附子（炮）一枚 半夏半升 甘草一两 大枣十枚 粳米半升
右五味，以水八升，煮米熟汤成，去滓，温服一升，日三服。
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心胸中大寒痛，呕不能饮食，腹中寒，上冲，皮起出见有头足，上下痛不可触近，大
建中汤主之。
【注】
心痛中大寒痛，谓腹中上连心胸大痛也，而名大寒痛者，以有厥逆脉伏等大寒证之意
也。呕逆不能饮食者，是寒甚拒格于中也。上冲皮起，出见头足者，是寒甚聚坚于外
也。上下痛不可触近，是内而藏府，外而经络，痛之甚亦由寒之甚也。主之以大建中
汤，蜀椒、干姜大散寒邪，人参、胶饴大建中虚，服后温覆，令有微汗，则寒去而痛
止。此治心胸中寒之法也。
蜀椒（去汗）二合 干姜四两 人参二两
右三味，以水四升，煮取二升，去滓，内胶饴一升，微火煎取一升半，分温再服，如
一爨顷，可饮粥二升，后更服，当一日食糜温覆之。
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寒气厥逆，赤圆主之。
【按】
此条之文、之方，必有简脱，难以为后世法，不释。
茯苓四两 半夏（洗）四两（一方用桂） 鸟头（炮）二两 细辛一两
右四味，末之，真朱为色炼丸，丸如麻子大，先食，酒饮下三丸，日再夜一服。不知
稍增之，以知为度。
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痛而闭者，厚朴三物汤主之。
【注】
腹满而痛下利者，用理中汤，所以温其中也。腹满而痛便闭者，用厚朴三物汤，所以
开其下也。
附子（炮制）一枚，半夏半升，甘草一两，大枣十枚，粳米半升。
以上五味药，用水八升，煮至米熟汤成，滤去药渣，每次温服一升，每日服用三次。
心胸部位剧烈寒冷疼痛，呕吐无法进食，腹部寒冷，气机上冲，皮肤隆起出现像头足一样的形状，上下疼痛剧烈不可触碰，以大建中汤为主治方剂。
【注】
所谓心胸中大寒痛，是指腹部寒气上连心胸导致的大痛。命名为大寒痛，是因为伴有四肢厥冷、脉象伏匿等大寒证候。呕吐逆乱不能饮食，是寒气极盛阻隔于中焦所致。气机上冲使皮肤隆起，显现出头足状的形态，是寒气极盛凝聚于体表所致。上下疼痛剧烈不可触碰，说明内部脏腑、外部经络的剧痛也是由寒气极盛引起的。主治使用大建中汤，其中蜀椒、干姜大力疏散寒邪，人参、胶饴大力补益中焦虚损，服药后覆盖衣被保暖，令其微微出汗，则寒气去除而疼痛停止。这是治疗心胸中寒的方法。
蜀椒（去汗）二合，干姜四两，人参二两。
以上三味药，用水四升，煮取二升药液，滤去药渣，加入胶饴一升，用小火煎取一升半，分两次温服。如果一顿饭的时间后，可以喝粥二升，之后继续服用，应当一日食用糜粥并覆盖衣被保暖。
寒气导致四肢厥冷，以赤圆为主治方剂。
【按】
这一条的文字和方剂，必定有简略脱漏之处，难以作为后世效法的标准，不予解释。
茯苓四两，半夏（洗）四两（另一方案用桂枝），乌头（炮制）二两，细辛一两。
以上四味药，研为细末，用真朱砂调色炼制成丸，如麻子大小，饭前服用，酒送下三丸，每日两次夜间一次。若无效稍加剂量，以见效为度。
腹痛且大便闭结不通者，以厚朴三物汤为主治方剂。
【注】
腹部胀满且疼痛伴下利者，使用理中汤，以此来温补中焦。腹部胀满且疼痛伴大便闭结者，使用厚朴三物汤，以此来通泄下部。
Fuzi (Prepared) one piece, Banxia half sheng, Gancao one liang, Dazao ten pieces, Jingmi half sheng.
The above five herbs are boiled in eight sheng of water until the rice is cooked and the decoction is ready. Strain the dregs, and take one sheng warm each time, three times a day.
@@@
Severe cold pain in the chest and heart region, vomiting with inability to eat or drink, coldness in the abdomen, upward rushing of qi, skin rising with visible head-like and foot-like protrusions, severe pain throughout the upper and lower body that cannot be touched, Zhiyi: Da Jian Zhong Tang (Greatly Build the Middle Decoction).
[Annotation]
"Severe cold pain in the chest and heart" refers to severe pain extending from the abdomen up to connect with the chest and heart. It is named "severe cold pain" because it implies other severe cold symptoms such as limb reversal (Jue Ni) and pulse hiding (Mai Fu). Vomiting and inability to eat indicate that extreme cold is rejecting and obstructing the middle jiao. The upward rushing causing skin protrusions with visible shapes indicates that extreme cold is gathering and solidifying externally. Severe pain throughout the upper and lower body that cannot be touched indicates that the severe pain in the internal zang-fu organs and external meridians is also due to extreme cold. The treatment uses Da Jian Zhong Tang; Shujiao (Sichuan Pepper) and Jiangjiang (Dried Ginger) greatly disperse cold pathogens, while Renshen (Ginseng) and Jiaoyi (Malt Sugar) greatly build up middle jiao deficiency. After taking the medicine, cover warmly to induce slight sweating, then the cold will depart and pain will stop. This is the method for treating cold in the chest and heart.
Shujiao (De-sweated) two he, Jiangjiang four liang, Renshen two liang.
The above three herbs are boiled in four sheng of water to obtain two sheng of liquid. Strain the dregs, add one sheng of Jiaoyi, and simmer over low heat to obtain one and a half sheng. Divide into two warm doses. If after the time of one meal (Yi Cuan), one can drink two sheng of congee, continue taking it afterwards. One should consume millet congee for the day and keep covered and warm.
@@@
Cold pathogen causing limb reversal (Jue Ni), Zhiyi: Chi Yuan (Red Pills).
[Commentary]
The text and formula for this clause must have suffered from omission or loss, making it difficult to serve as a standard for later generations; therefore, no explanation is provided.
Fuling four liang, Banxia (Washed) four liang (another version uses Guizhi), Wutou (Prepared) two liang, Xixin one liang.
The above four herbs are powdered, colored with genuine cinnabar (Zhen Zhu), and refined into pills the size of hemp seeds. Take before meals, washed down with wine, three pills at a time. Administer twice daily and once at night. If ineffective, slightly increase the dose until the desired effect is achieved (Yi Zhi Wei Du).
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Pain accompanied by constipation (Bi), Zhiyi: Hou Po San Wu Tang (Magnolia Bark Three-Ingredient Decoction).
[Annotation]
Abdominal fullness with pain and diarrhea is treated with Lizhong Tang to warm the middle jiao. Abdominal fullness with pain and constipation is treated with Hou Po San Wu Tang to open and drain the lower jiao.