当归 白芍药 白术（俱中） 麦门冬（上） 黄 （上） 甘草（炙下） 肉桂（中） 肉苁蓉（中） 人参（上）
川芎 附子 半夏 熟地黄 茯苓（俱中） 生姜（三片） 大枣（二枚）
上用水二钟。煎至一钟去渣温服。
琥按上方。乃十全大补汤中。加麦冬苁蓉附子半夏也。大能暖胃。补脾益肺。填肾。温肝。故名建中之剂。○又调
中汤能温胃。内有苍术麻黄桂枝羌活白芷。系太阳阳明风燥之药。于理不合。用之恐有害也。
海藏治侯辅之病。脉极沉细。内寒外热。肩背胸胁斑出十数点。语言狂乱。或曰。发斑谵语。非热乎。余曰。非也。
阳为阴逼。上入于肺。传之皮毛。故斑出。神不守舍。故错语如狂。非谵语也。肌表虽热。以手按执。须臾冷透如冰。
与姜附等药。数日。约二十余两。作大汗而愈。后因再发。脉又沉迟。三四日不大便。余与理中丸。三日内约半斤。其
疾全愈。
吴仁斋曾治一人伤寒。七八日。因服凉药太过。遂变身凉。手足厥冷。通身黑斑。惟心头温暖。乃伏火也。诊其六
脉沉细。昏沉不知人事。亦不能言语。状似尸厥。遂用人参三白汤。加熟附子半个。干姜二钱。水煎与之服下。待一时
许。斑色渐红。手足渐暖而苏醒也。复有余热不清。此伏火后作也。以黄连解毒。竹叶石膏汤。调之而愈。
当归、白芍药、白术（均用中等剂量）、麦门冬（用量偏上）、黄芩（用量偏上）、甘草（炙用，后下）、肉桂（中等剂量）、肉苁蓉（中等剂量）、人参（用量偏上）
川芎、附子、半夏、熟地黄、茯苓（均用中等剂量）、生姜（三片）、大枣（两枚）
以上药材，用水二钟煎煮，煎至一钟，去渣滓，温服。
琥按：上述方剂，是在十全大补汤的基础上，加入麦冬、苁蓉、附子、半夏而成。此方能极大地温暖胃腑，补益脾脏并滋养肺脏，填补肾脏，温煦肝脏，因此命名为建中类的方剂。○另外，调中汤也能温暖胃腑，但其方内含有苍术、麻黄、桂枝、羌活、白芷，这些属于太阳经和阳明经治疗风燥的药物，从医理上讲并不契合，使用它恐怕会有害处。
海藏治疗侯辅之的病证，脉象极沉细，体内寒盛而体表发热，肩背胸胁部位出现十数点斑疹，言语狂乱。有人说：“出斑且胡言乱语，这不是热证吗？”我说：“不对。阳气被阴寒逼迫，向上进入肺脏，传至皮毛，所以出现斑疹；神志不能守舍，所以言语错乱如发狂，并非真正的谵语。肌表虽然发热，但用手按压片刻，感觉冷透如冰。”给予干姜、附子等药物，几天时间，大约用了二十多两，患者大汗出而痊愈。后来病情复发，脉象又变得沉迟，三四天不大便。我给予理中丸，三天内大约服用半斤，疾病完全痊愈。
吴仁斋曾治疗一名伤寒患者，患病七八日，因为服用凉药太过，导致身体变凉，手足厥冷，全身出现黑斑，只有心口处温暖，这是伏火（郁热内伏）的表现。诊察其六脉沉细，神志昏沉不知人事，也不能说话，状似尸厥（假死状态）。于是用人参三白汤，加入半个熟附子、二钱干姜，水煎后让患者服用。等待约一个时辰，斑色逐渐转红，手足逐渐变暖而苏醒。之后仍有残余的热邪未清，这是伏火发作后的表现。用黄连解毒汤、竹叶石膏汤调理而痊愈。
Radix Angelicae Sinensis (Danggui), Radix Paeoniae Alba (Baishao), Rhizoma Atractylodis Macrocephalae (Baizhu) [all medium dose], Bulbus Ophiopogonis (Maidong) [higher dose], Radix Scutellariae (Huangqin) [higher dose], Radix Glycyrrhizae Preparata (Zhi Gancao) [added later], Cortex Cinnamomi (Rougui), Cortex Epimedii? No, Cistanche Deserticola (Roucongrou) [medium dose], Radix Ginseng (Renshen) [higher dose]
Rhizoma Chuanxiong (Chuanxiong), Radix Aconiti Lateralis Preparata (Fuzi), Rhizoma Pinelliae (Banxia), Radix Rehmanniae Preparata (Shudihuang), Sclerotium Poriae (Fuling) [all medium dose], Rhizoma Zingiberis Recens (Shengjiang) [three slices], Fructus Jujubae (Dazao) [two pieces]
Take the above herbs, add two zhong of water, decoct until one zhong remains, remove the dregs, and take warm.
Hu notes: The above prescription is formed by adding Maidong, Roucongrou, Fuzi, and Banxia to Shiquan Dabu Tang (Ten Significant Tonifying Decoction). It has a strong ability to warm the Stomach, tonify the Spleen and benefit the Lung, fill the Kidney, and warm the Liver; hence it is named as a Jianzhong (Establish the Middle) type formula. ○ Furthermore, Tiaozhong Tang can also warm the Stomach, but its formula contains Rhizoma Atractylodis Lanceae (Cangzhu), Herba Ephedrae (Mahuang), Ramulus Cinnamomi (Guizhi), Radix Saposhnikoviae (Qianghuo), and Radix Angelicae Dahuricae (Baizhi), which are herbs for treating Wind-Dryness in the Taiyang and Yangming channels. This does not accord with medical principles, and using it may cause harm.
Haizang treated the case of Hou Fuzhi. The pulse was extremely deep and fine, with internal cold and external heat. Several spots of macules appeared on the shoulders, back, chest, and hypochondrium. Speech was delirious and chaotic. Someone said, "Macules appearing with delirious speech—is this not a Heat syndrome?" I replied, "No. Yang Qi is forced inward by Yin Cold, moves upward into the Lung, and transmits to the skin and hair, thus causing macules. The Spirit fails to reside within, leading to disordered speech resembling madness, rather than true delirium. Although the muscle surface feels hot, upon manual pressure for a moment, it feels cold through to the bone like ice." Administered herbs such as Rhizoma Zingiberis (Jiang) and Radix Aconiti Lateralis Preparata (Fuzi) over several days, totaling more than twenty liang. The patient recovered after profuse sweating. Later, the condition recurred; the pulse became deep and slow again, with no bowel movement for three or four days. I administered Lizhong Wan (Regulate the Middle Pill). Within three days, approximately half a jin was consumed, and the disease was completely cured.
Wu Renzhai once treated a patient with Shanghan (Cold Damage). After seven or eight days, due to excessive intake of cooling medicines, the body temperature dropped, extremities became cold (Jue), and black macules appeared all over the body, except for warmth at the heart region, indicating Fu Huo (latent fire/heat). Examination of the six pulses revealed them to be deep and fine. The patient was comatose, unaware of surroundings, and unable to speak, resembling Shijue (corpse-like fainting). Therefore, Renshen Sanbai Tang (Ginseng Three Whites Decoction) was used, supplemented with half a piece of Radix Aconiti Lateralis Preparata (Shu Fuzi) and two qian of Rhizoma Zingiberis (Ganjiang), decocted in water and administered. After about one shi (two hours), the color of the macules gradually turned red, extremities warmed, and the patient regained consciousness. Subsequently, residual heat remained unclarified, resulting from the manifestation of latent fire. The condition was resolved by regulating with Huanglian Jiedu Tang (Coptis Detoxification Decoction) and Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction).