治肝经实火。头晕目眩。耳聋耳鸣。惊悸搐搦。躁扰狂越。大便秘结。小便涩滞。或胸
胁作痛。阴囊肿胀。凡属肝经实火。皆宜服之。
当归芦荟黛栀将。木麝二香及四黄。龙胆其成十一味。诸凡肝火尽能攘。（当归胆草酒
洗栀子黄连黄柏黄芩各一两。大黄青黛水飞芦荟各五钱。木香二钱五分。麝香五分炒。神曲
糊丸。姜汤下每服二十丸。）
陈修园曰。五脏各有火。而肝火最横。肝火一动。每挟诸经之火。相持为害。故以青黛
芦荟龙胆。入本经而直折之。又以黄芩泻肺火。黄连泻心火。黄柏泻肾火。栀子泻三焦火。
分诸经而泻之。而最横之肝火。失其党援。而乃平。然火旺则血虚。故以当归之补血者为君。
火旺则胃实。故以大黄之通滞者为臣。气有余便是火。故以麝香之主持正气。神曲之化导积
气。木香之通行滞气者为佐。气降。火亦降。自然之势也。况又得芩连栀柏。分泻各经。青
黛芦荟龙胆。直折本经。内外应合以为之使乎。立法最奇。向来为庸解所掩。兹特阐之。
主治吐衄便血。妇人血崩赤淋。
犀角地黄芍药丹。（生地两半。白芍一两。丹皮犀角各二钱半。每服五钱。）血升胃热火
邪干。斑黄阳毒皆堪治。或益柴芩总伐肝。
柯韵伯曰。气为阳。血为阴。阳密乃固。阳盛则伤阴矣。阴平阳秘。阴虚者。阳必凑之
矣。故气有余即是火。火入血室。血不营经。即随逆气而妄行。上升者出于口鼻。下陷者出
于二便。虽有在经在腑之分。要皆心肝受热所致也。心为营血之主。心火旺则血不宁。故用
犀角生地酸咸甘寒之味。以清君火。肝为藏血之室。肝火旺则血不守。故用丹皮芍药辛苦微
寒之品。以平相火。此方虽曰清火。而实滋阴之剂。盖血失则阴虚。阴虚则无气。故阴不足
者。当补之以味。勿得反伤其气也。若用芩连胆草栀柏以泻其气。则阳之剧者。苦从火化。
阳已衰者。气从苦发。燎原而飞越矣。
治疗肝经实火证。症状包括头晕目眩、耳聋耳鸣、惊悸抽搐、烦躁狂乱、大便秘结、小便涩滞，或者胸胁疼痛、阴囊肿胀。凡是属于肝经实火的病症，都适宜服用此方。
当归芦荟丸由当归、芦荟、青黛、栀子、木香、麝香、二香（木香、沉香）、四黄（大黄、黄连、黄柏、黄芩）、龙胆草组成共十一味药。（具体剂量为：当归、龙胆草需酒洗，栀子、黄连、黄柏、黄芩各一两；大黄、青黛需水飞，芦荟各五钱；木香二钱五分；麝香五分，炒制。用神曲糊丸，姜汤送服，每次二十丸。）
陈修园说：五脏各有火邪，而肝火最为横逆。肝火一旦发动，常常挟带其他经络的火邪，相互勾结为害。因此，使用青黛、芦荟、龙胆草，进入肝本经以直接折损其火势；又用黄芩泻肺火，黄连泻心火，黄柏泻肾火，栀子泻三焦火，分别清泻各经之火。这样，原本最横逆的肝火失去了同党的支援，从而得以平息。然而，火旺则导致血虚，所以用具有补血作用的当归作为君药；火旺则导致胃腑实滞，所以用具有通导积滞作用的大黄作为臣药。气有余便是火，所以用麝香主持正气，神曲化导积气，木香通行滞气，作为佐药。气机下降，火邪也随之下降，这是自然的趋势。况且又有黄芩、黄连、栀子、黄柏分别清泻各经之火，青黛、芦荟、龙胆草直接折损本经之火，内外呼应配合，起到使药的作用。此方立法奇特，向来被平庸的解说所掩盖，现在特意加以阐发。
犀角地黄汤由犀角、地黄、芍药、牡丹皮组成。（具体剂量为：生地黄一两半，白芍一两，牡丹皮、犀角各二钱半。每次服用五钱药量。）血热上冲、胃中火热、热邪干扰所致之症，以及斑疹发黄、阳毒等病证皆可治疗。若兼有肝郁，可加入柴胡、黄芩以总伐肝火。
柯韵伯说：气属阳，血属阴。阳气致密才能固护阴液，阳气过盛则会损伤阴液。阴平阳秘，若阴虚，阳气必会凑合其上。因此，气有余就是火，火邪侵入血室，血液不能正常滋养经脉，就会随着逆乱之气妄行外溢。向上逆行的从口鼻而出，向下陷落的从大小便而出。虽然病位有在经在腑的区别，但归根结底都是心肝受热所致。心是营血的主宰，心火旺盛则血液不宁，所以使用犀角、生地等酸咸甘寒性质的药物，以清泻君火（心火）；肝是藏血的脏器，肝火旺盛则血液失守，所以使用牡丹皮、芍药等辛苦微寒性质的药物，以平抑相火（肝火）。此方虽然名为清火，但实际上是滋阴的剂型。因为失血会导致阴虚，阴虚则无气生成，所以对于阴不足者，应当用厚味的药物来补益，不要反而损伤其气。如果使用黄芩、黄连、龙胆草、栀子、黄柏等苦寒药物来泻气，那么阳气极盛者，苦味会从火化燥；阳气已衰者，气分会从苦味发散，导致如火燎原般飞越失控。
Treats excess fire in the Liver channel. Symptoms include dizziness and vertigo, deafness and tinnitus, palpitations with convulsions, restlessness and mania, constipation, dysuria, or pain in the chest and hypochondrium, and swelling of the scrotum. For all conditions belonging to excess fire of the Liver channel, this formula is suitable.
Danggui Lure Wan (Angelica Sinensis and Aloe Pill) consists of Danggui (Angelicae Radix), Lure (Aloe), Qingdai (Indigo Naturalis), Zhizi (Gardeniae Fructus), Muxiang (Aucklandiae Radix), Shexiang (Moschus), two types of Xiang (Muxiang and Chenxiang), four types of Huang (Dahuang, Huanglian, Huangbai, Huangqin), and Longdancao (Gentianae Radix), totaling eleven ingredients. (Dosages: Danggui and Longdancao are washed with wine; Zhizi, Huanglian, Huangbai, and Huangqin are each 1 liang; Dahuang, Qingdai are water-washed, and Lure is 5 qian; Muxiang is 2.5 qian; Shexiang is 0.5 qian, stir-fried. Formed into pills with Shenqu paste, taken with ginger decoction, 20 pills per dose.)
Chen Xiuyuan stated: Each of the five Zang organs has its own fire, but Liver fire is the most rampant. Once Liver fire moves, it often carries the fire of other meridians, supporting each other to cause harm. Therefore, Qingdai, Lure, and Longdancao are used to enter the Liver meridian and directly subdue it. Additionally, Huangqin clears Lung fire, Huanglian clears Heart fire, Huangbai clears Kidney fire, and Zhizi clears Sanjiao fire, dispersing and clearing the fire of various meridians. Thus, the most rampant Liver fire loses its allies and is pacified. However, excessive fire leads to blood deficiency, so Danggui, which nourishes blood, is used as the Sovereign herb. Excessive fire leads to stomach excess/stagnation, so Dahuang, which unblocks stagnation, is used as the Minister herb. "Excess Qi becomes Fire," so Shexiang directs righteous Qi, Shenqu transforms and guides accumulated Qi, and Muxiang circulates stagnant Qi, serving as Assistant herbs. When Qi descends, Fire also descends, which is a natural tendency. Moreover, with Huangqin, Huanglian, Zhizi, and Huangbai clearing respective meridians, and Qingdai, Lure, and Longdancao directly subduing the Liver meridian, they coordinate internally and externally as Envoy herbs. The formulation principle is unique, previously obscured by mediocre interpretations, which is now specifically elucidated.
Indicated for hematemesis, epistaxis, hematochezia, uterine bleeding (metrorrhagia) in women, red leukorrhea, and strangury.
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) consists of Xijiao (Rhinocerotis Cornu), Dihuang (Rehmanniae Radix), Shaoyao (Paeoniae Radix), and Danpi (Moutan Cortex). (Dosages: Shengdi (Raw Rehmanniae Radix) 1.5 liang, Baishao (White Paeoniae Radix) 1 liang, Danpi and Xijiao each 2.5 qian. Take 5 qian per dose.) It treats conditions caused by blood heat rising, stomach fire, and heat pathogen interference, as well as macules, jaundice, and Yang toxicity. If Liver depression is present, Chaihu (Bupleuri Radix) and Huangqin can be added to generally subdue Liver fire.
Ke Yunbo stated: Qi belongs to Yang, Blood belongs to Yin. When Yang is dense, it secures Yin. When Yang is excessive, it injures Yin. When Yin and Yang are balanced, if Yin is deficient, Yang will inevitably converge upon it. Therefore, excess Qi is Fire. When Fire enters the Blood chamber, Blood fails to nourish the meridians and follows rebellious Qi to flow recklessly upward from the mouth and nose, or downward from the two bowels. Although there are distinctions between being in the meridians or fu organs, ultimately these are caused by Heat affecting the Heart and Liver. The Heart is the master of Ying-Blood; when Heart Fire is excessive, Blood is restless. Therefore, Xijiao and Shengdi, with sour, salty, sweet, and cold properties, are used to clear the Sovereign Fire (Heart Fire). The Liver is the residence storing Blood; when Liver Fire is excessive, Blood does not remain contained. Therefore, Danpi and Shaoyao, with bitter, pungent, and slightly cold properties, are used to pacify the Minister Fire (Liver Fire). Although this formula is named for clearing Fire, it is essentially a Yin-nourishing agent. Because blood loss leads to Yin deficiency, and Yin deficiency leads to Qi deficiency, those with insufficient Yin should be supplemented with substantial flavors, without damaging their Qi. If one uses Huangqin, Huanglian, Longdancao, Zhizi, and Huangbai to drain Qi, then for those with severe Yang, the bitter flavor will transform into Fire due to dryness; for those with already depleted Yang, Qi will scatter due to bitterness, leading to uncontrollable escalation like a prairie fire.