病在中气之虚也，其症小便自利，脉息无力，神思困倦，言语轻微，或怔忡眩晕，畏寒
少食
，四肢不举，或大便不实，小便如膏。得之内伤劳役，饥饱失时，中气大伤，脾不化血，而
脾土之色自见于外。《金匮》云∶男子痿黄，小便自利，当与虚劳小建中汤。又《略例》云
∶内伤劳役，饮食失节，中州变寒之病而生黄者，非伤寒坏症，而只用建中、理中、大建中
足矣。不必用茵陈也。
即伤寒症也。东垣云∶伤寒当汗不汗，即生黄。邪在表者，宜急汗之，在表之里，宜渗
利之
；在半表半里，宜和解之；在里者，宜急下之。在表者必发热身痛，在里者必烦热而渴，若
阳明热邪内郁者，必痞结胀闷也。
麻黄连翘赤小豆汤 发汗之剂。
麻黄（去节） 连翘 炙草 生姜（各二两） 赤小豆（一升） 杏仁（四十个，去皮尖） 生
梓白皮（一升） 大枣（十二枚）
潦水一斗，先煮麻黄再沸，去上沫，内诸药煮取三升，分温三服，半日服尽。
茵陈五苓散 渗利之剂。
茵陈蒿（末一钱） 五苓散（五分）
水调方寸匕，日三服。
柴胡茵陈五苓散 和解之剂。
五苓散（一两） 茵陈（五钱） 车前子（一钱） 木通（一钱五分） 柴胡（一钱五分）
分二服，水一盏半，灯芯五十茎煎服，连进数服，小便清利愈。因酒后者，加干葛二钱
。
This is a syndrome of deficiency in the Middle Qi (Middle Jiao Qi). The symptoms include free urination, a weak and powerless pulse, mental fatigue and lassitude, faint speech, or palpitations and dizziness, aversion to cold, poor appetite, inability to lift the limbs, loose stools, or urine that resembles paste. This condition arises from internal injury due to overwork, irregular eating habits leading to severe damage to the Middle Qi. The Spleen fails to transform blood, causing the color of Spleen Earth to manifest externally. *Jin Gui Yao Lue* states: "In men with sallow complexion and free urination, one should administer Xiao Jian Zhong Tang for deficiency consumption." Furthermore, *Lue Li* states: "Jaundice arising from internal injury, overwork, and dietary irregularities causing cold transformation in the Middle Jiao is not a deteriorated syndrome from Taiyang disease; it suffices to use only Jian Zhong Tang, Li Zhong Tang, or Da Jian Zhong Tang. Yin Chen is not necessary."
This refers to Shaoyang disease. Dong Yuan stated: "If Shaoyang disease requires sweating but does not sweat, jaundice will develop." If the pathogen is at the Exterior level, urgent sweating is indicated; if it is between the Exterior and Interior, diuresis and leaching out dampness are indicated; if it is at the Half-Exterior Half-Interior level, harmonization is indicated; if it is at the Interior level, urgent purgation is indicated. Pathogens at the Exterior must present with fever and body pain; pathogens at the Interior must present with vexing heat and thirst; if Yangming heat pathogen is internally constrained, there must be epigastric fullness, obstruction, distension, and oppression.
Ma Huang Lian Qiao Chi Xiao Dou Tang (Ephedra, Forsythia, and Red Bean Decoction): A sweating agent.
Ingredients: Ma Huang (Ephedrae Herba, stems removed) 2 liang, Lian Qiao (Forsythiae Fructum) 2 liang, Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 2 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 2 liang, Chi Xiao Dou (Arenarii Semen) 1 sheng, Xing Ren (Armeniacae Semen Amarum, skin and tip removed) 40 pieces, Sheng Zi Bai Pi (Catalpae Cortex) 1 sheng, Da Zao (Jujubae Fructus) 12 pieces.
Preparation: Use 1 dou of liao shui (rainwater). First boil Ma Huang until boiling, remove the scum on the surface, then add the remaining herbs. Boil to obtain 3 sheng of liquid. Divide into three warm doses, to be consumed within half a day.
Yin Chen Wu Ling San (Artemisiae Scopariae and Five-Ingredient Powder with Poria Decoction): A diuretic and damp-draining agent.
Ingredients: Yin Chen Hao powder 1 qian, Wu Ling San (Five-Ingredient Powder with Poria) 5 fen.
Preparation: Mix with water and take an amount equivalent to a square-inch spoonful, three times daily.
Chai Hu Yin Chen Wu Ling San (Bupleuri, Artemisiae Scopariae, and Five-Ingredient Powder with Poria Decoction): A harmonizing agent.
Ingredients: Wu Ling San 1 liang, Yin Chen 5 qian, Che Qian Zi (Plantaginis Semen) 1 qian, Mu Tong (Akebiae Caulis) 1.5 qian, Chai Hu (Bupleuri Radix) 1.5 qian.
Preparation: Divide into two doses. Decoct with 1.5 cups of water and 50 stalks of Deng Xin Cao (Junci Medullia). Take continuously for several doses until urination becomes clear and smooth, indicating recovery. If caused by alcohol intake, add Gan Ge (Puerariae Radix) 2 qian.