论曰消渴烦躁者，阳气不藏，津液内燥，故令烦渴而引饮且躁也，内经谓诸躁狂越，皆
属于火，盖以心肾气衰，水火不相济故也。
治消渴热盛，烦躁恍惚，麦门冬饮方
生麦门冬（去心三两） 甘竹沥（三合） 小麦（二合） 知母（一两半） 芦根（二
两） 生地
上六味，锉如麻豆，每用半两，水三盏，煎至二盏，去滓入竹沥少许，分二服，食后。
治消渴心脾中热。烦躁不止，下焦虚冷，小便多、羸瘦。芦根汤方
芦根一斤 黄 （锉） 栝蒌根 牡蛎（ 各二两） 知母（三两） 生麦门冬（去心
六两）
上六味， 咀，每服三钱匕，水一盏，煎取七分，去滓食后乘渴细服。
治烦渴不止，咽干躁热昏闷。翠碧丸方
青黛（研） 麦门冬（去心焙） 葛根（锉各一两） 半夏（汤洗去滑七遍切焙二两） 人
参
知母（焙各半两）栝蒌根（三分） 天南星（牛胆匮者半两） 寒水石（火 三两）
上九味，捣研为末，面糊和丸，如梧桐子大，金薄为衣，每服十五丸，人参竹叶汤下，
食后临卧服。
治消渴心脾实，躁热多渴，化为小便。知母饮方
知母（切焙） 生芦根（各三两） 土瓜根（二两） 黄芩（去黑心） 甘草（炙各一
两半） 龙
上七味， 咀，每服五钱匕，水三盏，煎取二盏，去滓下生麦门冬汁二合，食后分温
三服。
治消渴及心藏躁热，饮水无度。桑白皮汤方
桑根白皮（锉） 人参 知母（切焙） 麦门冬（去心焙） 枇杷叶（刷去毛微炙） 黄
连（去须
上九味，粗捣筛，每服四钱匕，水一盏半，煎至一盏，去滓食前服，日再。
治消渴，心中烦躁。黄 汤方
黄 （锉） 白茅根（锉） 麦门冬（去心微炒） 白茯苓（去黑皮各三两） 石膏（八
两） 车
上七味，粗捣筛，每服五钱匕，水二盏，煎至一盏，去滓空腹温服。
治消渴烦躁，心藏热引饮。茯苓汤方
白茯苓（去黑皮） 麦门冬（去心炒各四两） 石膏（五两） 茅根（锉一升）
上四味，粗捣筛，每服五钱匕，水二盏，入冬瓜一片，同煎至一盏，去滓温服。不拘时
候，日四五服。
治消渴发热，心神烦躁引饮。麦门冬汤方
麦门冬（去心焙） 黄 （锉） 黄连（去须） 桑根白皮（锉各一两） 石膏（二两）
知母（焙） 栝蒌根（各三分） 人参 甘草（炙锉） 葛根（锉） 赤茯苓（去黑皮） 地
骨皮 升麻（各
上一十三味，粗捣筛，每服四钱匕，水一盏，入生姜半分切，淡竹叶二七片，煎至七分，
去滓不计时候温服。
治消渴，上焦虚热，心中烦躁。柴胡饮方
柴胡（去苗） 葛根（锉） 芦根（锉） 地骨皮 百合（干者） 桑根白皮（锉） 知
母（切焙）
通（锉各半两）
上一十三味，粗捣筛，每服四钱匕，水一盏，入生地黄半分，同煎至七分，去滓食后温
服、日三。
治消渴烦躁，惊悸不安。天门冬煎方
生天门冬（去心半斤） 白蜜（炼五合）
上二味，先以水五盏，煎天门冬至三盏，新汲水淘四五过，漉出，别以熟水一盏，下蜜
搅匀，瓷瓶贮，浸天门冬五日、密封，每食后食一两。
治丹石发，关节毒瓦斯不宣，心肺躁热，烦渴不止，饮水旋作小便，久即为痈疽发背。茅
根饮方
白茅根（锉一两半） 桑根白皮（锉二两） 麦门冬（去心焙一两半） 白茯苓（去黑
皮三两）
上五味，捣筛如黍米粒大，每服四钱匕，水一盏半，入竹叶十余片细锉，枣二枚劈，同
煎至八分，去滓食后服。
治消渴胸膈烦闷，燥渴饮水无度。人参饮方
人参（一两） 白茯苓（去黑皮） 甘草（炙各半两） 麦门冬（去心一分）
上四味， 咀如麻豆大，以水五盏，煎取二盏，去滓温顿服之。
治消渴口干烦躁，饮水无度。铅白霜丸方
铅白霜（半两） 青黛（一两） 栝蒌根末（一两） 龙脑（一钱）
上四味，细研匀，炼蜜和丸，梧桐子大，每服二十丸，煎竹叶汤嚼下，食后日三。
治消渴烦热。白矾丸方
白矾（烧令汁尽） 铅白霜（各一分）
上二味，细研令匀，炼蜜和丸，如鸡头大，绵裹含化咽津。
治消渴烦热，心中狂乱。葛根汁方
生葛根（去皮五斤细切木杵臼中烂捣研如泥净布捩取汁一瓷碗） 白蜜（两匙）
上二味，同搅匀，不限早晚，渴即饮一盏，量力饮之，频服亦不损人。
治消渴，心胸烦躁。黄连丸方
黄连（去须） 栝蒌根 甘草（炙锉） 栀子仁（微炒各一两半） 香豉（炒黄二两半）
上五味，捣罗为末，炼蜜和剂，更于铁臼内，涂酥杵匀熟。丸如梧桐子大，午食后、温
浆水下三十丸。
[Commentary] It is stated that in cases of Xiao Ke (Wasting and Thirsting Syndrome) accompanied by restlessness, the Yang Qi fails to be concealed, leading to internal dryness of Body Fluids (Jin Ye). This causes mental agitation, thirst, a desire to drink, and physical restlessness. The *Nei Jing* (Inner Canon) states that all forms of restlessness and manic behavior belong to Fire. This is generally due to the decline of Qi in the Heart and Kidney, resulting in a failure of Water (Yin) and Fire (Yang) to harmonize with each other.
**Recipe: Maidong Yin for Treating Xiao Ke with Excessive Heat, Restlessness, and Mental Confusion**
Raw Ophiopogon Tuber (Maidong, removed heart, 3 liang), Sweet Bamboo Sap (Zhuli, 3 he), Wheat (Xiaomai, 2 he), Anemarrhena Rhizome (Zhimu, 1.5 liang), Reed Root (Lugen, 2 liang), Raw Rehmannia Root (Sheng Dihuang).
The above six herbs are chopped into sizes similar to hemp seeds or beans. For each dose, use 0.5 liang of the mixture, add 3 zhan of water, and decoct until 2 zhan remain. Strain the dregs, add a small amount of Bamboo Sap, and divide into two doses. Take after meals.
**Recipe: Lugen Tang for Treating Xiao Ke with Heat in the Heart and Spleen, Unremitting Restlessness, Cold in the Lower Jiao, Polyuria, and Emaciation**
Reed Root (Lugen, 1 jin), Astragalus Root (Huangqi, chopped), Trichosanthes Root (Gualougen), Oyster Shell (Muli, 2 liang each), Anemarrhena Rhizome (Zhimu, 3 liang), Raw Ophiopogon Tuber (Maidong, removed heart, 6 liang).
The above six herbs are chopped. For each dose, take 3 qianbi of the powder, add 1 zhan of water, and decoct until 0.7 zhan remains. Strain the dregs and sip slowly when thirsty after meals.
**Recipe: Cuibi Wan for Treating Unremitting Thirst and Dryness, Dry Throat, Heat, Dizziness, and Stupor**
Indigo Naturalis (Qingdai, ground), Ophiopogon Tuber (Maidong, removed heart and baked), Kudzu Root (Gegen, chopped, 1 liang each), Pinellia Tuber (Banxia, washed with hot water seven times to remove slipperiness, chopped and baked, 2 liang), Ginseng Root (Renshen), Anemarrhena Rhizome (Zhimu, baked, 0.5 liang each), Trichosanthes Root (Gualougen, 3 fen), Arisaema Rhizome (Tian Nan Xing, processed with ox gall, 0.5 liang), Calcite (Han Shui Shi, calcined, 3 liang).
The above nine herbs are pounded and ground into powder. Mix with wheat paste to form pills the size of Sophora seeds. Coat with gold leaf. Take 15 pills per dose, administered with Ginseng and Bamboo Leaf Decoction, after meals and before bedtime.
**Recipe: Zhimu Yin for Treating Xiao Ke with Excess Heat in the Heart and Spleen, Agitated Heat, Polydipsia, and Rapid Urination**
Anemarrhena Rhizome (Zhimu, sliced and baked), Raw Reed Root (Lugen, 3 liang each), Solomon's Seal Root (Tu Gagua Gen, 2 liang), Scutellaria Root (Huangqin, remove black center), Licorice Root (Gancao, honey-fried, 1.5 liang each), Dragon Bone (Longgu, original text says "Long", inferred as Longgu based on context).
The above seven herbs are chopped. For each dose, take 5 qianbi of the powder, add 3 zhan of water, and decoct until 2 zhan remain. Strain the dregs, add 2 he of Raw Ophiopogon Juice, and divide into three warm doses taken after meals.
**Recipe: Sangbaipi Tang for Treating Xiao Ke and Heart Organ Heat with Uncontrolled Drinking**
Mulberry Root Bark (Sangbaipi, chopped), Ginseng Root (Renshen), Anemarrhena Rhizome (Zhimu, sliced and baked), Ophiopogon Tuber (Maidong, removed heart and baked), Loquat Leaf (Pipaye, brushed clean of hairs and lightly fried), Coptis Rhizome (Huanglian, remove roots). [Note: Original text lists fewer than nine herbs explicitly, but states "Nine herbs". Translated based on visible text.]
The above nine herbs are coarsely crushed and sieved. For each dose, take 4 qianbi, add 1.5 zhan of water, and decoct until 1 zhan remains. Strain and take before meals, twice daily.
**Recipe: Huangqi Tang for Treating Xiao Ke with Mental Restlessness**
Astragalus Root (Huangqi, chopped), White Imperata Root (Baimaogen, chopped), Ophiopogon Tuber (Maidong, removed heart and lightly stir-fried), White Poria (Baifuling, remove black skin, 3 liang each), Gypsum (Shigao, 8 liang), Plantago Seed (Cheqianzi, original text cuts off at "Che", inferred as Cheqianzi).
The above seven herbs are coarsely crushed and sieved. For each dose, take 5 qianbi, add 2 zhan of water, and decoct until 1 zhan remains. Strain and take warm on an empty stomach.
**Recipe: Fuling Tang for Treating Xiao Ke with Restlessness and Heart Heat Causing Thirst**
White Poria (Baifuling, remove black skin), Ophiopogon Tuber (Maidong, removed heart and stir-fried, 4 liang each), Gypsum (Shigao, 5 liang), Imperata Rhizome (Maogen, chopped, 1 sheng).
The above four herbs are coarsely crushed and sieved. For each dose, take 5 qianbi, add 2 zhan of water, include one slice of winter melon, and decoct together until 1 zhan remains. Strain and take warm. Do not restrict timing; take 4-5 times daily.
**Recipe: Maidong Tang for Treating Xiao Ke with Fever, Mental Restlessness, and Thirst**
Ophiopogon Tuber (Maidong, removed heart and baked), Astragalus Root (Huangqi, chopped), Coptis Rhizome (Huanglian, remove roots), Mulberry Root Bark (Sangbaipi, chopped, 1 liang each), Gypsum (Shigao, 2 liang), Anemarrhena Rhizome (Zhimu, baked), Trichosanthes Root (Gualougen, 3 fen each), Ginseng Root (Renshen), Licorice Root (Gancao, honey-fried and chopped), Kudzu Root (Gegen, chopped), Red Poria (Chifuling, remove black skin), Cortex Lycii (Digupi), Cimicifuga Rhizome (Shengma, [dosage cut off]).
The above thirteen herbs are coarsely crushed and sieved. For each dose, take 4 qianbi, add 1 zhan of water, include half a portion of sliced fresh ginger and fourteen leaves of light bamboo leaf (Danzhuye), and decoct until 0.7 zhan remains. Strain and take warm at any time.
**Recipe: Chaihu Yin for Treating Xiao Ke with Deficient Heat in the Upper Jiao and Mental Restlessness**
Bupleurum Root (Chaihu, remove seedlings), Kudzu Root (Gegen, chopped), Reed Root (Lugen, chopped), Cortex Lycii (Digupi), Lily Bulb (Baihe, dried), Mulberry Root Bark (Sangbaipi, chopped), Anemarrhena Rhizome (Zhimu, sliced and baked), Akebia Stem (Mutong, original text cuts off at "Tong", inferred as Mutong, chopped, 0.5 liang each).
The above thirteen herbs are coarsely crushed and sieved. For each dose, take 4 qianbi, add 1 zhan of water, include half a portion of raw Rehmannia Root, and decoct together until 0.7 zhan remains. Strain and take warm after meals, three times daily.
**Recipe: Tiandong Jian for Treating Xiao Ke with Restlessness, Palpitations, and Insecurity**
Raw Asparagus Tuber (Tiandong, removed heart, 0.5 jin), White Honey (Baimi, refined, 5 he).
The above two ingredients: First, decoct Tiandong in 5 zhan of water until 3 zhan remain. Rinse with newly drawn water 4-5 times, strain, and set aside. Separately, mix refined honey into 1 zhan of boiled water until uniform. Store in a porcelain bottle, soak the Tiandong for five days, then seal tightly. Take 1 liang after each meal.
**Recipe: Maogen Yin for Treating Drug Toxicity from Minerals/Stones, Joint Obstruction, Heart-Lung Heat, Unremitting Thirst, and Prevention of Carbuncles**
White Imperata Root (Baimaogen, chopped, 1.5 liang), Mulberry Root Bark (Sangbaipi, chopped, 2 liang), Ophiopogon Tuber (Maidong, removed heart and baked, 1.5 liang), White Poria (Baifuling, remove black skin, 3 liang).
The above five herbs are pounded and sieved to the size of millet grains. For each dose, take 4 qianbi, add 1.5 zhan of water, include over ten finely chopped bamboo leaves and two split jujubes, and decoct until 0.8 zhan remains. Strain and take after meals.
**Recipe: Renshen Yin for Treating Xiao Ke with Chest Oppression, Restlessness, and Uncontrolled Thirst**
Ginseng Root (Renshen, 1 liang), White Poria (Baifuling, remove black skin), Licorice Root (Gancao, honey-fried, 0.5 liang each), Ophiopogon Tuber (Maidong, removed heart, 1 fen).
The above four herbs are chopped to the size of hemp seeds or beans. Add 5 zhan of water, decoct until 2 zhan remain, strain, and take warm in one dose.
**Recipe: Qianbaishuang Wan for Treating Xiao Ke with Dry Mouth, Restlessness, and Uncontrolled Thirst**
Lead Frost (Qianbaishuang, 0.5 liang), Indigo Naturalis (Qingdai, 1 liang), Powdered Trichosanthes Root (Gualougen mo, 1 liang), Borneol (Longnao, 1 qian).
The above four herbs are finely ground and mixed uniformly. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, chew down with Bamboo Leaf Decoction, after meals, three times daily.
**Recipe: Baifan Wan for Treating Xiao Ke with Agitated Heat**
Alum (Baifan, calcined until liquid evaporates), Lead Frost (Qianbaishuang, 1 fen each).
The above two herbs are finely ground and mixed uniformly. Mix with refined honey to form pills the size of a cocklebur. Wrap in cotton, hold in the mouth to dissolve, and swallow with saliva.
**Recipe: Gegen Zhi for Treating Xiao Ke with Agitated Heat and Manic Behavior**
Raw Kudzu Root (Sheng Gegen, peeled 5 jin, finely chopped, pounded in a wooden mortar until pulpy, squeezed through clean cloth to obtain juice in a porcelain bowl), White Honey (Baimi, 2 spoons).
The above two ingredients are mixed uniformly. Drink 1 zhan when thirsty, regardless of morning or evening, according to capacity. Frequent consumption does not harm the body.
**Recipe: Huanglian Wan for Treating Xiao Ke with Chest and Heart Restlessness**
Coptis Rhizome (Huanglian, remove roots), Trichosanthes Root (Gualougen), Licorice Root (Gancao, honey-fried and chopped), Gardenia Seed (Zhizi Ren, lightly stir-fried, 1.5 liang each), Fermented Soybean (Xiangchi, stir-fried until yellow, 2.5 liang).
The above five herbs are pounded and sieved into powder. Mix with refined honey. Further pound in an iron mortar coated with butter until smooth and cooked. Form pills the size of Sophora seeds. After noon meal, take 30 pills with warm sour grain water.