治伤寒冷热不和。心腹痞满。时发疼痛。顺阴阳消痞满。
桔梗（微炒细锉） 半夏（生姜汁制） 陈橘皮（各一两） 枳实（半两麸炒赤色）
上锉。如麻豆大。每服钞五钱匕。水一盏半。生姜三片。同煎七分。去滓。温服。
琥按上主疗云。心腹痞满。时发
疼痛。此太阴病也。故上药入足太阴。兼走手太阴。足阳明。为散邪泄实之剂。
治伤寒阴病。下之太早。成痞。心下痞满而不痛。按之软虚也。
槟榔 枳壳（等分）
上为末。每服三钱。煎黄连汤调下。不计时候。温服。
琥按上主疗云。心下痞满。乃腹满也。腹满。为太阴经病。仲景云。太阴为病。脉弱。设当行大黄芍药者。宜减之。
今者。伤寒阴病当是太阴病。误下之而成痞。按之不痛。比大实之证略虚。非真虚也。上方乃手足太阴。兼入阳明之剂。
治足太阴脾经受证。腹满而痛。咽干而渴。手足温。脉来沉而有力。此因邪热从阳经传入阴经也。
桂枝 赤芍药 甘草 大黄 枳实 柴胡（此味可删）
水二钟。姜一片。枣二枚。煎之临服槌法。入槟榔磨水三匙。热服。本经腹满。不恶寒而喘者。加大腹皮。去甘草。
琥按上方。即仲景桂枝加大黄汤也。其用赤芍药者。此本许氏内台方之议。加枳实槟榔者。此合河间宣明散方而
用之也。据上主疗云云。与少阳证毫无与其用柴胡殊悖于理。又加减法云。腹满者。去甘草。愚以海藏法。若满者。并
不加大枣也。
（琥）按仲景云。太阴为病脉弱。其人续自便利。设当行大黄芍药者。宜减之。或问云。二药既所当减。另有他药
以代之否。余答云。太阴病。当行大黄芍药者。乃腹满实热作痛。此阳邪陷于阴分也。热痛者。不可减芍药自利者。法
当去大黄。宜以黄芩芍药汤代之。
（活人书）桔梗半夏汤方：治疗因感受寒邪导致体内寒热失调。心腹部胀满堵塞感。时常发作疼痛。顺应阴阳消长规律以消除痞满。
桔梗（微炒后细切） 半夏（用生姜汁炮制） 陈橘皮（各一两） 枳实（半两，麸炒至赤色）
以上药材切碎，大小如麻豆。每次服用五钱匕。加水一盏半，生姜三片，一同煎煮至七分水量。滤去药渣。温服。
王琥按语：上述主治功效提到“心腹痞满，时常发作疼痛”。这是太阴病。所以上述药物入足太阴脾经，兼走手太阴肺经、足阳明胃经，属于发散邪气、泻除实邪的剂型。
（宣明方）槟榔散方：治疗伤寒阴证。攻下过早。形成痞证。心下部痞满堵塞但不疼痛。按压时感觉软虚。
槟榔 枳壳（等分）
以上药材研为末。每次服用三钱。用黄连汤煎剂调服。不限时候。温服。
王琥按语：上述主治功效提到“心下痞满”，这就是腹满。腹满是太阴经的病证。张仲景说：“太阴病，脉象弱，假如应当使用大黄、芍药的，应该减量。”
现在的伤寒阴证应当是太阴病。误用攻下法而形成痞证。按压不痛。比大实证略微虚弱一些，但不是真正的虚证。上方乃是手足太阴经，兼入阳明经的剂型。
（陶氏方）桂枝大黄汤方：治疗足太阴脾经受邪出现的证候。腹部胀满且疼痛。咽喉干燥且口渴。手足温暖。脉象沉而有力。这是因为邪热从阳经传入阴经所致。
桂枝 赤芍药 甘草 大黄 枳实 柴胡（此味可删除）
水二钟。姜一片。枣二枚。煎煮时临服药前捣碎槟榔取汁三匙加入。热服。本经（指《伤寒论》或相关经典中关于太阴病的记载）提到腹满，不恶寒而气喘的，加大腹皮，去掉甘草。
王琥按语：上方即是张仲景的桂枝加大黄汤。其中使用赤芍药，这是遵循许氏《内台方议》的意见。加入枳实、槟榔，这是结合河间刘完素《宣明论方》中的散方来使用的。根据上述主治功效描述，与少阳证毫无关系，使用柴胡殊违背医理。另外加减法中提到，腹满者，去掉甘草。我认为按照海藏张元素的方法，如果是腹满，并不加大枣。
（王琥）按张仲景所说：“太阴病，脉象弱，其人持续自行大便通畅，假如应当使用大黄、芍药的，应该减量。”有人问：“这两种药既然应当减量，是否有其他药物替代？”我回答说：“太阴病，应当使用大黄、芍药的，是因为腹满实热作痛，这是阳邪陷入阴分。若是热痛，不可减去芍药；若是自利（腹泻），依法应当去掉大黄，宜用黄芩芍药汤替代。”
(Huo Ren Shu) Jiegeng Banxia Tang Formula: Treats disharmony of cold and heat in the body caused by contracting cold pathogens. Fullness and obstruction in the heart and abdomen. Pain that occurs intermittently. Follows the principles of Yin and Yang to resolve fullness and obstruction.
Jiegeng (Platycodonis Radix, slightly stir-fried and finely cut) Banxia (Pinelliae Rhizoma, processed with fresh ginger juice) Chenjupi (Aged Tangerine Peel, each 1 liang) Zhishi (Immature Bitter Orange Fruit, half a liang, stir-fried with bran until reddish)
The above herbs are cut into pieces the size of hemp seeds. Each dose is 5 qian bi (a small measuring spoon). Add 1.5 zhan of water and 3 slices of fresh ginger. Decoct together until the volume reduces to 0.7 zhan. Strain the dregs. Take warm.
Wang Hu's commentary: The aforementioned indications mention "fullness and obstruction in the heart and abdomen, with intermittent pain." This is a Taiyin disease. Therefore, the aforementioned herbs enter the Foot-Taiyin Spleen Meridian, and also affect the Hand-Taiyin Lung Meridian and Foot-Yangming Stomach Meridian. It is a formula for dispersing pathogenic factors and draining excess.
(Xuan Ming Fang) Binglang San Formula: Treats Shaoyin/Yin-type Cold Damage syndrome. Premature use of purgatives leads to Pi syndrome (obstruction/fullness). Fullness and obstruction in the epigastrium without pain. Palpation reveals softness and emptiness.
Binglang (Arecae Semen) Zhike (Aurantii Fructus Immaturus, equal parts)
The above herbs are powdered. Each dose is 3 qian. Mix with Huanglian Tang decoction. Take at any time. Take warm.
Wang Hu's commentary: The aforementioned indications mention "fullness and obstruction in the epigastrium," which refers to abdominal fullness. Abdominal fullness is a disease of the Taiyin meridian. Zhang Zhongjing stated: "In Taiyin disease, if the pulse is weak, and Dahuang (Rhei Radix et Rhizoma) or Shaoyao (Paeoniae Radix) should be used, their dosage should be reduced."
Current Yin-type Cold Damage should be considered Taiyin disease. Misuse of purgatives results in Pi syndrome. There is no pain upon palpation. It is slightly less deficient than true Excess syndromes, but it is not true deficiency. The above formula acts on the Hand and Foot Taiyin meridians, and also enters the Yangming meridians.
(Tao Shi Fang) Guizhi Dahuang Tang Formula: Treats manifestations of the Foot-Taiyin Spleen Meridian receiving pathogenic influence. Abdominal fullness and pain. Dry throat and thirst. Warm hands and feet. Pulse is deep and forceful. This is due to pathogenic heat transmitting from Yang meridians to Yin meridians.
Guizhi (Cinnamomi Ramulus) Chishaoyao (Red Paeonia Root) Gancao (Glycyrrhizae Radix et Rhizoma) Dahuang (Rhei Radix et Rhizoma) Zhishi (Immature Bitter Orange Fruit) Chaihu (Bupleuri Radix [this herb may be deleted])
Add 2 zhong of water, 1 slice of ginger, and 2 jujubes. Decoct. Before taking, crush Binglang (Arecae Semen) to extract 3 spoons of juice and add it. Take hot. Regarding abdominal fullness in this classic text, if there is no aversion to cold but there is wheezing, add Dafupi (Arecae Pericarpium) and remove Gancao.
Wang Hu's commentary: The above formula is essentially Zhang Zhongjing's Guizhi Jiadahuang Tang. The use of Chishaoyao follows Xu's Neitai Fangyi opinion. Adding Zhishi and Binglang combines elements from Liu Wan Su's Xuanming Lunfang. According to the aforementioned indications, these symptoms have nothing to do with Shaoyang syndrome; using Chaihu contradicts medical logic. Furthermore, the modification rule states that for abdominal fullness, Gancao is removed. I believe, following Zhang Yuansu's Haicang method, if there is fullness, one does not add Da Zao (Ziziphi Jujubae Fructus).
(Wang Hu) Commenting on Zhang Zhongjing: "In Taiyin disease, if the pulse is weak, and the patient has continuous spontaneous bowel movements, if Dahuang or Shaoyao should be used, their dosage should be reduced." A question was raised: "Since these two herbs should be reduced, are there other herbs to replace them?" My answer is: In Taiyin disease, if Dahuang and Shaoyao are indicated, it is due to abdominal fullness, excess heat, and pain, where Yang pathogenic factors have sunk into the Yin level. If there is heat pain, Shaoyao should not be reduced. If there is spontaneous diarrhea, Dahuang should be removed according to the law, and Huangqin Shaoyao Tang (Scutellaria and Paeonia Decoction) should be used instead.