipating nodules.
[Danggui Niantong Tang (Angelica Joint-Pain Relieving Decoction)] (from Li Dongyuan) treats intermingling of damp-heat, causing vexing pain in limbs and joints, and heaviness in the shoulders and back. It also treats generalized body pain, or gouty swelling and pain, with continuous purulent discharge from the feet and knees. Furthermore, it treats jaundice caused by damp-heat, where the pulse is deep, solid, tight, rapid, moving, and slippery. (Dampness causes swelling, heat causes pain. Sores and swelling of the feet and knees are mostly due to damp-heat sinking downward; jaundice results from damp-heat steaming and steaming the Spleen and Stomach. Gout is primarily associated with water-dampness, but may also involve wind or cold. When damp-heat prevails and causes disease, it may form edema, or red swelling and erysipelas, or act like hernia attacking up and down; all these can be treated with modifications of this decoction. The anterior aspect of the limbs belongs to the Yangming Meridian, the posterior-lateral aspect to the Shaoyang Meridian, the medial aspect to the Jueyin Meridian, the anterior-medial aspect to the Taiyin Meridian, and the posterior-medial aspect to the Shaoyin Meridian. By hanging the arms close to the body, the position of the thumb helps determine the meridian pathways. For pain in the hands and feet, one must distinguish which meridian is involved and use herbs of that meridian as guiding agents to circulate qi and blood for recovery. For the Taiyang Meridian, use Qianghuo (Notopterygium Rhizome), Fangfeng (Saposhnikovia Root), Shengma (Cimicifuga Rhizome), Baizhi (Angelica Dahurica Root), Gegen (Pueraria Root); for the Shaoyang Meridian, use Chaihu (Bupleurum Root); for the Jueyin Meridian, use Wuzhuyu (Evodia Fruit), Chuanxiong (Ligusticum Rhizome), Qingpi (Young Citrus Peel); for the Taiyin Meridian, use Cangzhu (Atractylodes Lancea Rhizome), Baishao (White Peony Root); for the Shaoyin Meridian, use Duhuo (Angelica Pubescens Root), Xixin (Asarum Root).)
Yinchen (Artemisia Capillaris Herb, wine-fried), Qianghuo (Notopterygium Rhizome), Fangfeng (Saposhnikovia Root), Shengma (Cimicifuga Rhizome), Gegen (Pueraria Root), Cangzhu (Atractylodes Lancea Rhizome), Baizhu (Atractylodes Macrocephala Rhizome), Gancao (Licorice Root, honey-fried), Huangqin (Scutellaria Root, wine-fried), Kushen (Sophora Root, wine-fried).
Qianghuo penetrates the joints, and Fangfeng disperses retained dampness, serving as the sovereign herb. Shengma and Gegen have light aromas, guiding the medicinal action upward; bitter substances disperse pathogenic factors. Baizhu is sweet, warm, and balanced; Cangzhu is pungent and dries the spleen, jointly strengthening the stomach and spleen.