与葳蕤、甘草等药不应。为制猪肤汤一瓯,命隔汤顿热,不时挑服,三日声清,终剂病如失。
朱丹溪治施卜,年四十,因炙火太多,病肠内下血粪,肚痛。今痛自止,善呕清水,食不下,宜清胃口之
热,黄芩、甘草、茯神各五分,陈皮、地黄各一钱,连翘、白术各一钱五分,生姜三片。
杨乘六治姚又曾病感症,(二字在此案却不必泥。)外凉内热,肢冷口渴,痞闷昏沉,语言谵妄,不食不
便。(妇人产后血虚火盛者,尤多此症,不必有所感也。)医作肝经郁火治,用逍遥加生地、薄荷,两剂益
烦躁不安。脉沉伏,按之至骨,则细数有加,面黑滞,舌黄燥,乃火遏阳明,胃阴不能充拓,所以脉与症皆
内显阳征,外呈阴象也。或问∶症既火遏,法宜疏散,乃服前剂转剧何也?曰∶逍遥中柴胡、薄荷,风药也,
单走肝胆,若阳明病用之,则火得风而益炽矣。第用左归饮去茯苓,以滋胃阴,加生地、当归,以清胃火,症
自平耳。如言病减,数剂而痊。后数年,病复如前。医见身凉脉细,用左归饮加附子,则神乱气昏,狂扰不
宁。即前方去附子,加花粉,一剂而安。乃去花粉,数剂而愈。
龚子才治一人,头痛发热,眩晕喘急,痰涎涌盛,小便频数,口干引饮,遍舌生刺,缩敛如荔枝,下唇焦
裂,面目俱赤,烦躁不寐,或时喉间如烟火上冲,急饮凉茶少解,已濒于死。脉洪大无伦,且有力,扪其身烙
手,此肾经虚火,游行于外。投以十全大补(脉证如此,何所见而断为肾经虚火?既用十全大补获效,则脉
证间自必确有凭据。乃并不明言其故,岂不贻误后人耶?)加山萸、泽泻、丹皮、山药、麦冬、五味、附子。
服一盅,(必须冷服。)熟睡良久,脉症略减三四,再以八味丸服之,诸症悉退,后戒冷物而痊。
薛立斋治李阁老序庵。有门生馈坎离丸,喜而服之。曰∶前丸乃黄柏、知母,恐非所宜服者。《内经》有
云∶壮火食气,少火生气。今公之肝肾二脉,数而无力,宜滋化源,不宜泻火伤气也。不信,服将两月,脾气
渐弱,发热愈甚,小便涩滞,两拗肿痛,公以为疮毒。曰∶此肝肾二经亏损,虚火所致耳,当滋补二经为善。
遂朝用补中益气汤,夕用六味地黄丸,诸症悉愈。尝见脾胃虚弱,肝肾阴虚而发热者,悉服十味固本丸与黄柏、
知母之类,反泄真阳,令人无子,可不慎哉?
一男子口舌糜烂,津液短少,眼目赤,小便数,痰涎壅盛,脚膝无力,或冷,或午后脚热,劳而愈盛,数
年不愈,服加减八味丸而痊。
一男子咳嗽喘急,发热烦躁,面赤咽痛,脉洪大,用黄连解毒汤,二剂少退。更以栀子汤,四剂而愈。
蒋仲芳治楚中一商,性急而嗜烟,阅三日,五心发热,咳嗽大作,百药不愈。诊之,六脉俱洪,火症也。
莫非烟毒乎?其人亦悟曰∶吸烟则嗽愈甚。遂以麦冬、知母、山栀、花粉、黄芩、苏子、甘草、蒌仁、枇杷叶,
煎成去渣,入砂糖一两和服,四剂而愈。(此无外感而火热伤津之嗽,故治法如此。)
聂久吾曰∶子禀素弱,神虽强而精弱,脾肾两虚,即节欲犹然。二十前后,常服参、术等补脾,仅免于病。
至三十后,脾胃稍可,颇觉上膈有热,时齿痛口舌痛,每服清上药辄愈,亦不为大害也。至乙未春夏,自察脉,
觉两尺弱,而寸关亦不旺,疑下虚,水不能制火,宜补下滋水以制之。若但清上,非治本也。商之饶姓老医,
亦以为然。遂以人参、当归、熟地、茯苓、五味、酸枣肉、巴戟、故纸、肉苁蓉、鹿胶、仙茅、远志、枣仁、
天麦冬、枸杞、菟丝之类,以山药末,酒糊为丸。服至二三月,上膈虚火尽除,口齿等病不复作。自后滋补丸
药,服无虚日,迄今二十余年,无虚火者,滋水制火之功也。(可与虚门黄履素案合参。)
与葳蕤、甘草等药不应。为制猪肤汤一瓯,命隔汤顿热,不时挑服,三日声清,终剂病如失。
(服用葳蕤、甘草等药物没有效果。)于是配制了一碗猪肤汤,让人隔着热水烫热,不时舀取服用,三天后声音清脆,服完整个疗程后疾病消失。
朱丹溪治施卜,年四十,因炙火太多,病肠内下血粪,肚痛。今痛自止,善呕清水,食不下,宜清胃口之
热,黄芩、甘草、茯神各五分,陈皮、地黄各一钱,连翘、白术各一钱五分,生姜三片。
朱丹溪治疗施卜,年龄四十岁,因为艾灸火疗过多,导致肠道内便血混有粪便,腹部疼痛。现在疼痛已经停止,经常呕吐清水,饮食难以下咽,应当清除胃口的热邪,处方:黄芩、甘草、茯神各五分,陈皮、地黄各一钱,连翘、白术各一钱五分,生姜三片。
杨乘六治姚又曾病感症,(二字在此案却不必泥。)外凉内热,肢冷口渴,痞闷昏沉,语言谵妄,不食不
便。(妇人产后血虚火盛者,尤多此症,不必有所感也。)医作肝经郁火治,用逍遥加生地、薄荷,两剂益
烦躁不安。脉沉伏,按之至骨,则细数有加,面黑滞,舌黄燥,乃火遏阳明,胃阴不能充拓,所以脉与症皆
内显阳征,外呈阴象也。或问∶症既火遏,法宜疏散,乃服前剂转剧何也?曰∶逍遥中柴胡、薄荷,风药也,
单走肝胆,若阳明病用之,则火得风而益炽矣。第用左归饮去茯苓,以滋胃阴,加生地、当归,以清胃火,症
自平耳。如言病减,数剂而痊。后数年,病复如前。医见身凉脉细,用左归饮加附子,则神乱气昏,狂扰不
宁。即前方去附子,加花粉,一剂而安。乃去花粉,数剂而愈。
杨乘六治疗姚又曾患“感症”(这两个字在这个案例中不必拘泥)。症状表现为体表发凉而体内发热,四肢冰冷且口渴,胸脘痞闷、头昏沉,言语错乱谵妄,不吃东西也不排便。(妇女产后血虚火旺的人,尤其多见这种病症,不一定非要有外感邪气。)医生将其作为肝经郁火来治疗,使用逍遥散加入生地黄、薄荷,服用两剂后反而更加烦躁不安。脉象沉伏,重按至骨,脉细数更加明显,面色黑而晦滞,舌苔黄而干燥,这是火热被遏制在阳明经,胃阴不能充盈舒展,所以脉象和症状内部显现出阳热的征象,外部呈现出阴寒的表象。有人问:既然病症是火热被遏制,治法应当疏散,为什么服用前面的药剂反而加重了呢?回答说:逍遥散中的柴胡、薄荷属于风药,单独作用于肝胆,如果是阳明病使用它们,那么火势得到风的助长会更加炽烈。只使用左归饮去掉茯苓,来滋养胃阴,加入生地黄、当归,来清泄胃火,病症自然平息。按照所说病情减轻,服用几剂后痊愈。几年后,病情复发像以前一样。医生看到身体凉爽、脉象细弱,使用左归饮加入附子,结果导致神志混乱、气息昏沉,狂躁扰乱不得安宁。立即在原方中去掉附子,加入天花粉,服用一剂后安定。然后去掉天花粉,服用几剂后痊愈。
龚子才治一人,头痛发热,眩晕喘急,痰涎涌盛,小便频数,口干引饮,遍舌生刺,缩敛如荔枝,下唇焦
裂,面目俱赤,烦躁不寐,或时喉间如烟火上冲,急饮凉茶少解,已濒于死。脉洪大无伦,且有力,扪其身烙
手,此肾经虚火,游行于外。投以十全大补(脉证如此,何所见而断为肾经虚火?既用十全大补获效,则脉
证间自必确有凭据。乃并不明言其故,岂不贻误后人耶?)加山萸、泽泻、丹皮、山药、麦冬、五味、附子。
服一盅,(必须冷服。)熟睡良久,脉症略减三四,再以八味丸服之,诸症悉退,后戒冷物而痊。
龚子才治疗一个人,头痛发热,眩晕气喘急促,痰涎涌盛,小便频繁,口干想喝水,满舌生出刺状物,收缩紧缩像荔枝核,下唇焦裂,面部和眼睛都发红,烦躁失眠,有时感觉喉咙里有如火烟向上冲撞,急忙喝凉茶稍微缓解,已经接近死亡。脉象洪大无比,而且有力,触摸他的身体烫手,这是肾经的虚火,游行于体表。投予十全大补汤(脉象和症状如此,凭什么判断为肾经虚火?既然使用十全大补汤获得疗效,那么脉象和症状之间必然有确切的依据。却不明确说明原因,岂不是贻误后人吗?)加入山茱萸、泽泻、牡丹皮、山药、麦冬、五味子、附子。服用一盅(必须冷服),熟睡很久,脉象和症状略微减少三四成,再服用八味丸,所有症状全部消退,后来忌食生冷食物而痊愈。
薛立斋治李阁老序庵。有门生馈坎离丸,喜而服之。曰∶前丸乃黄柏、知母,恐非所宜服者。《内经》有
云∶壮火食气,少火生气。今公之肝肾二脉,数而无力,宜滋化源,不宜泻火伤气也。不信,服将两月,脾气
渐弱,发热愈甚,小便涩滞,两拗肿痛,公以为疮毒。曰∶此肝肾二经亏损,虚火所致耳,当滋补二经为善。
遂朝用补中益气汤,夕用六味地黄丸,诸症悉愈。尝见脾胃虚弱,肝肾阴虚而发热者,悉服十味固本丸与黄柏、
知母之类,反泄真阳,令人无子,可不慎哉?
薛立斋治疗李阁老序庵。有一个门生赠送坎离丸,他高兴地下服用。薛立斋说:那个丸药是黄柏、知母,恐怕不适合服用。《内经》说过:壮火消耗元气,少火滋生元气。现在您的肝肾两脉,脉率快但无力,应当滋养化源,不应当泻火伤气。他不相信,服用将近两个月,脾气逐渐减弱,发热更加严重,小便涩滞不畅,两胁肿痛,他认为这是疮毒。薛立斋说:这是肝肾两经亏损,由虚火引起的,应当滋补这两经为好。于是早上服用补中益气汤,晚上服用六味地黄丸,所有症状全部治愈。曾经见到脾胃虚弱,肝肾阴虚而发热的人,全都服用十味固本丸和黄柏、知母之类的药物,反而泄掉了真阳,导致人没有子嗣,能不谨慎吗?
一男子口舌糜烂,津液短少,眼目赤,小便数,痰涎壅盛,脚膝无力,或冷,或午后脚热,劳而愈盛,数
年不愈,服加减八味丸而痊。
一个男子口舌糜烂,津液短少,眼睛发红,小便次数多,痰涎壅盛,脚膝无力,有时发冷,有时下午脚发热,劳累后症状更重,几年不愈,服用加减八味丸而痊愈。
一男子咳嗽喘急,发热烦躁,面赤咽痛,脉洪大,用黄连解毒汤,二剂少退。更以栀子汤,四剂而愈。
一个男子咳嗽气喘急促,发热烦躁,面部发红咽喉痛,脉象洪大,使用黄连解毒汤,服用两剂后症状稍退。改用栀子汤,服用四剂后痊愈。
蒋仲芳治楚中一商,性急而嗜烟,阅三日,五心发热,咳嗽大作,百药不愈。诊之,六脉俱洪,火症也。
莫非烟毒乎?其人亦悟曰∶吸烟则嗽愈甚。遂以麦冬、知母、山栀、花粉、黄芩、苏子、甘草、蒌仁、枇杷叶,
煎成去渣,入砂糖一两和服,四剂而愈。(此无外感而火热伤津之嗽,故治法如此。)
蒋仲芳治疗湖北地区的一个商人,性格急躁且嗜好吸烟,过了三天,五心烦热,咳嗽大作,各种药物都不见效。诊察发现,六脉都洪大,这是火症。难道是烟毒吗?那个人也醒悟说:吸烟则咳嗽更严重。于是使用麦冬、知母、山栀、花粉、黄芩、苏子、甘草、蒌仁、枇杷叶,煎煮好后去渣,加入砂糖一两调和服用,四剂后痊愈。(这是没有外感邪气而是火热损伤津液的咳嗽,所以治疗方法如此。)
聂久吾曰∶子禀素弱,神虽强而精弱,脾肾两虚,即节欲犹然。二十前后,常服参、术等补脾,仅免于病。
至三十后,脾胃稍可,颇觉上膈有热,时齿痛口舌痛,每服清上药辄愈,亦不为大害也。至乙未春夏,自察脉,
觉两尺弱,而寸关亦不旺,疑下虚,水不能制火,宜补下滋水以制之。若但清上,非治本也。商之饶姓老医,
亦以为然。遂以人参、当归、熟地、茯苓、五味、酸枣肉、巴戟、故纸、肉苁蓉、鹿胶、仙茅、远志、枣仁、
天麦冬、枸杞、菟丝之类,以山药末,酒糊为丸。服至二三月,上膈虚火尽除,口齿等病不复作。自后滋补丸
药,服无虚日,迄今二十余年,无虚火者,滋水制火之功也。(可与虚门黄履素案合参。)
聂久吾说:我体质向来虚弱,精神虽然强健但精气虚弱,脾肾两虚,即使节制欲望也是如此。二十岁左右,经常服用人参、白术等补脾的药物,仅仅免于生病。到了三十岁以后,脾胃稍微好转,很觉得上焦有热,时常牙齿痛、口舌痛,每次服用清上焦的药物就痊愈,也不算大害。到了乙未年的春夏,自己诊察脉象,觉得两尺脉弱,而寸关脉也不旺盛,怀疑下焦虚损,肾水不能制约心火,应当补下焦、滋肾水以制约它。如果只清上焦,不是治本的方法。咨询一位姓饶的老医生,他也认为是对的。于是使用人参、当归、熟地黄、茯苓、五味子、酸枣仁肉、巴戟天、补骨脂、肉苁蓉、鹿角胶、仙茅、远志、枣仁、天冬、麦冬、枸杞、菟丝子之类的药物,用山药粉,酒糊做成丸药。服用到两三个月,上焦的虚火完全消除,牙齿等病不再发作。从此以后滋补丸药,每天不间断地服用,到现在二十多年,没有虚火,这是滋水制火的功效。(可以与虚损门的黄履素案例结合参考。)
Did not respond to herbs such as *Polygonatum odoratum* (Rhizoma Polygonati Odorati, Weirui) and *Glycyrrhiza uralensis* (Radix Glycyrrhizae, Gancao). Therefore, a bowl of *Zhu Fu Tang* (Pig Skin Decoction) was prepared. The patient was instructed to warm it in hot water and take small amounts frequently. After three days, the voice became clear, and upon completing the course, the illness disappeared completely.
Zhu Danxi treated Shi Bu, aged forty. Due to excessive moxibustion and fire therapy, he suffered from intestinal bleeding mixed with stool and abdominal pain. Although the pain had ceased, he frequently vomited clear fluid and could not retain food. It was appropriate to clear the heat in the stomach. The prescription consisted of *Scutellaria baicalensis* (Radix Scutellariae, Huangqin), *Glycyrrhiza uralensis* (Radix Glycyrrhizae, Gancao), and *Poria cocos* (Sclerotium Poriae Cocos, Fushen), each 5 fen; *Citrus reticulata* (Pericarpium Citri Reticulatae, Chenpi) and *Rehmannia glutinosa* (Radix Rehmanniae Preparata, Dihuang), each 1 qian; *Lonicera japonica* (Flos Lonicerae Japonicae, Lianqiao) and *Atractylodes macrocephala* (Rhizoma Atractylodis Macrocephalae, Baizhu), each 1.5 qian; and three slices of *Zingiber officinale* (Rhizoma Zingiberis Recens, Shengjiang).
Yang Chengliu treated Yao Youzeng who suffered from "Gan Syndrome" (the term need not be taken literally here). Symptoms included external coldness with internal heat, cold limbs, thirst, chest fullness, drowsiness, delirious speech, anorexia, and constipation. (Women with blood deficiency and hyperactive fire after childbirth often present this syndrome without necessarily having an external contraction.) Physicians treated it as constrained fire in the Liver channel, using *Xiaoyao San* (Free and Easy Wanderer Powder) supplemented with *Rehmannia glutinosa* (Radix Rehmanniae, Shengdi) and *Mentha haplocalyx* (Herba Menthae Haplocalycis, Bohe). After two doses, irritability worsened. The pulse was deep and hidden; pressing to the bone revealed a fine and rapid quality. The complexion was dark and dull, and the tongue coating was yellow and dry. This indicated that fire was constrained in the Yangming channel, preventing Stomach Yin from nourishing and expanding. Thus, the pulse and symptoms internally displayed Yang signs while externally presenting Yin manifestations. Someone asked: Since the condition is fire constraint, the method should be dispersing. Why did the previous formula aggravate it? The answer was: Chaihu and Bohe in Xiaoyao San are wind-dispelling herbs that act specifically on the Liver and Gallbladder. If used for Yangming disease, the fire would be fanned and become more intense. Instead, only *Zuo Gui Yin* (Left Restoring Decoction) minus *Poria cocos* (Sclerotium Poriae Cocos, Fuling) was used to nourish Stomach Yin, adding *Rehmannia glutinosa* (Radix Rehmanniae, Shengdi) and *Angelica sinensis* (Radix Angelicae Sinensis, Danggui) to clear Stomach fire. The symptoms subsided naturally. As reported, the illness improved, and several doses led to recovery. Years later, the illness recurred. The physician observed cool body temperature and a fine pulse, and added *Aconitum carmichaelii* (Radix Aconiti Lateralis Preparata, Fuzi) to Zuo Gui Yin. This resulted in mental confusion, Qi stagnation, restlessness, and agitation. Immediately, Fuzi was removed from the previous formula and *Panax notoginseng* (not specified, likely *Adenophora* or *Bletilla*, text says Huafen - *Tetrastigma hemsleyanum* Rhizome / *Panax notoginseng* root? No, Huafen is *Trichosanthes kirilowii* Radix / *Trichosanthis Radix*) was added. One dose brought peace. Then Huafen was removed, and several more doses cured the patient.
Gong Zicai treated a man with headache, fever, vertigo, urgent panting, profuse phlegm-saliva, frequent urination, dry mouth with desire to drink, thorny protrusions all over the tongue shrinking like a lychee, cracked and scorched lower lip, red face and eyes, irritability, insomnia, and occasional sensation of smoke/fire rushing up the throat. Drinking cold tea provided slight relief, but he was near death. The pulse was excessively large and forceful; his body felt burning to the touch. This was deficient fire of the Kidney channel wandering outward. He was administered *Shiquan Dabu Tang* (Comprehensive Great Tonifying Decoction) [Commentary: With such pulse and symptoms, how was it diagnosed as Kidney deficient fire? Since Shiquan Dabu Tang was effective, there must have been definite evidence. Not stating the reason misleads future generations?] supplemented with *Cornus officinalis* (Fructus Corni, Shanzhuyu), *Alisma orientalis* (Rhizoma Alismatis, Zexie), *Paeonia suffruticosa* (Radix Paeoniae Rubra, Danpi), *Dioscorea opposita* (Rhizoma Dioscoreae Oppositae, Shanyao), *Ophiopogon japonicus* (Radix Ophiopogonis, Maidong), *Schisandra chinensis* (Fructus Schisandrae, Wuweizi), and *Aconitum carmichaelii* (Radix Aconiti Lateralis Preparata, Fuzi). One cup was taken [Must be taken cold]. After sleeping soundly for a long time, the pulse and symptoms decreased by three or four tenths. He then took *Ba Wei Wan* (Eight-Ingredient Pill), and all symptoms retreated. He recovered after avoiding cold foods.
Xue Lizhai treated Li Ge Lao Xu'an. A student presented him with *Kanli Wan* (Kanli Pill), which he happily took. Xue said: That pill contains *Phellodendron amurense* (Cortex Phellodendri Amurensis, Huangbai) and *Anemarrhena asphodeloides* (Rhizoma Anemarrhenae, Zhimu), which may not be suitable. The *Neijing* states: Strong fire consumes Qi, mild fire generates Qi. Currently, your Liver and Kidney pulses are rapid but weak. You should nourish the source of transformation, not drain fire and injure Qi. Disbelieving, he took it for nearly two months. His Spleen Qi gradually weakened, fever intensified, urination became difficult and stagnant, and both flanks swelled and hurt. He thought it was toxin from sores. Xue said: This is deficiency of the Liver and Kidney channels causing deficient fire. Nourishing these two channels is best. Thus, he used *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction) in the morning and *Liuwei Dihuang Wan* (Six-Ingredient Pill with Rehmannia) in the evening. All symptoms healed. He often saw cases of Spleen/Stomach weakness and Liver/Kidney Yin deficiency with fever where patients took *Shiwei Guben Wan* (Ten-Ingredient Root-Firming Pill) and herbs like Huangbai and Zhimu. This instead drained true Yang, leading to infertility. How can one not be cautious?
A man suffered from oral and lingual ulceration, shortness of fluids, red eyes, frequent urination, profuse phlegm-saliva, weakness in feet and knees, sometimes cold, sometimes hot feet in the afternoon, worsening with fatigue. Unhealed for years, he recovered after taking *Jiajian Bawei Wan* (Modified Eight-Ingredient Pill).
A man suffered from cough, urgent panting, fever, irritability, red face, sore throat, and a large pulse. He used *Huanglian Jiedu Tang* (Coptis Decoction to Relieve Toxicity). After two doses, symptoms slightly receded. Switching to *Zhizi Tang* (Gardenia Decoction), he recovered after four doses.
Jiang Zhongfang treated a merchant in Chu who was impatient and addicted to smoking. After three days, he experienced five-center heat, severe cough, and failed treatments with various medicines. Diagnosis revealed all six pulses were large, indicating a Fire syndrome. Could it be smoke toxicity? The patient realized: Smoking worsens the cough. Therefore, *Ophiopogon japonicus* (Radix Ophiopogonis, Maidong), *Anemarrhena asphodeloides* (Rhizoma Anemarrhenae, Zhimu), *Gardenia jasminoides* (Fructus Gardeniae, Shanzhi), *Trichosanthes kirilowii* (Radix Trichosanthis, Huafen), *Scutellaria baicalensis* (Radix Scutellariae, Huangqin), *Perilla frutescens* (Fructus Perillae, Suzi), *Glycyrrhiza uralensis* (Radix Glycyrrhizae, Gancao), *Benincasa hispida* (Semen Benincasae, Louren), and *Eriobotrya japonica* (Folium Eriobotryae, Pipaye) were decocted, strained, and mixed with one liang of rock sugar. Four doses cured him. (This is a cough due to Fire damaging fluids without external contraction, hence this treatment method.)
Nie Jiuwu stated: My constitution has always been weak. Although my Spirit is strong, my Essence is weak. Both Spleen and Kidney are deficient, even with sexual restraint. Around age twenty, I frequently took tonics for the Spleen like *Panax ginseng* (Radix Ginseng, Renshen) and *Atractylodes macrocephala* (Rhizoma Atractylodis Macrocephalae, Baizhu), merely avoiding illness. By age thirty, Spleen and Stomach function improved slightly, but I felt significant heat in the upper jiao, with occasional tooth and mouth ulcers. Taking upper-clearing herbs usually resolved it without major harm. In the spring and summer of the Yiwei year, self-palpation revealed weak Chi (Kidney) pulses, and Cun/Guan pulses were also not vigorous. Suspecting lower deficiency where Water fails to control Fire, I decided to tonify the lower and nourish Water to control it. Merely clearing the upper is not treating the root. Consulting an old doctor surnamed Rao, he agreed. Thus, *Panax ginseng* (Radix Ginseng, Renshen), *Angelica sinensis* (Radix Angelicae Sinensis, Danggui), *Rehmannia glutinosa* (Radix Rehmanniae Preparata, Shudi), *Poria cocos* (Sclerotium Poriae Cocos, Fuling), *Schisandra chinensis* (Fructus Schisandrae, Wuwei), *Ziziphus jujuba* (Semen Ziziphi Spinosae, Suanzaoren Rou), *Morinda officinalis* (Radix Morindae Officinalis, Bajitian), *Psoralea corylifolia* (Fructus Psoraleae, Guzhi), *Cynomorium songaricum* (Herba Cynomorii, Rongshou), *Cervus nippon* (Cornu Cervi Dissolutum, Lu Jiao Jiao), *Curculigo orchioides* (Rhizoma Curculiginis, Xianmao), *Polygala tenuifolia* (Radix Polygalae, Yuanzhi), *Ziziphus jujuba* (Semen Ziziphi Spinosae, Zaoren), *Asparagus cochinchinensis* (Radix Asparagi, Tian Dong), *Ophiopogon japonicus* (Radix Ophiopogonis, Maidong), *Lycium barbarum* (Fructus Lycii, Gouqi), and *Cuscuta chinensis* (Semen Cuscutae, Tusizi) were used. Made into pills with *Dioscorea opposita* (Rhizoma Dioscoreae Oppositae, Shanyao) powder and rice wine paste. After two to three months, upper jiao deficient fire was eliminated, and dental/mouth issues did not recur. Since then, taking tonic pills daily for over twenty years, free from deficient fire, is the merit of nourishing Water to control Fire. (Can be cross-referenced with the case of Huang Lusù in the Deficiency section.)