泻火汤总方∶
栀子(三钱) 白芍(五钱) 丹皮(三钱) 元参(三钱) 甘草(一钱)
水煎服。心火加黄连一钱;胃火加生石膏三钱;肾火加黄柏、知母各一钱;肺火加黄芩一钱;大肠火加地榆一
钱;小肠火加天冬、麦冬各一钱;膀胱火加泽泻三钱。治火何独治肝经?盖肝属木,最易生火。肝火散,则诸经之
火俱散。但散火必须有下泄之药,而使火之有出路也,则得矣。
按∶白芍、丹皮、栀子、甘草,不但有清火作用,且有利尿作用,使火从小便利之。
此乃胃火与肝火,共腾而外越,不为丹毒,即为痧疹,非他火也。方用∶
元参(一两) 干葛(三两) 升麻(三钱) 青蒿(三钱) 黄 (三钱)
水煎服。此方妙在用青蒿,肝、胃之火俱平。又佐以群药重剂,而火安有不灭者乎?治小儿亦效。
治火丹神方∶
丝瓜子(一两) 柴胡(一钱) 元参(一两) 升麻(一钱) 当归(五钱)
水煎服。小儿服之亦效。
火盛之症,火渴引饮,呼水自救,朝食即饥,或夜食不止,方用∶
元参(一两) 麦冬(五钱) 生地(三钱) 竹叶(三十片) 菊花(二钱) 白芥子(二钱) 丹皮(二钱) 陈
皮(五分)
水煎服。
不能起床,已成废人者,此乃火盛内炽,肾水熬干矣。治法宜降胃火而补肾水,方用降补汤∶
熟地(一两) 元参(一两) 麦冬(一两) 甘菊花(五钱) 生地(五钱) 车前子(二钱)
人参(三钱) 沙参(五钱) 地骨皮(五钱)
水煎服。
泻火汤总方:
栀子(三钱) 白芍(五钱) 丹皮(牡丹皮) 元参(玄参) 甘草(一钱)
用水煎服。若有心火,加黄连一钱;若有胃火,加生石膏三钱;若有肾火,加黄柏、知母各一钱;若有肺火,加黄芩一钱;若有大肠火,加地榆一钱;若有小肠火,加天冬、麦冬各一钱;若有膀胱火,加泽泻三钱。治疗火热病证为何唯独从肝经论治?因为肝属木,最容易产生火邪。肝火消散了,那么其他经络的火邪也就随之消散。但是,清散火邪必须配合具有下行泄热作用的药物,使火邪有出路排出体外,这样就能奏效了。
按语:白芍、丹皮、栀子、甘草,不仅有清泻火邪的作用,而且有利尿作用,使火邪从小便排出。
这是胃火与肝火共同亢盛并向外发散,如果不是丹毒,就是痧疹,不是其他火邪所致。方剂用:
元参(一两) 干葛(葛根)(三两) 升麻(三钱) 青蒿(三钱) 黄芩(三钱)
用水煎服。此方的妙处在于使用青蒿,能同时平抑肝火和胃火。又辅以众多药物的重剂,火邪怎有不熄灭的呢?治疗小儿也有效。
治疗火丹的神方:
丝瓜子(冬瓜子)(一两) 柴胡(一钱) 元参(一两) 升麻(一钱) 当归(五钱)
用水煎服。小儿服用也有效。
火热炽盛的病症,因火盛口渴而大量饮水,呼叫水来自救,早晨吃饭很快就感到饥饿,或者夜间进食不停,方剂用:
元参(一两) 麦冬(五钱) 生地(生地黄)(三钱) 竹叶(三十片) 菊花(二钱) 白芥子(二钱) 丹皮(二钱) 陈皮(五分)
用水煎服。
不能起床,已经变成废人的人,这是因为火邪炽盛于内,肾水被煎熬枯竭所致。治疗方法应当降泄胃火并补肾水,方剂用降补汤:
熟地(熟地黄)(一两) 元参(一两) 麦冬(一两) 甘菊花(五钱) 生地(生地黄)(五钱) 车前子(二钱)
人参(三钱) 沙参(五钱) 地骨皮(五钱)
用水煎服。
General Formula for Draining Fire:
Zhi Zi (Gardeniae Fructus) (3 qian), Bai Shao (Paeoniae Radix Alba) (5 qian), Dan Pi (Moutan Cortex) (3 qian), Yuan Shen (Scrophulariae Radix) (3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian).
Decoct in water and take orally. If there is Heart Fire, add Huang Lian (Coptidis Rhizoma) 1 qian; if there is Stomach Fire, add Sheng Shi Gao (Gypsum Fibrosum) 3 qian; if there is Kidney Fire, add Huang Bo (Phellodendri Cortex) and Zhi Mu (Anemarrhenae Rhizoma) each 1 qian; if there is Lung Fire, add Huang Qin (Scutellariae Radix) 1 qian; if there is Large Intestine Fire, add Di Yu (Sanguisorbae Radix) 1 qian; if there is Small Intestine Fire, add Tian Dong (Asparagi Radix) and Mai Dong (Ophiopogonis Radix) each 1 qian; if there is Bladder Fire, add Ze Xie (Alismatis Rhizoma) 3 qian. Why does the treatment of fire focus solely on the Liver Meridian? Because the Liver belongs to Wood and is most prone to generating fire. Once Liver Fire dissipates, the fire of all other meridians will also dissipate. However, to clear and scatter fire, it is necessary to use herbs with downward-draining properties so that fire has an exit route, thereby achieving efficacy.
Note: Bai Shao, Dan Pi, Zhi Zi, and Gan Cao not only have the effect of clearing fire but also possess diuretic properties, allowing fire to be discharged through urination.
This condition arises from the simultaneous hyperactivity of Stomach Fire and Liver Fire, which surge outward. It manifests either as Erysipelas (Dan Du) or as Sand Rash (Sha Zhen), rather than being caused by other types of fire. The formula used is:
Yuan Shen (Scrophulariae Radix) (1 liang), Gan Ge (Puerariae Lobatae Radix) (3 liang), Sheng Ma (Cimicifugae Rhizoma) (3 qian), Qing Hao (Artemisiae Annuae Herba) (3 qian), Huang Qin (Scutellariae Radix) (3 qian).
Decoct in water and take orally. The brilliance of this formula lies in the use of Qing Hao, which calms both Liver and Stomach fire. Assisted by the heavy doses of the accompanying herbs, how could the fire fail to extinguish? It is also effective for treating children.
Divine Formula for Treating Fire Erysipelas:
Si Gua Zi (Trichosanthis Semen) (1 liang), Chai Hu (Bupleuri Radix) (1 qian), Yuan Shen (Scrophulariae Radix) (1 liang), Sheng Ma (Cimicifugae Rhizoma) (1 qian), Dang Gui (Angelicae Sinensis Radix) (5 qian).
Decoct in water and take orally. It is also effective for children.
For symptoms of excessive fire, where intense thirst leads to drinking copiously, calling out for water to save oneself, feeling hungry immediately after morning meals, or eating incessantly at night, the formula used is:
Yuan Shen (Scrophulariae Radix) (1 liang), Mai Dong (Ophiopogonis Radix) (5 qian), Sheng Di (Rehmanniae Radix) (3 qian), Zhu Ye (Bambusae Folium) (30 slices), Ju Hua (Chrysanthemi Flos) (2 qian), Bai Jie Zi (Sinapis Semen) (2 qian), Dan Pi (Moutan Cortex) (2 qian), Chen Pi (Citri Reticulatae Pericarpium) (5 fen).
Decoct in water and take orally.
For those unable to get out of bed, already rendered incapacitated, this is due to excessive internal fire scorching and drying up Kidney Water. The treatment method should involve descending Stomach Fire and tonifying Kidney Water. The formula used is Jiang Bu Tang (Descending and Tonifying Decoction):
Shu Di (Rehmanniae Radix Preparata) (1 liang), Yuan Shen (Scrophulariae Radix) (1 liang), Mai Dong (Ophiopogonis Radix) (1 liang), Gan Ju Hua (Chrysanthemi Flos) (5 qian), Sheng Di (Rehmanniae Radix) (5 qian), Che Qian Zi (Plantaginis Semen) (2 qian), Ren Shen (Ginseng Radix) (3 qian), Sha Shen (Glehniae Radix or Adenophorae Radix) (5 qian), Di Gu Pi (Lycii Cortex) (5 qian).
Decoct in water and take orally.