治渴欲饮水。小便不利。脉浮发热者主之。
猪苓（一两） 茯苓（一两） 泽泻（一两） 滑石（一两） 阿胶（一两）
上五味。以水四升。先煮四味。取二升。去滓。内阿胶烊消。温服七合。日三服。
歌曰 泽胶猪茯滑相连。咳呕心烦渴不眠。煮好去渣胶后入。育阴利水法兼全。
述 此汤与五苓之用。有天渊之别。五苓散治太阳入本。太阳司寒水。故加桂以温之。
是暖
亡阳。而里热又患亡阴。亡阴者。亡肾中之阴与胃之津液也。若过于渗利。则津液反致耗竭。
方中阿胶。即从利水中育阴。是滋养无形以行有形也。故仲景云。汗多胃燥。虽渴而里无热
者。不可与也。
治阳明病自汗出。若发汗。小便自利者。此为津液内竭也。大便虽硬。不可攻之
自欲大便。宜蜜煎导而通之。若土瓜根及与大猪胆汁。皆可为导也。（内台方原文。）
合。）
上一味。于铜器内微火煎之。稍凝如饴状。搅之勿令焦着。欲可丸。并手捻作挺。令头
锐大
字正韵直略切。粘也。）
大猪胆一枚。泻汁。和醋少许。以灌谷道中。如一食顷。当大便。出宿食恶物。甚效。
（原
歌曰 蜜煎熟后样如饴。温纳肛门法本奇。更有醋调胆汁灌。外通二法审谁宜。
蔚按。津液内竭。便虽硬而不宜攻。取蜜之甘润。导大肠之气下行。若热结于下。取猪
为水
之物一下。而无形之热亦荡涤无余矣。
按内台方云。将蜜于铜器内微火煎之。稍凝似饴状。搅之勿令焦。滴水中坚凝。可用。
蘸皂
汁二枚。以小竹管插入胆口留一截。用油润。内入谷道中。以手将胆捻之。其汁自内出。一
食顷。当大便下。又用土瓜根削如指状。蘸猪胆汁内入谷道中。亦可用。
治疗口渴想喝水，小便不通畅，脉象浮、发热的症状，用本方主治。
猪苓（一两） 茯苓（一两） 泽泻（一两） 滑石（一两） 阿胶（一两）
以上五味药，用水四升，先煎煮前四味药，取药液二升，滤去药渣，加入阿胶使其烊化溶解。每次温服七合，每日服用三次。
歌诀说：泽泻、阿胶、猪苓、茯苓、滑石相连接。咳嗽呕吐、心烦、口渴、失眠皆能治。煮好后去渣，阿胶后放入。滋阴利水的方法兼而全备。
论述：此汤剂与五苓散的作用，有天壤之别。五苓散治疗太阳病传入太阴本经的情况。太阳主司寒水之气，所以加桂枝以温通阳气。这是为了温暖阳气，防止亡阳；而里热证又担心亡阴。所谓亡阴，是指肾中的阴气和胃中的津液亏损。如果过度使用渗湿利水之法，则津液反而会导致耗竭。方中的阿胶，正是从利水中达到滋阴的目的，这是通过滋养无形的阴液来推动有形的邪气排出。所以张仲景说：“汗出多导致胃中干燥，虽然口渴但体内没有实热的，不可给予本方。”
治疗阳明病自汗出，或者经过发汗治疗后，小便自然通畅的，这是因为体内津液枯竭所致。大便虽然干硬，不可使用攻下法。如果患者自己感觉想要排便，适宜用蜜煎导法来通便。土瓜根以及大猪胆汁，都可以作为导引药物使用。（出自《内台方》原文。）
上一味药（蜂蜜），在铜器内用微火煎煮，稍微凝固像饴糖状时停止，搅拌时不要让它焦糊粘底。等到可以做成丸状时，用手捻成条状，使头部尖锐（“直”字正韵读作“直略切”，意为粘附）。
取大猪胆一个，挤出胆汁，加入少许醋，灌入肛门中。大约一顿饭的时间，应当大便排出宿食和污物，效果很好。（原方记载。）
歌诀说：蜂蜜煎熟后样子如饴糖，温热纳入肛门的方法原本奇特。更有用醋调和胆汁灌入，这两种外治法应仔细斟酌谁更适宜。
蔚按语：津液内部枯竭，大便虽然干硬但不宜攻下。选取蜂蜜的甘润之性，引导大肠之气下行。如果热邪结聚于下部，取猪胆这一水性之物一泻而下，那么无形的热邪也会被荡涤干净。
按《内台方》记载：将蜂蜜在铜器内用微火煎煮，稍微凝固似饴糖状，搅拌时不要让它焦糊，滴入水中能坚凝即可使用。蘸取皂角汁两枚，用小竹管插入胆口留出一截，用油润滑，插入肛门中，用手捏压胆囊，其汁液自然流出。大约一顿饭的时间，应当大便下行。另外也可以用土瓜根削成手指状，蘸取猪胆汁插入肛门中，也可以使用。
Indicated for thirst with desire to drink, difficulty in urination, floating pulse, and fever.
Zhu Ling (Polyporus) [1 liang], Fu Ling (Poria) [1 liang], Ze Xie (Alisma Rhizome) [1 liang], Hua Shi (Talcum) [1 liang], E Jiao (Donkey-Hide Gelatin) [1 liang].
Take the above five herbs. Add four sheng of water. First decoct the first four herbs until two sheng remain. Remove the dregs. Add E Jiao and melt it. Take seven he of the warm decoction each time, three times a day.
Song says: Ze Xie, E Jiao, Zhu Ling, Fu Ling, and Hua Shi are linked together. Cough, vomiting, heart vexation, thirst, and insomnia are treated. After boiling and removing dregs, add E Jiao later. The method of nourishing yin and promoting diuresis is fully integrated.
Commentary: There is an abyssal difference between the use of this decoction and Wu Ling San (Five-Ingredient Powder with Poria). Wu Ling San treats Taiyang disease entering its root (Taiyang governing cold-water qi, hence Gui Zhi is added to warm it). This warms yang to prevent Yang collapse; whereas interior heat worries about Yin collapse. Yin collapse refers to the loss of Kidney yin and Stomach fluids. If one overuses damp-draining and diuretic methods, fluids will instead be exhausted. The E Jiao in the formula achieves yin-nourishment through fluid-draining; this is nourishing the formless (yin/fluids) to move the formed (pathogens). Thus, Zhong Jing said: "If sweating is profuse causing Stomach dryness, and although there is thirst, there is no interior heat, this formula should not be given."
Indicated for Yangming disease with spontaneous sweating, or after perspiration therapy where urination becomes free-flowing; this indicates internal exhaustion of body fluids. Although the stool is hard, purgatives should not be used. If the patient feels the urge to defecate, Mi Jian Dao (Honey Suppository) is suitable to guide passage. Tu Gua Gen (Trichosanthes Radix) and Da Zhu Dan Chi (Gallus Pig Bile) can also serve as guides. (From the original text of Nei Tai Fang.)
Take the single ingredient (Honey). In a copper vessel, simmer over low fire until slightly condensed like maltose syrup. Stir constantly to prevent burning or sticking. When moldable, roll by hand into suppositories, sharpening the head. ("Zhi" is pronounced 'zhi lüqie' in Zheng Yun, meaning sticky/adhesive.)
Take one large pig gallbladder. Extract the bile. Mix with a small amount of vinegar. Instill into the anus. After approximately one meal's time, defecation should occur, expelling retained food and foul matter. Very effective. (Original record.)
Song says: Honey cooked until resembling maltose syrup; warming and inserting into the anus is a unique method. Furthermore, bile mixed with vinegar instilled; examine carefully which of these two external methods is appropriate.
Wei's Note: Internal exhaustion of fluids means that although stool is hard, purgation is inappropriate. Select the sweet and moistening nature of honey to guide the Qi of the Large Intestine downward. If heat accumulation occurs in the lower jiao, using the water-nature substance of pig bile to purge downwards will thoroughly cleanse even the formless heat.
According to Nei Tai Fang: Simmer honey in a copper vessel over low fire until slightly condensed like syrup. Stir to prevent burning. It is usable if it solidifies when dropped into water. Dip Suo Jiao Zhi (Gleditsia Sinensis Juice) from two pods into a small bamboo tube inserted into the gallbladder opening (leaving a section exposed), lubricate with oil, insert into the anus, and squeeze the gallbladder with hands so the juice flows out naturally. After one meal's time, stool should pass. Alternatively, cut Tu Gua Gen (Trichosanthes Radix) into finger-like shapes, dip in pig bile, and insert into the anus. This is also usable.