〔钱〕肝热，手寻衣领及乱捻物，泻青丸主之。壮热，饮水喘闷，泻白散主之。
〔薛〕肝热者，左颊先赤，便难转筋，多怒多惊，四肢困倦，寅卯时益甚，宜泻青丸、
柴胡饮子。
心热，视其睡，口中气温，或合面睡及上窜切牙，皆心热也，导赤散主之。（心
气热、则心胸亦热，欲言不能，而有就冷之意，故合面卧。）〔薛〕心热者，额上先赤，心烦
心痛，掌中热而哕，或壮热饮水，巳午时益甚，宜泻心汤、导赤散、安神丸。
脾热，则目黄肚大，怠惰嗜卧，身热饮水，四肢不收，泻黄散主之。〔薛〕脾
热者，鼻上先赤，其热在肌肉，遇夜益甚。
肺热，手掐眉目鼻面，甘桔汤主之；咳嗽寒热，壮热饮水，凉膈散主之；若肺
虚热，唇深红色，少服泻白散。〔薛〕肺热者，右颊先赤，日西热甚，轻则用泻白
散，重则用凉膈散及地骨皮散。
肾热，两足不喜衣覆，地黄丸主之。〔薛〕肾热者，颏下先赤，两足热甚，骨酥酥
如虫蚀，热甚不能起于床，夜间益甚，宜用滋肾丸。
泻青丸（见肝脏） 泻心汤 导赤散 安神丸（并见心脏） 泻黄散（见脾脏） 泻白散（见
肺脏）
栀子清肝散（一名柴胡栀子散） 治三焦及足少阳经风热发热，耳内作痒生疮，或出水
疼痛，或胸乳间作痛，寒热往来。
柴胡 栀子（炒） 牡丹皮（各一钱） 茯苓 川芎 芍药 当归 牛蒡子（炒。各七分）
甘草（三分）
上，水煎服。
柴胡清肝散 治肝胆三焦风热怒火，或乍寒乍热，往来寒热，发热或头发疮毒等证。
柴胡（一钱半） 黄芩（炒） 人参 川芎（各一钱） 山栀（炒，一钱半） 连翘 甘草（各五分）
桔梗（八分）
上，水煎服。
柴胡饮子 解肌热、蒸热、积热，或汗后余热，脉洪实弦数，大便坚实。
黄芩（七分） 甘草（四分） 大黄（八分） 芍药（七分） 柴胡 人参（各五分）
当归（一钱）
上，每服一钱，姜水煎。
龙脑饮子 此泻脾经热，可代泻黄散用，治小儿蕴热，咽喉肿痛，赤眼口疮，心烦
鼻衄，咽干多渴，睡卧不宁，及除痰热咳嗽，中暑烦躁，一切风壅。
甘草（四两，炙） 大栀子（三两，炒） 藿香叶（半两） 石膏（一两） 缩砂 栝蒌
（各七钱半）
上为末。每服一钱，蜜水调服，不拘时。治伤寒余毒，潮热虚汗，加竹叶煎服。
滋肾丸 治肾热。
黄柏（酒拌，炒焦，三钱） 知母（二钱） 肉桂（五分）
上为末，熟水丸，桐子大。每服二十丸至三十丸，食前，百沸汤下。
【钱乙】肝热，表现为手抓衣领及胡乱捻弄物品，用泻青丸主治。高热，口渴饮水且气喘胸闷，用泻白散主治。
【薛己】肝热者，左脸颊先发红，大便困难、筋脉拘挛抽搐，容易发怒和惊悸，四肢疲倦无力，在寅时到卯时（凌晨3点至7点）症状加重，适宜用泻青丸、柴胡饮子。
心热，观察其睡眠状态，口中气息温热，或者趴着睡以及咬紧牙齿，都是心热的表现，用导赤散主治。（心气有热，则心胸也感到发热，想说话却说不出来，并有寻求凉爽的意愿，所以喜欢趴着睡。）【薛己】心热者，额头先发红，心烦意乱、心痛，手掌心发热且呃逆，或者高热口渴饮水，在巳时到午时（上午9点至下午1点）症状加重，适宜用泻心汤、导赤散、安神丸。
脾热，则眼睛发黄、腹部胀大，精神倦怠嗜睡，身体发热口渴饮水，四肢无力不能收持，用泻黄散主治。【薛己】脾热者，鼻梁上先发红，热邪在肌肉层面，到了夜晚症状加重。
肺热，手掐眉目鼻面部位，用甘桔汤主治；咳嗽伴有寒热交替，高热口渴饮水，用凉膈散主治；如果是肺虚热，嘴唇呈深红色，少量服用泻白散。【薛己】肺热者，右脸颊先发红，傍晚时分热势加重，轻症用泻白散，重症用凉膈散及地骨皮散。
肾热，双脚不喜欢被衣物覆盖，用地黄丸主治。【薛己】肾热者，下巴先发红，双脚发热严重，骨骼酥软如被虫蛀蚀，热势严重时无法起床，夜间症状加重，适宜用滋肾丸。
泻青丸（见肝脏章节） 泻心汤 导赤散 安神丸（并见心脏章节） 泻黄散（见脾脏章节） 泻白散（见肺脏章节）
栀子清肝散（又名柴胡栀子散） 治疗三焦及足少阳经风热引起的发热，耳内瘙痒生疮，或流出液体疼痛，或胸乳间疼痛，寒热往来。
柴胡 栀子（炒） 牡丹皮（各一钱） 茯苓 川芎 芍药 当归 牛蒡子（炒。各七分） 甘草（三分）
以上药材，加水煎服。
柴胡清肝散 治疗肝胆三焦风热怒火，或忽冷忽热，寒热往来，发热或头发生疮毒等证候。
柴胡（一钱半） 黄芩（炒） 人参 川芎（各一钱） 山栀（炒，一钱半） 连翘 甘草（各五分） 桔梗（八分）
以上药材，加水煎服。
柴胡饮子 解肌表之热、蒸腾之热、积滞之热，或出汗后的余热，脉象洪大坚实弦数，大便干结坚硬。
黄芩（七分） 甘草（四分） 大黄（八分） 芍药（七分） 柴胡 人参（各五分） 当归（一钱）
以上药材，每次服用一钱，用姜水煎服。
龙脑饮子 此方泻脾经之热，可代替泻黄散使用，治疗小儿蕴积之热，咽喉肿痛，红眼口疮，心烦鼻出血，咽干多渴，睡卧不宁，以及清除痰热咳嗽，中暑烦躁，一切风邪壅滞。
甘草（四两，蜜炙） 大栀子（三两，炒） 藿香叶（半两） 石膏（一两） 缩砂 栝蒌（各七钱半）
以上研为细末。每次服用一钱，用蜂蜜水调服，不限时间。治疗伤寒余毒，潮热虚汗，加竹叶煎服。
以上研为细末，用热水泛丸，如梧桐子大小。每次服用二十丸至三十丸，饭前，用滚开水送服。
[Qian] Liver heat manifests as the child grasping at clothing collars and randomly twisting objects; Xie Qing Wan (Cathartic Green Pill) is the primary prescription. With high fever, thirst for drinking water, panting, and chest oppression, Bai Du San (White Decoction to Drain) is indicated.
[Xue] In cases of liver heat, the left cheek reddens first; there is difficulty in defecation, tendon spasms, irritability, frequent惊 (startle/fright), and fatigue in the four limbs. Symptoms worsen during Yin-Mao hours (3:00-7:00 AM). Xie Qing Wan (Cathartic Green Pill) and Chai Hu Yin Zi (Bupleurum Drink) are appropriate.
Heart heat can be identified by observing sleep patterns: warm breath from the mouth, sleeping face-down, or grinding teeth all indicate heart heat. Chi Dai San (Red Water Decoction) is the primary prescription. (When Heart Qi has heat, the chest and heart feel hot; the patient desires to speak but cannot, and seeks coldness, hence the preference for sleeping face-down.) [Xue] In cases of heart heat, the forehead reddens first; symptoms include mental restlessness, heart pain, heat in the palms, and hiccups. Or, with high fever and thirst for water, symptoms worsen during Si-Wu hours (9:00 AM-1:00 PM). Xin Xie Tang (Decoction to Drain the Heart), Chi Dai San (Red Water Decoction), and An Shen Wan (Spirit-Calming Pill) are indicated.
Spleen heat presents with yellow eyes, abdominal distension, lethargy, drowsiness, body heat, thirst for water, and weakness of the four limbs unable to support movement. Huang San (Yellow Powder) is the primary prescription. [Xue] In cases of spleen heat, the bridge of the nose reddens first; the heat resides in the muscles and worsens at night.
Lung heat manifests as pinching the eyebrows, eyes, nose, and face; Gan Jie Tang (Licorice and Platycodon Decoction) is indicated. For cough with alternating chills and fever, high fever, and thirst, Liang Ge San (Cool the Diaphragm Powder) is indicated. If it is Lung deficiency heat with deep red lips, a small dose of Bai Du San (White Decoction to Drain) should be taken. [Xue] In cases of lung heat, the right cheek reddens first; heat is severe in the late afternoon. Mild cases use Bai Du San (White Decoction to Drain); severe cases use Liang Ge San (Cool the Diaphragm Powder) and Di Gu Pi San (Morus Bark Powder).
Kidney heat manifests as the feet disliking being covered by clothes; Di Huang Wan (Rehmannia Pill) is indicated. [Xue] In cases of kidney heat, the chin reddens first; the feet are very hot, bones feel soft and sore as if eaten by insects, and severe heat prevents getting out of bed. Symptoms worsen at night. Zi Shen Wan (Nourish Kidney Pill) is indicated.
Xie Qing Wan (Cathartic Green Pill) (See Liver Chapter) | Xin Xie Tang (Decoction to Drain the Heart) | Chi Dai San (Red Water Decoction) | An Shen Wan (Spirit-Calving Pill) (See Heart Chapter) | Huang San (Yellow Powder) (See Spleen Chapter) | Bai Du San (White Decoction to Drain) (See Lung Chapter)
Zhi Zi Qing Gan San (Gardenia Liver-Clearing Powder) (also known as Chai Hu Zhi Zi San/Bupleurum Gardenia Decoction) treats wind-heat fever affecting the Triple Burner and Foot Shaoyang Meridian, accompanied by ear itching, sores, discharge, pain, or pain between the chest and breasts, with alternating chills and fever.
Chai Hu (Bupleuri Radix) 1 qian, Zhi Zi (Gardeniae Fructus, stir-fried) 1 qian, Mu Dan Pi (Moutan Cortex) 1 qian, Fu Ling (Poria) 1 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 qian, Shao Yao (Paeoniae Radix Alba) 1 qian, Dang Gui (Angelicae Sinensis Radix) 1 qian, Niu Bang Zi (Arctii Fructus, stir-fried) 0.7 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.3 qian.
Decoct in water and take orally.
Chai Hu Qing Gan San (Bupleurum Liver-Clearing Powder) treats wind-heat and fire anger affecting the Liver, Gallbladder, and Triple Burner, or sudden chills and fever, alternating chills and fever, fever, or hair sores and toxins.
Chai Hu (Bupleuri Radix) 1.5 qian, Huang Qin (Scutellariae Radix, stir-fried) 1 qian, Ren Shen (Ginseng Radix et Rhizoma) 1 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 qian, Shan Zhi (Gardeniae Fructus, stir-fried) 1.5 qian, Lian Qiao (Forsythiae Fructus) 0.5 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian, Jie Geng (Platycodi Radix) 0.8 qian.
Decoct in water and take orally.
Chai Hu Yin Zi (Bupleurum Drink) resolves muscle-layer heat, steaming heat, accumulated heat, or residual heat after sweating. The pulse is surging, firm, wiry, and rapid; stool is dry and hard.
Huang Qin (Scutellariae Radix) 0.7 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.4 qian, Da Huang (Rhei Radix et Rhizoma) 0.8 qian, Shao Yao (Paeoniae Radix Alba) 0.7 qian, Chai Hu (Bupleuri Radix) 0.5 qian, Ren Shen (Ginseng Radix et Rhizoma) 0.5 qian, Dang Gui (Angelicae Sinensis Radix) 1 qian.
Take 1 qian per dose, decoct with ginger water.
Long Nao Yin Zi (Camphor Drink) clears spleen meridian heat and can replace Huang San (Yellow Powder). It treats pediatric internal heat accumulation, sore throat and swelling, red eyes and mouth ulcers, mental restlessness, epistaxis, dry throat with excessive thirst, restless sleep, phlegm-heat cough, summerheat-induced烦躁 (restlessness), and all types of wind obstruction.
Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) 4 liang, Da Zhi Zi (Gardeniae Fructus, stir-fried) 3 liang, Huo Xiang Ye (Agastachis Folium) 0.5 liang, Shi Gao (Gypsum Fibrosum) 1 liang, Suo Sha (Amomi Fructus Rotundus) 0.75 liang, Gua Lou (Trichosanthis Fructus) 0.75 liang.
Grind into powder. Take 1 qian per dose, mixed with honey water, at any time. For residual toxicity from cold damage with tidal fever and deficient sweating, add Zhu Ye (Phyllostachys Viridis Folium) and decoct.
Zi Shen Wan (Nourish Kidney Pill) treats kidney heat.
Huang Bo (Phellodendri Cortex, soaked in wine, stir-fried until scorched) 3 qian, Zhi Mu (Anemarrhenae Rhizoma) 2 qian, Rou Gui (Cinnamomi Cortex) 0.5 qian.
Grind into powder, make pills with warm water, size of paulownia seeds. Take 20-30 pills per dose before meals, washed down with boiling water.