（钱乙） 治小肠有火，便赤淋痛，面赤狂躁，口糜舌疮，切牙口渴。（心与小肠相表
里，心热则小肠亦热，故便赤淋痛。心属君火，是五脏六腑火之主。故诸经之热，皆应于心
。面赤烦躁，切牙口渴，皆心热也。舌为心苗，若心火上炎，熏蒸于口，则口糜口疮。轻手
按至皮毛之下，肌肉之上，则热，日中大甚，是热在血脉为心热。心火亢甚，小肠郁结不能
通利者，此方主之。如治白浊沙淋等证，合逍遥散。）
生地黄 木通 甘草梢 淡竹叶
生地凉心血，竹叶清心气。（叶生竹上。故清上焦）木通降心火入小肠。（君火宜木通，
相火
淋痛
之义
糜，
则
治肺壅脑热，鼻干，大便秘涩。
天门冬（去心皮） 桑白皮 升麻 大黄 枳壳（麸炒） 甘草 荆芥
按此方药味较人参泻肺汤为少减，然用升麻，且升且降，以散上焦壅热，可取。
（东垣） 治胃有积热，上下牙痛，牵引头脑，满面发热。其牙喜寒恶热，或牙龈溃烂
，或牙宣出血，或唇口颊腮肿痛。（足阳明胃脉，循鼻外，入上齿中，挟口，环唇，循颊车
，上耳前，主上牙龈，喜寒饮而恶热。手阳明大肠脉，上颈，贯颊，入下齿，挟口，主下牙
龈，喜热饮而恶寒。足阳明别络脑，故脑痛。阳明之脉营于面，故面热。二经热盛，故唇口
齿颊病，面肿痛也。齿为骨，属肾，牙宣牙龈出血，或齿缝出血也，亦名齿衄，乃肾病。若
血多而涌出不止，为阳明热盛，以阳明多气多血也。唇属脾胃大肠经，燥则干，热则裂，风
则，寒则揭，若肿皴裂如蚕茧，名曰茧唇。唇吞者，肌肉之本也。人中平满者为唇反，唇
反肉先死。）
生地黄 牡丹皮 黄连 当归 升麻 一方加石膏。
黄连泻心火，亦泻脾火。脾为心子，而与胃相表里者也。当归和血，生地丹皮凉血，以
养阴
新
六郁而痛者，越鞠丸。中气虚而痛者，补中益气汤。思虑伤脾而痛者，归脾汤。肾经虚热而
痛者，六味丸。肾经虚寒而痛者，还少丹，重则八味丸。甚属风热者，独活散茵陈散。风寒
入脑者，羌活附子汤，当临时制宜。附独活散。独活羌活川芎防风各五钱，细辛荆芥薄荷生
地各二钱。每服三钱。）
(Qian Yi) Treats fire in the Small Intestine, presenting with red and painful dysuria (painful urination), flushed face, mania and restlessness, oral ulcers and tongue sores, teeth grinding, and thirst. (The Heart and Small Intestine are interior-exteriorly related; heat in the Heart leads to heat in the Small Intestine, hence red and painful dysuria. The Heart belongs to Ministerial Fire (Jun Huo) and is the master of fire in the five zang and six fu organs. Therefore, heat from all meridians responds to the Heart. Flushed face, restlessness, teeth grinding, and thirst are all manifestations of Heart Heat. The tongue is the sprout of the Heart; if Heart Fire flares upward and steams the mouth, it causes oral ulcers and sores. If light pressure on the skin below the hair and above the muscle reveals heat, which worsens at noon, this indicates heat in the blood vessels, belonging to Heart Heat. When Heart Fire is hyperactive and the Small Intestine is constrained and unable to flow freely, this formula is indicated. For treating conditions such as white turbidity and sand-like dysuria, combine with Xiaoyao San.)
Shengdi Huang (Rehmanniae Radix Preparata), Mutong (Akebiae Caulis), Gancao Shao (Glycyrrhizae Radix et Rhizoma tip), Danzhuye (Lophatheri Herba).
Shengdi Huang cools Heart Blood, and Danzhuye clears Heart Qi. (Danzhu ye grows on bamboo, thus it clears the Upper Jiao.) Mutong descends Heart Fire and guides it into the Small Intestine. (Ministerial Fire should be treated with Mutong, addressing the principle of treating dysuria caused by Ministerial Fire.)
Treats lung congestion and brain heat, dry nose, and constipation with difficult passage.
Tianmendong (Asparagi Radix, heart and peel removed), Sangbaipi (Mori Cortex), Shengma (Cimicifugae Rhizoma), Dahuang (Rhei Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus, stir-fried with bran), Gancao (Glycyrrhizae Radix et Rhizoma), Jingjie (Schizonepetae Herba).
Note: This formula has fewer ingredients than Renshen Xiefei Tang, but the use of Shengma allows for both ascending and descending actions to disperse constrained heat in the Upper Jiao, which is worthy of adoption.
(Li Dongyuan) Treats accumulated heat in the Stomach, causing pain in the upper and lower teeth that radiates to the head, and a feeling of heat over the entire face. The teeth prefer cold and dislike heat; or there may be gum ulceration, bleeding from receding gums (Ya Xuan), or swelling and pain of the lips, mouth corners, cheeks, and parotid region. (The Foot-Yangming Stomach Meridian runs along the lateral side of the nose, enters the upper teeth, surrounds the mouth, follows the Jiache point, and ascends to the front of the ear; it governs the upper gums, prefers cold drinks, and dislikes heat. The Hand-Yangming Large Intestine Meridian ascends the neck, passes through the cheek, enters the lower teeth, surrounds the mouth, and governs the lower gums; it prefers hot drinks and dislikes cold. The collateral branch of the Foot-Yangming connects to the brain, hence brain pain. The Yangming meridian nourishes the face, hence facial heat. Excess heat in these two meridians leads to diseases of the lips, mouth, teeth, and cheeks, and facial swelling and pain. Teeth are the surplus of bone and belong to the Kidney. Bleeding from receding gums or between tooth gaps, also known as Chi Nu (epistaxis of teeth), is due to Kidney disease. If the bleeding is profuse and spurting uncontrollably, it is due to excess heat in the Yangming, because the Yangming meridian is abundant in qi and blood. The lip belongs to the Spleen-Stomach and Large Intestine meridians; dryness causes cracking, heat causes fissures, wind causes..., cold causes...; if swollen, rough, and cracked like a silkworm cocoon, it is named Jian Chun (cocoon lip). Lip swallowing refers to the root of the muscle. A flat and full philtrum indicates Chuan Fan (lip reversal); when Chuan Fan occurs, the flesh dies first.)
Shengdi Huang (Rehmanniae Radix Preparata), Mudan Pi (Moutan Cortex), Huanglian (Coptidis Rhizoma), Danggui (Angelicae Sinensis Radix), Shengma (Cimicifugae Rhizoma). One prescription adds Shigao (Gypsum Fibrosum).
Huanglian drains Heart Fire and also drains Spleen Fire. The Spleen is the child of the Heart and is interior-exteriorly related to the Stomach. Danggui harmonizes the blood; Shengdi Huang and Mudan Pi cool the blood to nourish Yin...
For pain caused by the Six Stagnations, use Yueju Wan. For pain due to deficiency of Middle Qi, use Buzhong Yiqi Tang. For pain due to worry injuring the Spleen, use Guipi Tang. For pain due to deficiency-heat in the Kidney channel, use Liuwei Wan. For pain due to deficiency-cold in the Kidney channel, use Hushao Dan; for severe cases, use Bawei Wan. For cases severely due to Wind-Heat, use Duohuo San and Yinchensan. For Cold-Wind entering the brain, use Qianghuo Fuzi Tang; one should adjust according to circumstances. Attached: Duohuo San. Duohuo (Angelicae Pubescentis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Chuanxiong (Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix) each 5 qian; Xixin (Asari Radix et Rhizoma), Jingjie (Schizonepetae Herba), Bohe (Menthae Haplocalycis Herba), Shengdi Huang (Rehmanniae Radix Preparata) each 2 qian. Take 3 qian per dose.)