论曰乳石性暴，羸瘠痼疾之人，难以控制，其发动则脏腑痞塞，热则引饮，饥则加飧，
水谷乖度，和气反伤，饮湿下流，攻注腰脚，故令香港脚发动，寒热更作，脚膝疼痛，或致肿
满，肌肉 痹，况香港脚之候，不可使邪气实，常令服药，疏利脏腑，兼乳石攻发，尤不可忽
治热毒风，兼香港脚因乳石动发，不觉心闷语涩，或失音，升麻汤方
升麻 青竹茹（锉各二两） 石膏（碎三两） 木香 独活（去芦头） 犀角（镑） 防
风（去
叉） 黄芩（去黑心各一两半）
上八味，粗捣筛，每服五钱匕，水一盏半，煎取七分，去滓入红雪一钱匕，竹沥一合，
地黄汁一合，再煎令沸，不拘时服。
治香港脚因乳石发动，服前方渐退，语虽不涩，但口干唇焦，头痛气急兼嗽，此是香港脚退，
乳石气冲上，更服葳蕤汤方
葳蕤（二两） 五加皮 甘草（炙各一两半） 桑根白皮 荠 （去芦头各二两） 生
麦
门冬（去心一两）
上六味，锉如麻豆大，每服五钱匕，水一盏半，煎取八分，去滓食后服，日三。
治常服乳石，补养过度，复酒肉热面不绝，香港脚发，常服诃黎勒丸，方
诃黎勒皮（焙） 大黄（锉炒） 槟榔（锉各三两） 木香（二两） 大麻仁（别研三
两） 甘草
（炙二两半） 枳壳（去瓤麸炒二两半） 朴硝（三分）
上八味，捣罗为末，炼蜜丸如梧桐子大，每服四十丸，渐加至五六十丸，温熟水下，日
三服，常令通利。
治乳石发香港脚，热毒冲上，气急伤肺，或吐血唾血，地黄汤方
生地黄汁（五合） 黄明胶（一两） 生藕汁（三合如无即单用地黄汁）
上三味，先以地黄汁微火煎令胶销尽，倾瓷器内，下藕汁搅匀，分为二服，不拘时。
治乳石发动热盛，或吐血唾血不定，姜墨煎方
生姜（汁一合） 墨（研一钱） 蜜（一合）
上三味和匀，细细呷之。
治久服钟乳，及诸石，脏腑热盛，又酒面过度，香港脚壅上气闷，烦渴引饮不止，喘急语
短，喉痛结涩，升麻汤方
升麻（二两） 犀角（镑四两） 玄参（一两半） 木香（二两） 葳蕤（切焙五两） 麦
门冬（
去心焙六两） 射干（三两） 栝蒌（六两） 甘草（炙） 黄芩（去黑心各四两）
上一十味， 咀如麻豆大，每服五钱匕，生姜一枣大拍碎，水二盏，浸一宿，平旦煎取
一盏，去滓温服，如兼气者，每服加槟榔末半钱匕。
治服乳石，香港脚发动，或憎寒壮热，头痛心闷，眼目疼，恶心欲吐，头旋脑痛，须令微
汗，柴胡汤方
柴胡（去苗一两一分） 葛根（锉二两） 白茯苓（去黑皮） 麦门冬（去心焙） 麻
黄（去根
节各一两半） 桂（去粗皮三分） 葳蕤（切焙二两） 黄芩（去黑心一两）
上八味，粗捣筛，每服五钱匕，水一盏半，煎取八分，去滓食后温服，衣被复取微汗，
汗不可太过。
治服乳石热闷，香港脚发动，气逆不下，饮食无味，麦门冬汤方
麦门冬（去心焙） 甘草（炙各二两） 白茯苓（去黑皮） 栝蒌根（各三两）
上四味，粗捣筛，每服五钱匕，生姜一枣大拍碎，水一盏半，煎取八分，去滓温服、日
三。
治乳石发动香港脚，兼上气喘急咳嗽，小便涩，服利水药，小便不利，大便反利，葶苈丸
方
葶苈（纸上炒） 防己 甘草（炙各二两） 杏仁（去皮尖双仁熬别研各二两半） 贝
母（去
心一两半）
上五味，捣四味为末，与杏仁和令匀，以枣肉丸如梧桐子大，每服三十丸，煎大枣桑根
白皮汤下，未利再服。
治金石毒香港脚，葱白汤方
葱白（切七茎） 甘草（炙二两） 陈橘皮（去白焙一两半） 生姜（切一两）
上四味，锉如麻豆大，以水五盏，同煎至三盏，去滓分温三服。
治素服乳石，因食酒肉热面，发动香港脚冲心，热闷腹痛，犀角汤方
犀角（镑二两） 木通（锉三两） 木香（二两） 黑豆（二合） 甘草（炙二两） 连
皮大腹（
上六味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓入红雪三钱匕，搅匀温服，
不拘时，须臾通利为度。
论述说：乳石药性猛烈，对于身体瘦弱、患有顽固疾病的人来说，难以掌控。一旦发作，会导致脏腑气机痞塞不通；若表现为热证，则引水自饮；若因饥饿而进食，则出现完谷不化的腹泻。饮食水谷失去常度，反而损伤了体内的和气，湿气下行流注，攻冲腰脚，因此导致香港脚（痛风/下肢关节肿痛）发作，寒热交替出现，脚膝疼痛，甚至导致肿胀满闷，肌肉麻木不仁。况且香港脚的病候，不可使邪气壅实，应当经常服药，疏通利导脏腑气机。加上乳石攻发之弊，尤其不可忽视。
治疗热毒风邪，兼治因乳石发动引起的香港脚，症见不觉心中烦闷、言语涩滞，或失音，用升麻汤方：
升麻、青竹茹（锉碎，各二两）、石膏（打碎，三两）、木香、独活（去芦头）、犀角（镑片）、防风（去叉枝）、黄芩（去黑心，各一两半）。
以上八味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎取七分药液，去渣后加入红雪一钱匕、竹沥一合、地黄汁一合，再次煎至沸腾，不拘时候服用。
治疗因乳石发动引起的香港脚，服用前方后症状逐渐消退，虽然言语不再涩滞，但仍有口干唇焦、头痛、气急兼咳嗽的症状，这是香港脚退去、乳石之气上冲的表现，再服用葳蕤汤方：
葳蕤（二两）、五加皮、甘草（炙，各一两半）、桑根白皮、荠苨（去芦头，各二两）、生麦门冬（去心，一两）。
以上六味药，锉碎如麻豆大小，每次服用五钱匕，用水一盏半，煎取八分药液，去渣后饭后服用，每日三次。
治疗长期服用乳石，补养过度，又不断饮酒吃肉吃热面，导致香港脚发作，常服用诃黎勒丸，方如下：
诃黎勒皮（焙干）、大黄（锉碎炒制）、槟榔（锉碎，各三两）、木香（二两）、大麻仁（另研，三两）、甘草（炙，二两半）、枳壳（去瓤麸炒，二两半）、朴硝（三分）。
以上八味药，捣罗成细末，炼蜜为丸，如梧桐子大，每次服用四十丸，逐渐增加至五六十丸，用温熟水送下，每日三次，常令大便通畅。
治疗乳石引发香港脚，热毒上冲，气急伤肺，或吐血、唾血，用地黄汤方：
生地黄汁（五合）、黄明胶（一两）、生藕汁（三合，如无则单用地黄汁）。
以上三味药，先用地黄汁在微火上煎，使胶完全溶化，倒入瓷器中，加入藕汁搅匀，分为两次服用，不拘时候。
治疗乳石发动热盛，或吐血、唾血不止，用姜墨煎方：
生姜（汁一合）、墨（研细，一钱）、蜜（一合）。
以上三味药和匀，细细呷服。
治疗长期服用钟乳及诸石药，脏腑热盛，加之酒面过度，导致香港脚壅滞上冲，气闷，烦渴引饮不止，喘急语短，喉痛结涩，用升麻汤方：
升麻（二两）、犀角（镑片，四两）、玄参（一两半）、木香（二两）、葳蕤（切焙，五两）、麦门冬（去心焙，六两）、射干（三两）、栝蒌（六两）、甘草（炙）、黄芩（去黑心，各四两）。
以上十味药，锉碎如麻豆大小，每次服用五钱匕，生姜一块枣大拍碎，用水二盏，浸泡一夜，清晨煎取一盏，去渣温服。如果兼有气滞，每次服用时加槟榔末半钱匕。
治疗服用乳石后，香港脚发作，或憎寒壮热，头痛心闷，眼目疼痛，恶心欲吐，头晕脑痛，需要令其微微出汗，用柴胡汤方：
柴胡（去苗，一两一分）、葛根（锉碎，二两）、白茯苓（去黑皮）、麦门冬（去心焙）、麻黄（去根节，各一两半）、桂（去粗皮，三分）、葳蕜（切焙，二两）、黄芩（去黑心，一两）。
以上八味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎取八分，去渣后饭后温服，盖衣被使其微微出汗，出汗不可太过。
治疗服用乳石后热闷，香港脚发作，气逆不下，饮食无味，用麦门冬汤方：
麦门冬（去心焙）、甘草（炙，各二两）、白茯苓（去黑皮）、栝蒌根（各三两）。
以上四味药，粗捣筛过，每次服用五钱匕，生姜一块枣大拍碎，用水一盏半，煎取八分，去渣温服，每日三次。
治疗乳石发动香港脚，兼上气喘急咳嗽，小便涩滞，服用利水药后小便不利，大便反而通利，用葶苈丸方：
葶苈（纸上炒）、防己、甘草（炙，各二两）、杏仁（去皮尖双仁熬制，另研，各二两半）、贝母（去心，一两半）。
以上五味药，将除杏仁外的四味捣成细末，与杏仁混合均匀，以枣肉为丸，如梧桐子大，每次服用三十丸，用煎好的大枣桑根白皮汤送下，若未通利可再服。
治疗金石毒引起的香港脚，用葱白汤方：
葱白（切七茎）、甘草（炙，二两）、陈橘皮（去白焙，一两半）、生姜（切，一两）。
以上四味药，锉碎如麻豆大小，用水五盏，同煎至三盏，去渣分三次温服。
治疗平时服用乳石，因食用酒肉热面，发动香港脚冲心，热闷腹痛，用犀角汤方：
犀角（镑片，二两）、木通（锉碎，三两）、木香（二两）、黑豆（二合）、甘草（炙，二两）、连皮大腹皮（二两）。
以上六味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎至八分，去渣后加入红雪三钱匕，搅匀温服，不拘时候，须臾间以通利为度。
Commentary states: Lushi (Mineral drugs, specifically lithic minerals) have a violent nature. For individuals who are emaciated and suffer from chronic diseases, it is difficult to control their effects. When they erupt, they cause stagnation and obstruction in the Zang-Fu organs. If heat manifests, it draws thirst for water; if hunger leads to eating, it results in undigested stool in diarrhea. The intake of food and water loses its proper measure, damaging the Harmonious Qi (He Qi). Dampness flows downward, attacking the waist and feet, thus triggering Hongjiaojiao (Gout/Lower limb joint swelling and pain). This causes alternating chills and fever, pain in the feet and knees, or even swelling and fullness, with muscle numbness and paralysis. Furthermore, regarding the condition of Hongjiaojiao, one must not allow pathogenic factors to become excessive. Medication should be taken regularly to dredge and unblock the Zang-Fu organs. Given the aggravating effect of Lushi, this cannot be ignored.
For treating Heat-Toxic Wind, combined with Hongjiaojiao triggered by Lushi, manifesting as unconscious heart stuffiness, slurred speech, or aphonia, use Shengma Tang (Cimicifugae Decoction):
Shengma (Rhizoma Cimicifugae), Qingzhuru (Bambusae Caulis in Taeniam, sliced, 2 liang each), Shigao (Gypsum Fibrosum, crushed, 3 liang), Muxiang (Radix Aucklandiae), Du huo (Radix Angelicae Pubescentis, removed rhizome), Xijiao (Cornu Rhinocerotis, shaved), Fangfeng (Radix Saposhnikoviae, removed forked roots), Huangqin (Radix Scutellariae, removed black heart, 1.5 liang each).
The above eight herbs are coarsely pounded and sieved. Each dose consists of 5 qianbi (approx. 5-7g), boiled in 1.5 sheng (approx. 300ml) of water until reduced to 0.7 sheng. Strain the decoction, then add Hongxue (Red Snow, a type of refined sugar/salt crystal used medicinally, 1 qianbi), Zhuli (Bambusae Sap, 1 he), and Dihuangzhi (Jus Radicis Rehmanniae Recens, 1 he). Boil again until boiling. Take at any time.
For treating Hongjiaojiao triggered by Lushi, where symptoms gradually recede after taking the previous prescription, but speech is no longer slurred, yet there is dry mouth and scorched lips, headache, rapid breathing accompanied by cough, indicating that Hongjiaojiao has subsided while Lushi Qi rushes upward, take Weirui Tang (Polygonati Decoction):
Weirui (Rhizoma Polygonati Odorati, 2 liang), Wujia pi (Cortex Acanthopanacis Senticosi), Gancao (Radix Glycyrrhizae Preparata, 1.5 liang each), Sanggenbaipi (Cortex Mori Radicis), Qini (Fructus Cnidii, removed rhizome, 2 liang each), Sheng Maidong (Radix Ophiopogonis Recens, removed heart, 1 liang).
The above six herbs are sliced like hemp seeds. Each dose is 5 qianbi, boiled in 1.5 sheng of water until reduced to 0.8 sheng. Strain and take after meals, three times daily.
For those who frequently take Lushi, over-nourish themselves, and continuously consume alcohol, meat, and hot noodles, leading to Hongjiaojiao attacks, frequently take Helile Wan (Terminalia Pill):
Helilepi (Pericarpium Terminaliae Chebulae, roasted), Dahuang (Radix et Rhizoma Rhei, sliced and fried), Binglang (Semen Arecae, sliced, 3 liang each), Muxiang (Radix Aucklandiae, 2 liang), Damaoren (Semen Cannabis Sativae, separately ground, 3 liang), Gancao (Radix Glycyrrhizae Preparata, 2.5 liang), Zhike (Fructus Aurantii, removed pulp and bran-fried, 2.5 liang), Puxiao (Natrii Sulfas, 3 fen).
The above eight herbs are pounded into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Each dose is 40 pills, gradually increased to 50-60 pills, taken with warm cooked water, three times daily, ensuring regular bowel movements.
For treating Lushi-induced Hongjiaojiao, where Heat-Toxin rushes upward, causing rapid breathing and lung injury, or hematemesis and spitting blood, use Dihuang Tang (Rehmannia Decoction):
Sheng Dihuangzhi (Jus Radicis Rehmanniae Recens, 5 he), Huangming jiao (Colla Corii Asini, 1 liang), Sheng Ou zhi (Jus Rhizomatis Nelumbinis Recens, 3 he; if unavailable, use only Dihuangzhi).
The above three ingredients: first, gently boil the Dihuangzhi until the Jiao is completely dissolved. Pour into a porcelain vessel, add the Ou zhi, stir well, divide into two doses, and take at any time.
For treating intense heat caused by Lushi eruption, or persistent hematemesis and spitting blood, use Jiangmo Jian (Ginger-Ink Decoction):
Shengjiang zhi (Jus Zingiberis Recens, 1 he), Mo (Lapis Cinereus, ground, 1 qian), Mi (Melle, 1 he).
Mix the above three ingredients evenly and sip slowly.
For long-term consumption of Zhongru (Stalactite) and other mineral drugs, resulting in excessive internal heat, compounded by excessive alcohol and noodle intake, causing Hongjiaojiao congestion rushing upward, chest oppression, incessant thirst and drinking, rapid panting, shortness of speech, throat pain and stiffness, use Shengma Tang (Cimicifugae Decoction):
Shengma (Rhizoma Cimicifugae, 2 liang), Xijiao (Cornu Rhinocerotis, shaved, 4 liang), Xuanshen (Radix Scrophulariae, 1.5 liang), Muxiang (Radix Aucklandiae, 2 liang), Weirui (Rhizoma Polygonati Odorati, sliced and roasted, 5 liang), Maidong (Radix Ophiopogonis, removed heart and roasted, 6 liang), Shegan (Rhizoma Belamcandae, 3 liang), Gualou (Fructus Trichosanthis, 6 liang), Gancao (Radix Glycyrrhizae Preparata), Huangqin (Radix Scutellariae, removed black heart, 4 liang each).
The above ten herbs are sliced like hemp seeds. Each dose is 5 qianbi, with a piece of fresh ginger (size of a date) smashed, soaked in 2 sheng of water overnight. Boil at dawn until reduced to 1 sheng. Strain and take warm. If Qi stagnation is present, add 0.5 qianbi of Binglang powder to each dose.
For Hongjiaojiao triggered by taking Lushi, manifesting as aversion to cold with high fever, headache, heart oppression, eye pain, nausea with desire to vomit, dizziness and brain pain, requiring mild sweating, use Chaihu Tang (Bupleuri Decoction):
Chaihu (Radix Bupleuri, removed seedlings, 1.1 liang), Gegen (Radix Puerariae, sliced, 2 liang), Baifuling (Poria, removed black skin), Maidong (Radix Ophiopogonis, removed heart and roasted), Mahuang (Herba Ephedrae, removed roots and joints, 1.5 liang each), Gui (Ramulus Cinnamomi, removed coarse bark, 0.3 liang), Weirui (Rhizoma Polygonati Odorati, sliced and roasted, 2 liang), Huangqin (Radix Scutellariae, removed black heart, 1 liang).
The above eight herbs are coarsely pounded and sieved. Each dose is 5 qianbi, boiled in 1.5 sheng of water until reduced to 0.8 sheng. Strain and take warm after meals. Cover with clothing and blankets to induce mild sweating. Sweating should not be excessive.
For heat and oppression after taking Lushi, Hongjiaojiao eruption, rebellious Qi failing to descend, loss of taste for food, use Maidong Tang (Ophiopogonis Decoction):
Maidong (Radix Ophiopogonis, removed heart and roasted), Gancao (Radix Glycyrrhizae Preparata, 2 liang each), Baifuling (Poria, removed black skin), Gualougen (Radix Trichosanthis, 3 liang each).
The above four herbs are coarsely pounded and sieved. Each dose is 5 qianbi, with a piece of fresh ginger (size of a date) smashed, boiled in 1.5 sheng of water until reduced to 0.8 sheng. Strain and take warm, three times daily.
For Lushi-triggered Hongjiaojiao, accompanied by upper body asthma, rapid breathing, cough, and astringent urination. After taking diuretics, urination remains difficult, but defecation becomes loose, use Tingli Wan (Descurainiae Pill):
Tingli (Semen Descurainiae, stir-fried on paper), Fangji (Radix Stephaniae Tetrandrae), Gancao (Radix Glycyrrhizae Preparata, 2 liang each), Xingren (Semen Pruni Armeniacae, peeled, de-seeded, double-kernel, roasted, separately ground, 2.5 liang each), Beimu (Bulbus Fritillariae Cirrhosae, removed heart, 1.5 liang).
The above five herbs: pound the four non-almond herbs into powder, mix evenly with the almond. Form pills with jujube flesh, sized like Sophora seeds. Each dose is 30 pills, taken with a decoction of jujube and Sanggenbaipi. If unrelieved, take again.
For Jinshi (Metal and Stone/Mineral) toxicity causing Hongjiaojiao, use Congbai Tang (Scallion White Decoction):
Congbai (Scallion White, sliced, 7 stalks), Gancao (Radix Glycyrrhizae Preparata, 2 liang), Chenju pi (Pericarpium Citri Reticulatae, white part removed and roasted, 1.5 liang), Shengjiang (Zingiberis Rhizoma Recens, sliced, 1 liang).
The above four herbs are sliced like hemp seeds. Boil in 5 sheng of water until reduced to 3 sheng. Strain and divide into three warm doses.
For those who habitually take Lushi, and due to consuming alcohol, meat, and hot noodles, trigger Hongjiaojiao rushing to the heart, causing heat, oppression, and abdominal pain, use Xijiao Tang (Rhinoceros Horn Decoction):
Xijiao (Cornu Rhinocerotis, shaved, 2 liang), Mutong (Caulis Akebiae, sliced, 3 liang), Muxiang (Radix Aucklandiae, 2 liang), Heidou (Semen Sojae Nigrum, 2 he), Gancao (Radix Glycyrrhizae Preparata, 2 liang), Liapi Dafupi (Pericarpium Arecae Cum Cortice, 2 liang).
The above six herbs are coarsely pounded and sieved. Each dose is 5 qianbi, boiled in 1.5 sheng of water until reduced to 0.8 sheng. Strain, add 3 qianbi of Hongxue, stir well, and take warm at any time. The goal is to achieve unblocking and purging shortly after ingestion.