（消肾 消中）
商丘、主烦中渴。（千）意舍、主消渴。身热面目黄。（明同。）承浆、（明下云饮水不
休。）
意舍、关冲、然谷、主消渴嗜饮。隐白、主饮渴。劳宫、主苦渴食不下。曲池、主寒热
渴。行间、太冲、主嗌干善渴。（并千。）意舍、（见腹胀。）中膂俞、治肾虚消渴。汗不
出。（明作汗出。）腰脊不得俯仰。腹胀胁痛。（铜）兑端、治小便黄。舌干消渴。然谷、
治舌纵烦满消渴。水沟、治消渴饮水无度。（明同。）阳纲、疗消渴。（明下见肠鸣。）
古方载渴病有三。曰消渴、曰消中、曰消肾。消肾。最忌房事。李祠部必云肾虚则
消渴
消中亦当忌也。张仲景云、宜服八味元。或服之不效者。不去附子也。有同舍患此。人教服
去附子加五味子八味元。即效。有同官患此。予教服千金枸杞汤效。坡文载眉山张医治杨颖
臣渴病。（见坡。）麝香当门子酒渍作十元。取枳枸（俗谓鸡距子。亦曰癞汉指头。）作汤饮之
愈。张云、消渴消中。皆脾衰而肾败。土不能胜水。肾液不上溯。乃成此疾。今诊杨脾极巨
。脉热而肾衰。当由果实过度。虚热在脾。故饮食兼人。而多饮水。水多故溺多。非消渴也
。麝香能败酒。瓜果近辄不植。屋外有枳枸木。屋中酿酒不熟。故以二物去酒果毒。其论渴
有理。故载于此。
凡消渴经百日以上。不得灸刺。灸刺则于疮上漏脓水不歇。遂致痈疽羸瘦而死。亦忌有
所误伤。初得患者、可如方刺灸。若灸诸阴而不愈。宜灸诸阳。（详见千金。有数十穴。）
【消肾、消中】
商丘穴，主治心中烦热且口渴。（出自《千金方》）意舍穴，主治消渴。伴有身体发热、面目发黄。（《明堂经》记载相同）承浆穴，（《明堂经》下篇云：主治饮水不止。）
意舍穴、关冲穴、然谷穴，主治消渴且嗜饮。隐白穴，主治因渴而多饮。劳宫穴，主治苦渴且食欲不振。曲池穴，主治寒热交替且口渴。行间穴、太冲穴，主治咽喉干燥且容易口渴。（均出自《千金方》）意舍穴，（参见腹胀证）中膂俞穴，治疗肾虚引起的消渴。症状为无汗。（《明堂经》作“有汗”）腰部和脊柱不能俯仰。腹部胀满且胁肋疼痛。（出自《铜人腧穴针灸图经》）兑端穴，治疗小便黄赤。舌干消渴。然谷穴，治疗舌体纵缓、心烦胀满及消渴。水沟穴，治疗消渴且饮水无度。（《明堂经》记载相同）阳纲穴，治疗消渴。（《明堂经》下篇可见肠鸣症状。）
古代医方记载的渴病有三种。分别是消渴、消中和消肾。消肾这一病症，最忌讳房事。李祠部必曾说，肾虚则导致消渴，消中也应当禁忌房事。张仲景说，适宜服用八味丸。如果服用后无效，是因为没有去掉附子。有一位同宿舍的人患此病，有人教他服用去掉附子并加入五味子的八味丸，立即见效。有一位同僚患此病，我教他服用《千金方》中的枸杞汤，也见效了。苏东坡的文章记载，眉山的张医生治疗杨颖臣的渴病。（见东坡文集）用麝香和当门子（即麝香）用酒浸泡制成十丸。取枳枸（俗称鸡距子，也称癞汉指头）煎汤饮用，病愈。张先生说，消渴和消中，都是脾衰而肾败，土不能克制水，肾液不能上溯，从而形成这种疾病。如今诊断杨颖臣，脾脉极大，脉象热而肾气衰败，这应该是由过度食用果实引起的。虚热在脾，所以饮食加倍且大量饮水。水多故小便也多，这并不是真正的消渴病。麝香能解酒毒，瓜果靠近麝香便不生长。屋外有枳枸树，屋内酿酒就不熟。所以用这两种药物来去除酒果之毒。他的论述很有道理，所以记载在这里。
凡是消渴病经过百日以上，不得进行灸刺治疗。如果灸刺，疮口会漏出脓水不停，最终导致痈疽、身体消瘦而死。也忌讳受到任何误伤。刚患病时，可以按照方剂进行针刺和艾灸。如果灸治诸阴经穴位而不好转，宜灸治诸阳经穴位。（详见《千金方》，有几十个穴位。）
[Xiao Shen (Kidney Wasting) and Xiao Zhong (Middle Jiao Wasting)]
Shangqiu (SP5), governs vexation in the chest with thirst. (From *Qianjin Fang*) Yishhe (BL28), governs Xiao Ke (Wasting-Thirst Syndrome). Accompanied by fever, yellow complexion of the face and eyes. (*Mingtang Jing* records the same.) Chengjiang (CV24), (According to the lower section of *Mingtang Jing*: governs incessant drinking.)
Yishhe (BL28), Guanchong (SJ1), RanGu (KI2), govern Xiao Ke (Wasting-Thirst Syndrome) with polydipsia. Yinbai (SP1), governs drinking due to thirst. Laogong (PC8), governs bitter thirst with inability to eat. Quchi (LI11), governs alternating chills and fever with thirst. Xingjian (LR2), Taichong (LR3), govern dry throat and propensity for thirst. (All from *Qianjin Fang*). Yishhe (BL28), (See Abdominal Distension). Zhonglüshu (BL27), treats Kidney Deficiency type Xiao Ke (Wasting-Thirst Syndrome). With anhidrosis. (*Mingtang Jing* reads "hyperhidrosis".) Inability to flex or extend the waist and spine. Abdominal distension and hypochondriac pain. (From *Tongren Shuxue Zhenjiu Tujing*) Duiduan (GV26), treats yellow urine. Dry tongue with Xiao Ke (Wasting-Thirst Syndrome). RanGu (KI2), treats prolapsed tongue, vexation and fullness, and Xiao Ke (Wasting-Thirst Syndrome). Shuigou (GV26), treats Xiao Ke (Wasting-Thirst Syndrome) with unmeasured drinking. (*Mingtang Jing* records the same.) Yanggang (BL18), cures Xiao Ke (Wasting-Thirst Syndrome). (Intestinal murmurs can be seen in the lower section of *Mingtang Jing*.)
Ancient formulas record three types of thirst diseases: Xiao Ke (Wasting-Thirst Syndrome), Xiao Zhong (Middle Jiao Wasting), and Xiao Shen (Kidney Wasting). Xiao Shen (Kidney Wasting) strictly forbids sexual intercourse. Li Sibuli stated that Kidney Deficiency leads to Xiao Ke (Wasting-Thirst Syndrome); Xiao Zhong (Middle Jiao Wasting) should also observe this prohibition. Zhang Zhongjing stated that it is suitable to take Ba Wei Wan (Eight-Ingredient Pill). If ineffective after taking it, it is because Aconiti Lateralis Radix Preparata (Fuzi, 附子) was not removed. A colleague living in the same dormitory suffered from this. Someone taught him to take Ba Wei Wan (Eight-Ingredient Pill) with Aconiti Lateralis Radix Preparata (Fuzi, 附子) removed and Schisandrae Fructus (Wuweizi, 五味子) added; he recovered immediately. Another official colleague suffered from this. I taught him to take Gouqi Tang (Goji Berry Decoction) from *Qianjin Fang*; he also recovered. Su Dongpo's writings record that Dr. Zhang from Meishan treated Yang Yingchen's thirst disease. (See Su Dongpo's collected works.) She-xiang (Moschus) and Dangmenzi (also Moschus) were soaked in wine to make ten pills. Zhi-gou (Physalis alkekengi var. franchetii, commonly known as Ji Ju Zi, 鸡距子, or Lai Han Zhi Tou, 癞汉指头) was decocted and drunk, resulting in recovery. Dr. Zhang said that Xiao Ke (Wasting-Thirst Syndrome) and Xiao Zhong (Middle Jiao Wasting) are both caused by Spleen Decline and Kidney Failure. Earth fails to overcome Water, and Kidney fluids fail to ascend, thus forming this disease. Currently diagnosing Yang, the Spleen pulse is extremely large, the pulse is hot, and the Kidney Qi is declining. This should be due to excessive consumption of fruits. Deficient heat in the Spleen causes double the food intake and excessive water drinking. Excessive water leads to excessive urination; this is not true Xiao Ke (Wasting-Thirst Syndrome). Moschus (She-xiang, 麝香) can neutralize alcohol toxicity; fruit trees do not grow near it. Outside the house there is a Zhi-gou tree; wine brewed inside does not ferment properly. Therefore, these two substances are used to remove the toxicity of alcohol and fruits. His discussion is reasonable, so it is recorded here.
For any Xiao Ke (Wasting-Thirst Syndrome) lasting more than one hundred days, moxibustion and acupuncture must not be performed. If moxibustion or acupuncture is applied, pus and fluid will leak from the wound continuously, eventually leading to carbuncles, emaciation, and death. One must also avoid any accidental injury. For patients who have just contracted the disease, needling and moxibustion can be performed according to the prescription. If treating the Yin meridians via moxibustion yields no improvement, it is advisable to treat the Yang meridians. (See *Qianjin Fang* in detail, which lists dozens of acupoints.)