论
《内经》曰∶诸热瞀 ，暴喑冒昧，躁扰狂越，骂詈惊骇， 肿疼酸，气逆冲上，禁栗如丧神守， 呕疮疡，喉痹
耳鸣耳聋，呕涌溢食不下，目昧不明，暴注 ，暴病暴死，皆属于火。丹溪曰∶太极动而生阳，静而生阴，阳动而变，
阴静而合，而生水火木金土，各一其性，惟火有二，曰君火，人火也，曰相火，天火也。火内阴而外阳，主乎动者也，
故凡动皆属火。以名而言，形质相生，配于五行，故谓之君。以位而言，生于虚无，守位禀命，因动而见，故谓之相。
天主生物，故恒于动，人有此生，亦恒于动，其所以恒于动者，皆相火之为也云云。又曰∶五者之性为物所感，不能不
动，谓之动者，即《内经》五火也。相火易起，五性厥阳之火相扇，则妄动矣。火起于妄，变化莫测，无时不有，煎熬
真阴，阴虚则病，阴绝则死。愚按∶心为君火，而又有相火寄于肝肾二脏，即《内经》一水不能胜二火也。五性之火，
为物所感而动，即《内经》一水不能胜五火也。夫五行之理，天人所同，知乎此，则造化阴阳，洞明于胸臆之间，又能
灼知其火邪之虚实，或补或泻，用药以平之，则愈疾之功，如射之中鹄矣，学人其可忽诸。
脉法
脉浮而洪数为虚火，脉沉而实大为实火。
洪数见于左寸为心火，见于右寸为肺火，见于左关为肝火，右关为脾火，两尺为肾经、命门之火。男子两尺洪大者
必遗精，阴火盛也。
方法
丹溪曰∶阴虚火动者，难治。
实火可泻，黄连解毒之类。
虚火可补，参、术、生甘草之类。（谓之实者，邪气实也。谓之虚者，正气虚也。）
郁火可发，当看在何经。
风寒外束者可发，轻者可降，重则从其性而升之。
凡火盛者，不可骤用寒凉，必须温散。
火急甚者必缓之，生甘草兼泻兼缓，参、术亦可。
人壮气实火盛颠狂者，可用正治，硝、黄、冰水之类。
人虚火盛狂者，以生姜汤与之，若投以冰水之类正治，立死。
有补阴则火自降，炒黄柏、生地黄之类。
凡气有余便是火。气从左边发者，肝火也。气从脐下起者，阴火也。
愚按∶气有余者，非真气也，五志厥阳之火动而为邪气也。
饮酒人发热者，难治。不饮酒人因酒发热者，亦难治。
轻手按之热甚，重手按之不甚，此热在肌表，宜清之，地骨皮、麦门冬、竹茹之类。
重手按之，热甚而烙手，轻手按之，不觉热，此病在肌肉之内，宜发之，东垣升阳散火汤、火郁汤之类。
烦躁者，气随火升也。
木通下行，泻小肠火。人中白，泻肝火。（尿缸岸也，秋石亦是。）
黄芩、黄连以猪胆汁拌炒，能泻肝胆之火。
黄柏加细辛，泻膀胱之火。
青黛能泻五脏之郁火。玄参能泻无根之游火。
小便降火极速。山栀子能降火从小便中泄去，其性能屈曲下行，人所不知。
人有气如火从脚下起入腹者，此虚极也，盖火起于九泉之下也，此病十不救一。治法以四物汤加降火药服之，外以
附子末，津调贴脚心涌泉穴，以引火下行。
愚按∶此条言犹有未悉者。如果劳怯阴虚之人有此，固为作阴虚治；若壮实之人有此，则是湿郁成热之候也。愚尝
冒雨徒行，衣湿得此证，以苍术、黄柏加牛膝、防己等药，作丸服之而愈，后累医数人皆验。若误作阴虚治，即成痿证，
剧矣。
（以上丹溪方法二十一条）
左金丸（一名回令丸） 治肝火。
黄连（六两） 吴茱萸（一两，汤泡浸半时许，焙干用）
上为细末，粥丸，煎白术、陈皮汤下。
大补丸 治阴火。
黄柏（去粗皮，细切，用新瓦盛盐酒炒褐色）
上为细末，粥丸或水丸，煎四物汤送下。又云∶气虚，四君子汤；血虚，四物汤送下。
抑青丸 治肝火。
黄连（不拘多少）
上为细末，粥丸，白汤送下。
石膏丸 泻胃火，并食积痰火。
石膏（ ）
上为细末，醋丸绿豆大，清米饮送下。
四物汤加白马胫骨，降阴火，代芩、连用。
阴虚发热，四物汤加炒黄柏、知母，乃降火补阴之妙剂。甚者，加龟板。兼气虚，加参、 、白术。
手心热，属热郁，当用火郁汤，或用栀子、香附、白芷、半夏、川芎，曲糊为丸服。
（以上丹溪方法凡三条）
火郁汤（东垣） 治四肢热，及五心烦热。因热伏土中，或血虚得之，或胃虚多食冷物，抑遏阳气于脾土之中。
羌活 升麻 葛根 芍药 人参（各七分） 柴胡 甘草（生，各三分） 防风（二分半） 葱白（五茎）
上细切，作一服，水一盏半，煎至一盏，稍热服。
升阳散火汤（东垣） 治男子妇人四肢发困热，筋骨间热，肌表热如火燎，扪之烙手。此病多因血虚而得之，
或
胃虚过食冷物，郁遏阳气于脾土之中，火郁则发之。
升麻 葛根 独活 羌活 白芍药 人参（各六分） 甘草（炙，一分） 柴胡（三分） 防风（三分半） 生甘
草（二分）
上细切，作一服，加生姜三片，水一盏半，煎至一盏，热服，忌生冷等物。
泻阴火升阳汤（东垣） 治肌热头热，面赤食少，喘咳痰盛，右关脉缓弱，或弦，或浮而数。
羌活 甘草（炙） 黄 苍术（各一分） 升麻（八分） 柴胡（一钱半，去芦） 人参 黄芩（各七分） 黄
连（酒炒，五分） 石膏（五分，秋冬勿用）
上细切，作一服，水二盏，煎至一盏，温服。
滋肾丸（东垣） 降肾火。
黄柏（二两，酒拌阴干） 知母（二两，去毛，酒浸阴干） 肉桂（一钱，去粗皮）
上二味气味俱阴，以同肾气，故能补肾而泻下焦火也。桂与火邪同体，故以寒因热用。凡诸病在下焦，皆不渴也。
上为细末，以熟水丸，百沸汤下。
凉膈散（河间）
大黄（酒浸，纸裹煨） 朴硝 甘草（各五分） 连翘（一钱） 栀子 黄芩 薄荷（各二分半） 淡竹叶（五片）
上细切，作一服，水一盏，煎至八分，去渣，入蜜一匙，和匀服。
三补丸（河间） 泻三焦火。
黄芩 黄连 黄柏（各等分）
上为细末，新汲水丸服。
紫雪（局方） 治内外烦热不解，口中生疮，颠狂叫走，解诸热毒邪热，小儿惊痫等证。
黄芩（百两） 寒水石 磁石 石膏 滑石（研，各二斤）
以上用水一石，煮至四斗，去渣，入下项药∶
甘草（炙，八两） 青木香 生犀角屑 羚羊角屑 沉香（各五两） 丁香（一两） 升麻 玄参（各一斤）
以上再煮，至一斗五升，入下项药∶
硝石（芒硝亦可，二斤） 朴硝（择净者，十斤）
以上入前药汁中，微火煎，柳枝不住手搅，候有七斤，抛放水盆中，半日，待药凝定，入下项药，搅令匀。
朱砂（三两） 当门子（即麝香，一两二钱半）
上煎成霜雪紫色，每服一钱或二钱，凉水调下。大人小儿，临时以意斟酌加减多寡服之，并食后服。
妙香丸（局方） 治时疫伤寒，解五毒潮热积热，及小儿惊痫等证。
巴豆（取净，三百五十粒） 牛黄 片脑 腻粉 麝香（各七钱五分） 辰砂（九两） 金箔（九十片）
上研极细，炼蜡六两，入蜜七钱五分，同炼令匀，每两作三十丸，每服一丸，小儿绿豆大二丸，白汤下。《拔萃方》
无金箔，有水银， 砂，治久远成积。
按∶ 砂不可轻用，制炼不精则害人，慎之！
泻心汤（局方） 治心经蕴热。
上以黄连一味为细末，水调服之。
麦门冬汤（千金） 治诸病后，火热乘肺，咳唾有血，胸胁胀满，上气喘急，羸瘦，五心烦热，渴而烦闷。
麦门冬（去心） 桑白皮（蜜炒） 生地黄（各七分） 半夏（汤泡七次，去皮脐） 紫菀茸 桔梗 淡竹叶 麻
黄（各五分） 五味子 甘草（各三分）
上细切，作一服，加生姜三片，水一盏半，煎至一盏，温服。
愚按∶此方曰病后火热乘肺，麻黄其可用乎？曰渴而烦闷，半夏亦不用可也。宜去此二味，加贝母、天门冬，方为
稳当也。
栀子仁汤（河间） 治发热潮热，发狂烦躁，面赤咽痛。
栀子仁 赤芍药 大青 知母（各五分） 升麻 黄芩 石膏（各一钱） 杏仁（汤煮去皮尖，七分半） 柴胡（一
钱二分） 生甘草（一钱） 豆豉（五十粒）
上细切，作一服，水二盏，煎八分，去渣温服。
当归龙荟丸（河间） 治肾水阴虚，风热蕴积，时发惊悸，筋惕搐搦，神昏不宁，荣卫壅滞，头目昏眩，肌肉
，胸膈咽嗌不利，肠胃燥涩，躁扰狂越，骂詈惊骇，火热等证。
当归 草龙胆 栀子仁 黄连 黄柏 黄芩（各一两） 大黄 青黛 芦荟（各五钱） 木香（一钱） 麝香（五
分）
上为细末，炼蜜丸如小豆大，每服三十丸，姜汤送下。
三黄丸（河间） 治三焦火盛，消渴，不生肌肉。
大黄 黄连 黄芩（各等分）
上为细末，炼蜜丸如小豆大，每服五丸，渐加至十丸，白汤送下。服至一月，行及奔马。
（丹溪活套）云∶凡去上焦湿热，须酒洗黄芩以泻肺火。如肺有实热，宜用；如虚热而用黄芩，则伤肺气。须先用
天门冬保定肺气，然后用之。如去中焦湿热与痛，须用黄连以泻心火。若中焦有实热，宜用；若脾胃气虚不得转运，及
中焦有郁热者，当用茯苓、白术、黄芩、葛根代之。如胸中烦热，须用栀子。实热者，切当；若虚烦，须用补药为主，
人参、白术、黄芩、芍药、茯苓、麦门冬、大枣之类。如下焦有湿热肿痛、并膀胱有火邪者，须用酒洗防己、草龙胆、
黄柏、知母之类，固是捷药。若肥白人气虚者，宜用白术、苍术、南星、滑石、茯苓之类。如黑瘦之人，下焦有湿热肿
痛者，必用当归、红花、桃仁、牛膝、槟榔等药。柴胡泻肝火，须用片芩佐之。片芩又能泻肺火，须用桑白皮佐之。若
鼠尾者，能泻大肠之火。黄连泻心火。若用猪胆汁拌炒，更以草龙胆佐之，大能泻胆中之火。白芍药泻脾火。若冬月用，
必以酒浸炒，盖其性之酸寒也。知母、黄柏泻肾火，又泻膀胱之火。栀子泻三焦之火。在上、中二焦，连壳用。在下焦，
须去壳，水洗去黄浆，炒焦色，研细用之。人中白非独泻肝火，又能泻三焦火及膀胱之火，从小便中出，盖膀胱乃此物
之故道也。
（祖传方）
人中白散 治阴虚火盛，及五心烦热等证。
人中白（二两） 黄柏（盐酒拌炒褐色） 生甘草 青黛（各五钱）
上为细末，每服二钱，童子小便调服。
（医案）
骆氏妇，年四十余，夜间发热，早晨退，五心烦热，无休止时，半年后求予治。六脉皆数，伏而且牢，浮取全不应。
予与东垣升阳散火汤，四帖而热减大半，胸中觉清快胜前。再与二帖，热悉退。后以四物汤加知母、黄柏，少佐以炒干
姜，服二十余帖全安。
论
《黄帝内经》说：各种热病导致的昏闷、突然失音、神志昏迷、烦躁狂乱、骂人惊骇，身体肿胀疼痛酸楚，气逆冲上，寒战颤抖如同失守心神，呕吐、疮疡，咽喉闭塞，耳鸣耳聋，呕吐涌溢、饮食不下，视物模糊不清，急性腹泻，突发疾病甚至猝死，这些症状都归属于火。朱丹溪说：太极运动产生阳，静止产生阴，阳动而发生变化，阴静而结合，从而生成水、火、木、金、土五行，它们各自具有不同的性质，只有“火”有两种，一种是君火（指心火，人体正常生理之火），一种是相火（指命门之火，天赋予的生命动力）。火的内在本质是阴，外在表现是阳，主要特征是主动，所以凡是动的现象都属于火。从名称来说，形体与物质相生，配合五行，所以称为君火；从位置来说，生于虚无之中，坚守本位接受命令，因运动而显现作用，所以称为相火。天主宰万物的生长，所以恒常处于运动状态，人拥有生命，也恒常处于运动状态，之所以恒常运动，都是相火的作用所致等等。又说：五行的本性受到外物感应，不能不运动，所谓的“动”，就是《黄帝内经》所说的五种火。相火容易兴起，如果人的五种情志之火与厥阳之火相互煽动，就会妄动。火起于妄动，变化莫测，无时不在，煎熬真阴，阴虚就会生病，阴绝就会死亡。我按语：心为君火，同时又有相火寄居于肝、肾两脏，这就是《黄帝内经》所说的“一水不能胜二火”。五志之火，受外物感应而动，这就是《黄帝内经》所说的“一水不能胜五火”。五行的道理，天道与人道是相同的，明白这一点，就能在胸臆之间透彻理解造化的阴阳，又能清楚地辨别火邪的虚实，或者补益或者泻除，用药来平衡它，那么治愈疾病的功效，就像射箭命中靶心一样准确，学习中医的人怎么可以忽视呢？
脉法
洪大数急的脉象出现在左寸部是心火，出现在右寸部是肺火，出现在左关部是肝火，出现在右关部是脾火，出现在两尺部是肾经和命门的火。男子两尺脉洪大的，必然遗精，这是阴火旺盛的表现。
方法
虚火可以用补法，如人参、白术、生甘草之类的药物。（所谓实，是指邪气盛实；所谓虚，是指正气虚弱。）
郁结之火可以用发散法，应当根据病变所在的经络来决定。
风寒束缚体表的，可以用发散法，病情轻的可以用降法，病情重的则顺应其性用升法。
凡是火势旺盛的，不可骤然使用寒凉药物，必须先用温散法。
火势急猛的必须先缓和它，生甘草兼具泻火和缓急的功效，人参、白术也可以。
体质壮实、气盛、火旺导致癫狂的人，可以使用正治法（寒者热之，热者寒之的正治），如芒硝、大黄、冰水之类的药物。
体质虚弱、火旺导致狂躁的人，给他生姜汤喝，如果投以冰水之类的正治法，会立即致死。
凡是气有余便是火。气从左边发作的，是肝火。气从脐下发起的，是阴火。
饮酒的人发热，难以治疗。不喝酒的人因为饮酒而发热，也难以治疗。
轻手按压感觉热更甚，重手按压感觉热不明显，这种热在肌表，宜用清法，如地骨皮、麦门冬、竹茹之类的药物。
重手按压感觉热甚且烫手，轻手按压不觉热，这种病在肌肉之内，宜用发法，如李东垣的升阳散火汤、火郁汤之类的方剂。
木通下行，能泻小肠的火。人中白，能泻肝火。（人中白是尿缸壁上的沉淀物，秋石也是类似的产物。）
小便排泄能极速降火。山栀子能引导火从小便中泄出，它的药性能屈曲下行，人们往往不知道这一点。
有人感到气如火焰从脚下升起进入腹部，这是极度虚弱的表现，可以说火起于九泉之下，这种病十个人里救不活一个。治疗方法是用四物汤加入降火药服用，外用附子末，用唾液调匀贴在脚心的涌泉穴，以引火下行。
我按语：这一条说法还有未详尽之处。如果是劳损羸弱、阴虚的人出现这种情况，固然作为阴虚治疗；如果是体格壮实的人出现这种情况，则是湿郁化热的证候。我曾经冒雨徒步行走，衣服湿透得了这个病，用苍术、黄柏加牛膝、防己等药做成丸药服用而痊愈，后来多位医生验证都有效。如果误作阴虚治疗，就会变成痿证，那就严重了。
（以上是朱丹溪的治疗法则二十一条）
黄连（六两） 吴茱萸（一两，用开水浸泡约半小时，焙干后使用）
黄柏（去除粗皮，切成细丝，用新瓦盆盛放，用盐和酒炒至褐色）
将上述药物研成细末，用米粥或水做丸，煎煮四物汤送服。又说：气虚的，用四君子汤送服；血虚的，用四物汤送服。
黄连（不限多少）
将上述药物研成细末，用米粥做丸，用白开水送服。
石膏（此处原文缺失剂量，依古籍惯例通常为适量或特定比例，此处保留空缺或依上下文推断，但严格翻译需忠实原文，故略去具体数字描述或译为“适量”）
将上述药物研成细末，用醋做丸，大小如绿豆，用清淡的米饮送服。
阴虚发热，用四物汤加炒黄柏、知母，这是降火补阴的妙方。严重的，加龟板。兼有气虚的，加人参、[原文缺字，通常指黄芪或党参]、白术。
手心发热，属于热郁，应当用火郁汤，或者用栀子、香附、白芷、半夏、川芎，用曲糊做丸服用。
（以上是朱丹溪的治疗法则共三条）
火郁汤（李东垣） 治疗四肢发热，以及五心烦热。原因是热伏于土中，或者是血虚导致，或者是胃虚过食冷物，抑制了阳气在脾土之中。
羌活 升麻 葛根 芍药 人参（各七分） 柴胡 甘草（生用，各三分） 防风（二分半） 葱白（五茎）
将上述药物切碎，作为一剂服用，加水一盏半，煎至一盏，稍热时服用。
升阳散火汤（李东垣） 治疗男女四肢困倦发热，筋骨间发热，肌表热如火燎，摸上去烫手。这种病多因血虚而得，或者是胃虚过食冷物，郁遏阳气在脾土之中，火郁结则发散它。
升麻 葛根 独活 羌活 白芍药 人参（各六分） 甘草（炙用，一分） 柴胡（三分） 防风（三分半） 生甘草（二分）
将上述药物切碎，作为一剂服用，加生姜三片，加水一盏半，煎至一盏，热服，忌食生冷等物。
泻阴火升阳汤（李东垣） 治疗肌热头热，面红食少，喘咳痰多，右关脉缓弱，或弦，或浮而数。
羌活 甘草（炙用） 黄芪 苍术（各一分） 升麻（八分） 柴胡（一钱半，去芦头） 人参 黄芩（各七分） 黄连（酒炒，五分） 石膏（五分，秋冬季节不用）
将上述药物切碎，作为一剂服用，加水二盏，煎至一盏，温服。
黄柏（二两，酒拌阴干） 知母（二两，去毛，酒浸阴干） 肉桂（一钱，去粗皮）
上面两种药气味均属阴，同归于肾气，所以能补肾并泻下焦的火。肉桂与火邪同类，所以采用“寒因热用”的方法。凡诸病在下焦的，都不口渴。
将上述药物研成细末，用热水做丸，用滚开水送服。
大黄（酒浸，用纸包裹煨熟） 朴硝 甘草（各五分） 连翘（一钱） 栀子 黄芩 薄荷（各二分半） 淡竹叶（五片）
将上述药物切碎，作为一剂服用，加水一盏，煎至八分，去渣，加入蜂蜜一匙，调和均匀服用。
将上述药物研成细末，用刚打来的冷水做丸服用。
紫雪（太平惠民和剂局方） 治疗内外烦热不解，口中生疮，癫狂叫跑，解除各种热毒邪热，小儿惊痫等证。
以上用水一石，煮至四斗，去渣，加入以下药物：
甘草（炙用，八两） 青木香 生犀角屑 羚羊角屑 沉香（各五两） 丁香（一两） 升麻 玄参（各一斤）
以上再煮，至一斗五升，加入以下药物：
以上加入前面的药汁中，用微火煎，用柳枝不停地搅拌，等到剩下七斤时，倒入水盆中，半天后，待药液凝固，加入以下药物，搅拌均匀。
煎制成霜雪紫色，每次服用一钱或二钱，用凉水调下。大人小孩，临时酌情增减剂量服用，均在饭后服用。
妙香丸（太平惠民和剂局方） 治疗时疫伤寒，解除五毒潮热积热，以及小儿惊痫等证。
巴豆（取净仁，三百五十粒） 牛黄 片脑（冰片） 腻粉（轻粉） 麝香（各七钱五分） 辰砂（九两） 金箔（九十片）
将上述药物研至极细，炼蜡六两，加入蜂蜜七钱五分，一同炼制均匀，每两药粉做成三十丸，每次服用一丸，小儿如绿豆大二丸，用白开水送服。《拔萃方》中没有金箔，有水银、硇砂，治疗久远的积聚。
按语：硇砂不可轻易使用，炼制不精细则会害人，务必谨慎！
以上只用黄连一味研成细末，用水调服。
麦门冬汤（《千金方》） 治疗各种疾病之后，火热乘袭肺脏，咳嗽唾血，胸胁胀满，上气喘急，消瘦，五心烦热，口渴烦闷。
麦门冬（去心） 桑白皮（蜜炒） 生地黄（各七分） 半夏（开水泡七次，去皮脐） 紫菀茸 桔梗 淡竹叶 麻黄（各五分） 五味子 甘草（各三分）
将上述药物切碎，作为一剂服用，加生姜三片，加水一盏半，煎至一盏，温服。
我按语：此方说是病后火热乘肺，麻黄难道可以用吗？如果说口渴烦闷，半夏也不用也可以。应该去掉这两味药，加贝母、天门冬，才稳妥。
栀子仁 赤芍药 大青 知母（各五分） 升麻 黄芩 石膏（各一钱） 杏仁（开水煮去皮尖，七分半） 柴胡（一钱二分） 生甘草（一钱） 豆豉（五十粒）
将上述药物切碎，作为一剂服用，加水二盏，煎至八分，去渣温服。
当归龙荟丸（刘河间） 治疗肾水阴虚，风热蕴积，时常发生惊悸，筋惕抽搐，神志昏迷不安，营卫壅滞，头目昏眩，肌肉跳动，胸膈咽喉不利，肠胃燥涩，烦躁狂乱，骂人惊骇，火热等证。
当归 草龙胆 栀子仁 黄连 黄柏 黄芩（各一两） 大黄 青黛 芦荟（各五钱） 木香（一钱） 麝香（五分）
将上述药物研成细末，炼蜜做丸如小豆大，每次服用三十丸，姜汤送服。
将上述药物研成细末，炼蜜做丸如小豆大，每次服用五丸，逐渐增加到十丸，白开水送服。服用一个月，大便通畅如奔马般迅速。
（丹溪活套）说：凡是去除上焦湿热，必须用酒洗黄芩以泻肺火。如果肺有实热，适宜使用；如果是虚热而用黄芩，则会损伤肺气。必须先用天门冬保护肺气，然后再用。如果要去除中焦湿热与疼痛，必须用黄连以泻心火。如果中焦有实热，适宜使用；如果脾胃气虚不能转运，以及中焦有郁热的，应当用茯苓、白术、黄芩、葛根代替。如果胸中烦热，必须用栀子。实热者，切当使用；如果是虚烦，必须以补药为主，如人参、白术、黄芩、芍药、茯苓、麦门冬、大枣之类。如果下焦有湿热肿痛，并膀胱有火邪的，必须用酒洗防己、草龙胆、黄柏、知母之类，这确实是快捷的药物。如果是肥白人气虚的，适宜用白术、苍术、南星、滑石、茯苓之类。如果是黑瘦之人，下焦有湿热肿痛的，必须用当归、红花、桃仁、牛膝、槟榔等药。柴胡泻肝火，必须用片芩辅助。片芩又能泻肺火，必须用桑白皮辅助。如果是鼠尾状的芩，能泻大肠的火。黄连泻心火。如果用猪胆汁拌炒，再以草龙胆辅助，大能泻胆中的火。白芍药泻脾火。如果在冬季使用，必须用酒浸炒，因为它的性质是酸寒的。知母、黄柏泻肾火，又泻膀胱的火。栀子泻三焦的火。在上、中二焦，连壳使用。在下焦，必须去壳，水洗去黄色浆液，炒焦色，研细使用。人中白不仅泻肝火，还能泻三焦火及膀胱的火，从小便中排出，因为膀胱是这个物质的旧通道。
（祖传方）
人中白（二两） 黄柏（盐酒拌炒至褐色） 生甘草 青黛（各五钱）
将上述药物研成细末，每次服用二钱，用童子小便调服。
（医案）
骆氏妇人，四十多岁，夜间发热，早晨退热，五心烦热，没有停止的时候，半年后求我治疗。六脉皆数，伏而且牢，轻取完全不应。我给予李东垣的升阳散火汤，服用四帖后热势减半，胸中觉得比之前清爽。再服用两帖，热全部消退。后来用四物汤加知母、黄柏，少佐以炒干姜，服用二十余帖完全康复。
Treatise
The *Neijing* (Yellow Emperor's Inner Classic) states: Various heat diseases leading to dizziness and confusion, sudden aphonia, coma, restlessness, mania, cursing, and fright; swelling, pain, and soreness; rebellious qi rushing upward; tremors and chills as if losing spiritual control; vomiting, sores, and ulcers; throat obstruction; tinnitus and deafness; vomiting with overflow and inability to eat; blurred vision; acute diarrhea; sudden illness and sudden death—all these belong to Fire. Zhu Danxi said: Taiji moves to generate Yang, stillness generates Yin. Yang moves and transforms; Yin is still and combines, thereby generating Water, Fire, Wood, Metal, and Earth, each with its own nature. Only Fire has two types: Jun Fire (Ministerial Fire, referring to the Heart fire, normal physiological fire) and Xiang Fire (Assistant Fire, referring to the Mingmen fire, the heavenly endowment of life force). Fire is Yin internally and Yang externally, primarily characterized by movement; thus, all phenomena of movement belong to Fire. In terms of name, form and substance generate each other and correspond to the Five Elements, hence it is called Jun Fire. In terms of position, it arises from emptiness, maintains its station receiving commands, and manifests through movement, hence it is called Xiang Fire. Heaven governs the generation of all things, thus constantly in motion; humans possess life, also constantly in motion. The reason for this constant motion is the action of Xiang Fire, and so on. He further stated: The natures of the Five Elements are moved by external stimuli and cannot remain still. This "movement" refers to the Five Fires mentioned in the *Neijing*. Xiang Fire rises easily; if the five emotional fires and Jueyang Fire fan each other, they will move recklessly. Fire arises from reckless movement, changes unpredictably, exists at all times, and boils down True Yin. Yin deficiency leads to disease; Yin exhaustion leads to death. My commentary: The Heart is Jun Fire, while Xiang Fire resides in the Liver and Kidney organs. This corresponds to the *Neijing*'s statement that "one Water cannot overcome two Fires." The fires of the five emotions, moved by external stimuli, correspond to the *Neijing*'s statement that "one Water cannot overcome five Fires." The principles of the Five Elements are shared by Heaven and Humanity. Understanding this allows one to thoroughly comprehend the Yin and Yang of creation within one's mind, and to clearly distinguish the excess or deficiency of pathogenic Fire. By tonifying or purging accordingly and using medication to restore balance, the efficacy of curing disease will be as accurate as an arrow hitting the bullseye. How can students of medicine neglect this?
Pulse Diagnosis
A pulse that is floating, surging, and rapid indicates Deficient Fire. A pulse that is deep, excessive, and large indicates Excess Fire.
A surging, rapid pulse appearing at the Left Cun position indicates Heart Fire; at the Right Cun, Lung Fire; at the Left Guan, Liver Fire; at the Right Guan, Spleen Fire; and at both Chi positions, Kidney Meridian and Mingmen Fire. In men, a surging and large pulse at both Chi positions inevitably indicates seminal emission due to盛 (excess) Yin Fire.
Methods
Zhu Danxi said: Cases where Yin deficiency causes Fire to flare up are difficult to treat.
Excess Fire can be purged, using formulas such as Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity).
Deficient Fire can be tonified, using herbs such as Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), and Sheng Gancao (Raw Licorice Root). (By "Excess," we mean the pathogen is excessive; by "Deficiency," we mean the healthy Qi is deficient.)
Stagnant Fire can be dispersed, depending on which meridian is affected.
If constrained by Wind-Cold externally, dispersion can be used. For mild cases, descending methods may be used; for severe cases, ascending methods should follow its nature.
When Fire is excessively strong, cold and cooling herbs should not be used abruptly; warm dispersal must be employed first.
For urgent and severe Fire, it must be moderated first. Sheng Gancao (Raw Licorice Root) has both purgative and moderating effects; Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala Rhizome) can also be used.
For individuals with robust constitution, abundant Qi, and severe Fire leading to mania, direct treatment (treating heat with cold) can be used, such as Xiaoshuo (Mirabilite), Dahuang (Rhubarb Root and Rhizome), or Ice Water.
For individuals with weak constitution and severe Fire leading to mania, Ginger Decoction should be given. If direct treatment with Ice Water is administered, death will occur immediately.
There is a method of lowering Fire by tonifying Yin, using herbs such as Chao Huangbai (Fried Phellodendron Bark) and Sheng Dihuang (Fresh Rehmannia Root).
Whenever there is an excess of Qi, it becomes Fire. Qi arising from the left side indicates Liver Fire. Qi arising from below the umbilicus indicates Yin Fire.
My commentary: "Excess of Qi" does not refer to true Qi, but rather to the Jueyang Fire of the five emotions moving and becoming pathogenic Qi.
Fever in drinkers is difficult to treat. Fever in non-drinkers caused by alcohol consumption is also difficult to treat.
If light pressure makes the heat feel more intense, but heavy pressure makes it less intense, the heat is in the muscle layer. Clearing methods should be used, such as Digupi (Lycium Bark), Maidong (Ophiopogon Tuber), and Zhuru (Bamboo Shavings).
If heavy pressure makes the heat intense and scalding, but light pressure feels no heat, the pathology is within the muscles. Dispersing methods should be used, such as Li Dongyuan's Shengyang Sanhuo Tang (Ascending Yang and Dispersing Fire Decoction) or Huoyu Tang (Fire Stagnation Decoction).
Restlessness and irritability indicate that Qi rises along with Fire.
Mutong (Akebia Stem) descends and purges Small Intestine Fire. Renzhongbai (Calcined Human Urine Deposit) purges Liver Fire. (Renzhongbai is the deposit from urine jars; Qishi [Processed Urine Sediment] is similar.)
Huangqin (Scutellaria Root) and Huanglian (Coptis Rhizome) stir-fried with Pig Bile can purge Liver and Gallbladder Fire.
Huangbai (Phellodendron Bark) added with Xixin (Asarum Root) can purge Bladder Fire.
Qingdai (Indigo Naturalis) can purge stagnant Fire of the Five Zang Organs. Xuanshen (Scrophularia Root) can purge rootless wandering Fire.
Urination reduces Fire rapidly. Shanzhizi (Gardenia Fruit) guides Fire out through urination; its property allows it to descend曲折ly (curving downwards), a fact unknown to many.
In some people, Qi rises like fire from the feet into the abdomen. This indicates extreme deficiency, as if the Fire arises from the depths of the earth. Ten out of ten such cases are incurable. The treatment method is to take Siwu Tang (Four Substances Decoction) added with Fire-lowering herbs, and externally apply Fuzi powder (Aconite Root) mixed with saliva to the Yongquan acupoint (KI1) on the sole of the foot to guide Fire downward.
My commentary: This statement is not entirely complete. If a person suffering from consumptive weakness and Yin deficiency presents this, it should indeed be treated as Yin deficiency. However, if a robust person presents this, it is a condition of Dampness stagnation transforming into Heat. I once walked barefoot in the rain with wet clothes and contracted this syndrome. I took pills made of Cangzhu (Atractylodes Rhizome) and Huangbai (Phellodendron Bark) added with Niuxi (Achyranthes Root) and Fangji (Stephania Root) and was cured. Several subsequent physicians verified this method. If mistakenly treated as Yin deficiency, it would develop into Wei Syndrome (flaccidity syndrome), which would be severe.
(Above are twenty-one treatment rules from Danxi)
Zuojin Wan (Left Metal Pill, also known as Huling Wan) Treats Liver Fire.
Huanglian (Coptis Rhizome) (6 liang) Wuzhuyu (Evodia Fruit) (1 liang, soaked in boiling water for half an hour, then dried and roasted)
Grind into fine powder, make pills with rice porridge, and swallow with decoction of Baizhu (Atractylodes Macrocephala Rhizome) and Chenpi (Tangerine Peel).
Dabu Wan (Great Tonification Pill) Treats Yin Fire.
Huangbai (Phellodendron Bark) (Remove coarse bark, cut finely, place in a new tile dish, stir-fry with salt and wine until brown)
Grind into fine powder, make pills with rice porridge or water, and swallow with decoction of Siwu Tang (Four Substances Decoction). It is also said: For Qi deficiency, swallow with Sizijunzi Tang (Four Gentlemen Decoction); for Blood deficiency, swallow with Siwu Tang (Four Substances Decoction).
Yiqing Wan (Suppressing Green Pill) Treats Liver Fire.
Huanglian (Coptis Rhizome) (Any amount)
Grind into fine powder, make pills with rice porridge, and swallow with plain boiled water.
Shigao Wan (Gypsum Pill) Purges Stomach Fire, and treats food retention and Phlegm-Fire.
Shigao (Gypsum Fibrosum) (Amount unspecified in original text)
Grind into fine powder, make pills with vinegar, size of mung beans, and swallow with thin rice gruel.
Siwu Tang (Four Substances Decoction) added with Bai Ma Jinggu (White Horse Tibia Bone) lowers Yin Fire and replaces Huangqin (Scutellaria Root) and Huanglian (Coptis Rhizome).
For fever due to Yin deficiency, use Siwu Tang (Four Substances Decoction) added with Chao Huangbai (Fried Phellodendron Bark) and Zhimu (Anemarrhena Rhizome). This is an excellent formula for lowering Fire and tonifying Yin. For severe cases, add Guiban (Tortoise Shell). If accompanied by Qi deficiency, add Renshen (Ginseng), [missing character, likely Huangqi/Astragalus], and Baizhu (Atractylodes Macrocephala Rhizome).
Heat in the palms belongs to Heat Stagnation. Use Huoyu Tang (Fire Stagnation Decoction), or pills made of Zhizi (Gardenia Fruit), Xiangfu (Cyperus Rhizome), Baizhi (Angelica Dahurica Root), Banxia (Pinellia Tuber), and Chuanxiong (Ligusticum Rhizome) bound with Qu paste.
(Above are three treatment rules from Danxi)
Huoyu Tang (Fire Stagnation Decoction) (Li Dongyuan) Treats heat in the four limbs and heat in the five centers (palms, soles, and chest). The cause is Heat hidden in the Earth element, or resulting from Blood deficiency, or from Stomach deficiency and excessive consumption of cold foods, which suppresses Yang Qi within the Spleen Earth.
Qianghuo (Notopterygium Rhizome) Shengma (Cimicifuga Rhizome) Gegen (Pueraria Root) Shaoyao (Peony Root) Renshen (Ginseng) (each 7 fen) Chaihu (Bupleurum Root) Gancao (Licorice Root) (raw, each 3 fen) Fangfeng (Saposhnikovia Root) (2.5 fen) Congbai (Green Onion White) (5 stalks)
Cut finely, as one dose. Add 1.5 cups of water, decoct to 1 cup, and take slightly warm.
Shengyang Sanhuo Tang (Ascending Yang and Dispersing Fire Decoction) (Li Dongyuan) Treats fatigue and heat in the four limbs in men and women, heat between bones and tendons, and surface heat like burning embers, scalding to the touch. This condition often results from Blood deficiency, or from Stomach deficiency and excessive consumption of cold foods, which suppresses Yang Qi in the Spleen Earth. When Fire is stagnant, disperse it.
Shengma (Cimicifuga Rhizome) Gegen (Pueraria Root) Duhuo (Angelica Pubescens Root) Qianghuo (Notopterygium Rhizome) Baishaoyao (White Peony Root) Renshen (Ginseng) (each 6 fen) Gancao (Licorice Root) (roasted, 1 fen) Chaihu (Bupleurum Root) (3 fen) Fangfeng (Saposhnikovia Root) (3.5 fen) Sheng Gancao (Raw Licorice Root) (2 fen)
Cut finely, as one dose. Add 3 slices of Shengjiang (Fresh Ginger), 1.5 cups of water, decoct to 1 cup, and take hot. Avoid raw and cold foods.
Xie Yinhuo Shengyang Tang (Purging Yin Fire and Ascending Yang Decoction) (Li Dongyuan) Treats muscle and head heat, red face, poor appetite, wheezing and cough with profuse phlegm, and a slow/weak, wiry, or floating/rapid pulse at the Right Guan position.
Qianghuo (Notopterygium Rhizome) Gancao (Licorice Root) (roasted) Huangqi (Astragalus Root) Cangzhu (Atractylodes Rhizome) (each 1 fen) Shengma (Cimicifuga Rhizome) (8 fen) Chaihu (Bupleurum Root) (1.5 qian, remove radicle) Renshen (Ginseng) Huangqin (Scutellaria Root) (each 7 fen) Huanglian (Coptis Rhizome) (wine-fried, 5 fen) Shigao (Gypsum Fibrosum) (5 fen, do not use in autumn/winter)
Cut finely, as one dose. Add 2 cups of water, decoct to 1 cup, and take warm.
Zishen Wan (Kidney Nourishing Pill) (Li Dongyuan) Lowers Kidney Fire.
Huangbai (Phellodendron Bark) (2 liang, mixed with wine and dried in shade) Zhimu (Anemarrhena Rhizome) (2 liang, remove hairs, soak in wine and dry in shade) Rougui (Cinnamon Bark) (1 qian, remove coarse bark)
The above two herbs have Yin properties and resonate with Kidney Qi, thus they can tonify the Kidney and purge Lower Jiao Fire. Rougui shares the nature of Fire, so the method of "using cold with heat" is applied. In diseases located in the Lower Jiao, thirst is usually absent.
Grind into fine powder, make pills with cooked water, and swallow with boiling water.
Liangge San (Cooling the Diaphragm Powder) (Liu Hejian)
Dahuang (Rhubarb Root and Rhizome) (soaked in wine, wrapped in paper and baked) Pomiao (Mirabilite) Gancao (Licorice Root) (each 5 fen) Lianqiao (Forsythia Fruit) (1 qian) Zhizi (Gardenia Fruit) Huangqin (Scutellaria Root) Bohe (Mint Herb) (each 2.5 fen) Danzhuye (Bamboo Leaf) (5 leaves)
Cut finely, as one dose. Add 1 cup of water, decoct to 0.8 cup, strain, add 1 spoonful of honey, mix well, and take.
Sanbu Wan (Three Tonics Pill) (Liu Hejian) Purges Triple Burner Fire.
Huangqin (Scutellaria Root) Huanglian (Coptis Rhizome) Huangbai (Phellodendron Bark) (equal parts)
Grind into fine powder, make pills with fresh drawn water, and take.
Zixue (Purple Snow) (Heji Fang) Treats unresolved internal and external烦热 (restless heat), mouth sores, mania and running about, resolves various heat toxins and pathogenic heat, and pediatric convulsions.
Huangqin (Scutellaria Root) (100 liang) Hanshuishi (Halloysitum) Cishi (Magnetitum) Shigao (Gypsum Fibrosum) Huashi (Talcum) (ground, each 2 jin)
Boil the above in 1 dan of water until reduced to 4 dou. Strain, then add the following:
Gancao (Licorice Root) (roasted, 8 liang) Qingmuxiang (Vital Tree Root) Sheng Xijiao (Rhino Horn) Lingyangjiao (Antelope Horn) Chenxiang (Aquilaria Wood) (each 5 liang) Dingxiang (Clove) (1 liang) Shengma (Cimicifuga Rhizome) Xuanshen (Scrophularia Root) (each 1 jin)
Boil again until reduced to 1.5 dou. Then add the following:
Xiaoshi (Niter) (Mangxiao/Mirabilite can be used, 2 jin) Pomiao (Mirabilite) (pure, 10 jin)
Add to the previous decoction. Simmer over low heat, stirring constantly with a willow branch. When reduced to 7 jin, pour into a basin of water. After half a day, when the medicine solidifies, add the following and mix evenly.
Zhusha (Cinnabar) (3 liang) Dangmenzi (Moschus/Musk) (1.25 liang)
Simmer until it forms a purple snow-like frost. Take 1 qian or 2 qian per dose, mixed with cool water. Dosage for adults and children should be adjusted according to circumstances. Take after meals.
Miaoxiang Wan (Wonderful Fragrance Pill) (Heji Fang) Treats epidemic cold damage, resolves five poisons, tidal heat, accumulated heat, and pediatric convulsions.
Badou (Croton Seed) (cleaned, 350 grains) Niuhuang (Calculus Bovis/Bovine Calculus) Piannao (Borneol) Nifen (Calomelas) Muxiang (Moschus/Musk) (each 7.5 qian) Chensha (Cinnabar) (9 liang) Jinbo (Gold Foil) (90 pieces)
Grind extremely fine. Refine 6 liang of wax, add 7.5 qian of honey, refine together until uniform. Each liang of powder makes 30 pills. Take 1 pill per dose; for children, 2 pills the size of a mung bean, taken with plain water. The *Bacui Fang* lacks Gold Foil but contains Mercury and Naosha (Sal Ammoniac), treating long-standing accumulations.
Commentary: Naosha (Sal Ammoniac) should not be used lightly. If not refined precisely, it harms people. Be cautious!
Xiexin Tang (Purge Heart Decoction) (Heji Fang) Treats latent heat in the Heart Meridian.
Take only Huanglian (Coptis Rhizome), grind into fine powder, mix with water, and take.
Maidong Tang (Ophiopogon Decoction) (*Qianjin Fang*) Treats post-illness Heat-Fire attacking the Lungs, causing coughing and spitting blood, distension and fullness in the chest and hypochondrium, upper asthma and急促 (rapid breathing), emaciation, heat in the five centers, thirst, and烦闷 (restlessness).
Maidong (Ophiopogon Tuber) (remove heart) Sangbaipi (Mulberry Root Bark) (honey-fried) Sheng Dihuang (Fresh Rehmannia Root) (each 7 fen) Banxia (Pinellia Tuber) (soaked in water 7 times, remove skin and navel) Ziwan (Aster Root) Jiegeng (Platycodon Root) Danzhuye (Bamboo Leaf) Mahuang (Ephedra Herb) (each 5 fen) Wuweizi (Schisandra Berry) Gancao (Licorice Root) (each 3 fen)
Cut finely, as one dose. Add 3 slices of Shengjiang (Fresh Ginger), 1.5 cups of water, decoct to 1 cup, and take warm.
My commentary: This formula states that post-illness Heat-Fire attacks the Lungs; can Mahuang (Ephedra Herb) really be used? If there is thirst and restlessness, Banxia (Pinellia Tuber) can also be omitted. It is advisable to remove these two herbs and add贝母 (Fritillaria Bulb) and Tianmendong (Asparagus Tuber) for a safer formula.
Zhizi Ren Tang (Gardenia Kernel Decoction) (Liu Hejian) Treats fever and tidal fever, mania and irritability, red face, and sore throat.
Zhizi Ren (Gardenia Kernel) Chishaoyao (Red Peony Root) Daqing (Isatis Root) Zhimu (Anemarrhena Rhizome) (each 5 fen) Shengma (Cimicifuga Rhizome) Huangqin (Scutellaria Root) Shigao (Gypsum Fibrosum) (each 1 qian) Xingren (Apricot Seed) (boiled in water, remove skin and tip, 7.5 fen) Chaihu (Bupleurum Root) (1.2 qian) Sheng Gancao (Raw Licorice Root) (1 qian) Douchi (Fermented Soybean) (50 grains)
Cut finely, as one dose. Add 2 cups of water, decoct to 0.8 cup, strain, and take warm.
Danggui Longhui Wan (Angelica and Gentian Pill) (Liu Hejian) Treats Kidney Water Yin deficiency, accumulation of Wind-Heat, frequent palpitations and fright, muscle twitching and convulsions, unconsciousness and restlessness, stagnation of Ying and Wei, dizziness and vertigo, muscle twitching, difficulty in chest/diaphragm/throat, dryness and constipation in intestines/stomach, restlessness, mania, cursing, fright, and other Fire syndromes.
Danggui (Angelica Sinensis Root) Caolongdan (Gentiana Root) Zhizi Ren (Gardenia Kernel) Huanglian (Coptis Rhizome) Huangbai (Phellodendron Bark) Huangqin (Scutellaria Root) (each 1 liang) Dahuang (Rhubarb Root and Rhizome) Qingdai (Indigo Naturalis) Lvhua (Aloe) (each 5 qian) Muxiang (Aucklandia Root) (1 qian) Muxiang (Moschus/Musk) (5 fen)
Grind into fine powder, make pills with refined honey, size of small beans. Take 30 pills per dose, swallowed with Ginger Soup.
Sanhuang Wan (Three Yellows Pill) (Liu Hejian) Treats excessive Fire in the Triple Burner, Xiao Ke (Wasting-Thirst), and failure to generate flesh.
Dahuang (Rhubarb Root and Rhizome) Huanglian (Coptis Rhizome) Huangqin (Scutellaria Root) (equal parts)
Grind into fine powder, make pills with refined honey, size of small beans. Take 5 pills per dose, gradually increasing to 10 pills, swallowed with plain water. After one month of use, bowel movements become rapid like a galloping horse.
(Danxi Huotao) states: To clear Damp-Heat from the Upper Jiao, one must use wine-washed Huangqin (Scutellaria Root) to purge Lung Fire. If there is Excess Heat in the Lung, it is suitable; if there is Deficient Heat and Huangqin is used, it will damage Lung Qi. One must first use Tianmendong (Asparagus Tuber) to secure Lung Qi before using it. To clear Damp-Heat and pain from the Middle Jiao, one must use Huanglian (Coptis Rhizome) to purge Heart Fire. If there is Excess Heat in the Middle Jiao, it is suitable; if there is Spleen/Stomach Qi deficiency failing to transport, or stagnant Heat in the Middle Jiao, one should use Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome), Huangqin (Scutellaria Root), and Gegen (Pueraria Root) instead. For heat and vexation in the chest, Zhizi (Gardenia Fruit) must be used. It is appropriate for Excess Heat; for Deficient Vexation, tonifying herbs should be primary, such as Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Huangqin (Scutellaria Root), Shaoyao (Peony Root), Fuling (Poria), Maidong (Ophiopogon Tuber), and Dazao (Jujube). For Damp-Heat swelling/pain in the Lower Jiao, and Fire pathogens in the Bladder, wine-washed Fangji (Stephania Root), Caolongdan (Gentiana Root), Huangbai (Phellodendron Bark), and Zhimu (Anemarrhena Rhizome) are indeed effective. For obese, white-complexioned individuals with Qi deficiency, Baizhu (Atractylodes Macrocephala Rhizome), Cangzhu (Atractylodes Rhizome), Nanxing (Pinellia Ternata), Huashi (Talcum), and Fuling (Poria) are suitable. For dark, thin individuals with Damp-Heat swelling/pain in the Lower Jiao, Danggui (Angelica Sinensis Root), Honghua (Safflower), Taoren (Peach Seed), Niuxi (Achyranthes Root), and Binglang (Areca Seed) must be used. Chaihu (Bupleurum Root) purges Liver Fire and must be assisted by Pian Qin (Scutellaria Root). Pian Qin also purges Lung Fire and must be assisted by Sangbaipi (Mulberry Root Bark). If the root resembles a rat's tail, it purges Large Intestine Fire. Huanglian (Coptis Rhizome) purges Heart Fire. If stir-fried with Pig Bile and assisted by Caolongdan (Gentiana Root), it greatly purges Gallbladder Fire. Baishaoyao (White Peony Root) purges Spleen Fire. If used in winter, it must be soaked in wine and fried, due to its sour and cold nature. Zhimu (Anemarrhena Rhizome) and Huangbai (Phellodendron Bark) purge Kidney Fire and Bladder Fire. Zhizi (Gardenia Fruit) purges Triple Burner Fire. For Upper and Middle Jiao, use with husk. For Lower Jiao, remove husk, wash to remove yellow liquid, fry until charred, and grind fine. Renzhongbai (Calcined Human Urine Deposit) not only purges Liver Fire but also Triple Burner and Bladder Fire, exiting via urination, as the Bladder is its natural pathway.
(Ancestral Formula)
Renzhongbai San (Human Urine Deposit Powder) Treats Yin deficiency with Fire excess, and heat in the five centers.
Renzhongbai (Calcined Human Urine Deposit) (2 liang) Huangbai (Phellodendron Bark) (stir-fried with salt and wine until brown) Sheng Gancao (Raw Licorice Root) Qingdai (Indigo Naturalis) (each 5 qian)
Grind into fine powder. Take 2 qian per dose, mixed with urine from a young boy.
(Medical Case)
Madam Luo, over forty years old, had fever at night which subsided in the morning, with persistent heat in the five centers. After six months, she sought my treatment. All six pulses were rapid, deep, firm, and unresponsive to light pressure. I prescribed Li Dongyuan's Shengyang Sanhuo Tang (Ascending Yang and Dispersing Fire Decoction). After four doses, the fever decreased by more than half, and her chest felt clearer than before. After two more doses, the fever completely subsided. Later, she took Siwu Tang (Four Substances Decoction) added with Zhimu (Anemarrhena Rhizome) and Huangbai (Phellodendron Bark), with a small amount of Chao Ganjiang (Fried Dried Ginger), taking over twenty doses until fully recovered.