〔钱〕肝热，手寻衣领及乱捻物，泻青丸主之。壮热，饮水喘闷，泻白散主之。
〔薛〕肝热者，左颊先赤，便难转筋，多怒多惊，四肢困倦，寅卯时益甚，宜泻青丸、
柴胡饮子。
心热，视其睡，口中气温，或合面睡及上窜切牙，皆心热也，导赤散主之。（心
气热、则心胸亦热，欲言不能，而有就冷之意，故合面卧。）〔薛〕心热者，额上先赤，心烦
心痛，掌中热而哕，或壮热饮水，巳午时益甚，宜泻心汤、导赤散、安神丸。
脾热，则目黄肚大，怠惰嗜卧，身热饮水，四肢不收，泻黄散主之。〔薛〕脾
热者，鼻上先赤，其热在肌肉，遇夜益甚。
肺热，手掐眉目鼻面，甘桔汤主之；咳嗽寒热，壮热饮水，凉膈散主之；若肺
虚热，唇深红色，少服泻白散。〔薛〕肺热者，右颊先赤，日西热甚，轻则用泻白
散，重则用凉膈散及地骨皮散。
肾热，两足不喜衣覆，地黄丸主之。〔薛〕肾热者，颏下先赤，两足热甚，骨酥酥
如虫蚀，热甚不能起于床，夜间益甚，宜用滋肾丸。
泻青丸（见肝脏） 泻心汤 导赤散 安神丸（并见心脏） 泻黄散（见脾脏） 泻白散（见
肺脏）
栀子清肝散（一名柴胡栀子散） 治三焦及足少阳经风热发热，耳内作痒生疮，或出水
疼痛，或胸乳间作痛，寒热往来。
柴胡 栀子（炒） 牡丹皮（各一钱） 茯苓 川芎 芍药 当归 牛蒡子（炒。各七分）
甘草（三分）
上，水煎服。
柴胡清肝散 治肝胆三焦风热怒火，或乍寒乍热，往来寒热，发热或头发疮毒等证。
柴胡（一钱半） 黄芩（炒） 人参 川芎（各一钱） 山栀（炒，一钱半） 连翘 甘草（各五分）
桔梗（八分）
上，水煎服。
柴胡饮子 解肌热、蒸热、积热，或汗后余热，脉洪实弦数，大便坚实。
黄芩（七分） 甘草（四分） 大黄（八分） 芍药（七分） 柴胡 人参（各五分）
当归（一钱）
上，每服一钱，姜水煎。
龙脑饮子 此泻脾经热，可代泻黄散用，治小儿蕴热，咽喉肿痛，赤眼口疮，心烦
鼻衄，咽干多渴，睡卧不宁，及除痰热咳嗽，中暑烦躁，一切风壅。
甘草（四两，炙） 大栀子（三两，炒） 藿香叶（半两） 石膏（一两） 缩砂 栝蒌
（各七钱半）
上为末。每服一钱，蜜水调服，不拘时。治伤寒余毒，潮热虚汗，加竹叶煎服。
滋肾丸 治肾热。
黄柏（酒拌，炒焦，三钱） 知母（二钱） 肉桂（五分）
上为末，熟水丸，桐子大。每服二十丸至三十丸，食前，百沸汤下。
[Qian Yi] Liver heat manifests as the child grasping at clothing collars and randomly twisting objects; Xie Qing Wan (Cyan Dragon Decoction) is the primary treatment. High fever with thirst, drinking water, wheezing, and chest oppression are treated with Xie Bai San (White Lung Draining Powder).
[Xue Ji] In cases of liver heat, the left cheek reddens first, accompanied by difficult defecation, tendon spasms, irritability, frequent fright, and limb fatigue. Symptoms worsen during Yin hours (03:00–05:00) and Mao hours (05:00–07:00). Xie Qing Wan (Cyan Dragon Decoction) or Chai Hu Yin Zi (Bupleurum Drink) are appropriate.
Heart heat is identified by observing sleep patterns: warm breath from the mouth, sleeping face down, or teeth grinding with upward eye deviation indicate heart heat. Dao Chi San (Guide Out Redness Powder) is the primary treatment. (When Heart Qi has heat, the chest and heart feel hot; the patient desires to speak but cannot, and seeks coolness, hence the preference for sleeping face down.) [Xue Ji] In cases of heart heat, the forehead reddens first, accompanied by mental restlessness, heart pain, heat in the palms, and hiccups. Or, high fever with thirst worsens during Si hours (09:00–11:00) and Wu hours (11:00–13:00). Xie Xin Tang (Heart Draining Decoction), Dao Chi San (Guide Out Redness Powder), or An Shen Wan (Spirit-Calming Pill) are appropriate.
Spleen heat presents with yellow eyes, abdominal distension, lethargy, drowsiness, body heat with thirst, and flaccid limbs unable to support themselves. Xie Huang San (Yellow Spleen Draining Powder) is the primary treatment. [Xue Ji] In cases of spleen heat, the bridge of the nose reddens first; the heat resides in the muscles and worsens at night.
Lung heat manifests as pinching the eyebrows, eyes, nose, and face; Gan Jie Tang (Licorice and Platycodon Decoction) is the primary treatment. Cough with alternating chills and fever, high fever, and thirst are treated with Liang Ge San (Cool the Diaphragm Powder). If it is deficiency heat of the lung with deep red lips, a small dose of Xie Bai San (White Lung Draining Powder) is used. [Xue Ji] In cases of lung heat, the right cheek reddens first, with heat worsening in the late afternoon. Mild cases use Xie Bai San (White Lung Draining Powder); severe cases use Liang Ge San (Cool the Diaphragm Powder) and Di Gu Pi San (Morus Bark Powder).
Kidney heat manifests as the feet disliking being covered by clothes; Di Huang Wan (Rehmannia Pill) is the primary treatment. [Xue Ji] In cases of kidney heat, the chin reddens first, the feet are intensely hot, the bones feel soft and sore as if gnawed by insects, and severe heat prevents rising from bed. Symptoms worsen at night. Zi Shen Wan (Nourish Kidney Pill) is appropriate.
Xie Qing Wan (Cyan Dragon Decoction) (See Liver Section) | Xie Xin Tang (Heart Draining Decoction) | Dao Chi San (Guide Out Redness Powder) | An Shen Wan (Spirit-Calming Pill) (All See Heart Section) | Xie Huang San (Yellow Spleen Draining Powder) (See Spleen Section) | Xie Bai San (White Lung Draining Powder) (See Lung Section)
Zhi Zi Qing Gan San (Gardenia Clearing Liver Powder) (Also known as Chai Hu Zhi Zi San/Bupleurum Gardenia Powder): Treats wind-heat fever affecting the Triple Burner and Foot Shaoyang Gallbladder Meridian, causing ear itching, sores, discharge, pain, or pain between the chest and breasts, with alternating chills and fever.
Chai Hu (Bupleuri Radix) 1 qian, Zhi Zi (Gardeniae Fructus, stir-fried) 1 qian, Mu Dan Pi (Moutan Cortex) 1 qian, Fu Ling (Poria) 1 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 qian, Shao Yao (Paeoniae Radix Alba) 1 qian, Dang Gui (Angelicae Sinensis Radix) 1 qian, Niu Bang Zi (Arctii Fructus, stir-fried) 0.7 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.3 qian.
Decoct in water and take orally.
Chai Hu Qing Gan San (Bupleurum Clearing Liver Powder): Treats wind-heat and anger fire in the Liver, Gallbladder, and Triple Burner, manifesting as alternating chills and fever, or hair sores/toxicity.
Chai Hu (Bupleuri Radix) 1.5 qian, Huang Qin (Scutellariae Radix, stir-fried) 1 qian, Ren Shen (Ginseng Radix) 1 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 qian, Shan Zhi (Gardeniae Fructus, stir-fried) 1.5 qian, Lian Qiao (Forsythiae Fructus) 0.5 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian, Jie Geng (Platycodi Radix) 0.8 qian.
Decoct in water and take orally.
Chai Hu Yin Zi (Bupleurum Drink): Resolves muscle-layer heat, steaming bone heat, accumulated heat, or residual heat after sweating. Pulse is surging, firm, wiry, or rapid; stool is dry and hard.
Huang Qin (Scutellariae Radix) 0.7 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.4 qian, Da Huang (Rhei Radix et Rhizoma) 0.8 qian, Shao Yao (Paeoniae Radix Alba) 0.7 qian, Chai Hu (Bupleuri Radix) 0.5 qian, Ren Shen (Ginseng Radix) 0.5 qian, Dang Gui (Angelicae Sinensis Radix) 1 qian.
Take 1 qian per dose, decoct with ginger water.
Long Nao Yin Zi (Borneol Drink): Clears heat from the Spleen meridian; can replace Xie Huang San (Yellow Spleen Draining Powder). Treats pediatric internal heat accumulation, sore throat, red eyes, mouth ulcers, mental restlessness, epistaxis, dry throat with excessive thirst, restless sleep, phlegm-heat cough, summerheat-induced烦躁 (restlessness), and all types of wind obstruction.
Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) 4 liang, Da Zhi Zi (Gardeniae Fructus, stir-fried) 3 liang, Huo Xiang Ye (Agastachis Folium) 0.5 liang, Shi Gao (Gypsum Fibrosum) 1 liang, Suo Sha (Amomi Fructus Rotundus) 0.75 liang, Gua Lou (Trichosanthis Radix) 0.75 liang.
Grind into powder. Take 1 qian per dose, mixed with honey water, at any time. For residual toxicity from cold damage with tidal fever and deficient sweating, add Zhu Ye (Phyllostachys Viridis Folium) and decoct.
Zi Shen Wan (Nourish Kidney Pill): Treats kidney heat.
Huang Bo (Phellodendri Cortex, wine-mixed, stir-fried until scorched) 3 qian, Zhi Mu (Anemarrhenae Rhizoma) 2 qian, Rou Gui (Cinnamomi Cortex) 0.5 qian.
Grind into powder, make pills with hot water, size of Torreya seeds. Take 20–30 pills per dose before meals, swallowed with boiling water.