（附论）
夫心生血。血行于分肉之间。遇热则腠理开。腠理开则汗出。盖心之液为汗。汗出亡阳。
阳
夫血脉充塞。营卫不行。心气壅塞。上焦烦热。即多汗也。心象于火。其液为汗。今阳
气发
方
羚羊角汤 治心热汗出。及骨蒸烦躁。盗汗出。不生肌。
羚羊角（镑） 地骨皮 秦艽（洗去苗土） 麦门冬（去心焙） 枳壳（去瓤麸炒） 大
黄（锉）
柴
炙去裙
各一两） 上捣筛。每服三钱。水一中盏。煎七分。去滓温服。不拘时。
地骨皮丸 治五脏壅滞。或时烦热。频多汗出。
地骨皮（三分） 柴胡（去苗） 子芩 生干地黄 麻黄根 知母 川升麻 人参（去
芦头）
上为末。
降气汤 治心热多汗。言笑无度。四肢烦热。
麻黄（去根节） 栀子仁 黄芩（去黑心） 白茯苓（去黑皮） 白术（锉） 芒硝（各
三两）
石膏
（二合）
上捣
七宝汤（一名人参汤）治心热多汗。口苦舌干。涕唾稠粘。胸中烦闷。不思
饮食。
犀角汤（出圣惠方）治心气壅热。手心头面多汗。胸中烦满。
犀角（镑） 龙骨 黄 （锉） 麦门冬（去心焙） 地骨皮 茯神（去木） 人参 麻
黄根
远志
一盏。
去
石膏丸（出圣惠方）治心脏壅热。口舌干燥。多汗。
石膏（研） 栝蒌根 麻黄根 乌梅肉 葛根（锉） 天竺黄（研） 牡蛎（烧各一两）
甘草
（炙
水下。
不拘时。
麦门冬散（去圣惠方）治心实热。血脉壅塞。口干心躁。常多汗出。
麦门冬（去心焙） 寒水石（各一两） 川升麻 犀角屑 生干地黄 天竺黄（细研） 麻
黄
根（
柴胡饮 治心热多汗。及骨蒸盗汗。咳嗽。五心烦热。
柴胡（去苗二两） 桑根白皮（锉） 防风（去叉） 芍药 玄参 黄芩（去黑心） 甘
草（炙
锉各
卧。
牡蛎散（出圣惠方）治心热。汗出不止。
牡蛎粉 寒水石（各一两） 铅霜（细研） 朱砂（细研如面各半两） 甘草末（生用）
故扇
灰（
小麦汤 治心热多汗。及心胃客热。呕逆不睡。
小麦（一合） 芦根（一握锉） 竹茹 人参（各一两） 白茯苓（去黑皮二两） 上
捣筛。每
服五
泻心汤（一名竹叶汤）治心热多汗。欲吐不出。烦闷喘急。头痛。并皆治之
。
黄连散 治心热汗出。及虚热盗汗。
黄连（去须半两） 柴胡（去苗） 前胡（去芦头各一两） 上为细散。每服一钱。温
酒调下。日
熟干地黄汤 治虚热多汗。
用熟干地黄五两。锉如麻豆大。以水五盏。煎至三盏。去滓。温分三服。空心日午临卧
服之
治心闷汗出不识人。以汲井华水。和蜜饮之。甚妙。
陈艾汤（出危氏方）治盗汗只自心头出。名曰心汗。
用茯苓二两半。为末。每服二钱。浓煎艾汤调下。
（附论）
心脏负责生成血液。血液运行于肌肉间隙之间。遇到热邪时，腠理（皮肤纹理及汗孔）就会张开。腠理张开则导致出汗。因为心之液为汗。出汗过多会耗损阳气。
血脉充盈阻塞，营气与卫气运行不畅，心气壅滞堵塞，上焦出现烦热症状，这就表现为多汗。心在象数上对应火，其体液为汗。如今阳气发散……
方剂：
羚羊角汤：治疗心热导致的汗出，以及骨蒸潮热、烦躁不安、盗汗、肌肉不生等症。
药材：羚羊角（镑片）、地骨皮、秦艽（洗净去苗土）、麦门冬（去心焙干）、枳壳（去瓤麸炒）、大黄（锉碎）、柴胡（炙去裙襕，各一两）。
用法：将上述药材捣碎过筛。每次服用三钱，加水一中盏，煎至七分，去渣温服。不限时间。
地骨皮丸：治疗五脏气机壅滞，时而烦热，频繁多汗。
药材：地骨皮（三分）、柴胡（去苗）、子芩、生干地黄、麻黄根、知母、川升麻、人参（去芦头）。
用法：将上述药材研为细末。
降气汤：治疗心热多汗，言语笑闹无节制，四肢烦热。
药材：麻黄（去根节）、栀子仁、黄芩（去黑心）、白茯苓（去黑皮）、白术（锉碎）、芒硝（各三两）、石膏（二合）。
用法：将上述药材捣碎……
七宝汤（又名人参汤）：治疗心热多汗，口苦舌干，鼻涕唾液稠粘，胸中烦闷，不思饮食。
犀角汤（出自《圣惠方》）：治疗心气壅热，手心、头部、面部多汗，胸中烦满。
药材：犀角（镑片）、龙骨、黄芩（锉碎）、麦门冬（去心焙干）、地骨皮、茯神（去木心）、人参、麻黄根、远志。
用法：加水一盏……去渣……
石膏丸（出自《圣惠方》）：治疗心脏壅热，口舌干燥，多汗。
药材：石膏（研细）、栝蒌根、麻黄根、乌梅肉、葛根（锉碎）、天竺黄（研细）、牡蛎（烧制，各一两）、甘草（炙）。
用法：用水送下。不限时间。
麦门冬散（出自《圣惠方》）：治疗心实热证，血脉壅塞，口干心烦，经常多汗。
药材：麦门冬（去心焙干）、寒水石（各一两）、川升麻、犀角屑、生干地黄、天竺黄（细研）、麻黄根……
柴胡饮：治疗心热多汗，以及骨蒸盗汗，咳嗽，五心烦热。
药材：柴胡（去苗二两）、桑根白皮（锉碎）、防风（去叉）、芍药、玄参、黄芩（去黑心）、甘草（炙）。
用法：锉碎……卧服……
牡蛎散（出自《圣惠方》）：治疗心热，汗出不止。
药材：牡蛎粉、寒水石（各一两）、铅霜（细研）、朱砂（细研如面粉状，各半两）、甘草末（生用）、故扇灰。
小麦汤：治疗心热多汗，以及心胃客热，呕吐逆气，无法入睡。
药材：小麦（一合）、芦根（一握锉碎）、竹茹、人参（各一两）、白茯苓（去黑皮二两）。
用法：将上述药材捣碎过筛。每次服用五钱……
泻心汤（又名竹叶汤）：治疗心热多汗，想吐却吐不出，烦闷喘急，头痛，均能治疗。
黄连散：治疗心热汗出，以及虚热盗汗。
药材：黄连（去须半两）、柴胡（去苗）、前胡（去芦头，各一两）。
用法：将上述药材研为细散。每次服用一钱，用温酒调服。每日……
熟干地黄汤：治疗虚热多汗。
用法：取熟干地黄五两，锉碎如麻豆大小。加水五盏，煎至三盏，去渣。分三次温服。空腹、日中、临卧时服用。
治疗心闷汗出不识人：用汲取的井华水，调和蜂蜜饮用，效果极佳。
陈艾汤（出自《危氏方》）：治疗盗汗仅从心头发出，名为心汗。
用法：取茯苓二两半，研为细末。每次服用二钱，用浓煎的艾叶汤调服。
(Attached Discussion)
The Heart generates blood. Blood circulates between the muscle layers (fenrou). When encountering heat, the couli (pores and skin texture) open. When the couli open, sweat is excreted. The fluid of the Heart is sweat. Excessive sweating depletes Yang Qi.
When blood vessels are congested and blocked, Ying (Nutritive) and Wei (Defensive) Qi fail to circulate properly. Heart Qi becomes stagnant and obstructed, causing vexatious heat in the Upper Jiao, which manifests as hyperhidrosis. The Heart corresponds to Fire in symbolic theory, and its fluid is sweat. Now, when Yang Qi dissipates...
Formulas:
Lingyangjiao Tang (Antelope Horn Decoction): Treats hyperhidrosis due to Heart Heat, as well as bone-steaming fever, irritability, night sweats, and failure of flesh to regenerate.
Ingredients: Lingyangjiao (Antelope Cornu, sliced), Digupi (Cortex Lycii), Qinjiao (Radix Gentianae Macrophyllae, washed to remove seedlings and soil), Maimendong (Radix Ophiopogonis, heart removed and roasted), Zhike (Fructus Aurantii, pith removed and stir-fried with bran), Dahuang (Radix et Rhizoma Rhei, chopped), Chaihu (Radix Bupleuri, roasted to remove skirt-like residue, each 1 liang).
Usage: Crush and sieve the above ingredients. Take 3 qian per dose. Add one zhong of water, decoct until seven parts remain, strain, and take warm. Time is not restricted.
Digupi Wan (Cortex Lycii Pill): Treats stagnation in the five Zang organs, occasional vexatious heat, and frequent hyperhidrosis.
Ingredients: Digupi (Cortex Lycii, 3 fen), Chaihu (Radix Bupleuri, seedlings removed), Zihuang (Radix Scutellariae, young root), Sheng Dihuang (Radix Rehmanniae Recens, dried), Mahuanggen (Caulis Ephedrae), Zhimu (Rhizoma Anemarrhenae), Chuan Shengma (Rhizoma Cimicifugae Foetidae), Renshen (Radix Ginseng, rhizome removed).
Usage: Grind into fine powder.
Xiangqi Tang (Qi-Descending Decoction): Treats hyperhidrosis due to Heart Heat, excessive talking and laughing, and vexatious heat in the four limbs.
Ingredients: Mahuang (Herba Ephedrae, roots and joints removed), Zhizi Ren (Semen Gardeniae), Huangqin (Radix Scutellariae, black heart removed), Baifuling (Poria, black skin removed), Baizhu (Radix Atractylodis Macrocephalae, chopped), Mangxiao (Natrii Sulfas, each 3 liang), Shigao (Gypsum Fibrosum, 2 he).
Usage: Crush the above ingredients...
Qibao Tang (Seven Treasures Decoction, also known as Renshen Tang): Treats hyperhidrosis due to Heart Heat, bitter taste in the mouth, dry tongue, thick and sticky nasal discharge and saliva, chest oppression and irritability, and loss of appetite.
Xijiao Tang (Rhinoceros Horn Decoction, from *Shenghui Fang*): Treats congested and hot Heart Qi, hyperhidrosis on the hands, head, and face, and chest fullness and irritability.
Ingredients: Xijiao (Cornu Rhinocerotis, sliced), Longgu (Os Draconis or Os fossilia Mamuthi), Huangqin (Radix Scutellariae, chopped), Maimendong (Radix Ophiopogonis, heart removed and roasted), Digupi (Cortex Lycii), Fushen (Poria with Hostwood, wood removed), Renshen (Radix Ginseng), Mahuanggen (Caulis Ephedrae), Yuanzhi (Radix Polygalae).
Usage: Add one zhan of water... strain...
Shigao Wan (Gypsum Pill, from *Shenghui Fang*): Treats congested and hot Heart, dry mouth and tongue, and hyperhidrosis.
Ingredients: Shigao (Gypsum Fibrosum, ground), Gualougen (Radix Trichosanthis), Mahuanggen (Caulis Ephedrae), Wumei Rou (Sarcotesta Pruni Mume), Gegen (Radix Puerariae, chopped), Tianzhuhuang (Sap Bambusae, ground), Muli (Concha Ostreae, calcined, each 1 liang), Gancao (Radix Glycyrrhizae, roasted).
Usage: Take with water. Time is not restricted.
Maimendong San (Ophiopogon Powder, from *Shenghui Fang*): Treats excess heat in the Heart, congestion of blood vessels, dry mouth, cardiac restlessness, and frequent hyperhidrosis.
Ingredients: Maimendong (Radix Ophiopogonis, heart removed and roasted), Hanshuishi (Halloysitum Rubrum, each 1 liang), Chuan Shengma (Rhizoma Cimicifugae Foetidae), Xijiao Xie (Cutis Cornu Rhinocerotis), Sheng Dihuang (Radix Rehmanniae Recens, dried), Tianzhuhuang (Sap Bambusae, finely ground), Mahuanggen (Caulis Ephedrae)...
Chaihu Yin (Bupleurum Drink): Treats hyperhidrosis due to Heart Heat, as well as bone-steaming night sweats, cough, and vexatious heat in the five centers (palms, soles, and chest).
Ingredients: Chaihu (Radix Bupleuri, seedlings removed, 2 liang), Sangbaipipi (Cortex Mori Radicis, chopped), Fangfeng (Radix Saposhnikoviae, forked tips removed), Shaoyao (Radix Paeoniae Alba), Xuanshen (Radix Scrophulariae), Huangqin (Radix Scutellariae, black heart removed), Gancao (Radix Glycyrrhizae, roasted).
Usage: Chop... take before lying down...
Muli San (Oyster Shell Powder, from *Shenghui Fang*): Treats Heart Heat and continuous hyperhidrosis.
Ingredients: Muli Fen (Concha Ostreae powder), Hanshuishi (Halloysitum Rubrum, each 1 liang), Qianshuang (Plumbum Subacetatum, finely ground), Zhusha (Cinnabar, finely ground like flour, each half liang), Gancao Mo (Radix Glycyrrhizae powder, raw), Gusfan Hui (Ash of old fan).
Xiaomai Tang (Wheat Decoction): Treats hyperhidrosis due to Heart Heat, as well as guest heat in the Heart and Stomach, vomiting and regurgitation, and insomnia.
Ingredients: Xiaomai (Frumentum Tritici Vulgaris, 1 he), Lugeng (Rhizoma Phragmitis, a handful chopped), Zhuru (Caulis Bambusae in Taenia), Renshen (Radix Ginseng, each 1 liang), Baifuling (Poria, black skin removed, 2 liang).
Usage: Crush and sieve the above ingredients. Take 5 qian per dose...
Xixin Tang (Heart-Purging Decoction, also known as Zhuye Tang): Treats hyperhidrosis due to Heart Heat, inability to vomit despite nausea, chest oppression, rapid breathing, headache. It treats all these conditions.
Huanglian San (Coptis Powder): Treats hyperhidrosis due to Heart Heat, as well as night sweats due to deficiency heat.
Ingredients: Huanglian (Rhizoma Coptidis, whiskers removed, half liang), Chaihu (Radix Bupleuri, seedlings removed), Qianhu (Radix Peucedani, rhizome removed, each 1 liang).
Usage: Grind into fine powder. Take 1 qian per dose, mixed with warm wine. Daily...
Shugan Dihuang Tang (Prepared Rehmannia Decoction): Treats hyperhidrosis due to deficiency heat.
Usage: Use 5 liang of Shugan Dihuang (Radix Rehmanniae Preparata), chop into sizes similar to hemp seeds. Add five zhan of water, decoct until three zhan remain, strain, and divide into three warm doses. Take on an empty stomach, at noon, and before bed.
To treat Heart oppression with hyperhidrosis leading to unconsciousness: Draw well-water (Jinghua Shui), mix with honey, and drink. This is highly effective.
Chen Ai Tang (Aged Mugwort Decoction, from *Wei Shi Fang*): Treats night sweats originating only from the Heart, known as "Heart Sweat."
Usage: Use 2.5 liang of Fuling (Poria), grind into powder. Take 2 qian per dose, mixed with strongly decocted Mugwort tea.