丹溪补阴丸
方见补虚门
局方加减八味丸治肾虚消渴引饮
金匮肾气丸减附子加五味子
上服如本方法要略治男子消渴小便反多仍用本方
简易地黄饮子治消渴咽干面赤烦躁
人参 生地黄 熟地黄 黄 天门冬 麦门冬(去心) 泽泻 石斛 枇杷叶(去毛炒)
枳壳(炒) 甘草(炒各等分)
上 咀每三钱水煎服
按此心肾脾肺药也以上三方主下消之剂
朱砂黄连丸治心虚蕴热或因饮酒过多发为消渴
朱砂(一两) 宣连(三两) 生地黄(二两)
上为末炼蜜丸如梧子大每四五十丸灯芯枣汤送下
按此心脾药也上消之剂
局方黄 六一汤治男女诸虚不足胸中烦悸时常消渴或先渴而后发疮或病诸疮而后渴者并
宜服
方见前
按此肺肾脾三焦命门之剂也
东垣生津甘露饮子治高消大渴饮水无度舌上赤涩上下齿皆麻舌根强硬肿痛食不下腹时
胀痛浑身色黄目白睛黄甚则四肢痿弱无力面尘脱色胁下急痛善嚏善怒健忌臀腰背寒两尻冷甚
石膏(一钱二分) 人参 炙甘草(各一钱) 白葵(半钱) 麦门冬 兰香 当归身(各半
钱)
桔梗(三钱) 生甘草 山栀 荜澄茄(各一钱) 藿香(二分) 全蝎(二个) 升麻 知母(酒
制各二钱) 黄连 木香 柴胡(各三分) 白芷 白豆蔻 连翘 姜黄(各一钱) 黄柏(酒拌
)杏仁(各一钱半)
上为细末汤浸蒸饼和匀摊薄晒干杵细食后每二钱抄于掌中以舌砥之随津唾下或导以白汤
少许
按此肺胃心肾药也东垣曰此制之缓也不惟不成中满亦不传下消矣三消皆可用
宣明麦门冬饮子治膈消胸满烦心津液干少短气多为消渴
知母 甘草(炒) 栝蒌 人参 五味子 生地黄 葛根 茯神 麦门冬(去心各等分)
上 咀每五钱入竹叶十四片煎
按此肺肾脾胃药也
杂方
宝鉴麦门冬汤治消渴日夜饮水不止饮下即溲
麦门冬(去心) 黄连 冬瓜(各二两)
上 咀每五钱水煎服如无干者用新者一枚重三斤去皮穣分作十二片为十二服每服一片日
三次
酒蒸黄连丸治消渴饮水无度至二三升小便五七十次发热瘦弱口干食已如饥此名消瘅今用
味苦无毒除热正气消渴浓肠消渴之人脾胃恶湿黄连为对
黄连净半斤酒一升汤重蒸伏时晒干用
上末滴水丸梧子大每五十丸食前温水下
仁斋加味钱氏白术散治消渴不能食
木香 五味子 柴胡(各三分) 藿香(一钱) 干葛(二钱) 白茯苓 甘草(炙) 白术
人参 枳壳(炒各半钱)
上 咀作一服水煎
宣明大黄甘草饮子治男女一切消渴不能止者
大豆(五升煮三沸去苦水) 大黄(一两半) 甘草(四两)
上三味用井水一桶同煮软盛放冷令病患食豆渴饮汁无时候食尽病不尽再如前服不三次愈
矣
三因石子荠 汤治强中多因耽嗜色欲及快意饮食或服丹真气既脱烦渴引水饮食倍常阴气
常兴不交精出故虚热注于下焦最为难治
荠 石膏(各三两) 人参 茯神 栝蒌根 磁石( 淬) 知母 干葛 黄芩 甘草(
各二两)
上锉每水三盏腰子一个去脂膜黑豆一合煮至盏半去腰子大豆入药四钱煎服
秘方用紫背浮萍捣汁每顿服半盏效
丹溪方
黄连末 天花粉末 生地黄汁 生藕汁
上二物汁为膏入上药搜和入牛乳佐以姜汁和蜜汤为膏徐徐留于舌上以白汤少许送下
机要方无天花粉有牛乳汁二汁熬膏和末为丸桐子大每二十丸少呷温水下日进十服
局方加减八味丸，治疗肾虚导致的消渴症，表现为口渴多饮。
金匮肾气丸减去附子，加入五味子。
以上服用方法同本章节所述方法。《要略》治疗男子消渴，小便反而增多，仍使用本方。
简易地黄饮子，治疗消渴症，伴有咽干、面赤、烦躁。
药材：人参、生地黄、熟地黄、黄（注：原文缺字，通常指黄芪或黄芩，此处依原文保留）、天门冬、麦门冬（去心）、泽泻、石斛、枇杷叶（去毛炒制）、枳壳（炒制）、甘草（炒制，各等分）。
上药切碎，每服三钱，用水煎服。
按语：此方涉及心、肾、脾、肺药物，上述三方均为治疗下消的方剂。
朱砂黄连丸，治疗心虚蕴热或因饮酒过多引发的消渴症。
药材：朱砂（一两）、宣连（三两）、生地黄（二两）。
上药研为细末，用炼蜜制成梧桐子大小的丸剂，每次四五十丸，用灯芯草、大枣汤送服。
按语：此方涉及心、脾药物，为上消的方剂。
局方黄芪六一汤，治疗男女各种虚损不足，胸中烦闷心悸，时常消渴；或者先口渴而后发疮，或者患各种疮疡而后出现口渴者，都适宜服用。
方剂见前文。
按语：此方涉及肺、肾、脾、三焦、命门药物。
东垣生津甘露饮子，治疗高消（上消重症），大渴饮水无度，舌上红赤涩痛，上下牙齿皆麻木，舌根强硬肿痛，饮食难下，腹部时常胀痛，浑身肤色发黄，眼白睛黄，甚至四肢痿弱无力，面色如蒙尘脱落色泽，胁下急痛，容易打喷嚏，易怒，臀部、腰部、背部寒冷，两个尻骨冷甚。
药材：石膏（一钱二分）、人参、炙甘草（各一钱）、白葵（半钱）、麦门冬、兰香、当归身（各半钱）、桔梗（三钱）、生甘草、山栀、荜澄茄（各一钱）、藿香（二分）、全蝎（二个）、升麻、知母（酒制，各二钱）、黄连、木香、柴胡（各三分）、白芷、白豆蔻、连翘、姜黄（各一钱）、黄柏（酒拌）、杏仁（各一钱半）。
上药研为细末，用汤水浸蒸饼和匀，摊薄晒干后杵细。饭后每取二钱，置于掌心，用舌头舔舐，随津唾咽下，或用少量白开水导引送下。
按语：此方涉及肺、胃、心、肾药物。李东垣说：此方制作缓和，不仅不会造成中满痞塞，也不会传变为下消。三消证皆可应用。
宣明麦门冬饮子，治疗膈消，胸满烦心，津液干少，短气，多为消渴症。
药材：知母、甘草（炒制）、栝蒌、人参、五味子、生地黄、葛根、茯神、麦门冬（去心，各等分）。
上药切碎，每服五钱，加入竹叶十四片，用水煎服。
按语：此方涉及肺、肾、脾胃药物。
杂方
宝鉴麦门冬汤，治疗消渴症，日夜饮水不止，饮下即排尿。
药材：麦门冬（去心）、黄连、冬瓜（各二两）。
上药切碎，每服五钱，用水煎服。如果没有干品，可用新鲜冬瓜一枚，重三斤，去皮瓤，分为十二片作为十二服，每服一片，每日三次。
酒蒸黄连丸，治疗消渴症，饮水无度，达到二三升，小便五七十次，发热瘦弱，口干，食后如饥，此名为消瘅。现今使用味道苦、无毒的黄连，可除热、正气，治疗消渴，浓肠消渴之人脾胃恶湿，黄连正对之。
药材：净黄连半斤，酒一升，汤重蒸，伏时晒干。
上药研末，滴水泛丸，梧桐子大小，每次五十丸，饭前温水送服。
仁斋加味钱氏白术散，治疗消渴症，不能进食。
药材：木香、五味子、柴胡（各三分）、藿香（一钱）、干葛（二钱）、白茯苓、甘草（炙制）、白术、人参、枳壳（炒制，各半钱）。
上药切碎，作一服，用水煎服。
宣明大黄甘草饮子，治疗男女一切无法停止的消渴症。
药材：大豆（五升，煮三沸，去苦水）、大黄（一两半）、甘草（四两）。
上三味药，用井水一桶同煮至软，盛出放冷，让病患吃豆子，口渴时喝汁水，不限时候。吃完病未愈，再照前法服用，不超过三次即可痊愈。
三因石子荠菜汤，治疗强中症，多因沉溺色欲及美味饮食，或服用丹药导致真气既脱，烦渴引水，饮食倍常，阴气常兴但不交合精出，故虚热注于下焦，最为难治。
药材：荠菜、石膏（各三两）、人参、茯神、栝蒌根、磁石（淬制）、知母、干葛、黄芩、甘草（各二两）。
上药锉碎，每服用水三盏，配腰子一个，去脂膜，加黑豆一合，煮至一盏半，去腰子和大豆，入药四钱煎服。
秘方：用紫背浮萍捣汁，每顿服半盏，有效。
丹溪方
药材：黄连末、天花粉末、生地黄汁、生藕汁。
将上述两种汁液熬成膏，加入上药粉末调和，加入牛乳，佐以姜汁，和蜜制成膏状，徐徐留于舌上，用少量白开水送下。
Danxi Buyin Wan (Dandani Nourishing Yin Pill)
The prescription is recorded in the "Tonifying Deficiency" category.
Jufang Jiaban Shwei Wan (Modified Eight-Ingredient Pill from the Imperial Medical Bureau) treats Xiao Ke (Wasting and Thirsting Syndrome) caused by Kidney Deficiency, characterized by thirst and excessive drinking.
Jinkui Shenqi Wan (Kidney Qi Pill from the Golden Cabinet) with Fuzi (Aconite Lateralis Radix Preparata) removed and Wuweizi (Schisandrae Chinensis Fructus) added.
The above are taken according to the methods described in this chapter. *Yao Lue* (Essentials of the Synopsis) for treating male Xiao Ke with frequent urination still uses this formula.
Jianyi Dihuang Yinzi (Simple Rehmannia Decoction) treats Xiao Ke accompanied by dry throat, red face, and irritability.
Herbs: Renshen (Ginseng Radix et Rhizoma), Sheng Dihuang (Rehmanniae Radix), Shu Dihuang (Rehmanniae Radix Preparata), Huang [Character missing in original, likely Huangqi or Huangqin], Tianmendong (Asparagi Radix), Maimendong (Ophiopogonis Radix, heart removed), Zexie (Alismatis Rhizoma), Shihu (Dendrobii Caulis), Pipaye (Eriobotryae Folium, hairs removed and stir-fried), Zhike (Aurantii Fructus, stir-fried), Gancao (Licorice Radix et Rhizoma, stir-fried, equal parts).
The herbs are cut into pieces. Each dose of 3 qian is decocted in water and taken orally.
Note: This formula involves herbs acting on the Heart, Kidney, Spleen, and Lung. The above three formulas are primarily agents for treating Xia Xiao (Lower Wasting-Thirst).
Zhusha Huanglian Wan (Cinnabar and Coptis Pill) treats Xiao Ke caused by Heart Deficiency with accumulated Heat, or excessive alcohol consumption.
Herbs: Zhusha (Cinnabaris, 1 liang), Xuanlian (Coptidis Rhizoma, 3 liang), Sheng Dihuang (Rehmanniae Radix, 2 liang).
The herbs are ground into fine powder, mixed with refined honey to form pills the size of a Chinese quince seed. Take 40-50 pills per dose, delivered with a decoction of Dengxincao (Junci Medulla) and Dazao (Ziziphi Jujubae Fructus).
Note: This formula involves herbs acting on the Heart and Spleen; it is an agent for treating Shang Xiao (Upper Wasting-Thirst).
Jufang Huangqi Liuyi Tang (Imperial Bureau Astragalus Six-to-One Decoction) treats various deficiencies and insufficiencies in both men and women, chest irritability and palpitations, frequent Xiao Ke; or cases where thirst precedes sores, or sores precede thirst. It is suitable for all such conditions.
See previous text for the formula.
Note: This formula involves herbs acting on the Lung, Kidney, Spleen, Sanjiao (Triple Burner), and Mingmen (Gate of Life).
Dongyuan Shengjin Ganlu Yinzi (Dongyuan Generating Fluids Sweet Dew Decoction) treats Gao Xiao (High/Severe Upper Wasting-Thirst), characterized by extreme thirst with unlimited drinking, redness and astringency on the tongue, numbness of upper and lower teeth, stiffness, swelling, and pain of the tongue root, difficulty eating, frequent abdominal distension and pain, yellowish complexion, yellow sclera, even flaccidity and weakness of the four limbs, dusty and faded facial color, hypochondriac urgency and pain, frequent sneezing, irritability, coldness of the buttocks, waist, and back, and severe coldness of the two Kao (ischial regions).
Herbs: Shigao (Gypsum Fibrosum, 1 qian 2 fen), Renshen (Ginseng Radix et Rhizoma), Zhi Gancao (Prepared Licorice Radix et Rhizoma, each 1 qian), Bai Kui [Likely Baishaoyao or similar, character unclear], Maimendong (Ophiopogonis Radix), Lanxiang (Pogostemonis Herba), Danggui Shen (Angelicae Sinensis Radix, each half qian), Jiegeng (Platycodonis Radix, 3 qian), Sheng Gancao (Raw Licorice Radix et Rhizoma), Shanzhi (Gardeniae Fructus), Bidengqie (Schlumbergerae Fructus, each 1 qian), Huoxiang (Agastaches Herba, 2 fen), Quanxie (Scorpio, 2 units), Shengma (Cimicifugae Rhizoma), Zhimu (Anemarrhenae Rhizoma, wine-processed, each 2 qian), Huanglian (Coptidis Rhizoma), Muxiang (Aucklandiae Radix), Chaihu (Bupleuri Radix, each 3 fen), Baizhi (Angelicae Dahuricae Radix), Baidoukou (Amomi Fructus Rotundus), Lianqiao (Forsythiae Fructus), Jianghuang (Curcumae Longae Rhizoma, each 1 qian), Huangbai (Phellodendri Cortex, wine-mixed), Xingren (Armeniacae Semen Amarum, each 1 qian 5 fen).
The herbs are ground into a fine powder. Steamed leaven cake soaked in decoction is mixed evenly, spread thinly, dried, and pounded fine. After meals, take 2 qian, place on the palm, lick with the tongue, and swallow with saliva, or guide down with a small amount of plain boiled water.
Note: This formula involves herbs acting on the Lung, Stomach, Heart, and Kidney. Dongyuan stated: This preparation is mild; it not only prevents middle-jiao fullness but also prevents transmission to Lower Wasting-Thirst. It can be used for all three types of Xiao Ke.
Xuanming Maimendong Yinzi (Xuanming Ophiopogon Decoction) treats Ge Xiao (Diaphragm Wasting-Thirst), characterized by chest fullness, irritability, scanty body fluids, shortness of breath, and frequent Xiao Ke.
Herbs: Zhimu (Anemarrhenae Rhizoma), Gancao (Licorice Radix et Rhizoma, stir-fried), Gualou (Trichosanthis Fructus), Renshen (Ginseng Radix et Rhizoma), Wuweizi (Schisandrae Chinensis Fructus), Sheng Dihuang (Rehmanniae Radix), Gegen (Puerariae Lobatae Radix), Fushen (Poria with Hostwood), Maimendong (Ophiopogonis Radix, heart removed, equal parts).
The herbs are cut into pieces. Each dose of 5 qian is decocted with 14 leaves of Zhuye (Bambusae Folium).
Miscellaneous Prescriptions
Baojian Maimendong Tang (Baojian Ophiopogon Decoction) treats Xiao Ke with incessant day-and-night drinking, where urine follows immediately after drinking.
Herbs: Maimendong (Ophiopogonis Radix, heart removed), Huanglian (Coptidis Rhizoma), Donggua (Benincasae Fructus, each 2 liang).
The herbs are cut into pieces. Each dose of 5 qian is decocted in water. If fresh material is unavailable, use one fresh melon weighing 3 jin, peel and remove seeds, divide into 12 slices for 12 doses. Take one slice three times daily.
Jiu Zheng Huanglian Wan (Wine-Steamed Coptis Pill) treats Xiao Ke with unlimited drinking (up to 2-3 sheng), frequent urination (50-70 times), fever, emaciation, dry mouth, hunger after eating. This is named Xiao Dan (Wasting-Thirst Pestilence). Currently, bitter and non-toxic Huanglian is used to clear Heat and rectify Qi. For those with thick-intestine Xiao Ke whose Spleen and Stomach dislike dampness, Huanglian is appropriate.
Herbs: Cleaned Huanglian (Coptidis Rhizoma) 8 liang, Wine 1 sheng. Steam over boiling water, dry during the Fu period (summer heat).
Grind into powder, add water to form pills the size of a Chinese quince seed. Take 50 pills before meals with warm water.
Renzhai Jiawei Qianshi Baizhu San (Renzhai Modified Qian's Atractylodes Macrocephala Powder) treats Xiao Ke with inability to eat.
Herbs: Muxiang (Aucklandiae Radix), Wuweizi (Schisandrae Chinensis Fructus), Chaihu (Bupleuri Radix, each 3 fen), Huoxiang (Agastaches Herba, 1 qian), Gange (Puerariae Radix, 2 qian), Baifuling (Poria, Prepared Licorice Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Zhike (Aurantii Fructus, stir-fried, each half qian).
The herbs are cut into pieces, made into one dose, and decocted in water.
Xuanming Dahuang Gancao Yinzi (Xuanming Rheubarb and Licorice Decoction) treats all cases of unremitting Xiao Ke in men and women.
Herbs: Dadou (Sojae Semen Album, 5 sheng, boiled for three boils, discard bitter water), Dahuang (Rhei Radix et Rhizoma, 1 liang 5 qian), Gancao (Licorice Radix et Rhizoma, 4 liang).
Boil the three ingredients together in one bucket of well water until soft. Cool and let the patient eat the beans. Drink the juice when thirsty, at any time. If the disease persists after finishing, repeat the process. It will heal within three doses.
Sanyan Shizi Jicai Tang (Sanyan Stone Herb Watercress Decoction) treats Qiang Zhong (Excessive Sexual Potency/Hypersexuality), often due to indulgence in sexual desires and rich foods, or taking elixirs causing Qi depletion. Symptoms include irritability, thirst leading to excessive drinking, doubled food intake, constant erection without ejaculation, resulting in deficient Heat sinking to the Lower Jiao. This is the most difficult to treat.
Herbs: Jicai (Nasturtii Officinalis Herba), Shigao (Gypsum Fibrosum, each 3 liang), Renshen (Ginseng Radix et Rhizoma), Fushen (Poria with Hostwood), Gualougen (Trichosanthis Radix), Cishi (Magnetitum, quenched), Zhimu (Anemarrhenae Rhizoma), Gange (Puerariae Radix), Huangqin (Scutellariae Radix), Gancao (Licorice Radix et Rhizoma, each 2 liang).
Cut the herbs. For each dose, use 3 zhan of water, one kidney, remove fat membrane, add 1 he of black soybeans. Boil down to 1.5 zhan. Remove kidney and soybeans. Add 4 qian of herbs and decoct.
Secret Recipe: Crush Zijian Fuping (Lemna Minoris Herba) to extract juice. Take half zhan per dose. Effective.
Danxi Formula
Herbs: Huanglian Mo (Coptidis Rhizoma Powder), Tianhua Fen (Trichosanthis Radix Powder), Sheng Dihuang Zhi (Rehmanniae Radix Juice), Sheng Ou Zhi (Nelumbinis Rhizomatis Juice).
Boil the two juices into a paste. Mix in the powders. Add Ox Milk. Assist with Ginger Juice. Mix with Honey to form a paste. Keep slowly on the tongue and swallow with a little plain boiled water.
Jiyao Fang (Jiyao Prescription)
Does not contain Tianhua Fen. Contains Ox Milk. Boil the two juices into a paste, mix with powder to form pills the size of a Chinese quince seed. Take 20 pills per dose, sip warm water to swallow. Ten doses per day.