肾实热者。左手尺中神门以后脉阴实者。足少阴经也。肾藏精。实则阳气盛。阳气盛则
生热。病苦痹。身热舌燥咽肿。心烦痛。嗌干。胸胁时痛。喘咳汗出。小腹胀满。腰背强急。
体重骨热。小便赤黄。好怒好忘。足下热疼。足胫满痛。四肢黑。耳聋。诊其脉浮紧者。肾
实热也（脉经云肾实热者。病苦膀胱胀闭。小腹与腰脊相引痛也）。肾膀胱俱实者。左手尺中
神门以后脉阴阳俱实也。病苦脊强反折。戴眼。气上抢心。脊痛不能自反侧。癫疾。头重与
目相引。痛厥欲走。反眼。大风多汗。名曰肾膀胱俱实也。
方
泻肾赤茯苓散（出圣惠方）治肾脏实热。腹胁不利。心膈烦满。腰背拘急。足
下热痛。
赤茯苓（二两） 丹参 牡丹皮 生干地黄 猪苓（去黑皮） 子芩 泽泻 五加皮 牛
膝
（去苗各三分） 甘草（半两炙微赤锉） 槟榔 羚羊角屑 枳壳（麸炒微黄去白瓤各一两）
上
为散。每服四钱。水一钟。煎至六分去滓。食前温服。
大泽泻汤（千金方）治肾脏实热。多怒善忘。耳听不聪。四肢满急。腰背强
直。
泽泻（锉） 柴胡（去苗） 茯神（去木） 黄芩（去黑心） 升麻 芒硝（研） 杏
仁（汤浸去
皮尖双仁炒各三两） 磁石（碎四两） 羚羊角（镑一两） 大青（去土） 淡竹叶（切各
二两）
生干
仙灵脾丸（圣济总录）治肾脏壅盛。上攻头目。胸膈咽嗌。痰实不利。
仙灵脾 威灵仙（去土） 赤茯苓（去黑皮） 茯神（去木） 天麻 蔓荆实 香白芷 山
栀
子仁 大黄（锉炒） 益智（去皮各一两） 麝香（研半两） 乌头（炮裂去皮脐四枚） 上
为末。
炼蜜和捣千下。丸如梧桐子大。空心温酒下三丸至五丸。
泻肾生干地黄散（圣惠方）治肾脏实热。心胸烦闷。腹胁胀满。腰脊强急。四
肢不利。
生干地黄 麦门冬（去心各一两） 丹参 赤茯苓 槟榔 羚羊角屑 五加皮 枳壳（麸
炒微黄去瓤） 牛膝（去苗） 前胡（去芦头） 黄芩（各一两） 甘草（半两炙微赤锉） 上
为
散。每
榆皮散（圣惠方）治肾脏实热。膀胱气滞。小便黄赤。涩痛不通。
榆白皮（锉） 葵根（锉） 泽泻 木通（锉） 瞿麦 赤茯苓 桑螵蛸（微炒） 甘
草（炙微
赤锉） 石苇（去毛各三分） 川芒硝（二两） 当归（半两锉微炒） 子芩（一两） 上
为散。每
服三钱
大黄汤（圣惠方）治肾脏实热。小腹 胀。足下热痛。耳聋腰解。梦伏水中。
泻肾。
大黄（二两锉蜜水半盏浸一宿焙） 赤茯苓（去黑皮） 黄芩（去黑心） 泽泻 菖蒲 甘
草
（锉） 玄参 五加皮（锉） 羚羊角（镑各一两） 磁石（火 醋淬三七遍） 生干地黄
（切焙各
二两）
泻肾玄参散 治肾脏实热。好忘。耳听无声。四肢满急。腰背动转强痛。
玄参 赤茯苓 黄芩 泽泻 川升麻 川芒硝 羚羊角屑 赤芍药 杏仁（汤浸去皮尖
双仁麸炒微黄各一两） 甘草（半两炙微赤锉） 磁石（二两捣碎水淘去赤汁） 上为散。
每服
半两。水一大盏半。入生地黄半两。淡竹叶二三片。煎至八分去滓。食前。分温二服。
泻肾汤（千金方）治肾实热小腹胀满。四肢正黑。耳聋。梦腰脊离解。及伏水
等气急方。
芒硝 茯苓 黄芩（各三两） 生地黄汁 菖蒲（各五两） 磁石（八两碎如雀头） 玄
参
细辛
煮七味。
取二升半去滓。下大黄纳药汁中。更煮减二三合。去大黄纳地黄汁。微煎一两沸。下芒硝。
分三服。
栀子汤（千金方）治肾劳实热。小腹胀满。小便赤黄。末有余沥。数而少。茎
中痛。
栀子仁 芍药 通草 石苇（各三两） 滑石（八两） 子芩（四两） 石膏 生地黄
（一方
用熟地黄） 榆白皮（各五两） 淡竹叶（切碎一升） 上 咀。以水一斗。煮取三升去滓。
分
三
玄参汤（医方大成）治肾脏实热。心下烦闷。耳听无声。腰背强痛。
玄参 生地黄 五加皮 黄芩 赤茯苓 石菖蒲 木通 甘草 萆 羚羊角 麦门冬
上各等分。每服五钱。生姜三片。水二盏。煎至八分服。一方无萆 。
地黄汤 治肾脏实热。心胸烦满。腹胁胀急。腰重不利。
生干地黄（焙一两半） 麦门冬（去心焙） 羚羊角（镑） 槟榔（锉） 牛膝（切焙）
黄芩
（去黑心） 甘草（炙锉） 丹参 枳壳（去瓤麸炒） 赤茯苓（去黑皮各一两） 上粗捣
筛。每服
三钱
羚羊角汤 治肾脏实热。多怒好忘。肢体烦满。腰腹急重。
羚羊角（镑） 赤茯苓（去黑皮） 升麻 槟榔（锉） 泽泻（锉） 甘草（炙锉） 芍
药木通
（锉） 黄芩（去黑心） 杏仁（汤浸去皮尖双仁炒各一两） 上粗捣筛。每服三钱。水一
盏。入
淡竹叶十四片。同煎至七分去滓。温服。不拘时候。
泻肾泽泻散 治肾脏气实。肩背拘急。小腹胀满。烦热。胸胁时痛。腰脊强直。小
便赤黄。
泽泻（一两） 黄芩 赤茯苓 木通（锉） 黄 （锉） 槟榔 玄参（各三分） 赤
芍药 羚
羊角屑（各半两） 上为散。每服四钱。水一中盏。煎至六分去滓。食前温服。
泻肾槟榔散 治肾脏实热。小腹壅滞。腰脊疼痛。肩背拘急。
槟榔（一两） 甘草（半两炙微赤锉） 赤茯苓 羚羊角屑 泽泻 柴胡（去苗） 赤
芍药
木通（锉） 桃仁（汤浸去皮尖双仁麸炒微黄各三分） 上为散。每服四钱。水一中盏。入
生地
黄半
榆白皮饮 治肾脏实热。小便赤黄。结涩不利。痛楚。
榆白皮（半两锉） 滑石（四两碎） 黄芩（去黑心） 木通（锉） 瞿麦（各二两） 石
苇（去
毛二两） 冬葵子（半升） 车前子（锉一升） 上粗捣筛。每服五钱。水二盏。煎至一盏
去滓。
温
茯苓汤 治肾脏实热。腰胯强急。面色焦黑。小便赤涩。心胸满闷。两胁胀满。其
脉洪紧。
赤茯苓（去黑皮） 当归（切焙） 牛膝（酒浸切焙） 羌活（去芦头） 枳壳（去瓤
麸炒） 荆
芥穗 槟榔（锉各一分） 木香（三铢） 上粗捣筛。每服三钱。水一盏。煎至八分。空心。
去
滓温服。大腑热方吃此药。
地黄汤 治肾劳实热腹胀。四肢黑色。耳聋。多梦见大水。腰脊离解。（方见干
地
黄汤）
桑白皮汤 治肾热四肢肿满拘急。
桑根白皮（东引者切三合） 茱萸根（东引者锉切一合半） 上以酒二升。煮取一升。
空心。
分
青原汤 治肾实热小腹胀满。四肢正黑。耳聋。骨热。小便赤黄。腰脊离解及伏水
等。
茯苓 黄芩 菖蒲（各五两） 玄参 细辛（各四两） 大黄（水浸一宿） 甘草（炙
各二两）
磁
泽泻汤 治肾脏实热。传入膀胱。小便黄赤。结涩不通。
泽泻（锉） 葵根（锉） 木通（锉） 车前子 井泉石（碎） 赤茯苓（去黑皮） 甘
草（炙锉
各一两） 上粗捣筛。每服二钱。水一盏。煎至七分。不拘时候。去滓温服。以小便利为度。
贯众散（出千金方）治肾热四肢肿急。蛲虫如荣中虫。在肾中为病。
贯众（大者三枚切熬） 干漆（三两熬） 吴茱萸（五十粒） 芜荑（熬） 胡粉（熬）
槐皮
（烧各
青膻汤 治右肾实热。身热脊胁相引痛。足冷。小便赤黄如栀子药汁。每欲小便即
茎头痛。
榆白皮 冬葵子（各五两） 石苇（四两去毛） 黄芩 通草 瞿麦（各三两） 上为
粗末。
先以水二盏。入车前叶数片。煎至盏半。入药末四钱。再煎七分去滓。热服。
榆皮通滑泄热煎 治肾热。应胞囊涩热。小便黄赤苦不通。
榆白皮 赤蜜 葵子（各一升） 滑石 通草（各二两） 车前子（五升） 上 咀。
以水三
斗
导气丸（出圣济总录）治肾气盛实。腰脚不能屈伸。
槟榔（生锉） 牵牛子（炒各半两） 赤茯苓（去黑皮） 半夏（汤洗七遍焙各二两） 上
为
末。生
肾经实热证。表现为左手尺部神门穴以后的脉象呈现阴实之象，这属于足少阴肾经的病变。肾主藏精，邪气盛实则阳气亢盛，阳气亢盛则化生内热。患者常患痹证，身体发热，舌干口燥，咽喉肿痛，心中烦乱疼痛，咽部干燥，胸胁部位时常疼痛，气喘咳嗽并伴有出汗，小腹部胀满，腰背部僵硬拘急，身体沉重且骨骼感觉发热，小便颜色深黄，性情急躁易怒且记忆力减退，足底发热疼痛，小腿肚胀满疼痛，四肢肤色发黑，听力下降甚至耳聋。诊察其脉象若见浮紧，即为肾经实热证（《脉经》记载：肾经实热证，患者常苦于膀胱胀满闭塞，小腹部与腰脊相互牵引作痛）。
肾与膀胱俱实证。表现为左手尺部神门穴以后的脉象阴阳两部均呈现实象。患者常感脊柱僵硬、角弓反张，两眼上视不能转动，气逆冲撞心胸，脊背疼痛无法自行翻身侧卧，患有癫疾，头部沉重且眼球牵引作痛，出现昏厥欲奔跑的症状，眼睛反视，患有大风病且多汗，此症称为肾与膀胱俱实证。
方剂：
泻肾赤茯苓散（出自《圣惠方》），治疗肾脏实热证。症状包括腹胁部不适，心膈部烦闷胀满，腰背部拘挛紧急，足底发热疼痛。
药材：赤茯苓（二两）、丹参、牡丹皮、生干地黄、猪苓（去黑皮）、子芩、泽泻、五加皮、牛膝（去苗，各三分）、甘草（半两，炙至微红后锉碎）、槟榔、羚羊角屑、枳壳（麸炒至微黄，去白瓤，各一两）。
制法用法：将上述药材研为散剂。每次服用四钱，加水一钟，煎煮至六分，滤去药渣，饭前温服。
大泽泻汤（出自《千金方》），治疗肾脏实热证。症状包括易怒、健忘，听力不灵敏，四肢胀满拘急，腰背部强直。
药材：泽泻（锉碎）、柴胡（去苗）、茯神（去木）、黄芩（去黑心）、升麻、芒硝（研细）、杏仁（热水浸泡去皮尖及双仁，炒制，各三两）、磁石（捣碎，四两）、羚羊角（镑片，一两）、大青（去土）、淡竹叶（切碎，各二两）。
生干仙灵脾丸（出自《圣济总录》），治疗肾脏壅盛之气上攻头目，导致胸膈咽喉痰实不利。
药材：仙灵脾、威灵仙（去土）、赤茯苓（去黑皮）、茯神（去木）、天麻、蔓荆实、香白芷、山栀子仁、大黄（锉碎炒制）、益智仁（去皮，各一两）、麝香（研细，半两）、乌头（炮裂，去皮脐，四枚）。
制法用法：将上述药材研为末，用炼蜜调和，捣击千下，制成梧桐子大小的丸剂。空腹时以温酒送服三至五丸。
泻肾生干地黄散（出自《圣惠方》），治疗肾脏实热证。症状包括心胸烦闷，腹胁胀满，腰脊强直拘急，四肢活动不利。
药材：生干地黄、麦门冬（去心，各一两）、丹参、赤茯苓、槟榔、羚羊角屑、五加皮、枳壳（麸炒微黄去瓤）、牛膝（去苗）、前胡（去芦头）、黄芩（各一两）、甘草（半两，炙微红锉碎）。
制法用法：将上述药材研为散剂。
榆皮散（出自《圣惠方》），治疗肾脏实热证，兼有膀胱气滞。症状包括小便黄赤，涩痛不通。
药材：榆白皮（锉碎）、葵根（锉碎）、泽泻、木通（锉碎）、瞿麦、赤茯苓、桑螵蛸（微炒）、甘草（炙微红锉碎）、石苇（去毛，各三分）、川芒硝（二两）、当归（半两，锉碎微炒）、子芩（一两）。
制法用法：将上述药材研为散剂。每次服用三钱。
大黄汤（出自《圣惠方》），治疗肾脏实热证。症状包括小腹胀满，足底发热疼痛，耳聋，腰部松弛无力，梦见身伏水中。
药材：大黄（二两，锉碎，用半盏蜂蜜水浸泡一夜后焙干）、赤茯苓（去黑皮）、黄芩（去黑心）、泽泻、菖蒲、甘草（锉碎）、玄参、五加皮（锉碎）、羚羊角（镑片，各一两）、磁石（火煅醋淬七次）、生干地黄（切块焙干，各二两）。
泻肾玄参散，治疗肾脏实热证。症状包括健忘，听力丧失，四肢胀满拘急，腰背转动时强直疼痛。
药材：玄参、赤茯苓、黄芩、泽泻、川升麻、川芒硝、羚羊角屑、赤芍药、杏仁（热水浸泡去皮尖及双仁，麸炒微黄，各一两）、甘草（半两，炙微红锉碎）、磁石（二两，捣碎，水洗去红色汁液）。
制法用法：将上述药材研为散剂。每次服用半两，加水一大盏半，加入生地黄半两、淡竹叶二三片，煎煮至八分，滤去药渣，饭前分两次温服。
泻肾汤（出自《千金方》），治疗肾实热证引起的小腹胀满，四肢正色发黑，耳聋，梦见腰脊断裂分离，以及伏水等气急病症。
药材：芒硝、茯苓、黄芩（各三两）、生地黄汁、菖蒲（各五两）、磁石（八两，捣碎如雀头大小）、玄参、细辛。
制法用法：先煮前七味药，取汁二升半，滤去药渣。加入大黄继续煎煮，减少二三合药液量。取出大黄，加入生地黄汁，微煎一至两沸。最后加入芒硝。分三次服用。
栀子汤（出自《千金方》），治疗肾劳实热证。症状包括小腹胀满，小便黄赤，尿末有余沥，尿频量少，尿道疼痛。
药材：栀子仁、芍药、通草、石苇（各三两）、滑石（八两）、子芩（四两）、石膏、生地黄（一方用熟地黄）、榆白皮（各五两）、淡竹叶（切碎，一升）。
制法用法：将药材切碎，用水一斗，煎煮取汁三升，滤去药渣。分三次服用。
玄参汤（出自《医方大成》），治疗肾脏实热证。症状包括心下部烦闷，听力丧失，腰背强直疼痛。
药材：玄参、生地黄、五加皮、黄芩、赤茯苓、石菖蒲、木通、甘草、萆薢、羚羊角、麦门冬。
制法用法：上述药材各等分。每次服用五钱，加生姜三片，水二盏，煎煮至八分服用。另一方无萆薢。
地黄汤，治疗肾脏实热证。症状包括心胸烦闷胀满，腹胁胀急，腰部沉重活动不利。
药材：生干地黄（焙干，一两半）、麦门冬（去心焙干）、羚羊角（镑片）、槟榔（锉碎）、牛膝（切块焙干）、黄芩（去黑心）、甘草（炙后锉碎）、丹参、枳壳（去瓤麸炒）、赤茯苓（去黑皮，各一两）。
制法用法：将上述药材粗捣过筛。每次服用三钱。
羚羊角汤，治疗肾脏实热证。症状包括易怒健忘，肢体烦闷胀满，腰腹部急重。
药材：羚羊角（镑片）、赤茯苓（去黑皮）、升麻、槟榔（锉碎）、泽泻（锉碎）、甘草（炙锉）、芍药、木通（锉碎）、黄芩（去黑心）、杏仁（热水浸泡去皮尖及双仁，炒制，各一两）。
制法用法：将上述药材粗捣过筛。每次服用三钱，加水一盏，加入淡竹叶十四片，同煎至七分，滤去药渣，温服，不拘时候。
泻肾泽泻散，治疗肾脏气实证。症状包括肩背拘急，小腹胀满，烦热，胸胁时常疼痛，腰脊强直，小便黄赤。
药材：泽泻（一两）、黄芩、赤茯苓、木通（锉碎）、黄芪（锉碎）、槟榔、玄参（各三分）、赤芍药、羚羊角屑（各半两）。
制法用法：将上述药材研为散剂。每次服用四钱，加水一中盏，煎煮至六分，滤去药渣，饭前温服。
泻肾槟榔散，治疗肾脏实热证。症状包括小腹壅滞，腰脊疼痛，肩背拘急。
药材：槟榔（一两）、甘草（半两，炙微红锉碎）、赤茯苓、羚羊角屑、泽泻、柴胡（去苗）、赤芍药、木通（锉碎）、桃仁（热水浸泡去皮尖及双仁，麸炒微黄，各三分）。
制法用法：将上述药材研为散剂。每次服用四钱，加水一中盏，加入生地黄半两。
榆白皮饮，治疗肾脏实热证。症状包括小便黄赤，结涩不利，疼痛。
药材：榆白皮（半两，锉碎）、滑石（四两，捣碎）、黄芩（去黑心）、木通（锉碎）、瞿麦（各二两）、石苇（去毛，二两）、冬葵子（半升）、车前子（锉碎，一升）。
制法用法：将上述药材粗捣过筛。每次服用五钱，加水二盏，煎煮至一盏，滤去药渣，温服。
茯苓汤，治疗肾脏实热证。症状包括腰胯强直拘急，面色焦黑，小便赤涩，心胸满闷，两胁胀满，脉象洪紧。
药材：赤茯苓（去黑皮）、当归（切块焙干）、牛膝（酒浸切块焙干）、羌活（去芦头）、枳壳（去瓤麸炒）、荆芥穗、槟榔（锉碎，各一分）、木香（三铢）。
制法用法：将上述药材粗捣过筛。每次服用三钱，加水一盏，煎煮至八分，空腹滤去药渣温服。适用于大肠腑热证。
地黄汤，治疗肾劳实热证引起的腹胀，四肢黑色，耳聋，多梦见大水，腰脊断裂分离。（方剂见干地黄汤）
桑白皮汤，治疗肾热证引起的四肢肿满拘急。
药材：桑根白皮（东引者，切，三合）、茱萸根（东引者，锉切，一合半）。
制法用法：用酒二升，煎煮取汁一升。空腹分次服用。
青原汤，治疗肾实热证引起的小腹胀满，四肢正色发黑，耳聋，骨热，小便黄赤，腰脊断裂分离以及伏水等症。
药材：茯苓、黄芩、菖蒲（各五两）、玄参、细辛（各四两）、大黄（水浸泡一夜）、甘草（炙，各二两）、磁石。
泽泻汤，治疗肾脏实热证传入膀胱。症状包括小便黄赤，结涩不通。
药材：泽泻（锉碎）、葵根（锉碎）、木通（锉碎）、车前子、井泉石（捣碎）、赤茯苓（去黑皮）、甘草（炙锉，各一两）。
制法用法：将上述药材粗捣过筛。每次服用二钱，加水一盏，煎煮至七分，不拘时候，滤去药渣温服。以小便通畅为度。
贯众散（出自《千金方》），治疗肾热证引起的四肢肿急，蛲虫如荥中之虫，在肾中致病。
药材：贯众（大者三枚，切后熬制）、干漆（三两，熬制）、吴茱萸（五十粒）、芜荑（熬制）、胡粉（熬制）、槐皮（烧制，各...）。
青膻汤，治疗右肾实热证。症状包括身体发热，脊胁相互牵引作痛，足冷，小便黄赤如栀子药汁，每欲小便即阴茎头痛。
药材：榆白皮、冬葵子（各五两）、石苇（四两，去毛）、黄芩、通草、瞿麦（各三两）。
制法用法：将上述药材研为粗末。先用水二盏，加入车前叶数片，煎煮至盏半，加入药末四钱，再煎至七分，滤去药渣，热服。
榆皮通滑泄热煎，治疗肾热证。症状包括胞囊涩热，小便黄赤苦于不通。
药材：榆白皮、赤蜜、葵子（各一升）、滑石、通草（各二两）、车前子（五升）。
制法用法：将上述药材切碎。用水三斗...
导气丸（出自《圣济总录》），治疗肾气盛实证。症状包括腰脚不能屈伸。
药材：槟榔（生锉）、牵牛子（炒，各半两）、赤茯苓（去黑皮）、半夏（汤洗七遍，焙干，各二两）。
制法用法：将上述药材研为末...
Kidney Excess-Heat Syndrome. The pulse at the left hand's Chi position, posterior to Shenmen, presents as Yin-excess, indicating a pathology of the Foot-Shaoyin Kidney Meridian. The Kidney stores Essence; when pathogenic factors are in excess, Yang Qi becomes hyperactive. Hyperactivity of Yang Qi generates internal heat. Patients often suffer from Bi syndrome (obstruction syndrome), with body fever, dry tongue and throat, swollen and painful throat, mental restlessness and pain, dry pharynx, intermittent pain in the chest and hypochondrium, asthma, cough, and sweating, abdominal distension and fullness, stiffness and tension in the lower back and waist, heavy body sensation, and bone heat. Urine is dark yellow. The patient exhibits irritability and forgetfulness, heat and pain in the soles of the feet, fullness and pain in the calves, blackish discoloration of the four limbs, and deafness. If the pulse is floating and tight, it indicates Kidney Excess-Heat (The Mai Jing states: In Kidney Excess-Heat, patients suffer from bladder distension and closure, with pulling pain between the lower abdomen and the lumbar spine).
Kidney and Bladder Dual Excess Syndrome. The pulse at the left hand's Chi position, posterior to Shenmen, presents as both Yin and Yang positions being excess. Patients suffer from spinal stiffness and opisthotonos (backward arching of the body), fixed upward gaze (Daiyan), Qi rushing up to strike the heart, severe back pain preventing self-turning or side-bending, mania (Dianji), heaviness of the head with pulling pain in the eyes, syncope with an urge to run, reversed eyes, profuse sweating due to Great Wind disease. This condition is named Kidney and Bladder Dual Excess.
Formulas:
Xie Shen Chi Fuling San (Discharge Kidney Red Poria Powder) [From Shenghui Fang]: Treats Kidney Excess-Heat. Symptoms include discomfort in the abdomen and hypochondrium, mental restlessness and fullness in the chest and diaphragm, stiffness and tension in the lower back and waist, and heat and pain in the soles of the feet.
Ingredients: Chi Fuling (Red Poria, 2 liang), Danshen (Salvia Miltiorrhiza Radix et Rhizoma), Mudanpi (Moutan Cortex), Sheng Gan Dihuang (Raw Dried Rehmanniae Radix), Zhuling (Polyporus, skin removed), Zixin (Scutellariae Radix, young), Zexie (Alismatis Rhizoma), Wujia Pi (Acanthopanacis Cortex), Niuxi (Achyranthis Bidentatae Radix, sprouts removed, each 3 fen); Gancao (Licorice Root, half liang, honey-fried until slightly red and chopped); Binglang (Areca Seed), Lingyangjiao Xie (Antelope Horn Shavings), Zhike (Bitter Orange Fruit, bran-fried until slightly yellow, white pith removed, each 1 liang).
Preparation and Administration: Grind into powder. Take 4 qian per dose. Add 1 zhong of water, decoct until 6 fen remains, filter dregs, and take warm before meals.
Da Zexie Tang (Great Alisma Decoction) [From Qianjin Fang]: Treats Kidney Excess-Heat. Symptoms include irritability, forgetfulness, impaired hearing, fullness and tension in the four limbs, and spinal rigidity.
Ingredients: Zexie (Chopped), Chaihu (Bupleuri Radix, sprouts removed), Fushen (Poria with Hostwood, wood removed), Huangqin (Scutellariae Radix, black heart removed), Shengma (Cimicifugae Rhizoma), Mangxiao (Natrii Sulfas, ground), Xingren (Apricot Seed, soaked in hot water, skin and tips removed, non-double kernels fried, each 3 liang); Cishi (Magnetitum, crushed, 4 liang), Lingyangjiao (Antelope Horn, shaved, 1 liang), Daqing (Isatidis Folium, soil removed), Danzhuye (Lophatheri Herba, cut, each 2 liang).
Shenggan Xianlingpi Wan (Raw-dried Epimedii Pill) [From Shengji Zonglu]: Treats Kidney congestion and excess rising to attack the head and eyes, causing phlegm-solidity and obstruction in the chest, diaphragm, and throat.
Ingredients: Xianlingpi (Epimedii Folium), Weilingxian (Clematidis Radix et Rhizoma, soil removed), Chi Fuling (Red Poria, skin removed), Fushen (Poria with Hostwood, wood removed), Tianma (Gastrodiae Rhizoma), Manjingzi (Viticis Fructus), Xiangbaizhi (Angelicae Dahuricae Radix), Shanzhizi Ren (Gardeniae Semen, kernel), Dahuang (Rhei Radix et Rhizoma, chopped and fried), Yizhi (Alpiniae Katsumadai Fructus, skin removed, each 1 liang); Shexiang (Moschus, ground, half liang), Wutou (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and umbilicus removed, 4 pieces).
Preparation and Administration: Grind into powder. Mix with refined honey, pound for a thousand times, and form pills the size of Sophora seeds. Take 3 to 5 pills with warm wine on an empty stomach.
Xie Shen Shenggan Dihuang San (Discharge Kidney Raw-dried Rehmanniae Powder) [From Shenghui Fang]: Treats Kidney Excess-Heat. Symptoms include mental restlessness and oppression in the chest and heart, abdominal and hypochondriac distension, spinal rigidity and tension, and limb immobility.
Ingredients: Shenggan Dihuang (Raw-dried Rehmanniae Radix), Maidong (Ophiopogonis Tuber, core removed, each 1 liang), Danshen (Salvia Miltiorrhiza Radix et Rhizoma), Chi Fuling (Red Poria), Binglang (Areca Seed), Lingyangjiao Xie (Antelope Horn Shavings), Wujia Pi (Acanthopanacis Cortex), Zhike (Bitter Orange Fruit, bran-fried until slightly yellow, pith removed), Niuxi (Achyranthis Bidentatae Radix, sprouts removed), Qianhu (Peucedani Radix, rhizome removed), Huangqin (Scutellariae Radix, each 1 liang); Gancao (Licorice Root, half liang, honey-fried until slightly red and chopped).
Preparation and Administration: Grind into powder.
Yupi San (Elm Bark Powder) [From Shenghui Fang]: Treats Kidney Excess-Heat with Bladder Qi stagnation. Symptoms include dark yellow urine, astringent pain, and difficulty in urination.
Ingredients: Yu Bai pi (Ulmi Cortex, chopped), Kuigen (Malvae Root, chopped), Zexie (Alismatis Rhizoma), Mutong (Akebiae Caulis, chopped), Qumai (Diantherae Herba), Chi Fuling (Red Poria), Sangpiaoxiao (Mantis Ootheca, slightly fried), Gancao (Licorice Root, honey-fried until slightly red and chopped), Shiwei (Pyrosiae Folium, hairs removed, each 3 fen); Chuan Mangxiao (Sodium Sulfate, 2 liang), Danggui (Angelicae Sinensis Radix, half liang, chopped and slightly fried), Zixin (Scutellariae Radix, young, 1 liang).
Preparation and Administration: Grind into powder. Take 3 qian per dose.
Dahuang Tang (Rhubarb Decoction) [From Shenghui Fang]: Treats Kidney Excess-Heat. Symptoms include lower abdominal distension, heat and pain in the soles of the feet, deafness, sense of lumbar relaxation, and dreams of lying in water.
Ingredients: Dahuang (Rhei Radix et Rhizoma, 2 liang, chopped, soaked overnight in half zhong of honey-water, then baked), Chi Fuling (Red Poria, skin removed), Huangqin (Scutellariae Radix, black heart removed), Zexie (Alismatis Rhizoma), Changpu (Acori Tatarinowii Rhizoma), Gancao (Licorice Root, chopped), Xuanshen (Scrophulariae Radix), Wujia Pi (Acanthopanacis Cortex, chopped), Lingyangjiao (Antelope Horn, shaved, each 1 liang), Cishi (Magnetitum, fired and quenched in vinegar seven times), Shenggan Dihuang (Raw-dried Rehmanniae Radix, cut and baked, each 2 liang).
Xie Shen Xuanshen San (Discharge Kidney Scrophulariae Powder): Treats Kidney Excess-Heat. Symptoms include forgetfulness, loss of hearing, fullness and tension in the four limbs, and strong pain in the waist and back upon movement.
Ingredients: Xuanshen (Scrophulariae Radix), Chi Fuling (Red Poria), Huangqin (Scutellariae Radix), Zexie (Alismatis Rhizoma), Chuan Shengma (Cimicifugae Rhizoma), Chuan Mangxiao (Sodium Sulfate), Lingyangjiao Xie (Antelope Horn Shavings), Chishaoyao (Red Peony Root), Xingren (Apricot Seed, soaked in hot water, skin and tips removed, non-double kernels, bran-fried until slightly yellow, each 1 liang); Gancao (Licorice Root, half liang, honey-fried until slightly red and chopped), Cishi (Magnetitum, 2 liang, crushed, washed in water to remove red juice).
Preparation and Administration: Grind into powder. Take half liang per dose. Add 1.5 large zhan of water, half liang of fresh Dihuang, and 2-3 slices of Danzhuye. Decoct until 8 fen remains, filter dregs, and divide into two warm doses before meals.
Xie Shen Tang (Discharge Kidney Decoction) [From Qianjin Fang]: Treats Kidney Excess-Heat causing lower abdominal distension, blackish discoloration of the four limbs, deafness, dreams of spinal separation, and acute Qi conditions such as lying in water.
Ingredients: Mangxiao (Natrii Sulfas), Fuling (Poria), Huangqin (Scutellariae Radix, each 3 liang), Shengdihuang Zhi (Fresh Rehmanniae Juice), Changpu (Acori Tatarinowii Rhizoma, each 5 liang), Cishi (Magnetitum, 8 liang, crushed like sparrow heads), Xuanshen (Scrophulariae Radix), Xixin (Asari Radix et Rhizoma).
Preparation and Administration: Decoct the first seven ingredients. Obtain 2.5 sheng of liquid, filter dregs. Add Dahuang and boil again until reduced by 2-3 he. Remove Dahuang, add Shengdihuang Zhi, simmer for one or two boils, then add Mangxiao. Divide into three doses.
Zhizi Tang (Gardenia Decoction) [From Qianjin Fang]: Treats Kidney Labor Excess-Heat. Symptoms include lower abdominal distension, dark yellow urine, dribbling after urination, frequent but scanty urination, and pain in the urethra.
Ingredients: Zhizi Ren (Gardeniae Semen, kernel), Shaoyao (Paeoniae Radix), Tongcao (Tetrapanacis Medulla), Shiwei (Pyrosiae Folium, each 3 liang), Huashi (Talcum, 8 liang), Zixin (Scutellariae Radix, young, 4 liang), Shigao (Gypsum Fibrosum), Shengdihuang (Fresh Rehmanniae Radix, or Shudihuang in another formula), Yupi (Ulmi Cortex, each 5 liang), Danzhuye (Lophatheri Herba, cut, 1 sheng).
Preparation and Administration: Cut ingredients. Decoct in 1 dou of water until 3 sheng remains, filter dregs. Divide into three doses.
Xuanshen Tang (Scrophulariae Decoction) [From Yifang Dacheng]: Treats Kidney Excess-Heat. Symptoms include mental restlessness in the epigastrium, loss of hearing, and stiff, painful waist and back.
Ingredients: Xuanshen (Scrophulariae Radix), Shengdihuang (Fresh Rehmanniae Radix), Wujia Pi (Acanthopanacis Cortex), Huangqin (Scutellariae Radix), Chi Fuling (Red Poria), Shichangpu (Acori Tatarinowii Rhizoma), Mutong (Akebiae Caulis), Gancao (Licorice Root), Bibo (Dioscoreae Hypoglaucae Rhizoma), Lingyangjiao (Antelope Horn), Maidong (Ophiopogonis Tuber).
Preparation and Administration: Equal parts of all ingredients. Take 5 qian per dose with 3 slices of Shengjiang (Fresh Ginger) and 2 zhan of water. Decoct until 8 fen remains and take. Another formula excludes Bibo.
Dihuang Tang (Rehmanniae Decoction): Treats Kidney Excess-Heat. Symptoms include mental restlessness and fullness in the chest, abdominal and hypochondriac tension, heavy and immobile waist.
Ingredients: Shenggan Dihuang (Raw-dried Rehmanniae Radix, baked, 1.5 liang), Maidong (Ophiopogonis Tuber, core removed, baked), Lingyangjiao (Antelope Horn, shaved), Binglang (Areca Seed, chopped), Niuxi (Achyranthis Bidentatae Radix, cut and baked), Huangqin (Scutellariae Radix, black heart removed), Gancao (Licorice Root, honey-fried and chopped), Danshen (Salvia Miltiorrhiza Radix et Rhizoma), Zhike (Bitter Orange Fruit, pith removed, bran-fried), Chi Fuling (Red Poria, skin removed, each 1 liang).
Preparation and Administration: Coarsely crush and sieve. Take 3 qian per dose.
Lingyangjiao Tang (Antelope Horn Decoction): Treats Kidney Excess-Heat. Symptoms include irritability and forgetfulness, limb restlessness and fullness, and urgent heaviness in the waist and abdomen.
Ingredients: Lingyangjiao (Antelope Horn, shaved), Chi Fuling (Red Poria, skin removed), Shengma (Cimicifugae Rhizoma), Binglang (Areca Seed, chopped), Zexie (Alismatis Rhizoma, chopped), Gancao (Licorice Root, honey-fried and chopped), Shaoyao (Paeoniae Radix), Mutong (Akebiae Caulis, chopped), Huangqin (Scutellariae Radix, black heart removed), Xingren (Apricot Seed, soaked in hot water, skin and tips removed, non-double kernels, fried, each 1 liang).
Preparation and Administration: Coarsely crush and sieve. Take 3 qian per dose. Add 1 zhan of water and 14 slices of Danzhuye. Decoct together until 7 fen remains, filter dregs, and take warm at any time.
Xie Shen Zexie San (Discharge Kidney Alisma Powder): Treats Kidney Qi Excess. Symptoms include stiffness and tension in the shoulders and back, lower abdominal distension, vexing heat, intermittent chest and hypochondriac pain, spinal rigidity, and dark yellow urine.
Ingredients: Zexie (Alismatis Rhizoma, 1 liang), Huangqin (Scutellariae Radix), Chi Fuling (Red Poria), Mutong (Akebiae Caulis, chopped), Huangqi (Astragali Radix, chopped), Binglang (Areca Seed), Xuanshen (Scrophulariae Radix, each 3 fen), Chishaoyao (Red Peony Root), Lingyangjiao Xie (Antelope Horn Shavings, each half liang).
Preparation and Administration: Grind into powder. Take 4 qian per dose. Add 1 medium zhan of water, decoct until 6 fen remains, filter dregs, and take warm before meals.
Xie Shen Binglang San (Discharge Kidney Areca Seed Powder): Treats Kidney Excess-Heat. Symptoms include lower abdominal stagnation, lumbar and spinal pain, and shoulder/back stiffness.
Ingredients: Binglang (Areca Seed, 1 liang), Gancao (Licorice Root, half liang, honey-fried until slightly red and chopped), Chi Fuling (Red Poria), Lingyangjiao Xie (Antelope Horn Shavings), Zexie (Alismatis Rhizoma), Chaihu (Bupleuri Radix, sprouts removed), Chishaoyao (Red Peony Root), Mutong (Akebiae Caulis, chopped), Taoren (Pruni Semen, soaked in hot water, skin and tips removed, non-double kernels, bran-fried until slightly yellow, each 3 fen).
Preparation and Administration: Grind into powder. Take 4 qian per dose. Add 1 medium zhan of water and half liang of Shengdihuang.
Yu Bai pi Yin (Elm White Bark Drink): Treats Kidney Excess-Heat. Symptoms include dark yellow urine, astringency and difficulty in urination, and pain.
Ingredients: Yu Bai pi (Ulmi Cortex, half liang, chopped), Huashi (Talcum, 4 liang, crushed), Huangqin (Scutellariae Radix, black heart removed), Mutong (Akebiae Caulis, chopped), Qumai (Diantherae Herba, each 2 liang), Shiwei (Pyrosiae Folium, hairs removed, 2 liang), Dongkuizi (Malvae Semen, half sheng), Cheqianzi (Plantaginis Semen, chopped, 1 sheng).
Preparation and Administration: Coarsely crush and sieve. Take 5 qian per dose. Add 2 zhan of water, decoct until 1 zhan remains, filter dregs, and take warm.
Fuling Tang (Poria Decoction): Treats Kidney Excess-Heat. Symptoms include stiffness and tension in the waist and hips, scorched-black complexion, dark and astringent urine, chest fullness, hypochondriac distension, and a flooding-tight pulse.
Ingredients: Chi Fuling (Red Poria, skin removed), Danggui (Angelicae Sinensis Radix, cut and baked), Niuxi (Achyranthis Bidentatae Radix, wine-soaked, cut and baked), Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed), Zhike (Bitter Orange Fruit, pith removed, bran-fried), Jingjie Sui (Schizonepetae Spica), Binglang (Areca Seed, chopped, each 1 fen), Muxiang (Aucklandiae Radix, 3 zhu).
Preparation and Administration: Coarsely crush and sieve. Take 3 qian per dose. Add 1 zhan of water, decoct until 8 fen remains. Take warm on an empty stomach after filtering dregs. Suitable for Large Intestine Fu Heat.
Dihuang Tang (Rehmanniae Decoction): Treats Kidney Labor Excess-Heat causing abdominal distension, blackish limbs, deafness, frequent dreams of large waters, and sensation of spinal separation. (See Ganh Dihuang Tang above).
Sangbaipi Tang (Mulberry Bark Decoction): Treats Kidney Heat causing swelling, fullness, and tension in the four limbs.
Ingredients: Sanggen Baipi (Mori Cortex, from east-facing branch, cut, 3 he), Zhuyu Gen (Corni Radix, from east-facing branch, chopped and cut, 1.5 he).
Preparation and Administration: Decoct in 2 sheng of wine until 1 sheng remains. Take on an empty stomach, divided.
Qingyuan Tang (Qingyuan Decoction): Treats Kidney Excess-Heat causing lower abdominal distension, blackish limbs, deafness, bone heat, dark yellow urine, spinal separation, and lying-in-water sensations.
Ingredients: Fuling (Poria), Huangqin (Scutellariae Radix), Changpu (Acori Tatarinowii Rhizoma, each 5 liang), Xuanshen (Scrophulariae Radix), Xixin (Asari Radix et Rhizoma, each 4 liang), Dahuang (Rhei Radix et Rhizoma, soaked in water overnight), Gancao (Licorice Root, honey-fried, each 2 liang), Cishi (Magnetitum).
Zexie Tang (Alisma Decoction): Treats Kidney Excess-Heat transmitting to the Bladder. Symptoms include dark yellow urine and astringent blockage.
Ingredients: Zexie (Alismatis Rhizoma, chopped), Kuigen (Malvae Root, chopped), Mutong (Akebiae Caulis, chopped), Cheqianzi (Plantaginis Semen), Jingquanshi (Well Spring Stone, crushed), Chi Fuling (Red Poria, skin removed), Gancao (Licorice Root, honey-fried and chopped, each 1 liang).
Preparation and Administration: Coarsely crush and sieve. Take 2 qian per dose. Add 1 zhan of water, decoct until 7 fen remains. Take warm at any time after filtering dregs. Continue until urination is smooth.
Guanzhong San (Cyrtomii Powder) [From Qianjin Fang]: Treats Kidney Heat causing limb swelling and tension, and Ascaris lumbricoides-like worms in the kidney causing disease.
Ingredients: Guanzhong (Cyrtomii Rhizoma, 3 large ones, cut and roasted), Ganxi (Resina Ferulae, 3 liang, roasted), Wuzhuyu (Evodiae Fructus, 50 grains), Wuyi (Meliosmae Fructus, roasted), Hufen (Lead White, roasted), Huaipi (Sophorae Flavescentis Cortex, burned, each...).
Qingshan Tang (Qingshan Decoction): Treats Right Kidney Excess-Heat. Symptoms include body fever, pulling pain between spine and hypochondrium, cold feet, dark yellow urine resembling Gardenia juice, and penile head pain upon the urge to urinate.
Ingredients: Yu Bai pi (Ulmi Cortex), Dongkuizi (Malvae Semen, each 5 liang), Shiwei (Pyrosiae Folium, hairs removed, 4 liang), Huangqin (Scutellariae Radix), Tongcao (Tetrapanacis Medulla), Qumai (Diantherae Herba, each 3 liang).
Preparation and Administration: Grind into coarse powder. First, decoct several slices of Cheqianye (Plantaginis Herba) in 2 zhan of water until 1.5 zhan remains. Add 4 qian of the powder and decoct until 7 fen remains. Filter dregs and take hot.
Yupi Tonghua Xi Re Jian (Elm Bark Unclogging Talcum Clearing Heat Decoction): Treats Kidney Heat. Symptoms include astringent heat in the scrotum, dark yellow urine, and difficult urination.
Ingredients: Yu Bai pi (Ulmi Cortex), Chi Mi (Red Honey), Kuizi (Malvae Semen, each 1 sheng), Huashi (Talcum), Tongcao (Tetrapanacis Medulla, each 2 liang), Cheqianzi (Plantaginis Semen, 5 sheng).
Preparation and Administration: Cut ingredients. Use 3 dou of water...
Daoqi Wan (Guiding Qi Pill) [From Shengji Zonglu]: Treats Kidney Qi Excess causing inability to flex and extend the waist and legs.
Ingredients: Binglang (Areca Seed, raw chopped), Qianniuzi (Pharbitidis Semen, fried, each half liang), Chi Fuling (Red Poria, skin removed), Banxia (Pinelliae Rhizoma, washed in hot water seven times, baked, each 2 liang).
Preparation and Administration: Grind into powder...