治火逆下之，因烧针烦躁者。
桂枝 甘草（各一两） 龙骨 牡蛎（各二两） 水五升，煮取二升半，去滓，温取八
合，日三服。
桂枝龙骨牡蛎汤 治失精家少腹弦急，阴头寒，目眩发落。脉极虚芤迟，为清谷亡血失
精；脉得诸芤动微紧，男子失精，女子梦交。
桂枝汤原方加龙骨、牡蛎各三两，水七升，煮三升，分三服。
桂枝去芍加蜀漆，龙骨牡蛎救逆汤，火迫（古人治伤寒有火熨、水攻之法。）心经阳欲
越，肢寒汗出必惊狂，（按亡阳惊狂，必有肢寒汗出见证。）神明散乱行将脱，固脱安神此剂
彰。（火迫心经之阳，非酸收可安，故去芍药，而用龙、牡镇摄，借桂枝、蜀漆疾趋阳位，
以救猝然散乱之神明，故先煮蜀漆，使其飞腾，劫去阳分之痰，并赖其急性，引领龙、牡，
从阳镇惊固脱。方寸无主，难缓须臾，故曰“救逆”。徐灵胎《伤寒论类方》曰∶此与少阴
汗出之亡阳迥别∶盖少阴之亡阳，乃亡阴中之阳，故用四逆辈，回其阳于肾中；今乃火逼汗，
亡其阳中之阳，故用安神之品，镇其阳于心中。各有至理，不可易也。”）桂甘龙牡汤同意，
火逆烧针烦躁良。（镇其阴气，散其火邪，上下同治。前方惊狂，治重在心，故用蜀漆；此
无惊狂，故蜀漆不用。其证大段相同。）《金匮》桂龙牡蛎汤，失精亡血梦交尝，脉微迟芤阴
阳弱，镇摄精神使敛藏。（此心肾不交，精伤气竭，神不敛藏之证。桂枝汤外感用之能祛邪
和营卫，内伤用之能补虚调阴阳，加龙骨、牡蛎，收敛其浮越之神，固摄其散亡之精。）
治疗因误用火法后又误用下法，进而使用烧针导致烦躁不安的病症。
桂枝、甘草（各一两）、龙骨、牡蛎（各二两）。用水五升，煮取药液二升半，滤去药渣，每次温服八合，每日服用三次。
桂枝龙骨牡蛎汤：治疗遗精体质者出现少腹拘急紧绷，阴部寒冷，头晕眼花，头发脱落。脉象极虚、芤（中空如葱管）且迟，这是阳气清冷、完谷不化、失血或失精所致；若脉象呈现各种芤、动、微、紧的特征，男子会出现失精，女子会出现梦交（梦中与异性性交）。
此方由桂枝汤原方加入龙骨、牡蛎各三两组成，用水七升，煮取三升，分三次服用。
桂枝去芍加蜀漆龙骨牡蛎救逆汤：因火法逼迫（古人治疗伤寒有火熨、水攻等方法），导致心经阳气欲脱，出现四肢寒冷、出汗、必定伴有惊恐狂乱的症状。（按语：亡阳导致的惊狂，必然伴随四肢寒冷和出汗的见证。）神明散乱即将离散，此方能固脱安神，功效显著。（火法逼迫心经之阳，非酸味收敛药物所能安抚，故去掉芍药，而使用龙骨、牡蛎来镇摄，借助桂枝、蜀漆迅速趋向阳位，以拯救猝然散乱的神明，所以先煮蜀漆，使其药性飞腾，劫去阳分的痰邪，并依靠其急性子特性，引领龙骨、牡蛎，从阳位镇惊固脱。心中无主，难以片刻缓解，所以称为“救逆”。徐灵胎在《伤寒论类方》中说：“这与少阴病汗出导致的亡阳截然不同：少阴病的亡阳，是亡失阴中之阳，所以用四逆汤类药物，将阳气回纳于肾中；现在是火逼汗出，亡失的是阳中之阳，所以用安神的药物，将阳气镇守于心。各有至理，不可互换。”）桂甘龙牡汤（桂枝甘草龙骨牡蛎汤）意旨相同，对于火逆烧针导致的烦躁疗效良好。（镇摄阴气，疏散火邪，上下同治。前方针对惊狂，治疗重点在心，所以用蜀漆；此方没有惊狂症状，所以不用蜀漆。其证候大体相同。）《金匮要略》中的桂枝龙骨牡蛎汤，常用于治疗失精、失血、梦交。脉象微、迟、芤，表明阴阳虚弱，此方能镇摄精神，使其敛藏。（这是心肾不交，精伤气竭，神志不能敛藏的证候。桂枝汤在外感病中使用能祛邪调和营卫，在内伤病中使用能补虚调理阴阳，加入龙骨、牡蛎，可收敛浮越的神明，固摄散亡的精气。）
Treats irritability and restlessness caused by fire-induced reversal followed by purgation, and subsequently by burning needle therapy.
Guizhi (Cinnamon Twig), Gancao (Licorice Root) (each 1 liang), Longgu (Fossilized Bones), Muli (Oyster Shell) (each 2 liang). Add five sheng of water, boil to obtain two and a half sheng, remove the dregs, take eight he warm, three times daily.
Guizhi Longgu Muli Tang (Cinnamon Twig, Dragon Bone, and Oyster Shell Decoction): Treats individuals prone to seminal emission who present with tightness and urgency in the lower abdomen, coldness in the genital region, vertigo, and hair loss. The pulse is extremely deficient, Kou (hollow like a scallion stem), and slow, indicating cold yang, undigested food in stool, blood loss, or seminal emission; if the pulse presents various characteristics of Kou, moving, faint, and tight, men suffer from seminal emission, and women experience nocturnal emissions with sexual dreams.
This formula consists of the original Guizhi Tang (Cinnamon Twig Decoction) plus Longgu (Fossilized Bones) and Muli (Oyster Shell), each 3 liang. Add seven sheng of water, boil to obtain three sheng, divide into three doses.
Guizhi Qu Shaoyao Jia Shuqi Longgu Muli Jiuni Tang (Cinnamon Twig Decoction without Peony, plus Chinese Herbaceous Aristolochia Root, Dragon Bone, and Oyster Shell Decoction for Saving Reversal): Caused by fire therapy forcing (ancient methods for treating cold damage included hot compresses and water attacks), leading to the departure of Yang qi from the Heart channel, manifesting as cold limbs, sweating, and inevitably fright and mania. (Note: Fright and mania due to Yang collapse must be accompanied by cold limbs and sweating.) When Shen Ming (Spirit and Intellect) is scattered and on the verge of dissipation, this formula consolidates collapse and calms the spirit. (Fire forcing the Yang of the Heart channel cannot be pacified by sour astringents alone; thus, Shaoyao (Peony Root) is removed, and Longgu (Fossilized Bones) and Muli (Oyster Shell) are used to anchor and subdue. Guizhi (Cinnamon Twig) and Shuqi (Chinese Herbaceous Aristolochia Root) are employed to swiftly ascend to the Yang position to rescue the suddenly scattered Shen Ming (Spirit and Intellect); therefore, Shuqi (Chinese Herbaceous Aristolochia Root) is decocted first to allow its properties to rise vigorously, dispel phlegm in the Yang aspect, and utilize its acrid and rapid nature to guide Longgu (Fossilized Bones) and Muli (Oyster Shell) to calm fright and consolidate collapse from the Yang position. With no master within the heart, relief cannot be delayed even for an instant, hence it is called "Saving Reversal". Xu Lingtai stated in *Lei Fang* (Classification of Formulas): "This is distinctly different from Yang collapse with sweating in Shaoyin disease: Shaoyin Yang collapse involves the loss of Yin-contained Yang, so Sini Tang (Counterflow Cold Decoction) and similar formulas are used to return Yang to the Kidney; here, fire forces sweating, causing the loss of Yang-contained Yang, so spirit-calming agents are used to anchor Yang in the Heart. Both have profound rationale and should not be interchanged.") This shares the same principle as Guigan Longmu Tang (Guizhi, Licorice, Dragon Bone, and Oyster Shell Decoction) and is effective for irritability caused by fire reversal and burning needles. (It anchors Yin qi and disperses fire pathogens, treating both upper and lower. The previous formula targets fright and mania, focusing treatment on the Heart, thus using Shuqi (Chinese Herbaceous Aristolochia Root); this formula lacks fright and mania, so Shuqi (Chinese Herbaceous Aristolochia Root) is omitted. The syndromes are largely similar.) The Guizhi Longgu Muli Tang (Cinnamon Twig, Dragon Bone, and Oyster Shell Decoction) in *Jinkui Yaolue* (Essential Prescriptions of the Golden Cabinet) is often used for seminal emission, blood loss, and nocturnal emissions with sexual dreams. A faint, slow, and Kou (hollow) pulse indicates deficiency of Yin and Yang; this formula anchors the spirit and promotes storage and consolidation. (This is a syndrome of Heart-Kidney non-interaction, injury to essence and exhaustion of Qi, where the Spirit fails to consolidate. When used for external contraction, Guizhi Tang (Cinnamon Twig Decoction) expels pathogens and harmonizes Ying and Wei; when used for internal injury, it tonifies deficiency and regulates Yin and Yang. Adding Longgu (Fossilized Bones) and Muli (Oyster Shell) converges floating Shen Ming (Spirit and Intellect) and secures dissipating Jing (Essence).)