当归 龙胆草 栀子 黄连 黄柏 黄芩（各一两） 木香（一钱） 麝香（五分） 大
黄（
酒浸） 青黛 芦荟（各五钱）
蜜丸如豆大。
风热蓄积，时发惊悸，筋惕搐搦，嗌塞不利，肠胃燥涩，狂越等证，此方主之。
肝火为风，心火为热。心热则惊悸，肝热则搐搦；嗌塞不利者，肺亦火也；肠胃燥涩者
，脾亦火也；狂越者，狂妄而越礼也。经曰∶狂言为失志；又曰∶肾藏志。如斯言之，则肾
亦火矣。此一水不胜五火之谓也。故用黄连以泻心，用黄芩以泻肺，青黛、龙胆、芦荟以泻
肝，大黄以泻脾，黄柏以泻肾。所以亟亟以泻五脏之火者，几于无水，故泻火以存水耳。用
当归者，养五脏之阴于亢火之时；用木香、麝香者，利五脏之气于克伐之际也。互考见咳嗽
门。
藿香（二钱） 山栀（一两，炒黑） 石膏（五钱） 甘草（三两） 防风（四两）
脾家伏火，唇口干燥者，此方主之。
唇者，脾之外候；口者，脾之窍，故唇口干燥，知脾火也。苦能泻火，故用山栀；寒能
胜热，故用石膏；香能醒脾，故用麝香；甘能缓脾，故用甘草；用防风者，取其发越脾气而
升散其伏火也。或问何以不用黄连？余曰∶黄连苦而燥，此有唇口干燥，则非黄连所宜，故
惟栀子之苦而润者为当耳。又问曰∶既恶燥，何以不去防风？余曰∶东垣已言之矣，防风乃
风药中之润剂也，故昔人审择而用之。
Angelicae Sinensis Radix (Danggui), Genti Root (Longdancao), Gardenia Fruit (Zhizi), Coptis Rhizome (Huanglian), Phellodendron Bark (Huangbai), Scutellaria Root (Huangqin) (each 1 liang), Aucklandiae Radix (Muxiang) (1 qian), Moschus (Shexiang) (5 fen), Rheum Radix et Rhizoma (Dahuang) (soaked in wine), Indigo Naturalis (Qingdai), Aloe (Luhui) (each 5 qian).
Made into honey pills, the size of a paulownia seed.
Accumulation of wind-heat internally, with frequent onset of palpitations and fright, twitching and convulsions of sinews, obstruction and difficulty in the throat, dryness and constipation of the intestines and stomach, mania and extravagance, etc., are primarily treated by this formula.
Liver fire transforms into wind, heart fire transforms into heat. Heart heat causes palpitations; liver heat causes convulsions. Obstruction and difficulty in the throat indicate that the Lung also has fire; dryness and constipation of the intestines and stomach indicate that the Spleen also has fire; mania and extravagance refer to being arrogant and transgressing propriety. The Classics state: "Delirious speech is a loss of willpower"; it also states: "The Kidney stores the will." By this reasoning, the Kidney also has fire. This is what is meant by "one water failing to overcome five fires." Therefore, Coptis Rhizome (Huanglian) is used to drain Heart fire, Scutellaria Root (Huangqin) to drain Lung fire, Indigo Naturalis (Qingdai), Genti Root (Longdancao), and Aloe (Luhui) to drain Liver fire, Rheum Radix et Rhizoma (Dahuang) to drain Spleen fire, and Phellodendron Bark (Huangbai) to drain Kidney fire. The urgency to drain the fire of the five z-organs arises because the fire is so intense that it nearly depletes fluids; thus, draining fire serves to preserve yin. Angelicae Sinensis Radix (Danggui) is used to nourish the yin of the five z-organs during times of hyperactive fire; Aucklandiae Radix (Muxiang) and Moschus (Shexiang) are used to promote the movement of qi in the five z-organs amidst the use of harsh purgatives. For cross-reference, see the Cough section.
Agastache Herba (Huoxiang) (2 qian), Gardenia Fruit (Zhizi) (1 liang, stir-fried until black), Gypsum Fibrosum (Shigao) (5 qian), Licorice Root (Gancao) (3 liang), Saposhnikoviae Radix (Fangfeng) (4 liang).
Latent fire in the Spleen causing dryness of the lips and mouth is primarily treated by this formula.
The lips are the external manifestation of the Spleen; the mouth is the orifice of the Spleen. Therefore, dryness of the lips and mouth indicates Spleen fire. Bitterness can drain fire, hence Gardenia Fruit (Zhizi) is used; cold nature can overcome heat, hence Gypsum Fibrosum (Shigao) is used; fragrance can awaken the Spleen, hence Agastache Herba (Huoxiang) is used; sweetness can moderate the Spleen, hence Licorice Root (Gancao) is used. Saposhnikoviae Radix (Fangfeng) is used for its ability to disperse Spleen qi and ascend-disperse latent fire. One might ask why Coptis Rhizome (Huanglian) is not used? I reply: Coptis Rhizome (Huanglian) is bitter and drying; given the symptom of dry lips and mouth, it is unsuitable. Therefore, only the bitter yet moistening nature of Gardenia Fruit (Zhizi) is appropriate. Another question: Since dryness is disliked, why is Saposhnikoviae Radix (Fangfeng) not removed? I reply: Li Dongyuan has already stated that Saposhnikoviae Radix (Fangfeng) is a moistening agent among wind-dispelling herbs, which is why ancient practitioners carefully selected and used it.