积痰发热者，其脉弦滑，其证胸膈痞塞，背心疼痛。《活人书》所谓中脘有痰，令人憎
寒发热，状类伤寒，但头不痛，项不强为异。
瘀血发热者，其脉涩，其人但漱水而不欲咽，两脚必厥冷，少腹必结急，是不可以寒治
，不可以辛散，但通其血，则发热自止。
当归承气汤
当归 大黄（各四钱） 芒硝 甘草（各二钱）
上 咀，入姜煎。一方无芒硝，有芍药，名清凉饮子。
骨蒸热者，热伏于内，而气蒸于外也。其症肌热盗汗，黄瘦口臭，久而不愈，此骨髓伏
热，营卫不通之所致也，少男室女，多有此证。
麦煎散（方见虚劳门。）
柴胡梅连散 治骨蒸劳热，久而不愈，三服除根，其效如神。
柴胡 人参 黄芩 甘草 胡黄连 当归 芍药（各半两）
上为末，每服三钱，童便一盏，乌梅一个，猪胆五匙，猪脊髓一条，韭根半钱，水一盅
，同煎至七分，去滓，温服无时。原方有前胡，无人参、黄芩、甘草、当归、芍药，余盖从柴胡
饮子增入，以备补虚泻热之用。去前胡者，不欲重散也。
食积者，当暮发热，恶闻食臭，时时嗳腐，其脉滑或实，《活人》所谓伤食令人头痛脉
数发热，但左手人迎脉平和，身不疼是也。酒毒者，脉数溺赤，经云∶酒气与谷气相搏，热盛于
中，故热遍于身，内热而溺赤是也。
加味越鞠丸
苍术 神曲 香附 黑山栀 抚芎 针砂 山楂
上为末，糊丸。
酒煮黄连丸
黄连八两，用酒二升，入瓦罐内，重汤煮烂，取出晒干为末，滴水丸桐子大，每五十丸
【分治脏腑上下血气诸热】
钱氏泻青丸 治肝热。
当归（焙） 龙胆草 川芎 山栀 羌活 防风 大黄
上为末，蜜丸鸡头子大，每服一丸。一方弹子大，竹叶汤化下一丸。
龙荟丸 治肝脏积热。
当归（焙） 龙胆草 栀子 黄连 黄柏 黄芩（各一两） 大黄 芦荟 青
黛（各半两） 木香（二钱半） 麝香（五分，别研）
上为末，炼蜜丸如小豆大，小儿如麻子大，每二十丸，生姜汤下。
《外台》麦门冬饮 疗心劳不止，口赤干燥，心闷，肉毛焦色。
生麦冬（一升，去心） 陈粟米（一升） 鸡子白（二七枚） 淡竹叶（三升，切）
上先以水一斗，煮粟米、竹叶取九升。去滓澄清，接取七升，冷下鸡子白，搅五百转，
去上沫，下麦门冬，煮取三升，分三服。
《济生》黄芩汤 治心热，口疮烦渴，小便不利。
生地 木通 甘草 黄连 黄芩 麦冬 栀仁 泽泻
每服四钱，水一盏，姜三片，煎服无时。
泻黄散 治脾热口臭，咽干目黄。
藿香叶（七钱） 山栀（一两） 石膏（半两） 防风（四两） 甘草（二两）
上锉同蜜酒拌，微炒香为末，每服二钱，水一盏，煎清汁饮。
《外台》疗脾热方
石膏（一斤，碎，绵裹） 生地汁（一升） 淡竹叶（切，五升） 赤蜜（一升）
水一斗二升，煮竹叶取七升，去滓，内石膏取一升五合，去滓，下地黄汁两沸，下蜜煎
取三升，细细服。
泻白散 治肺热。
桑白皮（炒黄） 地骨皮（各一两） 甘草（炙，半两）
上为末，每服二三钱，水一盏，入粳米百粒煎，食后服。易老加黄连。海藏云∶加山栀
东垣滋肾丸 治肾热。
黄柏（三两） 知母（二两） 桂（一钱半）
上为末，熟水丸桐子大，每七八十丸至百丸，食前百沸汤下。
《外台》三黄汤 治肾热，大小便秘塞，耳鸣色黑。
大黄（切，别渍水，一斗） 黄芩 芒硝（各三两） 栀子（十四枚） 甘草（炙，一两）
上以水四升，先煮三物取一升五合，去滓，下大黄更煎两沸，下芒硝，分三服。
《外台》栀子煎 治胆实热，精神不守。
栀子（二十一枚） 甘竹茹（一两，炒） 香豉（六合） 大青 橘皮（各一两） 赤蜜（三合）
水六升，煎取一升七合，去滓，下蜜，更上微火，煎两沸，分再服。
导赤散 治小肠实热，小便赤涩而渴。
生地黄 木通 甘草（各等分）
上为末，每服三钱，水一盏，入竹叶七片，同煎至五分，食后温服。丹溪云∶导赤散，
泻白汤 治大肠实热，腹胀不通，挟脐痛，食不化，口生疮，喘不能久立。
淡竹叶 黄芩 栀子仁 柏皮（炙，各半两） 茯苓 芒硝（各一两） 生地黄（
三两） 橘皮（半两）
上锉，每四钱，入姜、枣煎，空心服。
《千金》竹叶汤 治胃热。
竹叶 小麦（各一升） 知母 石膏（各三两） 黄芩 茯苓 麦冬（各二两）
人参（一两） 生姜（五两） 栝蒌根 半夏 甘草（各一两，生）
上 咀，以水一斗，煮竹叶、小麦，取八升去滓，内诸药，煮取三升，分三服，老小分
《千金》地黄煎
生地黄汁（四升三合） 茯神 知母 葳蕤（各四两） 栝蒌根（五两） 竹沥（三合）
生姜汁 白蜜 生麦冬汁 生地骨皮汁（各一升） 石膏（八两）
上以水一斗二升，先煮诸药取三升，去滓，下竹沥、生地黄、麦冬汁，微火熬四五沸，
下蜜、姜汁，微火煎取六升。初服四合，日三夜一，加至六合，夏月作散服之。
东垣云∶发热而不能食，自汗短气者，虚也。以甘寒之剂泻热补气。能食而热，口舌干
燥，大便难者，以辛苦大寒之剂下之，泻热补水，当细分之，不可概论。
凉膈散 治上焦积热烦躁，面赤头昏，咽痛喉痹，口疮颊肿，便溺秘赤，谵妄，
新薄荷 连翘 黄芩 栀子 甘草（各一两半） 大黄 芒硝（各半两）
上末，每服二三钱，竹叶七片，蜜三匙，煎食后服。与四物各半服，能益血泄热，名双
和散。《本事》加赤芍、干葛，治诸热病累效。
《玉机》云∶轻者宜桔梗汤，本方去硝、黄，加桔梗舟楫之品，浮而上之，去膈中无形
之热，且不犯下二焦也。
八正散 治下焦积热，二便秘涩，口渴咽干，舌疮血淋。
大黄 瞿麦 木通 滑石 蓄 车前子 山栀 甘草（各等分）
上为末，每服二钱，入灯芯，水煎服。
通膈丸（《本事》） 治上焦虚热，肺脘咽膈有气如烟抢上。
人参 川黄连 茯苓（各三两） 朱砂（一分） 真片脑（少许）
上为细末，研匀炼蜜丸如梧子大，熟水下三五丸，日二三服。
四顺清凉饮子 治血分热。
大黄（蒸） 甘草（炙） 当归 芍药（各等分）
上 咀，每服五钱，用水一盏半，薄荷十叶，同煎至七分，去滓温服。洁古云∶凉风至
而草木实，清凉饮子，乃秋风撤热之剂也。
海藏桔梗汤 治气分热。
桔梗 连翘 山栀 薄荷 黄芩（酒炒） 甘草（各等分）
上为粗末，竹叶白水煎，温服。汗之，热服。
痰积发热，其脉象弦滑，症状表现为胸膈部痞闷堵塞，背部疼痛。《活人书》所说的中脘部位有痰，使人憎恶寒冷并发热，症状类似伤寒，但区别在于头部不痛、项部不强硬。
瘀血发热，其脉象涩滞，患者只是想含水漱口而不愿咽下，双脚必定厥冷，小腹部必定拘急结聚。这种病证不能用寒凉药治疗，也不能用辛散药发散，只要疏通血脉，发热自然停止。
当归承气汤
当归、大黄（各四钱），芒硝、甘草（各二钱）。
以上药材切碎，加入生姜煎煮。另一版本没有芒硝，有芍药，名为清凉饮子。
骨蒸热，是热邪潜伏于体内，而热气蒸腾于体外的表现。其症状为肌肤发热、夜间盗汗，面色萎黄消瘦、口臭，久治不愈。这是骨髓伏热、营卫之气不通畅所致，少年男女多有此证。
麦煎散（方剂见虚劳门。）
柴胡梅连散 治疗骨蒸劳热，久治不愈，服用三服可除根，效果如神。
柴胡、人参、黄芩、甘草、胡黄连、当归、芍药（各半两）。
以上研为细末，每次服用三钱，加童便一盏、乌梅一个、猪胆五匙、猪脊髓一条、韭根半钱、水一盅，同煎至七分，去渣，随时温服。原方中有前胡，无人参、黄芩、甘草、当归、芍药，我大概是参照柴胡饮子增加这些药物，以备用补虚泻热之需。去掉前胡，是不想过于发散。
食积发热，通常在傍晚发热，厌恶闻食物的气味，时常嗳出腐臭之气，脉象滑或实。《活人书》所谓伤食导致头痛、脉数、发热，但左手人迎脉平和，身体不疼痛，就是这种情况。酒毒发热，脉数且小便赤红。经书说：酒气与谷气相互搏结，热盛于中，所以热遍全身，内热且小便赤红。
加味越鞠丸
苍术、神曲、香附、黑山栀、抚芎、针砂、山楂。
以上研为细末，用糊制作丸剂。
酒煮黄连丸
黄连八两，用酒二升，放入瓦罐内，隔水炖煮至烂，取出晒干研为细末，滴水制成梧桐子大小的丸剂，每次五十丸。
【分治脏腑上下血气诸热】
钱氏泻青丸 治疗肝热。
当归（焙干）、龙胆草、川芎、山栀、羌活、防风、大黄。
以上研为细末，蜂蜜制作成鸡头子大小的丸剂，每次服用一丸。另一版本弹子大小，用竹叶汤化开服用一丸。
龙荟丸 治疗肝脏积热。
当归（焙干）、龙胆草、栀子、黄连、黄柏、黄芩（各一两），大黄、芦荟、青黛（各半两），木香（二钱半），麝香（五分，单独研磨）。
以上研为细末，炼蜜制作成小豆大小的丸剂，小儿如麻子大小，每次二十丸，生姜汤送服。
《外台秘要》麦门冬饮 治疗心劳不止，口唇赤红干燥，心胸烦闷，肌肉毛发焦枯变色。
生麦冬（一升，去心）、陈粟米（一升）、鸡蛋清（十四枚）、淡竹叶（三升，切碎）。
先用水一斗，煮粟米、竹叶取九升。去渣澄清，再取七升，冷却后加入鸡蛋清，搅拌五百转，去掉上面的泡沫，加入麦门冬，煮取三升，分三次服用。
《济生方》黄芩汤 治疗心热，口疮烦渴，小便不利。
生地、木通、甘草、黄连、黄芩、麦冬、栀仁、泽泻。
每次服用四钱，水一盏，生姜三片，煎服，随时可服。
泻黄散 治疗脾热口臭，咽干目黄。
藿香叶（七钱）、山栀（一两）、石膏（半两）、防风（四两）、甘草（二两）。
以上切碎，同蜂蜜和酒拌润，微炒香后研为细末，每次服用二钱，水一盏，煎取清汁饮用。
《外台秘要》治疗脾热方
石膏（一斤，捣碎，用绵布包裹）、生地汁（一升）、淡竹叶（切碎，五升）、赤蜜（一升）。
水一斗二升，煮竹叶取七升，去渣，加入石膏取一升五合，去渣，加入地黄汁煮沸两次，加入蜂蜜煎取三升，细细服用。
泻白散 治疗肺热。
桑白皮（炒黄）、地骨皮（各一两），甘草（炙，半两）。
以上研为细末，每次服用二三钱，水一盏，加入粳米一百粒煎煮，饭后服用。易老加黄连。海藏说：加山栀。
东垣滋肾丸 治疗肾热。
黄柏（三两）、知母（二两）、桂（一钱半）。
以上研为细末，热水泛丸如梧桐子大，每次七八十丸至百丸，饭前用滚开水送服。
《外台秘要》三黄汤 治疗肾热，大小便秘塞，耳鸣，面色发黑。
大黄（切碎，另外用水浸泡，一斗），黄芩、芒硝（各三两），栀子（十四枚），甘草（炙，一两）。
用水四升，先煮前三味药取一升五合，去渣，加入大黄再煎两沸，加入芒硝，分三次服用。
《外台秘要》栀子煎 治疗胆实热，精神不能守舍。
栀子（二十一枚），甘竹茹（一两，炒），香豉（六合），大青、橘皮（各一两），赤蜜（三合）。
水六升，煎取一升七合，去渣，加入蜂蜜，再用微火煎两沸，分两次服用。
导赤散 治疗小肠实热，小便赤涩且口渴。
生地黄、木通、甘草（各等分）。
以上研为细末，每次服用三钱，水一盏，加入竹叶七片，同煎至五分，饭后温服。丹溪说：导赤散……
泻白汤 治疗大肠实热，腹胀不通，伴有脐周疼痛，食物不消化，口生疮，气喘不能久立。
淡竹叶、黄芩、栀子仁、柏皮（炙，各半两），茯苓、芒硝（各一两），生地黄（三两），橘皮（半两）。
以上切碎，每次四钱，加入姜、枣煎煮，空腹服用。
《千金方》竹叶汤 治疗胃热。
竹叶、小麦（各一升），知母、石膏（各三两），黄芩、茯苓、麦冬（各二两），人参（一两），生姜（五两），栝蒌根、半夏、甘草（各一两，生用）。
以上切碎，用水一斗，煮竹叶、小麦，取八升去渣，加入其他药物，煮取三升，分三次服用，老人小孩分开剂量服用。
《千金方》地黄煎
生地黄汁（四升三合），茯神、知母、葳蕤（各四两），栝蒌根（五两），竹沥（三合），生姜汁、白蜜、生麦冬汁、生地骨皮汁（各一升），石膏（八两）。
用水一斗二升，先煮诸药取三升，去渣，加入竹沥、生地黄、麦冬汁，微火熬四五沸，加入蜜、姜汁，微火煎取六升。初次服用四合，每日三次夜间一次，逐渐加至六合，夏季做成散剂服用。
李东垣说：发热而不能进食，自汗短气的，属于虚证。用甘寒的药剂泻热补气。能进食而发热，口舌干燥，大便困难的，用辛苦大寒的药剂攻下，泻热补水，应当仔细分辨，不可一概而论。
凉膈散 治疗上焦积热烦躁，面红头晕，咽痛喉痹，口疮颊肿，大小便秘结赤红，谵语妄言。
新薄荷、连翘、黄芩、栀子、甘草（各一两半），大黄、芒硝（各半两）。
以上研为细末，每次二三钱，竹叶七片，蜂蜜三匙，煎煮饭后服用。与四物汤各半量服用，能益血泄热，名为双和散。《本事方》加赤芍、干葛，治疗各种热病屡获奇效。
《玉机真藏论》说：病情轻的宜用桔梗汤，本方去掉硝、黄，加入桔梗这舟楫之品，使其上浮而上行，去除膈中无形的热邪，且不侵犯下二焦。
八正散 治疗下焦积热，大小便秘涩，口渴咽干，舌疮血淋。
大黄、瞿麦、木通、滑石、蓄、车前子、山栀、甘草（各等分）。
以上研为细末，每次二钱，加入灯芯草，水煎服。
通膈丸（《本事方》） 治疗上焦虚热，肺脘咽膈有气如烟熏向上冲逆。
人参、川黄连、茯苓（各三两），朱砂（一分），真片脑（少许）。
以上研为细末，研匀，炼蜜制作如梧桐子大小的丸剂，温水送服三五丸，每日二三次。
四顺清凉饮子 治疗血分热。
大黄（蒸），甘草（炙），当归、芍药（各等分）。
以上切碎，每次五钱，用水一盏半，薄荷十片，同煎至七分，去渣温服。洁古说：凉风至草木结实，清凉饮子是秋风撤热的药剂。
海藏桔梗汤 治疗气分热。
桔梗、连翘、山栀、薄荷、黄芩（酒炒）、甘草（各等分）。
以上为粗末，竹叶白水煎煮，温服。若需发汗，则热服。
Heat caused by phlegm accumulation presents with a string-slippery pulse (Xian-Hua Mai, String-like and Slippery Pulse) and symptoms of chest and diaphragm oppression/blockage, along with pain in the back. The *Huoren Shu* states that phlegm in the Zhongwan area causes aversion to cold and fever, resembling Taiyang disease (Exterior Syndrome), but differs in that there is no headache or stiffness of the neck.
Heat caused by blood stasis presents with a choppy pulse (Se Mai, Choppy Pulse). The patient may rinse their mouth with water but does not wish to swallow it; their feet are invariably cold (Jue Leng), and the lower abdomen is invariably tight and knotted. This condition should not be treated with cold herbs nor dispersed with acrid herbs; only by unblocking the blood will the heat cease.
Danggui Chengqi Tang (Angelica Decoction for Descending Excess)
Danggui (Radix Angelicae Sinensis), Dahuang (Radix et Rhizoma Rhei) (each 4 qian); Mangxiao (Natrii Sulfas), Gancao (Radix Glycyrrhizae Uralensis) (each 2 qian).
Chop the herbs, add ginger, and decoct. Another version excludes Mangxiao and includes Shaoyao (Radix Paeoniae Alba), named Liangqing Yinzi (Cooling Clearing Decoction).
Bone-steaming heat occurs when heat lurks within while steaming outward. Symptoms include heat in the skin and muscles, night sweats, sallow emaciation, and foul breath persisting over time. This is caused by latent heat in the bone marrow and obstruction of Ying (Nutrient) and Wei (Defensive) Qi circulation. It is common among young men and women.
Maijian San (Wheat Decoction Powder) (See Formula in the Consumption Chapter.)
Chaihu Meilian San (Bupleurum and Coptis Decoction Powder) Treats bone-steaming consumption heat persisting over time; three doses can eradicate the root, with miraculous efficacy.
Chaihu (Radix Bupleuri), Ren Shen (Radix Ginseng), Huang Qin (Radix Scutellariae), Gancao (Radix Glycyrrhizae Uralensis), Huhuanglian (Rhizoma Coptidis Chinensis var. Wutaischanensis), Danggui (Radix Angelicae Sinensis), Shaoyao (Radix Paeoniae Alba) (each 0.5 liang).
Grind into powder. Take 3 qian per dose with one cup of child's urine, one dark plum, five spoons of pig gallbladder, one pig spinal cord, half a qian of leek root, and one cup of water. Decoct until reduced to 70%, strain, and take warm at any time. The original formula contains Qianhu (Radix Peucedani), but lacks Ren Shen, Huang Qin, Gancao, Danggui, and Shaoyao. I likely added these from Chaihu Yinzi to prepare for tonifying deficiency and draining heat. Qianhu was removed to avoid excessive dispersion.
Food stagnation heat typically manifests as evening fever, aversion to the smell of food, frequent belching of rotten smells, with a slippery or excess pulse. As stated in the *Huoren Shu*, food injury causes headache, rapid pulse, and fever, but the left Renying pulse is peaceful, and the body is not painful. Alcohol toxicity heat presents with a rapid pulse and red urine. The Classics state: "Alcohol qi combats grain qi, causing intense heat in the center, so heat pervades the body, resulting in internal heat and red urine."
Jiawei Yueju Wan (Modified Yueju Pill)
Cangzhu (Rhizoma Atractylodis Lanceae), Shenqu (Massa Medicata Fermentata), Xiangfu (Rhizoma Cyperi Rotundi), Heishanzhi (Fructus Gardeniae Jasminoidis nigrescens), Fuxiong (Rhizoma Chuanxiong), Zhensha (Hematitum), Shanzha (Fructus Crataegi).
Grind into powder and make pills with paste.
Jiu Zhu Huanglian Wan (Wine-Boiled Coptis Pill)
Huanglian (Rhizoma Coptidis Chinensis) 8 liang, boiled in 2 sheng of wine in a clay jar using double-boiling method until soft, then dried and ground into powder. Make pills with water drops, size of paulownia seeds. Take 50 pills per dose.
[Divided Treatment of Heat in Zang-Fu, Upper/Lower, Blood/Qi]
Qian Shi Xieqing Wan (Dr. Qian's Draining Green Pill) Treats Liver Heat.
Danggui (Radix Angelicae Sinensis, baked), Longdancao (Radix Gentianae), Chuanxiong (Rhizoma Chuanxiong), Shanzhi (Fructus Gardeniae Jasminoidis), Qianghuo (Rhizoma Notopterygii), Fangfeng (Radix Saposhnikoviae), Dahuang (Radix et Rhizoma Rhei).
Grind into powder, make pills with honey, size of corn kernels. Take one pill per dose. Another version is bullet-sized, taken dissolved in bamboo leaf soup.
Longhui Wan (Dragon Gall Bladder Pill) Treats accumulated heat in the Liver.
Danggui (Radix Angelicae Sinensis, baked), Longdancao (Radix Gentianae), Zhizi (Fructus Gardeniae Jasminoidis), Huanglian (Rhizoma Coptidis Chinensis), Huangbai (Cortex Phellodendri Amurensis), Huangqin (Radix Scutellariae) (each 1 liang), Dahuang (Radix et Rhizoma Rhei), Lvhui (Aloe), Qingdai (Indigo Naturalis) (each 0.5 liang), Muxiang (Radix Aucklandiae), Shexiang (Moschus) (0.5 fen, separately ground).
Grind into powder, make pills with refined honey, size of small beans (children: hemp seed size). Take 20 pills per dose with ginger soup.
Waitai Maidong Yin (External Cabinet Ophiopogon Drink) Treats persistent heart labor, red/dry lips, chest stuffiness, scorched hair/skin.
Sheng Maidong (Herba Ophiopogonis Japonici, 1 sheng, core removed), Chen Sumi (Fructus Setaria Italica, 1 sheng), Jizi Bai (Album Ovi Galli, 14 pieces), Dan Zhuye (Folium Bambusae, 3 sheng, cut).
First, boil Sumi and Zhuye in 1 dou of water to obtain 9 sheng. Strain and clarify, then take 7 sheng. Cool down, add Jizi Bai, stir 500 times, remove foam. Add Maidong, boil to obtain 3 sheng. Divide into three doses.
Jisheng Huangqin Tang (Jisheng Scutellaria Decoction) Treats Heart Heat, mouth ulcers, irritability/thirst, difficult urination.
Shengdi (Radix Rehmanniae Preparata), Mutong (Caulis Akebiae Trifoliata), Gancao (Radix Glycyrrhizae Uralensis), Huanglian (Rhizoma Coptidis Chinensis), Huangqin (Radix Scutellariae), Maidong (Herba Ophiopogonis Japonici), Zhiren (Semen Pruni Armeniacae), Zexie (Rhizoma Alismatis Orientales).
Take 4 qian per dose with one cup of water and three slices of ginger. Decoct and take at any time.
Xiehuang San (Draining Yellow Powder) Treats Spleen Heat, foul breath, dry throat, yellow eyes.
Huoxiangye (Folium Pogostemonis Cablinis, 7 qian), Shanzhi (Fructus Gardeniae Jasminoidis, 1 liang), Shigao (Gypsum Fibrosum, 0.5 liang), Fangfeng (Radix Saposhnikoviae, 4 liang), Gancao (Radix Glycyrrhizae Uralensis, 2 liang).
Cut together, mix with honey and wine, lightly stir-fry until fragrant, grind into powder. Take 2 qian per dose with one cup of water, decoct to extract clear juice and drink.
Waitai Treating Spleen Heat Formula
Shigao (Gypsum Fibrosum, 1 jin, crushed, wrapped in silk), Shengdi Juice (Radix Rehmanniae Preparata, 1 sheng), Dan Zhuye (Folium Bambusae, cut, 5 sheng), Chi Mi (Melasse, 1 sheng).
Boil Zhuye in 1.2 dou of water to obtain 7 sheng. Strain, add Shigao to obtain 1.5 sheng. Strain again, add Shengdi juice, boil twice. Add Mi, decoct to obtain 3 sheng. Take slowly.
Xiebai San (Draining White Powder) Treats Lung Heat.
Sangbaipi (Cortex Mori Radicis, fried yellow), Digupi (Cortex Lycii Radicis) (each 1 liang), Gancao (Radix Glycyrrhizae Uralensis, roasted, 0.5 liang).
Grind into powder. Take 2-3 qian per dose with one cup of water and 100 grains of Jingmi (Oryza Sativa Japonica Group). Take after meals. Yilao adds Huanglian. Haizang says: add Zhizi.
Dong Yuan Zishen Wan (Dong Yuan Kidney-Nourishing Pill) Treats Kidney Heat.
Huangbai (Cortex Phellodendri Amurensis, 3 liang), Zhimu (Rhizoma Anemarrhenae Asphodeloides, 2 liang), Gui (Cinnamomi Cortex, 1.5 qian).
Grind into powder, make pills with hot water, size of paulownia seeds. Take 70-100 pills per dose before meals with boiling water.
Waitai Sanhuang Tang (External Cabinet Three-Yellow Decoction) Treats Kidney Heat, constipation of both bowels, tinnitus, black complexion.
Dahuang (Radix et Rhizoma Rhei, cut, soaked separately in 1 dou water), Huangqin (Radix Scutellariae), Mangxiao (Natrii Sulfas) (each 3 liang), Zhizi (Fructus Gardeniae Jasminoidis, 14 pieces), Gancao (Radix Glycyrrhizae Uralensis, roasted, 1 liang).
Use 4 sheng of water. First decoct the first three ingredients to obtain 1.5 sheng. Strain, add Dahuang, boil two more times. Add Mangxiao. Divide into three doses.
Waitai Zhizi Jian (External Cabinet Gardenia Decoction) Treats Gallbladder Excess Heat, restless spirit.
Zhizi (Fructus Gardeniae Jasminoidis, 21 pieces), Gan Zhuru (Spiramen Bambusae, 1 liang, fried), Xiangchi (Fermen Sojae Dilutum, 6 he), Daqing (Lithargyri Pulvis), Ju Pi (Citri Reticulatae Pericarpium) (each 1 liang), Chi Mi (Melasse, 3 he).
Boil in 6 sheng of water to obtain 1.7 sheng. Strain, add Mi, simmer on low heat for two boils. Divide into two doses.
Daochi San (Guiding Red Powder) Treats Small Intestine Excess Heat, red/astringent urination with thirst.
Sheng Dihuang (Radix Rehmanniae Recens), Mutong (Caulis Akebiae Trifoliata), Gancao (Radix Glycyrrhizae Uralensis) (equal parts).
Grind into powder. Take 3 qian per dose with one cup of water and seven leaves of Zhuye. Decoct to 50%, take warm after meals. Danxi said: Daochi San...
Xiebai Tang (Draining White Decoction) Treats Large Intestine Excess Heat, abdominal distension/blockage, peri-umbilical pain, indigestion, mouth ulcers, asthma unable to stand long.
Dan Zhuye (Folium Bambusae), Huangqin (Radix Scutellariae), Zhiren (Semen Pruni Armeniacae), Baipi (Cortex Phellodendri Amurensis, roasted, each 0.5 liang), Fuling (Poria), Mangxiao (Natrii Sulfas) (each 1 liang), Sheng Dihuang (Radix Rehmanniae Recens, 3 liang), Ju Pi (Citri Reticulatae Pericarpium, 0.5 liang).
Cut together. Take 4 qian per dose with ginger and jujube. Decoct and take on an empty stomach.
Qianjin Zhuye Tang (Thousand Gold Bamboo Leaf Decoction) Treats Stomach Heat.
Zhuye (Folium Bambusae), Xiaomai (Fructus Tritici Vulgaris) (each 1 sheng), Zhimu (Rhizoma Anemarrhenae Asphodeloides), Shigao (Gypsum Fibrosum) (each 3 liang), Huangqin (Radix Scutellariae), Fuling (Poria), Maidong (Herba Ophiopogonis Japonici) (each 2 liang), Ren Shen (Radix Ginseng, 1 liang), Shengjiang (Rhizoma Zingiberis Recens, 5 liang), Gualougen (Radix Trichosanthis), Banxia (Rhizoma Pinelliae Ternatae), Gancao (Radix Glycyrrhizae Uralensis) (each 1 liang, raw).
Chop, use 1 dou of water. Boil Zhuye and Xiaomai to obtain 8 sheng. Strain, add other herbs, boil to obtain 3 sheng. Divide into three doses, adjusted for age.
Qianjin Dihuang Jian (Thousand Gold Rehmannia Decoction)
Sheng Dihuang Juice (Radix Rehmanniae Recens, 4 sheng 3 he), Fushen (Poria cum Radix Pinelli), Zhimu (Rhizoma Anemarrhenae Asphodeloides), Weirui (Rhizoma Polygonati Odorati) (each 4 liang), Gualougen (Radix Trichosanthis, 5 liang), Zhuli (Succus Bambusae, 3 he), Shengjiang Juice (Succus Zingiberis Recens), Baimi (Mel Album), Sheng Maidong Juice (Succus Ophiopogonis Japonici), Sheng Digupi Juice (Succus Cortex Lycii Radicis) (each 1 liang), Shigao (Gypsum Fibrosum, 8 liang).
Use 1.2 dou of water. First decoct all herbs to obtain 3 sheng. Strain, add Zhuli, Sheng Dihuang, Sheng Maidong Juice. Simmer on low heat for 4-5 boils. Add Mi and Shengjiang Juice. Simmer on low heat to obtain 6 sheng. Initial dose 4 he, three times daily and once at night, increase to 6 he. In summer, take as powder.
Li Dongyuan said: Fever with inability to eat, spontaneous sweating, and shortness of breath indicates Deficiency. Use sweet-cold agents to drain heat and tonify Qi. Ability to eat with fever, dry mouth/tongue, and difficult defecation indicates Excess. Use bitter-acrid great-cold agents to purge and drain heat/nourish water. These must be distinguished carefully; do not generalize.
Liangge San (Cooling Diaphragm Powder) Treats upper jiao accumulated heat with irritability, red face, dizziness, sore throat, laryngeal obstruction, mouth ulcers, cheek swelling, constipation/red urine, delirium.
Xin Bohe (Menthae Haplocalycis Herba), Lianqiao (Forsythiae Fructus), Huangqin (Radix Scutellariae), Zhizi (Fructus Gardeniae Jasminoidis), Gancao (Radix Glycyrrhizae Uralensis) (each 1.5 liang), Dahuang (Radix et Rhizoma Rhei), Mangxiao (Natrii Sulfas) (each 0.5 liang).
Grind into powder. Take 2-3 qian per dose with seven leaves of Zhuye and three spoons of honey. Decoct and take after meals. Taking half this dose with Siwu Tang (Four Substances Decoction) nourishes blood and drains heat, named Shuanghe San (Double Harmony Powder). *Ben Shi Fang* adds Chishao (Radix Paeoniae Rubra) and Ge Gen (Puerariae Lobatae Radix) to treat various febrile diseases with repeated success.
*Yu Ji* states: For mild cases, use Jiegeng Tang. Remove Mangxiao and Dahuang from this formula, add Jiegeng (Platycodonis Radix) which acts as a boat to float upwards, removing无形 (formless) heat from the diaphragm without affecting the lower two jiaos.
Bazheng San (Eight Righteousnesses Powder) Treats lower jiao accumulated heat, constipation/astringent urination, thirst, dry throat, tongue ulcers, bloody strangury.
Dahuang (Radix et Rhizoma Rhei), Qumai (Herba Descurainiae Sophiae), Mutong (Caulis Akebiae Trifoliata), Huashi (Talcum), Bianxu (Herba Polygoni Avicularis), Cheqianzi (Semen Plantaginis), Zhizi (Fructus Gardeniae Jasminoidis), Gancao (Radix Glycyrrhizae Uralensis) (equal parts).
Grind into powder. Take 2 qian per dose with Dengxin Cao (Medulla Junci), decoct in water and take.
Tongge Wan (Unblocking Diaphragm Pill) (*Ben Shi Fang*) Treats upper jiao deficiency heat, sensation of smoke-like qi rushing up from lung/stomach to throat/diaphragm.
Ren Shen (Radix Ginseng), Chuan Huanglian (Rhizoma Coptidis Chinensis), Fuling (Poria) (each 3 liang), Zhusha (Cinnabaris, 1 fen), Zhen Pian Nao (Borneolum Syntheticum) (a little).
Grind into fine powder, mix well, make pills with refined honey, size of wu zi. Take 3-5 pills with warm water, 2-3 times daily.
Sishun Liangqing Yinzi (Four Smooth Cooling Clearing Decoction) Treats blood-level heat.
Dahuang (Radix et Rhizoma Rhei, steamed), Gancao (Radix Glycyrrhizae Uralensis, roasted), Danggui (Radix Angelicae Sinensis), Shaoyao (Radix Paeoniae Alba) (equal parts).
Chop. Take 5 qian per dose with 1.5 cups of water and ten leaves of Bohe. Decoct to 70%, strain, take warm. Jiegu said: When cool wind arrives and grasses/trees bear fruit, Liangqing Yinzi is an agent to withdraw heat like autumn wind.
Haizang Jiegeng Tang (Haizang Platycodon Decoction) Treats qi-level heat.
Jiegeng (Platycodonis Radix), Lianqiao (Forsythiae Fructus), Zhizi (Fructus Gardeniae Jasminoidis), Bohe (Menthae Haplocalycis Herba), Huangqin (Radix Scutellariae, wine-fried), Gancao (Radix Glycyrrhizae Uralensis) (equal parts).
Make coarse powder. Decoct with Zhuye and plain water. Take warm. If inducing sweat, take hot.