夫消中病者。由渴少而饮食多是也。此由脾脏积热。故使消谷也。亦有服五石之药。热
结于肾内。石性归肾。肾得石则实。实则生热。热则消水。故小便少也。又有脏腑虚冷。小
便利
石势
治消中烦热。吃食旋消。四肢羸弱。荠 散方。
荠 （一两） 人参（一两去芦头） 茯神（一两） 葛根（一两锉） 石膏（二两）
黄芩（一两） 栝蒌根（一两） 知母（一两） 甘草（一两炙微赤锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。入大豆一百粒。煎至六分。去滓。不计
时候温服。
治消中。虚羸。烦热口干。眠卧不安。地骨皮散方。
地骨皮（二两） 栝蒌根（一两） 石膏（一两） 黄连（一两去须） 甘草（一两炙
微赤锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治消中烦闷。热渴不止。黄 散方。
黄 （一两锉） 麦门冬（一两去心） 芦根（一两锉） 栝蒌根（一两） 紫苏茎叶
（一两）
生干地黄（半两锉） 桑根白皮（半两锉） 泽泻（半两） 甘草（一分炙微赤锉）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。竹叶二七片。煎至六分。去
滓。不计时候温服。
治消中。心神烦热。肌肉干瘦。小便赤黄。脚膝无力。吃食不成肌肤。牡蛎散方。
牡蛎（三分烧为粉） 朱砂（半两细研） 龙齿（三分） 芦荟（三分） 黄连（一两
去须） 铁
粉（一两细研） 泽泻（半两） 甘草（半两炙微赤锉） 黄丹（一分） 栝蒌根（一两） 鸡
（三分炙令黄色）
上件药。捣细罗为散。入研了药令匀。每服不计时候。煎大麦仁汤调下一钱。
治消中久不瘥。令人干瘦少力。心神烦乱。眠卧不安。铅霜散方。
铅霜（三分细研） 金箔（一百片细研） 银箔〔二（一）百片细研〕 麦门冬（一两
半去心
焙）
黄连（半两去
两半微炙）
知母（半两）
上件药。捣细罗为散。入前三味。同研令匀。每服不计时候。以清粥饮调下一钱。
治消中渴不止。小便赤黄。脚膝少力。纵食不生肌肤。黄 丸方。
黄 （一两锉） 牡蛎（二两烧为粉） 栝蒌根（半两） 甘草（半两炙微赤锉） 麦
门冬（一
两半去心焙） 地骨皮（半两） 白石脂（半两） 泽泻（半两） 知母（半两） 黄连（半
两去须）
薯
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以清粥饮下三
（二）十丸。
治消中渴。饮水不多。心中烦乱。四肢燥热。卧不安席。宜服铅霜丸方。
铅霜（三分细研） 栝蒌根（一两半） 甘草（半两炙微赤锉） 石膏（三分细研） 知
母（三
分） 子芩（三分） 铁粉（半两细研） 黄连（半两去须） 朱砂（半两细研）
上件药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如梧桐子大。每于食后。以
清粥饮下二十丸。
治消中烦热。小便数。茯神丸方。
茯神（一两） 地骨皮（半两） 黄 （半两锉） 知母（半两） 牡蛎（一两烧为粉）
栝蒌根
（三分） 黄连（三分去须） 麦门冬（二两去心焙） 熟干地黄（一两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以清粥饮下三十丸。
治消中渴不止。小便数。烦热。四肢无力。泽泻丸方。
泽泻（一两） 麦门冬（二两去心焙） 车前子（半两） 黄连（三分去须） 牡蛎（一
两烧为
粉） 桑螵蛸（半两微炒） 鸡 （一两微炒） 金箔（五十片研入）
上件药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以
蚕蛹汤下三十丸。
治消中。渴不止。心神烦热。皮肤干燥。宜服此神效方。
浮萍草（三两干者） 土瓜根（一两半）
上件药。捣细罗为散。每服不计时候。以牛乳汁调下二钱。
Xiao Zhong disease (Wasting-Thirst Disease) refers to a condition where the patient experiences mild thirst but consumes large amounts of food. This is caused by accumulated heat in the Spleen, which leads to rapid digestion of food. In some cases, taking "Five Minerals" pills (Wushi San, a type of mineral-based tonic) causes heat pathogens to accumulate internally within the Kidney. Since the nature of mineral drugs tends to target the Kidney, the Kidney becomes full/excess when receiving these minerals; excess generates internal heat, and heat consumes body fluids, resulting in scanty urination. Additionally, there are cases caused by deficiency-cold in the Zang-Fu organs, leading to frequent and urgent urination.
**Ji San Powder for treating Xiao Zhong with irritability-heat, rapid hunger after eating, and emaciated limbs:**
* *Qingcao* (Herba Descurainiae Huetianae, 1 liang), *Renshen* (Radix Ginseng, 1 liang, remove rhizome), *Fushen* (Sclerotium Poriae Cum Radix, 1 liang), *Gegen* (Radix Puerariae Lobatae, 1 liang, sliced), *Shigao* (Gypsum Fibrosum, 2 liang), *Huangqin* (Radix Scutellariae, 1 liang), *Gualougen* (Radix Trichosanthis, 1 liang), *Zhimu* (Rhizoma Anemarrhenae, 1 liang), *Gancao* (Radix Glycyrrhizae Preparata, 1 liang, honey-fried until slightly red and sliced).
Process the above herbs: crush and sieve coarsely to make a powder. Take 4 qian per dose. Add 1 zhong of water and 100 soybeans. Decoct until 6 fen remains. Strain and take warm at any time.
**Digupi San Powder for treating Xiao Zhong with deficiency-emaciation, irritability-heat, dry mouth, and restless sleep:**
* *Digupi* (Cortex Lycii, 2 liang), *Gualougen* (Radix Trichosanthis, 1 liang), *Shigao* (Gypsum Fibrosum, 1 liang), *Huanglian* (Rhizoma Coptidis, 1 liang, remove stamens), *Gancao* (Radix Glycyrrhizae Preparata, 1 liang, honey-fried until slightly red and sliced).
Process the above herbs: crush and sieve coarsely to make a powder. Take 4 qian per dose. Add 1 zhong of water. Decoct until 6 fen remains. Strain and take warm at any time.
**Huangqi San Powder for treating Xiao Zhong with irritability and unceasing heat-thirst:**
* *Huangqi* (Radix Astragali, 1 liang, sliced), *Maimendong* (Radix Ophiopogonis, 1 liang, remove heart), *Lugen* (Rhizoma Phragmitis, 1 liang, sliced), *Gualougen* (Radix Trichosanthis, 1 liang), *Zisujingye* (Folium Perillae, 1 liang), *Shengdihuang* (Radix Rehmanniae Recens, 0.5 liang, sliced), *Sangbaipi* (Cortex Mori, 0.5 liang, sliced), *Zexie* (Rhizoma Alismatis, 0.5 liang), *Gancao* (Radix Glycyrrhizae Preparata, 1 fen, honey-fried until slightly red and sliced).
Process the above herbs: crush and sieve finely to make a powder. Take 4 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 14 leaves of bamboo (*Zhuye*). Decoct until 6 fen remains. Strain and take warm at any time.
**Muli San Powder for treating Xiao Zhong with mental irritability-heat, dry and emaciated muscles, dark yellow urine, weak legs and knees, and inability to nourish the body despite eating:**
* *Muli* (Concha Ostreae, 3 qian, calcined to powder), *Zhusha* (Cinnabaris, 0.5 liang, finely ground), *Longchi* (Dens Dentis Mammi, 3 qian), *Luhui* (Resina Aloes, 3 qian), *Huanglian* (Rhizoma Coptidis, 1 liang, remove stamens), *Tiefen* (Pulvis Ferri, 1 liang, finely ground), *Zexie* (Rhizoma Alismatis, 0.5 liang), *Gancao* (Radix Glycyrrhizae Preparata, 0.5 liang, honey-fried until slightly red and sliced), *Huandan* (Minium, 1 fen), *Gualougen* (Radix Trichosanthis, 1 liang), *Jineijin* (Endothelium Corneum Gigeriae Galli, 3 qian, fried until yellow).
Process the above herbs: crush and sieve finely. Mix evenly with the previously ground ingredients. Take 1 qian at any time, mixed with decoction of barley kernels.
**Qianshuang San Powder for treating chronic Xiao Zhong that does not heal, causing dryness, emaciation, weakness, mental restlessness, and insomnia:**
* *Qianshuang* (Plumbum Subacetatum, 3 qian, finely ground), *Jinbo* (Lamina Aurii, 100 pieces, finely ground), *Yinbo* (Lamina Argentii, 200 pieces, finely ground), *Maimendong* (Radix Ophiopogonis, 1.5 liang, remove heart and dried), *Huanglian* (Rhizoma Coptidis, 0.5 liang, remove stamens), *Zhimu* (Rhizoma Anemarrhenae, 0.5 liang).
Process the above herbs: crush and sieve finely. Mix evenly with the first three metallic/mineral ingredients. Take 1 qian at any time, mixed with thin rice gruel.
**Huangqi Wan Pills for treating Xiao Zhong with unceasing thirst, dark yellow urine, weak legs and knees, and failure to gain flesh despite increased appetite:**
* *Huangqi* (Radix Astragali, 1 liang, sliced), *Muli* (Concha Ostreae, 2 liang, calcined to powder), *Gualougen* (Radix Trichosanthis, 0.5 liang), *Gancao* (Radix Glycyrrhizae Preparata, 0.5 liang, honey-fried until slightly red and sliced), *Maimendong* (Radix Ophiopogonis, 1.5 liang, remove heart and dried), *Digupi* (Cortex Lycii, 0.5 liang), *Baizhishi* (Kaolin, 0.5 liang), *Zexie* (Rhizoma Alismatis, 0.5 liang), *Zhimu* (Rhizoma Anemarrhenae, 0.5 liang), *Huanglian* (Rhizoma Coptidis, 0.5 liang, remove stamens), *Shanyao* (Rhizoma Dioscoreae, 0.5 liang).
Process the above herbs: crush and sieve into powder. Mix with refined honey, pound 200-300 times. Form pills the size of tung tree seeds. Take 30 pills at any time, washed down with thin rice gruel.
**Qianshuang Wan Pills for treating Xiao Zhong with thirst, insufficient water intake, mental restlessness, dry-hot limbs, and restless sleep:**
* *Qianshuang* (Plumbum Subacetatum, 3 qian, finely ground), *Gualougen* (Radix Trichosanthis, 1.5 liang), *Gancao* (Radix Glycyrrhizae Preparata, 0.5 liang, honey-fried until slightly red and sliced), *Shigao* (Gypsum Fibrosum, 3 qian, finely ground), *Zhimu* (Rhizoma Anemarrhenae, 3 qian), *Zixin* (Radix Scutellariae, 3 qian), *Tiefen* (Pulvis Ferri, 0.5 liang, finely ground), *Huanglian* (Rhizoma Coptidis, 0.5 liang, remove stamens), *Zhusha* (Cinnabaris, 0.5 liang, finely ground).
Process the above herbs: crush and sieve into powder. Mix evenly with the previously ground ingredients. Mix with refined honey, pound 200-300 times. Form pills the size of tung tree seeds. Take 20 pills after meals, washed down with thin rice gruel.
**Fushen Wan Pills for treating Xiao Zhong with irritability-heat and frequent urination:**
* *Fushen* (Sclerotium Poriae Cum Radix, 1 liang), *Digupi* (Cortex Lycii, 0.5 liang), *Huangqi* (Radix Astragali, 0.5 liang, sliced), *Zhimu* (Rhizoma Anemarrhenae, 0.5 liang), *Muli* (Concha Ostreae, 1 liang, calcined to powder), *Gualougen* (Radix Trichosanthis, 3 qian), *Huanglian* (Rhizoma Coptidis, 3 qian, remove stamens), *Maimendong* (Radix Ophiopogonis, 2 liang, remove heart and dried), *Shudihuang* (Radix Rehmanniae Praeparata, 1 liang).
Process the above herbs: crush and sieve into powder. Mix with refined honey, pound 200-300 times. Form pills the size of tung tree seeds. Take 30 pills at any time, washed down with thin rice gruel.
**Zexie Wan Pills for treating Xiao Zhong with unceasing thirst, frequent urination, irritability-heat, and limb weakness:**
* *Zexie* (Rhizoma Alismatis, 1 liang), *Maimendong* (Radix Ophiopogonis, 2 liang, remove heart and dried), *Cheqianzi* (Semen Plantaginis, 0.5 liang), *Huanglian* (Rhizoma Coptidis, 3 qian, remove stamens), *Muli* (Concha Ostreae, 1 liang, calcined to powder), *Sangpiaoxiao* (Oötheca Mantidis, 0.5 liang, lightly stir-fried), *Jineijin* (Endothelium Corneum Gigeriae Galli, 1 liang, lightly stir-fried), *Jinbo* (Lamina Aurii, 50 pieces, ground).
Process the above herbs: crush and sieve into powder. Mix evenly with the previously ground ingredients. Mix with refined honey, pound 200-300 times. Form pills the size of tung tree seeds. Take 30 pills at any time, washed down with silkworm pupae decoction.
**Shenxiao Formula for treating Xiao Zhong with unceasing thirst, mental irritability-heat, and dry skin:**
* *Fupingcao* (Herba Lemnae, 3 liang, dried), *Tugua-gen* (Radix Cucumis Tricuspidati, 1.5 liang).
Process the above herbs: crush and sieve finely to make a powder. Take 2 qian at any time, mixed with cow's milk.