治诸凡火盛而不宜补者。
黄芩 石斛 木通 栀子（炒） 黄柏（五钱） 枳壳（钱半） 细甘草（三分） 煎
成。食远温服
如热在经络肌肤者，加连翘天花粉以解之。热在血分大小肠者，加槐蕊黄连以清之。热
在阳
之。
以通
治三焦气火，一切内热，渐觉而未甚者。先宜清以此剂，其甚者，宜抽薪饮。
黄芩（二钱） 麦冬 芍药 黄柏 茯苓 丹皮（钱半） 陈皮（八分） 如多郁气逆
伤肝胁，肋疼痛，或致动血者，加青皮栀子。
（局方） 治肝胆经实火湿热。胁痛耳聋，胆溢口苦，筋痿阴汗，阴肿阴痛，白浊
（胁者，肝胆之部也，火盛故作痛。胆脉络于耳，故聋。肝者，将军之官也，谋虑出焉
者，中正之官也，决断出焉。胆虚，数虑而不决。胆气上溢，故口为之苦。肝主筋，湿
故筋痿。肝脉络于阴器，故或汗或肿或痛，白浊溲血，皆肝火也。）龙胆草（酒炒）
（炒） 栀子（酒炒） 泽泻 木通 车前子 当归（酒洗） 生地黄（酒炒） 柴胡 生
甘草
龙胆泻厥阴之热，（肝）柴胡平少阳之热，（胆）黄芩栀子，清肺与三焦之热以佐之。泽
泻泻肾
肝，用
东垣无黄芩栀子甘草，亦名龙胆泻肝汤，治前阴热痒臊臭。（此因饮酒，风湿热合于下
焦为
因而
通泽
治前
连知
Treats various conditions where fire is excessive and tonification is inappropriate.
Huangqin (Scutellariae Radix), Shihu (Dendrobii Caulis), Mutong (Akebiae Caulis), Zhizi (Gardeniae Fructus, stir-fried), Huangbai (Phellodendri Cortex) (each 5 qian), Zhiqiao (Aurantii Fructus, 1.5 qian), Xi Gancao (Fine Glycyrrhizae Radix et Rhizoma, 3 fen). Decoct and take warm after meals at a considerable distance from eating.
If heat is in the meridians and skin/muscle, add Lianqiao (Forsythiae Fructus) and Tianhuafen (Trichosanthis Radix) to resolve it. If heat is in the blood level and the large/small intestines, add Huairui (Stemonae Radix? *Note: Huairui usually refers to Sophorae Flos or similar, but context suggests clearing heat in blood/intestines*) and Huanglian (Coptidis Rhizoma) to clear it. If heat is in the yang... [Text fragmentary] ...to unblock.
Treats qi-fire of the Sanjiao (Triple Burner) and all internal heat that has just begun to feel mild and not yet severe. Initially, this formula should be used to clear heat; if the condition is severe, Chou Xin Yin (Pulling Out the Fire Decoction) is appropriate.
Huangqin (2 qian), Maidong (Ophiopogonis Tuber), Shaoyao (Paeoniae Radix), Huangbai (Phellodendri Cortex), Fuling (Poria), Danpi (Moutan Cortex) (each 1.5 qian), Chenpi (Citri Reticulatae Pericarpium, 8 fen). If rebellious qi due to stagnation injures the liver and hypochondrium, causing hypochondriac pain, or leading to bleeding, add Qingpi (Aurantii Fructus Immaturus) and Zhizi (Gardeniae Fructus).
(From *Ju Fang* / Standard Prescriptions) Treats excess fire and damp-heat in the Liver and Gallbladder meridians. Symptoms include hypochondriac pain, deafness, bitter taste in the mouth due to gallbladder qi reflux, flaccidity of tendons, sweating in the genital area, swelling and pain of the genitals, and white turbid discharge. (Commentary: The hypochondrium is the region of the Liver and Gallbladder; excess fire causes pain. The Gallbladder meridian connects to the ear, hence deafness. The Liver is the General Officer, where strategy originates; the Gallbladder is the Official of Justice, where decision-making originates. Gallbladder deficiency leads to overthinking without decisiveness. Gallbladder qi refluxes upward, causing bitterness in the mouth. The Liver governs the tendons; dampness causes tendon flaccidity. The Liver meridian connects to the genital organs, hence sweating, swelling, or pain. White turbid discharge and bloody urine are all due to Liver fire.) Longdancao (Gentianae Radix, wine-fried), [Text missing/fragmented], Zhizi (Gardeniae Fructus, wine-fried), Zexie (Alismatis Rhizoma), Mutong (Akebiae Caulis), Cheqianzi (Plantaginis Semen), Danggui (Angelicae Sinensis Radix, wine-washed), Shengdihuang (Rehmanniae Radix, wine-fried), Chaihu (Bupleuri Radix), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma).
Longdancao drains heat from the Jueyin (Liver); Chaihu calms heat from the Shaoyang (Gallbladder); Huangqin and Zhizi clear heat from the Lung and Sanjiao to assist them. Zexie drains Kidney... [Text fragmented] ...Liver. Li Dongyuan's version lacks Huangqin, Zhizi, and Gancao, but is also named Longdan Xiegan Tang, treating itching and foul odor in the anterior yin. (This is caused by drinking alcohol, where wind-damp-heat combines in the Lower Jiao to cause... thereby... unblocking Zexie... treating anterior... Lianzhi...)