清凉饮子治大人小儿血脉壅实脏腑生热面赤烦渴睡卧不宁
大黄 芍药 当归 甘草(各等分)
上 咀水煎
按此足太阴厥阴之的药也
元戎四物二连汤治血虚虚劳发热五心烦热昼则明了夜则发热
当归 生地黄 白芍 川芎 黄连 胡黄连
上 咀水煎服
按此足太阴厥阴手少阴经药也
机要云若夜发热主行阴夜则行阴二十五度若胁肋热或一身尽热或日晡肌热者皆血病也宜
以上方及桃仁承气选而用之
局方洗心散治风壅壮热头目昏痛热气上冲口苦唇焦咽喉肿痛心神烦燥多渴五心烦热小便
赤涩大便秘滞
大黄(煨) 甘草 当归 芍药 麻黄 荆芥穗(各六钱) 白术(五钱)
上为末每服二三钱生姜薄荷汤煎服
按此足太阳阳明厥阴手足太阴经药也今人多用之故收入然以白术合大黄入心故名洗心而
从以麻黄荆芥亦是表里药
甘露饮治男子妇人小儿烦热胃中客热口臭齿龈烦渴咽疮等证
熟地黄 生地黄 枇杷叶 山茵陈 天门冬 麦门冬 枳壳 黄芩 石斛 甘草(各等
分)
上为末每服二钱水煎服
按此足阳明手太阴少阴经药也
龙脑鸡苏丸除烦热郁热肺热咳嗽鼻衄吐血血崩下血热淋消渴惊悸解酒毒胃热口臭口苦开
心明目
薄荷叶(一两六钱) 生地黄(六钱) 麦门冬(四钱) 蒲黄(炒) 阿胶(炒各二钱) 黄
(一钱) 人参 木通(各二钱) 银州柴胡(同木通浸二日取汁入膏) 甘草(一钱半)
上为末用蜜三两二钱炼过后下地黄末木通柴胡汁熬成膏丸桐子大每二十丸嚼破汤下
按此三焦药也
安神清镇诸方
局方至宝丹(方见中风门)
按此气血之药通关透肌骨之剂也
东垣朱砂安神丸治心神烦乱怔忡兀兀欲吐气乱而热似懊 状
黄连(一钱半) 生地黄 当归身 甘草(炙各半钱) 朱砂(一钱别研)
上为末蒸饼丸黍米大每十丸或十五二十丸唾津下
按此二方血分药也
牛黄膏治热入血室发狂不认人者
牛黄(二钱半) 朱砂 蔚金(各三钱) 脑子 甘草(各一钱) 牡丹皮(二钱)
上为细末炼蜜丸皂子大新水化下
钱氏安神丸治热渴心闷脉实颊赤口燥
麦门冬 马牙硝 白茯苓 山药 寒水石(各半两) 朱砂(一两) 甘草(半两) 龙脑(
一字)
上为末炼蜜丸鸡头大每服半丸或一丸砂糖水化下
按此气分药也
泻诸经实热方
局方凉膈散治上焦积热烦躁多渴面赤面热头昏咽燥喉咽肿痛口疮便溺赤涩狂言谵妄睡卧
不安并宜服之
大黄 朴硝 甘草(各二两) 连翘(四两) 栀子仁 黄芩 薄荷叶(各一两)
上为末每服二钱竹叶蜜些小煎服
按此手太阴少阴足太阴阳明药也轻者宜用桔梗汤母犯下二焦也余仿此(桔梗汤见喉痹门)
调胃承气汤治中焦实热胃热实而不满
大黄(一两) 甘草(二钱半) 芒硝(四钱半)
上 咀水煎
按此足阳明经药也轻者宜用前胡散
八正散治下焦积热二便闭涩多渴咽干口热生疮肿痛淋血
大黄 瞿麦 木通 滑石 扁竹 车前子 山栀 甘草(各等分)
上为末每服二钱水煎入灯芯
按此足太阳阳明经药也轻者宜用导赤散
钱氏泻青丸治肝经郁热
当归 龙胆草 川芎 山栀 大黄 羌活 防风
上为末蜜丸鸡头子大每一二丸
泻心汤治心热
黄连(一两)
上为末水调二三分量病患大小与之
泻黄散治脾热口臭咽干
藿香叶(七钱) 山栀(一两) 石膏(半两) 甘草(三两) 防风(四两)
上为末同蜜酒拌微炒香每服一钱
泻白散治肺热
桑白皮 地骨皮(各一两) 甘草(半两)
上为末每服二三钱
东垣滋肾丸治肾热
黄柏(三钱) 知母(二钱) 桂(一分半)
上为末熟水丸桐子大每七八十丸至百丸食前百沸汤下
按此五脏药例也
半夏汤治胆腑实热精神不守热泄病
半夏 宿姜(各三钱) 黄芩 远志 茯苓(各二钱) 生地黄(五钱) 秫米(数合) 酸枣
仁(一合)
上 咀长流水煎
导赤散治小肠实热小便赤涩而渴
生地黄 木通 甘草(各等分)
上末入竹叶同煎
前胡散治胃气实热唇口干裂中心热躁大便秘结非时烦渴睡中口内生涎
大黄(半两) 桔梗 枳壳 前胡 杏仁(各一钱) 葛根(二钱)
上为末每二钱入姜煎
泻白汤治大肠实热腹胀不通侠脐痛食不化喘不能久立口生疮
橘皮 淡竹茹 黄芩 栀子仁 柏皮(炙各半两) 茯苓 芒硝(各一两) 生地黄(三两)
上锉每四钱入姜枣煎空心服
赤茯苓汤治膀胱实热腹胀小便不通口苦舌干咽肿不利
赤茯苓 猪苓 葵子 枳实 瞿麦 木通 黄芩 车前子 滑石 甘草(各等分)
上 咀入姜煎食前服
按以上诸方出五脏治要例
Qingliang Yinzi (Cooling Decoction) treats adults and children with blood vessel congestion and excess patterns, internal heat in the Zang-Fu organs, red face, irritability, thirst, and restless sleep.
Dahuang (Rhei Radix et Rhizoma), Shaoyao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts).
The above herbs are cut into small pieces and decocted in water.
Note: These are herbs for the Foot-Taiyin Splein Meridian and Foot-Jueyin Liver Meridian.
Yuanrong Siwu Erlian Tang (Yuanrong Four Substances Decoction with Two Coptises) treats deficiency-heat due to blood deficiency and consumptive fever, five-palm heat (heat sensation in the palms, soles, and chest), clear consciousness during the day, and fever at night.
Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix Recens), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huanglian (Coptidis Rhizoma), Huhuanglian (Picrorhizae Rhizoma).
The above herbs are cut into small pieces and decocted in water for oral administration.
Note: These are herbs for the Foot-Taiyin Splein Meridian, Foot-Jueyin Liver Meridian, and Hand-Shaoyin Heart Meridian.
Jiyao (Essential Principles) states: If fever occurs at night, the pathology is primarily in the Yin aspect, as Wei Qi circulates in the Yin aspect twenty-five times during the night. If there is heat in the hypochondrium, or heat throughout the entire body, or muscle heat during the Shen hour (3-5 PM), these are all blood-level pathologies. It is appropriate to select from the above formulas or Tao Ren Chengqi Tang (Peach Kernel Cathartic Decoction) for use.
Ju Fang Xixin San (Bureau of Medical Welfare Formula Washing Heart Powder) treats high fever caused by wind congestion, dizziness and headache, rising heat qi, bitter taste in the mouth, dry lips, sore throat, mental restlessness, excessive thirst, five-palm heat, dark and scanty urination, and constipation.
Dahuang (Rhei Radix et Rhizoma, baked), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba), Mahuang (Ephedrae Herba), Jingjie Sui (Schizonepetae Spica) (6 qian each), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian).
The above herbs are ground into powder. Each dose is 2-3 qian, decocted with fresh ginger and mint leaves in water.
Note: These are herbs for the Foot-Taiyang Bladder Meridian, Foot-Yangming Stomach Meridian, Foot-Jueyin Liver Meridian, Hand-Taiyin Lung Meridian, and Foot-Taiyin Spleen Meridian. People nowadays often use this formula, so it is included here. Because Baizhu is combined with Dahuang to enter the Heart, it is named "Washing Heart." The addition of Mahuang and Jingjie also makes it a formula that addresses both exterior and interior.
Ganlu Yin (Sweet Dew Decoction) treats irritability and heat, guest heat in the stomach, bad breath, swollen gums, irritability, thirst, pharyngeal ulcers, etc., in men, women, and children.
Shudihuang (Rehmanniae Radix Praeparata), Shengdihuang (Rehmanniae Radix Recens), Pipaye (Loquat Leaf), Yinchén (Artemisiae Scopariae Herba), Tianmendong (Asparagi Radix), Maimendong (Ophiopogonis Radix), Zhike (Aurantii Fructus Immaturus), Huangqin (Scutellariae Radix), Shihu (Dendrobii Caulis), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts).
The above herbs are ground into powder. Each dose is 2 qian, decocted in water.
Note: These are herbs for the Foot-Yangming Stomach Meridian and Hand-Taiyin Lung Meridian, Hand-Shaoyin Heart Meridian.
Longnao Jisu Wan (Camphor Chicken-Su Pill) eliminates irritability, stagnant heat, lung heat causing cough, epistaxis, hematemesis, metrorrhagia, hematochezia, hot strangury, xiaoke (wasting-thirst), palpitations, detoxifies alcohol, clears stomach heat, bad breath, bitter taste, opens the mind, and brightens the eyes.
Bohe Ye (Menthae Haplocalycis Herba) (1 liang 6 qian), Shengdihuang (Rehmanniae Radix Recens) (6 qian), Maimendong (Ophiopogonis Radix) (4 qian), Puhuang (Typhae Pollen, stir-fried), Ejiao (Asini Corii Colla, stir-fried) (2 qian each), Huangqi (Astragali Membranacei Radix) (1 qian), Renshen (Ginseng Radix et Rhizoma), Mutong (Akebiae Caulis) (2 qian each), Yinzhou Chaehu (Bupleuri Radix from Yinzhou, soaked with Mutong for two days to extract juice for paste), Gancao (Glycyrrhizae Radix et Rhizoma) (1.5 qian).
The above herbs are ground into powder. Use 3 liang 2 qian of refined honey. Add the Dihuagn Huang powder, Mutong juice, and Chaehu juice, boil into a paste, and form pills the size of paulownia seeds. Take 20 pills per dose, chew them, and swallow with water.
Note: These are herbs for the Sanjiao (Triple Burner).
Formulas for Calming the Spirit and Clearing/Suppressing
Ju Fang Zhibao Dan (Bureau of Medical Welfare Formula Precious Treasure Pill) (See Stroke Section)
Note: This is a formula regulating Qi and Blood, opening orifices, and penetrating muscles and bones.
Dongyuan Zhusha Anshen Wan (Dongyuan Cinnabar Calming Spirit Pill) treats mental restlessness, panic (palpitations), dizziness with urge to vomit, chaotic Qi with heat, resembling a state of regretful discomfort (Ao Nao).
Huanglian (Coptidis Rhizoma) (1.5 qian), Shengdihuang (Rehmanniae Radix Recens), Danggui Shen (Angelicae Sinensis Radix, root part), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (0.5 qian each), Zhusha (Cinnabaris) (1 qian, separately ground).
The above herbs are ground into powder, made into pills using steamed wheat cake dough, the size of millet grains. Take 10, 15, or 20 pills per dose, swallowed with saliva.
Note: These two formulas are herbs for the Blood level.
Niuhuang Gao (Calculus Bovis Ointment/Paste) treats mania and inability to recognize people due to heat entering the Blood Chamber.
Niuhuang (Calculus Bovis) (2.5 qian), Zhusha (Cinnabaris), Weijin (likely a typo for another mineral/herb, kept as is), Naobing (Camphora) (Bingpian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian each), Mudanpi (Moutan Cortex) (2 qian).
The above are ground into fine powder, formed into pills the size of soap pods using refined honey. Dissolve in fresh well water before taking.
Qianshi Anshen Wan (Qian's Calming Spirit Pill) treats heat-thirst, chest oppression, excess pulse, red cheeks, and dry mouth.
Maimendong (Ophiopogonis Radix), Mayaxiao (Natrii Sulfas), Bai Fuling (Poria), Shanyao (Dioscoreae Rhizoma), Hanshuishi (Calcitum) (0.5 liang each), Zhusha (Cinnabaris) (1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang), Longnao (Camphora) (1 zi).
The above are ground into powder, formed into pills the size of a cockle shell using refined honey. Take half or one pill per dose, dissolved in sugar water.
Note: This is a formula for the Qi level.
Formulas for Purging Excess Heat from Various Meridians
Ju Fang Liangge San (Bureau of Medical Welfare Formula Cooling Diaphragm Powder) treats upper jiao accumulated heat, irritability, excessive thirst, red face, facial heat, dizziness, dry throat, sore throat, mouth ulcers, dark and scanty urine, constipation, delirium, and restless sleep. All are suitable for taking this.
Dahuang (Rhei Radix et Rhizoma), Puxiao (Natrii Sulfatis Cruditas), Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang each), Lianqiao (Forsythiae Fructus) (4 liang), Zhizi Ren (Gardeniae Semen), Huangqin (Scutellariae Radix), Bohe Ye (Menthae Haplocalycis Herba) (1 liang each).
The above are ground into powder. Take 2 qian per dose, decocted with bamboo leaves and a little honey.
Note: These are herbs for the Hand-Taiyin Lung Meridian, Hand-Shaoyin Heart Meridian, Foot-Taiyin Spleen Meridian, and Foot-Yangming Stomach Meridian. For mild cases, Jiegeng Tang (Platycodon Decoction) should be used to avoid damaging the lower two jiaos. Others follow this example (Jiegeng Tang see Pharyngitis Section).
Tiaowei Chengqi Tang (Regulating the Stomach Cathartic Decoction) treats middle jiao excess heat, stomach heat excess pattern without abdominal fullness.
Dahuang (Rhei Radix et Rhizoma) (1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (2.5 qian), Mangxiao (Natrii Sulfatis Cruditas) (4.5 qian).
The above herbs are cut into small pieces and decocted in water.
Note: These are herbs for the Foot-Yangming Stomach Meridian. For mild cases, Qianhusan (Peucedani Powder) should be used.
Ba Zheng San (Eight Righteousness Powder) treats lower jiao accumulated heat, closure and difficulty of urination and defecation, excessive thirst, dry throat, heat in the mouth causing ulcers, swelling and pain, strangury, and hematuria.
Dahuang (Rhei Radix et Rhizoma), Qumai (Dianthi Herba), Mutong (Akebiae Caulis), Huashi (Talcum), Bianzhu (Plantaginis Herba), Cheqianzi (Plantaginis Semen), Shanzhi (Gardeniae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts).
The above are ground into powder. Take 2 qian per dose, decocted in water with Dengxin Cao (Junci Medullae).
Note: These are herbs for the Foot-Taiyang Bladder Meridian and Foot-Yangming Stomach Meridian. For mild cases, Dao Chi San (Directing Fire Powder) should be used.
Qianshi Xieqing Wan (Qian's Purging Green Pill) treats liver meridian stagnant heat.
Danggui (Angelicae Sinensis Radix), Longdancao (Gentianae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shanzhi (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix).
The above are ground into powder, honey-formed pills the size of a cockle shell. Take 1-2 pills per dose.
Xie Xin Tang (Purging Heart Decoction) treats heart heat.
Huanglian (Coptidis Rhizoma) (1 liang).
The above is ground into powder, mixed with water. Administer 2-3 fen according to the patient's age and condition.
Xie Huang San (Purging Yellow Powder) treats spleen heat, bad breath, and dry throat.
Huoxiang Ye (Pogostemonis Herba) (7 qian), Shanzhi (Gardeniae Fructus) (1 liang), Shigao (Gypsum Fibrosum) (0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (3 liang), Fangfeng (Saposhnikoviae Radix) (4 liang).
The above are ground into powder, mixed with honey and wine, lightly stir-fried until fragrant. Take 1 qian per dose.
Xie Bai San (Purging White Powder) treats lung heat.
Sangbaipi (Mori Cortex), Digupi (Lycei Cortex) (1 liang each), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang).
The above are ground into powder. Take 2-3 qian per dose.
Dongyuan Zishen Wan (Dongyuan Nourishing Kidney Pill) treats kidney heat.
Huangbai (Phellodendri Cortex) (3 qian), Zhimu (Anemarrhenae Rhizoma) (2 qian), Gui (Cinnamomi Cortex) (0.15 qian).
The above are ground into powder, formed into pills the size of paulownia seeds using warm water. Take 70-100 pills per dose before meals, with boiling water.
Note: This is an example of formulas for the Five Zang Organs.
Banxia Tang (Pinellia Decoction) treats gallbladder fu excess heat, loss of spirit guarding, and heat diarrhea.
Banxia (Pinelliae Rhizoma), Su Jiang (Zingiberis Rhizoma Recens) (3 qian each), Huangqin (Scutellariae Radix), Yuanzhi (Polygalae Radix), Fuling (Poria) (2 qian each), Shengdihuang (Rehmanniae Radix Recens) (5 qian), Sumi (Milii Germen) (several he), Suanzaoren (Ziziphi Spinosae Semen) (1 he).
The above herbs are cut into small pieces and decocted in long-flowing water.
Dao Chi San (Directing Fire Powder) treats small intestine excess heat, dark and scanty urination with thirst.
Shengdihuang (Rehmanniae Radix Recens), Mutong (Akebiae Caulis), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts).
The above are ground into powder, decocted together with Zhu Ye (Bambusae Folium).
Qianhusan (Peucedani Powder) treats stomach qi excess heat, cracked dry lips, central heat and irritability, constipation, non-timely thirst, and salivation during sleep.
Dahuang (Rhei Radix et Rhizoma) (0.5 liang), Jiegeng (Platycodonis Radix), Zhike (Aurantii Fructus Immaturus), Qianhu (Peucedani Radix), Xingren (Armeniacae Semen Amarum) (1 qian each), Gegen (Puerariae Lobatae Radix) (2 qian).
The above are ground into powder. Take 2 qian per dose, decocted with ginger.
Xie Bai Tang (Purging White Decoction) treats large intestine excess heat, abdominal distension and obstruction, pain around the navel, indigestion, asthma preventing prolonged standing, and mouth ulcers.
Jupi (Citri Reticulatae Pericarpium), Dan Zhuru (Bambusae Saputa), Huangqin (Scutellariae Radix), Zhizi Ren (Gardeniae Semen), Bapi (Phellodendri Cortex, fried) (0.5 liang each), Fuling (Poria), Mangxiao (Natrii Sulfatis Cruditas) (1 liang each), Shengdihuang (Rehmanniae Radix Recens) (3 liang).
The above are chopped. Take 4 qian per dose, decocted with ginger and jujube. Take on an empty stomach.
Chi Fuling Tang (Red Poria Decoction) treats bladder fu excess heat, abdominal distension, urinary retention, bitter taste, dry tongue, and swollen painful throat with difficulty swallowing.
Chi Fuling (Poria with Red Skin), Zhuling (Polyporus), Kuizi (Abelmoschi Semen), Zhishi (Aurantii Fructus Immaturus), Qumai (Dianthi Herba), Mutong (Akebiae Caulis), Huangqin (Scutellariae Radix), Cheqianzi (Plantaginis Semen), Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts).
The above herbs are cut into small pieces, decocted with ginger. Take before meals.
Note: The above formulas are derived from the principles of Zang-Fu treatment.