夫右手关上脉阳实者。足阳明经也。病苦渴饮水。头痛。汗不出如温疟。唇口干善哕。
乳痈
蕴积生热。面目悉黄。谵妄狂语。身热多汗。腹胁坚满。大便秘难。皆其证也。
凝神散（出永类钤方）收敛胃气。清凉肌表。
人参 白术 茯苓 山药（各一两） 白扁豆 粳米 知母 生地黄 甘草（各五钱） 淡
竹叶
不
清阳汤（出济生拔萃方）治口 颊腮急紧。胃中火盛。必汗不止而小便数。
升麻 黄 当归（各二钱） 葛根（一钱五分） 红花 桂枝 酒黄柏（各一分） 甘
草
（炙一
前
服讫
以火熨摩紧结处即愈。夫病口 筋急者。是筋脉血络中大寒。此药以代燔针劫刺。破恶
血
通热汤（一名子芩散出圣惠方）治胃气实热。苦头痛。汗不出。口中干燥。
人参（二两） 甘草（炙一分） 柴胡（去黑心） 葛根（锉） 麻黄（去根节） 白
茯苓（去黑
皮各
每服
三
加味地黄汤 治面热如醉。此为胃热上熏其面。加大黄以利之。
茯苓（四两） 甘草 干姜 细辛 地黄（各三两） 五味子 半夏 杏仁（各八两） 上
水
一斗
橘皮竹茹汤（出永类钤方）治胃热多渴。呕哕不食。
赤茯苓（去皮） 橘皮（去白） 枇杷叶（拭去毛） 麦门冬（去心） 青竹茹 半夏
（汤泡七
次各
滓。
温服。无时。
黄芩栀子汤（出圣惠方）治胃气实热。头痛寒热。状如温疟。唇口干燥。或生
乳痈。腋下肿
黄芩（去黑心） 栀子仁 犀角（镑） 赤茯苓（去黑皮） 赤芍药（各一两） 射干
（一两）
大黄
更
煎
黄芩汤（出圣济总录）治胃气实热。口舌干燥。头痛烦渴。
黄芩（去黑心） 柴胡（去苗各一两） 葛根（锉） 赤芍药（各三两） 甘草（炙五
钱） 石膏
（碎
泄热芦根散（出圣惠方）治胃实热。常渴引饮。
芦根（锉） 栝蒌根 麦门冬（去心各一两） 赤茯苓（三分） 知母 甘草 上 咀。
每服
三
后温
黄连丸（出圣惠方）治胃实热气盛。消谷善饮。头目痛。衄血。烦渴。
黄连（去须） 栝蒌根 麦门冬（去心焙） 知母（焙） 茯神（去木各一两） 上为
末。炼蜜
丸如
前胡汤（出圣济总录）治胃热干呕。烦闷。目黄。燥渴。
前胡（去苗头一两五钱） 茅根（锉二两） 麦门冬（去心焙） 甘草（炙各一两） 黄
芩（去
黑心
茯苓饮（出圣济总录）治胃腑实热。发渴。饮水浆不止。
茯神（去木一两） 栝蒌根 麦门冬（去心焙各三两五钱） 葳蕤 知母（焙各二两） 上
咀
两
清胃散（出济生拔萃）治因服补胃热药而致上下牙痛不可忍。牵引头脑满热发
大痛。此足阳
升麻（一钱） 牡丹皮（五分） 当归身 生地黄（酒制各三钱） 净黄连（六分不好
加二分
夏月
赤芍药汤 治胃气实热。烦燥多渴。唇焦口干。引饮不止。
黄连丸（出圣济总录）治胃气实热。烦燥多渴。
黄连（去须） 赤茯苓（去黑皮各三分） 麦门冬（去心焙一两） 苦参（五钱） 上
为末。炼
蜜丸
犀角饮（出圣惠方）治实热呕哕。吐逆不食。头痛烦渴。
犀角（镑） 枇杷叶（炙去毛） 麦门冬（去心焙） 葛根（锉各一两） 上 咀。每
服三钱。
水
葛根汤（出圣济总录）治胃实热。烦渴咽干。吐逆。
葛根（锉汁十两） 甘草（炙三两） 半夏（二两生姜汁半杯浆水半升同煎焙干） 上
咀。
每
地黄饮（出圣济总录）治胃气实热。唇口干燥。头昏体倦。五心烦热。
生地黄（汁） 生姜（汁） 藕节（汁） 生蜜（各二合） 上调和令匀。分三服。不
拘时。
地骨皮汤（出圣济总录）治胃气盛实。壅涩中焦。蕴积为热。口渴烦。
地骨皮（二两） 防风（去叉） 甘草（炙各一两） 上 咀。每服三钱。水一盏半。
煎一盏
去
姜汁饮（一名三和饮子）治胃中实热。吐逆心烦。不下饮食。
生姜汁 地黄汁 蜜 上各和匀。水一盏。煎八分。空心服。
治通利肠胃。除胸中烦热。解酒渴。
用菘菜二斤。煮作羹啜之止。作韭菹食亦得。
治胃脾热中除渴止痢。利小便。益气力。补轻身长年。
用陈粱米炊饮食之。
理胃中热。去身肿。健脾消谷止胀。
用大豆一升煮令熟。杵。米饮服之。
补气汤（出十便良方）生胃中津液。并治上焦虚热。夜卧口干。
五味子（三两须用辽东） 甘草（五钱） 白盐（炒一两三件同拌置器中露一宿取出焙
干）
吴茱
治胃气实热口干唇裂。中心热燥。大腑秘。非时烦渴。睡中口内生涎。（出杨子
建
万全护命
大黄（五钱） 桔梗 枳壳（只用青） 前胡 葛根 栀子（各一分） 上件细捣罗为
末。每
服二
平胃散（出医方集成）治胃经实热口干唇裂。大小便秘涩。及热病后饮食不
降。蓄于胃中。
浓朴（去皮姜炒） 射干（米泔浸） 升麻 茯苓（各五钱） 芍药（一两） 枳壳（去
瓤麸炒）
大
治胃中热下气（本草）
以溲疏作汤浴之。
若病胃胀满。心胃闷发热。（本草）
即用 耳服之。
治胸胃热气（本草）
以 母草绞汁食之效。
升麻汤 治泻胃食热。\x（方见本门食 类）
[Background Information]
Book: *Puji Fang* (Universal Effective Prescriptions)
Author: Zhu Zi
Dynasty: Ming Dynasty, Yongle 4th Year
Chapter: Stomach Excess Heat (With Discussion)
Category: Formulas
[Translation]
When the pulse at the Guan position on the right hand is Yang and Excess (Shi), it indicates the Foot-Yangming Meridian. The disease manifests as thirst with a desire to drink water, headache, absence of sweating with symptoms resembling Warm Malaria (a type of malaria characterized mainly by fever with chills), dry lips and mouth, and frequent hiccups.
Mammary Abscess (Ru Yong)
Accumulation and stagnation generate heat, causing the face and eyes to turn completely yellow, delirium and manic speech, body heat with profuse sweating, hardness and fullness in the abdomen and hypochondrium, and difficult constipation. These are all its manifestations.
Ningshen San (Concentrating Spirit Powder) [Source: *Yonglei Qianfang*]: Converges Stomach Qi and cools the muscle surface.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Shan Yao (Dioscoreae Rhizoma) (each 1 liang); Bai Bian Dou (Lablab Seed), Jing Mi (Oryza Sativa Germen), Zhi Mu (Anemarrhenae Rhizoma), Sheng Di Huang (Rehmanniae Radix) (each 5 qian).
Bu Qingyang Tang [Source: *Jisheng Babie Fang*]: Treats tightness and tension in the corners of the mouth and cheeks, excessive fire in the Stomach, inevitably leading to incessant sweating and frequent urination.
Ingredients: Sheng Ma (Cimicifugae Rhizoma), Huang Qin (Scutellariae Radix), Dang Gui (Angelicae Sinensis Radix) (each 2 qian); Ge Gen (Puerariae Lobatae Radix) (1.5 qian); Hong Hua (Carthami Flos), Gui Zhi (Cinnamomi Ramulus), Jiu Huang Bo (Phellodendri Cortex prepared with wine) (each 1 fen); Gan Cao (Licorice Root) (roasted, amount unspecified, text likely missing).
Administration: After taking the medicine, apply hot ironing and massage to the tight and knotted areas for recovery. Diseases involving tendon tension at the corner of the mouth are caused by severe cold in the tendons, vessels, and collaterals. This medicine acts as a substitute for burning needle puncture (Fan Zhen Jie Ci) to break up evil blood.
Tongre Tang (Unblocking Heat Decoction), also known as Zixin San [Source: *Shenghui Fang*]: Treats Stomach Qi Excess Heat, manifesting as painful headache, absence of sweating, and dry mouth.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma) (2 liang); Gan Cao (Licorice Root) (roasted, 1 fen); Chai Hu (Bupleuri Radix) (remove black heart); Ge Gen (Puerariae Lobatae Radix) (crushed); Ma Huang (Ephedrae Herba) (remove root joints); Bai Fu Ling (Poria) (remove black skin, amount unspecified).
Administration: Take 3 qian per dose (text incomplete, usually decocted with water).
Jiawei Dihuang Tang (Modified Rehmannia Decoction): Treats facial heat resembling drunkenness, caused by Stomach Heat steaming upwards to the face. Add Da Huang (Rhei Radix et Rhizoma) to promote purgation.
Ingredients: Fu Ling (Poria) (4 liang); Gan Cao (Licorice Root), Gan Jiang (Zingiberis Rhizoma), Xi Xin (Asari Radix et Rhizoma), Di Huang (Rehmanniae Radix) (each 3 liang); Wu Wei Zi (Schisandrae Fructus), Ban Xia (Pinelliae Rhizoma), Xing Ren (Armeniacae Semen Amarum) (each 8 liang).
Administration: Decoct these ingredients in one dou of water (text incomplete).
Jupi Zhuru Tang (Citrus Peel and Bamboo Sheath Decoction) [Source: *Yonglei Qianfang*]: Treats Stomach Heat causing severe thirst, vomiting, hiccups, and inability to eat.
Ingredients: Chi Fu Ling (Poria with red skin, peeled), Ju Pi (Citri Reticulatae Pericarpium) (remove white pith), Pi Pa Ye (Loquat Leaf) (brush off hairs), Mai Men Dong (Ophiopogonis Radix) (remove heart), Qing Zhu Ru (Green Bamboo Sheath), Ban Xia (Pinelliae Rhizoma) (soaked in boiling water seven times, equal parts).
Administration: Decoct, remove dregs, take warm, no fixed time.
Huangqin Zhizi Tang (Scutellaria and Gardenia Decoction) [Source: *Shenghui Fang*]: Treats Stomach Qi Excess Heat, manifesting as headache, alternating chills and fever resembling Warm Malaria, dry lips and mouth, or mammary abscess, axillary swelling.
Ingredients: Huang Qin (Scutellariae Radix) (remove black heart), Zhi Zi (Gardeniae Fructus), Xi Jiao (Rhino Ceratostigma) (shaved), Chi Fu Ling (Poria with red skin, remove black skin), Chi Shao Yao (Paeoniae Radix Rubra) (each 1 liang); She Gan (Belamcandae Rhizoma) (1 liang); Da Huang (Rhei Radix et Rhizoma) (amount unspecified, text likely missing).
Administration: Decoct and take (text incomplete).
Huangqin Tang (Scutellaria Decoction) [Source: *Shengji Zonglu*]: Treats Stomach Qi Excess Heat, manifesting as dry mouth and tongue, headache, irritability, and thirst.
Ingredients: Huang Qin (Scutellariae Radix) (remove black heart), Chai Hu (Bupleuri Radix) (remove sprouts, each 1 liang); Ge Gen (Puerariae Lobatae Radix) (crushed), Chi Shao Yao (Paeoniae Radix Rubra) (each 3 liang); Gan Cao (Licorice Root) (roasted, 5 qian); Shi Gao (Gypsum Fibrosum) (crushed, amount unspecified).
Xi Re Lugan San (Heat-Draining Reed Root Powder) [Source: *Shenghui Fang*]: Treats Stomach Excess Heat, constant thirst with desire to drink.
Ingredients: Lu Gen (Phragmitis Rhizoma) (crushed), Gua Lou Gen (Trichosanthis Radix), Mai Men Dong (Ophiopogonis Radix) (remove heart, each 1 liang); Chi Fu Ling (Poria with red skin) (3 fen); Zhi Mu (Anemarrhenae Rhizoma), Gan Cao (Licorice Root) (amount unspecified).
Administration: Cut into small pieces, take 3 qian per dose, decoct with water and take warm (text incomplete).
Huanglian Wan (Coptis Pill) [Source: *Shenghui Fang*]: Treats Stomach Excess Heat with vigorous Qi, manifesting as rapid digestion with easy hunger, head and eye pain, epistaxis, irritability, and thirst.
Ingredients: Huang Lian (Coptidis Rhizoma) (remove roots), Gua Lou Gen (Trichosanthis Radix), Mai Men Dong (Ophiopogonis Radix) (remove heart and roast), Zhi Mu (Anemarrhenae Rhizoma) (roast), Fu Shen (Poria with Pinus Root) (remove wood, each 1 liang).
Administration: Grind into fine powder, make pills with refined honey (size unspecified).
Qianhu Tang (Peucedani Decoction) [Source: *Shengji Zonglu*]: Treats Stomach Heat causing dry retching, irritability, yellow eyes, and dry thirst.
Ingredients: Qian Hu (Peucedani Radix) (remove sprouts, 1.5 liang 5 qian); Mao Gen (Imperatae Rhizoma) (crushed, 2 liang); Mai Men Dong (Ophiopogonis Radix) (remove heart and roast), Gan Cao (Licorice Root) (roasted, each 1 liang); Huang Qin (Scutellariae Radix) (remove black heart, amount unspecified).
Fuling Yin (Poria Drink) [Source: *Shengji Zonglu*]: Treats Stomach Fu Excess Heat causing thirst and incessant drinking.
Ingredients: Fu Shen (Poria with Pinus Root) (remove wood, 1 liang); Gua Lou Gen (Trichosanthis Radix), Mai Men Dong (Ophiopogonis Radix) (remove heart and roast, each 3.5 liang); Wei Yu (Polygonati Odorati Rhizoma), Zhi Mu (Anemarrhenae Rhizoma) (roast, each 2 liang).
Administration: Cut into small pieces, take 2 qian per dose (text incomplete, usually decocted with water).
Qingwei San (Clear Stomach Powder) [Source: *Jisheng Babie Fang*]: Treats unbearable pain in upper and lower teeth radiating to the head with fullness and heat, caused by taking tonifying Stomach Heat medicines. This is due to Excess Heat in the Foot-Yangming Meridian.
Ingredients: Sheng Ma (Cimicifugae Rhizoma) (1 qian); Mu Dan Pi (Moutan Cortex) (5 fen); Dang Gui Shen (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix) (wine-processed, each 3 qian); Jing Huang Lian (Coptidis Rhizoma) (6 fen, add 2 fen if quality is poor); Chi Shao Yao (Paeoniae Radix Rubra) (amount unspecified, text likely missing).
Administration: Use in summer months (text incomplete, usually decocted with water).
Chishao Yao Tang (Red Peony Root Decoction): Treats Stomach Qi Excess Heat, manifesting as irritability, excessive thirst, cracked lips, dry mouth, and incessant drinking.
Huanglian Wan (Coptis Pill) [Source: *Shengji Zonglu*]: Treats Stomach Qi Excess Heat, manifesting as irritability and excessive thirst.
Ingredients: Huang Lian (Coptidis Rhizoma) (remove roots), Chi Fu Ling (Poria with red skin, remove black skin, each 3 fen); Mai Men Dong (Ophiopogonis Radix) (remove heart and roast, 1 liang); Ku Shen (Sophorae Flavescentis Radix) (5 qian).
Administration: Grind into fine powder, make pills with refined honey.
Xijiao Yin (Rhinoceros Horn Drink) [Source: *Shenghui Fang*]: Treats Excess Heat causing vomiting, hiccups, inability to eat, headache, irritability, and thirst.
Ingredients: Xi Jiao (Rhino Ceratostigma) (shaved), Pi Pa Ye (Loquat Leaf) (roast and remove hairs), Mai Men Dong (Ophiopogonis Radix) (remove heart and roast), Ge Gen (Puerariae Lobatae Radix) (crushed, each 1 liang).
Administration: Cut into small pieces, take 3 qian per dose, decoct with water (text incomplete).
Ge Gen Tang (Kudzu Root Decoction) [Source: *Shengji Zonglu*]: Treats Stomach Excess Heat, manifesting as irritability, thirst, dry throat, and vomiting.
Ingredients: Ge Gen (Puerariae Lobatae Radix) (crushed, juice 10 liang); Gan Cao (Licorice Root) (roasted, 3 liang); Ban Xia (Pinelliae Rhizoma) (2 liang, decoct with half cup Ginger Juice and half sheng of Jiang Shui until dry).
Administration: Cut into small pieces, take per dose (text incomplete, usually decocted with water).
Dihuang Yin (Rehmannia Drink) [Source: *Shengji Zonglu*]: Treats Stomach Qi Excess Heat, manifesting as dry lips and mouth, dizziness, body fatigue, and heat in the five centers (palms, soles, chest).
Ingredients: Sheng Di Huang (Rehmanniae Radix) (juice), Sheng Jiang (Zingiberis Rhizoma Recens) (juice), Ou Jie (Nelumbinis Node) (juice), Sheng Mi (Raw Honey) (each 2 he).
Administration: Mix evenly, divide into three doses, no fixed time.
Digupi Tang (Ground Bark Decoction) [Source: *Shengji Zonglu*]: Treats Exuberant and Excess Stomach Qi, obstruction and stagnation in the Middle Jiao, accumulation turning into heat, causing thirst and irritability.
Ingredients: Di Gu Pi (Lycii Cortex) (2 liang); Fang Feng (Saposhnikoviae Radix) (remove forked parts), Gan Cao (Licorice Root) (roasted, each 1 liang).
Administration: Cut into small pieces, take 3 qian per dose, decoct with one and a half sheng of water until one sheng remains, remove dregs (text incomplete, usually take warm).
Jiangzhi Yin (Ginger Juice Drink), also known as Sanhe Yinzi: Treats Stomach Excess Heat, manifesting as vomiting, irritability, and inability to eat.
Ingredients: Sheng Jiang Zhi (Fresh Ginger Juice), Di Huang Zhi (Rehmanniae Radix Juice), Mi (Honey).
Administration: Mix evenly, decoct with one sheng of water until eight-tenths remain, take on an empty stomach.
The following entries are dietary therapies or single-herb remedies:
To unblock and benefit the intestines and stomach, clear irritability in the chest, and relieve post-alcohol thirst.
Eat two jin of Song Cai (Chinese Cabbage), boiled into a soup. Eating Jiu Zu (Pickled Leeks) is also acceptable.
To treat Stomach and Spleen Heat, relieve thirst, stop dysentery, promote urination, boost Qi and strength, and promote longevity and lightness of body.
Eat aged Liang Mi (Millet Rice).
To regulate Stomach Heat, reduce body edema, strengthen the Spleen, aid digestion, and stop bloating.
Boil one sheng of Da Dou (Soybean) until cooked, pound it, and take with Rice Water.
Buqi Tang (Tonify Qi Decoction) [Source: *Shibian Liangfang*]: Generates fluids in the Stomach and treats Upper Jiao Deficiency Heat, causing dry mouth during sleep at night.
Ingredients: Wu Wei Zi (Schisandrae Fructus) (3 liang, use Liaodong variety), Gan Cao (Licorice Root) (5 qian), Bai Yan (White Salt) (stir-fried, 1 liang; mix with three items, place in vessel, expose overnight, take out and roast dry); Wu Zhu Yu (Evodiae Fructus) (amount unspecified, text likely missing).
To treat Stomach Qi Excess Heat causing dry mouth and cracked lips, central heat and dryness, constipation, non-time-specific irritability and thirst, and salivation during sleep. [Source: Yang Zijian's *Wanquan Huming Fang*]
Ingredients: Da Huang (Rhei Radix et Rhizoma) (5 qian), Jie Geng (Platycodonis Radix), Zhi Ke (Aurantii Fructus) (only use green ones), Qian Hu (Peucedani Radix), Ge Gen (Puerariae Lobatae Radix), Zhi Zi (Gardeniae Fructus) (each 1 fen).
Administration: Finely grind and sieve, take 2 qian per dose (text incomplete).
Pingwei San (Peace the Stomach Powder) [Source: *Yifang Jicheng*]: Treats Stomach Meridian Excess Heat causing dry mouth and cracked lips, constipation and difficulty in urination/defecation, and failure of food to descend after febrile diseases, accumulating in the Stomach.
Ingredients: Hou Po (Magnoliae Officinalis Cortex) (remove bark, stir-fry with ginger), She Gan (Belamcandae Rhizoma) (soak in rice wash water), Sheng Ma (Cimicifugae Rhizoma), Fu Ling (Poria) (each 5 qian); Shao Yao (Paeoniae Radix) (1 liang); Zhi Ke (Aurantii Fructus) (remove pulp, stir-fry with bran).
Administration: Decoct and take (text incomplete).
To treat Stomach Heat and direct Qi downward [Source: *Bencao*].
Bathe in a decoction of Sou Shu (Solomon's Seal Root / Polygonatum odoratum? Note: Text says 'Sou Shu', likely referring to a specific herb like Solanum lyratum or similar local name, often translated as Groundcherry or similar, but literally 'Urinating Bush').
If the disease presents with Stomach distension and fullness, chest and Stomach stuffiness with heat [Source: *Bencao*].
Use [Missing Herb Name] administered via the ear.
To treat Chest and Stomach Heat Qi [Source: *Bencao*].
Juice of [Missing Herb Name] Mother Grass taken orally is effective.
Shengma Tang (Cimicifuga Decoction): Treats draining Stomach Food Heat. (Formula see this section Food Accumulation category)