治伤寒结胸欲绝心膈高起。手不得近。
茯苓 人参 白术 干姜（炮） 甘草（炙各二两） 枳实（十六片麸炒）
上捣罗为细末。炼蜜为丸。如鸡子黄大。每服一丸。热汤化下。连进二三服。胸中豁然。渴者。加栝蒌根二两下利
者。加牡蛎二两。 之。
琥按上方。乃仲景理中丸。加枳实茯苓也。太阴虚寒痞满者。上汤大宜用之。若伤寒结胸。心膈高起。手不得近。
恐系寒实证。参术又非所宜用。又云。渴者加栝蒌根。或者服药阳回。口中燥渴。可暂加之。至于下利。则肠胃寒极。
反用牡蛎之咸寒以凝涩之。殊悖于理。
治阴经伤冷。脾胃不和。及感寒邪。并食积所伤。
官桂（去皮） 人参 川芎（各二两） 浓朴（去皮净姜汁拌） 白茯苓 半夏（汤洗五七遍） 芍药（洗净） 当
归（洗） 麻黄（去节） 干姜（各三两） 甘草（二两半） 枳壳（五两麸炒黄色） 桔梗（十二两紧实白者洗净焙
干） 陈橘皮（八两洗净不去穣） 苍术（二十四两新米泔水浸去皮） 吴白芷（四两洗净焙干）
上件。除枳壳官桂橘皮外。其余并一处。生捣为粗末。分作六分。于大镬内。用文武火炒令黄熟不得焦。用纸摊于
板上。候冷。入前件枳壳官桂橘皮末。一处和匀。入瓷盒盛。每服二钱。水一盏。生姜三片。同煎至七分。去滓温服。
伤寒入葱白一茎。豆豉七粒。同煎连服出汗。或脾胃不和。内伤冷食浑身疼痛。头昏无力。胸膈不快。吃食不下。气脉
不和。四肢觉冷。至晚心躁困倦。即入盐少许。同煎。或者阴经伤寒。手足逆冷。或睡里虚惊。及虚汗不止。脉细疾。
面青呕逆。更宜入附子同煎。加减多少。并在临时。观看虚实轻重候之。
琥按上方。乃阳明太阳。及三阴经气血兼走之剂。止无关乎少阳。以寒中三阴。有自太阳经入者。有自阳明腑受者。
以故温中发表。两者兼施也。全在医者。临证细审。加减出入用之。
琥又按上方后云。伤寒加葱白豆豉者。此发阳明经汗。乃发表不远热也。又云。阴经伤寒。虚汗不止。宜入附子同
煎。则方中麻黄白芷等阳经发汗之药。又当减去。若不分经络。一概溷用。不惟无益。而反有害矣。此方与易老治伤寒
九味羌活汤相等。若非加减出入。不可用也。
治疗伤寒导致的结胸证，病情危重，心窝部高起胀满，手不能触碰。
茯苓、人参、白术、干姜（炮制）、甘草（炙，各二两）、枳实（十六片，麸炒）
将上述药材捣碎并过筛成细末，用炼蜜制成丸药，大小如鸡蛋黄。每次服用一丸，用热水化开送服。连续服用二三服后，胸部豁然开朗。若口渴者，加栝蒌根二两；若下利者，加牡蛎二两。
丹波元胤按：上述方剂，乃是张仲景的理中丸，加入了枳实和茯苓。对于太阴虚寒引起的痞满症状，此汤剂非常适宜使用。如果是伤寒结胸，心窝部高起，手不能触碰，恐怕属于寒实证，此时人参、白术又不适宜使用了。又说，口渴者加栝蒌根，或许是服药后阳气回复，口中干燥口渴，可以暂时加入。至于下利，则是肠胃寒极，反而使用牡蛎的咸寒之性来收敛固涩，这特别违背医理。
治疗阴经受冷伤，脾胃不和，以及感受寒邪，还有因饮食积滞所致的损伤。
官桂（去皮）、人参、川芎（各二两）、浓朴（去皮，净后用姜汁拌）、白茯苓、半夏（开水洗五七遍）、芍药（洗净）、当归（洗）、麻黄（去节）、干姜（各三两）、甘草（二两半）、枳壳（五两，麸炒至黄色）、桔梗（十二两，选紧实白色的洗净焙干）、陈橘皮（八两，洗净不去瓤）、苍术（二十四两，新米泔水浸泡去皮）、吴白芷（四两，洗净焙干）。
以上药材，除了枳壳、官桂、橘皮外，其余放在一起，生捣成粗末。分成六份，在大锅中，用文火和武火交替炒至黄熟，但不能焦糊。摊在纸上放在板上，待冷却后，加入前述的枳壳、官桂、橘皮末，一起混合均匀。装入瓷盒中保存。每次服用二钱，用水一盏，生姜三片，同煎至七分水量，去渣温服。若是伤寒入里，加葱白一根、豆豉七粒，同煎连服以出汗。或者是脾胃不和，内伤冷食导致浑身疼痛，头昏无力，胸膈不适，吃不下东西，气脉不和，四肢感觉冷，到了晚上心里烦躁困倦，就加入少许盐，同煎。或者是阴经伤寒，手足逆冷，或者睡梦中虚惊，以及虚汗不止，脉象细疾，面色青紫呕吐逆气，更适宜加入附子同煎。加减多少，都在临时根据情况观察虚实轻重而定。
丹波元胤按：上述方剂，是兼顾阳明、太阳及三阴经气血运行的方剂，唯独不涉及少阳经。因为寒邪侵入三阴经，有的从太阳经传入，有的从阳明腑受邪。因此，温中与发表两种治法兼施。全凭医生临证仔细审察，进行加减运用。
丹波元胤又按：上述方剂后面说，伤寒加葱白、豆豉，这是发阳明经的汗，即发表不远热。又说，阴经伤寒，虚汗不止，宜加入附子同煎，那么方中的麻黄、白芷等阳经发汗的药物，又应当减去。如果不分经络，一概混用，不仅无益，反而有害。此方与易老（王好古）治疗伤寒的九味羌活汤相当，如果不是根据情况加减出入，不可随意使用。
Treats *Jie Xiong* (chest binding) caused by *Shang Han* (cold damage), where the condition is critical, with swelling and distension rising in the epigastrium, making it impossible for the hand to approach.
Fuling (Poria), Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Ganjiang (Dried Ginger, prepared), Gancao (Licorice Root, honey-fried, each 2 liang), Zhishi (Immature Bitter Orange, 16 slices, bran-fried).
Crush and sieve the above herbs into fine powder. Form pills using refined honey, sized like a chicken egg yolk. Take one pill per dose, dissolve in hot water and ingest. After taking two or three doses continuously, the chest will feel clear and open. If there is thirst, add Gualougen (Trichosanthes Root, 2 liang); if there is diarrhea, add Muli (Oyster Shell, 2 liang).
Tanbo Yuanyin notes: The above formula is Zhang Zhongjing's Lizhong Wan (Regulate the Middle Pill), with added Zhishi and Fuling. For *Pi Man* (stuffiness and fullness) due to *Taiyin* deficiency-cold, this decoction is highly suitable. However, if it is *Shang Han Jie Xiong* (chest binding from cold damage) with epigastric swelling and tenderness preventing touch, it likely belongs to a cold-excess pattern, in which case Renshen and Baizhu are not appropriate. It also states that those with thirst add Gualougen; perhaps after taking the medicine, yang qi recovers causing dry mouth and thirst, so it can be temporarily added. As for diarrhea, it indicates extreme cold in the intestines and stomach; conversely using the salty-cold nature of Muli to astringe would be contrary to medical principles.
Treats cold injury to the *Yin* meridians, disharmony of the spleen and stomach, contraction of cold pathogens, and injuries caused by food stagnation.
Guangui (Cinnamon Twig, peeled), Renshen (Ginseng), Chuanxiong (Szechwan Lovage Rhizome, each 2 liang), Houpo (Magnolia Bark, peeled, cleaned and mixed with ginger juice), Baifuling (Poria), Banxia (Pinellia Tuber, washed five to seven times in boiling water), Shaoyao (Peony Root, washed), Danggui (Angelica Sinensis Root, washed), Mahuang (Ephedra Stem, nodes removed), Ganjiang (Dried Ginger, each 3 liang), Gancao (Licorice Root, 2.5 liang), Zhiqiao (Bitter Orange, 5 liang, bran-fried until yellow), Jiegeng (Platycodon Root, 12 liang, select firm white ones, wash and bake dry), Chenpi (Aged Tangerine Peel, 8 liang, wash without removing the pith), Cangzhu (Atractylodes Lancea Rhizome, 24 liang, soak in new rice washing water and peel), Baizhi (Angelica Dahurica Root, 4 liang, wash and bake dry).
For the above ingredients, except for Zhiqiao, Guangui, and Chenpi, place the rest together and crush into coarse powder. Divide into six portions. In a large wok, stir-fry over alternating mild and strong heat until yellow and cooked, but not burnt. Spread on paper on a board, wait for cooling, then add the powders of Zhiqiao, Guangui, and Chenpi, mix evenly. Store in a porcelain jar. Take 2 qian per dose, with one cup of water and three slices of fresh ginger, decoct until reduced to 0.7 cups, remove dregs, and take warm. For *Shang Han* entering the interior, add one stalk of Congbai (Scallion White) and seven grains of Douchi (Fermented Soybeans), decoct together and take continuously to induce sweating. Or for spleen-stomach disharmony, internal injury from cold food causing whole-body pain, dizziness, weakness, chest discomfort, anorexia, qi-pulse disharmony, cold sensation in limbs, irritability and fatigue at night, add a small amount of salt and decoct together. Or for *Yin* meridian *Shang Han*, with reversed cold in hands and feet, nocturnal fright, incessant spontaneous sweating, fine and rapid pulse, cyanotic face, vomiting and regurgitation, it is more suitable to add Fuzi (Prepared Aconite Root) and decoct together. The degree of addition or subtraction depends on temporary observation of deficiency/excess and severity.
Tanbo Yuanyin notes: The above formula is a preparation that moves qi and blood in the *Yangming*, *Taiyang*, and all three *Yin* meridians, excluding the *Shaoyang*. This is because cold invading the three *Yin* meridians may enter from the *Taiyang* meridian or be received from the *Yangming* fu organs. Therefore, warming the middle and releasing the exterior are applied simultaneously. It relies entirely on the physician's careful examination during clinical practice to adjust and use it.
Tanbo Yuanyin further notes: The latter part of the above formula states that adding Congbai and Douchi for *Shang Han* releases sweat from the *Yangming* meridian, meaning releasing the exterior does not avoid heat. It also states that for *Yin* meridian *Shang Han* with incessant spontaneous sweating, Fuzi should be added to decoct; thus, herbs for releasing the exterior in *Yang* meridians such as Mahuang and Baizhi should be reduced. If meridians are not distinguished and everything is mixed indiscriminately, it will not only be ineffective but harmful. This formula is comparable to Yi Lao's (Wang Haogu's) Jiwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction) for treating *Shang Han*; unless adjusted according to circumstances, it should not be used arbitrarily.