大意
一见饮食。便发畏恶。谓之恶心。
内因
恶心非心经病。由胃口有虚有热有痰也。（丹溪）
外候
恶心者。无声无物。心下欲吐不吐。兀兀不宁。如畏舟车之状。（戴氏）
恶心分辨
胃有寒气恶心者。呕清水。不渴脉迟。胃有痰火恶心者。呕酸水。烦渴脉洪。（指掌）
治法
治宜开胃理气。挟寒温散。挟热清降。挟痰开导。挟虚调补。（汇补）
用药
主以二陈汤。加黄连、山栀、竹茹、藿香等。伤食。加山楂、麦芽。挟气。加桔梗、枳壳。
胃弱主以六君子汤。胃寒主以理中汤。
恶心选方
二陈汤（方见痰症） 六君子汤（方见中风） 温胆汤（方见惊悸怔忡） 归脾汤（方见中风）
大意
二阳结。谓之消渴。（内经）二阳者。手阳明大肠。主津液。足阳明胃。主血气。津血不足。发为消渴。（入门）
内因
水之本在肾。末在肺。（内经）真水不竭。何渴之有。人惟酒色是耽。辛热太过。或以甘肥爆炙适其口。或以丹
砂玉石济其私。于是火炎上熏。津液干枯而病生焉。
外候
上消者。心也。多饮少食。大便如常。溺多而频。中消者。脾也。善渴善饥。能食而瘦。溺赤便闭。下消者。肾
也。精枯髓竭。引水自救。随即溺下。稠浊如膏。（医鉴）
三消移热
上消于心。移热于肺。中消于脾。移热于胃。下消于肾。移热于膀胱。传染既久。肠胃合消。五脏干燥。（辨
疑）故上轻中重下危。（入门）
三消传变
凡消病火炎日久。气血凝滞。能食者。末传脑疽背痈。不能食者。末传噎膈鼓胀。皆不治之症也。（总录）
死症
上消心火亢极。肺金受囚。饮一溲二者死。中消胃阳独旺。脾阴困败。下利而厥。食已善饥者死。下消肾阴
枯涸。邪火煎熬。精溺时泄。如油如脂者死。
脉法
胃脉浮数者消谷。肺脉滑数者消渴。大率数大者生。细微者死。沉小者生。牢实者死。
治法
治宜补肾水。泻心火。除肠胃燥热。济身中津液。使道路散而不结。津液生而不枯。气血利而不涩。则病自
已矣。（玉机）
血分气分
气分渴者。因外感传里。或过食香燥。热耗津液。喜饮冷水。当与寒凉渗利以清其热。热去则阴生。而渴自
止。血分渴者。因内伤劳役。精神耗散。胃气不升。或病后亡津。或余热在肺。口干作渴。喜饮热汤。当与甘温
酸剂以滋其阴。阴生则燥除而渴自止。（入门）
治宜滋补
初起宜养肺清心。久病宜滋肾养脾。盖五脏之津液。皆本乎肾。故肾缓则气上升而肺润。肾冷则气不升
而肺枯。故肾气丸为消渴良方也。又五脏之精华。悉运乎脾。脾旺则心肾相交。脾健而津液自化。故参苓
白术散为收功神药也。（汇补）
治无太峻
如上消中消。治之太急。久成中满之症。所谓上热未除。中寒复起也。
用药
上消初起。人参竹叶汤。久则麦冬饮子。中消初起。加减甘露饮。久则钱氏白术散。下消初起。生地饮子。久
则小八味丸。若心肾不交。水下火上。无以蒸气而消者。桂附八味丸。若脾胃虚衰。不能交媾水火。变化津
液而渴者。参苓白术散。夏月伏暑心胞。患消渴者。香薷散主之。其他如缲丝汤、天花粉、芦根汁、淡竹叶、麦
冬、知母、牛乳。皆消渴之神药也。不可不审。
消渴选方
人参竹叶汤 治上消属实者。
人参 淡竹叶 炙甘草 麦门冬 栀子 黄连 黄芩
麦冬饮子 治上消属虚者。
人参 麦门冬 五味子 茯神 生地 干葛 炙甘草 花粉 知母（各等分） 竹叶（十四片）
水煎服
生津甘露饮（加减） 治中消属实。
石膏（二钱半） 甘草 升麻 人参（各一钱） 知母（二钱） 桔梗 山栀（各一钱） 兰叶 麦
冬当归（各五分） 白豆蔻 白芷 连翘（各一钱） 黄连 木香 藿香（各三分） 柴胡（三分）
为末。浸饼捏作饼子。晒干。每服杵碎二钱末。随津咽下。此方制治之缓。不惟不成中满。亦不作痈疽下消矣。
钱氏白术散 治中消属虚者。
人参 白术 茯苓 藿香 甘草（各一两） 干葛（二两）
桔梗（五钱） 白蜜（十匙）
生地黄饮子 治下焦虚炎者。
人参 生地 熟地 麦冬 天冬 石斛 五味子 枇杷叶 甘草 茯苓
磁石荠 丸 治强中消渴。不交精泄者。
荠 大豆 茯苓 磁石 玄参 石斛 花粉 地骨皮 鹿茸（各一两）
沉香 人参（各五钱） 熟地（四两）
猪肾一具。煮烂。捣和蜜丸。空心盐汤下。
加味地黄丸
即六味丸加麦冬、五味。
一方 水梨取汁。和蜜熬成。不时调服。或藕汁亦妙。
一方 消渴能食。防其将生痈疽。用忍冬不拘根茎花叶。酒浸火煨晒干。入甘草、花粉为末。蜜丸服。
【大意】
一见到食物，就产生厌恶感，这叫做恶心。
【内因】
恶心并非心脏经络的病变，而是由于胃脘部存在虚证、热证或痰饮所致。（朱丹溪）
【外候】
恶心的表现是：没有声音也没有呕吐物，感觉心下（胃脘部）想吐却吐不出来，心中烦乱不安，如同晕船晕车时的状态。（戴氏）
【恶心分辨】
如果是胃有寒气导致的恶心，会呕吐清水，口不渴，脉象迟缓；如果是胃有痰火导致的恶心，会呕吐酸水，心烦口渴，脉象洪大。（《指掌》）
【治法】
治疗应当以开胃理气为主。兼有寒邪的，用温散法；兼有热邪的，用清降法；兼有痰浊的，用开导法；兼有虚损的，用调补法。（《证治汇补》）
【用药】
主要使用二陈汤，加入黄连、山栀、竹茹、藿香等药物。如果是伤食引起的，加入山楂、麦芽。如果兼有气滞，加入桔梗、枳壳。
如果是胃气虚弱，主要使用六君子汤。如果是胃寒，主要使用理中汤。
【恶心选方】
二陈汤（方剂见“痰症”章节） 六君子汤（方剂见“中风”章节） 温胆汤（方剂见“惊悸怔忡”章节） 归脾汤（方剂见“中风”章节）
【大意】
手阳明大肠经和足阳明胃经的气机郁结，称为消渴。（《黄帝内经》）所谓“二阳”，指的是手阳明大肠经，主管津液；足阳明胃经，主管血气。如果津液和血气不足，就会引发消渴病。（《医学入门》）
【内因】
水的根本在肾，末梢在肺。（《黄帝内经》）如果真阴之水不枯竭，怎么会有口渴呢？人们往往沉溺于酒色，过食辛辣燥热之物，或者因为甘甜肥腻、爆炒炙烤的食物合口味，或者服用丹砂玉石等矿物药来纵欲。于是导致火势炎上熏蒸，津液干枯从而生病。
【外候】
上消，病位在心，表现为多饮但少食，大便正常，小便频多。中消，病位在脾，表现为极度口渴且容易饥饿，能吃但身体消瘦，小便颜色深黄，大便干结。下消，病位在肾，表现为精髓枯竭，大量饮水自救，随即排出，尿液稠浊如膏脂。（《医鉴》）
【三消移热】
上消的病热在心，可转移至肺；中消的病热在脾，可转移至胃；下消的病热在肾，可转移至膀胱。传染日久后，肠胃共同受累而消损，五脏干燥。（《辨疑》）所以上消轻，中消重，下消危。（《医学入门》）
【三消传变】
凡是消渴病，火热之邪日久炎上，导致气血凝滞。能够进食的患者，最终可能发展为脑疽、背痈；不能进食的患者，最终可能发展为噎膈、鼓胀。这些都是不治之症。（《太平惠民和剂局方·总录》）
【死症】
上消若心火亢盛至极，肺金受困，出现“饮一溲二”（喝多少尿多少）的情况，主死。中消若胃阳独旺，脾阴困败，出现腹泻且四肢厥冷，吃完不久又感到饥饿的情况，主死。下消若肾阴枯涸，邪火煎熬，精微和小便时常泄漏，状如油、如脂的情况，主死。
【脉法】
胃脉浮数者，为消谷善饥；肺脉滑数者，为消渴。一般来说，脉象数而大的预后较好，细微的预后不良。脉象沉小的预后较好，牢实的预后不良。
【治法】
治疗应当补肾水，泻心火，清除肠胃的燥热，补充体内的津液，使经络道路通畅而不郁结，津液生成而不枯竭，气血流通而不涩滞，那么病自然痊愈。（《玉机微义》）
【血分气分】
气分口渴，是因为外感病邪传入体内，或者过食香燥之物，热邪耗伤津液，喜欢喝冷水。应当给予寒凉渗利药物以清热，热去则阴生，口渴自止。血分口渴，是因为内伤劳役，精神耗散，胃气不升，或者病后津液亡失，或者余热留在肺中，口干作渴，喜欢喝热汤。应当给予甘温酸味药物以滋阴，阴生则燥除，口渴自止。（《医学入门》）
【治宜滋补】
初起时宜养肺清心，久病时宜滋肾养脾。因为五脏的津液，都根源于肾。所以肾气充足则气上升而肺润，肾冷则气不升而肺枯。因此肾气丸是治疗消渴的良好方剂。另外，五脏的精华，都依赖于脾的运化。脾旺盛则心肾相交，脾健运则津液自然化生。因此参苓白术散是收功的神效药物。（《证治汇补》）
【治无太峻】
如上消、中消，如果治疗过于急切，长久会导致中满之症。这就是所谓的“上热未除，中寒复起”。
【用药】
上消初起，用人参竹叶汤；久病则用麦冬饮子。中消初起，用加减甘露饮；久病则用钱氏白术散。下消初起，用地黄饮子；久病则用小八味丸。如果是心肾不交，水下火上，无法蒸腾气化而导致消渴的，用桂附八味丸。如果是脾胃虚衰，不能交媾水火，变化津液而导致口渴的，用参苓白术散。夏季感受伏暑侵犯心包络，患消渴病的，用香薷散主治。其他如缲丝汤、天花粉、芦根汁、淡竹叶、麦冬、知母、牛乳，都是治疗消渴的神药。不可不仔细审察。
【消渴选方】
人参竹叶汤 治疗上消属于实证者。
人参 淡竹叶 炙甘草 麦门冬 栀子 黄连 黄芩
麦冬饮子 治疗上消属于虚证者。
人参 麦门冬 五味子 茯神 生地 干葛 炙甘草 花粉 知母（各等分） 竹叶（十四片）
水煎服
生津甘露饮（加减） 治疗中消属于实证。
石膏（二钱半） 甘草 升麻 人参（各一钱） 知母（二钱） 桔梗 山栀（各一钱） 兰叶 麦冬 当归（各五分） 白豆蔻 白芷 连翘（各一钱） 黄连 木香 藿香（各三分） 柴胡（三分）
研为细末，浸湿面粉捏成饼子，晒干。每次服用捣碎的二钱药末，随津液咽下。此方制治之法缓和，不仅不会形成中满之症，也不会发生痈疽和下消。
钱氏白术散 治疗中消属于虚证者。
人参 白术 茯苓 藿香 甘草（各一两） 干葛（二两）
桔梗（五钱） 白蜜（十匙）
生地黄饮子 治疗下焦虚火炎上者。
人参 生地 熟地 麦冬 天冬 石斛 五味子 枇杷叶 甘草 茯苓
磁石荠苨丸 治疗强中消渴，不禁泄精者。
荠苨 大豆 茯苓 磁石 玄参 石斛 花粉 地骨皮 鹿茸（各一两）
沉香 人参（各五钱） 熟地（四两）
取猪肾一个，煮烂，捣碎混合蜂蜜制成丸药。空腹时用盐汤送服。
一方
用水梨取汁，与蜂蜜熬制成膏，随时调服。或者藕汁也很好。
一方
消渴病能进食者，为防止将来生痈疽，可用忍冬草（金银花），不拘泥于是根、茎、花还是叶，用酒浸泡后火煨晒干，加入甘草、天花粉研为细末，蜂蜜为丸服用。
[General Principle]
When one sees food and immediately feels aversion, it is called "nausea" (E Xin).
[Internal Causes]
Nausea is not a disease of the Heart Meridian; it arises from deficiency, heat, or phlegm in the Stomach region. (Zhu Danxi)
[External Manifestations]
The manifestation of nausea is: there is no sound and no vomiting; there is a sensation of wanting to vomit from the epigastrium but being unable to do so, accompanied by mental restlessness and uneasiness, resembling the state of seasickness or carsickness. (Dai Shi)
[Differentiation of Nausea]
If nausea is caused by cold qi in the Stomach, clear water is vomited, there is no thirst, and the pulse is slow. If nausea is caused by phlegm-fire in the Stomach, sour water is vomited, there is mental irritability and thirst, and the pulse is surging (Hong). (Zhi Zhang)
[Therapeutic Methods]
Treatment should focus on opening the stomach and regulating Qi. For cases complicated by cold, use warming and dispersing methods; for those complicated by heat, use clearing and descending methods; for those complicated by phlegm, use guiding and resolving methods; for those complicated by deficiency, use regulating and tonifying methods. (Zheng Zhi Hui Bu)
[Medication]
The primary formula is Er Chen Tang (Two-Cured Decoction), added with Huang Lian (Coptidis Rhizoma), Shan Zhi (Gardeniae Fructus), Zhu Ru (Bambusa Textilis Caulis), and Huo Xiang (Agastaches Herba). For food stagnation, add Shan Zha (Crataegi Fructus) and Mai Ya (Hordei Fructus Germinatus). For Qi stagnation, add Jie Geng (Platycodonis Radix) and Zhi Ke (Aurantii Fructus).
For weak Stomach Qi, the primary formula is Liu Jun Zi Tang (Six-Gentlemen Decoction). For Cold in the Stomach, the primary formula is Li Zhong Tang (Regulate the Middle Decoction).
[Selected Formulas for Nausea]
Er Chen Tang (See Formula under Phlegm Syndromes) Liu Jun Zi Tang (See Formula under Wind-Stroke) Wen Dan Tang (Warm the Gallbladder Decoction) (See Formula under Palpitations) Gui Pi Tang (Restore the Spleen Decoction) (See Formula under Wind-Stroke)
[General Principle]
The binding of the Two Yang meridians is called Xiao Ke (Wasting-Thirst Syndrome). (Huang Di Nei Jing) The "Two Yang" refers to the Hand-Yangming Large Intestine Meridian, which governs Jin Ye (Body Fluids), and the Foot-Yangming Stomach Meridian, which governs Blood and Qi. Insufficiency of Jin Ye and Blood leads to Xiao Ke. (Yi Men Ru Men)
[Internal Causes]
The root of Water lies in the Kidney, and its branches in the Lung. (Huang Di Nei Jing) If the True Water (Kidney Yin) does not dry up, how can thirst occur? People indulge in alcohol and sexual activity, consume excessive spicy and hot foods, or eat sweet, fatty, fried, and roasted foods that please the palate, or take minerals like cinnabar and jade for selfish desires. Consequently, Fire flares upward and scorches, causing Jin Ye to dry up and disease to arise.
[External Manifestations]
Shang Xiao (Upper Wasting-Thirst) involves the Heart; symptoms include excessive drinking but little eating, normal stool, and frequent, abundant urination. Zhong Xiao (Middle Wasting-Thirst) involves the Spleen; symptoms include extreme thirst and hunger, ability to eat but emaciation, dark urine, and constipation. Xia Xiao (Lower Wasting-Thirst) involves the Kidney; symptoms include exhaustion of essence and marrow, drinking water to save oneself, followed by immediate urination that is thick and turbid like paste. (Yi Jian)
[Transmission of Heat in the Three Xiao]
Heat from Shang Xiao originates in the Heart and transmits to the Lung; heat from Zhong Xiao originates in the Spleen and transmits to the Stomach; heat from Xia Xiao originates in the Kidney and transmits to the Bladder. After prolonged transmission, the intestines and stomach are jointly affected, leading to dryness of the Five Zang organs. (Bian Yi) Thus, Shang Xiao is mild, Zhong Xiao is severe, and Xia Xiao is critical. (Yi Men Ru Men)
[Progression of the Three Xiao]
In all Xiao diseases, if Fire flares for a long time, causing Qi and Blood stagnation, patients who can eat may eventually develop brain abscesses or back carbuncles; those who cannot eat may eventually develop dysphagia (Ye Ge) or abdominal distension (Gu Zhang). These are all incurable conditions. (Zong Lu)
[Fatal Signs]
If Shang Xiao reaches extreme Heart Fire, imprisoning Lung Metal, and presents with "drinking one part, urinating two parts," death ensues. If Zhong Xiao features solitary excess of Stomach Yang and defeat of Spleen Yin, presenting with diarrhea, cold limbs, and hunger soon after eating, death ensues. If Xia Xiao features desiccation of Kidney Yin, boiling by pathogenic Fire, with leakage of essence and urine resembling oil or fat, death ensues.
[Pulse Diagnosis]
A floating and rapid pulse in the Stomach position indicates Xiao Gu (burning up food); a slippery and rapid pulse in the Lung position indicates Xiao Ke. Generally, a rapid and large pulse indicates survival; a fine and minute pulse indicates death. A deep and small pulse indicates survival; a firm and solid pulse indicates death.
[Therapeutic Methods]
Treatment should tonify Kidney Water, drain Heart Fire, eliminate dryness-heat in the intestines and stomach, and replenish body fluids. This ensures that pathways remain open and unblocked, Jin Ye is generated and not dried up, and Qi and Blood flow smoothly without stagnation, thus curing the disease spontaneously. (Yu Ji Wei Yi)
[Blood vs. Qi Branches]
Qi-branch thirst arises from external pathogens transmitting inward or overconsumption of aromatic and dry foods, where heat consumes Jin Ye. Patients prefer cold water. Treatment requires cold and draining herbs to clear heat; once heat is gone, Yin generates, and thirst stops. Blood-branch thirst arises from internal injury due to overwork, dissipation of spirit, failure of Stomach Qi to ascend, post-illness loss of Jin Ye, or residual heat in the Lung. Patients have a dry mouth and thirst, preferring hot drinks. Treatment requires sweet-warm and sour herbs to nourish Yin; once Yin generates, dryness is removed, and thirst stops. (Yi Men Ru Men)
[Therapy Should Include Tonification]
In the early stage, nourish the Lung and clear the Heart; in chronic stages, tonify the Kidney and nourish the Spleen. Since the Jin Ye of the Five Zang organs originate from the Kidney, sufficient Kidney Qi causes Qi to rise and moisten the Lung, whereas cold Kidney Qi fails to rise, leaving the Lung dry. Therefore, Shen Qi Wan (Kidney Qi Pill) is an excellent formula for Xiao Ke. Furthermore, the essence of the Five Zang organs depends on the Spleen's transportation. When the Spleen is robust, Heart and Kidney interact; when the Spleen is healthy, Jin Ye transforms naturally. Therefore, Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) is a miraculous formula for recovery. (Zheng Zhi Hui Bu)
[Treatment Should Not Be Too Harsh]
For Shang Xiao and Zhong Xiao, if treatment is too urgent, it may lead to chronic fullness in the middle jiao. This is described as "upper heat not yet eliminated, while middle cold arises again."
[Medication]
For early Shang Xiao, use Ren Shen Zhu Ye Tang (Ginseng and Bamboo Leaf Decoction); for chronic cases, use Mai Dong Yin Zi (Ophiopogon Drink). For early Zhong Xiao, use Jia Jian Gan Lu Yin (Modified Sweet Dew Drink); for chronic cases, use Qian Shi Bai Zhu San (Child Master's Atractylodes Powder). For early Xia Xiao, use Sheng Di Yin Zi (Rehmannia Drink); for chronic cases, use Xiao Ba Wei Wan (Minor Eight-Ingredient Pill). If Heart and Kidney do not interact, with Water below and Fire above, failing to vaporize and transform, use Gui Fu Ba Wei Wan (Cinnamon and Aconite Eight-Ingredient Pill). If Spleen and Stomach are deficient and fail to interact Water and Fire to transform Jin Ye, use Shen Ling Bai Zhu San. In summer, if Xiao Ke is caused by latent summer-heat invading the Pericardium, treat with Xiang Ru San (Mosla Powder). Others such as Sao Si Tang (Silkworm Thread Decoction), Tian Hua Fen (Trichosanthis Radix), Lu Gen Zhi (Reed Rhizome Juice), Dan Zhu Ye (Lophatheri Herba), Mai Dong (Ophiopogonis Radix), Zhi Mu (Anemarrhenae Rhizoma), and cow's milk are all miraculous drugs for Xiao Ke. Careful examination is essential.
[Selected Formulas for Xiao Ke]
Ren Shen Zhu Ye Tang Treats Shang Xiao of Excess type.
Ren Shen (Ginseng Radix et Rhizoma) Dan Zhu Ye (Lophatheri Herba) Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) Mai Men Dong (Ophiopogonis Radix) Zhi Zi (Gardeniae Fructus) Huang Lian (Coptidis Rhizoma) Huang Qin (Scutellariae Radix)
Mai Dong Yin Zi Treats Shang Xiao of Deficiency type.
Ren Shen (Ginseng Radix et Rhizoma) Mai Men Dong (Ophiopogonis Radix) Wu Wei Zi (Schisandrae Chinensis Fructus) Fu Shen (Poria cum Radice) Sheng Di Huang (Rehmanniae Radix) Gan Ge (Puerariae Lobatae Radix) Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) Hua Fen (Trichosanthis Radix) Zhi Mu (Anemarrhenae Rhizoma) [Equal parts each] Zhu Ye (Bamboo Leaves) [14 leaves]
Decoct in water and take orally.
Sheng Jin Gan Lu Yin (Modified) Treats Zhong Xiao of Excess type.
Shi Gao (Gypsum Fibrosum) [2.5 qian] Gan Cao (Glycyrrhizae Radix et Rhizoma) Sheng Ma (Cimicifugae Rhizoma) Ren Shen (Ginseng Radix et Rhizoma) [1 qian each] Zhi Mu (Anemarrhenae Rhizoma) [2 qian] Jie Geng (Platycodonis Radix) Shan Zhi (Gardeniae Fructus) [1 qian each] Lan Ye (Orchid Leaf) Mai Dong (Ophiopogonis Radix) Dang Gui (Angelicae Sinensis Radix) [0.5 qian each] Bai Dou Kou (Amomi Fructus Rotundus) Bai Zhi (Angelicae Dahuricae Radix) Lian Qiao (Forsythiae Fructus) [1 qian each] Huang Lian (Coptidis Rhizoma) Mu Xiang (Aucklandiae Radix) Huo Xiang (Agastaches Herba) [0.3 qian each] Chai Hu (Bupleuri Radix) [0.3 qian]
Grind into powder, soak in dough to make pills, and sun-dry. Take 2 qian of crushed powder each time, swallowing with saliva. This formula acts gently, preventing middle jiao fullness and avoiding carbuncles or lower wasting-thirst.
Qian Shi Bai Zhu San Treats Zhong Xiao of Deficiency type.
Ren Shen (Ginseng Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Fu Ling (Poria) Huo Xiang (Agastaches Herba) Gan Cao (Glycyrrhizae Radix et Rhizoma) [1 liang each] Gan Ge (Puerariae Lobatae Radix) [2 liang]
Jie Geng (Platycodonis Radix) [5 qian] Bai Mi (White Honey) [10 spoons]
Sheng Di Huang Yin Zi Treats deficiency-fire flaming upward in the Lower Jiao.
Ren Shen (Ginseng Radix et Rhizoma) Sheng Di Huang (Rehmanniae Radix) Shu Di Huang (Prepared Rehmanniae Radix) Mai Dong (Ophiopogonis Radix) Tian Dong (Asparagi Radix) Shi Hu (Dendrobii Caulis) Wu Wei Zi (Schisandrae Chinensis Fructus) Pi Pa Ye (Loquat Leaf) Gan Cao (Glycyrrhizae Radix et Rhizoma) Fu Ling (Poria)
Ci Shi Ni Ni Wan Treats Qiang Zhong (Strong Middle) wasting-thirst with involuntary seminal emission.
Ni Ni (Citri Reticulatae Pericarpium Viride / Citrus Unshiu Fruit) Da Dou (Sojae Semen) Fu Ling (Poria) Ci Shi (Magnetitum) Xuan Shen (Scrophulariae Radix) Shi Hu (Dendrobii Caulis) Hua Fen (Trichosanthis Radix) Di Gu Pi (Lycii Cortex) Lu Rong (Cervi Cornu Pantotrichum) [1 liang each]
Chen Xiang (Aquilariae Lignum Resinatum) Ren Shen (Ginseng Radix et Rhizoma) [5 qian each] Shu Di Huang (Prepared Rehmanniae Radix) [4 liang]
Take one pig kidney, boil until soft, mash, mix with honey, and form pills. Take on an empty stomach with salt water.
Jia Wei Di Huang Wan
This is Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) added with Mai Dong (Ophiopogonis Radix) and Wu Wei Zi (Schisandrae Chinensis Fructus).
Formula 1
Extract juice from water pears, mix with honey, and simmer into a paste. Take as needed. Lotus root juice is also excellent.
Formula 2
For Xiao Ke patients who can eat, to prevent future carbuncles, use Ren Dong Jin Yin Hua (Lonicerae Japonicae Flos), regardless of whether using roots, stems, flowers, or leaves. Soak in wine, roast over fire, sun-dry, add Gan Cao (Glycyrrhizae Radix et Rhizoma) and Hua Fen (Trichosanthis Radix), grind into powder, and form pills with honey.