（附论）
夫消渴之病。由于肾水不足。下焦虚热。若病久者。邪热蕴积。营卫涩滞。精血衰微。
病多传变。宜加慎忌。凡忌有三。一饮酒。二房室。三咸食及面。又消渴病经百日以上者。
当
方
泽泻丸（出圣惠方）治肾虚燥久。消渴不止。
泽泻 肉苁蓉（酒浸切焙） 五味子 禹余粮（ 醋淬七次） 巴戟天（去心） 当归
（切焙）
地骨皮（洗焙各一两） 磁石（ 醋淬二七次） 人参 赤石脂 韭子 白龙骨 甘草（炙）
牡
丹皮（各一两一分） 生干地黄（焙二两半） 上为末。炼蜜丸如梧桐子大。每服三十丸。
以牛
乳汁下。不拘时候服之。
麦门冬丸（出圣济总录）治消渴。
麦门冬（去心焙） 赤茯苓（去黑皮） 黄连（去须） 黄芩（去黑心） 石膏（ ） 葳
蕤人
参升麻 龙胆 栝蒌根 枳壳（去瓤麸炒） 生姜（切焙） 枸杞根皮（洗切各一两） 上
为
末。炼蜜和丸。如梧桐子大。每服三十丸。浆水饮下。不拘时。
肾沥汤（出圣济总录）治久消渴。饮水不绝。
远志（去心） 人参 泽泻 熟干地黄（焙） 桂（去粗皮） 当归（切焙） 赤茯苓
（去黑皮）
龙
服五
钱。水三盏。先煮羊肾一具。取二盏。去羊肾入药。并大枣三枚擘破。生姜半分切。同煎取
一钟半。去滓温分二服。不拘时。
散（出圣济总录）治久渴。旬日见效。
鸡 黄皮 鸡肠（各五具炙干） 白龙骨 鹿角胶（炙燥） 白石脂 漏芦（去芦头
炙各
一两） 土瓜根（三两） 黄连（去须） 苦参 牡蛎粉（各二两半） 桑螵蛸（二七个） 上
为
散。每服一钱。米饮调下。日三夜一。
白石英丸（出圣济总录）治消渴。经年饮水不止。
白石英（别研） 芒硝（别研） 凝水石（别研各二两） 赤茯苓（去黑皮） 人参 地
骨皮
泽泻 苦参 甘草（炙锉各三两） 麦门冬（去心焙三两） 上除别研外。捣罗为末。合研
匀。
炼蜜如梧桐子大。每服三十丸。温水下。不拘时候。
升麻丸（出圣济总录）治消渴。久不止。
升麻 黄芩（去黑心） 麦门冬（去心焙各五两） 栝蒌根（七两） 生地黄（焙三两）
苦参
（八两） 黄连（去须） 黄柏（去粗皮锉各五两） 人参（三两） 上为末。生牛乳汁和。
众手速
丸
苦参丸（出圣济总录）治久消渴。饮水不绝。
苦参（二两） 黄连（去须） 栝蒌根 知母（焙） 麦门冬（去心焙） 人参 牡蛎
（煨） 黄
（锉） 生干地黄（焙各一两） 上为末。以牛乳汁和。众手速丸。如梧桐子大。每服三
十丸。
浆水下。不拘时。
水银丸（出圣济总录）治久消渴。经年饮水无度。
水银 铅（醋淬各半两） 柳絮矾（三分先细研次入水银并铅三味和研匀以瓷盒盛外用
纸
筋泥固济安灰内养半日取出候冷再研细） 铅丹（研） 豉（炒） 白僵蚕（炒） 黄连（去
须各半
两） 上四味为末。与前三味再研匀。用糯米糊丸。如梧桐子大。每二十丸。温水空心。日
午夜卧服。
竹叶汤 治积年消渴。好食冷物。
青竹叶（锉碎） 白茯苓（去黑皮） 地骨皮（锉） 栝蒌根（各一两） 桂（去粗皮）
甘草
（炙锉各半两） 麦门冬（去心焙二两） 上 咀。每服五钱。水一盏半。入小麦一撮。煎
至八
分去滓。食后温服日二。
黄连散（出圣济总录）治久消渴。内燥。引饮不已。
黄连（去须） 白石脂（研各一两半） 铅丹（研一两） 栝蒌根（三两） 上为细散。
每服二钱。浆水调下。日三服。
楮叶散 治消渴。疾久不愈。
蜗（焙干半两） 蛤粉 龙胆（去土） 桑根白皮（锉炒各一分） 上为散。每服一钱。
煎楮
叶汤调下。不拘时。
莎草根散 治消渴。累年不愈者。
莎草根（去毛一两） 白茯苓（去黑皮半两） 上为散。每服三钱。陈粟米饮调下。不
计时。
葵根汤（出圣济总录）治久消渴。饮水不绝。
经霜冬葵根皮（不拘多少细切焙） 上 咀。每服三钱。水一盏。煎至七分。去滓温服。
不
黄连丸（出圣惠方）治消渴久不瘥。体瘦心烦。
黄连（半两去须） 黄 （半两锉） 栀子仁（一分） 苦参（半两锉） 人参（二分
去芦头）
葳蕤（一分） 知母（二分） 麦门冬（一两去心焙） 栝蒌根（半两） 甘草（一两炙微
赤锉） 地
骨皮（一分） 赤茯苓（一分） 生干地黄（一分） 铁粉（一两研） 上为细末。炼蜜和
捣二三百
杵。丸
黄连丸（出圣惠方）治消渴久不止。心神烦闷。眠卧不宁。宜服此。
黄连 皂荚树鹅（微炒） 白石英（研各一两） 苦参 知母 栝蒌根 赤茯苓（各二
两）
金箔 银箔（各五十片） 上为细末。入石英金银箔相和。研匀。炼蜜和捣三五百杵。丸如
梧
桐子大。每服不拘时候。煎小麦汤下三十丸。竹叶汤下亦得。
黄连丸（出千金方）治消渴久不瘥。吃食少。心神烦乱。宜服。
黄连（一斤去须） 生地黄（五斤烂研布绞取汁） 上绞地黄取汁。浸黄连出曝之。燥
复纳
汁中。令汁尽干之。捣末蜜和。丸如梧桐子大。每服二十丸。食前后日三。如无蜜可为散。
以酒服方寸匕。一方清粥饮下。
(Attached Discussion)
The disease of Xiao Ke (Wasting and Thirsting Syndrome) arises from insufficient Kidney Water, leading to deficient heat in the Lower Jiao. If the disease persists for a long time, pathogenic heat accumulates, causing stagnation and obstruction in the Ying (Nutritive) and Wei (Defensive) Qi, resulting in depletion of Essence and Blood.
The condition is prone to transmission and transformation; therefore, precautions are necessary. There are three main prohibitions: first, alcohol consumption; second, sexual activity; third, salty foods and wheat products. Furthermore, for those with Xiao Ke lasting more than one hundred days,
Zexia Wan (Source: *Shenghui Fang*), treating prolonged deficiency-cold dryness of the Kidney and unceasing Xiao Ke.
Alisma Rhizome (Zexia), Cistanche Stem (Roucongrong, soaked in wine, sliced, and baked), Schisandra Fruit (Wuweizi), Hematitum (Yuyuliang, quenched seven times in vinegar), Morinda Root (Bajitian, heart removed), Angelica Sinensis Root (Danggui, sliced and baked),
Phellodendron Bark (Digupi, washed and baked, each 1 liang), Magnetite (Cishi, quenched fourteen times in vinegar), Ginseng Root (Renshen), Red Halloysite (Chishizhi), Leek Seed (Jiu Zi), White Calcined Shell (Bailonggu), Licorice Root (Gancao, honey-fried),
Moutan Bark (Mudanpi, each 1 liang 1 fen), Dried Rehmannia Root (Shenggan Dihuang, baked, 2.5 liang). The above ingredients are powdered, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 30 pills per dose, administered with cow's milk, at any time.
Maimen Dong Wan (Source: *Shengji Zonglu*), treating Xiao Ke.
Ophiopogon Tuber (Maimendong, heart removed and baked), Red Poria (Chifuling, black skin removed), Coptis Rhizome (Huanglian, fibers removed), Scutellaria Root (Huangqin, black heart removed), Gypsum Fibrosum (Shigao, crushed), Polygonatum Rhizome (Weirui), Ginseng Root (Renshen), Cimicifuga Rhizome (Shengma), Gentian Root (Longdan), Trichosanthes Root (Gualougen), Aurantium Fruit (Zhike, pith removed, bran-fried), Fresh Ginger (Shengjiang, sliced and baked), Lycium Cortex (Gouqigenpi, washed and sliced, each 1 liang). The above ingredients are powdered, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 30 pills per dose, administered with fermented grain water, at any time.
Shenli Tang (Source: *Shengji Zonglu*), treating chronic Xiao Ke with incessant drinking.
Polygala Root (Yuanzhi, heart removed), Ginseng Root (Renshen), Alisma Rhizome (Zexia), Prepared Rehmannia Root (Shugan Dihuang, baked), Cinnamon Twig (Guizhi, rough bark removed), Angelica Sinensis Root (Danggui, sliced and baked), Red Poria (Chifuling, black skin removed),
Gentian Root (Longdan). Take 5 qian. Use 3 cups of water, first decoct one sheep kidney until reduced to 2 cups, remove the kidney, add the herbs, along with 3 broken jujubes and half a qian of sliced ginger. Decoct together to obtain 1.5 cups. Strain and take warm in two divided doses, at any time.
San Powder (Source: *Shengji Zonglu*), treating chronic thirst, effective within ten days.
Chicken Gizzard Lining (Jineijin), Chicken Yellow Skin (Jihuangpi), Chicken Intestines (Jichang, each 5 pieces, roasted dry), White Calcined Shell (Bailonggu), Deer Horn Glue (Lujiaojiao, roasted dry), White Halloysite (Baishizhi), Radix Agrimoniae (Loulu, root head removed, roasted, each 1 liang), Radix Stemonae (Tuguagen, 3 liang), Coptis Rhizome (Huanglian, fibers removed), Sophora Root (Kushen), Oyster Shell Powder (Molifen, each 2.5 liang), Mantis Egg Case (Sangpiaoxiao, 27 pieces). The above ingredients are made into powder. Take 1 qian per dose, mixed with rice drink, three times daily and once at night.
Baishiyang Wan (Source: *Shengji Zonglu*), treating Xiao Ke with year-long incessant drinking.
White Quartz (Baishiyang, separately ground), Mirabilite (Mangxiao, separately ground), Hydrargyri Sulphas Flavum (Ningshuishi, separately ground, each 2 liang), Red Poria (Chifuling, black skin removed), Ginseng Root (Renshen), Phellodendron Bark (Digupi), Alisma Rhizome (Zexia), Sophora Root (Kushen), Licorice Root (Gancao, honey-fried and cut, each 3 liang), Ophiopogon Tuber (Maimendong, heart removed and baked, 3 liang). Except for those separately ground, the rest are pounded and sifted into powder, then mixed evenly. Form into pills the size of Sophora seeds using refined honey. Take 30 pills per dose with warm water, at any time.
Shengma Wan (Source: *Shengji Zonglu*), treating persistent Xiao Ke.
Cimicifuga Rhizome (Shengma), Scutellaria Root (Huangqin, black heart removed), Ophiopogon Tuber (Maimendong, heart removed and baked, each 5 liang), Trichosanthes Root (Gualougen, 7 liang), Raw Rehmannia Root (Shengdihuang, baked, 3 liang),
Sophora Root (Kushen, 8 liang), Coptis Rhizome (Huanglian, fibers removed), Phellodendron Bark (Huangbai, rough bark removed and cut, each 5 liang), Ginseng Root (Renshen, 3 liang). The above ingredients are powdered, mixed with raw cow's milk, and quickly rolled into pills by multiple hands.
Kushen Wan (Source: *Shengji Zonglu*), treating chronic Xiao Ke with incessant drinking.
Sophora Root (Kushen, 2 liang), Coptis Rhizome (Huanglian, fibers removed), Trichosanthes Root (Gualougen), Anemarrhena Rhizome (Zhimu, baked), Ophiopogon Tuber (Maimendong, heart removed and baked), Ginseng Root (Renshen), Oyster Shell (Moli, calcined),
Phellodendron Bark (Huangbai, cut), Dried Rehmannia Root (Shenggan Dihuang, baked, each 1 liang). The above ingredients are powdered, mixed with cow's milk, and quickly rolled into pills the size of Sophora seeds. Take 30 pills per dose with fermented grain water, at any time.
Shuiyin Wan (Source: *Shengji Zonglu*), treating chronic Xiao Ke with year-long excessive drinking.
Mercurius (Shuiyin), Plumbum (Qian, quenched in vinegar, each half liang), Vitriolum (Liuxufan, 3 fen, first finely ground, then mixed with Mercurius and Plumbum, ground evenly, stored in a porcelain box sealed with paper筋 mud, placed in ash to "nourish" for half a day, taken out when cool, and ground fine again), Minium (Qiandan, ground), Fermented Soybean (Chi, fried), Bombyx Batryticatus (Baijiangcan, fried), Coptis Rhizome (Huanglian, fibers removed, each half liang). The above four ingredients are powdered and mixed with the previous three ingredients again. Form into pills the size of Sophora seeds using glutinous rice paste. Take 20 pills per dose on an empty stomach with warm water, at midnight before sleep.
Zhuye Tang, treating chronic Xiao Ke with preference for cold food.
Green Bamboo Leaf (Qingzhuye, cut), White Poria (Baifuling, black skin removed), Phellodendron Bark (Digupi, cut), Trichosanthes Root (Gualougen, each 1 liang), Cinnamon Twig (Guizhi, rough bark removed),
Licorice Root (Gancao, honey-fried and cut, each half liang), Ophiopogon Tuber (Maimendong, heart removed and baked, 2 liang). The above ingredients are chopped. Take 5 qian per dose with 1.5 cups of water, add a pinch of wheat, decoct to 80% volume, strain, and take warm after meals, twice daily.
Huanglian San (Source: *Shengji Zonglu*), treating chronic Xiao Ke with internal dryness and incessant drinking.
Coptis Rhizome (Huanglian, fibers removed), White Halloysite (Baishizhi, ground, each 1.5 liang), Minium (Qiandan, ground, 1 liang), Trichosanthes Root (Gualougen, 3 liang). The above ingredients are made into fine powder. Take 2 qian per dose, mixed with fermented grain water, three times daily.
Chuye San, treating Xiao Ke that has persisted for a long time without cure.
Helix Aspersa (Wo, dried by roasting, half liang), Arca Shell Powder (Gafen), Gentian Root (Longdan, dirt removed), Mulberry Root Bark (Sanggenbaipi, cut and fried, each 1 fen). The above ingredients are made into powder. Take 1 qian per dose, mixed with decoction of Mulberry leaves, at any time.
Suocaogen San, treating Xiao Ke persisting for years.
Cyperus Rhizome (Suocaogen, hair removed, 1 liang), White Poria (Baifuling, black skin removed, half liang). The above ingredients are made into powder. Take 3 qian per dose, mixed with aged millet drink, at any time.
Kuigen Tang (Source: *Shengji Zonglu*), treating chronic Xiao Ke with incessant drinking.
Winter Okra Root Bark after frost (Jingshuang Dongkuigenpi, quantity unrestricted, finely cut and baked). The above ingredients are chopped. Take 3 qian per dose with 1 cup of water, decoct to 70% volume, strain, and take warm.
Huanglian Wan (Source: *Shenghui Fang*), treating chronic Xiao Ke without recovery, emaciation, and vexation.
Coptis Rhizome (Huanglian, half liang, fibers removed), Phellodendron Bark (Huangbai, half liang, cut), Gardenia Seed (Zhiziren, 1 fen), Sophora Root (Kushen, half liang, cut), Ginseng Root (Renshen, 2 fen, root head removed),
Polygonatum Rhizome (Weirui, 1 fen), Anemarrhena Rhizome (Zhimu, 2 fen), Ophiopogon Tuber (Maimendong, 1 liang, heart removed and baked), Trichosanthes Root (Gualougen, half liang), Licorice Root (Gancao, 1 liang, honey-fried slightly red and cut), Phellodendron Bark (Digupi, 1 fen), Red Poria (Chifuling, 1 fen), Dried Rehmannia Root (Shenggan Dihuang, 1 fen), Ferrum Pulveratum (Tiefen, 1 liang, ground). The above ingredients are made into fine powder, mixed with refined honey, and pounded 200-300 times to form pills.
Huanglian Wan (Source: *Shenghui Fang*), treating chronic Xiao Ke without cessation, mental vexation, and restless sleep. This formula is suitable.
Coptis Rhizome (Huanglian), Gleditsia Sinensis Fruit (Zaojiaoshu'e, lightly fried), White Quartz (Baishiyang, ground, each 1 liang), Sophora Root (Kushen), Anemarrhena Rhizome (Zhimu), Trichanthes Root (Gualougen), Red Poria (Chifuling, each 2
liang),
Gold Foil (Jinbo), Silver Foil (Yinbo, each 50 pieces). The above ingredients are made into fine powder, mixed with quartz and gold/silver foil, ground evenly. Mix with refined honey and pound 300-500 times. Form into pills the size of Sophora seeds. Take 30 pills per dose at any time, administered with wheat decoction; bamboo leaf decoction is also acceptable.
Huanglian Wan (Source: *Qianjin Fang*), treating chronic Xiao Ke without recovery, poor appetite, and mental confusion. This formula is suitable.
Coptis Rhizome (Huanglian, 1 jin, fibers removed), Raw Rehmannia Root (Shengdihuang, 5 jin, mashed and juice extracted through cloth). Extract the juice from the Rehmannia, soak the Coptis, dry it, and return it to the juice until dry. Pound into powder, mix with honey, and form into pills the size of Sophora seeds. Take 20 pills per dose, three times daily before and after meals. If honey is unavailable, make into powder and take with wine using a square-inch measure. Another method is to take with clear porridge drink.