治湿淫于内，脾胃不能克制，有积饮痞膈中满者。
苍术（五斤，泔浸七日） 陈皮（去白） 浓朴（各三斤，姜汁炙） 甘草（三十两，
炙）
上为末，每服三钱，姜汤下，日三服。又水煎，每服七钱。
柯韵伯曰∶《内经》以土运太过曰敦阜，其病腹满；不及曰卑监，其病留满痞塞。张仲
景制
削平
以平
之义
第二术白者柔而缓，苍者猛而悍，此取其长于发汗，迅于除湿，故以苍术为君耳。不得以白
补
气行则愈，故更以陈皮佐之。甘先入脾，脾得补而健运，故以炙甘草为使。名曰平胃，实调
脾
虽倍白术，而消伐过于此方。昧者以术为补，为当久服，不思枳实为峻而不宜多，特未之思
耳。
邪结胸中，胸中痞硬，寸脉微浮，气上冲咽喉不得息；或心下满而烦，饥不能食，手足
厥冷
皆
瓜蒂 赤小豆（熬黄，各一合） 香豉（一合）
上二味，别捣为散，取一钱，用香豉一合，热汤七合，煮作稀糜，去滓，取汁，和散温
服之
柯韵伯曰∶胸中者，清虚之府。寒邪凝结，内热不得外达，以至痞硬。其气上冲，心下
烦，
喉不得息
降，胃阳
得达，肺
升生发
象心，
胸中之
以三法
（一名益元散，一名六一散）
治夏时中暑，热伤元气，内外俱热，无气以动，烦渴欲饮，肠胃枯涸者。又能催生下乳。
积
桂府滑石（六两，水飞） 甘草（一两） 辰砂（三钱）
上为细末，新汲水一碗，调服三钱。
柯韵伯曰∶元气虚而不支者死，邪气盛而无制者亦死。今热伤元气，无气以动，斯时用
参、
虚者
秉秋
上清
止渴
安，
通行
催生下乳，积聚、蓄水等症，同乎此义，故兼治之。是方也，益气而不助邪，
伤气，不负益元之名矣。宜与白虎、生脉三方鼎足可也。
To treat dampness overflowing within, where the Spleen and Stomach fail to control it, resulting in retained fluids, chest and diaphragm stuffiness, and abdominal fullness.
Cangzhu (Atractylodis Rhizoma, five jin, soaked in rice water for seven days) Chenpi (Citri Reticulatae Pericarpium, white pith removed) Houpo (Magnoliae Officinalis Cortex, three jin each, stir-fried with ginger juice) Gancao (Glycyrrhizae Radix et Rhizoma, thirty liang, stir-fried)
Grind the above into powder. Take three qian per dose, washed down with ginger decoction, three times a day. Alternatively, decoct with water, taking seven qian per dose.
Ke Yunbo said: The *Neijing* states that when Earth transport is excessive, it is called "Dunfu" (Piled High), and its disease is abdominal fullness; when Earth transport is deficient, it is called "Beijian" (Low Monitor), and its disease is fluid retention, stuffiness, and blockage. Zhang Zhongjing formulated this prescription to embody the meaning of cutting down excess and leveling out deficiency. Baizhu (Atractylodis Macrocephalae Rhizoma) is soft and slow, while Cangzhu is fierce and harsh. Here, we take advantage of its ability to induce sweating and rapidly remove dampness, thus using Cangzhu as the Sovereign herb. One cannot assume that because Baizhu tonifies Qi and promotes movement, recovery will occur; therefore, Chenpi is added as an Assistant. Sweet flavor enters the Spleen first; when the Spleen is tonified, it functions vigorously, so roasted Gancao is used as an Envoy. Named "Pingwei San" (Stomach-Pacifying Powder), it actually regulates the Spleen and Stomach. Although doubling the amount of Baizhu, the draining and reducing power exceeds that of this formula. Ignorant people consider Baizhu a tonic and believe it should be taken for a long time, failing to realize that Zhishi (Immature Bitter Orange) is potent and unsuitable for large doses; this is a lack of deep thought.
When pathogenic factors knot in the chest, causing chest stuffiness and hardness, a slightly floating pulse at the Cun position, and Qi rushing upward to the throat preventing normal breathing; or subcostal fullness with irritability, hunger but inability to eat, and cold extremities.
Gua Di (Melon Seed) Chi Xia Dou (Adzuki Bean, fried until yellow, one he each) Xiang Chi (Prepared Soybean, one he)
Grind the above two ingredients separately into powder. Take one qian, use one he of Xiang Chi, add seven he of hot water, boil into a thin porridge, strain, take the liquid, mix with the powder, and take warm.
Ke Yunbo said: The chest is the residence of clear emptiness. Cold pathogenic factors condense, internal heat fails to reach the exterior, leading to stuffiness and hardness. Qi rushes upward, causing subcostal irritability and difficulty breathing through the throat. Descending allows Stomach Yang to penetrate; ascending allows Lung Qi to generate and rise. Like the Heart located in the chest, these three methods...
(Also known as Yiyuan San, also known as Liuyi San)
To treat summerheat stroke during summer, where heat damages Yuan Qi, causing heat inside and outside, lack of energy to move, irritability, thirst wanting to drink, and dryness/depletion of the intestines and stomach. It can also induce labor and promote lactation.
Guifu Huashi (Kaolin, six liang, processed by water flotation) Gancao (Glycyrrhizae Radix et Rhizoma, one liang) Chensha (Cinnabar, three qian)
Grind the above into fine powder. Mix with one bowl of newly drawn cold water, take three qian.
Ke Yunbo said: If Yuan Qi is too weak to support the body, death ensues; if pathogenic factors are too strong without restraint, death also ensues. Now, heat damages Yuan Qi, causing lack of energy to move. At this time, if one uses Renshen (Ginseng)... for deficiency... inheriting the autumn gathering qi, clearing the upper burner, stopping thirst, calming the mind, and promoting circulation. Inducing labor and lactation, accumulation, water retention, and other syndromes follow the same principle, hence treated concurrently. This formula tonifies Qi without aiding pathogenic factors, does not damage Qi, living up to the name "Yiyuan" (Benefiting Yuan). It should stand alongside Baihu Tang (White Tiger Decoction) and Shengmai San (Generate Pulse Powder) as a tripod.