（仲景一名三物浓朴汤）
治伤寒阳明证，谵语便硬，潮热而喘。及杂病上焦痞满不通。
大黄（四两） 浓朴（二两姜炒） 枳实（三枚麸炒。）
此少阳、阳明药也。邪在上焦则满，在中焦则胀，胃实则潮热（犹潮水之潮，其来有时，
阳明燥金旺于申酉，故日晡潮热。伤寒潮热为胃实，无虚证），阳邪乘心则狂故谵语，胃热
干肺则
欲其无伤下焦真阴也（大承气通治三焦，小承气不犯下焦，调胃承气不犯上焦。按∶阳明证
有正阳阳明，有太阳阳明，有少阳阳明，自阳明经传入胃腑，不恶寒，腹满便硬者，宜大承
气下之；若汗多发热微恶寒者，为外未解，其热不潮，未可与承气汤；若腹大满不通者，可
与小承气微和胃气；勿令大泄下。谓阳明有在经者，未全入腑，尤宜审慎。阳明、少阳病多
由太阳传入，成无己曰∶自太阳、少阳传入者，众所共知，自三阴传入者，鲜或能识，三阴
有急下之证多矣，岂非仲景之微旨欤。经曰∶伤寒脉浮缓，手足温者。系在太阴，当发黄，
若小便利者，不能发黄，至七八日，大便硬者，阳明病也。程郊倩曰∶此证谓之太阴阳明，
阳明为病，本胃实，不特三阳受邪，能转属阳明，三阴亦能转属阳明，推之少阴三大承气，
厥阴一小承气，何非转属阳明之病哉）。
《金匮》用本方治支饮胸满，更名浓朴大黄汤。本方加羌活，名三化汤（《机要》）∶治
中风邪气作实，二便不通（三化者，使三焦通利，复其传化之常也。加羌活者，证本于风也。
然中风
（张仲景将其命名为三物浓朴汤）
主治伤寒阳明证，表现为胡言乱语、大便干硬、潮热且气喘。以及杂病中上焦痞塞胀满不通的情况。
大黄（四两） 浓朴（二两，用姜炒） 枳实（三枚，用麸炒）
这是治疗少阳、阳明病的药物。邪气在上焦则导致胀满，在中焦则导致腹胀，胃腑实热则出现潮热（像潮水一样，来去有定时，阳明燥金之气在申时、酉时旺盛，所以傍晚时分出现潮热。伤寒中的潮热属于胃实证，没有虚证），阳邪侵犯心脏则发狂，因此出现胡言乱语；胃热干扰肺脏则……
为了不让它损伤下焦的真阴（大承气汤通治上、中、下三焦，小承气汤不触犯下焦，调胃承气汤不触犯上焦。按：阳明证有正阳阳明，有太阳阳明，有少阳阳明，病邪从阳明经传入胃腑，不恶寒，腹部胀满、大便干硬的，宜用大承气汤攻下；如果出汗多、发热轻微恶寒的，说明表证未解，其热不是潮热，不可给予承气汤；如果腹部显著胀满不通的，可给予小承气汤轻微调和胃气；不要让它剧烈泻下。意思是阳明病有在经的，尚未完全入腑，尤其应当审慎。阳明病、少阳病多由太阳病传入，成无己说：从太阳、少阳传入的，大家所共知，从三阴传入的，很少人能识别，三阴病中有许多需要急下的证候，这难道不是张仲景的微旨吗？经文说：伤寒脉象浮缓，手足温暖的，系属太阴，应当发黄，如果小便通利的，不能发黄，到了七八天，大便变硬的，就是阳明病。程郊倩说：这个证候称为太阴阳明，阳明为病，本来是胃实，不仅三阳经受邪能转属阳明，三阴经也能转属阳明，推及少阴用三大承气汤，厥阴用小承气汤，哪不是转属阳明的病呢）。
《金匮要略》用本方治疗支饮导致的胸满，更名为浓朴大黄汤。本方加入羌活，名为三化汤（出自《医学启源》）：治疗中风邪气导致实证，大小便不通（所谓“三化”，是使三焦通利，恢复其传化的正常功能。加入羌活的原因，是因为病证本源在于风邪。然而中风……
(Zhang Zhongjing named it Sanwu Nongpo Decoction)
Indicated for Yangming syndrome of cold damage, characterized by delirium, hard stool, tidal fever, and panting. Also indicated for miscellaneous diseases involving upper jiao (upper burner) stagnation and fullness with obstruction.
Rhubarb Root (Da Huang) (4 liang) Magnolia Bark (Nongpo) (2 liang, stir-fried with ginger) Immature Bitter Orange (Zhishi) (3 pieces, stir-fried with bran).
These are herbs for treating Shaoyang (Lesser Yang) and Yangming syndromes. When pathogenic factors are in the upper jiao, they cause fullness; in the middle jiao, they cause distension. Stomach excess heat leads to tidal fever (like the tide, arriving at regular intervals; Yangming Dry Metal qi is prosperous during Shen and You hours [3-7 PM], hence tidal fever occurs in the late afternoon. Tidal fever in cold damage indicates stomach excess, not deficiency). When yang pathogenic factors invade the Heart, mania ensues, resulting in delirium; Stomach heat harassing the Lung causes...
To avoid injuring the true Yin of the lower jiao (Da Chengqi Tang treats all three jiaos; Xiao Chengqi Tang does not affect the lower jiao; Tiaowei Chengqi Tang does not affect the upper jiao. Note: Yangming syndrome includes Zhengyang Yangming, Taiyang Yangming, and Shaoyang Yangming. When pathogens transmit from the Yangming channel to the Stomach fu organ, presenting without aversion to cold but with abdominal fullness and hard stool, Da Chengqi Tang should be used to purge; if there is profuse sweating, slight fever, and mild aversion to cold, the exterior is not yet resolved, the fever is not tidal, and Chengqi Decoctions should not be given; if there is significant abdominal fullness and obstruction, Xiao Chengqi Tang may be given to gently harmonize Stomach Qi; do not cause severe purging. This implies that Yangming disease may remain in the channel and not fully enter the fu organ, requiring particular caution. Yangming and Shaoyang diseases often transmit from Taiyang. Cheng Wuji stated: Transmission from Taiyang and Shaoyang is commonly known, while transmission from the Three Yin is rarely recognized. There are many urgent purgation indications in Three Yin diseases; is this not Zhang Zhongjing's subtle intent? The Classic states: In cold damage, if the pulse is floating and slow, and hands and feet are warm, it relates to Taiyin, and jaundice should develop. If urination is free, jaundice will not develop. After seven or eight days, if the stool becomes hard, it is Yangming disease. Cheng Jiaoqian stated: This syndrome is called Taiyang-Yangming. Yangming disease is fundamentally Stomach excess. Not only can pathogens in the Three Yang channels transfer to Yangming, but those in the Three Yin channels can also transfer to Yangming. Extending this logic, the use of three major Chengqi formulas in Shaoyin and one Xiao Chengqi formula in Jueyin—none are not diseases transferring to Yangming).
The *Jingui Yaolue* uses this formula to treat chest fullness caused by fluid retention (Zhi Yin), renaming it Nongpo Dahuang Decoction. Adding Qianghuo to this formula creates Sanhua Decoction (*Yi Fa Ji Yao*): Indicated for excess conditions due to wind-stroke pathogenic factors, with obstruction of both bowel and bladder movements ("Sanhua" means to unblock the three jiaos and restore their normal transformative functions. Qianghuo is added because the root of the condition lies in Wind. However, wind-stroke...)