病热有火，洪数可医。沉微无火，无根者危。
病热而有火证，是火病也。火则脉应洪数。脉证相宜，故可医治。若得沉微之
阴脉，是无火矣。无火而仍病热，则知为无根之阳。虚见热象也，故主危殆。
清心莲子饮（和剂） 治心虚有热，小便赤浊。
黄芩 麦门冬（去心） 地骨皮 车前子 甘草（炙，各一钱半） 石莲肉 白茯苓 黄
（蜜炙） 人参（各七分半）
水二盏，煎一盏。水中沉冷。空心温服。发热加柴胡、薄荷。
导赤散（钱氏） 丹溪云∶导赤散，正小肠药也。
生地黄 木通 甘草（各等分）
上同为末，每服三钱。水一盏，入竹叶七片，同煎五分，食后温服。
钱氏泻黄散 治脾家郁热，口甜口疮，喜饮烦躁。
藿香（七钱） 山栀仁（一两） 石膏（半斤） 甘草（二两） 防风（四两）
上锉。同蜜、酒微炒香。为细末，每服二钱。水一盏，煎清汁饮。
泻青丸
当归（去芦、焙称） 草龙胆（焙称） 川芎 栀子 川大黄（煨） 羌活 防风（去芦）
上各等分为末，炼蜜为丸，鸡头大。每服一丸。煎竹叶汤，同砂糖温水化下。
局方八正散 治大人小儿心经邪热，一切蕴毒，咽干口燥，大渴引饮，心忪面赤，
烦躁不宁，目赤睛疼，唇焦鼻衄，口舌生疮，咽喉肿痛。又治小便赤涩，或癃闭
不通，及热淋血淋，并宜服之。亦气分药也。
瞿麦 蓄 车前子 滑石 甘草（炙） 山栀子仁 木通 大黄
上为散，每服二钱。水一盏，入灯心廿茎，煎七分。去滓。食后临卧温服。小儿量与之。
左金丸 治肝火胁肋刺痛，或发寒热，或头目作痛，或大便不实、小便淋秘，或小
腹疼痛。一切肝火之证，以此主治。
黄连（六两） 吴茱萸（汤煮片时，一两）
粥和丸。陈皮白术汤送服。
河间防风通圣散 表里气血总清之药。
防风 川芎 当归 芍药 大黄 薄荷叶 麻黄 连翘 芒硝（盆硝是已。上各半两） 石
膏黄芩 桔梗（各一两） 滑石（三两） 甘草（二两） 荆芥 白术 栀子（各二钱半）
为末。每服五钱。水煎，食远服。
升阳散火汤 治男妇四肢发热、肌热，筋痹热，骨髓中热发如火。燎于肌肤，扪之
烙手。此证多因血虚而得。或胃虚过食冷物，抑遏阳气于脾土。火郁发之，此方是也。
升麻 葛根 独活 羌活（各五钱） 防风（二钱半） 柴胡（八钱） 甘草（三钱炙、二钱
生） 人参 白芍药（各五钱）
上 咀。每服半两，或一两。水煎，稍热服。
阳毒升麻汤 治伤寒杂病汗吐下后，变成阳毒，发狂谵妄，喉痛下利。
升麻（五钱） 犀角 射干 黄芩 人参 甘草（各二钱五分）
上 咀，水煎服。
清胃汤 治醇酒浓味，唇齿作痛。或齿龈溃烂，或连头面颈项作痛。
黄连（一钱五分） 当归 生地黄 牡丹皮（各一钱） 升麻（二钱）
上水煎服。
千金黑奴丸 治大热阳毒，发狂发斑，烦躁大渴。
黄芩 釜底煤 芒硝 灶突墨 梁上尘 小麦奴 麻黄 大黄（各一两）
上为末，炼蜜丸如弹大。新汲水化服。不定再服半丸。饮水尽，足当发寒。寒
已汗出乃瘥。未汗，再服半丸。不大渴者，不可与。
泻白散 治肺火咳喘，面红，喉咽不清。
地骨皮（二钱） 桑白皮（二钱） 甘草（五分）
为末。水一盏，煎六分服。
当归龙荟丸 治肝经实火，大便秘结，小便涩滞。或胸膈作痛，阴囊肿胀。凡属肝
胆实热，并宜用之。
当归 龙胆草 栀子仁 黄连 黄芩（各一两） 大黄 芦荟 青黛（各五钱） 木香（二钱五
分） 麝香（另研，五分）
为末，炒神曲糊丸。每服二十丸，姜汤下。
病证表现为发热且有火邪，脉象洪大数急，这是可以医治的。若脉象沉细微弱，说明体内无火，若是无根之脉则病情危重。
疾病发热而表现出火证的特征，这就是火病。既然是火病，脉象应当表现为洪大且数急。脉象与证候相符，所以可以治疗。如果反而出现沉微这种阴寒性质的脉象，这就说明体内没有实火。没有实火却仍然发热，那么就可以知道这是“无根之阳”（即虚阳外越）。这是虚证表现出热象，所以预后主为危殆。
清心莲子饮（出自《太平惠民和剂局方》）：治疗心气虚弱伴有内热，小便颜色深红浑浊。
药材：黄芩、麦门冬（去除心）、地骨皮、车前子、甘草（蜜炙，各一钱半）、石莲肉、白茯苓、黄芪（蜜炙）、人参（各七分半）。
煎服法：用水两盏，煎煮至一盏。将药液放入水中冷却至冷透。空腹时温服。若有发热症状，加用柴胡、薄荷。
导赤散（出自钱乙《小儿药证直诀》）：丹溪说：导赤散，正是治疗小肠疾病的药物。
药材：生地黄、木通、甘草（各等分）。
用法：以上药物共同研为细末，每次服用三钱。用水一盏，加入竹叶七片，一同煎煮至五分量，饭后温服。
钱氏泻黄散：治疗脾脏郁积的热邪，表现为口甜、口舌生疮，喜欢饮水且烦躁不安。
药材：藿香（七钱）、山栀仁（一两）、石膏（半斤）、甘草（二两）、防风（四两）。
用法：以上药物切碎。与蜂蜜、酒一起轻微炒至香气溢出。研为细末，每次服用二钱。用水一盏，煎取澄清汁液饮用。
泻青丸
药材：当归（去除芦头，焙干后称量）、草龙胆（焙干后称量）、川芎、栀子、川大黄（煨制）、羌活、防风（去除芦头）。
用法：以上药物各等分研为细末，用炼蜜制成丸子，大小如鸡头。每次服用一丸。用竹叶汤煎好，配合砂糖用温水化开送服。
局方八正散：治疗成人及儿童心经邪热，各种蕴结之毒，表现为咽干口燥，极度口渴想喝水，心慌面红，烦躁不宁，眼睛红肿疼痛，嘴唇焦裂，鼻出血，口舌生疮，咽喉肿痛。又治疗小便深红涩痛，或排尿困难不通畅，以及热淋、血淋，都适宜服用。这也是调理气分的药物。
药材：瞿麦、萹蓄、车前子、滑石、甘草（蜜炙）、山栀子仁、木通、大黄。
用法：以上药物研为散剂，每次服用二钱。用水一盏，加入灯心草二十茎，煎煮至七分。去渣。饭后临睡前温服。儿童根据情况减量服用。
左金丸：治疗肝火引起的胁肋部刺痛，或者发作寒热往来，或者头痛目痛，或者大便不成形、小便淋漓闭塞，或者小腹部疼痛。凡是属于肝火的所有证候，都用此方主治。
药材：黄连（六两）、吴茱萸（用汤水煮片刻，一两）。
用法：用米粥调和制成丸剂。用陈皮白术汤送服。
河间防风通圣散：这是表里、气血全面清解的药物。
药材：防风、川芎、当归、芍药、大黄、薄荷叶、麻黄、连翘、芒硝（盆硝即可。以上各半两）、石膏、黄芩、桔梗（各一两）、滑石（三两）、甘草（二两）、荆芥、白术、栀子（各二钱半）。
用法：研为细末。每次服用五钱。用水煎煮，在离吃饭较远的时候服用。
升阳散火汤：治疗男女四肢发热、肌肉发热，筋痹热，骨髓中热如火烧。热气燎灼肌肤，摸上去烫手。这个证候多因血虚所致。或者是胃气虚弱，过食生冷食物，导致阳气被抑制在脾土之中。对于火郁证应当使用发散的方法，这个方子就是这样的。
药材：升麻、葛根、独活、羌活（各五钱）、防风（二钱半）、柴胡（八钱）、甘草（三钱炙、二钱生）、人参、白芍药（各五钱）。
用法：以上药物切碎。每次服用半两或一两。用水煎煮，稍热时服用。
阳毒升麻汤：治疗伤寒杂病经过发汗、催吐、泻下治疗后，转变为阳毒，表现为发狂谵语，喉咙痛，腹泻。
药材：升麻（五钱）、犀角、射干、黄芩、人参、甘草（各二钱五分）。
用法：以上药物切碎，用水煎煮服用。
清胃汤：治疗因饮酒过多、食用浓味厚腻食物，导致唇齿疼痛。或者牙龈溃烂，或者牵连头部、面部、颈部疼痛。
药材：黄连（一钱五分）、当归、生地黄、牡丹皮（各一钱）、升麻（二钱）。
用法：以上药物用水煎煮服用。
千金黑奴丸：治疗大热阳毒，表现为发狂、发斑疹，烦躁、极度口渴。
药材：黄芩、釜底煤（锅底灰）、芒硝、灶突墨（烟囱黑灰）、梁上尘（房梁灰尘）、小麦奴（小麦未成熟时的穗）、麻黄、大黄（各一两）。
用法：以上药物研为细末，用炼蜜制成如弹丸大小的丸子。用新汲取的冷水化开服用。如果症状未定，再服用半丸。喝尽水，应当会感到寒冷。寒冷过后出汗就好了。如果没有出汗，再服用半丸。如果不感到大渴的，不可给予此药。
泻白散：治疗肺火引起的咳嗽气喘，面色发红，喉咽不清爽。
药材：地骨皮（二钱）、桑白皮（二钱）、甘草（五分）。
用法：研为细末。用水一盏，煎煮至六分服用。
当归龙荟丸：治疗肝经实火，大便秘结，小便涩滞不畅。或者胸膈作痛，阴囊肿胀。凡是属于肝胆实热的证候，都适宜使用。
药材：当归、龙胆草、栀子仁、黄连、黄芩（各一两）、大黄、芦荟、青黛（各五钱）、木香（二钱五分）、麝香（另研，五分）。
用法：研为细末，用炒神曲糊制成丸剂。每次服用二十丸，用姜汤送服。
When a disease presents with fever and signs of fire, and the pulse is surging (Hong) and rapid (Shu), it is treatable. If the pulse is deep (Chen) and minute (Wei), indicating an absence of fire, and if the pulse lacks root, the condition is critical.
If a patient has fever accompanied by symptoms of fire, this constitutes a Fire Disease (Huo Bing). In such cases, the pulse should be surging and rapid. Since the pulse matches the syndrome, treatment is feasible. However, if a deep and minute Yin-type pulse is obtained instead, it indicates the absence of fire. Fever persisting without actual fire suggests "Rootless Yang" (Xu Yang Wai Yue, floating yang due to deficiency). This represents a deficiency pattern manifesting as heat, so the prognosis is guarded/critical.
Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction) [Source: *Tai Ping Hui Min He Ji Ju Fang*]: Treats Heart Qi deficiency with internal heat, presenting with dark and turbid urine.
Ingredients: Huang Qin (Scutellariae Radix), Maidong (Ophiopogonis Tuber) (decored), Goubipi (Lycii Cortex), Cheqianzi (Plantaginis Semen), Gancao (Licorice Root) (honey-fried, each 1.5 qian), Shilianrou (Nelumbinis Plumula), Baifuling (Poria) (each 0.75 qian), Huangqi (Astragali Radix) (honey-fried), Renshen (Ginseng Radix et Rhizoma) (each 0.75 qian).
Preparation and Administration: Use two cups of water, decoct until one cup remains. Cool the decoction in cold water. Take warm on an empty stomach. Add Chaihu (Bupleuri Radix) and Bohe (Menthae Haplocalycis Herba) if fever is present.
Daochi San (Guide Out Redness Powder) [Source: Qian Yi's *Xiao'er Yaozheng Zhijue*]: Danxi stated that Daochi San specifically treats Small Intestine disorders.
Ingredients: Sheng Dihuang (Rehmanniae Radix Recens), Mutong (Akebiae Caulis), Gancao (Licorice Root) (equal parts).
Usage: Grind all ingredients into fine powder. Take 3 qian per dose. Add seven leaves of Zhuye (Bambusae Folium) to one cup of water, decoct together until reduced to 0.5 cup. Take warm after meals.
Qian Shi Xiehuang San (Child's Drain Yellow Powder): Treats stagnant heat in the Spleen, manifesting as a sweet taste in the mouth, oral ulcers, thirst, and irritability.
Ingredients: Huoxiang (Agastaches Herba) (7 qian), Shanzhiren (Gardeniae Fructus) (1 liang), Shigao (Gypsum Fibrosum) (0.5 jin), Gancao (Licorice Root) (2 liang), Fangfeng (Saposhnikoviae Radix) (4 liang).
Usage: Cut the herbs. Stir-fry lightly with honey and wine until fragrant. Grind into fine powder. Take 2 qian per dose. Decoct in one cup of water, take the clear juice.
Xieqing Wan (Drain Blue Pill)
Ingredients: Danggui (Angelicae Sinensis Radix) (remove rhizome, dry-roast and weigh), Caolongdan (Gentianae Macrophyllae Radix) (dry-roast and weigh), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhizi (Gardeniae Fructus), Chuan Dahuang (Rhei Radix et Rhizoma) (stir-baked), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix) (remove rhizome).
Usage: Grind equal parts into powder. Form pills using refined honey, size of a chestnut. Take one pill per dose. Decoct Zhuye (Bambusae Folium) soup, dissolve the pill with brown sugar and warm water, then take.
Jufang Bazheng San (Bureau Formula Eight Righteousnesses Powder): Treats pathogenic heat in the Heart Meridian in adults and children, various accumulated toxins, dry throat and mouth, extreme thirst with desire to drink, palpitations, red face, irritability, red eyes and eye pain, cracked lips, epistaxis, oral and lingual ulcers, sore throat and swelling. Also treats dark, scanty, or difficult urination, strangury (Long Lin) and bloody strangury (Xue Lin). It is also a formula for regulating Qi.
Ingredients: Qumai (Dianthi Herba), Bianxu (Polygoni Avicularis Herba), Cheqianzi (Plantaginis Semen), Huashi (Talcum), Gancao (Licorice Root) (honey-fried), Shanzhiren (Gardeniae Fructus), Mutong (Akebiae Caulis), Dahuang (Rhei Radix et Rhizoma).
Usage: Grind into powder. Take 2 qian per dose. Add twenty stems of Dengxincao (Junci Medulla) to one cup of water, decoct until 0.7 cup remains. Strain. Take warm after meals and before bed. Adjust dosage for children.
Zuojin Wan (Left Metal Pill): Treats stabbing pain in the hypochondrium caused by Liver Fire, alternating chills and fever, headache and eye pain, loose stools, dysuria or retention, or lower abdominal pain. It is the primary formula for all conditions related to Liver Fire.
Ingredients: Huanglian (Coptidis Rhizoma) (6 liang), Wu Zhu Yu (Evodiae Fructus) (boiled in water for a short while, 1 liang).
Usage: Mix with rice porridge to form pills. Take with Chenpi Baizhu Tang (Tangerine Peel and Atractylodes Macrocephala Decoction).
Hejian Fangteng Tongsheng San (Fang Teng Releasing the Exterior and Unblocking the Interior Powder from Liu Wansu): A formula that clears both exterior and interior, Qi and Blood.
Ingredients: Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Dahuang (Rhei Radix et Rhizoma), Boheye (Menthae Haplocalycis Folium), Mahuang (Ephedrae Herba), Lianqiao (Forsythiae Fructus), Mangxiao (Natrii Sulfas) (Basin saltpeter is acceptable; above items each 0.5 liang), Shigao (Gypsum Fibrosum), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix) (each 1 liang), Huashi (Talcum) (3 liang), Gancao (Licorice Root) (2 liang), Jingjie (Schizonepetae Spica), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhizi (Gardeniae Fructus) (each 2.5 qian).
Usage: Grind into powder. Take 5 qian per dose. Decoct in water, take far from meal times.
Shengyang Sanhuo Tang (Raise Yang and Disperse Fire Decoction): Treats fever in the limbs of men and women, muscle heat, heat in Bi-syndromes of sinews, and heat in the bone marrow burning like fire. The heat scorches the skin, feeling hot to the touch. This condition often arises from Blood deficiency. Alternatively, it may result from Stomach Qi deficiency and excessive consumption of cold foods, which suppresses Yang Qi within the Spleen Earth. For Fire stagnation, the method is to disperse it; this formula achieves that.
Ingredients: Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Duhuo (Angelicae Pubescentis Radix), Qianghuo (Notopterygii Rhizoma et Radix) (each 5 qian), Fangfeng (Saposhnikoviae Radix) (2.5 qian), Chaihu (Bupleuri Radix) (8 qian), Gancao (Licorice Root) (3 qian honey-fried, 2 qian raw), Renshen (Ginseng Radix et Rhizoma), Baishaoyao (Paeoniae Radix Alba) (each 5 qian).
Usage: Cut the herbs. Take 0.5 liang or 1 liang per dose. Decoct in water, take slightly warm.
Yangdu Shengma Tang (Yang Toxin Ephedra Decoction): Treats Yang Toxin resulting from Taiyang diseases or miscellaneous diseases after sweating, vomiting, or purging. Symptoms include mania, delirium, sore throat, and diarrhea.
Ingredients: Shengma (Cimicifugae Rhizoma) (5 qian), Xijiao (Rhinocerotis Cornu), Shegan (Belamcandae Rhizoma), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Root) (each 2.5 qian).
Usage: Cut the herbs, decoct in water, and take.
Qingwei Tang (Clear Stomach Decoction): Treats pain in lips and teeth caused by excessive alcohol consumption and rich flavors. Or gum ulceration, or pain radiating to the head, face, and neck.
Ingredients: Huanglian (Coptidis Rhizoma) (1.5 qian), Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix Recens), Mudanpi (Moutan Cortex) (each 1 qian), Shengma (Cimicifugae Rhizoma) (2 qian).
Usage: Decoct in water and take.
Qianjin Heinu Wan (Thousand Gold Black Slave Pill): Treats severe Yang Toxin with high heat, manifesting as mania, macules/rashes, irritability, and extreme thirst.
Ingredients: Huangqin (Scutellariae Radix), Fudimei (Calculus Furnace Bottom), Mangxiao (Natrii Sulfas), Zaotu Mo (Soot from Chimney Flue), Liangshang Chen (Dust from Roof Beams), Xiaomai Nu (Immature Wheat Spike), Mahuang (Ephedrae Herba), Dahuang (Rhei Radix et Rhizoma) (each 1 liang).
Usage: Grind into powder. Form pills using refined honey, size of a bullet. Dissolve in fresh cold water and take. If symptoms persist, take half a pill more. Drink enough water to induce chills. After chills subside, sweating will occur and recovery follows. If no sweat occurs, take another half pill. Do not use if there is no extreme thirst.
Xiebai San (Drain White Powder): Treats cough and asthma due to Lung Fire, red face, and unclear throat/pharynx sensation.
Ingredients: Goubipi (Lycii Cortex) (2 qian), Sangbaipi (Mori Cortex) (2 qian), Gancao (Licorice Root) (0.5 qian).
Usage: Grind into powder. Decoct in one cup of water until 0.6 cup remains, then take.
Danggui Longhui Wan (Angelica Gentiana Bile Pill): Treats Excess Fire in the Liver Meridian, constipation, and dysuria. Or chest and diaphragm pain, scrotal swelling. Suitable for all conditions of Excess Heat in the Liver and Gallbladder.
Ingredients: Danggui (Angelicae Sinensis Radix), Longdancao (Gentianae Radix), Zhiziren (Gardeniae Fructus), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix) (each 1 liang), Dahuang (Rhei Radix et Rhizoma), Lvhui (Aloe), Qingdai (Indigo Naturalis) (each 5 qian), Muxiang (Aucklandiae Radix) (2.5 qian), Shexiang (Moschus) (separately ground, 0.5 qian).
Usage: Grind into powder. Form pills using paste made from stir-fried Shenqu (Medicated Leaven). Take 20 pills per dose, washed down with Ginger Decoction.