火脉洪数，虚则浮。《脉经》火性燔烈，抑之则空，故火盛脉浮取洪大，中按软阔，重按空豁。洪盛满指，
为实火；数大无力，为虚火。恶寒战栗，脉小匿者，为火郁。弦细而数，按之益坚，为少火气衰，而见肝肾
真脉，非火使然，乃虚劳剧候。或更虚大疾数，为壮火食气，耗竭真阴，虚阳飞越之象。久病得此，百不一生，
惟元气暴脱，犹可峻补以敛固之，脉洪而重按益实者，有形之湿热，与火无预。（《张氏医通》）
〔上焦火〕清心汤 甘草（一钱七分） 连翘 山栀 薄荷 黄连 黄芩 大黄（各七分） 朴硝（五分）
竹叶（七片） 白蜜（一匙）
〔中焦火〕加减凉膈散 凉膈散见前中风，此加桔梗、竹叶，减大黄、芒硝。
〔三焦火〕黄连解毒汤 见前温。
〔阳明火〕白虎汤 见前中风。
〔下焦火〕立效散 瞿麦（四钱） 山栀（二钱） 甘草（一钱） 姜（一片） 灯心（五条）
〔血分〕四顺清凉饮 蒸大黄 赤芍 归身 炙草（各一钱二分） 薄荷（十叶）
〔伤脾〕补中益气汤 见前中风。
〔伤肾〕六味地黄丸 七味八味俱见前中风。
〔湿火〕胃苓汤 见前中风。
〔郁火〕升阳散火汤 升麻 葛根 羌活 独活 人参 白芍（各一钱） 柴胡 甘草（各七分） 防风（五分）
炙草（一钱） 加姜、枣。
〔郁火〕火郁汤 羌活 升麻 白芍 人参 葛根 银柴胡 甘草（各一钱） 防风（五分） 葱（三条）
一方无人参。
〔骨蒸〕五蒸丸 青蒿（童便浸） 地骨皮 生地 石膏（各一两） 当归（七钱） 胡黄连（五钱）
醋制鳖甲（一片） 蜜丸。
〔血热〕加味四物汤 地 芍 归 芎 加丹皮 山栀 柴胡（各一钱）
〔风劳〕秦艽鳖甲散 桂 苓 草 地 芍 艽 胡 鳖 甲 天冬 地骨皮 桑皮 紫菀
知母 半夏 人参 姜
〔阴火〕大补阴丸 黄柏 知母（各盐酒炒四两） 熟地 龟板（酒炒。各六两） 猪脊髓（蒸熟） 蜜丸。
〔阴火〕坎离既济丸 生地 熟地 山萸 牛膝 天冬 麦冬（各四两） 白芍 五味 山药 龟板（各三两）
当归 知母 黄柏（各二两） 川芎（一两） 蜜丸，盐汤下。
〔肺火〕泻白散 桑皮 地骨皮（各一钱） 甘草（五分） 粳米（百粒） 此泻肺经气分之火。
〔肺火〕清金丸 黄芩（炒研）水丸。 此泻肺经血分之火。
〔肝火〕加味逍遥散 归 芍 苓 术 胡（各一钱） 甘草（五分） 姜 薄荷（少许） 名逍遥散，
此加丹皮、栀子。
〔脾火〕泻黄散 防风（四两） 藿香（七钱） 山栀（一两） 石膏（五钱） 甘草（二两） 蜜酒调服。
〔心火〕导赤散 见前温。
〔心火〕清心莲子饮 莲子（二钱） 人参 茯苓 黄 （各一钱） 黄芩 麦冬 车前 地骨皮
甘草（各七分）
〔胃火〕清胃散 生地 丹皮 黄连 当归 升麻 一方加石膏。
〔大肠〕通幽汤 见前燥。
〔小肠〕八正散 车前子 木通 瞿麦 蓄 滑石 甘草梢 山栀 大黄 灯心
〔膀胱〕大补丸 黄柏（盐酒炒研） 米粥和丸。血虚，四物汤下。
气虚，四君汤下。气血虚，八珍汤下。
〔相火〕滋肾丸 黄柏（二两） 知母（一两俱酒炒） 肉桂（一钱） 蜜丸。
〔火喘〕都气丸 即六味丸加五味子三两。
〔气冲〕黑锡丹 黑铅 硫黄（各二两） 将锡熔化，入硫黄，候结成片，倾地上出火毒，研至无声为
度。
〔降肺〕黄芩清肺饮 黄芩 山栀 或加盐、豉。
〔调肺〕人参平肺散 人参 青皮 天冬（各四分） 茯苓（七分） 陈皮（五分） 地骨皮 炙草（各五分）
桑皮（一钱） 五味子（十一粒） 加姜煎。
〔泻心〕泻心汤 黄连一味煎。
〔养心〕天王补心丹 生地（四两） 人参 元参 丹参 茯神 桔梗 远志（各五钱） 天冬 麦冬
枣仁 柏子仁 五味子 当归（各一两） 蜜丸弹子大，朱砂为衣。
〔平肝〕左金丸 黄连（六两姜汁炒） 吴茱萸（盐水泡一两） 水丸。
〔泻肝〕龙荟丸 当归 龙胆草 山栀（炒） 黄连 黄柏 黄芩（各炒一两） 大黄 青黛 芦荟（各五钱）
木香（二钱） 麝香（五分） 蜜丸。
〔虚火〕人参竹叶汤 石膏 麦冬（各二钱） 半夏（一钱） 炙草 人参（各五分） 竹叶（七片）
粳米（一撮）
〔补虚〕保元汤 人参 黄 白术（各一钱） 炙草（六分） 陈皮（五分）
〔实火〕三黄汤 黄连 黄芩 大黄
〔痰火〕淡竹茹汤 麦冬 小麦（各二钱） 半夏（钱半） 茯苓 人参（各一钱） 甘草（五分） 竹
茹（钱二分） 姜 枣
〔郁火〕发郁汤 升麻 葛根 羌活 柴胡 细辛 香附 葱白
〔火炽〕紫雪 见前暑。
〔积热〕碧雪 寒水石 芒硝 朴硝 焰硝 马牙硝 石膏 青黛 甘草 各等分。先将甘草煎汤，
去渣，入前药再煎。用柳木槌搅不住手，入青黛和匀，倾入砂盆内，候冷结成霜，研末。每用少许，含化津咽。
如喉闭，用鹅管吹入喉中，神效。
〔丹毒〕千金朴硝煎 朴硝（一斤） 芒硝（八两） 石膏（二两） 寒水石（四两） 先将二硝入汤中搅
令消化，以纸封一宿，取清，纳铜器中，另捣二石碎如豆粒，以绢袋盛之，入汁中，以微火煎至沫起，以
箸投之，着箸如雪凝白，即倾泻盆中，待凝，取出日干。如积热成闷不已者，以方寸匕，白蜜一合，和冷水五
合，搅和令消，顿服。日二次，热定即止。
Pulse patterns of Fire present as surging (Hong) and rapid (Shu); if deficient, the pulse floats. The *Mai Jing* (Classic of Pulse Diagnosis) states that the nature of Fire is like a raging fire; when suppressed, it appears empty. Therefore, when Fire is excessive, the pulse feels surging and large upon light palpation (floating), soft and broad upon moderate pressure, and hollow upon heavy pressure. A pulse that is surging and fills the fingers indicates Excess Fire; a pulse that is rapid and large but forceless indicates Deficient Fire. Aversion to cold with shivering, accompanied by a small and hidden pulse, indicates Stagnant Fire. A pulse that is wiry (Xian) and thin (Xi) with a rapid rate, becoming harder upon deep pressure, indicates the decline of Lesser Fire Qi, revealing the True Pulses of the Liver and Kidneys; this is not caused by Fire itself, but is a critical sign of severe Consumption Disease (Xu Lao). Alternatively, a pulse that is deficient, large, and rapid indicates that Blazing Fire has consumed Qi, exhausting True Yin, presenting as a phenomenon of Floating Yang flying away. If such a pulse appears in a chronic illness, fewer than one in a hundred will survive; only in cases of sudden collapse of Yuan Qi can strong tonification be used to consolidate and secure it. A pulse that is surging but becomes solid upon heavy pressure indicates有形 Damp-Heat, unrelated to Fire. (From *Zhang Shi Yi Tong*)
[Upper Jiao Fire] Qingxin Tang (Clear Heart Decoction): Gancao (Licorice Root, 1 qian 7 fen), Lqiao (Forsythia Fruit), Shanzhi (Gardenia Fruit), Bohe (Mint), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Dahuang (Rhubarb Root), each 7 fen; Puxiao (Mirabilite), 5 fen; Zhuye (Bamboo Leaf), 7 slices; Baimi (White Honey), 1 spoon.
[Middle Jiao Fire] Jiajian Liange San (Modified Liange Powder): Liange San is seen in the Stroke section above; this formula adds Jiegeng (Platycodon Root) and Zhuye (Bamboo Leaf), and reduces Dahuang (Rhubarb Root) and Mangxiao (Niter).
[Three Jiao Fire] Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity): Seen in the Warm Disease section above.
[Yangming Fire] Baihu Tang (White Tiger Decoction): Seen in the Stroke section above.
[Lower Jiao Fire] Lixiao San (Instant Efficacy Powder): Qumai (Dianthus Herb), 4 qian; Shanzhi (Gardenia Fruit), 2 qian; Gancao (Licorice Root), 1 qian; Jiang (Fresh Ginger), 1 slice; Dengxin (Juncus Pith), 5 strands.
[Blood Level] Sishun Qingliang Yin (Four-Obedience Cooling Clearing Decoction): Zheng Dahuang (Steamed Rhubarb Root), Chishao (Red Peony Root), Guishen (Angelica Sinensis Root Tip), Zhigancao (Honey-fried Licorice Root), each 1 qian 2 fen; Bohe (Mint), 10 leaves.
[Spleen Injury] Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction): Seen in the Stroke section above.
[Kidney Injury] Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill): Qiwei Dihuang Wan (Seven-Ingredient) and Bawei Dihuang Wan (Eight-Ingredient) are both seen in the Stroke section above.
[Damp-Fire] Weiling Tang (Stomach-Cinnamon Decoction): Seen in the Stroke section above.
[Stagnant Fire] Shengyang Sanhuo Tang (Raise Yang and Disperse Fire Decoction): Shengma (Ephedra Stem), Gegen (Kudzu Root), Qianghuo (Notopterygium Rhizome), Duohuo (Angelica Pubescens Root), Renshen (Ginseng Root), Baishao (White Peony Root), each 1 qian; Chaihu (Bupleurum Root), Gancao (Licorice Root), each 7 fen; Fangfeng (Saposhnikovia Root), 5 fen; Zhigancao (Honey-fried Licorice Root), 1 qian; add Shengjiang (Fresh Ginger) and Dazao (Jujube).
[Stagnant Fire] Huoyu Tang (Fire-Stagnation Decoction): Qianghuo (Notopterygium Rhizome), Shengma (Ephedra Stem), Baishao (White Peony Root), Renshen (Ginseng Root), Gegen (Kudzu Root), Yinchaihu (Cynomorium Herb), Gancao (Licorice Root), each 1 qian; Fangfeng (Saposhnikovia Root), 5 fen; Congbai (Green Onion White), 3 strands. Another version excludes Renshen.
[Bone Steaming] Wuzheng Wan (Five Steaming Pills): Qinghao (Artemisia Annua Herb, soaked in child's urine), Digupi (Lycium Bark), Shengdi (Rehmannia Root), Shigao (Gypsum Fibrosum), each 1 liang; Danggui (Angelica Sinensis Root), 7 qian; Huhuanglian (Coptis Chinensis var. wutai), 5 qian; Cu Zhi Biejia (Vinegar-processed Turtle Shell), 1 piece; refined honey for pills.
[Blood Heat] Jiawei Siwu Tang (Modified Four Substances Decoction): Shudi (Prepared Rehmannia Root), Shaoyao (Peony Root), Danggui (Angelica Sinensis Root), Xiong (Ligusticum Rhizome), plus Danpi (Moutan Bark), Shanzhi (Gardenia Fruit), Chaihu (Bupleurum Root), each 1 qian.
[Wind Consumption] Qinjiao Biejia San (Gentian and Turtle Shell Powder): Gui (Cinnamon Twig), Ling (Poria), Cao (Licorice Root), Di (Rehmannia Root), Shao (Peony Root), Jiao (Gentian Root), Hu (Cynomorium Herb), Bie (Turtle Shell), Ji (Shell), Tiantong (Asparagus Tuber), Digupi (Lycium Bark), Sangpi (Mulberry Bark), Ziwan (Aster Root), Zhimu (Anemarrhena Rhizome), Banxia (Pinellia Tuber), Renshen (Ginseng Root), Jiang (Fresh Ginger).
[Deficient Fire] Dubu Yin Wan (Great Tonifying Yin Pill): Huangbai (Phellodendron Bark), Zhimu (Anemarrhena Rhizome), each salted and wine-fried, 4 liang; Shudi (Prepared Rehmannia Root), Guiban (Turtle Shell), wine-fried, each 6 liang; Zhu Jingsui (Porcine Spinal Cord, steamed); refined honey for pills.
[Deficient Fire] Kanli Jiji Wan (Kan-Li Equilibrium Pill): Shengdi (Rehmannia Root), Shudi (Prepared Rehmannia Root), Shanyuzi (Cornus Fruit), Niuxi (Achyranthes Root), Tiantong (Asparagus Tuber), Maidong (Ophiopogon Tuber), each 4 liang; Baishao (White Peony Root), Wuweizi (Schisandra Fruit), Shanyao (Dioscorea Rhizome), Guiban (Turtle Shell), each 3 liang; Danggui (Angelica Sinensis Root), Zhimu (Anemarrhena Rhizome), Huangbai (Phellodendron Bark), each 2 liang; Chuanxiong (Ligusticum Rhizome), 1 liang; refined honey for pills, taken with salt water.
[Lung Fire] Xiebai San (Drain White Powder): Sangpi (Mulberry Bark), Digupi (Lycium Bark), each 1 qian; Gancao (Licorice Root), 5 fen; Jingmi (Glutinous Rice), 100 grains. This formula drains Fire from the Qi level of the Lung Meridian.
[Lung Fire] Qingjin Wan (Clear Metal Pill): Huangqin (Scutellaria Root), fried and ground, water-pill. This formula drains Fire from the Blood level of the Lung Meridian.
[Liver Fire] Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder): Danggui (Angelica Sinensis Root), Shaoyao (Peony Root), Ling (Poria), Zhu (Atractylodes Rhizome), Hu (Bupleurum Root), each 1 qian; Gancao (Licorice Root), 5 fen; Jiang (Fresh Ginger), Bohe (Mint), a little. Originally named Xiaoyao San, this adds Danpi (Moutan Bark) and Zhizi (Gardenia Fruit).
[Spleen Fire] Xiehuang San (Drain Yellow Powder): Fangfeng (Saposhnikovia Root), 4 liang; Huoxiang (Patchouli Herb), 7 qian; Shanzhi (Gardenia Fruit), 1 liang; Shigao (Gypsum Fibrosum), 5 qian; Gancao (Licorice Root), 2 liang; taken with honey and wine mixture.
[Heart Fire] Daochi San (Guide Out Red Powder): Seen in the Warm Disease section above.
[Heart Fire] Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction): Lianzi (Lotus Seed), 2 qian; Renshen (Ginseng Root), Fuling (Poria), Huangqi (Astragalus Root), each 1 qian; Huangqin (Scutellaria Root), Maidong (Ophiopogon Tuber), Cheqian (Plantago Seed), Digupi (Lycium Bark), Gancao (Licorice Root), each 7 fen.
[Stomach Fire] Qingwei San (Clear Stomach Powder): Shengdi (Rehmannia Root), Danpi (Moutan Bark), Huanglian (Coptis Rhizome), Danggui (Angelica Sinensis Root), Shengma (Ephedra Stem). Another version adds Shigao (Gypsum Fibrosum).
[Large Intestine] Tongyou Tang (Unblocking the Hidden Decoction): Seen in the Dryness section above.
[Small Intestine] Bazheng San (Eight Upright Powder): Cheqianzi (Plantago Seed), Mutong (Akebia Stem), Qumai (Dianthus Herb), Xu (Smartweed Herb), Huashi (Talcum), Gancaoshao (Licorice Root Tip), Shanzhi (Gardenia Fruit), Dahuang (Rhubarb Root), Dengxin (Juncus Pith).
[Bladder] Dabu Wan (Great Tonification Pill): Huangbai (Phellodendron Bark), salted, wine-fried, and ground; mixed with rice porridge for pills. For Blood Deficiency, take with Siwu Tang (Four Substances Decoction). For Qi Deficiency, take with Sijun Tang (Four Gentlemen Decoction). For Qi and Blood Deficiency, take with Bazhen Tang (Eight Treasures Decoction).
[Akira Fire] Zishen Wan (Nourish Kidney Pill): Huangbai (Phellodendron Bark), 2 liang; Zhimu (Anemarrhena Rhizome), 1 liang (both wine-fried); Rougui (Cinnamon Bark), 1 qian; refined honey for pills.
[Fire Asthma] Duqi Wan (Duqi Pill): That is, Liuwei Wan (Six-Ingredient Pill) plus Wuweizi (Schisandra Fruit), 3 liang.
[Qi Rushing] Heixi Dan (Black Tin Pill): Heiqian (Black Lead), Huangshi (Sulfur), each 2 liang. Melt the lead, add sulfur, wait until it forms sheets, pour onto the ground to remove fire toxicity, grind until silent.
[Descending Lung] Huangqin Qingfei Yin (Scutellaria Clearing Lung Decoction): Huangqin (Scutellaria Root), Shanzhi (Gardenia Fruit), or add Yan (Salt) and Chi (Fermented Soybean).
[Regulating Lung] Renshen Pingfei San (Ginseng Leveling Lung Powder): Renshen (Ginseng Root), Qingpi (Young Citrus Peel), Tiantong (Asparagus Tuber), each 4 fen; Fuling (Poria), 7 fen; Chenpi (Aged Citrus Peel), 5 fen; Digupi (Lycium Bark), Zhigancao (Honey-fried Licorice Root), each 5 fen; Sangpi (Mulberry Bark), 1 qian; Wuweizi (Schisandra Fruit), 11 grains; add Shengjiang (Fresh Ginger) and decoct.
[Draining Heart] Xiexin Tang (Drain Heart Decoction): Decoct Huanglian (Coptis Rhizome) alone.
[Nourishing Heart] Tianwang Buxin Dan (Emperor of Heaven Tonifying Heart Pill): Shengdi (Rehmannia Root), 4 liang; Renshen (Ginseng Root), Yuanshen (Scrophularia Root), Danshen (Salvia Root), Fushen (Poria with Hostwood), Jiegeng (Platycodon Root), Yuanzhi (Polygala Root), each 5 qian; Tiantong (Asparagus Tuber), Maidong (Ophiopogon Tuber), Zaoren (Ziziphus Seed), Baiziren (Biota Seed), Wuweizi (Schisandra Fruit), Danggui (Angelica Sinensis Root), each 1 liang; refined honey for pills the size of quail eggs, coated with Zhusha (Cinnabar).
[Leveling Liver] Zuojin Wan (Left Metal Pill): Huanglian (Coptis Rhizome), 6 liang (fried with ginger juice); Wuzhuyu (Evodia Fruit), 1 liang (soaked in salt water); water-pill.
[Draining Liver] Longhui Wan (Dragon Gall Pill): Danggui (Angelica Sinensis Root), Longdancao (Gentian Root), Shanzhi (Gardenia Fruit, fried), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), Huangqin (Scutellaria Root), each fried, 1 liang; Dahuang (Rhubarb Root), Qingdai (Indigo Naturalis), Lvhui (Aloe Wood), each 5 qian; Muxiang (Aucklandia Root), 2 qian; Shexiang (Musk), 5 fen; refined honey for pills.
[Deficient Fire] Renshen Zhuye Tang (Ginseng Bamboo Leaf Decoction): Shigao (Gypsum Fibrosum), Maidong (Ophiopogon Tuber), each 2 qian; Banxia (Pinellia Tuber), 1 qian; Zhigancao (Honey-fried Licorice Root), Renshen (Ginseng Root), each 5 fen; Zhuye (Bamboo Leaf), 7 slices; Jingmi (Glutinous Rice), a pinch.
[Tonifying Deficiency] Baoyuan Tang (Preserve Origin Decoction): Renshen (Ginseng Root), Huangqi (Astragalus Root), Baizhu (Atractylodes Rhizome), each 1 qian; Zhigancao (Honey-fried Licorice Root), 6 fen; Chenpi (Aged Citrus Peel), 5 fen.
[Excess Fire] Sanhuang Tang (Three Yellows Decoction): Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Dahuang (Rhubarb Root).
[Phlegm-Fire] Danzhuru Tang (Light Bamboo Sheath Decoction): Maidong (Ophiopogon Tuber), Xiaomai (Wheat Grain), each 2 qian; Banxia (Pinellia Tuber), 1.5 qian; Fuling (Poria), Renshen (Ginseng Root), each 1 qian; Gancao (Licorice Root), 5 fen; Zhuru (Bamboo Sheath), 1.2 qian; Shengjiang (Fresh Ginger), Dazao (Jujube).
[Stagnant Fire] Fayu Tang (Disperse Stagnation Decoction): Shengma (Ephedra Stem), Gegen (Kudzu Root), Qianghuo (Notopterygium Rhizome), Chaihu (Bupleurum Root), Xixin (Asarum Root), Xiangfu (Cyperus Rhizome), Congbai (Green Onion White).
[Intense Fire] Zixue (Purple Snow): Seen in the Summerheat section above.
[Accumulated Heat] Bixue (Green Snow): Hanshuishi (Calcitum), Mangxiao (Niter), Puxiao (Mirabilite), Yanxiao (Saltpeter), Mayaxiao (Crystal Niter), Shigao (Gypsum Fibrosum), Qingdai (Indigo Naturalis), Gancao (Licorice Root), equal parts. First decoct Gancao (Licorice Root) in water, remove dregs, add the other medicines and decoct again. Stir constantly with a willow wood pestle, add Qingdai (Indigo Naturalis) and mix evenly, pour into a clay basin, wait to cool and form frost, then grind into powder. Take a small amount each time, dissolve in saliva and swallow. For throat obstruction, blow into the throat using a goose tube, miraculous effect.
[Erysipelas] Qianjin Puxiao Jian (Thousand Years Mirabilite Decoction): Puxiao (Mirabilite), 1 jin; Mangxiao (Niter), 8 liang; Shigao (Gypsum Fibrosum), 2 liang; Hanshuishi (Calcitum), 4 liang. First dissolve the two nitters in water by stirring, seal with paper overnight, take the clear liquid, put into a copper vessel. Independently crush the two stones to bean-sized particles, place in a silk bag, immerse in the liquid, decoct over low heat until foam rises. Insert chopsticks; if white snow-like crystals adhere to the chopsticks, immediately pour into a basin. Wait to solidify, take out, and dry in the sun. For accumulated heat causing persistent chest oppression, take one fangcun bi (square inch scoop) of powder, mix with 1 he of white honey and 5 he of cold water, stir to dissolve, and drink at once. Twice daily, stop when heat subsides.