脉浮而洪数为虚火。沉而实大为实火。洪大见于左寸为心火。见于右寸为肺火。见于左
关
为肝火。见于右关为脾火。两尺为肾经命门之火。男子两尺洪大者。必遗精。阴火盛也。
人之脏腑。各皆有火。但有虚实之不同耳。然实火可泻。如黄连泻心火。黄芩泻肺火。
芍药
泻脾火。石膏泻胃火。柴胡泻肝火。知母泻肾火。此皆苦寒之味。能泻有余之火。若饮食劳
役。内伤元气。火不两立。为阳虚之病。以甘温之剂除之。如黄 、人参、甘草之属。若阴
微阳弦。相火炽盛。以乘阴位。为血虚之病。以甘寒之剂降之。如当归、地黄之属。若心火
亢极。郁热内实。为阳强之病。以咸冷之剂降折之。如大黄、芒硝之属。若肾水受寒。真阴
失守。无根之火。为阴虚之病。以壮水之剂制之。如生地、玄参之属。若有肾经命门火衰。
为阳脱之病。以温热之剂济之。如附子、干姜之属。若胃虚过食冷物。抑遏阳气于脾土。为
火郁之病。以升发之剂发之。以升阳散火汤主之。诸经实火。照后方调之毋执。
一论男子妇人。四肢发热。筋骨间热。肌表热如火。扪之烙手。此病多因血虚而得之。
或脾虚过食冷物。抑遏阳气于脾土之中。火郁则发之。
升阳散火汤
升麻 葛根 羌活 独活 白芍 人参（各六分） 炙甘草（二分） 柴胡（三分） 防
风（二分半） 生甘草（二分）
上锉一剂。生姜煎服。忌生冷等物。
一论三焦实火。六经积热。烦躁作渴。口舌生疮。小便赤。大便结。一切有余之火。
凉膈散
连翘（一钱五分） 黄芩（一钱） 栀子（一钱） 桔梗（一钱） 薄荷（五分） 大黄（一钱）
芒硝（一钱） 甘草（三分）
上锉。水煎。入蜜同服。咽喉痛。加桔梗、荆芥。酒毒。加黄连、干葛。名清心汤。用
蜜、竹叶同煎。咳而呕。加半夏、生姜。衄血呕血。加当归、赤芍、生地。小便淋沥。
加滑石、赤茯苓。风眩。加防风、川芎、石膏。斑疹。加干葛、荆芥、川芎、赤芍药、
防风、桔梗。咳嗽。加桑白皮、杏仁、桔梗。阳毒发斑。加当归。结胸心下满。加桔
梗、枳壳。谵语发狂。越墙赴井。皆阳热极盛。加黄连、黄柏、赤芍药。眼中翳瘴赤涩
流泪。加菊花、木贼、生地黄。
大金花丸 解诸热脏伏火。
黄连（去毛） 黄芩 黄柏（去皮） 栀子（去谷各等分）
上为末。滴水为丸。如梧桐子大。每服四五十丸。白温水下。一方。加桔梗、大黄酒煨
治上焦一切热症。兼治鼻红。一论积热积痰。并五脏三焦有余之热。夹热下利。食痞膈闷。
咽痛目赤肿。中暑中热。烦躁等症。及初发肿毒兼治。
黄金丸
大黄（煨） 郁金（即姜黄要极小者佳） 牙皂（去筋皮各等分）
上为细末。用牛胆汁入瓷罐内。煎成稀膏。和药为丸如梧桐子大。每服三五十丸。
量病轻重加减。白汤下。大便少行一二次即止。不伤元气。
一论上焦积热。风痰壅滞。头目赤肿。或有疮疖。咽喉不利。大小便闭涩。一切风热。
亦能磨酒食诸滞。
神芎丸
黑丑（四两） 滑石（四两） 大黄（一两） 黄芩（二两） 黄连（五钱） 川芎（五钱） 薄
荷（五钱）
上为末。滴水丸如梧桐子大。每服五十丸。用温水送下。
上清丸（朱全吾传） 治上焦痰火咳嗽。乃心脾之有热也。
龙脑（二分另研） 硼砂（二分另研） 薄荷末（一两） 川芎末（五钱） 桔梗末（二钱） 甘
草末（二钱）
上为细末。炼蜜为丸。如圆眼大。每服一丸。临卧噙化。或食后茶清咽下。
一妇人年四十余。夜间发热。旦晨退。五心烦热。无休止时。半年后六脉皆数。伏而且
牢。
浮取全不应手。以升阳散火汤四剂。而热减大半。胸中觉清快胜前。再与二剂。热悉退。后
以四物汤加黄柏、知母。少佐以炒黑干姜。二十剂全安。
一治骨蒸内热之病。时发外寒。寒过内热。附骨蒸盛之时。四肢微痹。足跗肿者。其病在脏
腑之中。
太白散
白石膏火 为末。新汲水调下方寸匙。以身无热为度。
脉象浮而洪数，属于虚火。脉象沉而实大，属于实火。洪大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；两尺部则是肾经命门之火。男子若两尺脉洪大，必然出现遗精，这是阴火旺盛所致。人的脏腑，各自都有火，只是有虚实之分罢了。然而实火可以用泻法治疗，比如黄连可以泻心火，黄芩可以泻肺火，芍药可以泻脾火，石膏可以泻胃火，柴胡可以泻肝火，知母可以泻肾火。这些都是苦寒性质的药物，能够泻除有余的实火。如果是饮食不节或劳役过度，导致内伤元气，火与正气不能两立，这属于阳虚的病证，应用甘温的药物来消除它，比如黄芪、人参、甘草这类药物。如果阴液微弱而阳气偏亢，相火炽盛，侵犯阴位，这属于血虚的病证，应用甘寒的药物来降伏它，比如当归、地黄这类药物。如果心火亢盛到了极点，郁热内结，这属于阳强的病证，应用咸冷性质的药物来降折它，比如大黄、芒硝这类药物。如果肾水受寒，真阴失守，产生无根之火，这属于阴虚的病证，应用壮水（滋补肾阴）的药物来制约它，比如生地、玄参这类药物。如果有肾经命门火衰微，这属于阳脱的病证，应用温热性质的药物来救助它，比如附子、干姜这类药物。如果胃气虚弱且过食生冷之物，遏制了阳气在脾土之中，这属于火郁的病证，应用升发郁火的药物来发散它，以升阳散火汤为主方。各经的实火，参照后面的方剂调理即可，不要固执拘泥。
另一论说：男子和妇人四肢发热，筋骨间发热，肌表发热如火，触摸时烫手。这种病多因血虚而得。或者是脾虚过食生冷之物，遏制阳气于脾土之中，火郁结则用发散的方法治疗。
升阳散火汤
升麻、葛根、羌活、独活、白芍、人参（各六分），炙甘草（二分），柴胡（三分），防风（二分半），生甘草（二分）。
以上药材锉碎为一剂，加生姜煎服。忌食生冷等物。
另一论说：三焦实火，六经积热，烦躁口渴，口舌生疮，小便赤红，大便干结，一切有余的实火。
凉膈散
连翘（一钱五分），黄芩（一钱），栀子（一钱），桔梗（一钱），薄荷（五分），大黄（一钱），芒硝（一钱），甘草（三分）。
以上药材锉碎，用水煎煮，加入蜂蜜同服。咽喉痛，加桔梗、荆芥。酒毒，加黄连、干葛，名为清心汤，用蜂蜜、竹叶同煎。咳嗽且呕吐，加半夏、生姜。鼻衄吐血，加当归、赤芍、生地。小便淋漓不畅，加滑石、赤茯苓。风眩，加防风、川芎、石膏。斑疹，加干葛、荆芥、川芎、赤芍药、防风、桔梗。咳嗽，加桑白皮、杏仁、桔梗。阳毒发斑，加当归。结胸心下满闷，加桔梗、枳壳。谵语发狂，甚至越墙跳井，这都是阳热极盛的表现，加黄连、黄柏、赤芍药。眼中翳障、红涩流泪，加菊花、木贼、生地黄。
大金花丸：解除各脏腑潜伏的热火。
黄连（去毛）、黄芩、黄柏（去皮）、栀子（去籽，各等分）。
以上研为细末，滴水制成丸药，如梧桐子大小。每次服用四五十丸，白开水送下。另一方：加桔梗、大黄（酒煨），治疗上焦一切热症，兼治鼻出血。
另一论说：积热积痰，以及五脏三焦有余的热邪，夹杂热邪导致的下利，食积痞闷，咽喉痛，眼睛红肿，中暑中热，烦躁等症状，以及初发的肿毒兼治。
黄金丸
大黄（煨制）、郁金（即姜黄，要极小的为佳）、牙皂（去筋皮，各等分）。
以上研为细末，用牛胆汁放入瓷罐内，煎成稀膏，调和药粉制成丸药，如梧桐子大小。每次服用三五十丸，根据病情轻重加减剂量，白开水送下。大便稍微通利一两次就停止，不损伤元气。
另一论说：上焦积热，风痰壅滞，头目红肿，或有疮疖，咽喉不利，大小便闭涩，一切风热。也能磨化酒食等各种停滞。
神芎丸
黑丑（四两），滑石（四两），大黄（一两），黄芩（二两），黄连（五钱），川芎（五钱），薄荷（五钱）。
以上研为细末，滴水制成丸药，如梧桐子大小。每次服用五十丸，温水送下。
上清丸（朱全吾传授）：治疗上焦痰火咳嗽，这是心脾有热的表现。
龙脑（二分，另研），硼砂（二分，另研），薄荷末（一两），川芎末（五钱），桔梗末（二钱），甘草末（二钱）。
以上研为细末，炼蜜制成丸药，如龙眼核大小。每次服用一丸，临睡前含化，或者饭后茶清咽下。
一位四十多岁的妇人，夜间发热，清晨退热，五心烦热，没有休止的时候。半年后六脉皆数，脉象伏而且牢，轻取完全不应手。用升阳散火汤四剂，热势减轻大半，胸中觉得清爽畅快胜过之前。再给两剂，热势全部消退。后来用四物汤加黄柏、知母，少佐以炒黑的干姜，二十剂后完全痊愈。
Pulse that is floating, surging (Hong), and rapid indicates deficient fire. Pulse that is deep and solid-large indicates excess fire. A surging-large pulse appearing at the left Cun position indicates Heart Fire. Appearing at the right Cun position indicates Lung Fire. Appearing at the left Guan position indicates Liver Fire. Appearing at the right Guan position indicates Spleen Fire. At both Chi positions, it refers to the Fire of the Kidney Meridian and Mingmen (Gate of Vitality). In men, if the pulses at both Chi positions are surging and large, seminal emission will inevitably occur; this is due to flourishing Yin Fire. The Zang-Fu organs of humans each possess fire, but there are differences between deficiency and excess. However, excess fire can be purged; for example, Huanglian (Coptidis Rhizoma) purges Heart Fire, Huangqin (Scutellariae Radix) purges Lung Fire, Shaoyao (Paeoniae Radix) purges Spleen Fire, Shigao (Gypsum Fibrosum) purges Stomach Fire, Chaihu (Bupleuri Radix) purges Liver Fire, and Zhimu (Anemarrhenae Rhizoma) purges Kidney Fire. These are all bitter-cold substances capable of purging surplus fire. If dietary irregularities or overwork cause internal injury to Yuan Qi (Original Qi), where fire and righteous qi cannot coexist, this constitutes a disease of Yang deficiency, which should be treated with sweet-warm formulas, such as Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma). If Yin is weak and Yang is hyperactive, with Xianghuo (Ministerial Fire) blazing and invading Yin positions, this constitutes a disease of Blood deficiency, which should be treated with sweet-cold formulas to descend it, such as Danggui (Angelicae Sinensis Radix) and Dihuang (Rehmanniae Radix). If Heart Fire is extremely hyperactive with stagnant heat internally solidified, this constitutes a disease of Yang hyperactivity, which should be treated with salty-cold formulas to subdue and break it, such as Dahuang (Rhei Radix et Rhizoma) and Mangxiao (Natrii Sulfas). If Kidney Water is affected by cold, causing True Yin to lose its hold and generating rootless fire, this constitutes a disease of Yin deficiency, which should be treated with formulas that strengthen Water (nourish Kidney Yin) to control it, such as Shengdi (Rehmanniae Radix Preparata) and Xuanshen (Scrophulariae Radix). If there is decline of Mingmen Fire in the Kidney Meridian, this constitutes a disease of Yang collapse, which should be treated with warm-hot formulas to assist it, such as Fuzi (Aconiti Lateralis Radix Preparata) and Ganjiang (Zingiberis Rhizoma). If Stomach deficiency combined with excessive consumption of cold foods suppresses Yang Qi within the Spleen Earth, this constitutes a disease of Fire Depression, which should be treated with ascending and dispersing formulas to vent it, primarily using Shengyang Sanhuo Tang (Ascending Yang and Dispersing Fire Decoction). For excess fire in various meridians, adjust according to the following formulas without being rigid.
Another discussion: Men and women experiencing heat in the four limbs, heat between bones and sinews, and heat on the muscle surface like fire, burning upon touch. This condition often arises from Blood deficiency. Alternatively, it may result from Spleen deficiency and excessive consumption of cold foods, suppressing Yang Qi within Spleen Earth; when Fire is depressed, it should be dispersed.
Shengyang Sanhuo Tang (Ascending Yang and Dispersing Fire Decoction)
Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duohuo (Angelicae Pubescentis Radix), Baishao (Paeoniae Radix Alba), Renshen (Ginseng Radix et Rhizoma) (each 6 fen), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma) (2 fen), Chaihu (Bupleuri Radix) (3 fen), Fangfeng (Saposhnikoviae Radix) (2.5 fen), Shenggancao (Raw Glycyrrhizae Radix et Rhizoma) (2 fen).
Crush these into one dose, decoct with fresh ginger, and take orally. Avoid raw and cold foods.
Another discussion: Excess Fire of the Sanjiao (Triple Burner), accumulated heat in the Six Meridians, irritability and thirst, sores on the mouth and tongue, red urine, constipation, and all types of surplus fire.
Liangge San (Cooling the Diaphragm Powder)
Lianqiao (Forsythiae Fructus) (1.5 qian), Huangqin (Scutellariae Radix) (1 qian), Zhizi (Gardeniae Fructus) (1 qian), Jiegeng (Platycodonis Radix) (1 qian), Bohe (Menthae Haplocalycis Herba) (0.5 qian), Dahuang (Rhei Radix et Rhizoma) (1 qian), Mangxiao (Natrii Sulfas) (1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (0.3 qian).
Crush these, decoct in water, and take with honey. For sore throat, add Jiegeng (Platycodonis Radix) and Jingjie (Schizonepetae Spica). For alcohol toxicity, add Huanglian (Coptidis Rhizoma) and Gange (Puerariae Lobatae Radix); this is named Qingxin Tang (Clear Heart Decoction), decocted with honey and Zhuye (Bambusae Folium). For cough with vomiting, add Banxia (Pinelliae Rhizoma) and Shengjiang (Zingiberis Rhizoma Recens). For epistaxis and hematemesis, add Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), and Shengdi (Rehmanniae Radix Preparata). For dysuria, add Huashi (Talcum) and Chifuling (Poria cum Rosa). For wind-induced vertigo, add Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Shigao (Gypsum Fibrosum). For macules and rashes, add Gange (Puerariae Lobatae Radix), Jingjie (Schizonepetae Spica), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chishao (Paeoniae Radix Rubra), Fangfeng (Saposhnikoviae Radix), and Jiegeng (Platycodonis Radix). For cough, add Sangbaipi (Mori Cortex), Xingren (Armeniacae Semen Amarum), and Jiegeng (Platycodonis Radix). For Yang toxin with macules, add Danggui (Angelicae Sinensis Radix). For chest binding with fullness below the heart, add Jiegeng (Platycodonis Radix) and Zhike (Aurantii Fructus). For delirium and mania, such as climbing walls or jumping into wells, indicating extreme Yang heat, add Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Chinensis Cortex), and Chishao (Paeoniae Radix Rubra). For eye nebula, turbidity, redness, dryness, and tearing, add Juhua (Chrysanthemi Flos), Muzei (Equiseti Herba), and Shengdi (Rehmanniae Radix Preparata).
Dajinhua Wan (Great Golden Flower Pill): Resolves latent fire in various heat-affected Zang organs.
Huanglian (Coptidis Rhizoma) (remove hairs), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Chinensis Cortex) (remove bark), Zhizi (Gardeniae Fructus) (remove seeds, equal parts).
Grind into powder, mix with water drops to form pills the size of Sophora seeds. Take 40-50 pills per dose with plain warm water. Another variation: Add Jiegeng (Platycodonis Radix) and Dahuang (Rhei Radix et Rhizoma) stir-fried with wine to treat all upper Jiao heat syndromes, also treating nasal bleeding.
Another discussion: Accumulated heat and phlegm, along with excess heat in the Five Zang organs and Sanjiao, complicated by heat-induced diarrhea, food stagnation and chest oppression, sore throat, red and swollen eyes, heatstroke, irritability, etc., and early-stage carbuncles and sores.
Huangjin Wan (Golden Treasure Pill)
Dahuang (Rhei Radix et Rhizoma) (stir-fried), Yujin (Curcumae Radix) (preferably very small ones are best), Yazao (Gleditsiae Sinensis Spina) (remove tendons and skin, equal parts).
Grind into fine powder. Use ox bile, place in a porcelain jar, boil into a thin paste, mix with the medicine to form pills the size of Sophora seeds. Take 30-50 pills per dose, adjusting according to severity, with plain warm water. Stop after one or two bowel movements to avoid damaging Yuan Qi (Original Qi).
Another discussion: Upper Jiao accumulated heat, wind-phlegm obstruction, red and swollen head and eyes, possibly carbuncles and boils, throat discomfort, constipation and difficult urination, all wind-heat conditions. It can also grind away stagnations from alcohol and food.
Shenxiong Wan (Divine Xiong Pill)
Heiqiu (Bruxellae Semen Preparatum) (4 liang), Huashi (Talcum) (4 liang), Dahuang (Rhei Radix et Rhizoma) (1 liang), Huangqin (Scutellariae Radix) (2 liang), Huanglian (Coptidis Rhizoma) (5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (5 qian), Bohe (Menthae Haplocalycis Herba) (5 qian).
Grind into powder, mix with water drops to form pills the size of Sophora seeds. Take 50 pills per dose with warm water.
Shangqing Wan (Upper Clearing Pill) (Transmitted by Zhu Quanwu): Treats upper Jiao phlegm-fire cough, indicating heat in the Heart and Spleen.
Longnao (Borneolum Syntheticum) (2 fen, separately ground), Pengsha (Borax) (2 fen, separately ground), Bohe Mo (Menthae Haplocalycis Herba powder) (1 liang), Chuanxiong Mo (Ligustici Chuanxiong Rhizoma powder) (5 qian), Jiegeng Mo (Platycodonis Radix powder) (2 qian), Gancao Mo (Glycyrrhizae Radix et Rhizoma powder) (2 qian).
Grind into fine powder, mix with refined honey to form pills the size of longan seeds. Take one pill per dose, holding it in the mouth before sleep to dissolve, or swallow with tea clear after meals.
A woman in her forties experienced fever at night, subsiding in the morning, with five-palm heat, unceasing. After half a year, all six pulses were rapid, deep, firm, and completely unresponsive to light palpation. She was given four doses of Shengyang Sanhuo Tang (Ascending Yang and Dispersing Fire Decoction), reducing the heat by more than half, with the chest feeling clearer and more comfortable than before. Two additional doses caused the heat to completely recede. Subsequently, she was treated with Siwu Tang (Four Substances Decoction) plus Huangbai (Phellodendri Chinensis Cortex) and Zhimu (Anemarrhenae Rhizoma), with a small amount of stir-fried black Ganjiang (Zingiberis Rhizoma). After twenty doses, she fully recovered.
Another treatment for bone-steaming internal heat syndrome, characterized by occasional external chills, followed by internal heat after the chills pass. During peak bone-steaming, the four limbs feel slightly numb, and the dorsum of the feet swells. This disease resides within the Zang-Fu organs.
Taibai San (Taibai Powder)
Baishigao (Prepared Gypsum Fibrosum) calcined and ground into powder. Mix with fresh well water and take one square-inch spoonful, stopping when body heat subsides.