局方凉膈散
按此泻脾胃肺心主胆三焦大肠火热药也
调胃承气汤
按此泻胃火之药也
当归承气汤
方并见热门
按此泻脾胃肝火之药也
麦门冬散治丈夫妇人蕴积邪热心胸烦闷咽干口燥睡卧不安或大小肠不利口舌生疮
芒硝(一两) 麦门冬(三钱) 小草 黄连 升麻 犀角屑 甘草(炙) 黄芩 枳壳 大
青(各半两)
上为末每三钱水煎
按此泻心肺肝胃火热之剂与以上诸方皆咸寒之药经云火淫于内治以咸寒而为正治然亦有
气血上下之分也用者自宜取择
黄连解毒汤治一切火热毒狂躁烦心口燥咽干热势之甚者及吐下后热不解而脉洪喘急郑声
目赤睛疼燥渴
黄连 黄柏 大栀子 黄芩(各等分)
上 咀水煎
按此太仓公火剂汤也泻心肺肾膀胱大小肠胃火之药真珠散治男女五脏积热毒瓦斯上攻心胸
烦闷口干舌燥精神恍惚闷乱生卧不安
琥珀 真珠粉 天花粉 铁粉 朱砂 生甘草 寒水石( ) 牙硝 大黄(各等分)
上为细末每一钱竹叶汤调下
按此泻心肾胃火之剂镇坠药也
宣明大金花丸治中外诸热寝汗切牙睡语惊悸溺血淋 咳血衄血瘦弱头痛并骨蒸肺痿劳嗽
去大黄加栀子名栀子金花丸
黄连 黄柏 黄芩 大黄(各等分)
上为末滴水丸小豆大每二三十丸新水下
按此解毒汤之变法也出阳明例但云治瘦弱头痛以下诸证犹宜详审用之
当归龙胆丸治肾水阴虚风热蕴积时发惊悸筋惕搐搦神志不宁荣卫壅滞头目昏眩肌肉
胸膈咽嗌不利肠胃燥涩躁扰狂越骂詈惊骇火热等证
当归 草龙胆 大栀子 黄连 黄柏 黄芩(各一两) 大黄 芦荟 青黛(各半两) 木
香(一钱) 麝(半钱)
上为末炼蜜丸如小豆大姜汤下三二十丸
按此泻心肝脾肺肾胃火之药也
神芎丸治一切热证常服保养除痰饮消酒食清头目利咽膈能令遍身结滞宣通气利而愈神强
体健耐伤省病
大黄 黄芩(各二两) 牵牛 滑石(各四两) 黄连 薄荷 川芎(各半两)
上为末水丸如小豆大温水下十丸至十五二十丸按此泻肝心脾胃肺膀胱火热之剂又气血药
也下湿热导滞甚捷但云常服神强体健省病与前方云治肾水阴虚虚损者恐未必然
局方凉膈散
按语：这是泻除脾胃、肺、心主（心包）、胆、三焦、大肠火热之邪的药物。
当归承气汤
方剂详见“热门”章节。
按语：这是泻除脾胃、肝火之邪的药物。
麦门冬散，治疗男女体内蕴积邪热，导致心胸烦闷、咽喉干燥、口舌燥渴、睡眠不安，或大小肠排便不利、口舌生疮等症状。
芒硝（一两）、麦门冬（三钱）、小草、黄连、升麻、犀角屑、甘草（炙）、黄芩、枳壳、大青（各半两）。
以上药材研为细末，每次取三钱，用水煎服。
按语：这是泻除心肺、肝、胃火热之邪的方剂。与上述各方一样，皆属咸寒性质的药物。《内经》云：“火邪淫盛于内，治以咸寒”，此为正确的治疗方法。然而，用药仍需根据气血上下分布的不同情况加以选择，使用者应当自行斟酌选取。
黄连解毒汤，治疗一切火热毒邪引起的狂躁、心烦、口燥咽干、热势极盛，以及吐下之后热邪不解、脉象洪大、气喘急促、言语重复（郑声）、眼睛发红疼痛、烦躁口渴等症状。
黄连、黄柏、大栀子、黄芩（各等分）。
以上药材切碎，用水煎服。
按语：此即太仓公的火剂汤，是泻除心肺、肾、膀胱、大小肠、胃火之邪的药物。
真珠散，治疗男女五脏积热毒瓦斯上攻心胸，导致心胸烦闷、口干舌燥、精神恍惚、烦乱不安、睡眠不宁。
琥珀、真珠粉、天花粉、铁粉、朱砂、生甘草、寒水石、牙硝、大黄（各等分）。
以上药材研为极细末，每次取一钱，用竹叶汤送服。
按语：这是泻除心、肾、胃火之邪的方剂，属于重镇坠降类药物。
宣明大金花丸，治疗内外各种热证，包括盗汗、咬紧牙关、睡中呓语、惊悸、尿血、淋证、咳血、鼻衄、身体瘦弱、头痛，以及骨蒸劳热、肺痿、劳嗽等症。
若去掉大黄，加入栀子，则名为栀子金花丸。
黄连、黄柏、黄芩、大黄（各等分）。
以上药材研为细末，滴水泛丸，如小豆大小，每次服用二三十丸，新汲水送下。
按语：这是解毒汤的变法，出自阳明病例。但文中说治疗身体瘦弱、头痛及以下诸证，使用时仍宜详细审察。
当归龙胆丸，治疗肾水阴虚、风热蕴积，时常发作惊悸、筋脉跳动抽搐、神志不宁、营卫壅滞、头目昏眩、肌肉及胸膈咽喉不利、肠胃干燥涩滞、烦躁扰攘、狂妄越礼、骂詈惊骇等火热证候。
当归、草龙胆、大栀子、黄连、黄柏、黄芩（各一两）、大黄、芦荟、青黛（各半两）、木香（一钱）、麝香（半钱）。
以上药材研为细末，炼蜜为丸，如小豆大小，姜汤送服三二十丸。
按语：这是泻除心、肝、脾、肺、肾、胃火之邪的药物。
神芎丸，治疗一切热证，常服可保养身体、消除痰饮、消解酒食积滞、清利头目、通畅咽喉膈部，能使遍身结滞之气宣通，气机流畅而痊愈，使人神气强健、体魄健壮、减少病患痛苦。
大黄、黄芩（各二两）、牵牛子、滑石（各四两）、黄连、薄荷、川芎（各半两）。
以上药材研为细末，水泛为丸，如小豆大小，温水送服十丸至十五、二十丸。
按语：这是泻除肝、心、脾、胃、肺、膀胱火热之邪的方剂，又属于调理气血的药物。其下行湿热、导除积滞非常快捷。但文中说常服能令神强体健、减少病患，与前文所说治疗肾水阴虚虚损者相比，恐怕未必如此。
Ju Fang Liang Ge San (Cool the Middle Burner Powder from the Bureau Formulary)
Note: This is a formula for purging fire-heat from the Spleen, Stomach, Lung, Heart Protector (Pericardium), Gallbladder, Sanjiao (Triple Burner), and Large Intestine.
Tiao Wei Cheng Qi Tang (Regulate the Stomach and Direct Downward Decoction)
Note: This is a formula for purging Stomach fire-heat.
Dang Gui Cheng Qi Tang (Angelica Sinensis and Direct Downward Decoction)
See the formula in the "Hot Topics" chapter.
Note: This is a formula for purging fire-heat from the Spleen, Stomach, and Liver.
Mai Men Dong San (Ophiopogon Powder) treats men and women with accumulated pathogenic heat, causing vexation and oppression in the chest and heart, dryness of the throat and mouth, restlessness during sleep, or difficulty in defecation via the Large or Small Intestines, as well as sores on the mouth and tongue.
Xiao Ming (Niter, 1 liang), Mai Men Dong (Ophiopogonis Radix, 3 qian), Xiao Cao (Herba Scrophulariae), Huang Lian (Coptidis Rhizoma), Sheng Ma (Cimicifugae Rhizoma), Xi Jiao Xie (Rhinocerotis Cornu, shredded), Gan Cao (Licorice Root, honey-fried), Huang Qin (Scutellariae Radix), Zhi Qiao (Aurantii Fructus), Da Qing (Isatidis Folium, each 0.5 liang).
Grind all ingredients into powder. Take 3 qian per dose, decoct in water, and drink.
Note: This is a formula for purging fire-heat from the Heart, Lung, Liver, and Stomach. Like the aforementioned formulas, it consists primarily of salty and cold herbs. The *Neijing* states: "When fire-heat invades internally, treat it with salty and cold substances," which constitutes the correct treatment principle. However, one must consider the distribution of Qi and Blood above and below; users should exercise discretion in selection.
Huang Lian Jie Du Tang (Coptis Decoction to Relieve Toxicity) treats all conditions caused by fire-heat toxicity, characterized by mania, agitation, vexation, dryness of the mouth and throat, severe heat intensity, persistent heat after vomiting or purging, surging pulse, rapid breathing, repetitive speech (Zheng Sheng), red eyes, eye pain, irritability, and excessive thirst.
Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex), Da Zhi Zi (Gardeniae Fructus), Huang Qin (Scutellariae Radix, equal parts).
Chop the ingredients and decoct in water.
Note: This corresponds to Huo Ji Tang (Fire Agent Decoction) attributed to Tai Cang Gong. It is a formula for purging fire-heat from the Heart, Lung, Kidney, Bladder, Large Intestine, Small Intestine, and Stomach.
Zhen Zhu San (Pearl Powder) treats men and women with accumulated heat and toxic vapors in the Five Viscera attacking upward to the chest and heart, causing vexation and oppression, dry mouth and tongue, mental confusion, restlessness, and disturbed sleep.
Hu Po (Amber), Zhen Zhu Fen (Pearl Powder), Tian Hua Fen (Trichosanthis Radix), Tie Fen (Iron Powder), Zhu Sha (Cinnabar), Sheng Gan Cao (Raw Licorice Root), Han Shui Shi (Halloysitum Rubrum), Ya Xiao (Natrii Sulfas), Da Huang (Rhei Radix et Rhizoma, equal parts).
Grind all ingredients into an extremely fine powder. Take 1 qian per dose, administer with Zhu Ye Tang (Bamboo Leaf Decoction).
Note: This is a formula for purging fire-heat from the Heart, Kidney, and Stomach, belonging to the category of heavy sedatives.
Xuan Ming Da Jin Hua Wan (Xuanming Great Golden Flower Pill) treats various internal and external heat syndromes, including night sweats, teeth grinding, somniloquy (sleep-talking), palpitations, hematuria, strangury, hemoptysis, epistaxis, emaciation, headache, bone-steaming fever, Fei Wei (Lung Atrophy), and chronic cough due to consumption.
If Da Huang is removed and Zhi Zi is added, it is named Zhi Zi Jin Hua Wan (Gardenia Golden Flower Pill).
Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex), Huang Qin (Scutellariae Radix), Da Huang (Rhei Radix et Rhizoma, equal parts).
Grind into powder, add water to form pills the size of small beans. Take 20–30 pills per dose with fresh water.
Note: This is a modification of the Jie Du Tang, derived from the Yangming pattern. Although it claims to treat emaciation, headache, and the aforementioned symptoms, its use requires careful examination.
Dang Gui Long Dan Wan (Angelica Sinensis and Gentian Pill) treats Yin deficiency of Kidney Water with accumulation of wind-heat, manifesting as recurrent palpitations, muscle twitching and convulsions, mental unrest, stagnation of Ying and Wei (Nutritive and Defensive Qi), dizziness of the head and eyes, obstruction in muscles, chest, diaphragm, and throat, dryness and constipation of the intestines and stomach, irritability, manic behavior, cursing, fright, and other fire-heat syndromes.
Dang Gui (Angelicae Sinensis Radix), Cao Long Dan (Gentianae Radix), Da Zhi Zi (Gardeniae Fructus), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex), Huang Qin (Scutellariae Radix, each 1 liang), Da Huang (Rhei Radix et Rhizoma), Lu Hui (Aloe), Qing Dai (Indigo Naturalis, each 0.5 liang), Mu Xiang (Aucklandiae Radix, 1 qian), She Xiang (Moschus, 0.5 qian).
Grind into powder, mix with refined honey to form pills the size of small beans. Take 20–30 pills per dose with Ginger Decoction.
Note: This is a formula for purging fire-heat from the Heart, Liver, Spleen, Lung, Kidney, and Stomach.
Shen Xiong Wan (Spiritual Ligusticum Pill) treats all heat syndromes. Regular use maintains health, resolves phlegm-fluids, digests food and alcohol stagnation, clears the head and eyes, unblocks the throat and diaphragm, disperses stagnation throughout the body, promotes smooth Qi flow, and leads to recovery, resulting in strong spirit, robust physique, and reduced illness burden.
Da Huang (Rhei Radix et Rhizoma), Huang Qin (Scutellariae Radix, each 2 liang), Qian Niu (Pharbitidis Semen), Hua Shi (Talcum, each 4 liang), Huang Lian (Coptidis Rhizoma), Bo He (Menthae Haplocalycis Herba), Chuan Xiong (Ligustici Chuanxiong Rhizoma, each 0.5 liang).
Grind into powder, make pills with water the size of small beans. Take 10–20 pills per dose with warm water.
Note: This is a formula for purging fire-heat from the Liver, Heart, Spleen, Stomach, Lung, and Bladder, and also regulates Qi and Blood. Its ability to descend damp-heat and guide out stagnation is very swift. However, the claim that regular use ensures strong spirit and robust physique contrasts with the previous formula's indication for Kidney Water Yin deficiency and consumptive disorders; such claims are likely not entirely accurate.