治胃膈瘅热，烦满不欲食；或瘅成为消中，善食而瘦；或燥郁甚而消渴，多饮
而数小便；或热病；或恣酒色，误服热药者，致脾胃真阴血液损虚。肝心相搏，风热燥甚，
三焦肠胃燥热怫郁，而水液不能宣行，则周身不得润湿，故瘦瘁黄黑。而燥热消渴，虽多饮
，而水液终不能浸润于肠胃之外，渴不止，而便注为小便多也。叔世俗流，不明乎此，妄为
下焦虚冷，误死多矣。又如周身风热燥郁，或为目瘴、痈疽、疮疡，上为喘嗽，下为痿痹，
或停积而湿热内甚，不能传化者，变水肿腹胀也。
凡多饮数溲为消渴，多食数溲为消中，肌
肉消瘦，小便有脂液者为消肾。此世之所传三消病也。虽无所不载，以《内经》考之，但燥
热之微甚者也。此药兼疗一切阳实阴虚，风热燥郁，头目昏眩，风中偏枯，酒过积毒，一切肠胃涩滞壅塞，
疮癣痿痹，并伤寒杂病烦渴，气液不得宣通，并宜服之。
人参 白术 当归 芍药 大黄 山栀子 泽泻（以上各半两） 连翘 栝蒌根 干葛 茯
苓（以上各一两） 官桂 木香 藿香（各一分） 寒水石（二两） 甘草（二两） 石膏（四两） 滑石
盆硝（各半两）
上为粗末。每服五钱，水一盏，生姜三片，同煎至半盏，绞汁，入蜜少许，温服
。渐加十余钱，无时，日三服。或得脏腑疏利亦不妨，取效更妙；后却常服之，或兼服消痞
丸。似觉肠胃结滞，或湿热内甚自利者，去大黄芒硝。
治疗胃膈部位的郁热，导致心烦胀满、不想进食；或者郁热发展为“消中”病，表现为吃得多却身体消瘦；或者燥热郁结严重引发“消渴”，表现为喝得多且小便频繁；或者患有热病；或者因纵欲饮酒，误服温热药物，导致脾胃的真阴和血液受损虚弱。肝与心相互搏结，风热燥邪严重，三焦和肠胃燥热郁滞，致使水液无法正常输布运行，因此全身得不到滋润，出现形体消瘦、面色黄黑。这种燥热引起的消渴，虽然大量饮水，但水液终究不能浸润到肠胃之外，所以口渴不止，大便中的水分直接转化为小便而排出过多。世俗庸医不明此理，妄下结论认为是下焦虚冷，导致许多人误治致死。又比如周身风热燥邪郁滞，可能表现为眼睛浑浊、痈疽、疮疡，向上引起气喘咳嗽，向下导致痿证痹症，或者积滞内停且湿热极盛，无法传导消化，进而演变为水肿腹胀。
凡是多饮且小便频数称为“消渴”，多食且小便频数称为“消中”，肌肉消瘦、小便中有脂液状物质称为“消肾”。这就是世间所传的“三消”病。虽然各种书籍都有记载，但根据《黄帝内经》考证，这不过是燥热程度的轻重不同罢了。本方兼治一切阳实阴虚、风热燥邪郁滞、头目昏眩、中风偏瘫、酒毒积滞、一切肠胃涩滞壅塞、疮癣痿痹，以及伤寒杂病引起的烦渴、气液不得宣通等症状，都适宜服用。
人参、白术、当归、芍药、大黄、山栀子、泽泻（以上各半两）；连翘、栝蒌根、干葛、茯苓（以上各一两）；官桂、木香、藿香（各一分）；寒水石（二两）；甘草（二两）；石膏（四两）；滑石、盆硝（各半两）。
将上述药材捣成粗末。每次服用五钱，加水一盏，生姜三片，一起煎煮至剩余半盏，滤去药渣，加入少许蜂蜜，温服。逐渐增加剂量至十余钱，不拘时间，每日服用三次。如果能使脏腑通畅有利也不妨碍，效果更佳；之后可以常服，也可以配合服用消痞丸。如果感觉肠胃有结滞，或者因湿热内盛导致自发性腹泻的，去掉大黄和芒硝。
Treats heat stagnation in the stomach and diaphragm, causing irritability, fullness, and loss of appetite; or when heat stagnation develops into *Xiao Zhong* (Middle Jiao Diabetes), characterized by excessive eating yet emaciation; or when severe dryness-heat stagnation leads to *Xiao Ke* (Upper/Middle Jiao Diabetes), characterized by excessive drinking and frequent urination; or in cases of febrile diseases; or due to indulgence in alcohol and sexual activity, combined with the mistaken use of hot-warm medicines, resulting in damage and deficiency of the true Yin and blood of the Spleen and Stomach. When the Liver and Heart contend with each other, wind-heat and dryness become severe, causing dryness-heat stagnation in the Sanjiao (Triple Burner) and intestines and stomach, preventing the normal distribution and circulation of body fluids. Consequently, the whole body fails to receive moistening, leading to emaciation and a sallow, dark complexion. In such dryness-heat-induced *Xiao Ke*, although large amounts of water are consumed, the fluids ultimately fail to moisten the exterior of the intestines and stomach; thus, thirst persists, and the fluid from the stool is excreted as excessive urine. Vulgar physicians of the world, ignorant of this principle, wrongly diagnose it as deficiency-cold of the Lower Jiao, causing many deaths through misprescription. Similarly, when wind-heat and dryness stagnate throughout the body, it may manifest as turbid eyes, carbuncles, sores, and ulcers; upward it causes wheezing and coughing; downward it leads to flaccidity syndromes (*Wei Bi*) and bi-syndromes. If stagnation accumulates internally with severe damp-heat that cannot be transformed and transported, it may transform into edema and abdominal distension.
Excessive drinking with frequent urination is termed *Xiao Ke*; excessive eating with frequent urination is termed *Xiao Zhong*; emaciation of muscles and fatty substances in the urine is termed *Xiao Shen*. These are the three types of diabetes transmitted in the world. Although recorded everywhere, according to the *Huangdi Neijing* (Yellow Emperor's Inner Canon), they are merely variations in the severity of dryness-heat. This prescription treats all conditions of excess-Yang and deficiency-Yin, wind-heat and dryness-heat stagnation, dizziness and vertigo of the head and eyes, hemiplegia due to wind-stroke, accumulated toxins from alcohol, all types of intestinal and gastric obstruction and blockage, skin sores, tinea, flaccidity, and bi-syndromes, as well as irritability and thirst caused by cold-pathogen miscellaneous diseases and failure of Qi and fluids to circulate freely. It is suitable for all these conditions.
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Da Huang (Rhei Radix et Rhizoma), Shan Zhi Zi (Gardeniae Fructus), Ze Xie (Alismatis Rhizoma) (each 0.5 liang); Lian Qiao (Forsythiae Fructus), Gua Lou Gen (Trichosanthis Radix), Gan Ge (Puerariae Lobatae Radix), Fu Ling (Poria) (each 1 liang); Guan Gui (Cinnamomi Ramulus), Mu Xiang (Aucklandiae Radix), Huo Xiang (Agastaches Herba) (each 1 fen); Han Shui Shi (Calcitum), Gan Cao (Glycyrrhizae Radix et Rhizoma) (2 liang each); Shi Gao (Gypsum Fibrosum) (4 liang); Hua Shi (Talcum), Pen Xiao (Natrii Sulfas) (each 0.5 liang).
Grind into coarse powder. Take 5 qian per dose, add 1 zhan of water and 3 slices of fresh ginger, decoct together until half a zhan remains, strain the juice, add a small amount of honey, and take warm. Gradually increase the dose to over 10 qian, at any time, three times daily. If it promotes bowel movement and unblocks the viscera, it is not harmful and yields better results; afterwards, it can be taken regularly, or combined with Xiao Pi Wan (Eliminate Lump Pill). If one feels intestinal blockage, or has spontaneous diarrhea due to severe internal damp-heat, remove Da Huang and Mang Xiao.