身微热。表虚。汗出不已。或因医者发汗。以致表虚。脉不实。治用王海藏黄 汤。
黄 人参 白茯苓 白术
白芍药（各一两） 甘草（七钱半） 陈皮（五钱）
上锉。每服酌量多少。用水二盏。生姜三片。煎八分。温服。
（邪气乘虚。结于心中。硬满而痛。手不可按。其痛连脐腹坚硬。名曰大结胸。若按之心
中痛。此名小结胸）
心胸高起。大痛。手不可按。治用轻者枳实理中丸。重者大陷胸丸治之。
【活人书枳实理中丸】
茯苓 人参（各二两） 枳实（麸炒。十六枚） 白术
干姜（炮） 甘草（炙。各二两）
上为末。炼蜜和匀。每一两作四丸。热汤化下一丸。
【仲景大陷胸丸】
大黄（三两） 葶苈（炒） 杏仁（炒。去皮尖） 芒硝（各七钱半）
上以前二味为末。研杏仁、芒硝如泥。和药末。丸如弹子大。每服一丸。别杵甘遂末一钱匕。
白蜜一大匙。
水二盏。煎至七分。顿服之。一宿乃下。如不下更服。以下为度。但甘遂性猛。宜详虚实斟酌
用之。
按之心中痛。脉浮滑者。治用仲景小陷胸汤。
黄连（二钱半） 半夏（六钱） 栝蒌实（大者一枚。用四分之一）
上以水三盏。先煎栝蒌实至一盏半。去渣。入前药二味。煎至一盏。分作二服。利下黄涎即安
。
身体微热。表虚（卫外功能虚弱）。汗出不止。有时是因为医生过度发汗，导致表气更虚，脉象不实。治疗使用王海藏黄汤。
黄芪 人参 白茯苓 白术
白芍药（各一两） 甘草（七钱半） 陈皮（五钱）
以上药材切碎。每次服用适量。用水两盏，生姜三片，煎煮至八分满。温服。
身体发凉。额头和手背有冷汗。治疗使用四逆汤加人参。（方剂见前文）
（邪气乘虚而入，结聚在心胸部位，心下硬满且疼痛，手不能按压。疼痛牵连脐腹，腹部坚硬，名为大结胸。如果按压心中痛，这名为小结胸。）
心胸部高起，剧烈疼痛，手不可按压。轻症用枳实理中丸，重症用大陷胸丸治疗。
【《活人书》枳实理中丸】
茯苓 人参（各二两） 枳实（麸炒，十六枚） 白术
干姜（炮制） 甘草（炙，各二两）
以上药材研为细末，炼蜜调和均匀。每一两药粉制成四丸。用热开水化开一丸服用。
【张仲景大陷胸丸】
大黄（三两） 葶苈子（炒） 杏仁（炒，去皮尖） 芒硝（各七钱半）
以上将前两种药材（大黄、葶苈子）研为细末，将杏仁、芒硝研磨如泥状。与药末混合，制成如弹子大小的丸剂。每次服用一丸，另取甘遂末一钱匕。
白蜜一大匙。
水两盏，煎煮至七分满，一次性服用。过一夜后大便通下。如果未通下，再服用。以大便通下为度。但甘遂药性猛烈，应详细辨别虚实斟酌使用。
Slight fever. Exterior deficiency (weakness of the defensive Qi protecting the exterior). Perspiration that does not cease. This may be caused by the physician inducing sweating excessively, leading to further exterior deficiency and a pulse that is not firm. The treatment utilizes Wang Haicang's Huangqi Decoction.
Astragali Radix (Huangqi), Ginseng Radix (Renshen), Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu)
Paeoniae Radix Alba (Baishaoyao) (each 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (7 qian half), Citri Reticulatae Pericarpium (Chenpi) (5 qian)
The above herbs are cut into small pieces. For each dose, take an appropriate amount. Add two zhan of water and three slices of Zingiberis Rhizoma Recens (Shengjiang). Decoct until reduced to eight-tenths. Take warm.
Body temperature is cool. Cold sweat appears on the forehead and back of the hands. The treatment utilizes Sini Tang (Four Reversal Decoction) with added Ginseng Radix (Renshen). (Formula seen previously).
(Evil qi takes advantage of the deficiency and knots in the heart region, causing hardness, fullness, and pain, which cannot be pressed by hand. The pain radiates to the umbilicus and abdomen, making them hard; this is named Major Jie Xiong (Chest Binding). If pressing causes pain in the heart region, this is named Minor Jie Xiong.)
The chest and heart area protrude, with severe pain that cannot be touched. For mild cases, Zhishi Lizhong Wan (Immature Bitter Orange and Middle-Regulating Pill) is used; for severe cases, Daxiexiong Wan (Major Chest-Binding Pill) is used.
[Zhongjing's Daxiexiong Wan from *Huoren Shu*]
Poria (Fuling), Ginseng Radix (Renshen) (each 2 liang), Immature Bitter Orange Fructus (Zhishi) (bran-fried, 16 pieces), Atractylodis Macrocephalae Rhizoma (Baizhu)
Zingiberis Rhizoma (Ganjiang) (processed), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, each 2 liang)
The above are ground into powder, mixed evenly with refined honey. Each liang of powder is made into four pills. Dissolve one pill in hot water and take.
[Zhang Zhongjing's Daxiexiong Wan]
Rhei Radix et Rhizoma (Dahuang) (3 liang), Lepidii Semen (Tinglizi) (fried), Armeniacae Semen Amarum (Xingren) (fried, skin and tips removed), Natrii Sulfas (Mangxiao) (each 7 qian half)
The first two herbs (Dahuang, Tinglizi) are ground into powder. The Xingren and Mangxiao are ground into a paste. Mix with the powder and form pills the size of a bullet. Take one pill per dose. Separately, pound Gansui Radix (Gansui) powder to one qian bi.
White honey, one large spoon.
Two zhan of water, decoct until seven-tenths remain. Take all at once. Bowel movement occurs after one night. If no bowel movement, take again. Stop when bowel movement occurs. However, Gansui is potent; use with caution after carefully assessing excess or deficiency.
If pressing the heart region causes pain and the pulse is floating and slippery, treat with Zhang Zhongjing's Xiaoxiexiong Tang (Minor Chest-Binding Decoction).
Coptidis Rhizoma (Huanglian) (2 qian half), Pinelliae Rhizoma (Banxia) (6 qian), Trichosanthis Fructus (Gualu Shi) (one large fruit, use one-quarter)
Add three zhan of water. First decoct Gualu Shi until reduced to one-and-a-half zhan. Remove dregs. Add the previous two herbs (Huanglian, Banxia). Decoct until one zhan remains. Divide into two doses. Relief occurs upon purging yellow phlegm-fluid.