删繁疗上焦实热，饮食下胃，其气未定，汗出面背身中皆热，名曰漏气，通脉泻热，泽
泻汤方。
泽泻（二两） 生地骨皮（五两） 甘草（一两炙） 半夏（二两洗） 石膏（八两） 柴
胡（三
两） 茯苓（三两） 生姜（三两） 竹叶（切五合） 人参（二两） 桂心（一两）
心（一升）
上十二味切，以水一斗，煮取三升，分三服。忌海藻菘菜羊肉饧醋生葱。（千金同）
又疗上焦热，腹满而不欲食，或食先吐而后下肘胁挛痛，麦门冬理中汤方。
生麦门冬（一升） 生姜（四两） 白术（五两） 甘草（二两炙） 人参（三两） 茯
苓（二两） 橘皮（三两） 竹茹（一升） 生姜根（一升） 心（五合） 葳蕤（三两）
廪粟（一升）
上十二味切，以水一斗五升，煮取三升，分三服。忌海藻菘菜大醋桃李雀肉等。（千金
同）
又疗上焦气不续，胸膈间厌闷，所以饮食先吐而后下，半夏理中续膈破寒汤方。
半夏（半升制） 生姜（四两） 麻黄（三两去节） 前胡（三两） 泽泻（三两） 竹
叶（一升
）细辛（三两） 枳实（三两炙） 杏仁（三两去皮尖）
上九味切，以水九升，煮取三升，去滓，分三服。忌羊肉饧生菜等物。
又疗上焦热，牵肘挛心痛，喘咳短气，动而好唾润肺止心痛大枣汤方。
大枣（三十枚） 杏仁（三两去皮尖） 人参（三两） 紫菀（二两） 葳蕤（三两） 麦
门冬
（三两去心） 百部（三两） 通草（三两） 石膏（八两） 五味子（一两） 羊肾（三
枚去膏） 麻
黄（三两去节）
上十二味切，以水一斗，煮取二升五合，去滓，下蜜三合，生姜汁三合，淡竹沥三合，
更上火煎取三升，分三服。
又疗上焦虚寒，精神不守，泄下便利，语声不出，茯苓安心汤方。
茯苓（三两） 人参（三两） 干姜（三两） 桂心（一两） 远志皮（三两） 甘草
（二两炙）
上六味切，以水九升，煮取三升，去滓，分三服。忌生葱醋物海藻菘菜等物。
又疗上焦虚寒，肠鸣下利，心下痞坚，半夏泻心汤方。
半夏（五两洗） 黄芩（三两） 甘草（三两炙） 人参（三两） 干姜（三两） 黄
连（一两） 桂心（三两）
上七味，以水九升，煮取三升，去滓，分三服。忌海藻菘菜饧羊肉生葱猪肉冷水。（此
仲景半夏泻心汤方本无桂心有大枣十二枚出第四卷中）
千金疗上焦虚寒，短气语声不出，黄 理中汤方。
黄 （二两） 桂心（二两） 丹参（四两一作人参） 桔梗（三两） 干姜（三两） 五
味子（三
两） 茯苓（三两） 甘草（三两炙） 杏仁（四两去皮尖） 芎 （二两）
上十味切，以水九升，煮取三升，绞去滓，温分三服。忌海藻菘菜猪肉生葱大醋。（删
繁同）
又疗上焦冷，下痢，腹内不安，食好注下，黄连丸方。
黄连（八两） 干姜（四两） 榉皮（三两） 乌梅肉（八两） 附子（四两炮） 桂
心（一两）
芎（三两） 黄柏（三两） 阿胶（四两炙）
上九味末之，白蜜和为丸，如梧子大，饮下二十丸，加至三十丸。忌猪肉冷水生葱等。
（删繁同）
又疗上焦闭塞干呕，呕而不出，热少冷多，好吐白沫清涎吞酸，浓朴汤方。
浓朴（四两炙） 吴茱萸（五合） 人参（三两） 茯苓（四两） 桔梗（三两） 生
姜（八两）
玄参（三两） 芎 （四两） 白术（四两） 附子（三两） 橘皮（三两去赤脉）
上十一味切，以水九升，煮取三升，绞去滓，分三服。忌猪肉桃李雀肉大醋。（删繁同
出第二十卷中）
[For treating excess heat in the Upper Jiao] When food enters the stomach and its qi has not yet settled, sweating occurs accompanied by heat throughout the back and torso. This condition is named "Lou Qi" (Leaking Qi). The treatment principle is to unblock the vessels and purge heat, using Zexie Tang (Alisma Decoction).
Zexie (Alismatis Rhizoma) (2 liang), Shengdi Gu Pi (Lycii Cortex et Radicis Cortex) (5 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang, honey-fried), Banxia (Pinelliae Rhizoma) (2 liang, washed), Shigao (Gypsum Fibrosum) (8 liang), Chaihu (Bupleuri Radix) (3 liang), Fuling (Poria) (3 liang), Shengjiang (Zingiberis Rhizoma Recens) (3 liang), Zhuye (Phyllostachidis Folium) (5 he, cut), Renshen (Ginseng Radix et Rhizoma) (2 liang), Guixin (Cinnamomi Ramulus) (1 liang), Xin (Heart) (1 sheng).
The above twelve ingredients are chopped. Boil in 1 dou of water until reduced to 3 sheng. Divide into three doses. Avoid consuming Haizao (Sargassum), Songcai (Brassica rapa var. pekinensis), lamb meat, Yitang (malt sugar), vinegar, and raw scallions. (Same as Qianjin Fang).
Also treats heat in the Upper Jiao with abdominal fullness and loss of appetite, or vomiting followed by diarrhea after eating, accompanied by spasmodic pain in the elbows and hypochondrium. Use Maidong Lizhong Tang (Ophiopogon Decoction for Regulating the Middle).
Sheng Maidong (Ophiopogonis Radix) (1 sheng), Shengjiang (Zingiberis Rhizoma Recens) (4 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang, honey-fried), Renshen (Ginseng Radix et Rhizoma) (3 liang), Fuling (Poria) (2 liang), JuPi (Citri Reticulatae Pericarpium) (3 liang), Zhuru (Bambusae Caulis in Taeniam) (1 sheng), Sheng Jianggen (Zingiberis Rhizoma Recens Root part) (1 sheng), Xin (Heart) (5 he), Weirui (Polygonati Odorati Rhizoma) (3 liang), Lin Su (Millet) (1 sheng).
The above twelve ingredients are chopped. Boil in 1.5 dou of water until reduced to 3 sheng. Divide into three doses. Avoid consuming Haizao (Sargassum), Songcai (Brassica rapa var. pekinensis), strong vinegar, plums, peaches, and sparrow meat. (Same as Qianjin Fang).
Also treats discontinuity of qi in the Upper Jiao, oppression and stifling sensation in the chest and diaphragm, resulting in vomiting and diarrhea after eating. Use Banxia Lizhong Xuge Po Han Tang (Pinellia Decoction for Regulating the Middle, Continuing the Diaphragm, and Breaking Cold).
Banxia (Pinelliae Rhizoma) (0.5 sheng, processed), Shengjiang (Zingiberis Rhizoma Recens) (4 liang), Mahuang (Ephedrae Herba) (3 liang, nodes removed), Qianhu (Peucedani Radix) (3 liang), Zexie (Alismatis Rhizoma) (3 liang), Zhuye (Phyllostachidis Folium) (1 sheng), Xixin (Asari Radix et Rhizoma) (3 liang), Zhishi (Aurantii Fructus Immaturus) (3 liang, honey-fried), Xingren (Armeniacae Semen Amarum) (3 liang, skin and tips removed).
The above nine ingredients are chopped. Boil in 9 sheng of water until reduced to 3 sheng. Strain the dregs. Divide into three doses. Avoid consuming lamb meat, malt sugar, and raw vegetables.
Also treats heat in the Upper Jiao causing spasmodic pain radiating to the elbow and heart, asthma, cough, shortness of breath, and a tendency to salivate after movement. Use Run Fei Zhi Xin Tong Da Zao Tang (Jujube Decoction for Moistening the Lungs and Stopping Heart Pain).
Da Zao (Zizyphi Fructus) (30 pieces), Xingren (Armeniacae Semen Amarum) (3 liang, skin and tips removed), Renshen (Ginseng Radix et Rhizoma) (3 liang), Ziwan (Asternis Radix) (2 liang), Weirui (Polygonati Odorati Rhizoma) (3 liang), Maidong (Ophiopogonis Radix) (3 liang, core removed), Bubu (Stemonae Radix) (3 liang), Tongcao (Tetrapanacis Medulla) (3 liang), Shigao (Gypsum Fibrosum) (8 liang), Wuweizi (Schisandrae Fructus) (1 liang), Yang Shen (Ovis Ren) (3 pieces, fat removed), Mahuang (Ephedrae Herba) (3 liang, nodes removed).
The above twelve ingredients are chopped. Boil in 1 dou of water until reduced to 2.5 sheng. Strain the dregs. Add Sanhe (3 he) of honey, Sanhe (3 he) of fresh ginger juice, and Sanhe (3 he) of bamboo sap. Reheat and boil until reduced to 3 sheng. Divide into three doses.
Also treats deficiency-cold in the Upper Jiao with spirit failing to reside, loose stools, and inability to speak clearly. Use Fuling Anxin Tang (Poria Decoction for Calming the Mind).
Fuling (Poria) (3 liang), Renshen (Ginseng Radix et Rhizoma) (3 liang), Ganjiang (Zingiberis Rhizoma) (3 liang), Guixin (Cinnamomi Ramulus) (1 liang), Yuanzhi Pi (Polygalae Radix Bark) (3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang, honey-fried).
The above six ingredients are chopped. Boil in 9 sheng of water until reduced to 3 sheng. Strain the dregs. Divide into three doses. Avoid consuming raw scallions, vinegar products, Haizao (Sargassum), and Songcai (Brassica rapa var. pekinensis).
Also treats deficiency-cold in the Upper Jiao with borborygmus (intestinal rumbling) and diarrhea, and epigastric fullness with hardness. Use Banxia Xiexin Tang (Pinellia Decoction for Draining the Epigastrium).
Banxia (Pinelliae Rhizoma) (5 liang, washed), Huangqin (Scutellariae Radix) (3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (3 liang, honey-fried), Renshen (Ginseng Radix et Rhizoma) (3 liang), Ganjiang (Zingiberis Rhizoma) (3 liang), Huanglian (Coptidis Rhizoma) (1 liang), Guixin (Cinnamomi Ramulus) (3 liang).
The above seven ingredients: Boil in 9 sheng of water until reduced to 3 sheng. Strain the dregs. Divide into three doses. Avoid consuming Haizao (Sargassum), Songcai (Brassica rapa var. pekinensis), malt sugar, lamb meat, raw scallions, pork, and cold water. (This is originally Zhang Zhongjing's Banxia Xiexin Tang; the original formula lacks Guixin but includes 12 dates, found in Volume 4).
Qianjin Fang treats deficiency-cold in the Upper Jiao with shortness of breath and inability to speak clearly. Use Huangqi Lizhong Tang (Astragalus Decoction for Regulating the Middle).
Huangqi (Astragali Radix) (2 liang), Guixin (Cinnamomi Ramulus) (2 liang), Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (4 liang, alternatively Renshen), Jiegeng (Platycodonis Radix) (3 liang), Ganjiang (Zingiberis Rhizoma) (3 liang), Wuweizi (Schisandrae Fructus) (3 liang), Fuling (Poria) (3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (3 liang, honey-fried), Xingren (Armeniacae Semen Amarum) (4 liang, skin and tips removed), Xiong (Chuanxiong Rhizoma) (2 liang).
The above ten ingredients are chopped. Boil in 9 sheng of water until reduced to 3 sheng. Squeeze out the dregs. Take warm, divided into three doses. Avoid consuming Haizao (Sargassum), Songcai (Brassica rapa var. pekinensis), pork, raw scallions, and strong vinegar. (Same as Shanfan).
Also treats cold in the Upper Jiao with dysentery, internal abdominal discomfort, and food passing directly through the intestines. Use Huanglian Wan (Coptis Pill).
Huanglian (Coptidis Rhizoma) (8 liang), Ganjiang (Zingiberis Rhizoma) (4 liang), Jupi (Zelkovae Cortex) (3 liang), Wumei Rou (Mume Fructus Pulp) (8 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (4 liang, roasted), Guixin (Cinnamomi Ramulus) (1 liang), Xiong (Chuanxiong Rhizoma) (3 liang), Huangbai (Phellodendri Cortex) (3 liang), Ejiao (Colla Corii Asini) (4 liang, fried).
The above nine ingredients are powdered. Mix with white honey to form pills the size of wu zi (cherry seeds). Take 20 pills with water, increasing up to 30 pills. Avoid consuming pork, cold water, and raw scallions.
(Same as Shanfan).
Also treats dry retching due to obstruction in the Upper Jiao, where one wishes to vomit but cannot, with less heat and more cold, frequent vomiting of white foam and clear saliva, and acid regurgitation. Use Houpo Tang (Magnolia Bark Decoction).
Houpo (Magnoliae Officinalis Cortex) (4 liang, honey-fried), Wuzhuyu (Evodiae Fructus) (5 he), Renshen (Ginseng Radix et Rhizoma) (3 liang), Fuling (Poria) (4 liang), Jiegeng (Platycodonis Radix) (3 liang), Shengjiang (Zingiberis Rhizoma Recens) (8 liang), Xuanshen (Scrophulariae Radix) (3 liang), Xiong (Chuanxiong Rhizoma) (4 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (4 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (3 liang), JuPi (Citri Reticulatae Pericarpium) (3 liang, red veins removed).
The above eleven ingredients are chopped. Boil in 9 sheng of water until reduced to 3 sheng. Squeeze out the dregs. Divide into three doses. Avoid consuming pork, plums, peaches, sparrow meat, and strong vinegar. (Same as Shanfan, Volume 20).