治男妇带浊，遗淋色赤带血，脉滑多热，便血不止。及血崩血淋，或经期太早，凡
阴虚内热动血等证。
生地 熟地 芍药（二钱） 山药 川续断 黄芩 黄柏（钱半） 生甘草（一钱） 如
小水多热
汗者，加
钱。如气
地榆一二
地山药。
（东垣又名通关丸。）治下焦邪热，口不渴，而小便秘。及肾虚蒸热，脚膝无力，阴痿
阴汗，冲脉上冲而喘。（肾中有水有火，水不足则火独治，故虚热。肝肾虚而淫热壅于下焦，
故脚膝无力阴痿阴汗。冲脉起于二阴之交，直冲而上至胸，水不制火，故气逆上而喘。）
黄柏（酒炒二两） 知母（酒炒一两） 桂（一钱） 蜜丸。
小便者，足太阳膀胱所主，生于肺金。肺中伏热，水不能生，是绝小便之源也。渴而小
便不
珀灯
泻火而清肺，滋水之化源也。若热在下焦而不渴，是绝其流而溺不泄也，须用气味俱浓
阴中
饮食
膀胱
积热
剂，
上焦
中有
分气
去桂名疗肾滋本丸，治肾虚目昏。去桂加黄连，名黄柏滋肾丸，治上热下冷。（阳极似
阴。）
酒调服
（东垣） 治肌热表热，四肢发热，骨髓中热，热如火燎，扪之烙手。此病多因血
之，及胃虚过食冷物，抑遏阳气于脾土。并宜服此。
柴胡（八钱） 防风（二钱半） 葛根 升麻 羌活 独活 人参 白芍（五钱） 炙
甘草（三钱）
柴胡以发少阳之火，为君。升葛以发阳明之火，羌活以发太阳之火，独活以发少阴之火，
为
益
鹤皋曰∶经曰，少火生气，天非此火不能生物，人非此火不能有生。扬之则光，遏之则天。
今为饮食抑遏，则生道几乎息矣。使清阳出上窍，则浊阴自归下窍。而饮食传化，无抑遏之
患矣。东垣圣于脾胃，治之必主升阳。俗医知降而不知升，是扑其少火也，安望其卫生耶。
又曰∶古人用辛散，每佐以酸收。故桂枝汤中亦用芍药，独兵家之节制也。）
除人参独活加葱白，名火郁汤，治同。（火愈者，内热外寒，脉沉而数，火愈无焰，故
外寒
陶节奄升阳散火汤。人参白术茯神甘草陈皮麦冬当归芍药柴胡黄芩。加姜枣，金器煎。
治伤
此乃
实，
小
【保阴煎】治疗男女白带浑浊，遗尿淋证且尿液色赤带血，脉象滑数且体内有热，便血不止。以及血崩、血淋，或月经周期过早，凡是阴虚内热导致动血等证候。
生地黄、熟地黄、芍药（各二钱）、山药、川续断、黄芩、黄柏（各一钱半）、生甘草（一钱）。如果小便多有热感并伴有汗出者，加地榆一二钱；如果气虚下陷，加山药。
【滋肾丸】（李东垣又名通关丸。）治疗下焦邪热，口不渴，但小便闭塞不通。以及肾虚产生的蒸蒸发热，脚膝无力，阳痿，阴部出汗，冲脉之气上冲导致气喘。（肾中既有水又有火，水不足则火独旺，所以产生虚热。肝肾虚弱而淫热壅滞于下焦，所以脚膝无力、阳痿、阴部出汗。冲脉起于二阴之间，直冲而上至胸部，水不能制约火，所以气逆向上而气喘。）
黄柏（酒炒二两）、知母（酒炒一两）、肉桂（一钱），制成蜜丸。
小便由足太阳膀胱所主，其源生于肺金。肺中有伏热，水液不能生成，这是断绝了小便的源头。口渴而小便不利，需用泻火清肺、滋补水之化源的药物。如果热在下焦而不口渴，这是断绝了水流而溺液不泄，须用气味浓烈、属阴中的阳剂（指苦寒沉降之品）来分利气化。去掉肉桂名为疗肾滋本丸，治疗肾虚目昏。去掉肉桂加入黄连，名为黄柏滋肾丸，治疗上热下冷（阳极似阴）。用酒调服。
【升阳散火汤】（李东垣）治疗肌肤发热、体表发热，四肢发热，骨髓中发热，热势如火烧燎，触摸时烫手。此病多因饮食劳倦损伤气血，以及胃气虚弱过食生冷之物，使阳气被抑制遏阻在脾土之中。都适宜服用此方。
柴胡（八钱）、防风（二钱半）、葛根、升麻、羌活、独活、人参、白芍（各五钱）、炙甘草（三钱）。
柴胡用来发散少阳经的火邪，作为君药。升麻、葛根用来发散阳明经的火邪，羌活用来发散太阳经的火邪，独活用来发散少阴经的火邪，作为臣药。
鹤皋说：《内经》说，少火生气，天地没有此火不能化生万物，人没有此火不能维持生命。扬起它则有光，遏制它则无光。现在因为饮食等因素抑制遏阻，那么生发之道几乎要熄灭了。如果使清阳之气出于上窍，那么浊阴之气自然归于下窍。而饮食的传化，就没有被抑制遏阻的祸患了。李东垣精通脾胃学说，治疗此类疾病必定以升阳为主。世俗医生只知道降气而不知道升阳，这是扑灭人体的少火，怎能期望他们养生呢？又说：古人使用辛散药物，常佐以酸收药物。所以桂枝汤中也使用芍药，这是像兵法一样的节制之法。）
除去人参和独活，加入葱白，名为火郁汤，治疗相同的病症。（火郁证表现为内热外寒，脉象沉而数，火郁结而无焰，所以表现为外寒。）
陶节庵引用升阳散火汤：人参、白术、茯神、甘草、陈皮、麦冬、当归、芍药、柴胡、黄芩。加入生姜、大枣，用金器煎煮。治疗伤……（原文此处残缺）此乃……实……小……
[Baoyin Decoction] Treats leukorrhea and turbid discharge in men and women, spermatorrhea and stranguria with red urine containing blood, slippery pulse indicating internal heat, and persistent hematochezia. It also treats metrorrhagia, bloody stranguria, or menstruation occurring too early, covering all syndromes where Yin deficiency with internal heat causes bleeding.
Shengdi Huang (Rehmanniae Radix Preparata), Shudi Huang (Rehmanniae Radix Preparata), Shaoyao (Paeoniae Radix Alba), Shanyao (Dioscoreae Rhizoma), Chuanxuduan (Dipsaci Radix), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex) [each 2 qian], Sheng Gancao (Glycyrrhizae Radix et Rhizoma Preparata) [1 qian]. If there is frequent urination with heat sensation and sweating, add Diyu (Sanguisorbae Radix) 1-2 qian; if there is Qi sinking, add Shanyao (Dioscoreae Rhizoma).
[Zishen Wan] (Li Dongyuan also calls it Tongguan Wan.) Treats pathogenic heat in the Lower Jiao, thirstlessness, but urinary retention. It also treats steaming fever due to Kidney deficiency, weakness of the legs and knees, impotence, sweating of the genital area, and asthma caused by the Chong Mai (Penetrating Vessel) Qi rushing upward. (The Kidney contains both Water and Fire; when Water is insufficient, Fire acts alone, thus generating deficient heat. Liver and Kidney deficiency allows excessive heat to stagnate in the Lower Jiao, causing weakness of the legs and knees, impotence, and genital sweating. The Chong Mai originates between the two yins and rushes straight up to the chest; when Water cannot control Fire, Qi rebels upward causing asthma.)
Huangbai (Phellodendri Cortex prepared with wine) [2 liang], Zhimu (Anemarrhenae Rhizoma prepared with wine) [1 liang], Rougui (Cinnamomi Cortex) [1 qian], made into honey pills.
Urination is governed by the Foot-Taiyang Bladder channel and its source lies in Lung Metal. Hidden heat in the Lung prevents the generation of fluids, thereby cutting off the source of urine. Thirst with urinary difficulty requires herbs that purge fire, clear the Lung, and nourish the source of Water transformation. If heat is in the Lower Jiao without thirst, this indicates a blockage of flow preventing urination; one must use heavy-tasting, Yin-within-Yang agents (bitter-cold descending herbs) to separate Qi and transform dampness. Removing Rougui yields Liaoshen Ziben Wan for treating blurred vision due to Kidney deficiency. Removing Rougui and adding Huanglian yields Huangbai Zishen Wan for treating upper heat and lower cold (Extreme Yang resembling Yin). Take with wine.
[Shengyang Sanhuo Tang] (Li Dongyuan) Treats heat in the muscles and surface, heat in the four limbs, heat in the bone marrow, feeling as if burning like fire, hot to the touch. This disease often arises from damage to Qi and Blood due to diet and overwork, or from Spleen-Stomach deficiency combined with excessive consumption of cold foods, which suppresses and obstructs Yang Qi within the Spleen Earth. This formula is suitable for such conditions.
Chaihu (Bupleuri Radix) [8 qian], Fangfeng (Saposhnikoviae Radix) [2.5 qian], Gegen (Puerariae Radix), Shengma (Cimicifugae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Renshen (Ginseng Radix et Rhizoma), Baishao (Paeoniae Radix Alba) [each 5 qian], Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) [3 qian].
Chaihu disperses the fire of the Shaoyang channel, serving as the Sovereign herb. Shengma and Gegen disperse the fire of the Yangming channel; Qianghuo disperses the fire of the Taiyang channel; Duhuo disperses the fire of the Shaoyin channel, serving as the Minister herbs.
He Gao stated: The Classic says, "Minor Fire generates Qi." Heaven and Earth cannot generate things without this fire, and humans cannot sustain life without it. When raised, it shines; when suppressed, it vanishes. Now, due to dietary suppression, the path of generation is nearly extinguished. If Clear Yang emerges from the upper orifices, then Turbid Yin naturally returns to the lower orifices. Thus, the digestion and transformation of food will suffer no obstruction. Li Dongyuan was masterful in treating the Spleen and Stomach; his treatment must prioritize raising Yang. Common physicians only know how to descend Qi but not how to raise it; this is extinguishing the Minor Fire, how can they hope to preserve health? He further said: Ancients used acrid-dispersing herbs often assisted by sour-astringent herbs. Therefore, Guizhi Tang also uses Shaoyao, acting as a military-style restraint.)
Removing Renshen and Duhuo, and adding Congbai (Allii Fistulosum Bulbus), yields Huoyu Tang, treating the same condition. (Huoyu syndrome presents with internal heat and external cold, a deep and rapid pulse; the fire is constrained without flame, hence presenting as external cold.)
Tao Jie'an cites Shengyang Sanhuo Tang: Renshen, Baizhu (Atractylodis Macrocephalae Rhizoma), Fushen (Poria cum Radix et Lignum), Gancao, Chenpi (Citri Reticulatae Pericarpium), Maidong (Ophiopogonis Radix), Danggui (Angelicae Sinensis Radix), Baishao, Chaihu, Huangqin. Add Jiang (Zingiberis Rhizoma) and Zao (Jujubae Fructus), decocted in a gold vessel. Treats injury... (text incomplete) This is... excess... small...