治气分心下坚。大如盘。边如旋杯。此汤主之。
桂枝 生姜（各三两。） 细辛 甘草 麻黄（各二两。） 附子（一枚。炮。） 大枣
（十二枚
上七味。以水七升。先煮麻黄。去上沫。内诸药。煮取二升。分温三服。当汗出。如虫
行皮
歌曰 心下如盘边若杯。（如旋杯。）辛甘麻二附全枚。姜桂三两枣十二。气分须从气转
回。
（参） 此证是心肾交病。上不能降。下不能升。日积月累。如铁石难破。方中用麻黄、
桂枝、生姜以攻其上。附子、细辛以攻其下。甘草、大枣补中焦以运其气。庶上下之气交通
而病可愈。所谓大气一转。其结乃散也。
治心下坚。大如盘。边如旋杯。水饮所作。此汤主之。
枳实（七枚。） 白术（二两。）
上二味。以水五升。煮取三升。分温三服。腹中软。即当散也。
歌曰 心下如盘大又坚。邪之结（聚）散验其边。术宜二两枳枚七。苦泄转疗水饮愆。
蔚按。言水饮。所以别于气分也。气无形。以辛甘散之。水有形。以苦泄之。方中取白
术之
（见湿病。） 治风水脉浮为在表。其人或头汗出。表无他病。病者但下重。
为和。以下当肿及阴。难以屈伸。
（歌见长沙方歌括。） 治谷瘅寒热不食。食即头眩。心胸不安。久久发黄。此汤主
之。
茵陈蒿 栀子 大黄
男元犀按。太阴湿土也。阳明燥土也。经云。谷入于胃。游溢精气。其上输下转。藉脾
气之
为之阻而不利。故有寒热不食之病。经云。食入于阴。长气于阳。食即头眩心胸不安者。谷
入于胃挟浊气以上干也。主以茵陈蒿汤者。茵陈禀冬令寒水之气。寒能胜热。佐以栀子味苦
泻火。色黄入胃。挟大黄以涤胃肠之郁热。使之屈曲下行。则谷瘅之邪。悉从二便而解矣。
Treats Qi-pattern (Qi-pattern) manifesting as hardness below the heart, with a mass large as a plate and edges resembling an inverted cup. This decoction is the primary treatment for this condition.
Guizhi Tang (Cinnamon Twig Decoction) ingredients: Cinnamon Twig (Guizhi), Fresh Ginger Shengjiang (each 3 liang). Asarum Xixin, Licorice Gancao, Ephedrae Herba Mahuang (each 2 liang). Aconiti Lateralis Radix Preparata Fuzi (1 piece, processed). Jujubae Fructus Dazao (12 pieces).
Take the above seven herbs, add 7 sheng of water. First boil Mahuang, remove the foam on the surface. Then add the remaining herbs. Boil until 2 sheng remains. Divide into three warm doses. Sweating should occur, with a sensation like insects crawling under the skin.
The verse states: Hardness below the heart like a plate, edges like an inverted cup. Use 2 liang each of Xixin and Mahuang, one whole piece of Fuzi. 3 liang each of Shengjiang and Guizhi, 12 pieces of Dazao. For Qi-pattern, one must restore the circulation of Qi.
(Commentary) This syndrome involves simultaneous pathology of the Heart and Kidney. Upper Qi fails to descend, lower Qi fails to ascend. Accumulating day after day, it becomes hard as iron or stone, difficult to break. The formula uses Mahuang, Guizhi, and Shengjiang to attack pathogens in the upper jiao; Fuzi and Xixin to attack pathogens in the lower jiao; Gancao and Dazao to tonify the Middle Jiao to facilitate Qi transformation. Thus, the Qi of the upper and lower jiao communicates, and the disease can be cured. This is what is meant by "When the Great Qi turns, the accumulation dissipates."
Treats hardness below the heart, large as a plate, edges like an inverted cup, caused by Water-Fluid retention. This decoction is the primary treatment for this condition.
Zhisshi (7 pieces). Atractylodis Macrocephalae Rhizoma Baizhu (2 liang).
Take the above two herbs, add 5 sheng of water. Boil until 3 sheng remains. Divide into three warm doses. When the abdomen becomes soft, the pathogen will have dissipated.
The verse states: Hardness below the heart large and firm. Verify the binding and dispersal of pathogens by their edges. Use 2 liang of Baizhu and 7 pieces of Zhisshi. Bitter-draining methods treat abnormalities of Water-Fluid.
Wei notes: Mentioning Water-Fluid serves to distinguish it from Qi-pattern. Qi is formless, dispersed by acrid-sweet agents. Water has form, drained by bitter agents. The formula utilizes Baizhu...
(See Wet-Bi Syndrome.) Treats Feng-Shui (Wind-Water edema) where the pulse is floating, indicating the pathogen is in the exterior. The patient may have sweating only on the head, with no other exterior symptoms. The patient feels heaviness in the lower body.
If urination is obstructed, edema and swelling of the yin organs will occur, making flexion and extension difficult.
(The verse is found in *Changsha Fang Ge Kuo*.) Treats Gu-Dan (Grass Jaundice) manifesting as alternating chills and fever, anorexia, dizziness and mental unease immediately after eating, and yellowing of the skin over time. This decoction is the primary treatment for this condition.
Yinchenhao, Gardeniae Fructus Zhizi, Rhei Radix et Rhizoma Dahuang.
Nan Yuanxi notes: Taiyin belongs to Damp-Earth, Yangming belongs to Dry-Earth. The Classics state: Grain enters the Stomach, its essence floats and spreads, transporting upwards and downwards, relying on Spleen Qi. If Spleen Qi is obstructed and fails to flow smoothly, diseases such as alternating chills/fever and anorexia arise. The Classics state: Food enters Yin, nourishing Yang. Dizziness and mental unease after eating occur because grain entering the Stomach carries turbid Qi upward to disturb the clear orifices. The primary treatment is Yinchenshao Tang. Yinchen absorbs the cold-water Qi of winter; cold overcomes heat. Zhizi, bitter in taste, drains fire, and yellow in color enters the Stomach. Combined with Dahuang to purge stagnant heat in the intestines and stomach, forcing it downward. Thus, the pathogens of Gu-Dan are entirely resolved through urination and defecation.