论曰心生血,血行于分肉之间,遇热则腠理开,腠理开则汗出,盖心之液为汗,汗出亡
阳,阳虚热甚,不已则肌肉消瘦也。
治心热多汗,及心胃客热,呕逆不睡。小麦汤方
小麦(一合) 芦根(一握锉) 竹茹 人参(各一两) 白茯苓(去黑皮二两)
上五味。粗捣筛,每服五钱匕。水一盏半,煎取一盏,去滓温服不拘时。
治心气壅热,手心头面多汗,胸中烦满。犀角汤方
犀角(镑) 龙骨 麦门冬(去心焙) 黄 (锉) 地骨皮 茯神(去木) 人参 麻
黄根 远志(去心) 甘草(炙锉各一两)
上一十味。粗捣筛,每服五钱匕。水一盏半,淡竹叶二七片,煎至一盏,去滓食后温服
治心脏壅热,口舌干燥,多汗。石膏丸方
石膏(研) 栝蒌根 麻黄根 乌梅肉 葛根(锉) 天竺黄(研) 牡蛎(烧各一两)
麦门冬(去心一
上九味。为细末,炼蜜丸如梧桐子大。每服二十丸,新汲水下,不拘时。
治心热汗出,及骨蒸烦躁盗汗,食不生肌。羚羊角汤方
羚羊角(镑) 地骨皮 秦艽洗(去苗土) 麦门冬(去心焙) 枳壳(去瓤麸炒) 大
黄(锉) 柴胡(去苗) 白茯苓(去皮) 芍药 桑根白皮(锉) 黄 (薄切) 人参 鳖
甲(醋炙去裙 各一两)
上一十三味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服不拘时。
治心热汗出,及虚热盗汗。黄连散方
黄连(去须半两) 柴胡(去苗) 前胡(去芦头各一两)
上三味,为细散,每服一钱匕,温酒调下,日三。
治心虚热多汗。熟干地黄汤方
熟干地黄(五两)
上一味。锉如麻豆大,以水五盏,煎至三盏,去滓温分三服,空心日午临卧服。
治心热多汗,口苦舌干,涕唾稠粘,胸膈烦闷,不思饮食。七宝汤方
人参 白茯苓(去黑皮) 茯神(去木) 龙骨 远志(去心) 麦门冬(去心焙) 生
干地黄(洗切) 甘草(炙锉) 天门冬(去心焙各半两) 丹砂(研) 天竺黄(研各一
钱)
上一十一味。粗捣筛,九味,入研药和匀,每服二钱匕。水一盏半,枣一枚劈,淡竹叶
五叶,同煎至七分,去滓温服,不拘时。
治心热多汗,及骨蒸盗汗、咳嗽,五心烦热。柴胡饮方
柴胡(去苗二两) 桑根白皮(锉) 防风(去叉) 芍药 玄参 黄芩(去黑心) 甘
草(炙锉各一两
上七味。粗捣筛,每半两水三盏,生姜五片,煎至二盏去滓,分温两服,日午临卧,如
咳嗽咯血,加杏仁二十枚,去皮尖双仁,粗研同煎。
治心热多汗,言笑无度,四肢烦热。降气汤方
麻黄(去根节) 栀子仁 白茯苓(去黑皮) 黄芩(去黑心) 白术(锉) 芒硝(各
三两) 石膏(八两碎研) 桂(去粗皮二两) 生地黄(切焙一升) 甘草(炙锉一两) 赤
小豆(二合)
上一十一味。粗捣筛,每服五钱匕。水二盏,枣二枚,煎取一盏,下竹沥少许,再煎去
滓温服。
治心热多汗,欲吐不出,烦闷喘急,头痛。泻心汤方
豉(一升) 石膏(一斤碎研) 地骨皮(五两) 栀子仁(二十一枚) 白茯苓(去
黑皮二两)
上五味。粗捣筛,每服五钱匕。水二盏,入小麦一撮,淡竹叶二七片,煎取一盏,去滓
温服。
Commentary states: The Heart generates blood, and blood circulates between the muscle layers. When encountering heat, the couli (pores and interstitial spaces of the skin) open; when the couli open, sweat is excreted. This is because the fluid of the Heart is sweat. Excessive sweating depletes Yang Qi. If Yang Qi becomes deficient while Heat remains severe, and this condition persists, it leads to emaciation of the muscles.
Formula for Wheat Decoction (Xiaomai Tang), treating excessive sweating due to Heart Heat, as well as lingering Heat in the Heart and Stomach accompanied by vomiting, regurgitation, and insomnia:
Triticum aestivum Semen (Wheat) (1 he)
Phragmitis Rhizoma (Reed Root) (1 handful, chopped)
Bambusae Caulis in Taeniam (Bamboo Shavings)
Panax ginseng Radix et Rhizoma (Ginseng) (each 1 liang)
Poria (Fu Ling) (black skin removed, 2 liang)
The above five herbs are coarsely crushed and sieved. Each dose consists of 5 qianbi (approx. 5-10 grams depending on era/measure). Add 1.5 sheng (approx. 300ml) of water, decoct until 1 sheng remains, remove the dregs, and take warm at any time without restriction.
Formula for Rhinoceros Horn Decoction (Xijiao Tang), treating stagnation and Heat in Heart Qi, with excessive sweating on the palms, head, and face, and chest fullness with vexation:
Rhinocerotis Cornu (Rhino Horn) (sliced)
Os Draconis (Dragon Bone)
Ophiopogonis Radix (Ophiopogon) (core removed, roasted)
Scutellariae Radix (Scutellaria) (chopped)
Cortex Lycii (Goji Bark)
Poria cum Radice Xyli (Poria with Hostwood)
Panax ginseng Radix et Rhizoma (Ginseng)
Ephedrae Radix et Rhizoma (Mahuang Gen / Ephedra Root)
Polygalae Radix (Polygala) (core removed)
Glycyrrhizae Radix et Rhizoma (Licorice) (roasted with honey, chopped, each 1 liang)
The above ten herbs are coarsely crushed and sieved. Each dose consists of 5 qianbi. Add 1.5 sheng of water and 14 leaves of Lophatheri Herba (Lophatherum/Dan Zhu Ye), decoct until 1 sheng remains, remove the dregs, and take warm after meals.
Formula for Gypsum Pills (Shigao Wan), treating Heart Heat with stagnation, dry mouth and tongue, and excessive sweating:
Gypsum Fibrosum (Gypsum) (ground)
Trichosanthis Radix (Trichosanthes Root)
Ephedrae Radix et Rhizoma (Mahuang Gen / Ephedra Root)
Pruni Mume Fructus (Smoked Plum)
Puerariae Radix (Kudzu Root) (chopped)
Calamina (Calamine)
Concha Ostreae (Oyster Shell) (calcined, each 1 liang)
Ophiopogonis Radix (Ophiopogon) (core removed, 1 liang)
The above nine herbs are ground into fine powder. Mix with refined honey to form pills the size of Sophora japonica seeds (approx. 6mm diameter). Take 20 pills each time, swallowed with fresh well-water, at any time without restriction.
Formula for Antelope Horn Decoction (Lingyangjiao Tang), treating sweating due to Heart Heat, bone-steaming fever, restlessness, night sweats, and failure of diet to nourish muscles:
Antelopis Cornu (Antelope Horn) (sliced)
Cortex Lycii (Goji Bark)
Gentianae Macrophyllae Radix (Qin Jiao) (washed, roots and soil removed)
Ophiopogonis Radix (Ophiopogon) (core removed, roasted)
Aurantii Fructus Immaturus (Zhi Ke) (albedo and pith removed, stir-fried)
Rhei Radix et Rhizoma (Rhubarb) (chopped)
Bupleuri Radix (Chai Hu) (roots removed)
Poria (Fu Ling) (skin removed)
Paeoniae Radix (Peony)
Mori Cortex (Mulberry Bark)
Astragali Radix (Huang Qi) (thin slices)
Panax ginseng Radix et Rhizoma (Ginseng)
Testudinis et Testinis Carapax et Plastrum (Turtle Shell) (vinegar-processed, apron removed, each 1 liang)
The above thirteen herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi. Add 1 sheng of water, decoct until 70% remains, remove the dregs, and take warm at any time without restriction.
Formula for Coptis Powder (Huanglian San), treating sweating due to Heart Heat and night sweats due to deficiency Heat:
Coptidis Rhizoma (Coptis) (fibers removed, 0.5 liang)
Bupleuri Radix (Chai Hu) (roots removed)
Peucedani Radix (Qian Hu) (rhizome head removed, each 1 liang)
The above three herbs are made into a fine powder. Take 1 qianbi each time, mixed with warm wine, three times daily.
Formula for Prepared Rehmannia Decoction (Shugan Dihuang Tang), treating excessive sweating due to Heart Deficiency Heat:
Rehmanniae Radix Praeparata (Prepared Rehmannia Root) (5 liang)
The above single herb is chopped like hemp seeds. Add 5 sheng of water, decoct until 3 sheng remain, remove the dregs, and divide into three warm doses. Take on an empty stomach, at noon, and before bed.
Formula for Seven Treasures Decoction (Qibao Tang), treating excessive sweating due to Heart Heat, bitter taste in mouth, dry tongue, thick nasal discharge and saliva, chest oppression, and loss of appetite:
Panax ginseng Radix et Rhizoma (Ginseng)
Poria (Fu Ling) (black skin removed)
Poria cum Radice Xyli (Poria with Hostwood) (core removed)
Os Draconis (Dragon Bone)
Polygalae Radix (Polygala) (core removed)
Ophiopogonis Radix (Ophiopogon) (core removed, roasted)
Rehmanniae Radix (Fresh Rehmannia) (washed and sliced)
Glycyrrhizae Radix et Rhizoma (Licorice) (roasted and chopped)
Asparagi Radix (Tian Dong) (core removed, roasted, each 0.5 liang)
Cinnabaris (Cinnabar) (ground)
Calamina (Calamine) (ground, each 1 qian)
The above eleven herbs. Coarsely crush and sieve nine of them, mix evenly with the ground medicines. Each dose consists of 2 qianbi. Add 1.5 sheng of water, one split jujube, and five leaves of Lophatheri Herba (Lophatherum), decoct together until 70% remains, remove the dregs, and take warm at any time without restriction.
Formula for Bupleurum Drink (Chaihu Yin), treating excessive sweating due to Heart Heat, bone-steaming night sweats, cough, and heat sensation in the five centers (palms, soles, and chest):
Bupleuri Radix (Chai Hu) (roots removed, 2 liang)
Mori Cortex (Mulberry Bark) (chopped)
Saposhnikoviae Radix (Fang Feng) (forks removed)
Paeoniae Radix (Peony)
Scrophulariae Radix (Xuan Shen)
Scutellariae Radix (Scutellaria) (black heart removed)
Glycyrrhizae Radix et Rhizoma (Licorice) (roasted and chopped, each 1 liang)
The above seven herbs are coarsely crushed and sieved. For every 0.5 liang of herbs, add 3 sheng of water and five slices of Zingiberis Rhizoma Recens (Fresh Ginger), decoct until 2 sheng remain, remove the dregs, and divide into two warm doses. Take at noon and before bed. If coughing or hemoptysis occurs, add 20 Almond Seeds (Xing Ren), peeled and with double kernels removed, coarsely ground, and decoct together.
Formula for Descending Qi Decoction (Jiangqi Tang), treating excessive sweating due to Heart Heat, excessive talking and laughing, and irritability and heat in the four limbs:
Ephedrae Herba (Mahuang) (roots and nodes removed)
Gardeniae Fructus (Gardenia) (seed removed)
Poria (Fu Ling) (black skin removed)
Scutellariae Radix (Scutellaria) (black heart removed)
Atractylodis Macrocephalae Rhizoma (Baizhu) (chopped)
Natrii Sulfas (Mirabilite) (each 3 liang)
Gypsum Fibrosum (Gypsum) (8 liang, crushed and ground)
Cinnamomi Ramulus (Guizhi) (rough bark removed, 2 liang)
Rehmanniae Radix (Fresh Rehmannia) (cut and roasted, 1 sheng)
Glycyrrhizae Radix et Rhizoma (Licorice) (roasted and chopped, 1 liang)
Phaseoli Radiatus Semen (Adzuki Bean) (2 he)
The above eleven herbs are coarsely crushed and sieved. Each dose consists of 5 qianbi. Add 2 sheng of water and two jujubes, decoct until 1 sheng remains, add a small amount of Bambusae Succus (Bamboo Sap), boil again briefly, remove the dregs, and take warm.
Formula for Draining Heart Decoction (Xiexin Tang), treating excessive sweating due to Heart Heat, inability to vomit despite nausea, chest distress, rapid breathing, and headache:
Glycines Semen Preparatum (Prepared Soybean) (1 sheng)
Gypsum Fibrosum (Gypsum) (1 jin, crushed and ground)
Cortex Lycii (Goji Bark) (5 liang)
Gardeniae Fructus (Gardenia) (21 fruits)
Poria (Fu Ling) (black skin removed, 2 liang)
The above five herbs are coarsely crushed and sieved. Each dose consists of 5 qianbi. Add 2 sheng of water, a pinch of Triticum aestivum Semen (Wheat), and 14 leaves of Lophatheri Herba (Lophatherum), decoct until 1 sheng remains, remove the dregs, and take warm.