浓朴（半斤去皮） 生姜（半斤切） 半夏（半升洗） 人参（一两） 甘草（二两炙）
上五味。以水一斗。煮取三升。去滓。温服一升。日三服。
成注引内经曰。脾欲缓。急食甘以缓之。用苦泄之。浓朴之苦。以泄腹满。人参甘草之甘。以益脾胃。半夏生姜之
辛。以散滞气。内台方议云。此系汗后亡津液。脾气虚而燥涩。故作胀。所以汤中用人参之甘。以生津液补不足。炙甘
草之甘。以缓其中。宽其胀也。夫胀非苦不泄。故用浓朴。非辛不散。故用半夏生姜。条辩以蠲饮作解。殊不合仲景之
意。
伤寒若吐。若下后。心下逆满。气上冲胸。起则头眩。脉沉紧。发汗则动经。身为振振摇者。茯苓桂枝白术甘草汤
主之。
（伤寒吐下之后。里虚气逆。心下作满。且上冲于胸膈之间。更上逆于头。起则作眩。盖里愈虚而气愈逆也。脉沉
紧者。寒邪由经而入里也。仲景法。脉浮紧者。可发汗今脉沉紧。误发其汗成注云。发汗则外动经络。损伤阳气。阳气
外虚。不能主持诸脉。身为振振然而摇动也。与此汤以和经散寒。益阳补气。）
茯苓（四两） 桂枝（三两去皮） 白术（二两） 甘草（二两炙）
上四味。以水六升。煮取三升。去滓。分温三服。
琥按成注云。阳不足者补之以甘茯苓白术。生津液而益阳也。里气逆者。散之以辛桂枝甘草。行阳散气。夫桂枝
走表。非散里气逆之药。盖里虚气逆。以甘补之。即以甘缓之。故用茯苓白术炙甘草。表虚动经。以辛和之。复以甘助
之。故用桂枝炙甘草。上方乃和营益气。表里兼主之剂。条辩以方中白术。删去白字。谓本草经止名术。乃是苍术。考
之仲景时。无所谓白术者。故以茯苓与术。为胜湿导饮之药。竟以此条病。为饮气上逆证。大失仲景论中之意。尚论篇
不改其非。为误极矣。
发汗病不解。反恶寒者虚故也。芍药甘草附子汤主之。（此条系真寒证。病恶寒。误发其汗。病因不解。恶寒证反甚。
医人不可认以为伤寒证。正文与注并）
厚朴（半斤，去皮） 生姜（半斤，切片） 半夏（半升，洗净） 人参（一两） 甘草（二两，炙烤）
以上五味药。用水一斗。煮取三升药液。滤去药渣。每次温服一升。每日服用三次。
成无己注引《内经》说：脾脏喜好缓和，紧急时用甘味食物来缓和它。用苦味来泄降它。厚朴的苦味，用来泄除腹部胀满。人参、甘草的甘味，用来补益脾胃。半夏、生姜的辛味，用来疏散停滞之气。内台方议认为：此证属于发汗后津液耗伤，脾气虚弱而干燥涩滞，所以产生胀满。因此汤剂中使用人参的甘味，来生津液补不足；炙甘草的甘味，来缓和中焦，宽解胀满。胀满非苦味不能泄降，所以使用厚朴；非辛味不能疏散，所以使用半夏、生姜。条辩将其解释为蠲除饮邪，殊不符合张仲景的本意。
伤寒病如果经过催吐或攻下之后，出现胃脘部逆气填塞感，气向上冲至胸部，起身时头晕目眩，脉象沉紧。此时若再发汗则会扰动经络，导致身体震颤摇晃。应当用茯苓桂枝白术甘草汤主治。
（伤寒经过吐法、下法之后，里气虚弱，气机逆乱，胃脘部感到胀满，并且向上冲至胸膈之间，更向上逆于头部，起身时发生眩晕。这是因为里气越虚，气机越逆乱。脉象沉紧，说明寒邪由经络传入体内。张仲景的法度是：脉浮紧者，可以发汗。如今脉象沉紧，误用发汗法。成注说：发汗则外动经络，损伤阳气。阳气外部虚弱，不能主持诸脉，身体就会震颤摇晃。给予此汤以调和经络、散寒，补益阳气、补气。）
茯苓（四两） 桂枝（三两，去皮） 白术（二两） 甘草（二两，炙烤）
以上四味药。用水六升。煮取三升药液。滤去药渣。分三次温服。
琥按：成注说：阳气不足的人，用甘味来补益，如茯苓、白术。生津液并补益阳气。里气逆乱的人，用辛味来疏散，如桂枝、甘草。运行阳气，疏散气机。桂枝走表，不是疏散里气逆乱的药物。大概是里虚气逆，用甘味补益它，同时也用甘味缓和它，所以使用茯苓、白术、炙甘草。表虚扰动经络，用辛味调和它，再用甘味辅助它，所以使用桂枝、炙甘草。上方乃是调和营卫、益气，表里兼顾的方剂。条辩在方中删去了“白”字，称本草经只称“术”，那是苍术。考证张仲景时代，没有所谓白术的说法，因此将茯苓与术，作为胜湿导饮的药物。竟然将此条病症，解释为饮气上逆证，大大失掉了张仲景论著中的本意。尚论篇不改其错误，真是误得极厉害了。
发汗后病证未解除，反而恶寒的，是因为虚损的缘故。应当用芍药甘草附子汤主治。（此条属于真寒证，病人恶寒，误用发汗法，病因未解，恶寒症状反而加重。医生不可误认为是伤寒证。正文与注释一并保留）
Cinnamon Twig, Poria, Atractylodes Macrocephala and Licorice Decoction (Fuling Guizhi Baizhu Gancao Tang)
Poullium aromaticum (Houpo, 厚朴) (half jin, bark removed) Fresh Ginger (Shengjiang, 生姜) (half jin, sliced) Pinellia Tuber (Banxia, 半夏) (half sheng, washed) Ginseng Radix et Rhizoma (Renshen, 人参) (one liang) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (two liang, honey-fried)
The above five herbs. Boil with ten dou of water. Reduce to three sheng of liquid. Remove the dregs. Take one sheng warm. Three times daily.
Cheng Wuji's commentary cites the *Neijing* (Inner Canon): The spleen desires relaxation; in urgency, use sweet substances to relax it. Use bitter substances to drain it. The bitterness of Poullium aromaticum drains abdominal fullness. The sweetness of Ginseng Radix et Rhizoma and Glycyrrhizae Radix et Rhizoma tonifies the spleen and stomach. The pungency of Pinellia Tuber and Fresh Ginger disperses stagnant qi. The *Neitai Fangyi* discusses: This condition arises from fluid depletion after sweating, leading to spleen qi deficiency and dryness/stagnation, causing distension. Therefore, the sweetness of Ginseng Radix et Rhizoma is used to generate fluids and supplement insufficiency; the sweetness of Honey-fried Glycyrrhizae Radix et Rhizoma moderates the middle jiao and relieves distension. Distension cannot be drained without bitterness, hence Poullium aromaticum is used. It cannot be dispersed without pungency, hence Pinellia Tuber and Fresh Ginger are used. The *Tiaobian* interprets this as eliminating fluid retention, which significantly deviates from Zhang Zhongjing's original intent.
In Shaoyang disease, if purging or vomiting has been performed, there is rebellious fullness below the heart, qi rushing upward to the chest, dizziness upon rising, and a deep, tight pulse. If sweating is induced, it disturbs the channels, causing the body to tremble and shake. Fuling Guizhi Baizhu Gancao Tang (Poria, Cinnamon Twig, Atractylodes Macrocephala and Licorice Decoction) is the primary treatment.
(After vomiting or purging in Shaoyang disease, interior deficiency leads to rebellious qi, causing fullness below the heart that rushes upward to the chest and head, resulting in dizziness upon rising. This is because the more deficient the interior, the more rebellious the qi. A deep, tight pulse indicates cold pathogen entering the interior from the channels. Zhang Zhongjing's method states: if the pulse is floating and tight, sweating may be induced. Now, with a deep, tight pulse, inducing sweating is an error. Cheng's commentary says: Sweating disturbs the exterior channels and damages yang qi. Exterior yang deficiency fails to govern the pulses, causing the body to tremble and shake. This decoction harmonizes the channels, dispels cold, and tonifies yang and qi.)
Poria (Fuling, 茯苓) (four liang) Cinnamon Twig (Guizhi, 桂枝) (three liang, bark removed) Atractylodes Macrocephala Rhizome (Baizhu, 白术) (two liang) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (two liang, honey-fried)
The above four herbs. Boil with six sheng of water. Reduce to three sheng of liquid. Remove the dregs. Divide into three warm doses.
Hu notes: Cheng's commentary says: For yang insufficiency, tonify with sweet substances like Poria and Atractylodes Macrocephala Rhizome to generate fluids and tonify yang. For interior rebellious qi, disperse with pungent substances like Cinnamon Twig and Glycyrrhizae Radix et Rhizoma to move yang and disperse qi. Cinnamon Twig moves to the exterior; it is not a herb for dispersing interior rebellious qi. Essentially, interior deficiency with rebellious qi is supplemented with sweet substances and moderated by sweet substances; thus, Poria, Atractylodes Macrocephala Rhizome, and Honey-fried Glycyrrhizae Radix et Rhizoma are used. Exterior deficiency disturbing the channels is harmonized with pungent substances and assisted by sweet substances; thus, Cinnamon Twig and Honey-fried Glycyrrhizae Radix et Rhizoma are used. The above formula is a agent that harmonizes ying (nutritive) qi, tonifies qi, and addresses both exterior and interior. The *Tiaobian* deleted the character "Bai" (White) from the formula, claiming the *Bencao Jing* only lists "Zhu" (Atractylodes), referring to Cangzhu (Atractylodes lancea). Examining Zhang Zhongjing's era, there was no concept of Baizhu (Atractylodes macrocephala); thus, Poria and Zhu were treated as herbs to overcome dampness and guide out fluid. Consequently, this condition was interpreted as rebellious fluid qi, greatly missing Zhang Zhongjing's intent in the treatise. The *Shanglun Pian* did not correct this error, which is extremely mistaken.
After sweating, if the disease does not resolve but instead worsens aversion to cold, it is due to deficiency. Shaoyao Gancao Fuzi Tang (Peony, Licorice and Prepared Aconite Root Decoction) is the primary treatment. (This clause pertains to a true cold syndrome. The patient experiences aversion to cold; erroneous sweating fails to resolve the cause and exacerbates the aversion to cold. Physicians must not mistake this for a Shaoyang disease pattern. Both the main text and commentary are retained.)