（虚热蒸疸） 凡九门
钱乙论肺虚热云∶唇深红色，治之散肺虚热，少服泻白散。（方见喘咳上气门中。）
钱乙论虚实热证云∶朱监簿子五岁，忽发热。医曰∶此心热也。腮赤而唇红，烦躁引饮，遂用牛黄丸三服，
以一物泻心汤下之。来日不愈，反加无力而不能食，又下之，便利黄沫。钱曰∶心经虚而有留热在内，必被凉
药下之，致此虚劳之病也。钱先用白术散生胃中津（方见胃气不和门，）后以生犀散治之（方见本门）朱曰∶大便黄
沫如何？曰
胃气正即泻自止，此虚热也。朱曰∶医用泻心汤何如？钱曰∶泻心汤者，黄连性寒，多服则利，能寒脾胃也。
坐久众医至，曰实热。钱曰虚热。若实热何以泻心汤下之不安而又加面黄颊赤，五心烦躁，不食而引饮？医曰∶
既虚热何大便黄沫？钱笑曰∶便黄沫者，服泻心汤多故也。钱后与胡黄连丸治愈。（方见病后虚羸门中。）
《养生必用》治风劳气冷百疾，薯蓣丸。并治风弦、背拘倦，胸满短气，羸瘦饮食少，小儿泄利多汗发热方。
薯蓣（三两） 当归 桂（去皮） 大黄豆卷（炒） 熟干地黄 神曲（各一两） 干姜（三钱） 白蔹（
二钱） 甘草（炙，二两八钱） 人参 阿
胶（炒令白。各七钱） 芎 白芍药 白术 麦门冬（去心，焙） 杏仁（去皮尖，麸炒黄） 防风（去芦。各
六钱） 柴胡（去苗） 桔梗 白茯苓（各半两）
上为细末，炼蜜丸弹子大。浓煎枣汤，空心嚼一丸，日午每服。有热人即丸如桐子大，空心、日午米饮下
二十丸，止于三十丸。
钱乙秦艽散 治潮热减食蒸瘦方。
秦艽（去头，切焙） 甘草（炙。各一两） 干薄荷叶（半两，勿焙）
上为粗末。每服一、二钱，水一中盏，煎至八分，食后温服。
钱乙治面黄颊赤身壮热。补心安神丸方
麦门冬（去心，焙） 马牙硝 白茯苓 干山药 寒水石（研） 甘草（各半两）朱砂（一两，研） 龙脑
（一字，研）
上末之，炼蜜丸鸡头大。每服半丸，沙糖水化下，无时。
钱乙生犀散 治目淡红，心虚热方。
生犀（二钱，错取末） 地骨皮（自采佳） 赤芍药 柴胡根 干葛（锉。各一两） 甘草（炙，半两）
上为粗末，每服一、二钱。水一盏，煎至七分温服。食后。
钱乙地骨皮散 治虚热潮作，亦治伤寒壮热及余热方。
地骨皮（自采佳） 知母 银州柴胡（去芦） 甘草（炙） 半夏（汤洗七次，切，
焙） 人参（切去顶，焙） 赤茯苓（各等分）
上为细末。每服二钱，姜五片，水一盏，煎至八分，食后温服。量大小儿加减。
张涣秦艽散 治肌热病方。
秦艽（一两） 川大黄（锉碎，微炒） 黄 赤小豆 糯米（各半两）
上件捣，罗为细末。每服一钱，水一盏，煎至五分，去滓温服。食后。
《庄氏家传》人参犀角散 治小儿荣卫不和，上焦虚热，因积变为肌热，肌热不已，变为疳劳，夜汗颊赤，多
嗽不止方。
人参 茯苓 白术（各半两） 犀角 柴胡（去苗） 鳖甲（醋炙） 甘草（炙） 半夏（姜制。各一分）
上八味为末，姜枣煎。每服半钱，水半盏，煎至三分，滤滓温服。食后。
《庄氏家传》初秋虚热惊悸方。
藿香 土瓜根（各二两） 甘草（一两，炮） 草豆蔻（半两）
上为粗末。每服一钱，水五分，煎至三分，温服。
《庄氏家传》治小儿因患体虚，时复发热，不思饮食，或多惊悸。壮气补虚，黄 丸方
黄 （薄切，用蜜炒黄色） 人参 柴胡（去苗，净洗） 干薯蓣 赤茯苓（各半两） 黄芩（小紧者） 生犀
末（各一分）
上件细锉、焙燥，捣为末，炼蜜为丸如大樱桃大。麦门冬熟水磨下。
《庄氏家传》治小儿虚热烦渴；又疗因吐泻、烦渴不止及疏转后并宜服之。人参散方
人参（五两） 茯苓（八两三钱） 甘草（一两，煨） 桔梗 干葛（锉） 生犀（各半两）
上为末。每服一大钱，水一中盏，入灯心五茎，同煎至六分，放温，不计时候。烦渴者入新竹叶。
《孔氏家传》治童男、室女潮发虚热，烦躁羸瘦方。
柴胡 地骨皮（各半两） 甘草（炙） 细辛（各一分）
上为末，二钱，水一盏，煎七分，温服。
《孔氏家传》桃奴丸 治心虚有热，恍惚不常，言语错乱，尸注客忤，魇梦不祥，小儿惊痫，并宜服方。
桃枭（七枚，别为末。桃不成实，各在枝上者） 桃仁（十四枚，去皮尖） 安息香（以无灰酒酌多少研、飞，去
砂石，银器中慢火熬成膏， 合贮之） 雄
黄（用桃叶煮，研、飞取。各三分） 辰砂 生玳瑁（各一两） 琥珀（别研） 黑犀（石上水磨，澄去水取。
各半两） 牛黄 脑麝（各一分，别研）
上为细末，和入煎膏，丸如鸡头大，密器封闭，净室安置。煎人参汤磨下一丸，食后服。病去止药，未知
加丸数。
《孔氏家传》童男、室女肌瘦潮热方。
上用青蒿焙干为末，每服三钱。甘草一寸，乌梅一个，小麦五十粒，河水一盏，煎七分温服。
(Deficient Heat Steaming Jaundice) Total of nine sections.
Qian Yi discussed lung deficient heat: The lips appear deep red. Treatment should involve dispersing lung deficient heat, administering a small dose of Xiebai San (Bai Du San). (Formula see section on Asthma and Cough.)
Qian Yi discussed deficiency and excess heat syndromes: The son of Supervisor Zhu was five years old and suddenly developed fever. The physician said: This is heart heat. The child had red cheeks and red lips, restlessness, and excessive thirst. Three doses of Niuhuang Wan (Calculus Bovis Pill) were administered, followed by Yiwu Xiexin Tang (One-Ingredient Heart-Purging Decoction). The next day, the condition did not improve; instead, weakness increased and appetite was lost. The physician used purgatives again, resulting in yellow frothy stools. Qian Yi said: The heart meridian is originally deficient with lingering heat inside. It must have been injured by cold and purgative medicines, leading to this consumptive disease. Qian Yi first used Baizhu San (Atractylodes Macrocephala Powder) to generate stomach fluids (Formula see section on Stomach Qi Disharmony), then treated it with Shengxi San (Raw Rhinoceros Horn Powder). Zhu asked: What about the yellow frothy stools? Qian Yi said: When stomach qi recovers, diarrhea will stop naturally; this is deficient heat. Zhu asked: How was the use of Xiexin Tang by the physician? Qian Yi said: Xiexin Tang contains Huanglian (Coptidis Rhizoma), which is cold in nature. Overconsumption causes diarrhea and damages spleen and stomach yang. After sitting for a long time, other physicians arrived and claimed it was excess heat. Qian Yi stated it was deficient heat. If it were excess heat, why would the condition worsen after purging with Xiexin Tang, presenting with sallow complexion, red malar eminences, five-palm heat, anorexia, and thirst? The physician asked: Since it is deficient heat, why are there yellow frothy stools? Qian Yi smiled and said: The yellow frothy stools are due to the excessive prior consumption of Xiexin Tang. Later, Qian Yi cured him with Huhuanglian Wan (Coptis Chinensis Pill). (Formula see section on Post-illness Emaciation.)
Yangsheng Biyong records Shuyu Wan (Dioscorea Pill) for treating wind-lao, cold qi, and various diseases. It also treats wind-strabismus, back stiffness and fatigue, chest fullness and shortness of breath, emaciation with poor diet, and pediatric diarrhea with excessive sweating and fever.
Ingredients: Shuyu (Dioscoreae Rhizoma, 3 liang), Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus, peeled), Dahuangdoujuan (Fermented Soybean, stir-fried), Shudihuang (Rehmanniae Radix Praeparata), Shenqu (Massa Medicata Fermentata, each 1 liang), Ganjiang (Zingiberis Rhizoma, 3 qian), Bailing (Pseudostellariae Radix, 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 liang 8 qian), Renshen (Ginseng Radix et Rhizoma), Ejiao (Asini Corii Colla, stir-fried until white, each 7 qian), Xiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Maimendong (Ophiopogonis Radix, core removed, dried), Xingren (Armeniacae Semen Amarum, skin and tip removed, bran-fried until yellow), Fangfeng (Saposhnikoviae Radix, radix removed, each 6 qian), Chaihu (Bupleuri Radix, stem removed), Jiegeng (Platycodonis Radix), Baifuling (Poria, each half liang).
Grind all ingredients into fine powder. Mix with refined honey to form pills the size of bullet seeds. Brew jujube decoction thickly. Chew one pill on an empty stomach, and take another at noon. For those with heat signs, make pills the size of sesame seeds. Take twenty pills on an empty stomach and at noon with rice drink, up to thirty pills maximum.
Qian Yi's Qinjiao San (Meliosma Powder) treats tidal fever, reduced appetite, and steaming emaciation.
Ingredients: Qinjiao (Meliosmae Radix, head removed, cut and dried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang), Ganboheye (Menthae Haplocalycis Folium, half liang, do not dry).
Grind into coarse powder. Each dose takes 1–2 qian. Add one zhan of water, boil to 0.8 portion, and take warm after meals.
Qian Yi's Xin'an Shenming Wan (Heart-Nourishing and Spirit-Calming Pill) treats sallow complexion, red malar eminences, and high fever.
Ingredients: Maimendong (Ophiopogonis Radix, core removed, dried), Mayaxiao (Natrii Sulfas), Baifuling (Poria), Ganshashen (Dioscoreae Rhizoma), Hanshuishi (Calcitritum, ground), Gancao (Glycyrrhizae Radix et Rhizoma, each half liang), Zhusha (Cinnabar, 1 liang, ground), Longnao (Borneolum Syntheticum, one zi, ground).
Grind into powder. Mix with refined honey to form pills the size of a corn kernel. Take half a pill per dose, dissolved in sugar water, at any time.
Qian Yi's Shengxi San (Raw Rhinoceros Horn Powder) treats pale red eyes and heart deficient heat.
Ingredients: Shengxi (Rhinocerotis Cornu, 2 qian, scraped into powder), Digupi (Lycii Cortex, preferably self-harvested), Chishaoyao (Paeoniae Radix Rubra), Chaihu Gen (Bupleuri Radix), Gange (Puerariae Radix, chopped, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, half liang).
Grind into coarse powder. Each dose takes 1–2 qian. Add one zhan of water, boil to 0.7 portion, and take warm after meals.
Qian Yi's Digupi San (Lycii Cortex Powder) treats recurrent deficient heat, as well as high fever from cold damage and residual heat.
Ingredients: Digupi (Lycii Cortex, preferably self-harvested), Zhimu (Anemarrhenae Rhizoma), Yinzhou Chaihu (Bupleuri Radix from Yinzhou, radix removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Banxia (Pinelliae Rhizoma, washed seven times in water, cut and dried), Renshen (Ginseng Radix et Rhizoma, top removed, dried), Chi Fuling (Poria with pink wood, equal parts).
Grind into fine powder. Each dose takes 2 qian. Add five slices of fresh ginger and one zhan of water, boil to 0.8 portion, and take warm after meals. Adjust dosage according to the child's age and size.
Zhang Huan's Qinjiao San (Meliosma Powder) treats muscle-heat syndrome.
Ingredients: Qinjiao (Meliosmae Radix, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, chopped, slightly stir-fried), Huangqi (Astragali Radix), Chixiaodou (Vigna Angularis Semen), Nuomi (Oryza Sativa Glutinosa, each half liang).
Pound the ingredients and sieve into fine powder. Each dose takes 1 qian. Add one zhan of water, boil to 0.5 portion, remove dregs, and take warm after meals.
Zhuang Family Collection's Ren Shen Xi Jiao San (Ginseng and Rhinoceros Horn Powder) treats pediatric ying-wei disharmony, upper jiao deficient heat, muscle heat caused by accumulation, progression to gan-lao (childhood malnutrition and tuberculosis-like symptoms) if muscle heat persists, night sweats, red malar eminences, and incessant cough.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma, each half liang), Xi Jiao (Rhinocerotis Cornu), Chaihu (Bupleuri Radix, stem removed), Biejia (Trionycis Carapax, vinegar-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Banxia (Pinelliae Rhizoma, ginger-prepared, each 1 fen).
Grind the eight herbs into powder. Decoct with fresh ginger and jujubes. Each dose takes 0.5 qian. Add half a zhan of water, boil to 0.3 portion, filter dregs, and take warm after meals.
Zhuang Family Collection's Early Autumn Deficient Heat and Palpitation Formula.
Ingredients: Huoxiang (Agastaches Herba), Tugua Gen (Benincasae Caulis or similar root, each 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, processed, 1 liang), Caodoukou (Amomi Fructus Rotundus, half liang).
Grind into coarse powder. Each dose takes 1 qian. Add 0.5 zhan of water, boil to 0.3 portion, and take warm.
Zhuang Family Collection's Huangqi Wan (Astragalus Pill) treats children with weak constitution who experience intermittent fever, loss of appetite, or frequent palpitations. It strengthens qi and tonifies deficiency.
Ingredients: Huangqi (Astragali Radix, thinly sliced, honey-fried until yellow), Renshen (Ginseng Radix et Rhizoma), Chaihu (Bupleuri Radix, stem removed, thoroughly washed), Ganshuyu (Dioscoreae Rhizoma), Chi Fuling (Poria with pink wood, each half liang), Huangqin (Scutellariae Radix, tight and small ones), Shengxi Mo (Raw Rhinoceros Horn powder, each 1 fen).
Chop finely, dry by baking, grind into powder. Mix with refined honey to form pills the size of large cherries. Take with Ophiopogon prepared water.
Zhuang Family Collection's Renshen San (Ginseng Powder) treats pediatric deficient heat with irritability and thirst; also suitable for incessant irritability and thirst due to vomiting and diarrhea, and after bowel evacuation.
Ingredients: Renshen (Ginseng Radix et Rhizoma, 5 liang), Fuling (Poria, 8 liang 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, baked, 1 liang), Jiegeng (Platycodonis Radix), Gange (Puerariae Radix, chopped), Shengxi (Rhinocerotis Cornu, each half liang).
Grind into powder. Each dose takes one large qian. Add one zhan of water and five stalks of Dengxin Cao (Junci Medullae), boil together to 0.6 portion, let cool to warm, and take at any time. For severe irritability and thirst, add fresh bamboo leaves.
Kong Family Collection's Formula for Tidal Deficient Heat, Irritability, and Emaciation in Boys and Girls.
Ingredients: Chaihu (Bupleuri Radix), Digupi (Lycii Cortex, each half liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Xixin (Asari Radix et Rhizoma, each 1 fen).
Grind into powder. Each dose takes 2 qian. Add one zhan of water, boil to 0.7 portion, and take warm.
Kong Family Collection's Tao Nu Wan (Peach Slave Pill) treats heart deficiency with heat, mental confusion, irregular speech, shi-zhu (ghost infection), ke-wu (alien influence), nightmares, and pediatric convulsions.
Ingredients: Tao Xiao (Immature Peach Fruit attached to branch, seven pieces, separately ground), Taoren (Persicae Semen, fourteen pieces, skin and tip removed), Anshixiang (Styrax, ground with non-alcoholic wine, filtered to remove sand, slow-cooked in silver vessel into paste, stored tightly), Xionghuang (Realgar, boiled with peach leaves, ground, filtered, each 3 fen), Chen Sha (Cinnabar), Sheng Daimei (Testudo Carapax et Plastrum, raw, each 1 liang), Hupo (Electrum, separately ground), Heixi (Black Rhinoceros Horn, water-ground on stone, clarified, each half liang), Niuhuang (Calculus Bovis), Naoshe (Borneolum and Moschus, each 1 fen, separately ground).
Grind all into fine powder. Mix with the prepared paste. Form pills the size of a corn kernel. Seal tightly in a closed container and store in a clean room. Grind one pill in Ginseng decoction and take after meals. Stop medication when the disease is cured; if not cured, increase the number of pills.
Kong Family Collection's Formula for Muscle Emaciation and Tidal Fever in Boys and Girls.
Dry Qinghao (Artemisiae Annuae Herba) by baking and grind into powder. Each dose takes 3 qian. Combine with one cun of Gancao (Glycyrrhizae Radix et Rhizoma), one Wumei (Mume Fructus), and fifty grains of Xiaomai (Tritici Semen). Add one zhan of river water, boil to 0.7 portion, and take warm.