论曰消渴小便利多随饮而出，故名渴利，此盖少服乳石，房室过度，致肾虚精耗，热气
独留，肾为之燥，故渴而引饮，肾虚不能制水。则饮随小便利也，病久津液耗竭，经络痞涩，
营卫不通。热气留滞，必变痈脓也。
治消渴日夜饮水不止，饮下小便即利。麦门冬汤方
麦门冬（去心焙） 黄连（去须） 冬瓜干者（各二两）
上三味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治渴利、虚热引饮不止，消热止渴。石膏汤方
石膏（四两） 地骨皮（三两） 栝蒌根（二两半） 麦门冬（去心焙三两） 茯神（去
木） 知
母（焙） 葳蕤（各二两）
上七味，粗捣筛，每服四钱匕，水二盏，竹叶二十片，生地黄半分切，生姜三片。枣二
枚劈破，同煎至一盏，去滓食后温服，日三。
治渴利。日饮水数斗，小便频数。栝蒌散方
栝蒌根 黄连（去须） 防己 铅丹（炒紫色研各一两）
上四味，捣罗三味为散，与铅丹研匀，每服二钱匕，酒调食后服，日三，服药后，即强
饮水，须臾自恶水必不欲饮。
治渴利患十年者，服之即瘥。千金散方
泽泻 栝蒌根 甘草（炙各一两一分） 白石脂（研） 赤石脂（研） 铅丹（炒研各
一分）
胡粉（炒研三分） 石膏（碎研一两）
上八味，捣前三味为散，更与研者和匀，每服一钱匕，煎菝 汤调下，不拘时，日三。
治渴利有热，小便涩难。欲下之。前胡汤方
前胡（去芦头） 生干地黄（焙） 大黄（锉炒各一两） 黄芩（去黑心） 栀子仁 升
麻芍
药栝蒌根 石膏（碎各三分） 麦门冬（去心焙一两一分） 桂（去粗皮一分） 枳实（去
瓤麸炒
）甘草（炙各半两）
上一十三味，粗捣筛，每服四钱匕，水一盏半，入生地黄一分切碎，同煎至八分。去
滓食前温服。日三。
治渴利，麦门冬汤方
麦门冬（去心焙） 白茯苓（去黑皮各四两） 栝蒌根 地骨皮（各五两） 甘草（炙
三两）
上五味，粗捣筛，每服四钱匕，先以水二盏，入小麦一匙，竹叶二七片，生姜一枣大切。
枣二枚劈破，同煎至一盏半，去滓下药末，煎至八分，去滓食前温服。日三。
治渴利。栝蒌根煎方
生栝蒌根（去皮细切十斤） 黄牛脂（碎切一合半锅内慢火煎令消滤去滓）
上二味，先以水三斗，煮生栝蒌根，至水一斗用生绢绞去滓取汁，内牛脂搅令匀。再内
锅中慢火煎，不住手搅令水尽，候如膏状即止，于瓷合中密盛，每日食后，温酒调如鸡子黄
大服之，日三。
治三消渴疾，饮水无度，小便随之，肌肉消瘦。浓朴汤方
浓朴（去粗皮姜汁炙三两） 牡蛎（ 三两） 人参（一两）
上三味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓不计时候温服。
治三消渴疾，肌肤瘦弱，饮水不休，小便不止。黄 散方
黄 （锉） 桑根白皮（锉细各一两） 葛根（锉二两）
上三味，捣罗为散，每服三钱匕，煎杀猪汤，澄清调下，不拘时。
治常食热面炙爆诸干燥物，及服热补药，因热酒冲肺，日久即患消渴，饮水无度。小便
旋利，心中热闷烦躁。枸杞根饮方
枸杞根皮 菰根 李根白皮 葛根（四味并洗锉各二两） 甘草（炙一两） 牡蛎（炒
二两）
上七味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓不拘时温服。
治渴饮水下咽即利，为膀胱有热，名曰渴利。鸡 丸方
鸡 黄皮（炙） 栝蒌根（切）
上二味，等分，同捣罗为末，炼蜜丸如梧桐子大，每服二十丸，温熟水下，食后服。
治渴日夜饮水，随饮即利。石菖蒲散方
石菖蒲（一两） 栝蒌根（二两） 黄连（去须半两）
上三味，捣罗为散，每服二钱匕，新汲水调下，食后临卧服。
治渴利。麦门冬汤方
麦门冬（去心焙三两） 乌梅（去核炒半两）
上二味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓放温服。
治渴利小豆汁方
小豆（不限多少）
上一味，水煮熟捣烂。细布绞取汁，每服一盏，不拘时，频服即瘥。
又方
蔷薇根（细锉半斤）
上一味，用水五升，浸一日，取水，量力时时饮之。
Commentary states: Xiao Ke (Wasting and Thirsting Syndrome) is characterized by frequent and copious urination; whatever water is drunk is immediately excreted, hence it is named "Ke Li" (Thirst with Urination). This is likely caused by the consumption of small amounts of mineral drugs (Shi Shi) and excessive sexual activity, leading to Kidney Deficiency and depletion of Essence. Heat Qi remains exclusively in the body, causing the Kidney to become dry, resulting in thirst and a desire to drink. Due to Kidney Deficiency failing to control Water, the ingested fluid is quickly discharged through urination. If the disease persists for a long time, Body Fluids are exhausted, meridians become obstructed and stagnant, and Ying (Nutritive) and Wei (Defensive) Qi fail to circulate smoothly. Stagnant Heat Qi will inevitably transform into sores and pus.
Formula for treating Xiao Ke, where drinking continues day and night, and urination follows immediately after ingestion: Maidong Tang (Ophiopogon Decoction).
Herbs: Maidong (Ophiopogonis Radix, heart removed and roasted), Huanglian (Coptidis Rhizoma, whiskers removed), Donggua (Dried Winter Melon Flesh) (each 2 liang).
The above three herbs are coarsely crushed and sifted. Each dose consists of 3 qian bi (approx. 9-15g depending on era/measure), boiled in 1 zhan (approx. 200ml) of water until reduced to 7 fen (approx. 140ml). Strain and take warm.
Formula for treating Ke Li and continuous thirst due to deficient heat, which clears heat and relieves thirst: Shigao Tang (Gypsum Decoction).
Herbs: Shigao (Gypsum Fibrosum, 4 liang), Digupi (Lycii Cortex, 3 liang), Gualougen (Trichosanthis Radix, 2.5 liang), Maidong (Ophiopogonis Radix, heart removed and roasted, 3 liang), Fushen (Poria with Hostwood, wood removed), Zhimu (Anemarrhenae Rhizoma, roasted), Weirui (Polygonati Odorati Rhizoma) (each 2 liang).
The above seven herbs are coarsely crushed and sifted. Each dose consists of 4 qian bi, boiled in 2 zhan of water with 20 leaves of Zhuye (Bambusae Folium), 0.5 fen of Shengdihuang (Rehmanniae Radix, cut), 3 slices of Shengjiang (Zingiberis Rhizoma Recens), and 2 dates (Ziziphi Jujubae Fructus, split). Boil until reduced to 1 zhan. Strain and take warm after meals, three times daily.
Formula for treating Ke Li, drinking several dou per day, with frequent urination: Gualou San (Trichosanthes Powder).
Herbs: Gualougen (Trichosanthis Radix), Huanglian (Coptidis Rhizoma, whiskers removed), Fangji (Stephaniae Tetrandrae Rhizoma), Qiandan (Lead Carbonate, fried until purple and ground) (each 1 liang).
The above four herbs: The first three are pounded and sieved into powder, then mixed evenly with the ground Qiandan. Each dose is 2 qian bi, taken with wine after meals, three times daily. After taking the medicine, force oneself to drink water; shortly thereafter, one will naturally feel aversion to water and lose the desire to drink.
Formula for treating Ke Li lasting ten years, which cures upon administration: Qianjin San (Thousand Gold Powder).
Herbs: Zexie (Alismatis Rhizoma), Gualougen (Trichosanthis Radix), Gancao (Licorice Root, honey-fried, each 1 liang 1 fen), Baishizhi (Kaolinite, ground), Chishizhi (Halloysitum Rubrum, ground), Qiandan (Lead Carbonate, fried and ground, each 1 fen), Hufen (Basic Lead Carbonate, fried and ground, 3 fen), Shigao (Gypsum Fibrosum, crushed and ground, 1 liang).
The above eight herbs: The first three are pounded into powder, then mixed with the other ground ingredients. Each dose is 1 qian bi, taken with Baxia (Smilacis Glabrae Rhizoma) decoction, at any time, three times daily.
Formula for treating Ke Li with heat and difficult, astringent urination, intending to use purgation: Qianhu Tang (Peucedani Decoction).
Herbs: Qianhu (Peucedani Radix, rhizome removed), Shenggan Dihuang (Dried Rehmanniae Radix, roasted), Dahuang (Rhei Radix et Rhizoma, cut and fried, each 1 liang), Huangqin (Scutellariae Radix, black heart removed), Zhizi Ren (Gardeniae Fructus Seed), Shengma (Cimicifugae Rhizoma), Shaoyao (Paeoniae Radix Alba/Glauca), Gualougen (Trichosanthis Radix), Shigao (Gypsum Fibrosum, crushed, each 3 fen), Maidong (Ophiopogonis Radix, heart removed and roasted, 1 liang 1 fen), Gui (Cinnamomi Ramulus, bark removed, 1 fen), Zhishi (Aurantii Fructus Immaturus, pith removed, bran-fried), Gancao (Licorice Root, honey-fried, each 0.5 liang).
The above thirteen herbs are coarsely crushed and sifted. Each dose is 4 qian bi, boiled in 1.5 zhan of water with 1 fen of fresh Shengdihuang (Rehmanniae Radix, cut). Boil until reduced to 8 fen. Strain and take warm before meals, three times daily.
Formula for treating Ke Li: Maidong Tang (Ophiopogon Decoction).
Herbs: Maidong (Ophiopogonis Radix, heart removed and roasted), Bai Fuling (Poria, black skin removed, each 4 liang), Gualougen (Trichosanthis Radix), Digupi (Lycii Cortex, each 5 liang), Gancao (Licorice Root, honey-fried, 3 liang).
The above five herbs are coarsely crushed and sifted. Each dose is 4 qian bi. First, boil 2 zhan of water with 1 spoonful of Xiaomai (Tritici Semen), 14 leaves of Zhuye (Bambusae Folium), 1 slice of Shengjiang (Zingiberis Rhizoma Recens, size of a date), and 2 dates (split). Boil until reduced to 1.5 zhan. Strain, add the herbal powder, and boil again until reduced to 8 fen. Strain and take warm before meals, three times daily.
Formula for treating Ke Li: Gualougen Jian (Trichosanthes Root Paste).
Herbs: Fresh Gualougen (Trichosanthis Radix, peeled and finely cut, 10 jin), Huang Niu Zhi (Yellow Ox Fat, cut into pieces, 1.5 he).
The above two ingredients: First, boil the fresh Gualougen in 3 dou of water until reduced to 1 dou. Strain the liquid through raw silk to remove dregs. Add the ox fat and stir until uniform. Return to the pot and simmer over low heat, stirring constantly until all water evaporates and it becomes a paste-like consistency. Store tightly in a porcelain container. Take the amount of a chicken egg yolk, dissolved in warm wine, after each meal, three times daily.
Formula for treating San Xiao (Three Consumptions) Ke Ji, drinking without limit, urination following intake, and emaciation: Houpo Tang (Magnolia Bark Decoction).
Herbs: Houpo (Magnoliae Officinalis Cortex, coarse bark removed, ginger juice-fried, 3 liang), Muli (Concha Ostreae, 3 liang), Renshen (Ginseng Radix et Rhizoma, 1 liang).
The above three herbs are coarsely crushed and sifted. Each dose is 5 qian bi, boiled in 1.5 zhan of water until reduced to 8 fen. Strain and take warm at any time.
Formula for treating San Xiao Ke Ji, weak muscles and skin, incessant drinking, and uncontrollable urination: Huangqi San (Astragalus Powder). (Note: Original text has a missing character after 'Huang', inferred as Huangqi based on context).
Herbs: Huangqi (Astragali Radix, cut), Sangbaipi (Mori Cortex, finely cut, each 1 liang), Gegen (Puerariae Radix, cut, 2 liang).
The above three herbs are pounded and sieved into powder. Each dose is 3 qian bi, taken with clarified pig-killing water (water used to wash pork), at any time.
Formula for treating Ke caused by habitual consumption of hot noodles, roasted/dried foods, and hot tonic medicines, combined with hot wine affecting the Lungs, leading to chronic Ke Ke, unlimited drinking, immediate urination, and internal heat/restlessness: Gouqigen Yin (Goji Root Drink).
Herbs: Gouqigenpi (Lycii Cortex), Gu Gen (Zizaniae Latifoliae Rhizoma), Li Genbaipi (Pruni Persicae Cortex Albus), Gegen (Puerariae Radix) (these four are washed and cut, each 2 liang), Gancao (Licorice Root, honey-fried, 1 liang), Muli (Concha Ostreae, fried, 2 liang).
The above seven herbs are coarsely crushed and sifted. Each dose is 5 qian bi, boiled in 1.5 zhan of water until reduced to 8 fen. Strain and take warm at any time.
Formula for treating Ke where water is urinated immediately after swallowing, due to Heat in the Bladder, named Ke Li: Jineijin Wan (Chicken Gizzard Membrane Pills). (Note: Original text 'Ji [missing char] Huangpi' implies Jineijin or similar part).
Herbs: Ji Neijin Huangpi (Chicken Gizzard Membrane, roasted), Gualougen (Trichosanthis Radix, cut).
The above two ingredients in equal parts are pounded into powder. Made into pills the size of Sophora seeds using refined honey. Each dose is 20 pills, taken with warm cooked water after meals.
Formula for treating Ke, drinking day and night, with urination following immediately: Shichangpu San (Acorus Powder).
Herbs: Shichangpu (Acori Tatarinowii Rhizoma, 1 liang), Gualougen (Trichosanthis Radix, 2 liang), Huanglian (Coptidis Rhizoma, whiskers removed, 0.5 liang).
The above three herbs are pounded and sieved into powder. Each dose is 2 qian bi, taken with fresh well water after meals and before sleep.
Formula for treating Ke: Maidong Tang (Ophiopogon Decoction).
Herbs: Maidong (Ophiopogonis Radix, heart removed and roasted, 3 liang), Wumei (Mume Fructus, pits removed, fried, 0.5 liang).
The above two herbs are coarsely crushed and sifted. Each dose is 3 qian bi, boiled in 1 zhan of water until reduced to 7 fen. Strain and take warm when cooled.
Formula for treating Ke Li: Xiaodou Zhi (Adzuki Bean Juice).
Herbs: Xiaodou (Vigna angularis, quantity unspecified).
The above single herb is boiled in water until cooked, then mashed. Juice is extracted through fine cloth. Each dose is 1 zhan, taken frequently at any time until cured.
Another Formula.
Herbs: Qiangweigen (Rosae Rugosae Radix, finely cut, 0.5 jin).
The above single herb is soaked in 5 sheng of water for one day. Take the water and drink according to capacity at any time.