治湿淫于内，脾胃不能克制，有积饮痞膈中满者。
苍术（五斤，泔浸七日） 陈皮（去白） 浓朴（各三斤，姜汁炙） 甘草（三十两，
炙）
上为末，每服三钱，姜汤下，日三服。又水煎，每服七钱。
柯韵伯曰∶《内经》以土运太过曰敦阜，其病腹满；不及曰卑监，其病留满痞塞。张仲
景制
削平
以平
之义
第二术白者柔而缓，苍者猛而悍，此取其长于发汗，迅于除湿，故以苍术为君耳。不得以白
补
气行则愈，故更以陈皮佐之。甘先入脾，脾得补而健运，故以炙甘草为使。名曰平胃，实调
脾
虽倍白术，而消伐过于此方。昧者以术为补，为当久服，不思枳实为峻而不宜多，特未之思
耳。
邪结胸中，胸中痞硬，寸脉微浮，气上冲咽喉不得息；或心下满而烦，饥不能食，手足
厥冷
皆
瓜蒂 赤小豆（熬黄，各一合） 香豉（一合）
上二味，别捣为散，取一钱，用香豉一合，热汤七合，煮作稀糜，去滓，取汁，和散温
服之
柯韵伯曰∶胸中者，清虚之府。寒邪凝结，内热不得外达，以至痞硬。其气上冲，心下
烦，
喉不得息
降，胃阳
得达，肺
升生发
象心，
胸中之
以三法
（一名益元散，一名六一散）
治夏时中暑，热伤元气，内外俱热，无气以动，烦渴欲饮，肠胃枯涸者。又能催生下乳。
积
桂府滑石（六两，水飞） 甘草（一两） 辰砂（三钱）
上为细末，新汲水一碗，调服三钱。
柯韵伯曰∶元气虚而不支者死，邪气盛而无制者亦死。今热伤元气，无气以动，斯时用
参、
虚者
秉秋
上清
止渴
安，
通行
催生下乳，积聚、蓄水等症，同乎此义，故兼治之。是方也，益气而不助邪，
伤气，不负益元之名矣。宜与白虎、生脉三方鼎足可也。
治疗湿邪在体内泛滥，脾胃无法制约，导致水饮停积、胸膈痞闷、腹部胀满的病症。
苍术（五斤，用淘米水浸泡七天） 陈皮（去掉白色部分） 厚朴（各三斤，用姜汁炙烤） 甘草（三十两，炙烤）
以上药物研成细末，每次服用三钱，用姜汤送服，每日三次。也可以用水煎煮，每次服用七钱。
柯韵伯说：《内经》认为土运太过称为“敦阜”，其病症是腹部胀满；土运不及称为“卑监”，其病症是水液停留、痞塞不通。张仲景制定方剂以体现削平过盛、补益不足、恢复平衡的含义。白术性柔而缓，苍术性猛而悍，此处取其善于发汗、迅速除湿的功效，所以用苍术作为君药。不能因为白术补气行气就能痊愈，所以更用陈皮作为佐药。甘味先入脾，脾得到补益而健运，所以用炙甘草作为使药。名为“平胃”，实际上是调理脾胃。虽然倍加白术，但消伐之力超过此方。不懂的人认为白术是补药，应当长期服用，却不思考枳实药性峻烈而不宜多用，这是没有深思熟虑罢了。
邪气结聚于胸中，胸部痞硬，寸脉微浮，气向上冲至咽喉导致呼吸不畅；或者心下胀满且烦躁，饥饿但不能进食，手脚冰凉。
以上两味药分别捣碎成散剂，取一钱，用香豉一合，热水七合，煮成稀粥状，去渣，取汁，与散剂混合温服。
柯韵伯说：胸中是清虚之府。寒邪凝结，内热不能向外发散，以至于痞硬。气向上冲，心下烦闷，咽喉呼吸不畅。降则胃阳得以通达，升则肺气得生发。象心位于胸中，用这三种方法……
治疗夏季中暑，热邪损伤元气，内外俱热，气短无力，心烦口渴想喝水，肠胃干枯枯竭的病症。又能催产下乳。
以上药物研成细末，用一碗新汲取的冷水，调服三钱。
柯韵伯说：元气虚弱无法支撑就会死亡，邪气强盛而没有制约也会死亡。如今热邪损伤元气，气短无力，此时如果用参、芪等补气药，对于虚证患者……秉承秋季收敛之气，上清头目，止渴安神，通行水道。催生下乳，积聚、蓄水等症状，道理与此相同，所以兼治这些病。这个方子，益气而不助长邪气，不损伤正气，不负“益元”之名。应该与白虎汤、生脉散三方并列，互为鼎足之势。
To treat dampness overflowing within, where the Spleen and Stomach fail to control it, resulting in retained fluids, chest and diaphragm stuffiness, and abdominal fullness.
Cangzhu (Atractylodis Rhizoma, five jin, soaked in rice water for seven days) Chenpi (Citri Reticulatae Pericarpium, white pith removed) Houpo (Magnoliae Officinalis Cortex, three jin each, stir-fried with ginger juice) Gancao (Glycyrrhizae Radix et Rhizoma, thirty liang, stir-fried)
Grind the above into powder. Take three qian per dose, washed down with ginger decoction, three times a day. Alternatively, decoct with water, taking seven qian per dose.
Ke Yunbo said: The *Neijing* states that when Earth transport is excessive, it is called "Dunfu" (Piled High), and its disease is abdominal fullness; when Earth transport is deficient, it is called "Beijian" (Low Monitor), and its disease is fluid retention, stuffiness, and blockage. Zhang Zhongjing formulated this prescription to embody the meaning of cutting down excess and leveling out deficiency. Baizhu (Atractylodis Macrocephalae Rhizoma) is soft and slow, while Cangzhu is fierce and harsh. Here, we take advantage of its ability to induce sweating and rapidly remove dampness, thus using Cangzhu as the Sovereign herb. One cannot assume that because Baizhu tonifies Qi and promotes movement, recovery will occur; therefore, Chenpi is added as an Assistant. Sweet flavor enters the Spleen first; when the Spleen is tonified, it functions vigorously, so roasted Gancao is used as an Envoy. Named "Pingwei San" (Stomach-Pacifying Powder), it actually regulates the Spleen and Stomach. Although doubling the amount of Baizhu, the draining and reducing power exceeds that of this formula. Ignorant people consider Baizhu a tonic and believe it should be taken for a long time, failing to realize that Zhishi (Immature Bitter Orange) is potent and unsuitable for large doses; this is a lack of deep thought.
When pathogenic factors knot in the chest, causing chest stuffiness and hardness, a slightly floating pulse at the Cun position, and Qi rushing upward to the throat preventing normal breathing; or subcostal fullness with irritability, hunger but inability to eat, and cold extremities.
Gua Di (Melon Seed) Chi Xia Dou (Adzuki Bean, fried until yellow, one he each) Xiang Chi (Prepared Soybean, one he)
Grind the above two ingredients separately into powder. Take one qian, use one he of Xiang Chi, add seven he of hot water, boil into a thin porridge, strain, take the liquid, mix with the powder, and take warm.
Ke Yunbo said: The chest is the residence of clear emptiness. Cold pathogenic factors condense, internal heat fails to reach the exterior, leading to stuffiness and hardness. Qi rushes upward, causing subcostal irritability and difficulty breathing through the throat. Descending allows Stomach Yang to penetrate; ascending allows Lung Qi to generate and rise. Like the Heart located in the chest, these three methods...
(Also known as Yiyuan San, also known as Liuyi San)
To treat summerheat stroke during summer, where heat damages Yuan Qi, causing heat inside and outside, lack of energy to move, irritability, thirst wanting to drink, and dryness/depletion of the intestines and stomach. It can also induce labor and promote lactation.
Guifu Huashi (Kaolin, six liang, processed by water flotation) Gancao (Glycyrrhizae Radix et Rhizoma, one liang) Chensha (Cinnabar, three qian)
Grind the above into fine powder. Mix with one bowl of newly drawn cold water, take three qian.
Ke Yunbo said: If Yuan Qi is too weak to support the body, death ensues; if pathogenic factors are too strong without restraint, death also ensues. Now, heat damages Yuan Qi, causing lack of energy to move. At this time, if one uses Renshen (Ginseng)... for deficiency... inheriting the autumn gathering qi, clearing the upper burner, stopping thirst, calming the mind, and promoting circulation. Inducing labor and lactation, accumulation, water retention, and other syndromes follow the same principle, hence treated concurrently. This formula tonifies Qi without aiding pathogenic factors, does not damage Qi, living up to the name "Yiyuan" (Benefiting Yuan). It should stand alongside Baihu Tang (White Tiger Decoction) and Shengmai San (Generate Pulse Powder) as a tripod.