（消肾 消中）
商丘、主烦中渴。（千）意舍、主消渴。身热面目黄。（明同。）承浆、（明下云饮水不
休。）
意舍、关冲、然谷、主消渴嗜饮。隐白、主饮渴。劳宫、主苦渴食不下。曲池、主寒热
渴。行间、太冲、主嗌干善渴。（并千。）意舍、（见腹胀。）中膂俞、治肾虚消渴。汗不
出。（明作汗出。）腰脊不得俯仰。腹胀胁痛。（铜）兑端、治小便黄。舌干消渴。然谷、
治舌纵烦满消渴。水沟、治消渴饮水无度。（明同。）阳纲、疗消渴。（明下见肠鸣。）
古方载渴病有三。曰消渴、曰消中、曰消肾。消肾。最忌房事。李祠部必云肾虚则
消渴
消中亦当忌也。张仲景云、宜服八味元。或服之不效者。不去附子也。有同舍患此。人教服
去附子加五味子八味元。即效。有同官患此。予教服千金枸杞汤效。坡文载眉山张医治杨颖
臣渴病。（见坡。）麝香当门子酒渍作十元。取枳枸（俗谓鸡距子。亦曰癞汉指头。）作汤饮之
愈。张云、消渴消中。皆脾衰而肾败。土不能胜水。肾液不上溯。乃成此疾。今诊杨脾极巨
。脉热而肾衰。当由果实过度。虚热在脾。故饮食兼人。而多饮水。水多故溺多。非消渴也
。麝香能败酒。瓜果近辄不植。屋外有枳枸木。屋中酿酒不熟。故以二物去酒果毒。其论渴
有理。故载于此。
凡消渴经百日以上。不得灸刺。灸刺则于疮上漏脓水不歇。遂致痈疽羸瘦而死。亦忌有
所误伤。初得患者、可如方刺灸。若灸诸阴而不愈。宜灸诸阳。（详见千金。有数十穴。）
[Xiao Shen (Kidney Wasting) and Xiao Zhong (Middle Jiao Wasting)]
Shangqiu (SP5), governs vexation in the chest with thirst. (From *Qianjin Fang*) Yishhe (BL28), governs Xiao Ke (Wasting-Thirst Syndrome). Accompanied by fever, yellow complexion of the face and eyes. (*Mingtang Jing* records the same.) Chengjiang (CV24), (According to the lower section of *Mingtang Jing*: governs incessant drinking.)
Yishhe (BL28), Guanchong (SJ1), RanGu (KI2), govern Xiao Ke (Wasting-Thirst Syndrome) with polydipsia. Yinbai (SP1), governs drinking due to thirst. Laogong (PC8), governs bitter thirst with inability to eat. Quchi (LI11), governs alternating chills and fever with thirst. Xingjian (LR2), Taichong (LR3), govern dry throat and propensity for thirst. (All from *Qianjin Fang*). Yishhe (BL28), (See Abdominal Distension). Zhonglüshu (BL27), treats Kidney Deficiency type Xiao Ke (Wasting-Thirst Syndrome). With anhidrosis. (*Mingtang Jing* reads "hyperhidrosis".) Inability to flex or extend the waist and spine. Abdominal distension and hypochondriac pain. (From *Tongren Shuxue Zhenjiu Tujing*) Duiduan (GV26), treats yellow urine. Dry tongue with Xiao Ke (Wasting-Thirst Syndrome). RanGu (KI2), treats prolapsed tongue, vexation and fullness, and Xiao Ke (Wasting-Thirst Syndrome). Shuigou (GV26), treats Xiao Ke (Wasting-Thirst Syndrome) with unmeasured drinking. (*Mingtang Jing* records the same.) Yanggang (BL18), cures Xiao Ke (Wasting-Thirst Syndrome). (Intestinal murmurs can be seen in the lower section of *Mingtang Jing*.)
Ancient formulas record three types of thirst diseases: Xiao Ke (Wasting-Thirst Syndrome), Xiao Zhong (Middle Jiao Wasting), and Xiao Shen (Kidney Wasting). Xiao Shen (Kidney Wasting) strictly forbids sexual intercourse. Li Sibuli stated that Kidney Deficiency leads to Xiao Ke (Wasting-Thirst Syndrome); Xiao Zhong (Middle Jiao Wasting) should also observe this prohibition. Zhang Zhongjing stated that it is suitable to take Ba Wei Wan (Eight-Ingredient Pill). If ineffective after taking it, it is because Aconiti Lateralis Radix Preparata (Fuzi, 附子) was not removed. A colleague living in the same dormitory suffered from this. Someone taught him to take Ba Wei Wan (Eight-Ingredient Pill) with Aconiti Lateralis Radix Preparata (Fuzi, 附子) removed and Schisandrae Fructus (Wuweizi, 五味子) added; he recovered immediately. Another official colleague suffered from this. I taught him to take Gouqi Tang (Goji Berry Decoction) from *Qianjin Fang*; he also recovered. Su Dongpo's writings record that Dr. Zhang from Meishan treated Yang Yingchen's thirst disease. (See Su Dongpo's collected works.) She-xiang (Moschus) and Dangmenzi (also Moschus) were soaked in wine to make ten pills. Zhi-gou (Physalis alkekengi var. franchetii, commonly known as Ji Ju Zi, 鸡距子, or Lai Han Zhi Tou, 癞汉指头) was decocted and drunk, resulting in recovery. Dr. Zhang said that Xiao Ke (Wasting-Thirst Syndrome) and Xiao Zhong (Middle Jiao Wasting) are both caused by Spleen Decline and Kidney Failure. Earth fails to overcome Water, and Kidney fluids fail to ascend, thus forming this disease. Currently diagnosing Yang, the Spleen pulse is extremely large, the pulse is hot, and the Kidney Qi is declining. This should be due to excessive consumption of fruits. Deficient heat in the Spleen causes double the food intake and excessive water drinking. Excessive water leads to excessive urination; this is not true Xiao Ke (Wasting-Thirst Syndrome). Moschus (She-xiang, 麝香) can neutralize alcohol toxicity; fruit trees do not grow near it. Outside the house there is a Zhi-gou tree; wine brewed inside does not ferment properly. Therefore, these two substances are used to remove the toxicity of alcohol and fruits. His discussion is reasonable, so it is recorded here.
For any Xiao Ke (Wasting-Thirst Syndrome) lasting more than one hundred days, moxibustion and acupuncture must not be performed. If moxibustion or acupuncture is applied, pus and fluid will leak from the wound continuously, eventually leading to carbuncles, emaciation, and death. One must also avoid any accidental injury. For patients who have just contracted the disease, needling and moxibustion can be performed according to the prescription. If treating the Yin meridians via moxibustion yields no improvement, it is advisable to treat the Yang meridians. (See *Qianjin Fang* in detail, which lists dozens of acupoints.)