千金泻心汤。疗心实热。或欲吐。吐而不出闷喘急头痛方。
小麦（三升） 香豉（一升绵裹） 石膏（一斤碎绵裹） 地骨皮（五两） 栀子仁（二
十一枚） 茯苓（二两） 淡竹叶（切一升）
上七味切。以水一斗五升。煮小麦竹叶。取八升。澄清。下诸药。煮取三升。去滓。分
温三服。忌酢物。（本名石膏汤）
又疗心实热。惊梦喜恐畏悸惧不安。竹沥汤方。
淡竹沥（一升） 石膏（八两碎绵裹） 人参 知母（去毛） 赤石脂 栀子仁 芍药 白
术
（各三两） 茯神 紫菀（各二两） 生地黄汁（二升）
上十一味切。以水九升。煮十味。取二升七合。去滓。下竹沥。更煎取三升。若须利。
下芒硝二两去芍药。分为三服。忌桃李雀肉酢物芜荑。
又茯神煮散。主心实热。口干烦渴。眠卧不安方。
茯神 麦门冬（去心各六分） 通草（六分） 升麻（五分） 淡竹茹（一丸如鸡子大
熬）
知母（四分去毛） 赤石脂（七分） 紫菀 桂心（各三分） 大枣（二十枚擘）
上十味捣粗筛为散。取方寸匕帛裹之。以井华水二升半。煮取九合。时动药裹子。平旦
为一服。日再服忌生葱酢物。（并出第十三卷中）
删繁论曰∶凡脉极者。主心也。心应脉。脉与心合。心有病从脉起。又曰∶以夏遇病为
脉
唇
若脉
为肌
候也。
病者。
何以
也。心
笃癸死
千金泻心汤。治疗心经实热证。症状表现为想要呕吐，但吐不出来，伴有胸闷气喘、急促、头痛的方剂。
小麦（三升） 香豉（一升，用绵布包裹） 石膏（一斤，打碎后用绵布包裹） 地骨皮（五两） 栀子仁（二十一枚） 茯苓（二两） 淡竹叶（切碎，一升）
以上七味药切碎。用水一斗五升。先煮小麦和淡竹叶。取汁八升。澄清后。加入其他药物。再煎煮取汁三升。去除药渣。分三次温服。忌食醋类食物。（本方原名石膏汤）
又方治疗心经实热证。症状表现为惊悸多梦、喜欢恐惧、心悸不安的竹沥汤方。
淡竹沥（一升） 石膏（八两，打碎后用绵布包裹） 人参 知母（去毛） 赤石脂 栀子仁 芍药 白术
（各三两） 茯神 紫菀（各二两） 生地黄汁（二升）
以上十一味药切碎。用水九升。煎煮前十味药。取汁二升七合。去除药渣。加入竹沥。再煎煮取汁三升。如果需要通便。则加入芒硝二两并去掉芍药。分为三次服用。忌食李子、桃子、雀肉、醋类食物、芜荑。
又方茯神煮散。主治心经实热证。症状表现为口干烦渴、睡眠不安的方剂。
茯神 麦门冬（去心，各六分） 通草（六分） 升麻（五分） 淡竹茹（一团如鸡蛋大小，熬制）
知母（四分，去毛） 赤石脂（七分） 紫菀 桂心（各三分） 大枣（二十枚，掰开）
以上十味药捣碎过粗筛制成散剂。取一方寸匕的药量，用帛布包裹。用井华水二升半。煎煮取汁九合。期间要晃动药包。清晨作为一次服用。每天再服一次。忌食生葱、醋类食物。（均出自第十三卷中）
删繁论曰：凡是脉极病，主要与心有关。心对应脉。脉与心相合。心有病从脉起。又说：如果在夏天遭遇邪气致病为脉极病。
唇
若脉
为肌
候也。
病者。
何以
也。心
笃癸死
Qianjin Xiexin Tang (Thousand-Gold Decoction for Draining Heart Fire). Treats excess-heat syndrome of the Heart. The formula is indicated for cases where there is a desire to vomit but it does not come out, accompanied by chest oppression, panting, urgency, and headache.
Tritici Fructus (Xiaomai, Wheat) (3 sheng)
Fermented Sojae Semen Preparatum (Xiangchi, Black Soybean Paste) (1 sheng, wrapped in silk)
Gypsum Fibrosum (Shigao, Gypsum) (1 jin, crushed and wrapped in silk)
Lycii Cortex (Digupi, Bark of Lycium Root) (5 liang)
Gardeniae Fructus (Zhizi Ren, Seed of Gardenia) (21 pieces)
Poria (Fuling, Poria Cocos) (2 liang)
Phyllostachys Viridis Caulis (Danzhuye, Bamboo Leaf) (1 sheng, sliced)
The above seven herbs are sliced. Add 1 dou 5 sheng of water. First decoct Tritici Fructus and Phyllostachys Viridis Caulis until 8 sheng remains. Clarify the liquid. Then add the remaining herbs. Decoct until 3 sheng remains. Remove the dregs. Divide into three doses and take warm. Avoid vinegar products. (Originally named Shigao Tang / Gypsum Decoction)
Another formula, Zhuli Tang (Bamboo Sap Decoction), treats excess-heat syndrome of the Heart with symptoms such as palpitations, nightmares, fearfulness, and restlessness.
Phyllostachys Nigra Caulis Succus (Danzhuli, Bamboo Juice from Phyllostachys Nigra) (1 sheng)
Gypsum Fibrosum (Shigao, Gypsum) (8 liang, crushed and wrapped in silk)
Ginseng Radix et Rhizoma (Renshen, Ginseng)
Anemarrhenae Rhizoma (Zhimu, Rhizome of Anemarrhena) (deprived of hairs)
Halloysit Rubrum (Chishizhi, Red Halloysite)
Gardeniae Fructus (Zhizi Ren, Seed of Gardenia)
Paeoniae Radix Alba (Shaoyao, White Peony Root)
Atractylodis Macrocephalae Rhizoma (Baizhu, Rhizome of Atractylodes Macrocephala)
(each 3 liang)
Poria Cum Radice Xyli (Fushen, Poria with Pine Root)
Asterae Radix et Rhizoma (Ziwan, Root and Rhizome of Aster)
(each 2 liang)
Rehmanniae Radix Recens Sucus (Shengdihuangzhi, Fresh Juice of Rehmannia Root) (2 sheng)
The above eleven herbs are sliced. Add 9 sheng of water. Decoct the first ten herbs until 2 sheng 7 he remain. Remove the dregs. Add Phyllostachys Nigra Caulis Succus. Decoct again until 3 sheng remains. If purgation is required, add Mangxiao (Natrii Sulfas, Mirabilite) 2 liang and remove Paeoniae Radix Alba. Divide into three doses. Avoid plums, peaches, sparrow meat, vinegar products, and Elsholtziae Herba (Wuyi).
Another formula, Fushen Zhusan (Decoction of Poria with Pine Root Powder), mainly treats excess-heat syndrome of the Heart with symptoms such as dry mouth, vexatious thirst, and restless sleep.
Poria Cum Radice Xyli (Fushen, Poria with Pine Root)
Ophiopogonis Radix (Maimendong, Root of Ophiopogon) (deprived of heart, each 6 fen)
Tetrapanacis Medulla (Tongcao, Medulla of Tetrapanax) (6 fen)
Bupleuri Radix (Shengma, Root of Bupleurum) (5 fen)
Phyllostachys Viridis Caulis (Danzhuru, Bamboo Rind) (one ball the size of a chicken egg, roasted)
Anemarrhenae Rhizoma (Zhimu, Rhizome of Anemarrhena) (4 fen, deprived of hairs)
Halloysit Rubrum (Chishizhi, Red Halloysite) (7 fen)
Asterae Radix et Rhizoma (Ziwan, Root and Rhizome of Aster)
Cinnamomi Ramulus (Guixin, Twig of Cinnamon) (each 3 fen)
Jujubae Fructus (Dazao, Fruit of Ziziphus Jujuba) (20 pieces, split open)
The above ten herbs are pounded into a coarse powder and sifted. Take one fangcun bi (a square-inch measure) of the powder, wrap it in silk cloth. Add 2.5 sheng of well-water (first drawn water from a well). Decoct until 9 he remains. Shake the herb packet occasionally. Take as one dose at dawn. Take another dose later in the day. Avoid raw green onions and vinegar products. (Both formulas are cited from Volume XIII)
On the Deletion of Superfluities states: Generally, Maiji (Exhaustion of Pulses) disease is primarily related to the Heart. The Heart corresponds to the vessels. The vessels and the Heart are combined. Disease of the Heart originates from the vessels. It is also said: Contracting illness due to summer pathogens results in Maiji disease.
Lips
If the pulse
becomes muscle
is the sign.
As for the disease.
Why?
It is the Heart.
Si (Death) occurs when Du Gui arrives.