〔大法〕
疮疡作渴，不问肿溃，但脉数发热而渴，用竹叶黄 汤。脉不数不发热，或脉数无力
而渴，或口干，用补中益气汤。若脉数便秘，用清凉饮。尺脉洪大按之无力而渴，用加减
八味丸。若治口燥，舌黄饮水不歇，此丸尤妙。
〔薛〕 疮疡作渴，若 痛发热，便利调和者，上焦热也，用竹叶石膏汤。肿痛发热，
大便秘涩者，五内热也，用四顺清凉饮， 肿痛甚者，热毒蕴结也，用仙方活命饮。漫
肿微痛者，气血虚壅也，用补中益气汤。若因胃火消烁，而津液短少者，用竹叶黄 汤。
若因胃气虚而不能生津液者，用补中益气汤。若因胃气伤而内亡津液者，用七味白术散。若
因肾水干涸作渴，或口舌干燥者，用加减八味丸。或先口干作渴，小便频数而后患疽，或
疽愈后作渴饮水，或舌黄干硬，小便数而疽生者，尤恶候也。苟能逆知其因，预服加减
八味丸、补中益气汤，以滋化源可免后患。
〔丹〕 痈疽发渴，乃气血两虚，用参 以补气，归 以养血，或忍冬丸、黄 六一
汤。
伍氏云∶疮作渴甚急，与神仙追毒丸，取下恶毒，清膻汤、千金漏芦汤、五香连翘汤、
六味车螯散、万金散皆可选用。利后仍渴，却用生津补气药，津液生，气血完，渴自止，丹
溪曰∶大渴而与利药，非明示脉证，何以知其当下？后言利后仍渴，却用补药，又不明
言脉证，恐是但有大渴必下，下后尚渴，方与补药，古人治未病，如此用药可乎？况渴
属上焦，当肿疡时犹或可用，若溃疡后，渴多因气血之虚，何待利后，方议其虚也。
《精要》口干与口渴不同，不宜用丹药镇坠，用之其祸如反掌，用桑枝煎五味汤，以
救阴水。丹溪曰∶此妙方也。而不言食味起火，怒气生火，房劳激火，吾恐渴亦未易除
也。
李氏云∶病疽愈后发渴，多致不救，惟加减八味丸最妙。盖痈疽多因虚而得，疽安
而渴者，服此丸则渴止，安而未渴者，服此丸永不发渴。或未疽而先渴者，服此不惟渴
止，而疽亦不作。薛氏曰∶前证属肾水枯涸。虚火上炎，口干作渴，饮水无度。或舌黄作
裂，小便频数。或痰气上壅，烦躁不宁。或二三年先作渴饮水。或口舌生疮，两足发热，
痰气上壅，或疮愈三四年而口干作渴，小便频数，急用前药，多有复生者。能逆知其因，
预服前丸，可免此患。若兼手足厥冷，真阳虚也，宜服八味丸。大凡疮后审其肾水不足，
用加减八味丸，中气虚弱用补中益气汤，气血虚弱，用十全大补汤，阳气虚寒加姜桂，如
不应，用八味丸。
托里消毒散加减法 饮冷作渴，热毒也，加赤小豆、知母，如不应，暂用竹叶黄 汤。
善食作渴，胃火也，加石膏、山栀、天花粉。如不应，暂用竹叶石膏汤。食少体倦作渴，胃
气虚也，去芷翘、金银花，加人参、白术。如不应，暂用补中益气汤。脓多而作渴，气血
虚也，去三味，加熟地黄、五味子。如不应，暂用十全大补汤加五味子、麦门冬。口干舌
燥，肾气虚也，去三味，加熟地黄、山茱萸、山药。如不应，兼六味丸。又不应，佐以补
中益气汤。自汗内热口干，胃气虚也，去三味，加参 、归术。如不应，暂用六君子汤。
盗汗内热口干，阴血虚也，去三味，加熟地黄、麦门冬、五味子。如不应，暂用当归六
黄汤。
竹叶黄 汤（《神秘》） 治痈疽大渴，发热或泻，或小便如淋。
生地黄 黄 （各二钱） 当归（酒拌） 淡竹叶 川芎 甘草（炙） 黄芩（炒） 白芍药（炒）
人参 栝蒌根 石膏（ ，各一钱） 麦门冬（去心，二钱）
水二盅，姜三片，煎八分，食远服。
薛氏曰∶前证乃七恶中之一也，此方治之，其功甚捷。亦有左手脉浮大而热或渴者，
宜发散表邪，右手脉沉实而热或渴者，宜疏去内邪。若溃后作渴，或小便如淋，或脉大
而无力者，属气血虚也，宜大补气血。亦有溃后热不止，或作渴，遂以为败证不治。若
素有胃火，或胃经热毒未尽，胃脉尚数者，仍宜服前汤，服而脉反大，热愈甚，渴愈作，斯
为败证，盖因真气虚而邪气实也。今之溃疡，畏石膏、黄芩二药，性冷多不肯服，若胃脉
未静，非此药莫能治也。若因循日久，煎熬气血，脓血愈多，气血愈虚，反成败证矣，治
者当舍证从脉可也，大抵疮疡之证，七恶内见一二恶，甚可畏；虚中见恶证者，不治；实
证无恶候者，自愈。
托里黄 汤 治证同前。
黄 （炒，六钱） 甘草（炙） 栝蒌根（各一钱）
水二盅，煎八分。频服之，加人参一钱，尤妙。
薛氏曰∶愚用此方治气虚作渴，甚效。若气血俱虚，或脓血大泄作渴，或兼发热者，宜
托里养荣汤。
托里养荣汤
人参 黄 （炙） 当归（酒拌） 芍药（炒） 熟地黄 麦门冬（去心） 川芎 白术（各一钱） 五
味子（研） 炙甘草（各五分）
水二盅，姜三片，枣二枚，煎八分，食远服。
黄 六一汤 常服终身，可免痈疽，实治渴补虚之要剂也。
绵黄 （六两，用淡盐水闰，饭上蒸，焙干） 甘草（一两，一半生，一半炙）
每锉一两，水二盅，煎八分，食远服。或为细末，每服二钱，早晨、日午，白汤调服。
加人参尤妙。
七味白术散 治胃气虚，或因克伐，或因吐泻口干作渴，饮食少思。
白术 茯苓（去皮） 人参（各七钱） 甘草（炙，一两半） 木香（二钱半） 藿香叶（半两）
葛根（一两）
上为细末，每服三五钱，白汤调下。
竹叶石膏汤 治痈疽，胃火盛，肿痛作渴。
淡竹叶 石膏 桔梗 木通 薄荷 甘草（炙）
上姜水煎服。
玄参散 治痈疽成脓水，不能下食，心烦，口干烦渴，饮水多，四肢羸瘦。
玄参 黄连（去须） 土瓜根 麦门冬（去心） 赤芍药 白鲜皮（各一两） 升麻（七钱半） 火
麻仁 川朴硝 川大黄（锉，炒，各一两半）
上锉。每服三钱，水一中盏，人生地黄一分，细切，同煎至六分，去滓，不拘时温
服。
葛根散 治痈肿热盛，口干烦渴，或时干呕。
葛根 黄 升麻 麦门冬（去心） 栝蒌根 赤芍药 栀子仁 生地黄（各一两） 黄芩
（七钱半） 甘草（生用，半两）
上锉。每服四钱，水中中盏，煎六分，去滓，无时温服。
干葛饮 治发背作渴。
黄芩 朴硝（各一两二钱半） 干葛（一两）
上锉散。每服三钱，用枇杷叶，去背上白毛净洗，同煎，不拘时服。
忍冬丸 治渴疾既愈，预防发疽。先将忍冬草入瓶内，后入无灰酒，微火煨一宿，取
出晒干，少加甘草，俱为末，又以所浸余酒调糊丸，如梧桐子大。每服六七十丸，温酒
下，又治五痔诸瘿。
桑枝方 大治口渴。取嫩桑枝，细切一升炒。以水三升，煎一升，日服五七剂，更
多尤妙。抱朴子云∶疗风痹干燥，臂痛香港脚，四肢拘挛，上气眩晕，久服补肺，消食，利
小便，轻身聪明，令人光泽，其功不能尽述。
薛氏曰∶桑枝补血气，生津液，轻身明目，补肺肾之良剂也。
五味子汤 治肾水枯涸，口燥舌干。
黄 （炒三两） 人参（二两） 五味子 麦门冬（去心，各一两） 粉甘草（炙，五钱）
每服五钱。水煎，日夜服，五七剂。
薛氏曰∶此方乃六一汤，生脉散之复方，滋化源之良剂。若肾水即涸，虚火上炎而口
燥作渴者，须佐以加减八味丸。
加减八味地黄丸
怀庆地黄（肥大沉水者，酒洗净，瓷碗盛之，大砂锅内，竹棒架起，汤浸过碗底，原盖盖之，湿
纸糊缝，勿令泄气，以火从巳至酉蒸之，候冷取出，晒极干，秤准八两重，再如前法蒸之，乘热杵
烂入药。） 干山药 山茱萸肉 五味子（各四两） 牡丹皮 白茯苓 泽泻（酒浸，蒸、焙，各三两）
肉桂（二两）
上各另为末。入地黄和匀，加炼蜜丸，如梧桐大。每服七八十丸，空心食前，白汤下。
李氏曰∶一贵人病疽未安而渴作，日饮水数升。予用前方。诸医大笑云∶此药若能
止渴，我辈不复业医矣！仍用木瓜、乌梅、百药煎等，渴愈甚。不得已，用此丸三日渴止，
久服气血益壮，饮食加倍。
【治疗大法】
疮疡引起的口渴，无论处于肿胀期还是溃破期，只要脉象数、发热且口渴，使用竹叶黄芪汤。如果脉象不数、不发热，或者脉数但无力而口渴，或者只是口干，使用补中益气汤。若脉数且便秘，使用清凉饮。尺部脉象洪大但重按无力而口渴，使用加减八味丸。如果是治疗口燥、舌苔黄、饮水不止的情况，此丸效果尤其好。
〔薛己〕 疮疡引起口渴，如果疼痛发热，二便调和的，属于上焦热盛，使用竹叶石膏汤。肿痛发热，大便秘结涩滞的，属于五脏内热，使用四顺清凉饮；肿痛剧烈的，属于热毒蕴结，使用仙方活命饮。漫肿微痛的，属于气血虚弱壅滞，使用补中益气汤。如果是因胃火消烁津液，导致津液短少而口渴，使用竹叶黄芪汤。如果是因胃气虚弱不能生津液，使用补中益气汤。如果是因胃气受伤而体内津液亡失，使用七味白术散。如果是因肾水干涸引起口渴，或口舌干燥，使用加减八味丸。或者先出现口干口渴，小便频数，随后患疽；或者疽疮愈合后出现口渴饮水，或者舌苔黄干硬，小便频数且生疽疮的，这都属于恶候。如果能预先知晓病因，提前服用加减八味丸、补中益气汤，以滋养化源，就可以避免后患。
〔朱丹溪〕 痈疽发作口渴，是气血两虚的表现，用人参来补气，当归来养血，或者使用忍冬丸、黄芪六一汤。
伍氏说：疮疡引起口渴非常急迫，给予神仙追毒丸，攻下恶毒之物，清膻汤、千金漏芦汤、五香连翘汤、六味车螯散、万金散都可以选用。攻下之后仍然口渴，才使用生津补气的药物，津液生成，气血完备，口渴自然停止。丹溪说：大渴却给予泻利药物，如果不明确指示脉证，怎么知道应当攻下？后面又说攻下后仍口渴，才用补药，又不明确说明脉证，恐怕意思是只有大渴必定要攻下，攻下后还渴，才给予补药。古人治未病，这样用药可以吗？况且口渴属于上焦，在肿疡阶段或许还可以用，如果在溃疡之后，口渴多是因为气血虚弱，何必等到攻下之后，才讨论其虚弱呢。
《精要》指出口干与口渴不同，不宜使用丹药镇坠，如果使用，祸患如反掌之间发生，应用桑枝煎五味汤，来救阴水。丹溪说：这是妙方。但没有提到饮食口味引发火邪，怒气生火，房劳激火，我担心口渴也未必容易消除。
李氏说：疽疮痊愈后发渴，大多导致无法救治，只有加减八味丸最妙。大概痈疽多因虚损而得病，疽疮安定而口渴的，服用此丸则口渴停止，安定而未口渴的，服用此丸永不发渴。或者尚未患疽而先口渴的，服用此药不仅口渴停止，而且疽疮也不会发生。薛己说：前证属于肾水枯涸，虚火上炎，口干作渴，饮水无度。或者舌苔黄出现裂纹，小便频数。或者痰气上壅，烦躁不宁。或者两三年先出现口渴饮水。或者口舌生疮，两足发热，痰气上壅，或者疮愈三四年后口干作渴，小便频数，紧急使用前药，多有复生的。能预先知晓病因，提前服用前丸，可避免此患。如果兼有手足厥冷，是真阳虚，适宜服用八味丸。大凡疮后审查其肾水不足，使用加减八味丸，中气虚弱使用补中益气汤，气血虚弱，使用十全大补汤，阳气虚寒加生姜、肉桂，如果无效，使用八味丸。
托里消毒散加减法：饮冷作渴，是热毒，加赤小豆、知母，如果无效，暂时使用竹叶黄芪汤。食欲旺盛作渴，是胃火，加石膏、山栀、天花粉。如果无效，暂时使用竹叶石膏汤。食少体倦作渴，是胃气虚，去掉白芷、连翘、金银花，加人参、白术。如果无效，暂时使用补中益气汤。脓多而作渴，是气血虚，去掉前三味药，加熟地黄、五味子。如果无效，暂时使用十全大补汤加五味子、麦门冬。口干舌燥，是肾气虚，去掉前三味药，加熟地黄、山茱萸、山药。如果无效，兼服六味丸。又无效，佐以补中益气汤。自汗内热口干，是胃气虚，去掉前三味药，加人参、当归、白术。如果无效，暂时使用六君子汤。盗汗内热口干，是阴血虚，去掉前三味药，加熟地黄、麦门冬、五味子。如果无效，暂时使用当归六黄汤。
竹叶黄芪汤（出自《神秘方》）：治疗痈疽大渴，发热或腹泻，或小便如淋沥状。
生地黄、黄芪（各二钱）、当归（酒拌）、淡竹叶、川芎、甘草（炙）、黄芩（炒）、白芍药（炒）、人参、栝蒌根、石膏（打碎，各一钱）、麦门冬（去心，二钱）。
用水二盅，姜三片，煎至八分，饭后服用。
薛己说：前证是七恶证中的一种，此方治疗它，功效非常迅速。也有左手脉浮大而热或口渴的，适宜发散表邪；右手脉沉实而热或口渴的，适宜疏解内邪。如果溃后作渴，或小便如淋，或脉大而无力，属于气血虚，宜大补气血。也有溃后热不止，或作渴，就认为是败证不治。如果素来有胃火，或胃经热毒未尽，胃脉尚数的，仍适宜服前汤，服药后脉反而更大，热更甚，渴更作，这才是败证，大概是因为真气虚而邪气实。现在的溃疡患者，畏惧石膏、黄芩二药，因为性冷大多不肯服用，如果胃脉未静，非此药不能治疗。如果因循日久，煎熬气血，脓血越多，气血越虚，反而成为败证了，医者应当舍证从脉。大概疮疡之证，七恶中出现一二恶，非常可怕；虚证中出现恶证的，不治；实证没有恶候的，自愈。
托里黄芪汤：治疗证候同前。
黄芪（炒，六钱）、甘草（炙）、栝蒌根（各一钱）。
用水二盅，煎至八分。频繁服用，加人参一钱，尤其好。
薛己说：我用此方治疗气虚作渴，非常有效。如果气血俱虚，或脓血大泄作渴，或兼发热者，适宜用托里养荣汤。
托里养荣汤
人参、黄芪（炙）、当归（酒拌）、芍药（炒）、熟地黄、麦门冬（去心）、川芎、白术（各一钱）、五味子（研）、炙甘草（各五分）。
用水二盅，姜三片，枣二枚，煎至八分，饭后服用。
黄芪六一汤：常服终身，可避免痈疽，确实是治渴补虚的重要药剂。
绵黄芪（六两，用淡盐水润湿，饭上蒸，焙干）、甘草（一两，一半生用，一半炙用）。
每次锉一两，用水二盅，煎至八分，饭后服用。或者制成细末，每次服二钱，早晨、日午，用白开水调服。加人参尤其好。
七味白术散：治疗胃气虚，或因攻伐，或因吐泻导致口干作渴，饮食少思。
白术、茯苓（去皮）、人参（各七钱）、甘草（炙，一两半）、木香（二钱半）、藿香叶（半两）、葛根（一两）。
以上为细末，每次服三五钱，用白开水调下。
竹叶石膏汤：治疗痈疽，胃火盛，肿痛作渴。
淡竹叶、石膏、桔梗、木通、薄荷、甘草（炙）。
以上用姜水煎服。
玄参散：治疗痈疽成脓水，不能进食，心烦，口干烦渴，饮水多，四肢羸瘦。
玄参、黄连（去须）、土瓜根、麦门冬（去心）、赤芍药、白鲜皮（各一两）、升麻（七钱半）、火麻仁、川朴硝、川大黄（锉，炒，各一两半）。
以上锉碎。每次服三钱，用水一中盏，加入生地黄一分，细切，同煎至六分，去渣，不拘时候温服。
葛根散：治疗痈肿热盛，口干烦渴，或时干呕。
葛根、黄芪、升麻、麦门冬（去心）、栝蒌根、赤芍药、栀子仁、生地黄（各一两）、黄芩（七钱半）、甘草（生用，半两）。
以上锉碎。每次服四钱，用水一中盏，煎至六分，去渣，不拘时候温服。
干葛饮：治疗发背作渴。
黄芩、朴硝（各一两二钱半）、干葛（一两）。
以上锉散。每次服三钱，用枇杷叶，去掉背上白毛洗净，同煎，不拘时候服用。
忍冬丸：治疗渴疾既愈，预防发疽。先将忍冬草放入瓶内，然后倒入无灰酒，微火煨一夜，取出晒干，少加甘草，都制成末，又用所浸余酒调糊做成丸，如梧桐子大。每次服六七十丸，温酒送下，又治五痔诸瘿。
桑枝方：大治口渴。取嫩桑枝，细切一升炒。用水三升，煎至一升，每日服五七剂，更多尤其好。抱朴子说：治疗风痹干燥，臂痛香港脚，四肢拘挛，上气眩晕，久服补肺，消食，利小便，轻身聪明，令人光泽，其功效不能尽述。
五味子汤：治疗肾水枯涸，口燥舌干。
黄芪（炒三两）、人参（二两）、五味子、麦门冬（去心，各一两）、粉甘草（炙，五钱）。
每次服五钱。水煎，日夜服用，五七剂。
薛己说：此方是六一汤、生脉散的复方，是滋化源的良剂。如果肾水即涸，虚火上炎而口燥作渴者，须佐以加减八味丸。
加减八味地黄丸
怀庆地黄（肥大沉水者，酒洗净，瓷碗盛之，大砂锅内，竹棒架起，汤浸过碗底，原盖盖之，湿纸糊缝，勿令泄气，以火从巳时至酉时蒸之，候冷取出，晒极干，秤准八两重，再如前法蒸之，乘热杵烂入药。）、干山药、山茱萸肉、五味子（各四两）、牡丹皮、白茯苓、泽泻（酒浸，蒸、焙，各三两）、肉桂（二两）。
以上各另为末。入地黄和匀，加炼蜜丸，如梧桐子大。每次服七八十丸，空心食前，白开水送下。
李氏说：一位贵人患疽疮未安而口渴发作，每天饮水数升。我用前方。众医大笑说：此药若能止渴，我们就不再做医生了！仍用木瓜、乌梅、百药煎等，口渴更甚。不得已，用此丸三日口渴停止，久服气血益壮，饮食加倍。
[General Principles]
Thirst caused by sores and ulcers, regardless of whether it is in the swelling stage or the ulceration stage, if the pulse is rapid, accompanied by fever and thirst, use Zhuye Huangqi Tang (Palm Leaf and Astragalus Decoction). If the pulse is not rapid, without fever, or if the pulse is rapid but forceless with thirst, or merely dry mouth, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If the pulse is rapid with constipation, use Qingliang Yin (Cooling and Clearing Drink). If the radial pulse at the cun position is large and forceful upon deep pressure with thirst, use Jiaban Bawei Wan (Modified Eight-Ingredient Pill with Rehmannia). For treating dry mouth, yellow tongue coating, and incessant drinking, this pill is particularly effective.
[Xue Ji] Thirst caused by sores and ulcers: if there is pain, fever, and normal bowel and bladder movements, it indicates heat in the Upper Jiao; use Zhuye Shigao Tang (Palm Leaf and Gypsum Decoction). If there is swelling, pain, fever, and hard, dry stools, it indicates internal heat in the five viscera; use Sishun Qingliang Yin (Four-Obedience Cooling and Clearing Drink). If the swelling and pain are severe, it indicates accumulation and binding of heat-toxin; use Xianfang Huoming Yin (Immortal Formula for Saving Life Decoction). If there is diffuse swelling with slight pain, it indicates deficiency and stagnation of Qi and Blood; use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If thirst is due to Stomach Fire consuming fluids, resulting in shortness of fluids, use Zhuye Huangqi Tang (Palm Leaf and Astragalus Decoction). If thirst is due to deficient Stomach Qi failing to generate fluids, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If thirst is due to injured Stomach Qi and loss of internal fluids, use Qiwei Baizhu San (Seven-Ingredient Atractylodes Powder). If thirst is due to depletion of Kidney Water, or dry mouth and tongue, use Jiaban Bawei Wan (Modified Eight-Ingredient Pill with Rehmannia). If one first experiences dry mouth and thirst with frequent urination before developing a carbuncle, or experiences thirst and drinking after the carbuncle heals, or has a yellow, dry, and stiff tongue with frequent urination and development of a carbuncle, these are all ominous signs. If the cause can be anticipated in advance, taking Jiaban Bawei Wan (Modified Eight-Ingredient Pill with Rehmannia) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) beforehand to nourish the source of transformation can prevent subsequent complications.
[Zhu Danxi] Thirst occurring during the onset of abscesses and carbuncles indicates deficiency of both Qi and Blood. Use Renshen (Ginseng Root) to tonify Qi, Danggui (Angelica Sinensis Root) to nourish Blood, or use Rendong Wan (Honeysuckle Pill) or Huangqi Liuyi Tang (Astragalus Six-to-One Decoction).
Wu Shi stated: When thirst from sores is extremely urgent, administer Shenxian Zhuidu Wan (Immortal's Poison-Chasing Pill) to purge evil toxins. Qingchan Tang (Clearing Epigastric Decoction), Qianjin Lulu Tang (Thousand-Gold Desmodurus Decoction), Wuxiang Lianqiao Tang (Five-Aroma Forsythia Decoction), Liuwei Cheluo San (Six-Ingredient Ark Shell Powder), and Wanjina San (Ten-Thousand-Gold Powder) can all be selected. If thirst persists after purgation, then use herbs that generate fluids and tonify Qi. Once fluids are generated and Qi and Blood are complete, thirst will cease naturally. Danxi said: Administering purgatives for extreme thirst, without clearly indicating the pulse and symptoms, how does one know when purgation is indicated? The later statement that one should use tonics only after purgation if thirst persists, without specifying the pulse and symptoms, suggests that perhaps only extreme thirst necessitates purgation, and tonics are given only if thirst remains afterward. Is this appropriate for the ancient principle of treating disease before it arises? Moreover, thirst belongs to the Upper Jiao; it might be applicable during the ulcerative stage of swelling, but after ulceration, thirst is mostly due to Qi and Blood deficiency. Why wait until after purgation to discuss deficiency?
The *Jingyao* states that dry mouth and thirst are different. It is inappropriate to use mineral pills for suppression; doing so brings disaster like turning over a hand. Instead, use Sangzhi Jian Wuwei Tang (Mulberry Twig Decoction with Schisandra) to rescue Yin water. Danxi said: This is an excellent formula. However, it does not mention fire arising from dietary tastes, anger, or sexual exhaustion. I fear that thirst may not be easily eliminated under such circumstances.
Li Shi stated: Thirst appearing after the healing of carbuncles often leads to untreatable conditions; only Jiaban Bawei Wan (Modified Eight-Ingredient Pill with Rehmannia) is most effective. Generally, abscesses and carbuncles arise from deficiency. For those whose carbuncles have settled but who experience thirst, taking this pill stops the thirst. For those who are stable without thirst, taking this pill prevents future thirst. For those who experience thirst before developing a carbuncle, taking this medicine not only stops thirst but also prevents the carbuncle from forming. Xue Ji stated: The previous condition belongs to depletion of Kidney Water with deflection of deficient fire upward, causing dry mouth and thirst with excessive drinking. Or yellow tongue coating with cracks, frequent urination. Or phlegm-Qi obstructing upwards, restlessness and irritability. Or experiencing thirst and drinking for two or three years prior. Or sores on the mouth and tongue, heat in the soles of the feet, phlegm-Qi obstructing upwards. Or dry mouth and thirst with frequent urination three or four years after the sore heals. Urgently using the aforementioned medicines often results in recovery. By anticipating the cause and taking the aforementioned pills in advance, this affliction can be avoided. If accompanied by cold extremities, it indicates deficiency of True Yang, and Bayi Wan (Eight-Ingredient Pill) is suitable. Generally, after sores, if Kidney Water is insufficient, use Jiaban Bawei Wan (Modified Eight-Ingredient Pill with Rehmannia); if Middle Qi is weak, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); if Qi and Blood are weak, use Shiquan Dabu Tang (Complete Great Tonifying Decoction); if Yang Qi is deficient and cold, add Shengjiang (Fresh Ginger) and Rougui (Cinnamon Bark); if ineffective, use Bayi Wan (Eight-Ingredient Pill).
Modifications to Tuoli Xiaodu San (Interior-Supporting and Toxin-Expelling Powder):
Drinking cold liquids causes thirst, indicating Heat-Toxin; add Chixiaodou (Adzuki Bean) and Zhimu (Anemarrhena Rhizome). If ineffective, temporarily use Zhuye Huangqi Tang (Palm Leaf and Astragalus Decoction).
Excessive appetite with thirst indicates Stomach Fire; add Shigao (Gypsum Fibrosum), Shanzhi (Gardenia Fruit), and Tianhuafen (Trichosanthes Root). If ineffective, temporarily use Zhuye Shigao Tang (Palm Leaf and Gypsum Decoction).
Poor appetite, fatigue, and thirst indicate deficient Stomach Qi; remove BaiZhi (Angelica Dahurica Root), Lianqiao (Forsythia Fruit), and Jinyinhua (Lonicera Flower), and add Renshen (Ginseng Root) and Baizhu (Atractylodes Macrocephala Rhizome). If ineffective, temporarily use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
Profuse pus with thirst indicates deficiency of Qi and Blood; remove the previous three herbs, and add Shudihuang (Prepared Rehmannia Root) and Wuweizi (Schisandra Berry). If ineffective, temporarily use Shiquan Dabu Tang (Complete Great Tonifying Decoction) added with Wuweizi (Schisandra Berry) and Maimendong (Ophiopogon Tuber).
Dry mouth and tongue indicate deficient Kidney Qi; remove the previous three herbs, and add Shudihuang (Prepared Rehmannia Root), Shanzhuyu (Cornus Fruit), and Shanyao (Dioscorea Rhizome). If ineffective, combine with Liuwei Wan (Six-Ingredient Pill). If still ineffective, assist with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
Spontaneous sweating, internal heat, and dry mouth indicate deficient Stomach Qi; remove the previous three herbs, and add Renshen (Ginseng Root), Danggui (Angelica Sinensis Root), and Baizhu (Atractylodes Macrocephala Rhizome). If ineffective, temporarily use Liujunzi Tang (Six-Gentlemen Decoction).
Night sweats, internal heat, and dry mouth indicate deficiency of Yin Blood; remove the previous three herbs, and add Shudihuang (Prepared Rehmannia Root), Maimendong (Ophiopogon Tuber), and Wuweizi (Schisandra Berry). If ineffective, temporarily use Danggui Liuhuang Tang (Angelica and Rheum Decoction).
Zhuye Huangqi Tang (from *Shenmi Fang*): Treats extreme thirst in abscesses and carbuncles, fever, diarrhea, or dysuria resembling strangury.
Shengdihuang (Raw Rehmannia Root), Huangqi (Astragalus Root) (2 qian each), Danggui (Angelica Sinensis Root, soaked in wine), Danye Zhu (Light Palm Leaf), Chuanxiong (Szechwan Lovage Rhizome), Gancao (Licorice Root, honey-fried), Huangqin (Scutellaria Root, stir-fried), Baishaoyao (White Peony Root, stir-fried), Renshen (Ginseng Root), Gualougen (Trichosanthes Root), Shigao (Gypsum Fibrosum, crushed) (1 qian each), Maimendong (Ophiopogon Tuber, heart removed) (2 qian).
Boil 2 zhong of water with 3 slices of ginger until reduced to 8 fen. Take after meals.
Xue Ji stated: The previous condition is one of the Seven Evil Signs. This formula treats it with very rapid effect. In cases where the left hand pulse is floating, large, and hot or accompanied by thirst, exterior pathogens should be dispersed. In cases where the right hand pulse is deep, solid, and hot or accompanied by thirst, interior pathogens should be cleared. If thirst occurs after ulceration, or with dysuria resembling strangury, or with a large but forceless pulse, it indicates deficiency of Qi and Blood, requiring major tonification of Qi and Blood. Some believe that persistent fever or thirst after ulceration constitutes a败证 (failure syndrome) that is untreatable. However, if the patient has a history of Stomach Fire, or residual heat-toxin in the Stomach Meridian, and the Stomach pulse remains rapid, they should still take the aforementioned decoction. If, after taking it, the pulse becomes larger, fever increases, and thirst worsens, then it is truly a failure syndrome, caused by deficiency of True Qi and excess of Pathogenic Qi. Currently, patients with ulcerations fear Shigao (Gypsum Fibrosum) and Huangqin (Scutellaria Root) because of their cold nature and refuse to take them. If the Stomach pulse has not stabilized, no other herb can treat this. If delayed for a long time, the Qi and Blood are scorched, more pus and blood lead to greater deficiency, resulting in a failure syndrome. Physicians should prioritize the pulse over the symptoms. Generally, in sores and ulcers, seeing one or two of the Seven Evils is very frightening; deficiency syndromes presenting with evil signs are untreatable; excess syndromes without evil signs heal spontaneously.
Tuoli Huangqi Tang (Interior-Supporting Astragalus Decoction): Indications same as above.
Huangqi (Astragalus Root, stir-fried) (6 qian), Gancao (Licorice Root, honey-fried), Gualougen (Trichosanthes Root) (1 qian each).
Boil 2 zhong of water until reduced to 8 fen. Take frequently. Adding 1 qian of Renshen (Ginseng Root) is especially good.
Xue Ji stated: I use this formula to treat thirst due to Qi deficiency with great efficacy. If both Qi and Blood are deficient, or if thirst follows massive discharge of pus and blood, or is accompanied by fever, Tuoli Yangrong Tang (Interior-Supporting and Nourishing Prosperity Decoction) is suitable.
Tuoli Yangrong Tang (Interior-Supporting and Nourishing Prosperity Decoction)
Renshen (Ginseng Root), Huangqi (Astragalus Root, honey-fried), Danggui (Angelica Sinensis Root, soaked in wine), Shaoyao (Peony Root, stir-fried), Shudihuang (Prepared Rehmannia Root), Maimendong (Ophiopogon Tuber, heart removed), Chuanxiong (Szechwan Lovage Rhizome), Baizhu (Atractylodes Macrocephala Rhizome) (1 qian each), Wuweizi (Schisandra Berry, crushed), Gancao (Licorice Root, honey-fried) (0.5 qian each).
Boil 2 zhong of water with 3 slices of ginger and 2 dates until reduced to 8 fen. Take after meals.
Huangqi Liuyi Tang (Astragalus Six-to-One Decoction): Can be taken lifelong to prevent abscesses and carbuncles; it is indeed an important agent for treating thirst and tonifying deficiency.
Mian Huangqi (Astragalus Root) (6 liang, moistened with light salt water, steamed over rice, dried), Gancao (Licorice Root) (1 liang, half raw, half honey-fried).
Crush 1 liang per dose, boil in 2 zhong of water until reduced to 8 fen. Take after meals. Alternatively, make into fine powder, take 2 qian per dose, mixed with plain water in the morning and at noon. Adding Renshen (Ginseng Root) is especially good.
Qiwei Baizhu San (Seven-Ingredient Atractylodes Powder): Treats deficient Stomach Qi, or thirst and dry mouth with poor appetite due to harsh purgation, vomiting, or diarrhea.
Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Renshen (Ginseng Root) (7 qian each), Gancao (Licorice Root, honey-fried) (1.5 liang), Muxiang (Aucklandia Root) (2.5 qian), Huoxiangye (Patchouli Leaf) (0.5 liang), Gegen (Kudzu Root) (1 liang).
Grind into fine powder. Take 3-5 qian per dose, mixed with plain water.
Zhuye Shigao Tang (Palm Leaf and Gypsum Decoction): Treats abscesses and carbuncles with盛 Stomach Fire, causing swelling, pain, and thirst.
Danye Zhu (Light Palm Leaf), Shigao (Gypsum Fibrosum), Jiegeng (Platycodon Root), Mutong (Akebia Stem), Bohe (Mint), Gancao (Licorice Root, honey-fried).
Decoct with ginger water and take.
Xuanshen San (Scrophularia Powder): Treats abscesses and carbuncles with pus formation, inability to eat, mental restlessness, dry mouth with vexatious thirst, excessive drinking, and emaciated limbs.
Xuanshen (Scrophularia Root), Huanglian (Coptis Rhizome, trimmed), Tugua Gen (Melothria Root), Maimendong (Ophiopogon Tuber, heart removed), Chi Shaoyao (Red Peony Root), Baixianpi (Dictamnus Bark) (1 liang each), Shengma (Cimicifuga Rhizome) (0.75 liang), Huomaren (Hemp Seed), Puxiao (Mirabilite), Dahuang (Rhubarb Root and Rhizome, crushed, stir-fried) (1.5 liang each).
Crush. Take 3 qian per dose, boil with 1 zhong of water and 1 fen of fresh Shengdihuang (Raw Rehmannia Root, finely cut) until reduced to 6 fen. Strain and take warm at any time.
Gegen San (Kudzu Powder): Treats abscesses and swellings with盛 Heat, dry mouth with vexatious thirst, or occasional dry heaving.
Gegen (Kudzu Root), Huangqi (Astragalus Root), Shengma (Cimicifuga Rhizome), Maimendong (Ophiopogon Tuber, heart removed), Gualougen (Trichosanthes Root), Chi Shaoyao (Red Peony Root), Zhizi Ren (Gardenia Seed), Shengdihuang (Raw Rehmannia Root) (1 liang each), Huangqin (Scutellaria Root) (0.75 liang), Gancao (Licorice Root, raw) (0.5 liang).
Crush. Take 4 qian per dose, boil with 1 zhong of water until reduced to 6 fen. Strain and take warm at any time.
Gange Yin (Kudzu Drink): Treats thirst in back carbuncles.
Huangqin (Scutellaria Root), Puxiao (Mirabilite) (1.25 liang each), Gange (Kudzu Root) (1 liang).
Crush into powder. Take 3 qian per dose, decoct together with washed Pipaye (Loquat Leaf, hairs removed). Take at any time.
Rendong Wan (Honeysuckle Pill): Treats thirst after resolution, preventing carbuncle recurrence. First, place Rendong Cao (Honeysuckle Herb) in a bottle, add non-ash wine, simmer gently overnight. Remove, dry, add a little Gancao (Licorice Root), grind into powder. Mix with the remaining wine to form a paste and make pills the size of Sophora seeds. Take 60-70 pills per dose with warm wine. Also treats hemorrhoids and various goiters.
Sangzhi Fang (Mulberry Twig Prescription): Highly effective for thirst. Take tender Sangzhi (Mulberry Twig), finely cut 1 sheng, stir-fry. Boil in 3 sheng of water until reduced to 1 sheng. Take 5-7 doses daily; more is better. Baopuzi stated: Treats wind-dampness dryness, arm pain, gout, limb spasms, rising Qi, dizziness. Long-term use tonifies the Lung, aids digestion, promotes urination, lightens the body, sharpens the mind, enhances complexion. Its merits cannot be fully described.
Xue Ji stated: Sangzhi (Mulberry Twig) tonifies Qi and Blood, generates fluids, lightens the body, brightens the eyes, and is an excellent agent for tonifying the Lung and Kidney.
Wuweizi Tang (Schisandra Decoction): Treats depletion of Kidney Water, dry mouth and tongue.
Huangqi (Astragalus Root, stir-fried) (3 liang), Renshen (Ginseng Root) (2 liang), Wuweizi (Schisandra Berry), Maimendong (Ophiopogon Tuber, heart removed) (1 liang each), Fen Gancao (Licorice Root, honey-fried) (0.5 liang).
Take 5 qian per dose. Decoct in water, take day and night, 5-7 doses.
Xue Ji stated: This formula is a compound of Liuyi Tang (Six-to-One Decoction) and Shengmai San (Generate Pulse Powder), an excellent agent for nourishing the source of transformation. If Kidney Water is depleted with deflected deficient fire causing dry mouth and thirst, it must be assisted with Jiaban Bawei Wan (Modified Eight-Ingredient Pill with Rehmannia).
Jiaban Bawei Dihuang Wan (Modified Eight-Ingredient Rehmannia Pill)
Huaiqing Dihuang (Rehmannia Root, plump and sinking in water, washed with wine, placed in a porcelain bowl, set on bamboo sticks inside a large clay pot, water covering the bottom of the bowl, covered with original lid, seams sealed with wet paper to prevent gas escape, steamed from Si hour to You hour, cooled, removed, dried thoroughly, weighed exactly 8 liang, steamed again as before, pounded while hot into the medicine.) , Gan Shanyao (Dried Dioscorea Rhizome), Shanzhuyu Rou (Cornus Fruit Flesh), Wuweizi (Schisandra Berry) (4 liang each), Mudanpi (Moutan Cortex), Baifuling (Poria White), Zexie (Alisma Rhizome, soaked in wine, steamed, dried) (3 liang each), Rougui (Cinnamon Bark) (2 liang).
Grind each separately into powder. Mix with Dihuang (Rehmannia Root), add refined honey to make pills the size of Sophora seeds. Take 70-80 pills per dose on an empty stomach before meals, with plain water.
Li Shi stated: A nobleman suffered from a carbuncle that had not settled, accompanied by severe thirst, drinking several sheng of water daily. I used the aforementioned formula. Other physicians laughed, saying: If this medicine can stop thirst, we will no longer practice medicine! They continued using Mugua (Chaenomeles Fruit), Wumei (Mume Fruit), Baiyaojian (Betel Nut Infusion), etc., and the thirst worsened. Reluctantly, they used this pill. After three days, thirst stopped. Long-term use strengthened Qi and Blood and doubled food intake.