夫五形之人。其性各异则。土形之人。骨耸气清。水形之人。体薄气长。木形之人。筋
骨粗
必
自
其
投
方
葛根汤 治下石。
葛根 紫草（各八两） 犀角屑（十二两） 露蜂房（十两炙） 芒硝 大黄（各二两）
荠
人
灰酒渍经
十
力
人参汤 治虽服乳石等。而常患冷。此由不先服温汤。而服石等。以其病药各在
\x一处。丹石
人参 茯苓 干地黄 当归 桔梗 甘草（炙） 芍药（各二两） 大黄（四两）
上切。以
水三
夫乳石发动。上冲头面。及身体壮热者。由将适过度。脏腑否塞。气不得宣通也。乳石
之性
能发
阳浮
于石
事。
方
荠 散（出圣惠方）治乳石发热。上冲头目。顽热昏闷。口干心烦躁。大小
便不利。心神恍
荠 枳壳（麸炒微黄去瓤各一两） 犀角屑 茯神 地骨皮 子芩 木通（锉） 玄
参
（各三
粗散。每
服四
服。
黄 汤（出圣济总录）治乳石发。胸背头中游热。
黄 （锉） 芍药 甘草 赤茯苓（去黑皮） 人参 石膏（碎） 生地黄（切焙） 生
姜（切
炒各二两） 麻黄（去根节汤煮掠去沫二两） 桂（去粗皮一两） 麦门冬（去心焙二两）
上粗
捣筛
午夜
五加皮散（出圣惠方）治乳石发动。毒瓦斯上冲。头面烦热。小便赤涩。四肢
疼痛。
五加皮（锉） 赤茯苓 玄参（各一两） 吴蓝叶（三分） 黄芩 瞿麦 柴胡（去苗）
木通
（锉
以水一
中
犀角散（出圣惠方）治乳石发热。上攻头面。四肢骨节烦疼。口干心躁。不
思饮食。
犀角屑 玄参 知母 黄 （锉） 葳蕤（各三两） 赤芍药 柴胡（去苗） 生麦门
冬（去
心）
入生
姜半分
射干散（出圣惠方）治乳石发热。上攻头面。及咽喉肿塞。四肢烦热。不下
饮食。
射干 犀角屑 川升麻 枳壳（麸炒微黄去瓤） 黄芩 川芒硝 玄参 川大黄（锉微
炒
各一
半
合。
余甘子散（出圣惠方）治乳石发热。上攻头面。烦热。咽喉不利。舌粗语涩
。大小便不通。
余甘子（三分） 红雪（三两） 犀角屑（一两） 子芩 独活 葛根（锉） 川升麻 防
风
（去芦）
荠 散 治乳石发动。热气上攻头面。眼昏。心神热燥。四肢烦疼。口干不食。
荠 石膏（各二两） 甘草（三分生用） 蓝子（半两） 赤茯苓 赤芍药 黄芩 玄
参
（各一
分。
青竹
葳蕤散（出圣惠方）治乳石发动。头面热。四肢烦疼。大小便壅滞。
葳蕤 黄芩 川大黄（锉微炒） 川朴硝（各一两） 大青（五分） 犀角屑（三合） 川
生麻
（
滓。
温服。以快利为度。
疗精神如失。气攻上骨热。
柴胡 升麻 黄芩 泽泻（各三两） 淡竹叶（切一升） 生地黄（切三斤） 干蓝芒
硝（各
二两）
前胡汤 下气除热。
增损竹叶汤 解散下气
竹叶（切） 黄连 麦门冬（去心） 人参（各二两） 枳实（炙） 栀子（各一两） 甘
草（炙）
茯
柴胡汤 疗膈上热。
柴胡 黄芩 甘草（炙） 茯苓 麦门冬（去心） 枳实（炙） 生地黄（各三两） 竹
叶（切
一升）
黄芩汤（出圣济总录）治乳石发动。心热如火。
黄芩（去黑心） 枳实（去瓤麸炒各二两） 栀子仁（十四枚） 栝蒌根 芍药 甘草
（炙各
一两）
服。
早晨
麻黄汤 疗服升麻汤。内解外不解者。
麻黄（去节） 升麻 大黄 黄芩 石膏（各三两） 甘草（一两炙） 栀子仁（三合）
上
切。以
主下
泽泻汤 疗腹中无妨直患虚汗。
泽泻 知母 石膏（碎各二两） 当归 甘草（炙） 人参 桂心 黄芩 茯苓（各二
两）
竹叶
药。
煮取
麦奴汤（出圣济总录）治桃花石发。即心噤身热头痛。宜温清酒随多少服之
。酒行即瘥。亦
大麦奴（阴干） 麦门冬（去心焙各二两） 桂（去粗皮一两半） 人参 甘草（炙各
一两）
上粗
麦门冬散（出圣惠方）治乳石发热。上冲头面。口舌干燥。
麦门冬（去心焙） 石膏（各三两） 葳蕤 葛根（锉各一两） 甘草（半两生用） 上
为粗
散。每
时候温
疗石热将行。体微筛啬。
茱萸 葳蕤（各一两） 豉心（一升） 葱白（一握） 上切。以水四升。煮取减半分
服。
散石热（出本草）
以卑柿生啖之。
治丹石发热结（出本草）
用红蜀葵叶煮食。
治丹石发热（出本草）
以稷米作饭。食之热消。
治丹毒丹石发热\x（出本草）
以牛肝和腹内百叶作生姜醋食之。
[Background Information]
Book: Puji Fang (Universal Effective Prescriptions)
Author: Zhu Zi
Dynasty: Ming Dynasty, Yongle 4th Year
Chapter: Treatment of Bitter Heat Caused by Mineral Drugs (With Discussion) / Treatment of Mineral Drug Qi Rushing to Head and Face with High Body Fever (With Discussion)
Category: Formulas
[English Translation]
Regarding the five elemental body types, their natures differ. Those of the Earth type have prominent bones and clear qi; those of the Water type have slender bodies and long-lasting qi; those of the Wood type have coarse tendons and bones.
Ge Gen Tang (Pueraria Decoction): Treats the sinking of mineral drug effects.
Ingredients: Ge Gen (Radix Puerariae), Zi Cao (Radix Arnebiae) (each 8 liang); Xi Jiao Jie (Hornis Rhinocerotis Cutis) (12 liang); Lu Feng Fang (Nidus Vespae) (10 liang, prepared by roasting); Mang Xiao (Natrii Sulfas); Da Huang (Radix et Rhizoma Rhei) (each 2 liang).
Usage: Cut the herbs, soak in wine overnight. Boil the next morning, take the decoction in divided doses.
Ren Shen Tang (Ginseng Decoction): Treats cases where, although mineral drugs (Ru Shi) have been taken, cold symptoms persist. This occurs because warm-tonifying decoctions were not taken first before ingesting the stones, causing the pathogenic factor and the drug effect to remain in separate locations, leading to mutual obstruction between the Dan Shi (cinnabar/stone) toxicity and Ren Shen (Radix Ginseng) qi.
Ingredients: Ren Shen (Radix Ginseng), Fu Ling (Poria), Gan Di Huang (Radix Rehmanniae Preparata), Dang Gui (Radix Angelicae Sinensis), Jie Geng (Radix Platycodonis), Gan Cao (Radix Glycyrrhizae Preparata), Shao Yao (Radix Paeoniae Alba) (each 2 liang); Da Huang (Radix et Rhizoma Rhei) (4 liang).
Usage: Cut the herbs, boil in 3 sheng of water.
When Ru Shi (mineral drugs) act up, causing heat to rush upward to the head and face, accompanied by high body fever, it is due to excessive indulgence in lifestyle adjustments, resulting in blockage of the Zang-Fu organs and failure of Qi to circulate freely. The nature of Ru Shi can stimulate the floating of Yang Qi.
Ji Cai San (Shepherd's Purse Powder) (from *Sheng Hui Fang*): Treats fever from Ru Shi, heat rushing to the eyes and head, stubborn heat with dizziness and oppression, dry mouth, mental restlessness, difficulty in urination and defecation, and vague spirit.
Ingredients: Ji Cai (Herba Portulacae Oleraceae), Zhi Ke (Fructus Aurantii) (bran-roasted until slightly yellow, pith removed, each 1 liang); Xi Jiao Jie (Hornis Rhinocerotis Cutis), Fu Shen (Poria cum Radice Xylomi), Di Gu Pi (Cortex Lycii), Zi Qin (Radix Scutellariae), Mu Tong (Caulis Akebiae) (cut into pieces); Xuan Shen (Radix Scrophulariae) (each 3 liang).
Usage: Pound and sieve into a coarse powder. Take 4 qian per dose, boil in 1 sheng of water until reduced to 6 fen, remove dregs, and take warm at any time.
Huang Qi Tang (Astragalus Decoction) (from *Sheng Ji Zong Lu*): Treats Ru Shi activation causing wandering heat in the chest, back, and head.
Ingredients: Huang Qi (Radix Astragali) (cut into pieces), Shao Yao (Radix Paeoniae Alba), Gan Cao (Radix Glycyrrhizae), Chi Fu Ling (Poria with red skin, black skin removed), Ren Shen (Radix Ginseng), Shi Gao (Gypsum Fibrosum) (crushed), Sheng Di Huang (Radix Rehmanniae Recens) (cut and dried), Sheng Jiang (Rhizoma Zingiberis Recens) (cut), Da Zao (Fructus Jujubae) (split, roasted, each 2 liang); Ma Huang (Herba Ephedrae) (roots and joints removed, boiled in water to remove foam, 2 liang); Gui Zhi (Ramulus Cinnamomi) (bark removed, 1 liang); Mai Men Dong (Tuber Ophiopogonis) (heart removed, dried, 2 liang).
Usage: Pound and sieve into a coarse powder. Take 4 qian per dose, boil in 1.5 sheng of water until reduced to 8 fen, remove dregs, and take warm on an empty stomach in the morning and evening.
Wu Jia Pi San (Acanthopanacis Cortex Powder) (from *Sheng Hui Fang*): Treats Ru Shi activation where toxic vapors rush upward, causing irritability and heat in the head and face, reddish and scanty urination, and pain in the four limbs.
Ingredients: Wu Jia Pi (Cortex Acanthopanacis) (cut into pieces), Chi Fu Ling (Poria with red skin), Xuan Shen (Radix Scrophulariae) (each 1 liang); Wu Lan Ye (Folium Isatidis) (3 fen); Huang Qin (Radix Scutellariae), Qu Mai (Herba Dianthi), Chai Hu (Radix Bupleuri) (sprouts removed), Mu Tong (Caulis Akebiae) (cut into pieces).
Usage: Cut the herbs, boil in 1 sheng of water, take the juice in divided doses.
Xi Jiao San (Rhinoceros Horn Powder) (from *Sheng Hui Fang*): Treats Ru Shi fever attacking the head and face, painful irritation of bone joints in the four limbs, dry mouth, mental restlessness, and loss of appetite.
Ingredients: Xi Jiao Jie (Hornis Rhinocerotis Cutis), Xuan Shen (Radix Scrophulariae), Zhi Mu (Rhizoma Anemarrhenae), Huang Qi (Radix Astragali) (cut into pieces), Wei Rui (Rhizoma Polygonati Odorati) (each 3 liang); Chi Shao Yao (Radix Paeoniae Rubra), Chai Hu (Radix Bupleuri) (sprouts removed), Sheng Mai Men Dong (Tuber Ophiopogonis Recens) (heart removed).
Usage: Cut the herbs, boil in 3 sheng of water until 1 sheng remains, remove dregs, add 0.5 part of Sheng Jiang (Rhizoma Zingiberis Recens), and take warm in divided doses.
She Gan San (Belamcanda Powder) (from *Sheng Hui Fang*): Treats Ru Shi fever attacking the head and face, swelling and obstruction of the throat, irritability and heat in the four limbs, and inability to eat.
Ingredients: She Gan (Rhizoma Belamcandae), Xi Jiao Jie (Hornis Rhinocerotis Cutis), Chuan Sheng Ma (Rhizoma Cimicifugae), Zhi Ke (Fructus Aurantii) (bran-roasted until slightly yellow, pith removed), Huang Qin (Radix Scutellariae), Chuan Mang Xiao (Natrii Sulfas), Xuan Shen (Radix Scrophulariae), Chuan Da Huang (Radix et Rhizoma Rhei) (cut into pieces, lightly roasted, each 1 liang).
Usage: Pound and sieve into a coarse powder. Take 4 qian per dose, boil in 1 sheng of water until reduced to 6 fen, remove dregs, and take warm at any time.
Yu Gan Zi San (Phyllanthus Fruit Powder) (from *Sheng Hui Fang*): Treats Ru Shi fever attacking the head and face, irritability, throat discomfort, rough tongue with slurred speech, and obstruction of urination and defecation.
Ingredients: Yu Gan Zi (Fructus Phyllanthi Ussuriensis) (3 fen), Hong Xue (Red Snow - a medicinal sugar preparation) (3 liang), Xi Jiao Jie (Hornis Rhinocerotis Cutis) (1 liang), Zi Qin (Radix Scutellariae), Du Huo (Radix Angelicae Pubescentis), Ge Gen (Radix Puerariae) (cut into pieces), Chuan Sheng Ma (Rhizoma Cimicifugae), Fang Feng (Radix Saposhnikoviae) (radicle removed).
Usage: Pound and sieve into a coarse powder. Take 4 qian per dose, boil in 1 sheng of water until reduced to 6 fen, remove dregs, and take warm at any time.
Ji Cai San (Shepherd's Purse Powder): Treats Ru Shi activation where hot qi attacks the head and face, causing blurred vision, mental heat and dryness, painful irritation of the four limbs, dry mouth, and anorexia.
Ingredients: Ji Cai (Herba Portulacae Oleraceae), Shi Gao (Gypsum Fibrosum) (each 2 liang); Gan Cao (Radix Glycyrrhizae) (3 fen, raw), Lan Zi (Semen Isatidis) (0.5 liang), Chi Fu Ling (Poria with red skin), Chi Shao Yao (Radix Paeoniae Rubra), Huang Qin (Radix Scutellariae), Xuan Shen (Radix Scrophulariae) (each 1 liang).
Usage: Pound and sieve into a coarse powder. Take 4 qian per dose, boil in 1 sheng of water until reduced to 6 fen, remove dregs, and take warm at any time.
Wei Rui San (Polygonatum Powder) (from *Sheng Hui Fang*): Treats Ru Shi activation causing heat in the head and face, painful irritation of the four limbs, and stagnation of urination and defecation.
Ingredients: Wei Rui (Rhizoma Polygonati Odorati), Huang Qin (Radix Scutellariae), Chuan Da Huang (Radix et Rhizoma Rhei) (cut into pieces, lightly roasted), Chuan Po Xiao (Natrii Sulfas Precipitatus) (each 1 liang); Da Qing (Folium Isatidis) (5 fen), Xi Jiao Jie (Hornis Rhinocerotis Cutis) (3 he), Chuan Sheng Ma (Rhizoma Cimicifugae) (small amount).
Usage: Cut the herbs, boil in 3 sheng of water until 1 sheng remains, remove dregs, and take warm in divided doses. Stop when bowel movement becomes smooth.
Treating mental distraction as if lost, Qi rushing upward, and heat in the bones.
Ingredients: Chai Hu (Radix Bupleuri), Sheng Ma (Rhizoma Cimicifugae), Huang Qin (Radix Scutellariae), Ze Xie (Rhizoma Alismatis) (each 3 liang); Dan Zhu Ye (Folium Bambusae) (cut, 1 sheng), Sheng Di Huang (Radix Rehmanniae Recens) (cut, 3 jin), Gan Lan (Folium Isatidis Dried), Mang Xiao (Natrii Sulfas) (each 2 liang).
Usage: Cut the herbs, boil in 1 dou of water until 3 sheng remain, remove dregs, and take warm in divided doses.
Qian Hu Tang (Peucedani Decoction): Descends Qi and eliminates heat.
Zeng Sun Zhu Ye Tang (Modified Bamboo Leaf Decoction): Disperses constraint and descends Qi.
Ingredients: Zhu Ye (Folium Bambusae) (cut), Huang Lian (Rhizoma Coptidis), Mai Men Dong (Tuber Ophiopogonis) (heart removed), Ren Shen (Radix Ginseng) (each 2 liang); Zhi Shi (Fructus Aurantii) (prepared by roasting), Zhi Zi (Fructus Gardeniae) (each 1 liang); Gan Cao (Radix Glycyrrhizae) (prepared by roasting).
Usage: Cut the herbs, boil in 3 sheng of water until 1 sheng remains, remove dregs, and take warm in divided doses.
Chai Hu Tang (Bupleurum Decoction): Treats heat above the diaphragm.
Ingredients: Chai Hu (Radix Bupleuri), Huang Qin (Radix Scutellariae), Gan Cao (Radix Glycyrrhizae) (prepared by roasting), Fu Ling (Poria), Mai Men Dong (Tuber Ophiopogonis) (heart removed), Zhi Shi (Fructus Aurantii) (prepared by roasting), Sheng Di Huang (Radix Rehmanniae Recens) (each 3 liang); Zhu Ye (Folium Bambusae) (cut, 1 sheng).
Usage: Cut the herbs, boil in 3 sheng of water until 1 sheng remains, remove dregs, and take warm in divided doses.
Huang Qin Tang (Scutellaria Decoction) (from *Sheng Ji Zong Lu*): Treats Ru Shi activation causing heart heat like fire.
Ingredients: Huang Qin (Radix Scutellariae) (remove black heart), Zhi Shi (Fructus Aurantii) (pith removed, bran-roasted, each 2 liang); Zhi Zi Ren (Semen Gardeniae) (14 seeds), Gua Lou Gen (Radix Trichosanthis), Shao Yao (Radix Paeoniae Alba), Gan Cao (Radix Glycyrrhizae) (prepared by roasting, each 1 liang).
Usage: Cut the herbs, boil in 3 sheng of water until 1 sheng remains, remove dregs, and take warm on an empty stomach in the morning.
Ma Huang Tang (Ephedra Decoction): Treats cases where, after taking Sheng Ma Tang, internal heat is resolved but external symptoms persist.
Ingredients: Ma Huang (Herba Ephedrae) (joints removed), Sheng Ma (Rhizoma Cimicifugae), Da Huang (Radix et Rhizoma Rhei), Huang Qin (Radix Scutellariae), Shi Gao (Gypsum Fibrosum) (each 3 liang); Gan Cao (Radix Glycyrrhizae) (1 liang, prepared by roasting), Zhi Zi Ren (Semen Gardeniae) (3 he).
Usage: Cut the herbs, boil in 3 sheng of water until 1 sheng remains, remove dregs, and take warm in divided doses.
Ze Xie Tang (Alisma Decoction): Treats deficiency sweating without abdominal obstruction.
Ingredients: Ze Xie (Rhizoma Alismatis), Zhi Mu (Rhizoma Anemarrhenae), Shi Gao (Gypsum Fibrosum) (crushed, each 2 liang); Dang Gui (Radix Angelicae Sinensis), Gan Cao (Radix Glycyrrhizae) (prepared by roasting), Ren Shen (Radix Ginseng), Gui Xin (Cortex Cinnamomi), Huang Qin (Radix Scutellariae), Fu Ling (Poria) (each 2 liang).
Usage: Cut the herbs, boil in 3 sheng of water until 1 sheng remains, remove dregs, and take warm in divided doses.
Mai Nu Tang (Barbarism Decoction) (from *Sheng Ji Zong Lu*): Treats Tao Hua Shi (Peach Blossom Stone) activation, characterized by cardiac spasms, body heat, and headache. Take with warm clear wine according to the patient's tolerance. Recovery occurs once the wine circulates.
Ingredients: Da Mai Nu (Spica Hordei) (shade-dried), Mai Men Dong (Tuber Ophiopogonis) (heart removed, dried, each 2 liang); Gui Zhi (Ramulus Cinnamomi) (bark removed, 1.5 liang), Ren Shen (Radix Ginseng), Gan Cao (Radix Glycyrrhizae) (prepared by roasting, each 1 liang).
Usage: Pound and sieve into a coarse powder. Take 4 qian per dose, boil in 1 sheng of water until reduced to 6 fen, remove dregs, and mix with warm wine for administration.
Mai Men Dong San (Ophiopogon Powder) (from *Sheng Hui Fang*): Treats Ru Shi fever rushing to the head and face, causing dry mouth and tongue.
Ingredients: Mai Men Dong (Tuber Ophiopogonis) (heart removed, dried), Shi Gao (Gypsum Fibrosum) (each 3 liang); Wei Rui (Rhizoma Polygonati Odorati), Ge Gen (Radix Puerariae) (cut into pieces, each 1 liang); Gan Cao (Radix Glycyrrhizae) (0.5 liang, raw).
Usage: Pound and sieve into a coarse powder. Take 4 qian per dose, boil in 1 sheng of water until reduced to 6 fen, remove dregs, and take warm at any time.
Treating impending Stone Heat, with slight chills and trembling.
Ingredients: Zhu Yu (Fructus Corni), Wei Rui (Rhizoma Polygonati Odorati) (each 1 liang); Chi Xin (Semen Phaseoli) (1 sheng), Cong Bai (Bulbus Allii Cepae) (one handful).
Usage: Cut the herbs, boil in 4 sheng of water until reduced by half, and take in divided doses.
San Shi Re (Disperse Stone Heat) (from *Ben Cao*):
Eat raw Bei Shi (Persimmon).
Zhi Dan Shi Re Fa Jie (Treat Dan Shi Heat Accumulation) (from *Ben Cao*):
Boil and eat Hong Shu Kui Ye (Leaf of Malva verticillata).
Zhi Dan Shi Re Fa (Treat Dan Shi Heat Activation) (from *Ben Cao*):
Cook Ji Mi (Millet) into rice and eat; the heat will subside.
Zhi Dan Du Dan Shi Re Fa (Treat Dan Du and Dan Shi Heat Activation) (from *Ben Cao*):
Cook Niu Gan (Liver of Bovis) with Fu Nei Bai Ye (Abomasum of Bovis) and eat with Ginger Vinegar.