《经》曰∶总要截去风火兼治眼目，非升麻提之不愈。入方∶
桔菊胆草羌活升，栀子车前与条芩，
荆芥蝉衣川柏服，又加姜荆去目翳。
石膏条芩与橘红，石斛蝉衣麦门冬，
竹茹茅根引加入，清肺降火呃逆通。
此乃脾家本病，全以生石膏、条芩为主。若上下齿龈臭烂，舌胎浓白，宜石膏为主。入方∶
栀子桔梗共升麻，木通花粉川柏加，
荆芥薄荷淡条芩，重用石膏胃火瘥。
荆防薄荷葛玄参，地骨桑皮桂连芩。
蝉衣大力芎银花，百部升麻有苦参，
（口臭若是喘，加葶苈子，黄芩重用不可留。）
黄芩知母生石膏，天门冬合花粉好，
薄荷玄参栝蒌仁，枳壳更加川相炒。
《经》曰∶按此症心胃两经热毒熏蒸于内，庸师皆谓重疹也，而用药不对，则火愈炽而发斑也，须用靛花
水飞过，加锻石淘净晒干，研末取人乳调敷，斑即消矣。又云∶宜泻肝火而郁火亦散，热毒伤血而里实，虚
则发斑，轻则如疹，重若锦纹，紫黑者热极而胃烂也，则多死。重用石膏、大青草、犀角三味，缺一
不可，此泻心胃热毒，必用之矣。诗曰∶
毒火流入在脾脏，眼目起发翳膜障，
上星掀肿在两嘴，脓血淋漓眵泪汪。
拨云散加减∶
拨云胆草荆苓羚，地木甘连木贼羌，
大黄硼砂条芩石，银花升麻菊花良。
毒流于脾在上者，唇裂而掀肿，堆结如煤，动即血出，血出
即燥结。在下者，毒注于大肠，下垢如胶漆，或下鲜血痛不可忍，以涤除救苦汤治之。
涤除救苦汤∶
涤除救苦用生军，芩连石膏枳木通，
生地力子红滑石，蝉衣荆芥叭杏仁。
The *Classic* states: The general principle is to intercept wind and fire pathogens while simultaneously treating the eyes; without using Shengma (Cimicifugae Rhizoma) to lift and vent, the condition will not resolve. The corresponding formula verse is as follows:
Jiegeng (Platycodonis Radix), Juhua (Chrysanthemi Flos), Longdancao (Gentianae Radix), Qianghuo (Notopterygii Rhizoma et Radix), and Shengma (Cimicifugae Rhizoma); Zhizi (Gardeniae Fructus), Cheqianzi (Plantaginis Semen), and Tiaoping (Scutellariae Radix); Jingjie (Schizonepetae Spica), Chanyi (Bombyx Batryticatus), and Chuanbai (Phellodendri Cortex) are taken; adding Jiangsheng (Zingiberis Rhizoma Recens) and Jingjie can remove eye nebulae.
Shigao (Gypsum Fibrosum), Tiaoping (Scutellariae Radix), and Juhong (Citri Reticulatae Pericarpium); Shihu (Dendrobii Caulis), Chanyi (Bombyx Batryticatus), and Maidong (Ophiopogonis Radix); with Zhuru (Bambusae Caulis in Taenia) and Maogen (Imperatae Rhizoma) added as guiding herbs, this clears Lung heat, descends fire, and treats hiccups.
This is a primary disease of the Spleen, primarily treated with Shigao (Gypsum Fibrosum) and Tiaoping (Scutellariae Radix). If the upper and lower gums are foul and ulcerated, and the tongue coating is thick and white, Shigao (Gypsum Fibrosum) should be the principal herb. The corresponding formula verse is as follows:
Zhizi (Gardeniae Fructus) and Jiegeng (Platycodonis Radix) together with Shengma (Cimicifugae Rhizoma); Mutong (Akebiae Caulis), Huafen (Trichosanthis Radix), and Chuanbai (Phellodendri Cortex) added; Jingjie (Schizonepetae Spica), Bohe (Menthae Haplocalycis Herba), Danzhuye (Phyllostachidis Folium), and Tiaoping (Scutellariae Radix) used together; heavy use of Shigao (Gypsum Fibrosum) resolves Stomach fire.
Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Bohe (Menthae Haplocalycis Herba), Gegen (Puerariae Lobatae Radix), and Xuanshen (Scrophulariae Radix); Digupi (Lycii Cortex), Sangbaipi (Mori Cortex), Guizhi (Cinnamomi Ramulus), Lianhua (Coptidis Rhizoma), and Huangqin (Scutellariae Radix).
Chanyi (Bombyx Batryticatus), Dalizi (Arctii Fructus), Xiong (Chuanxiong Rhizoma), Yinhua (Lonicerae Japonicae Flos), Baibu (Stemonae Radix), Shengma (Cimicifugae Rhizoma), combined with Kushen (Sophorae Flavescentis Radix),
(If there is bad breath accompanied by asthma, add Tinglizi (Descurainiae Semen seu Lepidii Semen), and do not retain heavy doses of Huangqin (Scutellariae Radix).)
Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), and Shigao (Gypsum Fibrosum); Tianmendong (Asparagi Radix) combined with Huafen (Trichosanthis Radix) is effective; Bohe (Menthae Haplocalycis Herba), Xuanshen (Scrophulariae Radix), and Gualouren (Trichosanthis Semen); additionally, Zhike (Aurantii Fructus) and fried Chuanxiong (Chuanxiong Rhizoma).
The *Classic* states: This syndrome involves heat toxins steaming internally from the Heart and Stomach meridians. Quack physicians often mistake it for severe exanthems, but incorrect medication causes the fire to blaze more fiercely, resulting in macules. One must use Dianhua (Indigo Naturalis), processed by water flotation, mixed with Duan Shi (Calcined Alumen), washed clean, dried, and ground into powder; applied with human milk, the macules will disappear. It is also said: One should purge Liver fire so that stagnant fire dissipates; heat toxins injuring blood lead to interior excess. Deficiency leads to macules; mild cases resemble rashes, severe cases show brocade-like patterns, and purple-black indicates extreme heat and gastric rot, which is often fatal. Heavy use of Shigao (Gypsum Fibrosum), Da Qingcao (Isatidis Folium), and Xijiao (Rhinocerotis Cornu) is indispensable; these three are essential for purging Heart and Stomach heat toxins. The poem summarizes:
Toxic fire flows into the Spleen organ, causing eye nebulae and obstruction;
Shangxing (Excess swelling at the Shangxing acupoint) swells on both lips, with pus and blood dripping, and abundant ocular discharge.
Boyun San (Cloud-Piercing Powder) modified:
Boyun San contains Longdancao (Gentianae Radix), Jingjie (Schizonepetae Spica), Huangqin (Scutellariae Radix), Lingyangjiao (Saigae Tataricae Cornu); Dihuang (Rehmanniae Radix), Muzei (Equiseti Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Lianhua (Coptidis Rhizoma), Muzei (Equiseti Herba), Qianghuo (Notopterygii Rhizoma et Radix); Dahuang (Rhei Radix et Rhizoma), Pengsha (Borisoviae Borax), Tiaoping (Scutellariae Radix), Shijueming (Argonautae Oolitheca), Yinhua (Lonicerae Japonicae Flos), Shengma (Cimicifugae Rhizoma), and Juhua (Chrysanthemi Flos) are beneficial.
When toxic flow affects the Spleen in the upper part, lips crack and swell, accumulating like coal; movement causes bleeding, which then dries and binds. In the lower part, toxin injects into the Large Intestine, discharging filth like glue or lacquer, or bright red blood with unbearable pain; this is treated with Dichu Jiuku Tang (Eliminating and Saving from Misery Decoction).
Dichu Jiuku Tang (Eliminating and Saving from Misery Decoction):
Dichu Jiuku Tang uses Shengjun (Rhei Radix et Rhizoma fresh); Huangqin (Scutellariae Radix), Lianhua (Coptidis Rhizoma), Shigao (Gypsum Fibrosum), Zhishi (Aurantii Fructus Immaturus), Mutong (Akebiae Caulis); Shengdi (Rehmanniae Radix), Liziren (Arctii Fructus), Honghua (Carthami Flos), Huashi (Talcum), Chanyi (Bombyx Batryticatus), Jingjie (Schizonepetae Spica), and Badouxing (Semini Crotonis).