本文云，渴欲饮水不止者，文蛤散主之。
文蛤一味杵为散。以沸汤五合，和服方寸匙。
金匮于小溲微觉不利，蚤用文蛤一味治之。方书从不录用，讵知软坚之品，非劫阴即伤
阴。
之表
（本事方） 治心中烦躁，不生津液，不思饮食。
黄 熟地黄 芍药 五味子 麦冬 天冬 人参 甘草 茯苓 加姜枣乌梅煎。
黄 人参补气，熟地芍药补血。乌梅五味，敛耗生津。天冬麦冬，泻火补水。茯苓淡以
利湿
治心移寒于肺，为肺消，饮少溲多，当补肺平心。
黄 （三两） 五味子 人参 麦门冬 桑白皮（二两） 枸杞子 熟地黄（两半） 为
末。每服
治心移热于肺，传为膈消，胸满心烦，精神短少。
人参 茯神 麦门冬 五味子 生地黄甘草（炙） 知母 葛根 栝蒌根（等分） 咀。
每服五
喻嘉言曰∶宣明二方，为内经心移寒移热两证，各出其治。一种苦心，非不可嘉。然移
寒移
必
泻
正
治老弱虚人大渴。
人参 枸杞子 白茯苓 甘草 五味子 麦门冬 加姜煎。
喻嘉言曰∶按易老方，即变宣明麦冬饮子，去生地知母葛根，加枸杞也。方下不言心移
热于
无过
治过劳四肢，筋液耗竭，数数转筋，爪甲皆痛，不能久立，名曰筋极。（肝主筋，
六极之一也。经曰∶阳气者，精则养神，柔则养筋。筋骨过劳，耗其津液，不能荣养
急而筋数转也。爪甲者，筋之余，筋属木，犹木枯则枝叶皆萎也。不能久立，筋衰不
也。）
猪脂 姜汁（二升） 酒（五合） 先将猪脂姜汁，熬取三升，再入酒，分三服。
津竭筋枯，非草木之药卒能责效。猪脂润能养筋，姜汁辛能润燥，酒和血而性善行，取
易达
除姜汁，加金银花，煮酒饮，治疮疥，最良。
《金匮要略》中说，口渴想喝水且饮水后仍不止渴的，用文蛤散主治。
文蛤一味药研成粉末。用五合沸水调和，服用一方寸匕的量。
《金匮要略》中记载，小便轻微不利时，及早用文蛤一味药治疗。方书从不收录此法，哪里知道软坚散结的药物，不是劫夺阴液就是损伤阴液。
（《本事方》）治疗心中烦躁，不出津液，不想吃东西。
黄耆、熟地黄、芍药、五味子、麦冬、天冬、人参、甘草、茯苓，加生姜、大枣、乌梅煎服。
黄耆、人参补气，熟地黄、芍药补血。乌梅、五味子收敛耗散、生津液。天冬、麦冬清泻火邪、滋补阴液。茯苓淡味以利湿。
治疗心寒移于肺，形成肺消证，喝水少而小便多，应当补肺平心。
黄耆（三两）、五味子、人参、麦门冬、桑白皮（二两）、枸杞子、熟地黄（一两半），研为末。每次服用……
治疗心热移于肺，传变为膈消证，胸满心烦，精神短少。
人参、茯神、麦门冬、五味子、生地黄、炙甘草、知母、葛根、栝蒌根（等分），切碎。每次服用五……
喻嘉言说：《宣明论方》中的这两个方子，针对《内经》中心移寒和心移热两种证候，分别给出了治法。这种苦心孤诣的精神，并非不值得称赞。然而关于移寒移热……必然……泻……正……
治疗年老体弱虚人大渴。
人参、枸杞子、白茯苓、甘草、五味子、麦门冬，加生姜煎服。
喻嘉言说：按易老方的说法，这即是变通《宣明论方》的麦冬饮子，去掉生地黄、知母、葛根，加入枸杞子。方剂下方没有说明心移热于……无过……
治疗过度劳累导致四肢筋液耗竭，频繁转筋，指甲都痛，不能久站，名叫筋极。（肝主筋，是六极之一。经书说：阳气精纯则养神，柔和则养筋。筋骨过度劳累，耗伤津液，不能荣养……急而筋数转也。爪甲是筋之余，筋属木，就像树木枯死则枝叶都萎蔫一样。不能久立，是因为筋衰不……也。）
猪脂、姜汁（二升）、酒（五合）。先将猪脂和姜汁熬取三升，再倒入酒，分三次服用。
津液枯竭、筋脉干枯，不是草木药物能立刻见效的。猪脂滋润能养筋，姜汁辛温能润燥，酒能和血且性质善于通行，取……容易达到……除去姜汁，加入金银花，煮酒饮用，治疗疮疥，效果最好。
According to the *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet), for cases of excessive thirst with continuous drinking that does not quench it, Wen Ge San (Clam Shell Powder) is the primary treatment.
Wen Ge (Clam Shell) alone is ground into a powder. Mix with five he of boiling water and take one fang cun chi (a square-inch spoonful) per dose.
The *Jin Gui Yao Lue* states that when urination is slightly difficult, Wen Ge (Clam Shell) alone should be used early in the course of treatment. This prescription is never recorded in medical formularies; how could one know that softening and dissipating agents either rob Yin or damage Yin?
(Ben Shi Fang) Treats irritability in the heart, lack of saliva production, and loss of appetite.
Huang Qi (Astragali Radix), Shu Di Huang (Rehmanniae Radix Preparata), Bai Shao (Paeoniae Radix Alba), Wu Wei Zi (Schisandrae Fructus), Mai Dong (Ophiopogonis Radix), Tian Dong (Asparagi Radix), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Fu Ling (Poria), add Sheng Jiang (Zingiberis Rhizoma Recens), Da Zao (Jujubae Fructus), and Wu Mei (Mume Fructus) to decoct.
Huang Qi (Astragali Radix) and Ren Shen (Ginseng Radix et Rhizoma) tonify Qi; Shu Di Huang (Rehmanniae Radix Preparata) and Bai Shao (Paeoniae Radix Alba) nourish Blood. Wu Mei (Mume Fructus) and Wu Wei Zi (Schisandrae Fructus) astringe leakage and generate fluids. Tian Dong (Asparagi Radix) and Mai Dong (Ophiopogonis Radix) clear fire and nourish Yin. Fu Ling (Poria) has a bland taste to promote diuresis.
Treats Heart Cold transferring to the Lung, forming Fei Xiao (Lung Wasting-Thirst), characterized by scanty drinking but copious urination; the treatment should tonify the Lung and calm the Heart.
Huang Qi (Astragali Radix) (three liang), Wu Wei Zi (Schisandrae Fructus), Ren Shen (Ginseng Radix et Rhizoma), Mai Men Dong (Ophiopogonis Tuber), Sang Bai Pi (Mori Cortex) (two liang), Gou Qi Zi (Lycii Fructus), Shu Di Huang (Rehmanniae Radix Preparata) (one and a half liang), grind into powder. Take... each time.
Treats Heart Heat transferring to the Lung, transmitting as Ge Xiao (Diaphragm Wasting-Thirst), presenting with chest fullness, irritability, and shortness of spirit.
Ren Shen (Ginseng Radix et Rhizoma), Fu Shen (Poria cum Radix), Mai Men Dong (Ophiopogonis Tuber), Wu Wei Zi (Schisandrae Fructus), Sheng Di Huang (Rehmanniae Radix), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata), Zhi Mu (Anemarrhenae Rhizoma), Ge Gen (Puerariae Lobatae Radix), Gua Lou Gen (Trichosanthis Radix) (equal parts), cut into pieces. Take five... each time.
Yu Jiayan stated: The two formulas from *Xuan Ming Lun Fang* address the two syndromes of Heart Cold transfer and Heart Heat transfer described in the *Nei Jing*, providing treatments for each. This painstaking effort is commendable. However, regarding the transfer of cold and heat... necessarily... purge... correct...
Treats excessive thirst in elderly and weak individuals due to deficiency.
Ren Shen (Ginseng Radix et Rhizoma), Gou Qi Zi (Lycii Fructus), Bai Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma), Wu Wei Zi (Schisandrae Fructus), Mai Men Dong (Ophiopogonis Tuber), add Sheng Jiang (Zingiberis Rhizoma Recens) to decoct.
Yu Jiayan stated: According to Yi Lao's method, this is a variation of the Mai Dong Yin Zi from *Xuan Ming Lun Fang*, removing Sheng Di Huang (Rehmanniae Radix), Zhi Mu (Anemarrhenae Rhizoma), and Ge Gen (Puerariae Lobatae Radix), and adding Gou Qi Zi (Lycii Fructus). The formula description below does not mention Heart Heat transferring to the... no excess...
Treats exhaustion of tendon fluids in the four limbs due to overwork, frequent muscle spasms, pain in the nails, inability to stand for long periods, named Jin Ji (Tendon Extremity). (The Liver governs the tendons; this is one of the Six Extremities. The Classics state: Yang Qi, when refined, nourishes the Spirit; when gentle, it nourishes the Tendons. Overwork of bones and tendons consumes body fluids, failing to nourish... leading to frequent tendon spasms. Nails are the surplus of tendons; tendons belong to Wood, just as withered trees cause branches and leaves to wither. Inability to stand long is because tendons are deficient and cannot... support.)
Zhu Zhi (Porcine Fat), Jiang Zhi (Zingiberis Rhizoma Juice) (two sheng), Jiu (Alcohol) (five he). First, simmer Zhu Zhi (Porcine Fat) and Jiang Zhi (Zingiberis Rhizoma Juice) to obtain three sheng, then add Jiu (Alcohol), divide into three doses.
When body fluids are exhausted and tendons are withered, herbal medicines cannot produce immediate effects. Zhu Zhi (Porcine Fat) is moistening and nourishes tendons; Jiang Zhi (Zingiberis Rhizoma Juice) is pungent and moistens dryness; Jiu (Alcohol) harmonizes blood and its nature is good at promoting circulation, taking... easily reaches... Remove Jiang Zhi (Zingiberis Rhizoma Juice), add Jin Yin Hua (Lonicerae Japonicae Flos), decoct with Jiu (Alcohol) and drink; it is excellent for treating sores and scabies.