论曰中焦如沤者，以其在胃中脘，不上不下，主腐熟水谷，本胃脘之阳，气温乃能腐化
水谷之精，灌养周身，若寒客中焦，则胃中冷，胃中冷则饮食不化，腹痛飧泄，霍乱吐利，
治法宜温补之。
治中焦有寒，洞泄不利，或因霍乱后，泻利无度，腹中虚痛。黄连汤方
黄连（去须四两） 黄柏（去粗皮） 当归（切焙） 浓朴（去粗皮生姜汁炙熟各三两）
酸石
上七味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服、日三。
治中焦虚寒洞泄。人参汤方
人参 当归（切焙） 甘草（炙锉） 黄芩（去黑心各二两） 赤茯苓（去黑皮） 干
姜（炮）
上八味，粗捣筛，每服五钱匕，入粟米二钱，水二盏，煎至一盏，去滓温服。日三。
治中焦虚寒，数年不能食。消食丸方
小麦 曲（各一升） 干姜（炮） 乌梅肉（各四两）
上四味，捣罗为末，炼蜜丸如梧桐子大，每服十五丸，不拘时，生姜汤下，日再，稍加
至四十丸。
治中焦有寒，胃中逆冷泄利。朴沉汤方
浓朴（去粗皮生姜汁炙透五两） 沉香（三两） 丁香 附子（炮裂去皮脐） 高良姜
（各二
上九味。锉如麻豆，每服三钱匕，水一盏，煎至六分，去滓食前温服。
治中焦有寒，阴凝胃口，哕噫不止。 酱汤方
酱（二两） 高良姜（三分） 荜澄茄（半两）
上三味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓入苦酒数滴热呷，以知为度。
治中焦寒，进饮食，益脾元。姜枣丸方
桂（去粗皮） 附子（炮裂去皮脐） 干姜（炮） 陈橘皮（去白焙） 人参 白茯苓
（去黑皮）
上八味，捣罗为末，姜汁煮枣，取肉和丸，如梧桐子大，每服三十丸，空心食前，温酒
下。
治中焦虚寒，泻痢不止，脐腹疼痛。通圣丸方
干姜（炮） 白矾（烧令汁尽） 硫黄（细研各二钱） 桂（去粗皮） 肉豆蔻仁 附
子（炮裂
去皮脐） 吴茱萸（汤洗焙干炒） 缩砂仁 诃黎勒皮（各一分）
上九味，捣研为末，同研令匀，煮面糊和丸，如梧桐子大，每服十五丸，煎醋艾汤下，
食前服。
治中焦虚冷，目中急痛，耳鸣胫寒。黄 汤方
黄 （一两） 防风（去叉） 细辛（去苗叶） 桂（去粗皮） 柏子仁（别研） 陈
橘皮（去白焙
）人参（各半两） 甘草（炙一分） 芎 （半两） 吴茱萸（汤浸焙干炒一钱）
上一十味，除研者外，粗捣筛拌匀，每服五钱匕，生姜五片，枣二枚劈破，水一盏半，
煎至八分，去滓温服、食前。
治中焦有寒，痰逆不思饮食。化痰丸方
半夏（四两汤洗七遍焙干） 矾石（烧灰研一两）
上二味，捣研为细末，以生姜自然汁煮枣，取肉和丸，如梧桐子大，每服十五丸。生姜
汤下，不拘时候。
治中焦虚寒，痰积不散。温白丸方
丹砂（一两研如粉一半入药一半为衣） 白矾（研飞） 半夏（汤洗七遍去滑焙） 生
姜（各
三两切与半夏同捣作饼炙黄熟为度） 白术（二两） 丁香（半两）
上六味，除丹砂一半为衣外，捣研为细末，姜汁煮糊和丸，如梧桐子大，丹砂为衣。每
服二十丸，食后临卧生姜汤下。
治中焦寒痰。半夏丁香丸方
半夏（二两水浸七日曝干） 白矾（烧令汁尽半两） 丁香（一分）
上三味，捣研为末，姜汁煮糊和丸，如小豆大，每服五丸至七丸，盐汤下。
治中焦有寒。紫苏汤方
紫苏（茎叶） 藿香（叶） 赤茯苓（去黑皮） 甘草（炙锉） 人参 桔梗（炒） 葛
根（各一
两） 丁香枝杖（半两）
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治中寒胃虚，饮食迟化，气不升降，呕逆恶心，留饮寒痰，癖结动气，胁下逆满。有时
而痛，按之有形，或按有声，膈脘虚痞，食物多伤，噫气醋臭，心腹常疼，霍乱吐逆，烦闷
不安。陈曲丸方
陈曲（炒黄） 木香 浓朴（去粗皮生姜汁炙） 甘草 槟榔 青橘皮（去白） 白术 枳
壳
（麸炒去瓤） 京三棱（炮各八两） 干姜（炮） 桂（去粗皮各一十二两）
上一十一味，同捣罗为末，水煮面糊为丸，如梧桐子大，每服五七丸，温米饮下。不计
时候。
论述说：中焦如同沤（浸泡发酵）的状态，是因为它位于胃的中脘部位，位置介于上焦和下焦之间，主要功能是腐熟水谷。这依赖于胃脘的阳气，只有气温才能将水谷转化为精微物质，进而灌溉滋养全身。如果寒邪侵袭中焦，就会导致胃中寒冷；胃中寒冷则饮食无法消化，出现腹痛、完谷不化的泄泻（飧泄）、霍乱引起的呕吐和腹泻等症状。治疗原则应当采用温补法。
治疗中焦有寒邪，导致洞泄（急迫的水样腹泻）且排泄不畅，或者因为霍乱之后，腹泻无度，腹部空虚疼痛。黄连汤方：
黄连（去除须根四两） 黄柏（去除粗皮） 当归（切片焙干） 浓朴（去除粗皮，用生姜汁炙烤至熟，各三两）
以上七味药，粗捣筛碎，每次服用五钱匕，加水一盏半，煎煮至八分满，滤去药渣，温服，每日三次。
治疗中焦虚寒导致的洞泄。人参汤方：
人参 当归（切片焙干） 甘草（炙烤后锉碎） 黄芩（去除黑心部分，各二两） 赤茯苓（去除黑皮） 干姜（炮制）
以上八味药，粗捣筛碎，每次服用五钱匕，加入粟米二钱，加水二盏，煎煮至一盏，滤去药渣，温服，每日三次。
治疗中焦虚寒，数年不能进食。消食丸方：
小麦 神曲（各一升） 干姜（炮制） 乌梅肉（各四两）
以上四味药，捣碎过罗成粉末，用炼蜜制成梧桐子大小的丸剂，每次服用十五丸，不限时间，用生姜汤送服，每日两次，逐渐增加至四十丸。
治疗中焦有寒邪，胃中逆冷导致的泄利。朴沉汤方：
浓朴（去除粗皮，用生姜汁炙透，五两） 沉香（三两） 丁香 附子（炮裂后去皮脐） 高良姜（各二两）
以上九味药，锉碎如麻豆大小，每次服用三钱匕，加水一盏，煎煮至六分，滤去药渣，饭前温服。
治疗中焦有寒邪，阴寒凝滞胃口，呃逆嗳气不止。酱汤方：
酱（二两） 高良姜（三分） 荜澄茄（半两）
以上三味药，粗捣筛碎，每次服用三钱匕，加水一盏，煎煮至七分，滤去药渣，加入少许醋（苦酒），加热后小口慢饮，以见效为度。
治疗中焦寒邪，促进饮食，补益脾元。姜枣丸方：
桂枝（去除粗皮） 附子（炮裂后去皮脐） 干姜（炮制） 陈橘皮（去除白瓤焙干） 人参 白茯苓（去除黑皮）
以上八味药，捣碎过罗成粉末，用姜汁煮大枣，取枣肉和药粉制成梧桐子大小的丸剂，每次服用三十丸，空腹饭前，用温酒送服。
治疗中焦虚寒，痢疾不止，脐腹疼痛。通圣丸方：
干姜（炮制） 白矾（烧至汁液流尽） 硫黄（细研，各二钱） 桂枝（去除粗皮） 肉豆蔻仁 附子（炮裂后去皮脐） 吴茱萸（汤洗后焙干炒制） 缩砂仁 诃黎勒皮（各一分）
以上九味药，捣碎研磨成粉末，混合均匀，用水煮面糊和药粉制成梧桐子大小的丸剂，每次服用十五丸，煎煮醋艾叶汤送服，饭前服用。
治疗中焦虚冷，眼中急痛，耳鸣，小腿发冷。黄芪汤方：
黄芪（一两） 防风（去除叉枝） 细辛（去除苗叶） 桂枝（去除粗皮） 柏子仁（单独研碎） 陈橘皮（去除白瓤焙干） 人参（各半两） 甘草（炙烤，一分） 川芎（半两） 吴茱萸（汤浸后焙干炒制，一钱）
以上十味药，除已研碎的药物外，其余粗捣筛碎拌匀，每次服用五钱匕，加生姜五片，大枣二枚劈破，加水一盏半，煎煮至八分，滤去药渣，温服，饭前服用。
治疗中焦有寒邪，痰气上逆，不思饮食。化痰丸方：
半夏（四两，用汤水洗七遍后焙干） 矾石（烧成灰研碎，一两）
以上两味药，捣碎研磨成细末，用生姜自然汁煮大枣，取枣肉和药粉制成梧桐子大小的丸剂，每次服用十五丸，用生姜汤送服，不限时间。
治疗中焦虚寒，痰积不散。温白丸方：
丹砂（一两，研如粉，一半入药，一半作为包衣） 白矾（研飞） 半夏（汤洗七遍去滑性后焙干） 生姜（各三两，切片与半夏同捣成饼，炙烤至黄熟为止） 白术（二两） 丁香（半两）
以上六味药，除丹砂的一半作为包衣外，其余捣碎研磨成细末，用姜汁煮糊和药粉制成梧桐子大小的丸剂，用丹砂做包衣。每次服用二十丸，饭后临睡前用生姜汤送服。
治疗中焦寒痰。半夏丁香丸方：
半夏（二两，水浸七日晒干） 白矾（烧至汁液流尽，半两） 丁香（一分）
以上三味药，捣碎研磨成粉末，用姜汁煮糊和药粉制成小豆大小的丸剂，每次服用五至七丸，用盐汤送服。
治疗中焦有寒邪。紫苏汤方：
紫苏（茎叶） 藿香（叶） 赤茯苓（去除黑皮） 甘草（炙烤后锉碎） 人参 桔梗（炒制） 葛根（各一两） 丁香枝杖（半两）
以上八味药，粗捣筛碎，每次服用三钱匕，加水一盏，煎煮至七分，滤去药渣，温服。
治疗中寒胃虚，饮食消化迟缓，气机升降失常，呕吐恶心，留饮寒痰，癖结动气，胁下胀满逆气。有时疼痛，按压时有形或有声，膈脘部虚痞闷，食物多损伤，嗳气带酸臭味，心腹常疼，霍乱呕吐，烦闷不安。陈曲丸方：
陈曲（炒黄） 木香 浓朴（去除粗皮，用生姜汁炙烤） 甘草 槟榔 青橘皮（去除白瓤） 白术 枳壳（麸炒去瓤） 京三棱（炮制，各八两） 干姜（炮制） 桂枝（去除粗皮，各十二两）
以上十一味药，共同捣碎过罗成粉末，用水煮面糊制成梧桐子大小的丸剂，每次服用五至七丸，用温米饮送服，不限时间。
It is stated that the Middle Jiao (Middle Burner) resembles a fermentation vat because it is located in the middle epigastrium of the stomach, neither ascending nor descending, and its primary function is to rot and ripen food and drink. This process relies on the Yang Qi of the stomach epigastrium; only with warm temperature can the essence of food and drink be transformed and distributed to nourish the whole body. If Cold pathogens invade the Middle Jiao, it leads to coldness in the stomach; stomach coldness results in the inability to digest food, causing abdominal pain, stool with undigested food (Sun Xie), Huoluan (food poisoning with vomiting and diarrhea). The treatment principle should be warming and tonifying.
For treating Cold in the Middle Jiao causing Dong Xie (urgent watery diarrhea) with difficult discharge, or excessive diarrhea following Huoluan, accompanied by empty pain in the abdomen. Huanglian Tang (Coptis Decoction):
Huanglian (Coptidis Rhizoma, remove roots, 4 liang) Huangbai (Phellodendri Cortex, remove coarse bark) Danggui (Angelicae Sinensis Radix, slice and bake) Houpo (Magnoliae Officinalis Cortex, remove coarse bark, stir-fry with ginger juice until cooked, each 3 liang)
The above seven ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains, strain, and take warm. Three times daily.
For treating Dong Xie caused by deficiency-cold in the Middle Jiao. Renshen Tang (Ginseng Decoction):
Renshen (Panacis Ginseng Radix) Danggui (Angelicae Sinensis Radix, slice and bake) Gancao (Glycyrrhizae Radix et Rhizoma, roast and crush) Huangqin (Scutellariae Radix, remove black heart, each 2 liang) Chifuling (Poria Cocos with Red Bark, remove black skin) Shengjiang (Zingiberis Rhizoma Recens, processed)
The above eight ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, add 2 qian of millet, 2 zhan of water, decoct until 1 zhan remains, strain, and take warm. Three times daily.
For treating inability to eat for years due to deficiency-cold in the Middle Jiao. Xiaoshi Wan (Digestive Pill):
Xiaomai (Tritici Fructus) Qu (Medicated Leaven, each 1 sheng) Shengjiang (Zingiberis Rhizoma Recens, processed) Wumei (Mume Fructus pulp, each 4 liang)
The above four ingredients are pounded into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 15 pills per dose at any time, washed down with ginger soup. Twice daily, gradually increase to 40 pills.
For treating diarrhea caused by cold in the Middle Jiao and reverse coldness in the stomach. Puchen Tang (Magnolia and Agarwood Decoction):
Houpo (Magnoliae Officinalis Cortex, remove coarse bark, stir-fry thoroughly with ginger juice, 5 liang) Chenxiang (Aquilariae Lignum Resinatum, 3 liang) Dingxiang (Caryophylli Flos) Fuzi (Aconiti Lateralis Radix Praeparata, crack through processing, remove skin and umbilicus) Gaoliangjiang (Alpiniae Officinarum Rhizoma, each 2 liang)
The above nine ingredients are cut like hemp beans. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.6 zhan remains, strain, and take warm before meals.
For treating continuous hiccups and belching due to Yin condensation at the stomach opening caused by Cold in the Middle Jiao. Jiang Tang (Fermented Soybean Paste Decoction):
Jiang (Fermented Soybean Paste, 2 liang) Gaoliangjiang (Alpiniae Officinarum Rhizoma, 3 fen) Bichengqie (Schizonepetae Fructus, 0.5 liang)
The above three ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains, strain, add a few drops of vinegar (Ku Jiu), heat, and sip slowly. Stop when effective.
For treating Cold in the Middle Jiao, promoting food intake, and benefiting Spleen Yuan. Jiangzao Wan (Ginger and Date Pill):
Guizhi (Cinnamomi Ramulus, remove coarse bark) Fuzi (Aconiti Lateralis Radix Praeparata, crack through processing, remove skin and umbilicus) Shengjiang (Zingiberis Rhizoma Recens, processed) Chenpi (Citri Reticulatae Pericarpium, remove white pith and bake) Renshen (Panacis Ginseng Radix) Baifuling (Poria Cocos, remove black skin)
The above eight ingredients are pounded into powder. Boil dates in ginger juice, take the pulp, mix with powder to form pills the size of paulownia seeds. Take 30 pills per dose before breakfast on an empty stomach, washed down with warm wine.
For treating persistent dysentery and umbilical/abdominal pain due to deficiency-cold in the Middle Jiao. Tongsheng Wan (Unimpeded Salvation Pill):
Shengjiang (Zingiberis Rhizoma Recens, processed) Baifan (Alumen, burn until liquid flows out) Liuhuang (Sulfur, finely ground, each 2 qian) Guizhi (Cinnamomi Ramulus, remove coarse bark) Roudoukou (Myristicae Semen) Fuzi (Aconiti Lateralis Radix Praeparata, crack through processing, remove skin and umbilicus) Wuzhuyu (Evodiae Fructus, wash with water, bake dry, stir-fry) Suasharen (Amomi Fructus Rotundus) Helilepi (Terminaliae Chebulae Pericarpium, each 1 fen)
The above nine ingredients are pounded and ground into powder, mixed evenly. Mix with boiled wheat paste to form pills the size of paulownia seeds. Take 15 pills per dose, washed down with decoction of vinegar and mugwort leaves, before meals.
For treating eye acute pain, tinnitus, and cold calves due to deficiency-cold in the Middle Jiao. Huangqi Tang (Astragalus Decoction):
Huangqi (Astragali Radix, 1 liang) Fangfeng (Saposhnikoviae Radix, remove forked branches) Xixin (Asari Radix et Rhizoma, remove seedlings and leaves) Guizhi (Cinnamomi Ramulus, remove coarse bark) Baiziren (Platycladi Semen, grind separately) Chenpi (Citri Reticulatae Pericarpium, remove white pith and bake) Renshen (Panacis Ginseng Radix, each 0.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma, roast, 1 fen) Xiong (Ligustici Chuanxiong Rhizoma, 0.5 liang) Wuzhuyu (Evodiae Fructus, soak in water, bake dry, stir-fry, 1 qian)
The above ten ingredients, except those already ground, are coarsely crushed and mixed. Take 5 qianbi per dose, add 5 slices of fresh ginger and 2 cracked dates, 1.5 zhan of water, decoct until 0.8 zhan remains, strain, and take warm before meals.
For treating loss of appetite due to phlegm reversal caused by Cold in the Middle Jiao. Huatan Wan (Phlegm-Resolving Pill):
Banxia (Pinelliae Rhizoma, 4 liang, wash seven times with hot water, bake dry) Fanshi (Alumen, burn to ash and grind, 1 liang)
The above two ingredients are pounded and ground into fine powder. Boil dates in natural fresh ginger juice, take the pulp, mix with powder to form pills the size of paulownia seeds. Take 15 pills per dose, washed down with ginger soup, at any time.
For treating accumulated phlegm that does not dissipate due to deficiency-cold in the Middle Jiao. Wenbai Wan (Warm White Pill):
Dansha (Cinnabar, 1 liang, ground like powder; half used in medicine, half as coating) Baifan (Alumen, refined and flown) Banxia (Pinelliae Rhizoma, wash seven times with hot water to remove slipperiness, bake) Shengjiang (Zingiberis Rhizoma Recens, each 3 liang, sliced and pounded together with Banxia into cakes, roasted until yellow and cooked) Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang) Dingxiang (Caryophylli Flos, 0.5 liang)
The above six ingredients, except half the Dansha for coating, are pounded and ground into fine powder. Mix with ginger juice and paste to form pills the size of paulownia seeds, coated with Dansha. Take 20 pills per dose after meals and before sleep, washed down with ginger soup.
For treating Cold-phlegm in the Middle Jiao. Banxia Dingxiang Wan (Pinellia and Clove Pill):
Banxia (Pinelliae Rhizoma, 2 liang, soak in water for seven days, sun-dry) Baifan (Alumen, burn until liquid flows out, 0.5 liang) Dingxiang (Caryophylli Flos, 1 fen)
The above three ingredients are pounded and ground into powder. Mix with ginger juice and paste to form pills the size of small beans. Take 5 to 7 pills per dose, washed down with salt water.
For treating Cold in the Middle Jiao. Zisu Tang (Perilla Decoction):
Zisu (Perillae Folium et Caulis) Huoxiang (Agastaches Herba) Chifuling (Poria Cocos with Red Bark, remove black skin) Gancao (Glycyrrhizae Radix et Rhizoma, roast and crush) Renshen (Panacis Ginseng Radix) Jiegeng (Platycodonis Radix, stir-fry) Gegen (Puerariae Lobatae Radix, each 1 liang) Dingxiang Zhizhang (Caryophylli Ramulus, 0.5 liang)
The above eight ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains, strain, and take warm.
For treating deficiency of Stomach Qi due to Cold, slow digestion of food, failure of Qi ascending and descending, vomiting and nausea, retained fluids and cold-phlegm, accumulation moving Qi, fullness and rebellion under the ribs. Pain occurs sometimes, palpable or audible upon pressure, emptiness and distension in the diaphragm and epigastrium, frequent food injury, belching with sour odor, constant heart and abdominal pain, Huoluan with vomiting, restlessness and discomfort. Chenqu Wan (Aged Medicated Leaven Pill):
Chenqu (Aged Medicated Leaven, stir-fry until yellow) Muxiang (Aucklandiae Radix) Houpo (Magnoliae Officinalis Cortex, remove coarse bark, stir-fry with ginger juice) Gancao (Glycyrrhizae Radix et Rhizoma) Binglang (Arecae Semen) Qingju pi (Citri Reticulatae Pericarpium Viride, remove white pith) Baizhu (Atractylodis Macrocephalae Rhizoma) Zhike (Aurantii Fructus Immaturus, bran-fried, remove core) Sanleng (Sparganii Rhizoma, processed, each 8 liang) Shengjiang (Zingiberis Rhizoma Recens, processed) Guizhi (Cinnamomi Ramulus, remove coarse bark, each 12 liang)
The above eleven ingredients are pounded and ground into powder together. Mix with boiled wheat paste to form pills the size of paulownia seeds. Take 5 to 7 pills per dose, washed down with warm rice beverage, at any time.