夫消渴饮水过度者。由肾虚心热。三焦不和。上热下冷故也。凡人好食热酒炙肉。或服
乳石壅滞之药。热毒在内。不得宣通。关腠闭塞。血脉不行。热气蒸于脏腑。津液枯竭。则
令心
治消渴饮水。过多不止。心神恍惚。卧不安稳。羚羊角散方。
羚羊角屑（三分） 知母（三分） 黄 （三分锉） 栝蒌根（三分） 麦门冬（三分
去心） 茯
神（三分）
微赤锉）
石膏（一
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。淡竹叶二七片。小麦半合。
煎至五分。去滓。每于食后温服。
治消渴。饮水过多。烦热不解。黄丹散方。
黄丹（一两） 胡粉（一两） 栝蒌根（一两） 甘草（半两炙微赤锉） 泽泻（三分）
石膏（
一两半） 麦门冬（半两去心焙） 白石脂（三分）
上件药。捣细罗为散。每服不计时候。以清粥饮调下一钱。
治消渴。饮水过多。烦渴不止。黄 散方。
黄 （一两锉） 栝蒌根（一两） 麦门冬（二两去心焙） 赤茯苓（半两） 甘草（半
两炙微
赤锉）
上件药。捣细罗为散。每于食后。煎竹叶水调下二钱。
治消渴。饮水过多。不知足限。栝蒌根丸方。
栝蒌根（三分） 黄丹（半两） 葛根（半两） 黄连（一两去须）
上件药。捣罗为末。入黄丹。研令匀。炼蜜和丸。如梧桐子大。每服。以温水下十丸。
遇渴吃水。即便服之。
又方。
黄丹（一分）栝蒌根（半两） 槟榔（一分末） 绿豆粉（一两）
上件药。都研令匀。用白面三两相和。作 。用生姜葱薤白豉汁煮熟。和汁温食之。
又方。
密陀僧（半两细研） 蜡面茶（半两） 黄连（半两去须） 滑石（半两） 栝蒌根（半
两）
上件药。捣细罗为散。每服。不计时候。以清粥饮调下一钱。
又方。
铅（一斤） 水银（二两先熔铅旋投入水银候铅面上有花晕上便以铁匙掠取于乳钵内研
之）
皂荚（一挺不 者涂酥炙令黄去皮子入麝香一钱同碾为末）
上件药。每服。炒皂荚散一钱。以水一中盏。煎至六分。去滓。令温。每于食后。调下
铅黄散半钱。
又方。
黄连（半两去须） 栝蒌根（半两） 密陀僧（半两细研） 人参（半两去芦头）
上件药。捣细罗为散。入密陀僧。研令匀。每于食后。以温浆水调下一钱。
又方。
栝蒌（一两） 黄连（二两去须） 甘草（一两炙微赤锉）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。每于食后温服。
又方。
地骨皮（一两） 甘草（三分炙微赤锉） 桑根白皮（三两锉）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食后
温服。
又方。
栝蒌根（半两） 汉防己（半两） 黄连（半两去须） 黄丹（半两）
上件药。捣细罗为散。入黄丹。研令匀。每于食后。以温水调下一钱。
治消渴。日夜饮水。过多不足。口干燥。小便数。麦门冬散方。
麦门冬（一两去心） 栝蒌根（一两） 知母（一两） 黄 （一两锉） 甘草（半两
炙微赤锉）
牡蛎（一两半烧为粉）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治消渴。饮水过度。烦热不解。心神恍惚。眠卧不安。土瓜根丸方。
土瓜根（三分） 栝蒌根（一两） 麦门冬（一两去心） 知母（三分） 苦参（一两
锉） 石膏
（一两细
碎微炒）
龙齿（三
分〕
上件药。捣罗为末。入研了药令匀。炼蜜和捣三五百杵。丸如梧桐子大。每于食后。煎
竹叶小麦汤下三十丸。
治消渴饮水过度。渴尚不止。口舌干燥。心神烦乱。坐卧不安。镇心止渴铁粉丸
方。
铁粉（一两细研） 黄连（二两去须） 苦参（一两锉） 麦门冬（二两去心焙） 土
瓜根（一
两） 牡蛎粉（一两） 金箔（五十片细研） 银箔（五十片细研） 栝蒌根（二两）
上件药。捣罗为末。入研了药。都研令匀。炼蜜和捣三五百杵。丸如梧桐子大。不计时
候。以清粥饮下三十丸。
治消渴饮水过多。小便不利方。
葵根茎叶五两切
上件药。以水三大盏。入生姜一分。豉一合。煮取二盏。去滓。食后分温三服。
治消渴。饮水过多不瘥方。
凌霄花一两。捣碎。以水一大盏半。煎至一盏。去滓。分温三服。
又方。
人参（一两去芦头捣细罗为散）
上用鸡子清调下一钱。日四五服。
治消渴。饮水过甚。并小儿渴疾方。
黄狗胆（一枚） 猪胆（一枚）
上件狗胆。并入猪胆内。阴干。候堪丸。即丸如梧桐子大。每服。以麝香汤下二丸。小
儿半丸。
For cases of excessive drinking in Xiao Ke (Wasting and Thirsting Syndrome), the etiology lies in deficiency of the Kidney with heat in the Heart, disharmony of the San Jiao (Triple Burner), resulting in heat above and cold below. This condition often arises from a diet rich in hot wine and roasted meats, or from the ingestion of drugs such as Ru Shi (Mineral Drugs) that cause stagnation. Heat toxins accumulate internally without being dispersed or unblocked; the interstices (Cou Li) become closed, and blood vessels fail to circulate properly. Heat steams within the Zang-Fu organs, depleting body fluids (Jin Ye). This leads to heat harassing the Heart, causing excessive and unrelenting drinking, mental restlessness, and unstable sleep.
Formula for Lingyangjiao San (Antelope Horn Powder):
Lingyangjiao Xie (Horn of Saiga Antelope, 3 fen)
Zhimu (Rhizoma Anemarrhenae, 3 fen)
Huangqin (Radix Scutellariae, 3 fen, sliced)
Gualougen (Radix Trichosanthis, 3 fen)
Maimendong (Tuber Ophiopogonis, 3 fen, heart removed)
Fushen (Poria with Hostwood, 3 fen)
Shigao (Gypsum Fibrosum, 1 liang, slightly reddish, sliced)
Preparation: Pound and sieve the ingredients into a powder. Take 5 qian per dose. Add 1 large zhan of water, 0.5 fen of fresh ginger, 14 leaves of Dan Zhuye (Bamboo Leaf), and 0.5 he of wheat. Decoct until 0.5 zhan remains. Strain. Take warm after meals.
Formula for Huangdan San (Lead Monoxide Powder) for treating Xiao Ke with excessive drinking and unresolved irritability and heat:
Huangdan (Lithargyrum, 1 liang)
Hufen (Cerussa, 1 liang)
Gualougen (Radix Trichosanthis, 1 liang)
Gancao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly reddish and sliced)
Zexie (Rhizoma Alismatis, 3 fen)
Shigao (Gypsum Fibrosum, 1.5 liang)
Maimendong (Tuber Ophiopogonis, 0.5 liang, heart removed and baked)
Baishizhi (Kaolinite, 3 fen)
Preparation: Pound and sieve finely into a powder. Take 1 qian per dose at any time, mixed with clear thin gruel.
Formula for Huangqin San (Scutellaria Powder) for treating Xiao Ke with excessive drinking and unceasing irritability and thirst:
Huangqin (Radix Scutellariae, 1 liang, sliced)
Gualougen (Radix Trichosanthis, 1 liang)
Maimendong (Tuber Ophiopogonis, 2 liang, heart removed and baked)
Chifuling (Poria with Red Hostwood, 0.5 liang)
Gancao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly reddish and sliced)
Preparation: Pound and sieve finely into a powder. Take 2 qian per dose after meals, mixed with water decocted from bamboo leaves.
Formula for Gualougen Wan (Trichosanthes Root Pill) for treating Xiao Ke with excessive drinking and lack of satiety:
Gualougen (Radix Trichosanthis, 3 fen)
Huangdan (Lithargyrum, 0.5 liang)
Gegen (Radix Puerariae, 0.5 liang)
Huanglian (Rhizoma Coptidis, 1 liang, whiskers removed)
Preparation: Pound and sieve into powder. Mix with Huangdan. Blend with refined honey to form pills the size of Sophora seeds. Take 10 pills per dose with warm water. Take immediately when thirsty.
Another Formula:
Huangdan (Lithargyrum, 1 fen)
Gualougen (Radix Trichosanthis, 0.5 liang)
Binglang (Areca Seed, 1 fen, powdered)
Lvdoufen (Powder of Mung Bean, 1 liang)
Preparation: Grind all ingredients uniformly. Mix with 3 liang of white flour. Cook in a dough form using juice from fresh ginger, scallion, Allium macrostemon, and fermented soybean. Eat warm with the broth.
Another Formula:
Miduoseng (Litharge, 0.5 liang, finely ground)
Lamiancha (Wax-surface Tea, 0.5 liang)
Huanglian (Rhizoma Coptidis, 0.5 liang, whiskers removed)
Huashi (Talcum, 0.5 liang)
Gualougen (Radix Trichosanthis, 0.5 liang)
Preparation: Pound and sieve finely into a powder. Take 1 qian per dose at any time, mixed with clear thin gruel.
Another Formula:
Qian (Lead, 1 jin)
Shuiyin (Mercurius, 2 liang. First melt the lead, then add mercury. When floral patterns appear on the lead surface, scrape off with an iron spoon and grind in a mortar.)
Zaojia (Gleditsia Sinensis Fruit, 1 piece, non-borer, coated with butter, fried until yellow, skin and seeds removed, mixed with 1 qian of Shexiang/Musk, and ground together)
Preparation: Take 1 qian of fried Zaojia powder per dose. Decoct in 1 zhan of water until 0.6 zhan remains. Strain and warm. Take 0.5 qian of Qianhuang San (Lead Yellow Powder) after meals.
Another Formula:
Huanglian (Rhizoma Coptidis, 0.5 liang, whiskers removed)
Gualougen (Radix Trichosanthis, 0.5 liang)
Miduoseng (Litharge, 0.5 liang, finely ground)
Renshen (Radix Ginseng, 0.5 liang, radix tip removed)
Preparation: Pound and sieve finely into a powder. Mix with Miduoseng and grind uniformly. Take 1 qian per dose after meals, mixed with warm sour rice water.
Another Formula:
Gualou (Fructus Trichosanthis, 1 liang)
Huanglian (Rhizoma Coptidis, 2 liang, whiskers removed)
Gancao (Radix Glycyrrhizae, 1 liang, honey-fried until slightly reddish and sliced)
Preparation: Pound and sieve into a powder. Take 3 qian per dose. Decoct in 1 zhan of water until 0.6 zhan remains. Strain. Take warm after meals.
Another Formula:
Digupi (Cortex Lycii, 1 liang)
Gancao (Radix Glycyrrhizae, 3 fen, honey-fried until slightly reddish and sliced)
Sangenbapi (Cortex Morus Radicis, 3 liang, sliced)
Preparation: Pound and sieve into a powder. Take 4 qian per dose. Decoct in 1 zhan of water with 0.5 fen of fresh ginger until 0.6 zhan remains. Strain. Take warm after meals.
Another Formula:
Gualougen (Radix Trichosanthis, 0.5 liang)
Hanfangji (Radix Stephaniae Tetrandrae, 0.5 liang)
Huanglian (Rhizoma Coptidis, 0.5 liang, whiskers removed)
Huangdan (Lithargyrum, 0.5 liang)
Preparation: Pound and sieve finely into a powder. Mix with Huangdan and grind uniformly. Take 1 qian per dose after meals with warm water.
Formula for Maimendong San (Ophiopogon Powder) for treating Xiao Ke with day-and-night excessive drinking, dry mouth and tongue, and frequent urination:
Maimendong (Tuber Ophiopogonis, 1 liang, heart removed)
Gualougen (Radix Trichosanthis, 1 liang)
Zhimu (Rhizoma Anemarrhenae, 1 liang)
Huangqin (Radix Scutellariae, 1 liang, sliced)
Gancao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly reddish and sliced)
Muli (Concha Ostreae, 1.5 liang, calcined to powder)
Preparation: Pound and sieve into a powder. Take 4 qian per dose. Decoct in 1 zhan of water with 0.5 fen of fresh ginger until 0.6 zhan remains. Strain. Take warm at any time.
Formula for Tugua Gen Wan (Cucumis Melo Var. Amarus Root Pill) for treating Xiao Ke with excessive drinking, unresolved irritability and heat, mental restlessness, and unstable sleep:
Tugua Gen (Radix Cucumis Melo Var. Amarus, 3 fen)
Gualougen (Radix Trichosanthis, 1 liang)
Maimendong (Tuber Ophiopogonis, 1 liang, heart removed)
Zhimu (Rhizoma Anemarrhenae, 3 fen)
Kushen (Radix Sophorae Flavescentis, 1 liang, sliced)
Shigao (Gypsum Fibrosum, 1 liang, finely crushed and lightly stir-fried)
Longchi (Dens Dentis Mammothis, 3 fen)
Preparation: Pound and sieve into powder. Mix with other ground ingredients uniformly. Blend with refined honey and pound 300-500 times. Form pills the size of Sophora seeds. Take 30 pills after meals with a decoction of bamboo leaves and wheat.
Formula for Zhenxin Zhike Tie Fen Wan (Heart-Calming and Thirst-Quenching Iron Powder Pill) for treating Xiao Ke with excessive drinking, unquenchable thirst, dry mouth and tongue, mental agitation, and restlessness:
Tiefen (Plumbum Metallicum Pulveratum/Iron Powder, 1 liang, finely ground)
Huanglian (Rhizoma Coptidis, 2 liang, whiskers removed)
Kushen (Radix Sophorae Flavescentis, 1 liang, sliced)
Maimendong (Tuber Ophiopogonis, 2 liang, heart removed and baked)
Tugua Gen (Radix Cucumis Melo Var. Amarus, 1 liang)
Muli Fen (Concha Ostreae Powder, 1 liang)
Jinbo (Lamina Aurum, 50 pieces, finely ground)
Yinbo (Lamina Argentum, 50 pieces, finely ground)
Gualougen (Radix Trichosanthis, 2 liang)
Preparation: Pound and sieve into powder. Mix with other ground ingredients and grind uniformly. Blend with refined honey and pound 300-500 times. Form pills the size of Sophora seeds. Take 30 pills at any time with clear thin gruel.
Formula for treating Xiao Ke with excessive drinking and difficult urination:
Kuigen Jingye (Root, Stem, and Leaf of Abutilon indicum, 5 liang, cut)
Preparation: Decoct in 3 zhan of water with 1 fen of fresh ginger and 1 he of fermented soybean until 2 zhan remains. Strain. Divide into three warm doses after meals.
Formula for treating Xiao Ke with excessive drinking that has not healed:
Lingxiaohua (Flos Campsis, 1 liang, crushed)
Preparation: Decoct in 1.5 zhan of water until 1 zhan remains. Strain. Divide into three warm doses.
Another Formula:
Renshen (Radix Ginseng, 1 liang, radix tip removed, pounded and sieved into powder)
Preparation: Take 1 qian per dose mixed with egg white. Administer 4-5 times daily.
Formula for treating severe Xiao Ke drinking and pediatric thirst disease:
Huanggou Dan (Gall of Yellow Dog, 1 piece)
Zhudan (Gall of Pig, 1 piece)
Preparation: Combine dog gall into pig gall. Dry in the shade. Form pills the size of Sophora seeds. Take 2 pills per dose with Shexiang (Musk) water. Pediatric dose is half a pill.