夫肾主水。而藏于精。若实则阳气盛。若阳气盛则生热。热则舌燥咽肿。心烦嗌干。胸
胁时
其脉
治肾脏实热。心胸烦闷。腹胁胀满。腰脊强急。四肢不利。宜服泻肾生干地黄散方
。
生干地黄（一两半） 丹参（一两） 赤茯苓（一两） 麦门冬（一两半去心） 槟榔
（一两） 羚
羊角屑
（一两去
芦头）
上件药。捣筛为散。每服四钱。以水一中盏。入淡竹叶二七片。煎至六分。去滓。食前
温服。
治肾脏实热。小腹胀满。足下热疼。耳聋。腰脊离解。梦伏水中。宜服泻肾大黄
散方。
川大黄（二两蜜水浸一宿曝干） 赤茯苓（一两） 黄芩（一两） 泽泻（一两） 菖
蒲（一两）
甘
两） 玄
参（
上件药。捣筛为散。每服五钱。以水一大盏。煎至六分。去滓。入生地黄汁一合。食前
分温二服。
治肾脏实热。好忘。耳听无声。四肢满急。腰背动转痛强。宜服泻肾玄参散方。
玄参（一两） 赤茯苓（一两） 黄芩（一两） 泽泻（一两） 川升麻（一两） 川
芒硝（一两）
磁
皮尖双
仁麸
上件药。捣筛为散。每服半两。以水一大盏半。入生地黄半两。淡竹叶二七片。煎至八
分。去滓。食前分温二服。
治肾脏实热。腹胁不利。心膈烦满。腰背拘急。足下热痛。宜服泻肾赤茯苓散方。
赤茯苓（二两） 丹参（三分） 牡丹（三分） 生干地黄（三分） 甘草（半两炙微
赤锉） 猪
苓（
羊角屑
（一
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。食前温服。
治肾脏气实。肩背拘急。小腹胀满。烦热。胸胁时痛。腰脊强直。小便赤黄。宜
服泻肾
泽泻（一两） 黄芩（三分） 赤茯苓（三分） 木通〔一（三）分锉〕 赤芍药（半
两） 羚羊
角屑（半两） 黄 （三分锉） 槟榔（三分） 玄参（三分）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。食前温服。
治肾脏实热。小腹壅滞。腰脊疼痛。肩背拘急。宜服泻肾槟榔散方。
槟榔（一两） 赤茯苓（三分） 羚羊角屑（三分） 泽泻（三分） 柴胡（三分去苗）
赤芍药
（三分） 木通（三分锉） 桃仁（三分汤洗去皮尖双仁麸炒微黄） 甘草（半两炙微赤锉）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜地黄各半两。煎至六分。去滓。
食前温服。
治肾脏实热。膀胱气滞。小便赤黄。涩痛不通。宜服榆皮散方。
榆白皮（三分锉） 葵根（三分锉） 泽泻（三分） 木通（三分锉） 瞿麦（三分） 赤
茯苓（
三分
炒） 子
芩（一
上件药。捣粗罗为散。每服三钱。水一中盏。入生姜半分。煎至六分。去滓。食前温服
之。
The Kidney governs water metabolism and stores essence. If pathogenic factors are excessive in the Kidney, Yang Qi becomes hyperactive; if Yang Qi is hyperactive, heat is generated. Heat leads to a dry tongue, swollen and painful throat, mental restlessness, dryness of the pharynx, and occasional pain in the chest and hypochondrium. The pulse presents as... (text missing here).
For treating Excess-Heat of the Kidney, manifesting as mental restlessness and oppression in the chest and heart, distension and fullness in the abdomen and hypochondrium, stiffness and tension in the lower back and spine, and impaired mobility of the four limbs, it is appropriate to administer Xie Shen Sheng Dihuang San (Cordyceps and Rehmannia Powder for Draining the Kidney).
Ingredients: Sheng Gan Di Huang (Dried Rhizoma Rehmanniae Preparata, 1 liang 5 qian), Dan Shen (Radix Salviae Miltiorrhizae, 1 liang), Chi Fu Ling (Poria with Red Host, 1 liang), Mai Men Dong (Rhizoma Ophiopogonis, 1 liang 5 qian, heart removed), Bing Lang (Areca Seed, 1 liang), Ling Yang Jiao Xie (Horn of Saiga Antelope, shaved, 1 liang, reed head removed).
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add one zhong zhan (approx. 200ml) of water and fourteen leaves of Dan Zhu Ye (Bamboo Leaf). Decoct until six parts remain. Strain and take warm before meals.
For treating Excess-Heat of the Kidney, manifesting as distension and fullness in the lower abdomen, hot and painful soles of the feet, deafness, sensation of separation in the lower back and spine, and dreams of lying submerged in water, it is appropriate to administer Xie Shen Da Huang San (Rhubarb Powder for Draining the Kidney).
Ingredients: Chuan Da Huang (Radix et Rhizoma Rhei, 2 liang, soaked overnight in honey-water then dried), Chi Fu Ling (Poria with Red Host, 1 liang), Huang Qin (Scutellaria Root, 1 liang), Ze Xie (Alisma Rhizome, 1 liang), Chang Pu (Rhizoma Acori Tatarinowii, 1 liang), Gan Cao (Licorice Root, 1 liang, stir-baked until slightly red and crushed), Xuan Shen (Scrophularia Root, 1 liang).
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add one da zhan (approx. 300ml) of water. Decoct until six parts remain. Strain and add Yi He (one he, approx. 20ml) of fresh Sheng Di Huang juice. Divide into two doses and take warm before meals.
For treating Excess-Heat of the Kidney, manifesting as forgetfulness, hearing loss or silence, fullness and tension in the four limbs, and painful stiffness when moving the lower back and waist, it is appropriate to administer Xie Shen Xuan Shen San (Scrophularia Powder for Draining the Kidney).
Ingredients: Xuan Shen (Scrophularia Root, 1 liang), Chi Fu Ling (Poria with Red Host, 1 liang), Huang Qin (Scutellaria Root, 1 liang), Ze Xie (Alisma Rhizome, 1 liang), Chuan Sheng Ma (Bupleurum Root, 1 liang), Chuan Mang Xiao (Mirabilite, 1 liang), Ci Shi (Magnetite, processed).
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take half a liang per dose. Add one and a half da zhan of water, half a liang of Sheng Di Huang (Fresh Rhizoma Rehmanniae), and fourteen leaves of Dan Zhu Ye. Decoct until eight parts remain. Strain and divide into two doses, taking warm before meals.
For treating Excess-Heat of the Kidney, manifesting as obstruction in the abdomen and hypochondrium, mental restlessness and fullness in the chest and diaphragm, stiffness in the lower back and back, and hot and painful soles of the feet, it is appropriate to administer Xie Shen Chi Fu Ling San (Red Poria Powder for Draining the Kidney).
Ingredients: Chi Fu Ling (Poria with Red Host, 2 liang), Dan Shen (Radix Salviae Miltiorrhizae, 3 qian), Mu Dan Pi (Tree Peony Bark, 3 qian), Sheng Gan Di Huang (Dried Rhizoma Rehmanniae Preparata, 3 qian), Gan Cao (Licorice Root, half a liang, stir-baked until slightly red and crushed), Zhu Ling (Polyporus, 1 liang), Ling Yang Jiao Xie (Horn of Saiga Antelope, shaved, 1 liang).
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add one zhong zhan of water. Decoct until six parts remain. Strain and take warm before meals.
For treating Excess-Qi of the Kidney, manifesting as stiffness in the shoulders and back, distension and fullness in the lower abdomen, irritability and heat, occasional pain in the chest and hypochondrium, stiffness of the lower back and spine, and dark yellow urine, it is appropriate to administer Xie Shen Ze Xie San (Alisma Powder for Draining the Kidney).
Ingredients: Ze Xie (Alisma Rhizome, 1 liang), Huang Qin (Scutellaria Root, 3 qian), Chi Fu Ling (Poria with Red Host, 3 qian), Mu Tong (Akebia Stem, 3 qian, crushed), Chi Shao Yao (Red Peony Root, half a liang), Ling Yang Jiao Xie (Horn of Saiga Antelope, shaved, half a liang), Huang Qi (Astragalus Root, 3 qian, crushed), Bing Lang (Areca Seed, 3 qian), Xuan Shen (Scrophularia Root, 3 qian).
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add one zhong zhan of water. Decoct until six parts remain. Strain and take warm before meals.
For treating Excess-Heat of the Kidney, manifesting as stagnation in the lower abdomen, pain in the lower back and spine, and stiffness in the shoulders and back, it is appropriate to administer Xie Shen Bing Lang San (Areca Seed Powder for Draining the Kidney).
Ingredients: Bing Lang (Areca Seed, 1 liang), Chi Fu Ling (Poria with Red Host, 3 qian), Ling Yang Jiao Xie (Horn of Saiga Antelope, shaved, 3 qian), Ze Xie (Alisma Rhizome, 3 qian), Chai Hu (Bupleurum Root, 3 qian, radix removed), Chi Shao Yao (Red Peony Root, 3 qian), Mu Tong (Akebia Stem, 3 qian, crushed), Tao Ren (Peach Kernel, 3 qian, washed in hot water, skin and pointed ends removed, double kernels avoided, stir-fried with bran until slightly yellow), Gan Cao (Licorice Root, half a liang, stir-baked until slightly red and crushed).
Preparation and Administration: Coarsely crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add one zhong zhan of water, half a liang of Sheng Jiang (Fresh Ginger), and half a liang of Sheng Di Huang (Fresh Rhizoma Rehmanniae). Decoct until six parts remain. Strain and take warm before meals.
For treating Excess-Heat of the Kidney with Qi stagnation in the Bladder, manifesting as dark yellow urine, dysuria with astringency and pain, and urinary retention, it is appropriate to administer Yu Pi San (Elm Bark Powder).
Ingredients: Yu Bai Pi (Inner Bark of Ulmus Tree, 3 qian, crushed), Kui Gen (Mallow Root, 3 qian, crushed), Ze Xie (Alisma Rhizome, 3 qian), Mu Tong (Akebia Stem, 3 qian, crushed), Qu Mai (Dianthus Herb, 3 qian), Chi Fu Ling (Poria with Red Host, 3 qian, stir-fried), Huang Qin (Scutellaria Root, 1 liang).
Preparation and Administration: Coarsely crush and sieve the above ingredients to make a powder. Take 3 qian per dose. Add one zhong zhan of water and half a fen of Sheng Jiang (Fresh Ginger). Decoct until six parts remain. Strain and take warm before meals.