〔钱〕肝热，手寻衣领及乱捻物，泻青丸主之。壮热，饮水喘闷，泻白散主之。
〔薛〕肝热者，左颊先赤，便难转筋，多怒多惊，四肢困倦，寅卯时益甚，宜泻青丸、
柴胡饮子。
心热，视其睡，口中气温，或合面睡及上窜切牙，皆心热也，导赤散主之。（心
气热、则心胸亦热，欲言不能，而有就冷之意，故合面卧。）〔薛〕心热者，额上先赤，心烦
心痛，掌中热而哕，或壮热饮水，巳午时益甚，宜泻心汤、导赤散、安神丸。
脾热，则目黄肚大，怠惰嗜卧，身热饮水，四肢不收，泻黄散主之。〔薛〕脾
热者，鼻上先赤，其热在肌肉，遇夜益甚。
肺热，手掐眉目鼻面，甘桔汤主之；咳嗽寒热，壮热饮水，凉膈散主之；若肺
虚热，唇深红色，少服泻白散。〔薛〕肺热者，右颊先赤，日西热甚，轻则用泻白
散，重则用凉膈散及地骨皮散。
肾热，两足不喜衣覆，地黄丸主之。〔薛〕肾热者，颏下先赤，两足热甚，骨酥酥
如虫蚀，热甚不能起于床，夜间益甚，宜用滋肾丸。
泻青丸（见肝脏） 泻心汤 导赤散 安神丸（并见心脏） 泻黄散（见脾脏） 泻白散（见
肺脏）
栀子清肝散（一名柴胡栀子散） 治三焦及足少阳经风热发热，耳内作痒生疮，或出水
疼痛，或胸乳间作痛，寒热往来。
柴胡 栀子（炒） 牡丹皮（各一钱） 茯苓 川芎 芍药 当归 牛蒡子（炒。各七分）
甘草（三分）
上，水煎服。
柴胡清肝散 治肝胆三焦风热怒火，或乍寒乍热，往来寒热，发热或头发疮毒等证。
柴胡（一钱半） 黄芩（炒） 人参 川芎（各一钱） 山栀（炒，一钱半） 连翘 甘草（各五分）
桔梗（八分）
上，水煎服。
柴胡饮子 解肌热、蒸热、积热，或汗后余热，脉洪实弦数，大便坚实。
黄芩（七分） 甘草（四分） 大黄（八分） 芍药（七分） 柴胡 人参（各五分）
当归（一钱）
上，每服一钱，姜水煎。
龙脑饮子 此泻脾经热，可代泻黄散用，治小儿蕴热，咽喉肿痛，赤眼口疮，心烦
鼻衄，咽干多渴，睡卧不宁，及除痰热咳嗽，中暑烦躁，一切风壅。
甘草（四两，炙） 大栀子（三两，炒） 藿香叶（半两） 石膏（一两） 缩砂 栝蒌
（各七钱半）
上为末。每服一钱，蜜水调服，不拘时。治伤寒余毒，潮热虚汗，加竹叶煎服。
滋肾丸 治肾热。
黄柏（酒拌，炒焦，三钱） 知母（二钱） 肉桂（五分）
上为末，熟水丸，桐子大。每服二十丸至三十丸，食前，百沸汤下。
[Qian] Liver heat manifests as the child grasping at clothing collars and randomly twisting objects; Xie Qing Wan (Cathartic Green Pill) is the primary prescription. With high fever, thirst for drinking water, panting, and chest oppression, Bai Du San (White Decoction to Drain) is indicated.
[Xue] In cases of liver heat, the left cheek reddens first; there is difficulty in defecation, tendon spasms, irritability, frequent惊 (startle/fright), and fatigue in the four limbs. Symptoms worsen during Yin-Mao hours (3:00-7:00 AM). Xie Qing Wan (Cathartic Green Pill) and Chai Hu Yin Zi (Bupleurum Drink) are appropriate.
Heart heat can be identified by observing sleep patterns: warm breath from the mouth, sleeping face-down, or grinding teeth all indicate heart heat. Chi Dai San (Red Water Decoction) is the primary prescription. (When Heart Qi has heat, the chest and heart feel hot; the patient desires to speak but cannot, and seeks coldness, hence the preference for sleeping face-down.) [Xue] In cases of heart heat, the forehead reddens first; symptoms include mental restlessness, heart pain, heat in the palms, and hiccups. Or, with high fever and thirst for water, symptoms worsen during Si-Wu hours (9:00 AM-1:00 PM). Xin Xie Tang (Decoction to Drain the Heart), Chi Dai San (Red Water Decoction), and An Shen Wan (Spirit-Calming Pill) are indicated.
Spleen heat presents with yellow eyes, abdominal distension, lethargy, drowsiness, body heat, thirst for water, and weakness of the four limbs unable to support movement. Huang San (Yellow Powder) is the primary prescription. [Xue] In cases of spleen heat, the bridge of the nose reddens first; the heat resides in the muscles and worsens at night.
Lung heat manifests as pinching the eyebrows, eyes, nose, and face; Gan Jie Tang (Licorice and Platycodon Decoction) is indicated. For cough with alternating chills and fever, high fever, and thirst, Liang Ge San (Cool the Diaphragm Powder) is indicated. If it is Lung deficiency heat with deep red lips, a small dose of Bai Du San (White Decoction to Drain) should be taken. [Xue] In cases of lung heat, the right cheek reddens first; heat is severe in the late afternoon. Mild cases use Bai Du San (White Decoction to Drain); severe cases use Liang Ge San (Cool the Diaphragm Powder) and Di Gu Pi San (Morus Bark Powder).
Kidney heat manifests as the feet disliking being covered by clothes; Di Huang Wan (Rehmannia Pill) is indicated. [Xue] In cases of kidney heat, the chin reddens first; the feet are very hot, bones feel soft and sore as if eaten by insects, and severe heat prevents getting out of bed. Symptoms worsen at night. Zi Shen Wan (Nourish Kidney Pill) is indicated.
Xie Qing Wan (Cathartic Green Pill) (See Liver Chapter) | Xin Xie Tang (Decoction to Drain the Heart) | Chi Dai San (Red Water Decoction) | An Shen Wan (Spirit-Calving Pill) (See Heart Chapter) | Huang San (Yellow Powder) (See Spleen Chapter) | Bai Du San (White Decoction to Drain) (See Lung Chapter)
Zhi Zi Qing Gan San (Gardenia Liver-Clearing Powder) (also known as Chai Hu Zhi Zi San/Bupleurum Gardenia Decoction) treats wind-heat fever affecting the Triple Burner and Foot Shaoyang Meridian, accompanied by ear itching, sores, discharge, pain, or pain between the chest and breasts, with alternating chills and fever.
Chai Hu (Bupleuri Radix) 1 qian, Zhi Zi (Gardeniae Fructus, stir-fried) 1 qian, Mu Dan Pi (Moutan Cortex) 1 qian, Fu Ling (Poria) 1 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 qian, Shao Yao (Paeoniae Radix Alba) 1 qian, Dang Gui (Angelicae Sinensis Radix) 1 qian, Niu Bang Zi (Arctii Fructus, stir-fried) 0.7 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.3 qian.
Decoct in water and take orally.
Chai Hu Qing Gan San (Bupleurum Liver-Clearing Powder) treats wind-heat and fire anger affecting the Liver, Gallbladder, and Triple Burner, or sudden chills and fever, alternating chills and fever, fever, or hair sores and toxins.
Chai Hu (Bupleuri Radix) 1.5 qian, Huang Qin (Scutellariae Radix, stir-fried) 1 qian, Ren Shen (Ginseng Radix et Rhizoma) 1 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 qian, Shan Zhi (Gardeniae Fructus, stir-fried) 1.5 qian, Lian Qiao (Forsythiae Fructus) 0.5 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian, Jie Geng (Platycodi Radix) 0.8 qian.
Decoct in water and take orally.
Chai Hu Yin Zi (Bupleurum Drink) resolves muscle-layer heat, steaming heat, accumulated heat, or residual heat after sweating. The pulse is surging, firm, wiry, and rapid; stool is dry and hard.
Huang Qin (Scutellariae Radix) 0.7 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.4 qian, Da Huang (Rhei Radix et Rhizoma) 0.8 qian, Shao Yao (Paeoniae Radix Alba) 0.7 qian, Chai Hu (Bupleuri Radix) 0.5 qian, Ren Shen (Ginseng Radix et Rhizoma) 0.5 qian, Dang Gui (Angelicae Sinensis Radix) 1 qian.
Take 1 qian per dose, decoct with ginger water.
Long Nao Yin Zi (Camphor Drink) clears spleen meridian heat and can replace Huang San (Yellow Powder). It treats pediatric internal heat accumulation, sore throat and swelling, red eyes and mouth ulcers, mental restlessness, epistaxis, dry throat with excessive thirst, restless sleep, phlegm-heat cough, summerheat-induced烦躁 (restlessness), and all types of wind obstruction.
Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) 4 liang, Da Zhi Zi (Gardeniae Fructus, stir-fried) 3 liang, Huo Xiang Ye (Agastachis Folium) 0.5 liang, Shi Gao (Gypsum Fibrosum) 1 liang, Suo Sha (Amomi Fructus Rotundus) 0.75 liang, Gua Lou (Trichosanthis Fructus) 0.75 liang.
Grind into powder. Take 1 qian per dose, mixed with honey water, at any time. For residual toxicity from cold damage with tidal fever and deficient sweating, add Zhu Ye (Phyllostachys Viridis Folium) and decoct.
Zi Shen Wan (Nourish Kidney Pill) treats kidney heat.
Huang Bo (Phellodendri Cortex, soaked in wine, stir-fried until scorched) 3 qian, Zhi Mu (Anemarrhenae Rhizoma) 2 qian, Rou Gui (Cinnamomi Cortex) 0.5 qian.
Grind into powder, make pills with warm water, size of paulownia seeds. Take 20-30 pills per dose before meals, washed down with boiling water.