治肝火风热, 不能安卧, 多惊多怒, 目赤肿痛, 及小儿
急惊抽搐.
龙胆草 山栀 大黄 ( 酒蒸 ) 川芎 当归 羌活 防风等分, 蜜
丸,竹叶汤下.
【注】龙胆草直入肝经, 以泻其火, 佐栀子, 大黄, 使其所泻之火,
从大, 小二便而出, 是治火之标也. 肝主风, 风能生火, 治肝不治风
,非其治也. 故用羌活, 防风散肝之风, 即所以散肝之火, 是治火之
本也. 肝之情欲散, 故用川芎之辛以散之. 肝之质喜滋, 故用当归之
濡以润之. 是于泻肝之中, 寓有养肝之意. 泻肝者, 泻肝之病也; 养
肝者, 悦肝之神也. 盖肝木主春, 乃阳升发动之始, 万物生化之源,
不可伤也.
治肝经实火, 头运目眩, 耳聋耳鸣, 惊悸搐溺, 躁
扰狂越, 大便秘结, 小便涩滞, 或胸胁作痛, 阴囊肿胀, 凡属肝经实
火,皆宜服之.
当归一两 黄连一两 黄芩一两 龙胆草一两 栀子仁一两 大黄五
钱 芦荟五钱 青黛五钱 木香二钱五分 黄柏一两 麝香 ( 另研
)五钱, , 右为末, 炒神麴, 糊丸. 每服二十丸, 姜汤下.
【集注】汪昂曰: 肝木为生火之本, 肝火盛则诸经之火相因而起, 为
病不止一端矣. 故以当归芦荟, 龙胆草, 青黛直入本经气血两途, 先
平其甚者, 而诸经之火, 无不渐平矣. 佐以黄芩泻肺火, 黄连泻心火
,黄柏泻肾火, 大黄泻肠胃火, 栀子泻三焦火, 备举大苦大寒而直折
之,使上, 中, 下三焦之火, 悉从大, 小二便利出. 稍加木香, 麝香
者, 取其调气开窍灵通周至也. 然非实火不可轻投.
治疗肝火与风热引起的病症，表现为无法安稳入睡、易受惊吓、易怒、眼睛红肿疼痛，以及小儿急惊风导致的抽搐。
龙胆草、山栀、大黄（用酒蒸制）、川芎、当归、羌活、防风，以上药材等量混合，制成蜜丸，用竹叶汤送服。
【注解】龙胆草直接入肝经，以清泻肝火；辅以栀子和大黄，使被清泻的火热之邪从大便和小便排出，这是治标的方法。肝主风，风能生火，治疗肝病若不兼治风邪，就不是正确的治法。因此使用羌活和防风来疏散肝经的风邪，这也就是在疏散肝火，这是治本的方法。肝的特性喜欢疏泄，所以使用辛味的川芎来疏散它。肝的质地喜好滋润，所以使用濡润的当归来滋养它。这是在清泻肝火的同时，蕴含了养护肝体的意思。所谓“泻肝”，是泻除肝的病邪；所谓“养肝”，是愉悦肝的神气。因为肝属木，对应春季，是阳气升发、万物生化之源的开始，不可受到损伤。
治疗肝经实火引起的病症，表现为头晕目眩、耳聋耳鸣、惊悸抽搐、烦躁狂乱、大便秘结、小便涩滞不畅，或者胸胁部疼痛、阴囊肿胀。凡是属于肝经实火的病症，都适宜服用此方。
当归一两、黄连一两、黄芩一两、龙胆草一两、栀子仁一两、大黄五钱、芦荟五钱、青黛五钱、木香二钱五分、黄柏一两、麝香（单独研磨）五钱。将上述药材研为细末，用炒过的神曲糊作为粘合剂制成丸药。每次服用二十丸，用姜汤送服。
【集注】汪昂说：肝木是产生内火的根本，肝火旺盛则其他经络的火也会随之而起，引发的疾病不止一端。因此使用当归、芦荟、龙胆草、青黛直接深入肝经的气血两途，先平抑最严重的火势，那么其他经络的火也就没有不平复的了。辅以黄芩清泻肺火，黄连清泻心火，黄柏清泻肾火，大黄清泻肠胃之火，栀子清泻三焦之火，列举众多大苦大寒的药物来直折火势，使上、中、下三焦的火邪，全部从大小便排出。稍微加入木香和麝香，是取其调理气机、开窍通灵、周遍细致的功效。然而，如果不是实火证，不可轻易投用此方。
Treats conditions caused by Liver Fire and Wind-Heat, characterized by inability to sleep peacefully, frequent fright, irritability, redness and swelling of the eyes, as well as convulsions in infants with acute infantile convulsion (Ji Jing).
Longdan Cao (Gentianae Radix), Zhizi (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma) steamed with wine, Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), in equal proportions. Make into honey pills, take with Zhu Ye Tang (Bamboo Leaf Decoction).
[Annotation] Longdan Cao enters the Liver Meridian directly to drain its fire. It is assisted by Zhizi and Dahuang to allow the drained fire to exit through the large and small intestines (urine and feces); this treats the branch (symptoms) of the fire. The Liver governs Wind, and Wind can generate Fire; treating the Liver without addressing Wind is not the correct approach. Therefore, Qianghuo and Fangfeng are used to disperse Wind in the Liver, which is also a way to disperse Liver Fire; this treats the root (etiology) of the fire. The nature of the Liver desires dispersion, so the acrid property of Chuanxiong is used to disperse it. The substance of the Liver delights in nourishment/moisture, so the moistening property of Danggui is used to lubricate/nourish it. Thus, within the draining of the Liver, there is an intention to nourish the Liver. "Draining the Liver" refers to draining the disease of the Liver; "nourishing the Liver" refers to pleasing the spirit of the Liver. Since Liver Wood corresponds to Spring, it is the beginning of Yang rising and movement, the source of generation and transformation of all things, and must not be damaged.
Treats excess fire in the Liver Meridian, characterized by dizziness and vertigo, deafness and tinnitus, palpitations and convulsions, restlessness and mania, constipation, dysuria or difficult urination, or pain in the chest and hypochondrium, and scrotal swelling. For any condition belonging to excess fire of the Liver Meridian, this formula is suitable.
Danggui 1 liang, Huanglian (Coptidis Rhizoma) 1 liang, Huangqin (Scutellariae Radix) 1 liang, Longdan Cao 1 liang, Zhizi Ren (Gardeniae Semen) 1 liang, Dahuang 5 qian, Lvhua (Aloe) 5 qian, Qingdai (Indigo Naturalis) 5 qian, Muxiang (Aucklandiae Radix) 2.5 qian, Huangbai (Phellodendri Cortex) 1 liang, Shexiang (Moschus) separately ground 5 qian. Grind the above into powder, use fried Shenqu (Medicated Leaven) paste to make pills. Take 20 pills each time, with Jiang Tang (Ginger Decoction).
[Collected Annotations] Wang Ang stated: Liver Wood is the root of generating fire. When Liver Fire is excessive, fire from other meridians arises consequently, causing diseases that are not limited to one aspect. Therefore, Danggui, Lvhua, Longdan Cao, and Qingdai are used to directly enter the Qi and Blood pathways of the Liver Meridian to first pacify the most severe fire, after which the fire in other meridians will gradually subside. Assisted by Huangqin to drain Lung Fire, Huanglian to drain Heart Fire, Huangbai to drain Kidney Fire, Dahuang to drain Stomach and Intestine Fire, and Zhizi to drain Sanjiao Fire, many bitter and cold herbs are listed to directly suppress the fire, allowing the fire of the Upper, Middle, and Lower Sanjiao to exit completely through urine and feces. A slight addition of Muxiang and Shexiang is taken for their ability to regulate Qi, open orifices, ensure spiritual clarity, and circulate thoroughly. However, this should not be administered lightly unless it is a case of excess fire.