治大渴秘方。
深掘一大栝蒌根，浓削去皮至白处止，寸切，水浸一日一夜，易水经五日，取出烂捣碎
研之，以绢袋滤，如出粉法干之，水服方寸匕，日三四。亦可作粉粥乳酪中食之，不限多少，
瘥止。
又方 栝蒌粉和鸡子曝干，更杵为末，水服方寸七，日三。丸服亦可。
又方 水和栝蒌散服方寸匕。亦可蜜丸如梧子大，服三十丸。
又方 浓煮竹根汁饮之，瘥止。
又方 渍豉汁任性多少，饮之。
又方 以青粱米煮取汁，饮之，以瘥止。
论曰∶夫内消之为病，当由热中所致，小便多于所饮，令人虚极短气。夫内消者，食物
皆消作小便，又不渴。贞观十年梓州刺史李文博，先服白石英既久，忽房道强盛，经月余，
渐患渴，经数日，小便大利，日夜百行，百方治之，渐以增剧，四体羸 ，不能起止，精
神恍惚，口舌焦干而卒。此病虽稀，甚可畏也。利时六脉沉细微弱，服枸杞汤即效，但不能
长愈。服铅丹散亦即减，其间将服除热宣补丸。
治渴而利者方。
枸杞枝叶（一斤） 黄连 栝萎根 甘草 石膏（各三两）
上五味 咀，以水一斗，煮取三升，分五服，日三夜二。剧者多合，渴即饮之。
治消渴，止小便数兼消中方。
铅丹 胡粉 甘草 泽泻 石膏 栝蒌根 赤石脂 白石脂（《肘后》作贝母）
上八味各五分治下筛，水服方寸匕，日三。壮人服匕半。一年病者，一日愈。二年病者
，二日愈。渴甚者，夜二服。腹痛者减之。丸服亦佳，每服十丸。伤多令人腹痛。（张文仲
云
药了经三两日，宜烂煮羊肝肚，空腹服之。或作羹亦得。宜汤淡食之，候小便得咸，更即
宜苁蓉丸，兼煮散将息方。见《外台》第十一卷中）。
Secret recipe for treating severe thirst.
Deeply dig up a large *Trichosanthes radices* (Gualou Gen, 栝蒌根), thickly peel off the skin until the white part is exposed, cut into one-cun segments, soak in water for one day and one night, change the water every five days, take out, pound thoroughly until mushy, grind it, filter through a silk bag, dry it like extracting starch, take with water, one fangcun bi (a measure of volume) each time, three to four times a day. It can also be made into powder porridge or eaten with milk curd, without limit on quantity, stop when cured.
Another prescription: Mix *Trichosanthes radices* powder with egg, dry in the sun, pound again into powder, take with water, one fangcun qi (a slightly larger measure) each time, three times a day. Pill form is also acceptable.
Another prescription: Take *Trichosanthes* powder mixed with water, one fangcun bi each time. Can also be made into honey pills the size of *Celastrus orbiculatus* seeds (Wuzi, 梧子), take thirty pills each time.
Another prescription: Boil bamboo root juice strongly and drink it, stop when cured.
Another prescription: Soak fermented soybeans (*Douchi*, 豆豉) in water, drink as much as desired.
Another prescription: Boil green millet (*Qingliangmi*, 青粱米) to extract the juice, drink it, stop when cured.
Discussion states: The disease of internal consumption (Neixiao, 内消) is caused by heat in the interior. Urination exceeds fluid intake, causing extreme deficiency and shortness of breath. In internal consumption, food is digested and excreted directly as urine, and there is no sensation of thirst. In the tenth year of Zhenguan, Li Wenbo, Prefect of Zizhou, had taken *Quartzum Album* (Baishiyin, 白石英) for a long time. Suddenly, his sexual desire became excessively strong, lasting for over a month. Gradually, he suffered from thirst. After a few days, urination became excessive, occurring one hundred times a day and night. He tried various treatments, but the condition worsened. His limbs became emaciated, unable to rise or walk; his spirit was confused, mouth and tongue scorched and dry, and he died. Although this disease is rare, it is very fearful. During the episode, all six pulses were deep, fine, weak, and thin. Taking *Gouqi Tang* (Goji Berry Decoction) showed immediate effect, but did not lead to complete recovery. Taking *Qiandan San* (Lead Carbonate Powder) also reduced symptoms immediately. During this period, he also took *Chure Xuanbu Wan* (Heat-Removing and Tonifying Pill).
Prescription for treating thirst accompanied by diarrhea.
*Lycium chinense* branches and leaves (one jin), *Coptidis Rhizoma* (Huanglian, 黄连), *Trichosanthes radices* (Gualou Gen, 栝蒌根), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), *Gypsum Fibrosum* (Shigao, 石膏) (each three liang).
The above five medicines are chopped, boiled in ten dou of water to obtain three sheng, divided into five doses, taken three times during the day and twice at night. For severe cases, prepare more decoction; drink when thirsty.
Prescription for treating Xiao Ke (Wasting-Thirst Syndrome) to reduce frequent urination and consumption symptoms.
*Minii Preparatio* (Qiandan, 铅丹), *Plumbi Subcarbonas* (Hufen, 胡粉), *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), *Alismatis Rhizoma* (Zexie, 泽泻), *Gypsum Fibrosum* (Shigao, 石膏), *Trichosanthes radices* (Gualou Gen, 栝蒌根), *Kaolin* (Chishizhi, 赤石脂), *Kaolin* (Baishizhi, 白石脂) (*Zhou Hou Bei Ji Fang* uses *Fritillariae Cirrhosae Bulbus* (Beimu, 贝母)).
The above eight medicines, each five fen, are pounded and sifted. Take with water, one fangcun bi each time, three times a day. Strong individuals take half a bi. Those ill for one year are cured in one day. Those ill for two years are cured in two days. For severe thirst, take twice at night. Reduce dosage if abdominal pain occurs. Pill form is also good, take ten pills each time. Excessive intake causes abdominal pain. (Zhang Wenzhong says: Two or three days after finishing the medicine, it is advisable to boil mutton liver and tripe thoroughly and take them on an empty stomach. Making soup is also acceptable. Eat bland food. When urine becomes salty, it is more suitable to take *Congrong Wan* (Cistanche Pill) and use the decoction powder for care. See Volume 11 of *Waitai Miyao*).