治荣卫不调，夜多盗汗，四肢烦疼，饮食进退，肌瘦面黄。
秦艽（二两） 柴胡(去苗，二两） 大鳖甲（二两，醋煮三五十沸，净去裙 ，别用醋涂炙黄) 干
漆(炒青烟尽) 人参 茯苓 干葛 川乌(炮去皮尖，各一两） 玄参（三两）
上为末。每服二钱，先用小麦三七粒，煎汤一盏，去麦入药，煎七分，食后温服，或临
卧服，如久患后，亦宜服此，以退其劳倦，调理经络。
桂枝汤 治伤风自汗。(方见伤风门)
却暑散 治伤暑自汗。(方见伤暑门)
防己黄 汤 治伤湿自汗。(方见风湿寒门)
夫消渴，皆由精血走耗，津液枯乏，引饮既多，小便必利，寝衰微，肌肉脱剥，指脉
不荣，精髓内竭，推其所因，涉内外与不内外。古方不原病本，但出禁忌，似属不内外因；
药中乃用麻黄、远志，得非内外兼并?况心虚烦闷，最能发渴，风寒暑湿，病冷作热，入于
肾经，引水自救，皆明文也。不知其因，施治错谬，医之大患，不可不知。
渴病有三，曰消渴、消中、消肾。消渴属心，故烦心，致心火散蔓，渴而引饮。《经》
云∶脉软散者，当病消渴。诸脉软散，皆气实血虚也。消中属脾，瘅热成，则为消中。消中
复有三，有寒中、热中、强中。寒中，阴胜阳郁，久必为热中。《经》云∶脉洪大，阴不足
，阳有余，则为热中；多食数溲，为消中；阴狂兴盛，不交精泄，则为强中。三消病至强中
，不亦危矣。消肾属肾，盛壮之时，不自谨惜，快情纵欲，极意房中，年长肾衰，多服丹石
，真气既丧，石气孤立，唇口干焦，精溢自泄，不饮而利。《经》云∶肾实则消。不渴而小
便自利，名曰消肾，亦曰内消。
Treats disharmony of Ying and Wei (Defensive and Nutritive Qi), night sweats, irritability and pain in the four limbs, irregular appetite, emaciation, and sallow complexion.
Qin Jiao (Gentianae Radix, 2 liang) Chai Hu (Bupleuri Radix, de-radiated, 2 liang) Da Bie Jia (Testudinis Carapax et Plastrum, 2 liang, boiled in vinegar for 30-50 times until clean, removing the skirt-like edges, then brushed with vinegar and roasted until yellow) Gan Qi (Dried Lacca, stir-fried until blue smoke ceases) Ren Shen (Ginseng Radix) Fu Ling (Poria) Gan Ge (Puerariae Lobatae Radix) Chuan Wu (Aconiti Radix, processed, skin and tip removed, each 1 liang) Xuan Shen (Scrophulariae Radix, 3 liang)
Grind the above into powder. Take 2 qian per dose. First, decoct 7-37 grains of Xiao Mai (Triticum aestivum L.) in one zhan of water, remove the wheat, add the medicine, decoct to 0.7 zhan, take warm after meals, or before bed. For chronic illness, this is also suitable to relieve fatigue and regulate the meridians.
Guizhi Tang (Cinnamon Twig Decoction) Treats spontaneous sweating due to wind-strike. (Formula see Wind-Strike Section)
Queshu San (Heat-Dispelling Powder) Treats spontaneous sweating due to summerheat-strike. (Formula see Summerheat-Strike Section)
Fangji Huangqi Tang (Stephania and Astragalus Decoction) Treats spontaneous sweating due to dampness-strike. (Formula see Wind-Damp-Cold Section)
Use Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), and Ben Cao (Ligustici Rhizoma) ground into powder, each 1 fen, mixed with 3 fen of rice flour, wrapped in silk cloth, and applied to the body by dusting.
Xiao Ke (Wasting-Thirst) is caused by depletion of essence and blood, dryness and scarcity of Jin Ye (Body Fluids). After drinking much, urination must be frequent, sleep decreases, muscles waste away, finger pulses are not nourished, and marrow and essence are exhausted internally. Investigating the causes, it involves internal, external, and non-internal/external factors. Ancient formulas did not trace the root of the disease but only listed contraindications, seemingly belonging to non-internal/external causes; yet the medicines used include Ma Huang (Ephedrae Herba) and Yuan Zhi (Polygalae Radix), which implies treating both internal and external factors? Moreover, heart deficiency causing irritability can most easily induce thirst; wind-cold, summerheat-dampness, cold diseases turning into heat, entering the Kidney meridian, drawing water to save oneself—all these are explicit texts. Not knowing the cause leads to erroneous treatment, a major hazard for physicians, which cannot be ignored.
There are three types of thirst diseases: Xiao Ke (Wasting-Thirst), Xiao Zhong (Middle Wasting), and Xiao Shen (Kidney Wasting). Xiao Ke belongs to the Heart, hence irritability, causing Heart Fire to scatter and spread, leading to thirst and desire to drink. The *Classic* says: "When the pulse is soft and scattered, one suffers from Xiao Ke." All soft and scattered pulses indicate excess Qi and deficient Blood. Xiao Zhong belongs to the Spleen, formed by damp-heat accumulation, thus called Xiao Zhong. Xiao Zhong has three subtypes: Han Zhong (Cold Middle), Re Zhong (Hot Middle), and Qiang Zhong (Strong Middle). Han Zhong, where Yin prevails and Yang is depressed, eventually becomes Re Zhong over time. The *Classic* says: "When the pulse is surging and large, with insufficient Yin and excess Yang, it is Re Zhong; eating much and urinating frequently is Xiao Zhong; excessive Yin excitement without ejaculation is Qiang Zhong." If the Three Xiao diseases progress to Qiang Zhong, is it not critical? Xiao Shen belongs to the Kidney. In prime youth, if one does not exercise caution, indulges in desires, and exhausts oneself in sexual activity, followed by aging and kidney decline, and frequent use of Dan Shi (Alchemical Minerals), the True Qi is lost, leaving Mineral Qi isolated. Lips and mouth become dry and cracked, essence leaks spontaneously, and urination occurs freely without thirst. The *Classic* says: "When the Kidney is full/excess, wasting occurs." Thirstless but with spontaneous urination is named Xiao Shen, also called Nei Xiao (Internal Wasting).