上为末，每服五钱，水一碗，入连须葱根七个，灯心五十茎，生姜七片，同煎至七分温服。
石苇散 治膀胱有热，水道淋涩，或尿如豆汁，及出砂石。
石苇 木通 滑石 王不留行（各二两） 甘草梢（一两） 当归 白术 瞿麦 芍药 葵子（各三两）
黄（二两）
上为细末，每服煎汤调下，空心服。
经云∶胃足阳明之脉，气盛则身以前皆热。（当取足三里等穴。全文见刺灸。）
〔《素》〕帝曰∶人有四肢热，逢风寒如炙如火者，何也？岐伯曰∶是人者阴气虚，阳气盛。四肢者阳也。
两阳相得，而阴气虚少，少水不能灭盛火，而阳独治。独治者，不能生长也，独胜而止耳。逢风如炙如火
者，是人当肉烁也。（见逆调论烁，消削也。）
〔仲〕三物黄芩汤治妇人四肢烦热。（方见产烦。）
〔丹〕治手足心热。用东垣火郁汤（方见后火郁热条。）
治手足心热，此方神妙。
栀子 香附 苍术 白芷 半夏 川芎
上用神曲糊丸。
〔垣〕身热有五不同论五脏有邪，各有身热，其状各异。以手扪摸有三法∶以轻手扪之则热，重按之则
不热，是热在皮毛血脉也。重按至筋骨之分，则热蒸手极甚，轻摸之则不热，是热在筋骨间也。轻手扪之则不
热，重手加力按之亦不热，不轻不重按之而热，是热在筋骨之上，皮毛血脉之下，乃热在肌肉也。此谓三法，
以三黄丸通治之。细分之，则五脏各异矣。
肺热者，轻手乃得，微按全无，瞥瞥然见于皮毛上，为肺主皮毛故也。日西尤甚，乃皮毛之热也。其症必
见喘咳，洒淅寒热。轻者泻白散，重者凉膈散、白虎汤之类治之，及地黄地骨皮散。
心热者，心主血脉，微按至皮肤之下，肌肉之上，轻手乃得，微按至皮毛之下则热，少加力按之则全不热，
是热在血脉也。日中太甚，乃心之热也。其症烦心、心痛，掌中热而哕。以黄连泻心汤、导赤散、朱砂丸、安
神丸、清凉散之类治之。
脾热者，轻手扪之不热，重按至筋骨又不热，不轻不重在轻手重手之间，此热在肌肉，遇夜尤甚。其症必
怠惰嗜卧，四肢不收，无气以动。以泻黄散、调胃承气汤治实热用之。人参黄 散、补中益胃汤治中虚有热者用之。
肝热者，按之肌肉之下，至骨之上，乃肝之热。寅卯间尤甚者，其脉弦，其病四肢满闷，便难转筋，多怒
多惊，四肢困热，筋痿不能起于床，泻青丸、柴胡饮之类治之。两手脉弦者，或寅申发者，皆肝热也，俱宜用之。
肾热者，轻按之不热，重按之至骨，其热蒸手，如火如炙。其人骨苏苏然如虫蚀其骨，困热不任，亦不能
起于床，滋肾丸、六味地黄丸主之。（以脉言之则轻按之如三菽之重，与皮毛相得而数者，肺热也。如六
菽之重，与血脉相得而数者，心热也。如九菽之重，与肌相得而数者，脾热也。如十二菽之重，与筋相得而
数者，肝热也。按之至骨举指来疾而数者，肾热也。）
黄连泻心火，木通泻小肠火，黄芩泻肺火，黄芩泻大肠火，柴胡泻肝火，（黄连佐之。）柴胡泻胆火，
（亦佐以黄连。）白芍药泻脾火，石膏泻胃火，知母泻肾火，黄柏泻膀胱火。（一曰泻龙火。）
〔海〕皮肤如火燎，而以手重取之不甚热，肺热也。目白睛赤，烦躁引饮，单与黄芩一物汤。
〔丹〕清金丸伐脾肺火。
黄芩为末，粥丸。又名与点丸。
上二方泻肺中血分之火，泻白散泻肺中气分之火。
〔钱〕泻白散（方见治虚实法五脏条。） 凉膈散 白虎汤（方俱见前。）
泻心汤泻丁。（方见治虚实法五脏条。）
〔丹〕抑青丸 伐心经之火，须审虚实用之。
黄连为末，粥丸。
〔《本事方》〕治心热，千金地黄丸。
黄连（四两，为粗末） 生地（半斤，研取汁，连渣并二味拌匀，晒干）
上为细末，炼蜜丸，如桐子大。每服三十丸，食后门冬汤下。
门冬丸 治心经有热。
麦冬（一两） 黄连（半两）
上为细末，蜜丸，如桐子大。食后熟水下三十丸。
〔海〕清心丸 治热。
黄柏（二两，生） 麦冬（一两） 黄连（一两） 龙脑（一钱）
炼蜜丸，如桐子大。每服十丸，临卧门冬酒下，或薄荷汤亦得。
〔钱〕导赤散泻丙。（方见治虚实法五脏条。）
〔海〕火府丹 丙丁俱泻。
黄芩（一两） 黄连（一两） 生地（二两） 木通（三两）
为细末，炼蜜如梧子大。每服二三十丸，临卧温水下。
〔钱〕泻黄散（方见治虚实法五脏条。） 调胃承气汤（方见伤寒。） 泻青丸（方见治虚实五脏条。）
当阳龙荟丸
当归（焙） 草龙胆 山栀 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（半钱，另研）
上为末，炼蜜丸，如小豆大，小儿如麻子大。生姜汤下二三十丸。忌发热诸物。兼服防风通圣散。
〔丹〕回金丸 伐肝经火，亦审虚实用之。
黄连（六两） 吴茱萸（一两）
上为末，粥丸。
佐金丸 佐肺金以伐肝木之邪。
片芩（六两） 吴茱萸（一两）
上为末，蒸饼丸。
〔垣〕滋肾丸
黄柏（二两，酒洗，焙） 知母（二两，酒洗，焙） 肉桂（二钱）
上为末，熟水丸，如鸡头大。每服百丸，加至二百丸，白沸汤下，空心服。
治肾热诸方（并见劳瘵。）
〔《灵》〕胃中热，则消谷，令人悬心，善饥，脐以上皮热，肠中热，则出黄如糜，脐以下皮热。（师传篇 胃居脐上，
故胃热则脐以上热。肠居脐下，故肠热则脐以下热。如肝胆居胁，肝胆热则当胁亦热。肺居胸背，肺热则当胸
背亦热。肾居腰，肾热则当腰亦热。可类推也。）
〔洁〕暴热者，病在心肺。积热者，病在肾肝。暴热者，宜《局方》雄黄解毒丸。积热者，宜《局方》妙香
丸。暴者，上喘也，病在心肺，谓之高喘，宜木香金铃子散。上焦热而烦者，宜牛黄散。有病久憔悴，发热盗
汗，谓之五脏齐损，此热劳骨蒸之病也。瘦弱虚损，烦喘肠 下血，皆蒸劳也，治法宜养血益阴，热能自退。
此谓不治而治也，钱氏地黄丸主之。
雄黄解毒丸 治上膈壅热，痰涎不利，咽喉肿痛，赤眼痈肿。（方见喉痹。）
〔《保》〕木香金铃散 治暴热心肺，上喘不已。
大黄（五钱） 金铃子（去核） 木香（各三钱） 轻粉（少许） 朴硝（二钱）
上为末，柳白皮煎汤调下，食后三四钱，以利为度。
牛黄散 治上焦热而烦，不能卧睡。
山栀 大黄 郁金（各半两） 甘草
上为末，每五钱，水煎温服，微利则已。
〔《局》〕妙香丸（丹溪云∶疏决肠胃，制伏木火之剂。）
辰砂（水飞，八两） 龙脑 腻粉（研） 麝香（研。各八两） 牛黄（半两） 金箔（九十片，研）
巴豆（三百十五粒，去皮心膜，炒熟，研如泥，去油）
上合研匀，用净黄蜡六两，入白矾七钱半，同炼蜜匀为丸，每两作三十丸，米饮吞下。如要药速行，即用
针刺一眼，入冷水浸少时服之。
久热属劳瘵，治法见瘵门。
诸热分而言之，则有气血表里上下五脏之异。合而言之，则气热、表热、上焦热、心肺热，皆属阳而治
相类；血热、里热、下焦热、肾肝热，皆属阴而治亦相类。中焦与脾热亦然。
〔罗〕通治热气，用黄连解毒汤治大热甚，烦躁错语不得眠。
黄连（七钱半） 黄柏 山栀（各半两） 黄芩（一两）
上 咀，每服五钱，水煎去渣热服，如未效再服。
〔海〕前方中加防风、连翘，为金花丸，治风热。加柴胡，治小儿潮热。与四物相合各半为汤，治妇人潮热。
〔垣〕三黄丸 治丈夫妇人三焦积热。上焦有热攻冲，眼目赤肿，头项肿痛，口舌生疮。中焦有热，心膈
烦躁，饮食不美。下焦有热，小便赤涩，大便秘结。五脏俱热，即生痈疖疮痍。及治五般痔疾，粪门肿痛，或下鲜
血。（丹溪云∶此三焦药也。）
黄连（净） 黄芩（去芦） 大黄（各十两）
上为细末，炼蜜丸，如桐子大，每服三十丸，熟水吞下。视脏腑虚实加减服之，小儿积热亦宜服。
〔《本事》〕紫雪 治香港脚毒遍内外，烦热不解，口中生疮，狂易叫走，瘴毒。及解诸热药毒卒黄等毒，并蛊魅
野道热毒。又治小儿惊疳热病。（丹溪云∶此心脾肝肾胃经之药。）
寒水石 石膏 磁石 滑石（以上四味，各三斤，捣为细末，用水一石，煎至五斗，去渣，入后药） 玄参（一斤，
洗，焙切） 沉香 羚羊角 犀角 青木香 升麻（各五两） 丁香（一两） 甘草（八两。以上八味，捣为末，入
前药汁中，再煮取一斗五升，去渣，入下项二味药） 朴硝 硝石（好者二斤。以上二味，入前药汁中，微火煎，
不住手
将柳木棍搅，候七八升许，投在盏中半日后欲凝，方入下项二味药） 辰砂（三两，细研） 麝香（真者
一两二钱，乳研，以上二味入前药汁中，拌调令匀。）
合成后，窨二日，每服一钱或二钱，冷水食后调服。大人小儿子细加减。（《局方》又用黄金一百两。）
〔垣〕阴覆乎阳，火不得伸，宜汗之。经曰∶体若燔炭，汗出而散者是也。脉弦而数者，此阴气也，宜风
药升阳以发火郁，则脉数峻退矣。凡治此病，脉数者当用黄柏，少加黄连、柴胡、苍术、黄 、甘草，更加升
麻，得汗则脉必下，乃火郁则发之意也。
柴胡升阳汤 治男妇四肢发热，肌肉热，筋痹热，骨髓中热，发如火燎火烧，扪之令人亦热。四肢主属脾，脾
者土也。热伏地中，此病多因血虚而得。又因胃虚过食冷物冰水无度，郁遏阳气于脾土之中。经曰∶火郁则发之。
升麻 葛根 独活 羌活（各半两） 防风（二钱半） 甘草（生，二钱） 柴胡（五钱） 炙甘草
（二钱） 人参（半两） 白芍药（半两）
上 咀，每服半两，水三大盏，煎至一盏，去渣，稍热服。忌冷物冰水月余。
〔《〔垣〕》〕火郁汤 治五心烦热，是火郁于地中。四肢土也，心火下陷，在脾土之中，故宜升发火郁。（丹溪云∶治
手足心热，用东垣火郁汤。又手足心热，方见前手足心热条。）
升麻 葛根 防风 柴胡根 炙甘草 白芍药（各五钱）
上 咀，每服三四钱，水二大盏，入连须葱白三寸，煎去渣，稍热服。
运气 发热有三∶
一曰火热助心实而热。经曰∶岁火太过，炎暑流行，病甚则身热骨痛而为浸淫。又曰∶少阳所至为疡疹身
热。又曰∶少阴司天，客胜则头痛，是少阳之发热，治以诸寒是也。
二曰寒邪攻心虚而热。经曰∶岁水太过，寒气流行，民病身热，烦心躁悸，阴厥。又曰∶岁金不及，炎火
乃行，寒复则阴厥，且格阳反上行发热。又曰∶少阳在泉，主胜则热反上行，热发格中而呕。盖主胜者谓冬寒
胜少阳之客热，治以诸热是也。
三曰风扇火及寒湿郁火而热。经曰∶太阳司天之政，初之气，气乃大温，民病身热头痛，是风扇阳而热也，
治宜清之。又云∶四之气，风湿交争，民病大热少气。又云∶少阳司天之政，二之气，火反郁，白埃四起，民病
头痛身热。是寒湿郁火而热，治视寒热少多其制是也。
〔《灵》〕黄帝曰∶刺节言彻衣，夫子乃言尽刺诸阳之奇输，未有常处也，愿卒闻之？歧伯曰∶是阳气有
余，而阴气不足。阴气不足则内热，阳气有余则外热，内热相搏，热于怀炭，外畏绵帛近，不可近身，又不可
近席。腠理闭塞，则汗不出，舌焦唇槁，腊干嗌燥，饮食不让美恶。帝曰∶善。取之奈何？岐伯曰∶取之于其
天府大杼三 ，又刺中膂以去其热，补手足太阴以去其汗，热去汗稀，疾于彻衣。（刺节真邪篇 腊，思亦切。）火
热在上，推而下之，从下上者，引而去之。
〔《甲》〕身热，胸胁痛，不可反侧，颅息主之。嗜卧，身体热，不能动摇，大湿，三阳络主之。
〔海〕两手太热为骨厥，如在火中，可灸涌泉穴三壮立安。
〔《撮要》〕手心发热∶鱼际（卧针向后三分）、少府（三分）。脚心发热，湿痒∶束骨（先泻后补
灸。）足底发热，脚核疼∶公孙（半寸泻。）
〔《素》〕脉浮而涩，涩而身有热者死。（通评虚实论）热而脉静者难治。（玉机真藏论）脉盛，汗出
不解者死。脉虚，热不止者死。（详见伤寒发热。）
Powder the herbs. Take 5 qian per dose, with one bowl of water, add seven green onion roots with bulbs, fifty stems of Juncus effusus (Dengxincao), and seven slices of Zingiberis Rhizoma Freshum (Shengjiang). Decoct together until three-tenths remain, and take warm.
Shiwei San (Stone Fern Powder): Treats heat in the Bladder causing strangury with dysuria, urine turbid like bean dregs, or passage of calculi.
Ingredients: Shiwei (Folium Pyrosae), Mutong (Caulis Akebiae), Huashi (Talcum), Wangbuliuxing (Semen Vignae) (each 2 liang), Gancaoshao (Radix Glycyrrhzae et Radix et Rhizoma Glycyrrhizae), Danggui (Radix Angelicae Sinensis), Baizhu (Rhizoma Atractylodis Macrocephalae), Qumai (Herba Dianthi), Shaoyao (Radix Paeoniae Alba/Rubra), Kuishzi (Semen Malvae) (each 3 liang), Huangqi (Radix Astragali) (2 liang).
Preparation and Administration: Powder finely. Mix each dose with decocted soup and take on an empty stomach.
The Classics state: The Foot-Yangming Stomach Meridian, if Qi is excessive, causes heat throughout the anterior aspect of the body. (Acupoints such as Zusanli should be selected. See full text in Needling and Moxibustion section.)
[Suwen] The Yellow Emperor asked: Some people have hot limbs, and upon encountering wind and cold, it feels as if being roasted by fire. Why? Qibo answered: Such individuals have deficient Yin Qi and abundant Yang Qi. The limbs belong to Yang.
When two Yangs combine while Yin Qi is deficient and scanty, it is like a small amount of water failing to extinguish a roaring fire, leading to uncontrolled Yang. Uncontrolled Yang cannot foster growth; it merely prevails alone. Encountering wind feels like roasting because the person's flesh will waste away. (See "Ni Tiao Lun", where 'shuo' means wasting/emaciation.)
[Zhang Zhongjing] Sanwu Huangqin Tang (Three-Ingredient Scutellaria Decoction): Treats vexatious heat in the limbs of women. (Formula see Postpartum Vexatious Heat section.)
[Zhu Danxi] To treat heat in the palms and soles, use Dongyuan's Huoyu Tang (Fire-Stagnation Decoction). (Formula see Fire-Stagnant Heat section below.)
This formula for treating heat in the palms and soles is miraculous.
Ingredients: Zhizi (Fructus Gardeniae), Xiangfu (Rhizoma Cyperi), Cangzhu (Rhizoma Atractylodis Lanceae), Baizhi (Radix Angelicae Dahuricae), Banxia (Rhizoma Pinelliae), Chuanxiong (Rhizoma Chuanxiong).
Preparation: Make pills using dough made from Shenqu (Massa Medicata Fermentata).
[Li Dongyuan] Discussion on Five Differences of Body Heat: When pathogens affect the five Zang organs, they all cause body heat, but the manifestations differ. There are three methods of palpation:
1. If heat is felt with light touch but disappears with heavy pressure, the heat is in the skin, hair, and blood vessels.
2. If heat is intensely steaming when pressing deeply to the sinews and bones, but not felt with light touch, the heat is between the sinews and bones.
3. If heat is not felt with light touch nor heavy pressure, but is felt with moderate pressure, the heat is above the sinews/bones and below the skin/hair vessels, i.e., in the muscles.
These are the three methods; Sanhuan Wan (Three-Yellow Pill) can be used to treat them generally. Subdivided, the five Zang organs have distinct patterns.
Lung Heat: Felt with light touch, absent with slight pressure, faintly visible on the skin surface because the Lung governs the skin and hair. Worse in the evening; this is heat in the skin/hair. Symptoms must include panting/coughing and aversion to cold/fever. Mild cases use Xiebai San (Drain White Powder); severe cases use Liangge San (Cool the Diaphragm Powder), Baihu Tang (White Tiger Decoction), etc., or Dihuang Digupi San (Rehmannia and Bark of Dogwood Root Powder).
Heart Heat: The Heart governs blood vessels. Slight pressure to below the skin and above the muscles reveals heat with light touch; heat is felt slightly below the skin but disappears with more force, indicating heat in the blood vessels. Worst at noon; this is Heart heat. Symptoms include vexation, heart pain, heat in the palms, and hiccups. Treat with Huanglian Xiexin Tang (Coptis Decoction to Drain the Heart), Daochi San (Direct Red Powder), Zhusha Wan (Cinnabar Pill), Anshen Wan (Calming Spirit Pill), Qingliang San (Clearing Cooling Powder), etc.
Spleen Heat: Not felt with light touch, not felt with heavy pressure to bones; felt moderately between light and heavy pressure. This heat is in the muscles, worse at night. Symptoms include lethargy, desire to lie down, inability to hold the limbs, and lack of energy to move. For excess heat, use Xiehuang San (Drain Yellow Powder) or Tiaoweichengqi Tang (Regulate the Stomach and Order the Qi Decoction). For deficiency heat in the middle, use Renshen Huangqi San (Ginseng and Astragalus Powder) or Buzhong Yiwang Tang (Tonify the Middle and Benefit the Stomach Decoction).
Liver Heat: Pressing below the muscle to above the bone reveals Liver heat. Worst during Yin-Mao hours (3-7 AM); pulse is wiry. Symptoms include fullness/stuffiness in limbs, difficult defecation with tendon spasms, irritability,惊惧 (fright), heat in limbs, tendon flaccidity unable to rise from bed. Treat with Xieqing Wan (Drain Green Pill) or Chaihu Yin (Bupleurum Drink). Wiry pulses in both hands or onset during Yin-Shen hours indicate Liver heat; these formulas apply.
Kidney Heat: Light pressure yields no heat; deep pressure to the bone reveals steaming heat like fire. The person feels bone soreness as if insects are eating the bones, overwhelmed by heat, unable to rise from bed. Treat primarily with Zishen Wan (Nourish Kidney Pill) or Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). (Regarding pulse: Light pressure like weight of three beans, corresponding to skin and rapid, indicates Lung heat. Six beans, corresponding to vessels and rapid, indicates Heart heat. Nine beans, corresponding to flesh and rapid, indicates Spleen heat. Twelve beans, corresponding to sinews and rapid, indicates Liver heat. Pressure to bone, rapid return and rapid pulse, indicates Kidney heat.)
Huanglian (Coptidis Rhizoma) drains Heart Fire; Mutong drains Small Intestine Fire; Huangqin (Scutellariae Radix) drains Lung Fire and Large Intestine Fire; Chaihu (Bupleuri Radix) drains Liver Fire (assisted by Huanglian) and Gallbladder Fire (also assisted by Huanglian); Baishaoyao (Paeoniae Radix Alba) drains Spleen Fire; Shigao (Gypsum Fibrosum) drains Stomach Fire; Zhimu (Anemarrhenae Rhizoma) drains Kidney Fire; Huangbai (Phellodendri Cortex) drains Bladder Fire (also said to drain Dragon Fire).
[Wang Haizheng] Skin feels like burning, but heavy pressure does not feel very hot; this is Lung heat. White of eyes red, vexation, thirst, drink only Huangqin single herb decoction.
[Zhu Danxi] Qingjin Wan (Clear Metal Pill) attacks Spleen and Lung Fire.
Huangqin powder, pill with congee. Also called Yudian Wan.
The above two formulas drain Blood-level Fire in the Lungs; Xiebai San drains Qi-level Fire in the Lungs.
[Qian Yi] Xiebai San (Formula see Treating Deficiency/Excess Five Zang section). Liangge San, Baihu Tang (Formulas see above).
Xiexin Tang drains Ding (Heart Fire). (Formula see Treating Deficiency/Excess Five Zang section.)
[Zhu Danxi] Yiqing Wan (Suppress Blue Pill) attacks Heart Meridian Fire; must assess deficiency/excess before use.
Huanglian powder, pill with congee.
[Jisheng Fang] Treat Heart Heat, Qianjin Dihuang Wan (Thousand Gold Rehmannia Pill).
Huanglian (4 liang, coarse powder), Shengdi (Half jin, pressed for juice, mixed with residue and Huanglian, dried).
Powder finely, honey pills, size of paulownia seeds. Take 30 pills after meals with Asparagus decoction.
Mendong Wan: Treats Heart Meridian Heat.
Maidong (Ophiopogonis Radix, 1 liang), Huanglian (0.5 liang).
Powder finely, honey pills, size of paulownia seeds. Take 30 pills after meals with cooked water.
[Wang Haizheng] Qingxin Wan (Clear Heart Pill): Treats Heat.
Huangbai (2 liang, raw), Maidong (1 liang), Huanglian (1 liang), Longnao (Borneolum Syntheticum, 1 qian).
Honey pills, size of paulownia seeds. Take 10 pills before sleep with Ophiopogon wine, or Mint decoction is also acceptable.
[Qian Yi] Daochi San drains Bing (Small Intestine Fire). (Formula see Treating Deficiency/Excess Five Zang section.)
[Wang Haizheng] Huofu Dan (Fire Palace Pill): Drains both Bing (Small Intestine) and Ding (Heart).
Huangqin (1 liang), Huanglian (1 liang), Shengdi (2 liang), Mutong (3 liang).
Powder finely, honey pills, size of paulownia seeds. Take 20-30 pills before sleep with warm water.
[Qian Yi] Xiehuang San (Formula see Treating Deficiency/Excess Five Zang section). Tiaoweichengqi Tang (Formula see Shanghan). Xieqing Wan (Formula see Treating Deficiency/Excess Five Zang section). Dangyang Longhui Wan.
Danggui (Roasted), Caolongdan (Gentianae Radix), Shanzhi (Gardeniae Fructus), Huanglian, Huangbai, Huangqin (each 1 liang), Dahuang (Rhei Radix et Rhizoma), Lvhui (Aloe), Qingdai (Indigo Naturalis) (each 0.5 liang), Muxiang (Aucklandiae Radix, 2.5 qian), Shexiang (Moschus, 0.5 qian, separately ground).
Powder finely, honey pills, size of mung beans (children: size of hemp seeds). Take 20-30 pills with Ginger decoction. Avoid heating foods. Concurrently use Fangfeng Tongsheng San.
[Zhu Danxi] Huijin Wan (Return Metal Pill) attacks Liver Meridian Fire; assess deficiency/excess before use.
Huanglian (6 liang), Wuzhuyu (Evodiae Fructus, 1 liang).
Powder finely, pill with congee.
Zuojin Wan (Assist Metal Pill): Assists Lung Metal to attack Liver Wood pathogen.
Pianqin (Scutellariae Radix, 6 liang), Wuzhuyu (1 liang).
Powder finely, steam-biscuit pills.
[Li Dongyuan] Zishen Wan
Huangbai (2 liang, wine-washed, dried), Zhimu (2 liang, wine-washed, dried), Rougui (Cinnamomi Cortex, 2 qian).
Powder finely, hot-water pills, size of corn kernel. Take 100 pills, increase to 200, with boiling water, on empty stomach.
Formulas for treating Kidney Heat (see Lao Zhai/Labor Disease section).
[Lingshu] Heat in the Stomach digests food quickly, causing a hanging feeling in the heart and hunger; skin above the umbilicus is hot. Heat in the Intestines causes yellow, porridge-like stool; skin below the umbilicus is hot. (Shichuan Chapter: Stomach is above umbilicus, so Stomach heat makes upper abdomen hot. Intestines are below, so Intestine heat makes lower abdomen hot. Liver/Gallbladder are in hypochondrium, so their heat makes hypochondrium hot. Lungs are in chest/back, so their heat makes chest/back hot. Kidneys are in waist, so their heat makes waist hot. Infer by analogy.)
[Luo Tianyi] Sudden heat indicates disease in Heart and Lungs. Accumulated heat indicates disease in Kidneys and Liver. Sudden heat: use Ju Fang Xionghuang Jiedu Wan (Realgar Detoxification Pill). Accumulated heat: use Ju Fang Miaoxiang Wan (Wonderful Incense Pill). Sudden type involves upper panting, disease in Heart/Lungs, called High Panting; use Muxiang Jinlingzi San. Upper Jiao heat with vexation: use Niuhuang San (Calculus Bovis Powder). Chronic emaciation with fever and night sweats is called "Five Zangs All Damaged," a condition of Heat Labor and Bone Steaming. Emaciation, deficiency, vexation/panting, intestinal rumbling, and bloody stool are all Steaming Labor. Treatment should nourish Blood and benefit Yin; heat will retreat naturally. This is "treating without treating"; use Qian's Dihuang Wan.
Xionghuang Jiedu Wan: Treats upper diaphragm congestion-heat, obstructed phlegm-saliva, sore throat/swelling, red eyes/carbuncles. (Formula see Throat Bi section.)
[Baoming Ji] Muxiang Jinling San: Treats sudden Heart/Lung heat, continuous upper panting.
Dahuang (5 qian), Jinlingzi (Core removed), Muxiang (each 3 qian), Qingfen (Light Powder,少许), Xiaoyan (Mirabilite, 2 qian).
Powder finely, mix with Willow bark decoction. Take 3-4 qian after meals, stop when bowel movement occurs.
Niuhuang San: Treats upper Jiao heat with vexation, inability to sleep.
Shanzhi, Dahuang, Yujin (each 0.5 liang), Gancao.
Powder finely. Take 5 qian, decoct in water, take warm. Stop when mild diarrhea occurs.
[Ju Fang] Miaoxiang Wan (Danxi says: Drains intestines/stomach, controls Wood-Fire agent).
Chensha (Water-floated Cinnabaris, 8 liang), Longnao, Nifen (Calomelas, ground), Shexiang (ground, each 8 liang), Niuhuang (Calculus Bovis, 0.5 liang), Jinbo (Gold Leaf, 90 pieces, ground), Badou (Crotonis Fructus, 315 grains, peeled, stir-fried, pounded to paste, oil removed).
Mix uniformly. Use 6 liang pure yellow wax and 7.5 qian Baijian (Alumen) refined with honey into pills. Each liang makes 30 pills. Swallow with rice drink. To accelerate action, prick one eye of the pill, soak in cold water briefly, then take.
Chronic heat belongs to Lao Zhai (Consumption/TB). Treatment see Zhai Men.
Heat syndromes analyzed separately involve differences in Qi/Blood, Exterior/Interior, Upper/Lower, and Five Zangs. Analyzed collectively: Qi Heat, Exterior Heat, Upper Jiao Heat, Heart/Lung Heat all belong to Yang and share similar treatments; Blood Heat, Interior Heat, Lower Jiao Heat, Kidney/Liver Heat all belong to Yin and share similar treatments. Middle Jiao and Spleen Heat are the same.
[Luo Tianyi] General treatment for Heat Qi: Use Huanglian Jiedu Tang (Coptis Detoxification Decoction) for severe heat, vexation, delirium, and insomnia.
Huanglian (7.5 qian), Huangbai, Shanzhi (each 0.5 liang), Huangqin (1 liang).
Cut into pieces. Take 5 qian, decoct in water, remove dregs, take hot. Repeat if ineffective.
[Wang Haizheng] Add Fangfeng (Saposhnikoviae Radix) and Lianqiao (Forsythiae Fructus) to the above formula to make Jinhua Wan (Golden Flower Pill) for Wind-Heat. Add Chaihu for childhood tidal fever. Combine half with Siwu Tang for female tidal fever.
[Li Dongyuan] Sanhuang Wan (Three-Yellow Pill): Treats accumulated heat in the Triple Burner for men and women. Upper Jiao heat attacking upward causes red/swollen eyes, painful head/neck, mouth/tongue ulcers. Middle Jiao heat causes chest/vexation, poor appetite. Lower Jiao heat causes red/dysuric urine, constipation. Heat in all five Zangs causes carbuncles/furuncles/sores. Also treats five types of hemorrhoids, anal swelling/pain, or fresh blood in stool. (Danxi says: This is a Triple Burner formula.)
Huanglian (cleaned), Huangqin (de-radiated), Dahuang (each 10 liang).
Powder finely, honey pills, size of paulownia seeds. Take 30 pills with cooked water. Adjust dosage based on Zang-Fu deficiency/excess. Suitable for children with accumulated heat.
[Benshi Fang] Zixue (Purple Snow): Treats Hongjiao (Gout/Podagra) toxin internal/external, unresolved vexatious heat, mouth ulcers, maniacal running/shouting, miasma toxin. Resolves toxins from heat medicines, acute jaundice, Gu/Magic/Wild Pathogen heat toxins. Also treats childhood convulsion/ji-heat diseases. (Danxi says: This enters Heart, Spleen, Liver, Kidney, Stomach meridians.)
Hanshuishi (Halloysitum Rubrum), Shigao, Cishi (Magnetitum), Huashi (each 3 jin, powdered, decoct in 1 dan water to 5 dou, strain, add following herbs): Xuanshen (Scrophulariae Radix, 1 jin, washed, dried, cut), Chenxiang (Aquilariae Lignum), Lingyangjiao (Saigae Tataricae Cornu), Xijiao (Rhinocerotis Cornu - *Note: Substitute with Buffalo Horn in modern practice*), Qingmuxiang (Aucklandiae Radix), Shengma (Cimicifugae Rhizoma) (each 5 liang), Dingxiang (Caryophylli Flos, 1 liang), Gancao (Licorice Root, 8 liang. These 8 herbs powdered, added to previous decoction, boiled to 1.5 dan, strain, add next two items): Xiaoyan (Mirabilite), Xiaoshi (Natrii Sulfas) (good quality 2 jin. Added to decoction, simmer gently, stir constantly with willow stick until ~7-8 sheng remains, pour into cup, wait half day until semi-solid, then add last two items): Chensha (Cinnabaris, 3 liang, finely ground), Shexiang (Moschus, genuine 1.2 qian, milk-ground. Added to semi-solid mass, mix evenly).
Store in cellar for 2 days. Take 1-2 qian with cold water after meals. Adjust carefully for adults/children. (Ju Fang adds 100 liang Gold.)
[Li Dongyuan] Yin covers Yang, Fire cannot extend; induce sweating. Classics say: Body like burning charcoal, sweat disperses it. Pulse wiry and rapid indicates Yin Qi; use wind herbs to raise Yang and emit Fire Stagnation, then rapid pulse will recede. For this disease, if pulse is rapid, use Huangbai with small amounts of Huanglian, Chaihu, Cangzhu, Huangqi, Gancao, plus Shengma. Sweating causes pulse to drop, illustrating "emit Fire Stagnation."
Chaihu Shengyang Tang (Bupleurum Raising-Yang Decoction): Treats limb/muscle/sinus/bone marrow heat in men/women, burning sensation, touching feels hot. Limbs governed by Spleen (Earth). Heat hidden in earth; often due to Blood deficiency. Also due to Stomach deficiency from excessive cold/raw food/ice water, suppressing Yang Qi in Spleen Earth. Classics: "Emit Fire Stagnation."
Shengma, Gegen (Puerariae Radix), Duhuo (Angelicae Pubescentis Radix), Qianghuo (Notopterygii Rhizoma et Radix) (each 0.5 liang), Fangfeng (Saposhnikoviae Radix, 2.5 qian), Gancao (Raw, 2 qian), Chaihu (5 qian), Zhigancao (Roasted Licorice, 2 qian), Renshen (Panax Ginseng, 0.5 liang), Baishaoyao (Paeoniae Radix Alba, 0.5 liang).
Cut into pieces. Take 0.5 liang, 3 large bowls water, boil to 1 bowl, strain, take slightly warm. Avoid cold/ice for over a month.
[Li Dongyuan] Huoyu Tang (Fire Stagnation Decoction): Treats Five Centers Vexatious Heat, Fire stagnant in earth. Limbs are Earth; Heart Fire sinks into Spleen Earth, so raise/emit Fire Stagnation. (Danxi: Use Dongyuan's Huoyu Tang for palm/sole heat. See Palm/Sole Heat section above.)
Shengma, Gegen, Fangfeng, Chaihugen (Bupleuri Radix), Zhigancao, Baishaoyao (each 5 qian).
Cut into pieces. Take 3-4 qian, 2 large bowls water, add 3 cun green onion white with root, boil, strain, take slightly warm.
Climate/Yun Heat has three types:
1. Fire Heat assists Heart Excess causing heat. Classics: Year of excessive Fire, hot summer spreads, severe case body heat, bone pain, spreading sores. Also: Shaoyang arrival causes sores/rashes/body heat. Also: Shaoyin ruling Heaven, guest victory causes headache. Shaoyang heat treated with Cold herbs.
2. Cold Evil attacks Heart Deficiency causing heat. Classics: Year of excessive Water, cold spreads, people suffer body heat, vexation/palpitations, Yin collapse. Also: Year of insufficient Metal,炎火 (flames/fire) acts, Cold returns causing Yin collapse, Gridlock Yang rises upward causing heat. Also: Shaoyin in泉 (subterranean), Master victory causes heat rising upward, vomiting from Gridlock heat. Master victory means Winter Cold defeats Shaoyang Guest Heat; treat with Hot herbs.
3. Wind fans Fire and Cold-Damp stagnates Fire causing heat. Classics: Taiyang ruling Heaven, First Qi, air becomes very warm, people suffer body heat/headache; this is Wind fanning Yang heat, treat with Clearing. Also: Fourth Qi, Wind-Damp contend, people suffer great heat/lack of Qi. Also: Shaoyang ruling Heaven, Second Qi, Fire reversely stagnates, white haze rises, people suffer headache/body heat. This is Cold-Damp stagnating Fire; treat according to degree of Cold/Heat.
[Lingshu] Yellow Emperor: Acupuncture chapters mention Cheyi (Removing Clothes), Master says pierce all odd acupoints of Yang meridians, no fixed location, wish to hear fully? Qibo: Yang Qi excess, Yin Qi deficiency. Yin deficiency causes internal heat; Yang excess causes external heat. Internal/External heat clash, hotter than holding charcoal. Fear cotton/silk near body, cannot lie on mats. Pores closed, no sweat, dry tongue/lips, parched throat, indifferent to food taste. Emperor: Good. How to treat? Qibo: Pierce Tianfu, Dazhu (3 points), pierce Zhonglü to remove heat, tonify Hand/Foot Taiyin to promote sweating. Heat gone, sweat rare, faster than removing clothes. (Cijie Zhenxie Chapter: La, pronounced si. Fire heat above, push down; from below going up, guide away.)
[Jiayi Jing] Body heat, chest/hypochondriac pain, inability to turn side: Luxi governs. Desire to lie down, body heat, immobility, dampness: Sanyangluo governs.
[Wang Haizheng] Hands too hot is Gujue (Bone Jue), feeling like in fire. Moxa Yongquan (KI1) 3 moxa cones for immediate relief.
[Cuyao] Palm heat: Yuji (LU10, needle horizontal backward 0.3 cun), Shaofu (HT8, 0.3 cun). Sole heat, damp/itch: Shugu (BL65, drain then tonify, moxa). Plantar heat, foot node pain: Gongsun (SP4, 0.5 cun drain).
[Suwen] Pulse floating and choppy, choppy with body heat indicates death. (Tongping Xushi Lun) Heat with quiet pulse is difficult to treat. (Yuji Zhenzang Lun) Pulse vigorous, sweat does not resolve indicates death. Pulse deficient, heat continues indicates death. (See detailed Shanghan Fever.)