治阴虚挟热泻利，或喜冷，或发热，或下纯红鲜血，或小水赤痛等症。
生地黄 芍药 茯苓 泽泻（二钱） 当归（一二钱） 黄芩 黄连（一钱五分） 枳
壳甘草（
如热甚者加黄柏，小水热痛者加栀子，燥渴者加花粉麦冬。
（宣明） 治一切肝胆之火，神志不宁，惊悸搐搦，躁扰狂越，头晕目眩，耳鸣耳
胸膈痞塞，咽嗌不利，肠胃燥涩。两胁痛引少腹，肝移热于肺而咳嗽。（肝属风木，主
主怒，主惊。故搐搦惊狂，皆属肝火。目为肝窍，胆脉络于耳，二经火盛，故目眩耳聋
心脉挟咽历膈，肾脉贯膈循喉咙。水衰火盛，故膈咽不利。两胁少腹，皆肝胆经所循，故相
引而痛。五脏六腑皆有咳，然必传以与肺，肝之移邪，则为肝咳）亦治盗汗（盗汗属热，此
与
当归（酒洗） 龙胆草（酒洗） 栀子（炒黑） 黄连（炒） 黄 （炒） 黄芩（炒
一两） 大黄（酒
丸。姜汤下肝木为生火之本，肝火盛，则诸经之火，相因而起，为病不止一端矣。故以龙胆
青黛，直入
肝，能引诸
能入厥阴
治水亏阴涸，阳火有余。小便癃闭，淋浊疼痛等证。
生地 熟地 牛膝 猪苓 泽泻 生黄柏 生知母（二钱） 绿豆（三钱） 龙胆草（一
钱五分）
至一二两亦
（钱乙） 治肝火郁热，不能安卧，多惊多怒，筋痿不起，目赤肿痛。（肝属风木，木
盛生火，故发热多甚于寅卯木旺之时。按之在肉之下，骨之上，为肝热。肝胆之经，行于两
胁，风火干之，故卧不安。肝在志为怒，故多怒。肝虚胆怯，故多惊。肝主筋，逢热则纵，
故痿。目为肝窍，热发于目，故肿痛。）
方见卷六上祛风门
肝者，将军之官，风淫火炽，不易平也。龙胆大黄，苦寒味浓，沉阴下行直入厥阴而散
泻之
而升
痛目
故肝
剂，
平肝
经
是摄
求其
春无
可爱
培之
而为
【背景信息】
书名：成方切用 作者：吴仪洛 朝代：清 章节：清流饮 / ... / 泻青丸（共4节） 类别：方剂
【待处理原文翻译】
**1. 关于“治阴虚挟热泻利”及后续加减法：**
治疗阴虚兼夹热邪导致的腹泻、痢疾，症状包括喜欢冷饮、发热、排出纯红色鲜血，或小便赤红疼痛等症。
生地黄、芍药、茯苓、泽泻（各二钱）、当归（一至二钱）、黄芩、黄连（各一钱五分）、枳壳、甘草。
如果热势严重，加黄柏；小便热痛者，加栀子；口干燥渴者，加天花粉、麦冬。
**2. 关于《宣明》篇中“泻青丸”的论述：**
（出自《宣明论方》）治疗一切肝胆之火引起的病症，如神志不宁、惊悸抽搐、烦躁狂乱、头晕目眩、耳鸣、胸膈痞闷堵塞、咽喉不利、肠胃干燥涩滞。两胁疼痛牵引至少腹，肝将热邪转移至肺导致咳嗽。（肝脏属风木，主怒，主惊。因此抽搐、惊狂等症状，都属于肝火。眼睛是肝之窍，胆经脉络于耳，这两条经络火气旺盛，所以出现目眩耳聋。心脉挟持咽喉经过膈肌，肾脉贯穿膈肌沿着喉咙。肾水衰弱而火气旺盛，所以膈部和咽喉不利。两胁和少腹，都是肝胆经脉循行的部位，所以相互牵引而痛。五脏六腑都会咳嗽，但必然传变给肺，肝的邪气转移，就形成肝咳。）也治疗盗汗（盗汗属于热证，此方……）。
当归（酒洗）、龙胆草（酒洗）、栀子（炒黑）、黄连（炒）、黄柏（炒）、黄芩（炒，一两）、大黄（酒浸，一两）。
制成丸药。用姜汤送服。肝木是产生火的根本，肝火旺盛，则其他经络的火气随之而起，致病不止一端。所以用龙胆草、青黛，直接入肝，能引导诸药进入厥阴经。
**3. 关于“治水亏阴涸”及后续片段：**
治疗肾水亏损、阴液枯竭，阳火有余。小便癃闭不通、淋浊疼痛等证。
生地、熟地、牛膝、猪苓、泽泻、生黄柏、生知母（各二钱）、绿豆（三钱）、龙胆草（一钱五分）。
剂量可达一二两。
**4. 关于《钱乙》篇中“泻青丸”的论述：**
（出自钱乙《小儿药证直诀》）治疗肝火郁结化热，不能安卧，多惊多怒，筋痿无力不起，眼睛红肿疼痛。（肝脏属风木，木气旺盛生火，所以在寅卯时木旺的时候发热特别严重。按诊在肉之下、骨之上，为肝热。肝胆经脉行于两胁，风火侵犯，所以卧不安稳。肝在志为怒，所以多怒。肝虚胆怯，所以多惊。肝主筋，逢热则松弛，所以痿弱。眼睛是肝之窍，热发于目，所以肿痛。）
方剂见卷六上祛风门。
肝者，将军之官，风淫火炽，不易平复。龙胆草、大黄，苦寒味浓，沉阴下行，直接入厥阴经而散泻之……（此处原文残缺，涉及升、痛、目、故肝、剂、平肝、经、是摄、求其、春无、可爱、培之、而为等零散字词，无法构成完整句子，仅保留原意片段）
[Background Information]
Book: Chengfang Qieyong (Essential Use of Prescribed Formulas)
Author: Wu Yiluo
Dynasty: Qing Dynasty
Chapter: Qingliu Yin / ... / Xieqing Wan (Total 4 sections)
Category: Formula
[English Translation]
**1. Regarding "Treating Diarrhea/Dysentery with Yin Deficiency and Accompanying Heat" and subsequent modifications:**
Treats diarrhea or dysentery caused by Yin deficiency with accompanying heat, manifesting as a preference for cold drinks, fever, passage of pure red fresh blood, or painful reddish urine.
Sheng Dihuang (Radix Rehmanniae Preparata), Shaoyao (Radix Paeoniae Rubra), Fuling (Poria), Zexie (Rhizoma Alismatis) (each 2 qian), Danggui (Radix Angelicae Sinensis) (1-2 qian), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) (each 1.5 qian), Zhike (Fructus Aurantii), Gancao (Radix Glycyrrhizae).
If the heat is severe, add Huangbai (Phellodendri Cortex); if there is painful hot urination, add Zhizi (Gardeniae Fructus); if there is dryness and thirst, add Huafen (Trichosanthis Radix) and Maidong (Ophiopogonis Radix).
**2. Regarding the discussion on "Xieqing Wan" in *Xuanming Lun Fang*:**
(From *Xuanming Lun Fang*) Treats all conditions arising from Fire of the Liver and Gallbladder, such as mental restlessness, palpitations with fright, convulsions, irritability and mania, dizziness, vertigo, tinnitus, chest and diaphragm fullness and obstruction, difficulty in the throat, and dryness and constipation of the intestines and stomach. Pain in the hypochondrium radiating to the lower abdomen, and cough resulting from Liver transferring heat to the Lung. (The Liver belongs to Wind-Wood, governs anger, and governs fright. Therefore, convulsions and mania due to fright all belong to Liver Fire. The eyes are the orifice of the Liver; the Gallbladder meridian connects to the ears. When these two meridians have excessive fire, dizziness and deafness occur. The Heart meridian passes through the throat and diaphragm; the Kidney meridian penetrates the diaphragm and follows the throat. Due to Kidney Water deficiency and excessive Fire, the diaphragm and throat become obstructed. The hypochondrium and lower abdomen are areas traversed by the Liver and Gallbladder meridians, hence the mutual pulling pain. All zang and fu organs can cause cough, but it must transmit to the Lung; when evil transfers from the Liver, it becomes Liver Cough.) It also treats night sweats (Night sweats belong to Heat patterns; this formula...).
Danggui (Radix Angelicae Sinensis, washed with wine), Longdancao (Gentianae Radix, washed with wine), Zhizi (Gardeniae Fructus, stir-fried until black), Huanglian (Coptidis Rhizoma, stir-fried), Huangbai (Phellodendri Cortex, stir-fried), Huangqin (Scutellariae Radix, stir-fried, 1 liang), Dahuang (Rhei Radix et Rhizoma, soaked in wine, 1 liang).
Make into pills. Take with Ginger Decoction. Liver Wood is the root of generating Fire; when Liver Fire is excessive, Fire in other meridians arises sequentially, causing diseases not limited to one aspect. Therefore, using Longdancao (Gentianae Radix) and Qingdai (Indigo Naturalis), which directly enter the Liver, can guide various herbs into the Jueyin Meridian.
**3. Regarding "Treating Water Deficiency and Yin Exhaustion" and subsequent fragments:**
Treats Kidney Water deficiency and Yin exhaustion, with excess Yang Fire. Symptoms include strangury (difficulty in urination), turbid urine, and painful urination.
Shengdi (Radix Rehmanniae Recens), Shudi (Radix Rehmanniae Preparata), Niuxi (Achyranthis Bidentatae Radix), Zhuling (Polyporus), Zexie (Rhizoma Alismatis), Sheng Huangbai (Phellodendri Cortex, raw), Sheng Zhimu (Anemarrhenae Rhizoma, raw) (each 2 qian), Lvdou (Phaseoli Semen, 3 qian), Longdancao (Gentianae Radix, 1.5 qian).
Dosage can reach 1-2 liang.
**4. Regarding the discussion on "Xieqing Wan" in *Qian Yi*'s work:**
(From Qian Yi's *Xiao'er Yaozheng Zhijue*) Treats Liver Fire stagnation and heat, inability to sleep peacefully, frequent fright and anger, sinew atrophy with inability to rise, and red, swollen, and painful eyes. (The Liver belongs to Wind-Wood; when Wood is excessive, it generates Fire, so fever is particularly severe during Yin-Mao hours when Wood energy is prosperous. Palpation between muscle and bone indicates Liver Heat. The Liver and Gallbladder meridians run along the hypochondrium; invaded by Wind and Fire, sleep is restless. The Liver governs anger in emotions, hence frequent anger. Liver deficiency leads to Gallbladder timidity, hence frequent fright. The Liver governs sinews; heat causes them to relax, hence atrophy. The eyes are the orifice of the Liver; heat manifests in the eyes, hence swelling and pain.)
See Formula in Volume VI Upper Section, Dispelling Wind Category.
The Liver is the General Officer; when Wind is rampant and Fire is blazing, it is difficult to calm. Longdancao (Gentianae Radix) and Dahuang (Rhei Radix et Rhizoma) are bitter, cold, and strong in flavor, sinking and descending, entering the Jueyin Meridian directly to dissipate and purge... (The original text here is fragmented, containing isolated words like ascend, pain, eye, thus Liver, formula, calm Liver, meridian, is to regulate, seek its..., spring no..., lovely..., cultivate..., and become..., which do not form complete sentences. Only the core meaning fragments are retained).