（仲景一名三物浓朴汤）
治伤寒阳明证，谵语便硬，潮热而喘。及杂病上焦痞满不通。
大黄（四两） 浓朴（二两姜炒） 枳实（三枚麸炒。）
此少阳、阳明药也。邪在上焦则满，在中焦则胀，胃实则潮热（犹潮水之潮，其来有时，
阳明燥金旺于申酉，故日晡潮热。伤寒潮热为胃实，无虚证），阳邪乘心则狂故谵语，胃热
干肺则
欲其无伤下焦真阴也（大承气通治三焦，小承气不犯下焦，调胃承气不犯上焦。按∶阳明证
有正阳阳明，有太阳阳明，有少阳阳明，自阳明经传入胃腑，不恶寒，腹满便硬者，宜大承
气下之；若汗多发热微恶寒者，为外未解，其热不潮，未可与承气汤；若腹大满不通者，可
与小承气微和胃气；勿令大泄下。谓阳明有在经者，未全入腑，尤宜审慎。阳明、少阳病多
由太阳传入，成无己曰∶自太阳、少阳传入者，众所共知，自三阴传入者，鲜或能识，三阴
有急下之证多矣，岂非仲景之微旨欤。经曰∶伤寒脉浮缓，手足温者。系在太阴，当发黄，
若小便利者，不能发黄，至七八日，大便硬者，阳明病也。程郊倩曰∶此证谓之太阴阳明，
阳明为病，本胃实，不特三阳受邪，能转属阳明，三阴亦能转属阳明，推之少阴三大承气，
厥阴一小承气，何非转属阳明之病哉）。
《金匮》用本方治支饮胸满，更名浓朴大黄汤。本方加羌活，名三化汤（《机要》）∶治
中风邪气作实，二便不通（三化者，使三焦通利，复其传化之常也。加羌活者，证本于风也。
然中风
(Zhang Zhongjing named it Sanwu Nongpo Decoction)
Indicated for Yangming syndrome of cold damage, characterized by delirium, hard stool, tidal fever, and panting. Also indicated for miscellaneous diseases involving upper jiao (upper burner) stagnation and fullness with obstruction.
Rhubarb Root (Da Huang) (4 liang) Magnolia Bark (Nongpo) (2 liang, stir-fried with ginger) Immature Bitter Orange (Zhishi) (3 pieces, stir-fried with bran).
These are herbs for treating Shaoyang (Lesser Yang) and Yangming syndromes. When pathogenic factors are in the upper jiao, they cause fullness; in the middle jiao, they cause distension. Stomach excess heat leads to tidal fever (like the tide, arriving at regular intervals; Yangming Dry Metal qi is prosperous during Shen and You hours [3-7 PM], hence tidal fever occurs in the late afternoon. Tidal fever in cold damage indicates stomach excess, not deficiency). When yang pathogenic factors invade the Heart, mania ensues, resulting in delirium; Stomach heat harassing the Lung causes...
To avoid injuring the true Yin of the lower jiao (Da Chengqi Tang treats all three jiaos; Xiao Chengqi Tang does not affect the lower jiao; Tiaowei Chengqi Tang does not affect the upper jiao. Note: Yangming syndrome includes Zhengyang Yangming, Taiyang Yangming, and Shaoyang Yangming. When pathogens transmit from the Yangming channel to the Stomach fu organ, presenting without aversion to cold but with abdominal fullness and hard stool, Da Chengqi Tang should be used to purge; if there is profuse sweating, slight fever, and mild aversion to cold, the exterior is not yet resolved, the fever is not tidal, and Chengqi Decoctions should not be given; if there is significant abdominal fullness and obstruction, Xiao Chengqi Tang may be given to gently harmonize Stomach Qi; do not cause severe purging. This implies that Yangming disease may remain in the channel and not fully enter the fu organ, requiring particular caution. Yangming and Shaoyang diseases often transmit from Taiyang. Cheng Wuji stated: Transmission from Taiyang and Shaoyang is commonly known, while transmission from the Three Yin is rarely recognized. There are many urgent purgation indications in Three Yin diseases; is this not Zhang Zhongjing's subtle intent? The Classic states: In cold damage, if the pulse is floating and slow, and hands and feet are warm, it relates to Taiyin, and jaundice should develop. If urination is free, jaundice will not develop. After seven or eight days, if the stool becomes hard, it is Yangming disease. Cheng Jiaoqian stated: This syndrome is called Taiyang-Yangming. Yangming disease is fundamentally Stomach excess. Not only can pathogens in the Three Yang channels transfer to Yangming, but those in the Three Yin channels can also transfer to Yangming. Extending this logic, the use of three major Chengqi formulas in Shaoyin and one Xiao Chengqi formula in Jueyin—none are not diseases transferring to Yangming).
The *Jingui Yaolue* uses this formula to treat chest fullness caused by fluid retention (Zhi Yin), renaming it Nongpo Dahuang Decoction. Adding Qianghuo to this formula creates Sanhua Decoction (*Yi Fa Ji Yao*): Indicated for excess conditions due to wind-stroke pathogenic factors, with obstruction of both bowel and bladder movements ("Sanhua" means to unblock the three jiaos and restore their normal transformative functions. Qianghuo is added because the root of the condition lies in Wind. However, wind-stroke...)