柴胡 地黄皮（各三钱）
实者加大黄、朴硝。
《气厥论》曰∶膀胱移热于小肠，膈肠不便，上为口糜。此方主之。
膀胱者，水道之所出；小肠者，清浊泌别之区也。膀胱移热于小肠，则清浊不能泄别，
湿热不去，势必上蒸，故令口中糜烂而疮。乃灶底燃薪，笼中肉糜之象也。是方也，柴胡辛
温，所以升其清阳。地骨皮苦寒，所以降其浊阴。清浊既判，则乾清坤宁，膈肠利而口糜愈
矣。实者加大黄、朴硝，谓大便秘涩，邪气自实，二阴皆秘，地道不通，故用大黄苦寒以泻
实，朴硝咸寒以软坚，乃灶底抽薪之法也。
人参 炙甘草 黄芩（各一钱） 官桂（半钱） 苦参 茯神（各一两） 远志肉（七
分）
谋虑不决，肝胆气虚，口苦舌疮者，此方主之。
肝主谋虑，胆主决断，劳于谋虑决断，故令气虚。咽门为胆之使，胆汁上溢于咽，故令
口苦。木能生火，故令舌疮。是方也，人参、甘草，所以补其气虚；苦参、黄芩，所以清其
气热。经曰∶主明则十二官各得其职，故用茯神、远志以养心。又曰∶微者正治，甚者从治，
故
熟地黄（二两） 川牛膝（去芦） 杜仲（姜炒去丝） 巴戟天（去心） 山茱萸（去
核） 小茴香（略炒） 五味子（炒） 远志（去心） 肉苁蓉 白茯苓 山药（各一两） 红
枣肉（蒸熟，十四两） 石菖蒲 枸杞子（各五钱） 鹿茸（炙酥）
肾虚，齿长而动者，此方主之。
肾主骨，肾虚则髓弱，髓弱则骨枯，骨枯则不能固齿，故令齿长而动，譬之败几焉，几
败木枯，则紧窦之寸木摇摇而出，以水泽之，则败几润而寸木固。故治此者，宜滋阴补肾，
肾不虚，则龈骨润。龈骨润，则齿固矣。是方也，熟地、牛膝、杜仲、山萸、五味、枸杞，
皆味浓之品也，可以滋阴益肾。巴戟、苁蓉、茴香、远志、石蒲、山药、茯苓，皆甘温之品
也，可以温肾生精。乃鹿茸者，取其为血气之属，得阴气之最完，故用之以为补肾填精益髓
之品耳。红枣肉者，味甘益脾，故用之以剂丸也。
Chai Hu (Bupleuri Radix), Di Gu Pi (Lycii Cortex) (each 3 qian)
For excess patterns, add Da Huang (Rhei Radix et Rhizoma) and Po Xiao (Natrii Sulfas).
The *Qi Jue Lun* (Treatise on Qi Reversal) states: "Heat from the Bladder transfers to the Small Intestine, causing obstruction in the diaphragm and intestines, ascending to cause oral ulceration." This formula is indicated for this condition.
The Bladder is the pathway for water metabolism; the Small Intestine is the region where clear and turbid substances are separated. When heat from the Bladder transfers to the Small Intestine, the separation of clear and turbid qi fails. If damp-heat is not resolved, it inevitably steams upward, causing oral ulceration and sores. This is analogous to burning firewood at the bottom of a stove or steaming meat in a cage. In this formula, Chai Hu is acrid and warm, used to ascend clear yang qi. Di Gu Pi is bitter and cold, used to descend turbid yin qi. Once clear and turbid qi are distinguished, heaven and earth are harmonized (Qing Qing Kun Ning), the diaphragm and intestines become unobstructed, and oral ulceration heals. For excess patterns, Da Huang and Po Xiao are added when there is constipation with dryness, pathogenic qi is full/excess, both yin openings are blocked, and the earthly pathway is obstructed. Therefore, Da Huang's bitter-cold nature is used to purge excess, and Po Xiao's salty-cold nature is used to soften hardness. This is the method of "removing firewood from under the pot" (Fu Di Chou Xin).
Ren Shen (Ginseng Radix), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Huang Qin (Scutellariae Radix) (each 1 qian), Guan Gui (Cinnamomi Ramulus) (0.5 qian), Ku Shen (Sophorae Flavescentis Radix), Fu Shen (Poria with Hostwood) (each 1 liang), Yuan Zhi Rou (Polygalae Radix flesh) (7 fen)
For cases of indecisiveness due to deficiency of Liver and Gallbladder qi, manifesting as bitter taste in the mouth and tongue sores, this formula is indicated.
The Liver governs planning (Mou Lv), and the Gallbladder governs decision-making (Jue Duan). Overwork in planning and decision-making leads to qi deficiency. The pharyngeal gate is the envoy of the Gallbladder; when bile overflows upward into the pharynx, it causes a bitter taste. Wood generates Fire, leading to tongue sores. In this formula, Ren Shen and Gan Cao are used to tonify qi deficiency; Ku Shen and Huang Qin are used to clear heat from the qi level. The Classics state: "When the Ruler (Heart) is enlightened, the twelve organs each perform their duties." Therefore, Fu Shen and Yuan Zhi are used to nourish the Heart. It also states: "For mild conditions, use direct treatment; for severe conditions, use following treatment." Thus...
Shu Di Huang (Rehmanniae Radix Praeparata) (2 liang), Chuan Niu Xi (Achyranthis Bidentatae Radix) (remove rhizome), Du Zhong (Eucommiae Cortex) (stir-fry with ginger juice, remove silk fibers), Ba Ji Tian (Morindae Officinalis Radix) (remove heart), Shan Zhu Yu (Corni Fructus) (remove pits), Xiao Hui Xiang (Foeniculi Fructus) (slightly stir-fry), Wu Wei Zi (Schisandrae Chinensis Fructus) (stir-fry), Yuan Zhi (Polygalae Radix) (remove heart), Rou Cong Rong (Cistanches Herba), Bai Fu Ling (Poria), Shan Yao (Dioscoreae Rhizoma) (each 1 liang), Hong Zao Rou (Ziziphi Jujubae Fructus flesh, steamed until cooked, 14 liang), Shi Chang Pu (Acori Tatarinowii Rhizoma), Gou Qi Zi (Lycii Fructus) (each 5 qian), Lu Rong (Cervi Cornu Pantotrichum) (calcined until crisp)
For Kidney deficiency manifesting as teeth appearing elongated and loose, this formula is indicated.
The Kidney governs bones. Kidney deficiency leads to weak marrow; weak marrow leads to withered bones; withered bones fail to secure the teeth, causing them to appear elongated and loose. This is like a broken chair: when the wood is old and dry, the tightly fitted inch-long wooden peg becomes loose. If moistened with water, the broken chair becomes supple, and the peg stabilizes. Therefore, treatment should focus on nourishing yin and tonifying the Kidney. If the Kidney is not deficient, the gums and bones will be moist. If the gums and bones are moist, the teeth will be firm. In this formula, Shu Di Huang, Niu Xi, Du Zhong, Shan Zhu Yu, Wu Wei Zi, and Gou Qi Zi are all rich in flavor, capable of nourishing yin and benefiting the Kidney. Ba Ji Tian, Rou Cong Rong, Xiao Hui Xiang, Yuan Zhi, Shi Chang Pu, Shan Yao, and Bai Fu Ling are all sweet and warm, capable of warming the Kidney and generating essence. As for Lu Rong, it is selected because it belongs to substances of blood and qi, possessing the most complete yin qi, thus serving as an ingredient to tonify the Kidney, fill essence, and benefit marrow. Hong Zao Rou has a sweet flavor that benefits the Spleen, so it is used to formulate the pills.