（附论）
夫胃气实则生热。热则土气内燥。津液不通。咽膈烦满。故渴而引饮。内经谓脾气热
则
胃干而渴。盖脏真濡于脾。脾主为胃行其津液者也。脾既受热。津液不濡于胃。胃干则渴不
止也。
方
黄连汤（出圣惠方）治脾胃中热烦渴。身渐消瘦。宜服此。
黄连（一两去须） 川升麻（一两） 麦门冬（一两去心） 黄芩（一两） 栝蒌根（一
两） 知母（一两） 茯神（半两） 栀子仁（一两） 甘草（一两炙微赤锉） 石膏（二
两） 上为散。每服四钱
茯神汤（出千金方）治胃腑实热。常渴引饮。泄热止渴。
茯神（二两外台作茯苓） 栝蒌根 生麦门冬（各五两） 葳蕤 知母（各四两） 生
地黄
（六两） 小麦（二升） 大枣（三十枚） 淡竹叶（切三升） 上 咀。水三斗。煮小
麦竹叶取
九升。去滓下药。煮取得四升。分四服。服时不问早晚。渴即进。非但止胃渴。通治患热渴
者。
枸杞根汤（出圣济总录）治胃干渴。饮水不止。
枸杞根 栝蒌根 麦门冬（生去心） 黄连（去须各一两半） 土瓜根（干者） 知母 车
前
子（去土各一两） 上锉如麻豆。每服五钱。水一盏半。入生地黄半分。同煎至八分。去滓
温
服。日三。
开胃解热渴饮子。（出广南四时摄生论）
大黄 甘草（各半两） 半夏（十个） 生姜（三两） 好枣（五枚） 上件药用水一
大铫。同煎至八分。旋取温服之。不拘时候。
栝蒌汤（出千金方）治消渴。胃热。
栝蒌根 生姜（各五两） 生麦门冬汁 芦根（切二升） 茅根（切三升） 上 咀。
水一斗。煮取三升。分三服。
茯神汤（出圣济总录）治胃渴引饮。泄热。
茯神（去木二两） 栝蒌根 麦门冬（去心各五两） 知母（锉） 葳蕤（各四两） 上
粗捣
筛。先以水三盏。入淘小麦一匙。淡竹叶五十片洗净切。同煮至一盏半。去滓下药末四钱。
枣三枚擘破。加生地黄半分。同煎至一盏。去滓温服。日三。
甘草汤（出圣济总录）治胃热干渴。
甘草（炙锉） 栝蒌根（各二两） 麦门冬（去心焙二分） 半夏（汤洗去滑七次曝干
麸炒二
两半） 上粗捣筛。水二盏。淘小麦半合。煎至盏半。去麦下药末五钱。大枣三枚擘破。生
地黄半钱。生姜一枣大拍破。再煎至八分。去滓温服。日再服。
栝蒌根汤（出圣济总录）治胃中干渴。
栝蒌根（三两） 知母（焙二两） 甘草（炙锉） 人参（各一两） 上 咀。每服三
钱。水一
盏
洗心饮子（出广南四时摄生论）
甘草 芍药 山栀 杏仁（去尖研入） 上等分为散。每服三钱。水二盏。煎至八分。
饭后温服。
冷汤（出广南四时摄生论）
甘草（二分炮） 大枣（五个） 竹叶（十四片） 熟附子（末少许） 人参（少许） 上
微锉碎。用水煮放冷。时时服之。
治胃中热消渴。利小便。（出本草）
陈粟米 上炊饮食之。
(Attached Discussion)
When Stomach Qi is full, internal heat is generated. Heat causes the Earth Qi within to become dry. The flow of Body Fluids (Jin Ye) becomes obstructed. This leads to a sensation of vexation and fullness in the pharynx and diaphragm. Consequently, thirst arises, prompting the desire to drink. The *Neijing* states that when Spleen Qi is hot, the Stomach becomes dry and thirsty. This is because the Zhen Qi (True Qi) of the organs is moistened by the Spleen, which governs the distribution of fluids for the Stomach. Once the Spleen is affected by heat, fluids fail to moisten the Stomach. Dryness in the Stomach results in incessant thirst.
Huanglian Tang (Coptis Decoction), from *Shenghui Fang*, treats heat in the Spleen and Stomach causing vexation and thirst, accompanied by gradual emaciation. It is suitable for this condition.
Huanglian (Coptidis Rhizoma, 1 liang, remove stamens) Chuan Shengma (Bupleuri Radix, 1 liang) Maimendong (Ophiopogonis Radix, 1 liang, remove heart) Huangqin (Scutellariae Radix, 1 liang) Gualougen (Trichosanthis Radix, 1 liang) Zhimu (Anemarrhenae Rhizoma, 1 liang) Fushen (Poria with Hostwood, 0.5 liang) Zhizi Ren (Gardeniae Semen, 1 liang) Gancao (Licorice Root, 1 liang, honey-fried until slightly red, crushed) Shigao (Gypsum Fibrosum, 2 liang). Process all into a powder. Take 4 qian per dose.
Fushen Tang (Poria Decoction), from *Qianjin Fang*, treats excess heat in the Stomach Fu organ, characterized by frequent thirst and desire to drink. It clears heat and relieves thirst.
Fushen (Poria with Hostwood, 2 liang; *Waitai Mi Yao* uses Fuling/Poria) Gualougen (Trichosanthis Radix) Sheng Maimendong (Fresh Ophiopogonis Radix, 5 liang each) Weirui (Polygonati Odorati Rhizoma) Zhimu (Anemarrhenae Rhizoma, 4 liang each) Sheng Dihuang (Fresh Rehmanniae Radix, 6 liang) Xiaomai (Tritici Fructus, 2 sheng) Dazao (Zizyphi Fructus, 30 pieces) Danzhuye (Lophatheri Herba, cut, 3 sheng). Process all into coarse pieces. Add 3 dou of water. First decoct Xiaomai and Danzhuye to obtain 9 sheng. Remove dregs, add remaining herbs. Continue decocting to obtain 4 sheng. Divide into four doses. Take at any time, day or night, whenever thirsty. This not only relieves stomach thirst but also generally treats those suffering from heat-induced thirst.
Gouqigen Tang (Lycii Cortex Decoction), from *Shengji Zonglu*, treats dryness and thirst in the Stomach, with incessant drinking.
Gouqigen (Lycii Cortex) Gualougen (Trichosanthis Radix) Maimendong (Ophiopogonis Radix, fresh, remove heart) Huanglian (Coptidis Rhizoma, remove stamens, 1.5 liang each) Tugagen (Stemona Radix, dried) Zhimu (Anemarrhenae Rhizoma) Cheqianzi (Plantaginis Semen, cleaned, 1 liang each). Process all into pieces resembling hemp seeds. Take 5 qian per dose. Add 1.5 zhan of water and 0.5 fen of Shengdihuang (Fresh Rehmanniae Radix). Decoct together to 0.8 zhan. Remove dregs and take warm. Three times daily.
Kaiwei Jiere Ke Yinzi (Appetizing Heat-Resolving Thirst-Relieving Drink), from *Guangnan Sishi Shesheng Lun*.
Dahuang (Rhei Radix et Rhizoma) Gancao (Licorice Root, 0.5 liang each) Banxia (Pinelliae Rhizoma, 10 pieces) Shengjiang (Zingiberis Rhizoma Recens, 3 liang) Hao Zao (Good Zizyphi Fructus, 5 pieces). Add a large amount of water using a large pot. Decoct together to 0.8 portion. Take warm as needed. No specific timing required.
Gualou Tang (Trichosanthes Decoction), from *Qianjin Fang*, treats Xiao Ke (Wasting-Thirst Syndrome) and Stomach heat.
Gualougen (Trichosanthis Radix) Shengjiang (Zingiberis Rhizoma Recens, 5 liang each) Sheng Maimendong Zhi (Juice of Fresh Ophiopogonis Radix) Lugeng (Phragmitis Rhizoma, cut, 2 sheng) Maogen (Imperatae Rhizoma, cut, 3 sheng). Process all into coarse pieces. Add 1 dou of water. Decoct to obtain 3 sheng. Divide into three doses.
Fushen Tang (Poria Decoction), from *Shengji Zonglu*, treats thirst in the Stomach with desire to drink. Clears heat.
Fushen (Poria with Hostwood, remove woody core, 2 liang) Gualougen (Trichosanthis Radix) Maimendong (Ophiopogonis Radix, remove heart, 5 liang each) Zhimu (Anemarrhenae Rhizoma, crushed) Weirui (Polygonati Odorati Rhizoma, 4 liang each). Coarsely crush and sieve. First, add 3 zhan of water, one spoonful of washed Xiaomai (Tritici Fructus), and 50 cleaned, cut leaves of Danzhuye (Lophatheri Herba). Decoct to 1.5 zhan. Remove dregs, add 4 qian of herb powder, 3 broken Dazao (Zizyphi Fructus), and 0.5 fen of Shengdihuang (Fresh Rehmanniae Radix). Decoct to 1 zhan. Remove dregs and take warm. Three times daily.
Gancao Tang (Licorice Decoction), from *Shengji Zonglu*, treats dry thirst due to Stomach heat.
Gancao (Licorice Root, honey-fried and crushed) Gualougen (Trichosanthis Radix, 2 liang each) Maimendong (Ophiopogonis Radix, remove heart and bake-dry, 2 fen) Banxia (Pinelliae Rhizoma, washed in hot water seven times to remove slipperiness, sun-dried, bran-fried, 2.5 liang). Coarsely crush and sieve. Add 2 zhan of water and half he of washed Xiaomai (Tritici Fructus). Decoct to 1.5 zhan. Remove wheat, add 5 qian of herb powder, 3 broken Dazao (Zizyphi Fructus), 0.5 qian of Shengdihuang (Fresh Rehmanniae Radix), and a piece of Shengjiang (Zingiberis Rhizoma Recens) the size of a date, smashed. Decoct again to 0.8 portion. Remove dregs and take warm. Twice daily.
Gualougen Tang (Trichosanthes Root Decoction), from *Shengji Zonglu*, treats dryness and thirst in the Stomach.
Gualougen (Trichosanthis Radix, 3 liang) Zhimu (Anemarrhenae Rhizoma, baked-dried, 2 liang) Gancao (Licorice Root, honey-fried and crushed) Renshen (Ginseng Radix, 1 liang each). Process all into coarse pieces. Take 3 qian per dose. Use 1 zhan of water.
Xixin Yinzi (Heart-Cleansing Drink), from *Guangnan Sishi Shesheng Lun*.
Gancao (Licorice Root) Shaoyao (Paeoniae Radix) Shanzhi (Gardeniae Fructus) Xingren (Prunus Armeniacae Semen, remove tips and grind). Process all equally into a powder. Take 3 qian per dose. Add 2 zhan of water. Decoct to 0.8 portion. Take warm after meals.
Leng Tang (Cold Decoction), from *Guangnan Sishi Shesheng Lun*.
Gancao (Licorice Root, 2 fen, processed) Dazao (Zizyphi Fructus, 5 pieces) Zhuye (Bambusae Folium, 14 pieces) Shu Fuzi (Prepared Aconiti Lateralis Radix, a small amount, powdered) Renshen (Ginseng Radix, a small amount). Coarsely chop. Boil in water and let cool. Take frequently.
Treats heat in the Stomach causing Xiao Ke (Wasting-Thirst Syndrome) and promotes urination. (From *Bencao*).
Chen Sumi (Aged Setaria Italica Grain). Consume as cooked food or beverage.