海蛤散（许叔微《普济本事方》）治血结胸，（治妇人伤寒血结胸膈，痛不可近者。陶节
庵
大便
（每服
二
中；
鸡子清调服，则不伤肺胃之阴，允为伤寒邪热炽络，血痹着上焦之良治。王海藏治血结胸，
有桂枝红花汤加海蛤、桃仁，原欲表里上下一齐尽解之意，然总不如此方之妙。）结胸灸法
（
许叔微《普济本事方》）诚良妙，巴豆（十四枚）黄连（大者七寸）和成膏，填入脐心用艾
灸，
腹中鸣响结胸消。（上药为末，水调和，填入脐心，以艾灸其上，腹中有声，其病去矣。不
拘壮数，病退为度。才灸了，便以温汤浸手帕拭之，恐生疮也。此法稳妙，凡胸中病，俱可
根据此为治。）十枣汤（张仲景《金匮要略》）用芫（花）遂（甘遂）戟（大戟），（各等分，为
末，大
枣十枚煮汤煎药。）峻攻水气威灵赫，下利胸胁痞硬痛，汗出短气干呕逆，（诸证皆水气为患
。仲景利水之方，种种不同，此其最峻者也。）积痰伏饮并蠲除，（痰饮皆水之化，水为火结
则为痰，水为寒凝则为饮，治见《金匮要略·痰饮门》。）羸弱虚人勿轻掷。或益黄柏与大
黄，小胃丹（朱震亨《丹溪心法》）治痰热膈。（治老痰顽痰，壅塞胸膈，喘急气粗，大便秘
结。此方药力甚猛，壮实人痰饮最宜，老弱均忌。）三一承气（汤）节庵订，大小调胃（承
气汤
）三法乘。（治伤寒腹满实痛，谵语下利，内热不便，中风僵仆风痫。此方合三承气汤为一，
而重用甘草，攻补兼施，最得仲景之秘。）再加柴（胡）芩（黄芩）铁锈水，坠热开结（名）
六一
承（气汤）。黄龙汤治热结利，（胃有燥屎，口渴而反下利清水，名热结利，乃口饮汤而下渗
也。）三一承气（汤）人参增，当归桔梗兼姜枣，阳明实证体虚征。（年老气血虚者，去芒硝。
）《活人》（朱肱《伤寒类证活人书》）亦有黄龙汤，柴（胡）芩（黄芩）参（人参）草（甘
草）四般
称。（小柴胡汤去半夏、姜、枣，治妊娠寒热如疟，产后伤风，病后劳复热不解。）
海蛤散（出自许叔微《普济本事方》）治疗血结胸证，（专门治疗妇女患伤寒后，邪热与瘀血互结于胸膈部位，疼痛剧烈到无法触碰的情况。陶节庵认为此方效果显著。）大便（通畅即可；若用鸡蛋清调服，则不会损伤肺胃的阴液，这确实是治疗伤寒邪热炽盛、络脉瘀阻、病位在上焦的良方。王海藏治疗血结胸证，使用桂枝红花汤加上海蛤、桃仁，原本是想达到表里上下同时解除病邪的目的，但总不如本方精妙。）
结胸灸法（出自许叔微《普济本事方》）确实精妙，（取巴豆十四枚、黄连七寸大的七条，混合制成膏状，填入肚脐中心，用艾绒灸治，腹部鸣响则结胸证消除。）将上述药物研成粉末，用水调和，填入肚脐中心，在其上施以艾灸，腹部发出声响，疾病即可痊愈。不限定艾灸的壮数，以病情消退为度。刚灸完，立即用温水浸湿的手帕擦拭，以防生疮。此法稳妥精妙，凡是胸中的病症，都可以依据此法进行治疗。
十枣汤（出自张仲景《金匮要略》）使用芫花、甘遂、大戟，（各等分，研成粉末，用大枣十枚煮汤来煎服药粉。）峻猛攻逐水气，威力显赫，（服用后出现腹泻，伴有胸胁部痞塞硬满疼痛，出汗、呼吸短促、干呕逆气，这些症状皆由水气为患引起。张仲景利水的方剂多种多样，这是其中最峻猛的方剂。）积存的痰饮和潜伏的水饮一并清除，（痰和饮都是水液代谢异常的产物，水被火邪煎熬则化为痰，水被寒邪凝滞则化为饮，治疗方法详见《金匮要略·痰饮门》）。身体羸弱虚损之人不要轻易使用。或者加入黄柏和大黄，小胃丹（出自朱震亨《丹溪心法》）治疗痰热阻滞胸膈。（治疗老痰、顽痰壅塞胸膈，导致气喘急促、呼吸粗重、大便秘结。此方药力非常猛烈，适合体质壮实者的痰饮证，年老体弱者均忌用。）
三一承气汤（由陶节庵订正），结合了调胃承气汤、小承气汤、大承气汤三法的精髓。（治疗伤寒导致的腹部胀满实证疼痛、说胡话、下利、内热且大便不通，以及中风导致的突然跌倒、风痫发作。此方将三个承气汤合而为一，并重用甘草，攻补兼施，深得张仲景的奥秘。）再加上柴胡、黄芩和铁锈水，命名为坠热开结六一承气汤。
黄龙汤治疗热结利，（胃中有燥屎，口渴却反而排出清水，称为热结利，这是因为口中饮水但水液向下渗漏所致。）在三一承气汤基础上增加人参、当归、桔梗，并加入生姜、大枣，针对阳明实证但体质虚弱的情况。（年老气血虚弱者，去掉芒硝。）《活人书》（朱肱《伤寒类证活人书》）中也有黄龙汤，由柴胡、黄芩、人参、甘草四味药等量组成。（即小柴胡汤去掉半夏、生姜、大枣，用于治疗妊娠期间寒热往来如疟疾、产后伤风、病后劳复发热不退。）
Hai Ge San (Clam Shell Powder, from Xu Shuwei's *Pu Ji Ben Shi Fang*) treats Blood-Jie-Chong (Blood Stasis obstructing the chest), (specifically for women suffering from Cold Damage where pathogenic heat and blood stasis bind in the chest and diaphragm, causing pain so severe that it cannot be touched. Tao Jie'an notes its efficacy.) Bowel movements should be clear; (if mixed with egg white for administration, it will not damage the Yin of the Lung and Stomach, making it an excellent treatment for intense pathogenic heat in Cold Damage, collateral obstruction, and pathology located in the Upper Jiao. Wang Haicang treated Blood-Jie-Chong using Guizhi Honghua Tang added with Hai Ge and Taoren, originally intending to resolve pathogens from both exterior and interior, upper and lower simultaneously, yet this formula is superior.)
Jie-Xiong Moxibustion Method (from Xu Shuwei's *Pu Ji Ben Shi Fang*) is indeed exquisite. (Take fourteen Baiduo seeds and seven large pieces of Huanglian, mix into a paste, fill into the umbilicus, and apply moxibustion; abdominal rumbling indicates the resolution of Jie-Xiong.) Grind the above herbs into powder, mix with water, fill into the umbilicus, and apply moxibustion on top. When sounds are heard in the abdomen, the disease is cured. The number of moxa cones is not fixed; stop when symptoms subside. Immediately after moxibustion, wipe with a warm, damp cloth to prevent ulceration. This method is stable and effective; any pathology in the chest can be treated according to this principle.
Shi Zao Tang (Ten Date Decoction, from Zhang Zhongjing's *Jin Gui Yao Lue*) uses Yuanhua (Gardenia Flower), Gansui (Kansui Root), and Daji (Euphorbia Root). (Equal parts, ground into powder, decocted with soup made from ten Jujube fruits.) It vigorously attacks Water-Qi (fluid retention) with formidable power, (causing diarrhea accompanied by fullness, hardness, and pain in the chest and hypochondrium, sweating, shortness of breath, and dry heaving. These symptoms are all caused by Water-Qi. Among Zhang Zhongjing's diuretic formulas, this is the most potent.) It eliminates accumulated Phlegm and latent Yin (fluid retention). (Phlegm and Yin are transformations of water; water condensed by Fire becomes Phlegm, water congealed by Cold becomes Yin. Treatment methods are detailed in *Jin Gui Yao Lue · Tan Yin Chapter*.) Do not use lightly in emaciated or deficient individuals. Alternatively, add Huangbai and Dahuang; Xiao Wei Dan (Small Stomach Pill, from Zhu Zhenheng's *Dan Xi Xin Fa*) treats Phlegm-Heat blocking the diaphragm. (Treats old and stubborn Phlegm obstructing the chest and diaphragm, causing panting, coarse breathing, and constipation. This formula is very potent, suitable for robust individuals with fluid retention, but contraindicated for the elderly and weak.)
San Yi Cheng Qi Tang (Three-One Lowering Qi Decoction), revised by Tao Jie'an, combines the methods of Xiao Cheng Qi Tang, Tiao Wei Cheng Qi Tang, and Da Cheng Qi Tang. (Treats abdominal fullness and solid pain due to Cold Damage, delirium, diarrhea, internal heat with constipation, sudden collapse due to Wind Stroke, and wind epilepsy. This formula merges the three Cheng Qi Decoctions into one, heavily utilizing Gancao to combine purging and tonifying, capturing the secret essence of Zhang Zhongjing.) Add Chaihu, Huangqin, and Iron Rust Water, named Zhui Re Kai Jie Liu Yi Cheng Qi Tang (Lowering Heat and Opening Knots Six-One Lowering Qi Decoction).
Huang Long Tang (Yellow Dragon Decoction) treats Re-Jie-Li (Heat-Binding Diarrhea). (Dry feces in the Stomach cause thirst, yet there is paradoxical diarrhea of clear water, known as Heat-Binding Diarrhea, occurring because ingested fluids seep downward.) Ren Shen, Danggui, Jiegeng are added to San Yi Cheng Qi Tang, along with Shengjiang and Dazao, addressing Yangming Excess patterns in patients with Deficiency signs. (For the elderly with Qi and Blood deficiency, remove Mangxiao.) *Huoren Shu* (Zhu Gong's *Shanghan Leizheng Huoren Shu*) also contains Huang Long Tang, composed of equal parts Chaihu, Huangqin, Renshen, and Gancao. (This is Xiaochaihu Tang minus Banxia, Shengjiang, and Dazao, treating chills and fever resembling malaria during pregnancy, wind-strike postpartum, and unresolved fever after illness relapse due to overexertion.)