生石膏每剂用二三两,黄芩每剂用五六钱,此二味终不可
少,不怕寒凉过度。手足指尖不到,勿论回者误降者,须更用笋鞭芽十个,荷鼻五个,可同煎服。脾病困倦,
昏沉多卧,口乃脾窍,故口燥唇干不食,是亦胃火不清之故,肺病则嗽,一切鼻
煤、鼻煽、鼻干、鼻疮、呕吐,皆胃火也。至若眼红涩是肝病,须伐木清金,兼去风胆病,多烦而不眠,重
用石膏,即四五两一帖亦不妨。若喘息,生芩作主,石膏次之。力子桑皮葶兜铃,知
桔苏麻与条芩,天冬杏贝生石膏,引加芦根与茅根。
猪泻车前栀木通,滑石芩柏石地冬,
石苇一金麦葶苈,通草顺引膀胱中。
大黄复花翘桔梗,枳荷力子连条芩,
银花槐栀栝蒌杏,荆芥升麻与苦参。
凉大肠利小便,盖小便愈长则大便愈结,然亦不可强止。《经》云∶毒以利泄,若利止则不能出而腹痛也。
干桔升荷枳木通,石蒲芩连胡天冬,
知母豆根苓槐骨,滑石人中柏杏仁。
《经》曰∶胃火抑郁,肺火上冲而为逆重,用生石膏、生黄芩。次之又方∶
柴前蝉桔曲二冬,茯苓石膏芩蒌仁。
甘桔复花前玄参,射干荆防枳豆根,
冬花芩薄生大黄,蒌仁木通与苦参。
Sheng Shigao (Raw Gypsum Fibrosum) is used in doses of two to three taels per prescription, and Huangqin (Scutellariae Radix) in doses of five to six qian per prescription. These two herbs are indispensable; one need not fear excessive coldness. If the fingertips of the hands and feet are cold (Yang qi failing to reach the extremities), regardless of whether it is a misjudgment during the recovery phase or a reversal syndrome due to pathogen descent, ten Sunbianya (Bamboo Shoot Tip) and five Henabi (Lotus Nasal Part) must be added and decocted together for administration. Spleen disease causes fatigue, lethargy, and excessive sleepiness. The mouth is the external orifice of the spleen; therefore, dry mouth, dry lips, and anorexia are also caused by unclear Stomach fire. Lung disease causes coughing. Conditions such as black soot in the nostrils, flaring of the nostrils during breathing, dry nostrils, nasal ulcers, and vomiting are all attributed to Stomach fire. Redness and grittiness of the eyes indicate Liver disease, requiring the method of subduing Wood and clearing Metal (clearing Liver and purging Lung) along with dispelling wind. Gallbladder disease often presents with irritability and insomnia; heavy use of Shigao (Gypsum Fibrosum), even four to five taels per dose, is acceptable. If wheezing occurs, Sheng Huangqin (Raw Scutellariae Radix) serves as the principal herb, with Shigao (Gypsum Fibrosum) as the secondary herb. Other combinations include Sangbaipi (Mori Cortex), Tinglizi (Semen Lepidii), Zhimu (Anemarrhenae Rhizoma), Jiegeng (Platycodonis Radix), Suzi (Perillae Fructus), Mahuang (Ephedrae Herba), and Tiaohuangqin (Scutellariae Radix); Tiandong (Asparagi Radix), Xingren (Armeniacae Semen Amarum), Beimu (Fritillariae Bulbus), and Sheng Shigao (Raw Gypsum Fibrosum); Lu Gen (Phragmitis Rhizoma) and Mao Gen (Imperatae Rhizoma) can be added as guiding herbs.
Zhuling (Polyporus), Cheqianzi (Plantaginis Semen), Zhizi (Gardeniae Fructus), Mutong (Akebiae Caulis), Huashi (Talcum), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Dihuang (Rehmanniae Radix), and Tiandong (Asparagi Radix); Shiwei (Pyrosiae Folium), Jin Qiancao (Lysimachiae Herba), Maidong (Ophiopogonis Radix), and Tinglizi (Semen Lepidii); Tongcao (Tetrapanacis Medulla) guides the therapeutic effect into the Bladder.
Dahuang (Rhei Radix et Rhizoma), Honghua (Carthami Flos), Lianqiao (Forsythiae Fructus), Jiegeng (Platycodonis Radix), Zhishi (Aurantii Fructus Immaturus), He Ye (Nelumbinis Folium), Dali Zi (Arctii Fructus), Lianhuang (Coptidis Rhizoma), and Tiaohuangqin (Scutellariae Radix); Yinhua (Lonicerae Japonicae Flos), Huai Hua (Sophorae Flos), Zhizi (Gardeniae Fructus), Gualou (Trichosanthis Fructus), Xingren (Armeniacae Semen Amarum), Jingjie (Schizonepetae Herba), Shengma (Cimicifugae Rhizoma), and Kushen (Sophorae Flavescentis Radix). Cooling the Large Intestine and promoting urination: since clear urination leads to firmer stools, one should not forcibly stop diarrhea. As stated in the *Classic*: "Toxins are discharged through purgation; if purgation stops, toxins cannot exit, leading to abdominal pain." Ganjiang (Zingiberis Rhizoma), Jiegeng (Platycodonis Radix), Shengma (Cimicifugae Rhizoma), He Ye (Nelumbinis Folium), Zhishi (Aurantii Fructus Immaturus), Mutong (Akebiae Caulis); Shipu (Acori Tatarinowii Rhizoma), Huangqin (Scutellariae Radix), Lianhuang (Coptidis Rhizoma), Huhuanglian (Isodontiae Radix), Tiandong (Asparagi Radix); Zhimu (Anemarrhenae Rhizoma), Dougen (Bupleuri Radix or similar heat-clearing root), Ling (Poria), Huai Hua (Sophorae Flos), Gu (Dragon Bone/Ostreae Concha), Huashi (Talcum), Renzhongbai (Urinae Humanus Depuratus), Huangbai (Phellodendri Cortex), and Xingren (Armeniacae Semen Amarum).
The *Classic* states: "Stomach fire stagnates, and Lung fire rushes upward causing severe reversal; use Sheng Shigao (Raw Gypsum Fibrosum) and Sheng Huangqin (Raw Scutellariae Radix)." Another subsequent formula: Chaihu (Bupleuri Radix), Qianhu (Peucedani Radix), Chan Tui (Cicadae Periostracum), Jiegeng (Platycodonis Radix), Shenqu (Massa Medicata Fermentata), Tiandong (Asparagi Radix), and Maidong (Ophiopogonis Radix); Fuling (Poria), Shigao (Gypsum Fibrosum), Huangqin (Scutellariae Radix), and Gualou Ren (Trichosanthis Semen).
Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Honghua (Carthami Flos), Cheqianzi (Plantaginis Semen), Xuanshen (Scrophulariae Radix); Shegan (Belamcandae Rhizoma), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Zhishi (Aurantii Fructus Immaturus), Dougen (Root of Soybean or similar); Donghua (Adenophorae Radix or Kuan Dong Hua), Huangqin (Scutellariae Radix), Bohe (Menthae Haplocalycis Herba), Sheng Dahuang (Raw Rhei Radix et Rhizoma), Gualou Ren (Trichosanthis Semen), Mutong (Akebiae Caulis), and Kushen (Sophorae Flavescentis Radix).
Shipu (Acori Tatarinowii Rhizoma), Jiegeng (Platycodonis Radix), Dali Zi (Arctii Fructus), Tiandong (Asparagi Radix); Huangqin (Scutellariae Radix), Huafen (Trichosanthis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Mutong (Akebiae Caulis); Tongcao (Tetrapanacis Medulla), Bohe (Menthae Haplocalycis Herba), Xuanshen (Scrophulariae Radix); Qianhu (Peucedani Radix), Mahuang (Ephedrae Herba), Beimu (Fritillariae Bulbus), Huai Hua (Sophorae Flos), and Zhimu (Anemarrhenae Rhizoma) are used together.
Dali Zi (Arctii Fructus), Doulng (Aristolochiae Fructus or Perillae Fructus contextually), and San Dong (Three Winter Herbs, likely Tiandong, Maidong, etc.); Gugu (Guigu Pi/Bark or similar), Tinglizi (Semen Lepidii), Er Mu (Zhimu and Beimu) are used together; Gualou Ren (Trichosanthis Semen), Huangqin (Scutellariae Radix), Zhishi (Aurantii Fructus Immaturus), Shigao (Gypsum Fibrosum); Suzi (Perillae Fructus), Baibu (Stemonae Radix), and Juhong (Citri Reticulatae Pericarpium Rubrum).