（《金匮》）
治心胸中大寒痛，呕不能饮食，腹中寒气上冲，皮起出见有头足，上下痛而不可触近者
（阳受气于胸中，阳虚则阴邪得以中之，阴寒之气逆而上冲，横格于中焦，故见高起痛呕不
可触近之证。心为阳，寒为阴，寒乘于心，冷热相激故痛；寒乘于脾，脾冷弱不消水谷，心
脾为子
蜀椒（二合） 干姜（四两） 人参（二两）。煎，去渣，内饴糖一升，微煎，温服。
此足太阴、阳明药也。蜀椒辛热，入肺散寒，入脾暖胃，入肾命补火；干姜辛热，通心
助阳
气为主，用辛辣甘热之药，温健其中脏，以大祛下焦之阴，而复其上焦之阳也（昂按∶俗云
诸痛无补法，此证至于不可触近，痛亦甚矣，仲景乃用人参、饴糖大补之药，将以仲景为信
欤，抑
治气血不足，虚损劳脊，短气嗜卧，欲成劳瘵；及阴证发斑，寒甚脉微（阴证发斑者，
或因汗吐下后中气虚乏，或因欲事损伤肾气，或因过服凉药，遂成阴证。寒伏于下，逼其无
根失守之火上冲熏肺而发斑点，其色淡红，隐隐见于肌表，与阳证发斑色紫赤者不同。此胃
气极虚，若服寒药，立见危殆。吴鹤皋曰∶以参、 、桂、附而治斑，法之变者也，医不达
权，安足
黄 （蜜炙） 人参 白术（土炒） 茯苓 甘草（蜜炙） 半夏（姜制） 当归（酒
洗） 白芍（
此足三阴、阳明气血药也。黄 益卫壮气，补中首药；四君补阳，所以益气（参、术、
苓、草）；四物补阴，所以养血（芎、归、芍、地）；阴阳调和，则血气各安其位矣。半夏和
胃健脾，麦冬清心润肺，苁蓉补命门相火之不足，桂附引失守之火而归元，于十全大补之中
而有加味，
本方除茯苓、白术、麦冬、川芎、熟地、苁蓉，名八味大建中汤∶治同。本方除川芎、
熟地
潮热自汗，将成劳瘵，大能退虚热，生气血（喻嘉言曰∶乐令建中汤，柴胡、细辛为君，意
在退热，而阴虚之热则不可退；十四味建中汤，用桂、附、苁蓉，意在复阳，而阴虚之阳未
必可复；又在用方者之善为裁酌耳。又曰∶二方治脏气素虚，以之两建其脾肾之阳，盖虚劳
之病，
(From *Jin Gui Yao Lue*)
Treats severe cold pain in the heart and chest, vomiting with inability to eat, abdominal cold qi rushing upward, skin rising with visible protrusions resembling heads and feet, upper and lower pain that cannot be touched or approached.
Yang Qi receives Qi in the chest; when Yang is deficient, Yin pathogens can invade. The Yin-cold Qi rebels and rushes upward, obstructing horizontally in the Middle Jiao, thus presenting symptoms of elevation, pain, vomiting, and intolerance to touch. The Heart belongs to Yang, Cold belongs to Yin; when Cold attacks the Heart, Cold and Heat clash violently causing pain; when Cold attacks the Spleen, the Spleen becomes cold and weak, failing to transform food and water. The Heart and Spleen are mother and son... Shu Jiao (Zanthoxyli Pericarpium, 2 he), Gan Jiang (Zingiberis Rhizoma, 4 liang), Ren Shen (Ginseng Radix, 2 liang). Decoct, remove dregs, add Yi Tang (Malt Sugar) 1 sheng, simmer slightly, take warm.
This is a formula for the Foot Taiyin and Foot Yangming meridians. Shu Jiao is acrid and hot, enters the Lung to disperse Cold, enters the Spleen to warm the Stomach, enters the Kidney and Mingmen to tonify Fire; Gan Jiang is acrid and hot, unblocks the Heart and assists Yang... It focuses on Qi, using acrid, sweet, and hot herbs to warm and strengthen the central Zang organs, greatly dispelling Yin-cold from the Lower Jiao, and restoring Yang Qi in the Upper Jiao. (Wang Ang notes: Common saying states there is no tonification method for various pains. This condition reaches a point where it cannot be touched, indicating severe pain. Yet Zhang Zhongjing uses major tonifying herbs like Ren Shen and Yi Tang. Does this intend to make people believe in Zhang Zhongjing, or...)
Treats deficiency of Qi and Blood, consumptive damage affecting the spine, shortness of breath, lethargy, progressing toward Lao Zhai (consumptive disease); as well as Yin syndrome with maculae eruption, severe cold with faint pulse. (Yin syndrome maculae eruption may occur due to Qi deficiency in the Middle after sweating, vomiting, or purging; or due to Kidney Qi damage from sexual activity; or from excessive intake of cooling medicines, resulting in Yin syndrome. Cold hides below, forcing rootless and unstable Fire to rush upward, steaming the Lung and causing maculae to appear. The color is pale red, faintly visible on the skin surface, differing from Yang syndrome maculae which are purple-red. This indicates extreme deficiency of Stomach Qi; if cold medicines are taken, danger will ensue immediately. Wu Hegao said: Using Ren Shen, [missing character], Gui Zhi, and Fu Zi to treat maculae is a variation of method. If physicians do not understand flexibility, how can they suffice...)
Huang [missing character] (Honey-fried), Ren Shen, Bai Zhu (Earth-fried), Fu Ling, Gan Cao (Honey-fried), Ban Xia (Ginger-processed), Dang Gui (Wine-washed), Bai Shao ([missing character])...
This is a Qi and Blood formula for the Foot Three Yin and Foot Yangming meridians. Huang [missing character] benefits Wei and strengthens Qi, being the primary herb for tonifying the center; Si Jun Zi Tang tonifies Yang, thereby benefiting Qi (Ren Shen, Bai Zhu, Fu Ling, Gan Cao); Si Wu Tang tonifies Yin, thereby nourishing Blood (Chuan Xiong, Dang Gui, Bai Shao, Shu Di Huang); when Yin and Yang harmonize, Qi and Blood reside in their proper places. Ban Xia harmonizes the Stomach and strengthens the Spleen, Mai Dong clears the Heart and moistens the Lungs, Rong Rui Cistanche tonifies the insufficiency of Ministerial Fire in Mingmen, Gui Zhi and Fu Zi guide the unstable Fire back to its origin. Within Shi Quan Da Bu Tang, there are added modifications...
Removing Fu Ling, Bai Zhu, Mai Dong, Chuan Xiong, Shu Di Huang, and Rong Rui Cistanche from this formula yields Ba Wei Da Jian Zhong Tang: treats the same conditions. Removing Chuan Xiong and Shu Di Huang from this formula...
Tidal fever and spontaneous sweating, progressing toward Lao Zhai, greatly reduces deficiency heat and generates Qi and Blood. (Yu Jiayan said: Le Ling's Jian Zhong Tang uses Chai Hu and Xi Xin as sovereign herbs, intending to reduce fever, but deficiency-heat from Yin deficiency cannot be reduced; Shi Si Wei Jian Zhong Tang uses Gui Zhi, Fu Zi, and Rong Rui, intending to restore Yang, but Yang from Yin deficiency may not necessarily be restored; this depends on the prescriber's ability to judge appropriately. He also said: Both formulas treat inherent weakness of Zang Qi, simultaneously establishing the Yang of the Spleen and Kidney. Generally, consumptive diseases...)