【积热酸软之症】四肢烦疼，时或重滞，手足心时冷时热，或发热如疟，时或清爽，时
或倦怠，时或身重，如负重物，小便黄赤，大便乍难乍易，此积热酸软之症也。
【积热酸软之因】或膏粱积热，湿热甚于肠胃之中，或饮酒使内，热气聚于脾中而不散
，或多饮茶汤，水湿久积于内，则成积热酸软之症矣。
【积热酸软之脉】多见弦数，弦主脾病，数主脾热。右关弦数，肠胃积热。左脉弦数，
【积热酸软之治】膏粱积热，栀连二陈汤、清胃汤。热气聚于脾中者，栀连戊己汤。木
火乘脾者，龙胆泻肝汤。
栀连二陈汤
山栀 川黄连 陈皮 甘草 半夏 白茯苓
家秘用此方。清胃家痰火，胸前饱闷，加苍、朴。
清胃汤 治胃中有火无痰。
升麻 川黄连 山栀 甘草 丹皮
口干渴，加干葛。唇焦消水，加石膏。
栀连戊己汤
山栀 川黄连 白芍药 甘草
家秘用此方，清脾火，兼清肝火。
龙胆泻肝汤 治肝胆实火。
龙胆草 黄芩 山栀 知母 天门冬 麦门冬 柴胡 人参 甘草 川黄连
酸软痿挛，病在筋脉。方书以为肝经所主，然细详病情，实阳明经主病者多。以阳明为
宗筋之会，主束骨而利机关，且阳明为水谷之海，湿热本于此。湿热在经，未变燥热，湿主
乎柔，则发酸软，湿热变燥，则燥主乎刚，燥伤血脉，筋劲脉强。二症起病相同，传变各别
，故治法各异。治痿挛，用清润宗筋，治酸软，主清燥宗筋，家秘平胃散、苍独三妙丸，合
圣惠方，治酸软之大法也。
【积热酸软之症】四肢烦扰疼痛，时而感觉沉重滞涩，手足心有时发冷有时发热，或者出现像疟疾一样的发热症状，时而神志清爽，时而疲倦乏力，时而身体沉重，如同背负着重物，小便颜色黄赤，大便时而困难时而容易，这就是积热酸软的症状。
【积热酸软之因】或者是由于食用肥甘厚味导致积热，湿热在肠胃中积聚严重；或者是饮酒后行房事，热气聚集在脾脏中无法消散；或者是大量饮用茶和汤水，水湿长久积聚在体内，从而形成积热酸软的症状。
【积热酸软之脉】脉象多见弦数（弦脉主脾病，数脉主脾热）。右关部脉象弦数，提示肠胃有积热。左脉弦数，（原文此处中断，未完整描述左脉具体对应脏腑或后续论述，仅保留现有内容翻译）。
【积热酸软之治】对于膏粱积热，使用栀连二陈汤、清胃汤。热气聚集在脾中的，使用栀连戊己汤。木火乘侮脾土的，使用龙胆泻肝汤。
栀连二陈汤
山栀 川黄连 陈皮 甘草 半夏 白茯苓
家秘（作者自注）用此方。用于清除胃家的痰火，若胸前饱闷，加苍术、厚朴。
清胃汤 治疗胃中有火而无痰的情况。
升麻 川黄连 山栀 甘草 丹皮
若口干渴，加干葛。若嘴唇焦裂且饮水不解渴，加石膏。
栀连戊己汤
山栀 川黄连 白芍药 甘草
家秘用此方，用于清脾火，兼清肝火。
龙胆泻肝汤 治疗肝胆实火。
龙胆草 黄芩 山栀 知母 天门冬 麦门冬 柴胡 人参 甘草 川黄连
酸软痿挛，病位在筋脉。方书认为这是肝经所主，然而详细分析病情，实际上是阳明经主病的较多。因为阳明经是宗筋汇聚之处，主管约束骨骼并利于关节运动，而且阳明经是水谷之海，湿热产生于此。湿热在经络中，尚未转化为燥热，湿性主柔，所以表现为酸软；湿热转化为燥热，则燥性主刚，燥邪损伤血脉，导致筋劲脉强。这两种病症起病相同，但传变各异，所以治疗方法不同。治疗痿挛，采用清润宗筋的方法；治疗酸软，主要采用清燥宗筋的方法，家秘平胃散、苍独三妙丸，结合圣惠方的方法，是治疗酸软的大法。
[Symptoms of Accumulated Heat and Soreness] The four limbs are vexed and painful, sometimes feeling heavy and stagnant. The palms of the hands and soles of the feet may feel cold or hot at different times. There may be fever resembling malaria (Malaria-like fever), with periods of mental clarity alternating with fatigue. The body may feel heavy as if bearing a heavy load. Urine is yellow and red. Stool alternates between difficulty and ease. These are the symptoms of accumulated heat and soreness.
[Etiology of Accumulated Heat and Soreness] This condition arises from the accumulation of heat due to a diet rich in fatty and sweet foods, where damp-heat accumulates severely within the intestines and stomach. It can also result from sexual intercourse after drinking alcohol, causing heat qi to gather in the Spleen and fail to dissipate. Alternatively, excessive consumption of tea and soups leads to long-term accumulation of water-dampness internally, thereby forming the syndrome of accumulated heat and soreness.
[Pulse of Accumulated Heat and Soreness] The pulse is predominantly wiry and rapid (Wiry pulse indicates Spleen disease; Rapid pulse indicates Spleen heat). A wiry and rapid pulse at the Right Guan position indicates accumulated heat in the intestines and stomach. A wiry and rapid pulse at the Left [position]... (Text incomplete).
[Treatment of Accumulated Heat and Soreness] For accumulated heat from rich food, use Zhilian Erchen Tang (Gardenia and Coptis Two-Chen Decoction) or Qingwei Tang (Stomach-Clearing Decoction). For heat qi gathering in the Spleen, use Zhilian Wuji Tang (Gardenia and Coptis Wu-Ji Decoction). For Wood-Fire invading the Spleen, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction).
Zhilian Erchen Tang
Gardeniae Fructus (Shanzhi)
Coptidis Rhizoma (Chuanhuanglian)
Citri Reticulatae Pericarpium (Chenpi)
Glycyrrhizae Radix et Rhizoma (Gancao)
Pinelliae Rhizoma Preparatum (Banxia)
Poria (Baifuling)
Author's secret note: Use this formula to clear phlegm-fire from the Stomach. If there is fullness and oppression in the chest, add Atractylodis Rhizoma (Cangzhu) and Magnoliae Officinalis Cortex (Houpo).
Qingwei Tang
Indicates treatment for fire in the Stomach without phlegm.
Angelicae Dahuricae Radix (Shengma)
Coptidis Rhizoma (Chuanhuanglian)
Gardeniae Fructus (Shanzhi)
Glycyrrhizae Radix et Rhizoma (Gancao)
Moutan Cortex (Danpi)
If there is dry mouth and thirst, add Puerariae Radix (Gange). If lips are scorched and water intake does not quench thirst, add Gypsum Fibrosum (Shigao).
Zhilian Wuji Tang
Gardeniae Fructus (Shanzhi)
Coptidis Rhizoma (Chuanhuanglian)
Paeoniae Radix Alba (Baishao)
Glycyrrhizae Radix et Rhizoma (Gancao)
Author's secret note: Use this formula to clear Spleen fire and simultaneously clear Liver fire.
Longdan Xiegan Tang
Indicates treatment for Excess Fire of the Liver and Gallbladder.
Gentianae Scabrae Radix (Longdancao)
Scutellariae Radix (Huangqin)
Gardeniae Fructus (Shanzhi)
Anemarrhenae Rhizoma (Zhimu)
Asparagi Radix (Tianmendong)
Ophiopogonis Radix (Maimendong)
Bupleuri Radix (Chaihu)
Panax Ginseng (Renshen)
Glycyrrhizae Radix et Rhizoma (Gancao)
Coptidis Rhizoma (Chuanhuanglian)
Soreness, flaccidity, and spasms involve the sinews and vessels. Medical texts attribute this to the Liver Meridian, but upon detailed analysis of the condition, it is often primarily related to the Yangming Meridian. This is because the Yangming Meridian is the convergence of all sinews, governing the binding of bones and the mobility of joints. Furthermore, the Yangming Meridian is the Sea of Water and Grain, where damp-heat originates. When damp-heat resides in the meridians without transforming into dryness-heat, the nature of dampness is soft, resulting in soreness. When damp-heat transforms into dryness-heat, the nature of dryness is rigid, damaging the blood vessels and causing stiff sinews and strong pulses. Although these two conditions share similar onset, their progression differs, necessitating different treatments. To treat flaccidity and spasms, one uses methods to moisten and clear the sinews. To treat soreness, one primarily uses methods to clear dryness from the sinews. The author's Pingwei San (Pingwei Powder), Cangdu Sanmiao Wan (Cangdu Sanmiao Pill), combined with methods from the Shenghui Fang (Shenghui Formulas), constitute the major principles for treating soreness.