治伤寒冷热不和。心腹痞满。时发疼痛。顺阴阳消痞满。
桔梗（微炒细锉） 半夏（生姜汁制） 陈橘皮（各一两） 枳实（半两麸炒赤色）
上锉。如麻豆大。每服钞五钱匕。水一盏半。生姜三片。同煎七分。去滓。温服。
琥按上主疗云。心腹痞满。时发
疼痛。此太阴病也。故上药入足太阴。兼走手太阴。足阳明。为散邪泄实之剂。
治伤寒阴病。下之太早。成痞。心下痞满而不痛。按之软虚也。
槟榔 枳壳（等分）
上为末。每服三钱。煎黄连汤调下。不计时候。温服。
琥按上主疗云。心下痞满。乃腹满也。腹满。为太阴经病。仲景云。太阴为病。脉弱。设当行大黄芍药者。宜减之。
今者。伤寒阴病当是太阴病。误下之而成痞。按之不痛。比大实之证略虚。非真虚也。上方乃手足太阴。兼入阳明之剂。
治足太阴脾经受证。腹满而痛。咽干而渴。手足温。脉来沉而有力。此因邪热从阳经传入阴经也。
桂枝 赤芍药 甘草 大黄 枳实 柴胡（此味可删）
水二钟。姜一片。枣二枚。煎之临服槌法。入槟榔磨水三匙。热服。本经腹满。不恶寒而喘者。加大腹皮。去甘草。
琥按上方。即仲景桂枝加大黄汤也。其用赤芍药者。此本许氏内台方之议。加枳实槟榔者。此合河间宣明散方而
用之也。据上主疗云云。与少阳证毫无与其用柴胡殊悖于理。又加减法云。腹满者。去甘草。愚以海藏法。若满者。并
不加大枣也。
（琥）按仲景云。太阴为病脉弱。其人续自便利。设当行大黄芍药者。宜减之。或问云。二药既所当减。另有他药
以代之否。余答云。太阴病。当行大黄芍药者。乃腹满实热作痛。此阳邪陷于阴分也。热痛者。不可减芍药自利者。法
当去大黄。宜以黄芩芍药汤代之。
(Huo Ren Shu) Jiegeng Banxia Tang Formula: Treats disharmony of cold and heat in the body caused by contracting cold pathogens. Fullness and obstruction in the heart and abdomen. Pain that occurs intermittently. Follows the principles of Yin and Yang to resolve fullness and obstruction.
Jiegeng (Platycodonis Radix, slightly stir-fried and finely cut) Banxia (Pinelliae Rhizoma, processed with fresh ginger juice) Chenjupi (Aged Tangerine Peel, each 1 liang) Zhishi (Immature Bitter Orange Fruit, half a liang, stir-fried with bran until reddish)
The above herbs are cut into pieces the size of hemp seeds. Each dose is 5 qian bi (a small measuring spoon). Add 1.5 zhan of water and 3 slices of fresh ginger. Decoct together until the volume reduces to 0.7 zhan. Strain the dregs. Take warm.
Wang Hu's commentary: The aforementioned indications mention "fullness and obstruction in the heart and abdomen, with intermittent pain." This is a Taiyin disease. Therefore, the aforementioned herbs enter the Foot-Taiyin Spleen Meridian, and also affect the Hand-Taiyin Lung Meridian and Foot-Yangming Stomach Meridian. It is a formula for dispersing pathogenic factors and draining excess.
(Xuan Ming Fang) Binglang San Formula: Treats Shaoyin/Yin-type Cold Damage syndrome. Premature use of purgatives leads to Pi syndrome (obstruction/fullness). Fullness and obstruction in the epigastrium without pain. Palpation reveals softness and emptiness.
Binglang (Arecae Semen) Zhike (Aurantii Fructus Immaturus, equal parts)
The above herbs are powdered. Each dose is 3 qian. Mix with Huanglian Tang decoction. Take at any time. Take warm.
Wang Hu's commentary: The aforementioned indications mention "fullness and obstruction in the epigastrium," which refers to abdominal fullness. Abdominal fullness is a disease of the Taiyin meridian. Zhang Zhongjing stated: "In Taiyin disease, if the pulse is weak, and Dahuang (Rhei Radix et Rhizoma) or Shaoyao (Paeoniae Radix) should be used, their dosage should be reduced."
Current Yin-type Cold Damage should be considered Taiyin disease. Misuse of purgatives results in Pi syndrome. There is no pain upon palpation. It is slightly less deficient than true Excess syndromes, but it is not true deficiency. The above formula acts on the Hand and Foot Taiyin meridians, and also enters the Yangming meridians.
(Tao Shi Fang) Guizhi Dahuang Tang Formula: Treats manifestations of the Foot-Taiyin Spleen Meridian receiving pathogenic influence. Abdominal fullness and pain. Dry throat and thirst. Warm hands and feet. Pulse is deep and forceful. This is due to pathogenic heat transmitting from Yang meridians to Yin meridians.
Guizhi (Cinnamomi Ramulus) Chishaoyao (Red Paeonia Root) Gancao (Glycyrrhizae Radix et Rhizoma) Dahuang (Rhei Radix et Rhizoma) Zhishi (Immature Bitter Orange Fruit) Chaihu (Bupleuri Radix [this herb may be deleted])
Add 2 zhong of water, 1 slice of ginger, and 2 jujubes. Decoct. Before taking, crush Binglang (Arecae Semen) to extract 3 spoons of juice and add it. Take hot. Regarding abdominal fullness in this classic text, if there is no aversion to cold but there is wheezing, add Dafupi (Arecae Pericarpium) and remove Gancao.
Wang Hu's commentary: The above formula is essentially Zhang Zhongjing's Guizhi Jiadahuang Tang. The use of Chishaoyao follows Xu's Neitai Fangyi opinion. Adding Zhishi and Binglang combines elements from Liu Wan Su's Xuanming Lunfang. According to the aforementioned indications, these symptoms have nothing to do with Shaoyang syndrome; using Chaihu contradicts medical logic. Furthermore, the modification rule states that for abdominal fullness, Gancao is removed. I believe, following Zhang Yuansu's Haicang method, if there is fullness, one does not add Da Zao (Ziziphi Jujubae Fructus).
(Wang Hu) Commenting on Zhang Zhongjing: "In Taiyin disease, if the pulse is weak, and the patient has continuous spontaneous bowel movements, if Dahuang or Shaoyao should be used, their dosage should be reduced." A question was raised: "Since these two herbs should be reduced, are there other herbs to replace them?" My answer is: In Taiyin disease, if Dahuang and Shaoyao are indicated, it is due to abdominal fullness, excess heat, and pain, where Yang pathogenic factors have sunk into the Yin level. If there is heat pain, Shaoyao should not be reduced. If there is spontaneous diarrhea, Dahuang should be removed according to the law, and Huangqin Shaoyao Tang (Scutellaria and Paeonia Decoction) should be used instead.