夫肝实则生热。热则阳气盛。致心下坚满。两胁痛引小腹。忿忿如怒。气逆头眩。为血
有余。即目痛。眼 赤。生息肉。阳毒所攻。悒悒先寒而后热。颈直背强。筋急。不得屈伸。
诊
治肝实热。目痛。胸满心烦。宜服泻肝前胡散方。
前胡（一两去芦头） 秦皮（一两） 细辛（一两） 黄芩（一两） 赤茯苓（一两） 蕤
仁（一
两）
子仁（一
两）
上为散。每服三钱。以水一中盏。入淡竹叶一（二）七片。同煎至六分。去滓。不计时
候
。温服。
治肝实热。梦怒惊恐。宜服泻肝防风散方。
防风（三分去芦头） 犀角屑（半两） 赤茯苓（半分） 葳蕤（半两） 射干（半两）
人参（
半两
两）
白藓
上为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。温服。忌炙爆热面。
治肝实热。头疼目眩。心膈虚烦。大肠不利。宜服泻肝柴胡散方。
柴胡（三两去苗） 玄参（半两） 甘菊花（半两） 地骨皮（半两） 羌活（半两） 细
辛（半
两）
荆子（半
两）
上为散。每服三钱。以水一中盏。煎至六分。去滓。食前温服。忌炙爆壅毒物。
治肝气壅实。四肢烦闷。眼目赤疼。宜服泻肝黄芩散方。
黄芩（三分） 赤茯苓（三分） 甘草（三分炙微赤锉） 川大黄（三分锉碎微炒） 枳
壳（三
分麸炒微黄去瓤） 羚羊角屑（三分） 细辛（三分） 前胡（半两去芦头） 决明子（三
分）
上为散。每服三钱。以水一中盏。入竹叶七片。煎至六分。去滓。食后温服。忌炙爆热
面等。
治肝脏实热。头目昏疼。肢节不利。项强心烦。胸中满闷。宜服泻肝升麻散方。
川升麻（三分） 蕤仁（半两） 前胡（半两去芦头） 秦皮（半两） 川芒硝（一两）
甘菊花
（半
羊角屑
（三分
上为散。每服三钱。以水一中盏。入淡竹叶二七片。煎至六分。去滓。不计时候。温服
治肝实热。心膈壅滞。虚烦。宜服泻肝散方。
甘菊花（半两） 决明子（半两） 黄芩（半两） 川升麻（半两） 枳壳（半两麸炒
微黄去瓤）
防
两锉微
炒） 甘草（一分炙微赤锉） 马牙硝（一分碎） 龙脑（一分研） 麝香（一分）
上为细末。入后三味更同研。合匀。每于食后。煎麦门冬汤。调下一钱。忌炙爆热面。
When the Liver is in a state of Excess, internal heat is generated. This heat causes an abundance of Yang Qi, leading to hardness and fullness below the heart (epigastric region), pain in both hypochondriac regions radiating to the lower abdomen, irritability resembling anger, rebellious Qi causing dizziness, which indicates an excess of Blood. Symptoms include eye pain, redness of the eyes, and the formation of polyps on the eyelids. If attacked by Yang Toxin (Yang Poison), there may be initial chills followed by fever, stiffness of the neck and back, tendon tension preventing flexion and extension.
For the diagnosis and treatment of Liver Excess-Heat, characterized by eye pain, chest fullness, and mental restlessness, it is appropriate to take Xiegan Qianhu San (Bupleurum Powder for Draining the Liver).
Ingredients: Qianhu (Peucedani Radix, 1 liang, rhizome removed); Qinpi (Ailanthi Cortex, 1 liang); Xixin (Asari Radix et Rhizoma, 1 liang); Huangqin (Scutellariae Radix, 1 liang); Chi Fuling (Poria with Red Hosta Root, 1 liang); Ruiren (Pruni Semen Persicae/Myrobalan? Note: Context suggests Prunus mume seed or similar, often translated as Myrobalan or Plum Seed, here kept as Ruiren), 1 liang; Jumingzi Ren (Cassiae Semen, 1 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhong of water and fourteen slices of Danzhuye (Lophatheri Herba). Decoct together until six parts remain. Strain the dregs. Take warm at any time.
For treating Liver Excess-Heat manifesting as nightmares of anger and fright, it is appropriate to take Xiegan Fangfeng San (Saposhnikovia Powder for Draining the Liver).
Ingredients: Fangfeng (Saposhnikoviae Radix, 3 fen, rhizome removed); Xijiao Xie (Rhinocerotis Cornu, 0.5 liang); Chi Fuling (Poria with Red Hosta Root, 0.5 fen); Weirui (Polygonati Rhizoma, 0.5 liang); Shegan (Belamcandae Rhizoma, 0.5 liang); Renshen (Ginseng Radix, 0.5 liang); Baixianpi (Dictamni Cortex, 0.5 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhong of water. Decoct until six parts remain. Strain the dregs. Take warm at any time. Avoid roasted, fried, hot, and wheat-based foods.
For treating Liver Excess-Heat manifesting as headache and dizziness, empty irritability in the heart and diaphragm, and constipation, it is appropriate to take Xiegan Chaihu San (Bupleurum Powder for Draining the Liver).
Ingredients: Chaihu (Bupleuri Radix, 3 liang, sprouts removed); Xuanshen (Scrophulariae Radix, 0.5 liang); Gan Juhua (Chrysanthemi Flos, 0.5 liang); Digupi (Lycii Cortex, 0.5 liang); Qianghuo (Notopterygii Rhizoma et Radix, 0.5 liang); Xixin (Asari Radix et Rhizoma, 0.5 liang); Jingzi (Viticis Fructus/Matricariae Fructus? Context implies Jingjie/Cnidium or Vitex, usually Vitex or Matricaria in this context, here Jingzi), 0.5 liang.
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhong of water. Decoct until six parts remain. Strain the dregs. Take warm before meals. Avoid roasted, fried, toxic, and cloying foods.
For treating Liver Qi Stagnation and Excess manifesting as limb restlessness, red and painful eyes, it is appropriate to take Xiegan Huangqin San (Scutellaria Powder for Draining the Liver).
Ingredients: Huangqin (Scutellariae Radix, 3 fen); Chi Fuling (Poria with Red Hosta Root, 3 fen); Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried until slightly red and chopped); Chuan Dahuang (Rhei Radix et Rhizoma, 3 fen, chopped and slightly stir-fried); Zhike (Aurantii Fructus Immaturus, 3 fen, bran-fried until slightly yellow and pith removed); Lingyangjiao Xie (Saigae Tataricae Cornu, 3 fen); Xixin (Asari Radix et Rhizoma, 3 fen); Qianhu (Peucedani Radix, 0.5 liang, rhizome removed); Juemingzi (Cassiae Semen, 3 fen).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhong of water and seven leaves of Zhuye (Bambusae Folium). Decoct until six parts remain. Strain the dregs. Take warm after meals. Avoid roasted, fried, hot, and wheat-based foods.
For treating Liver Organ Excess-Heat manifesting as dull headache and eye pain, difficulty in joint movement, stiff neck, mental restlessness, and chest fullness, it is appropriate to take Xiegan Shengma San ( Cimicifugae Powder for Draining the Liver).
Ingredients: Chuan Shengma (Cimicifugae Rhizoma, 3 fen); Ruiren (Pruni Semen Persicae/Myrobalan, 0.5 liang); Qianhu (Peucedani Radix, 0.5 liang, rhizome removed); Qinpi (Ailanthi Cortex, 0.5 liang); Chuan Mangxiao (Natrii Sulfas, 1 liang); Gan Juhua (Chrysanthemi Flos, 0.5 liang); Lingyangjiao Xie (Saigae Tataricae Cornu, 3 fen).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose. Add one zhong of water and fourteen slices of Danshi Zhuye (Lophatheri Herba). Decoct until six parts remain. Strain the dregs. Take warm at any time.
For treating Liver Excess-Heat manifesting as stagnation in the heart and diaphragm and empty irritability, it is appropriate to take Xiegan San (Powder for Draining the Liver).
Ingredients: Gan Juhua (Chrysanthemi Flos, 0.5 liang); Juemingzi (Cassiae Semen, 0.5 liang); Huangqin (Scutellariae Radix, 0.5 liang); Chuan Shengma (Cimicifugae Rhizoma, 0.5 liang); Zhike (Aurantii Fructus Immaturus, 0.5 liang, bran-fried until slightly yellow and pith removed); Fangfeng (Saposhnikoviae Radix, 0.5 liang, chopped and slightly stir-fried); Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried until slightly red and chopped); Mayaxiao (Natrii Sulfas, 1 fen, crushed); Longnao (Borneolum Syntheticum, 1 fen, ground); Shexiang (Moschus, 1 fen).
Preparation and Administration: Grind the first eight ingredients into a fine powder. Add the last three ingredients and grind them together thoroughly to mix evenly. After each meal, decoct Ophiopogonis Decoction (Ma Mendong Tang) and use it to wash down 1 qian of the powder. Avoid roasted, fried, hot, and wheat-based foods.