治胁下偏痛发热，其脉紧弦，此寒也。当以温药下之之方。
大黄（三两） 附子（三枚） 细辛（二两）
上三味 咀，以水五升，煮取二升，分再服。
论曰∶寸口脉弦而紧，弦则卫气不行，卫气不行即恶寒。紧则不欲饮食，弦紧相搏即为
寒疝。趺阳脉浮而迟，浮即为风虚，迟即为寒疝。凡瘦人绕脐痛必有风冷，谷气不行而反下
之，其气必冲。不冲者，心下则痞。
主寒疝绕脐苦痛发即自汗出，手足厥寒，其脉沉弦者方（仲景名二物乌头煎）。乌头大
者五枚熬黑不切，以水三升，煎取一升，去滓纳白蜜二斤，煎令水气尽得二升，强人服七合，
羸人五合。一服未效，明日更服，每日只一服，不可再也。
治寒疝腹中痛逆冷，手足不仁，若一身尽痛，灸剌诸药不能治方。
秋干乌头（实中者五枚除去角） 白蜜（一斤）
上二味以蜜煎乌头，减半去滓，以桂枝汤五合解之，令得一升许，初服二合，不知，更
进三合，复不知，加至五合。其知者，如醉状，得吐者，为中病也。
桂枝汤方见伤寒门中（《外台》方以水二升半煮桂，提取一升和蜜合煎一升许，服）。
论曰∶凡人患大热皆须候脉，若大大热者，不得一准方用药，皆准病用药。大热不可那
者，当两倍三倍。大大热者，乃至十倍用之，乃可制之尔。有人苦热不已，皆由服石所致。
种种服饵不能制止，惟朴硝煎可以定之。（武德中有贵高人师市奴谓之金石凌非也，此方直
用二硝寒水石、石膏可也，即不劳金） 有金者，贵高人所加也。
治疗胁下偏侧疼痛并伴有发热，脉象紧弦，这是寒邪所致。应当使用温性药物进行攻下的方剂。
大黄（三两） 附子（三枚） 细辛（二两）
以上三味药，切碎，用水五升，煮取二升药液，分两次服用。
论述说：寸口脉弦而紧，弦脉表示卫气运行不畅，卫气运行不畅就会恶寒。紧脉表示不想饮食，弦脉与紧脉相搏结即为寒疝。趺阳脉浮而迟，浮脉表示风虚，迟脉表示寒疝。凡是瘦人绕脐疼痛必定有风冷，谷气不通反而使用攻下法，气机必然上冲。如果不冲逆，心下部就会痞塞。
主治寒疝绕脐剧烈疼痛，发作时自汗出，手足厥冷，脉象沉弦的方剂（张仲景名为二物乌头煎）。大乌头五枚，熬至黑色不切碎，用水三升，煎取一升药液，去渣加入白蜜二斤，继续煎至水气尽失得到二升药液，体质强壮的人服用七合，体弱的人服用五合。一次服药后未见效，第二天再服，每天只服一次，不可再次服用。
治疗寒疝腹中疼痛且伴有逆冷，手足麻木不仁，若全身都疼痛，灸法、刺法和各种药物都不能治疗的方剂。
秋干乌头（质地坚实的五枚，除去角部） 白蜜（一斤）
以上两味药，用蜜煎煮乌头，煎至减半时去渣，用桂枝汤五合来化解药渣，使总量达到约一升，初次服用二合，若无感觉，再增加三合，如果还没有感觉，增加到五合。服药后有知觉，像喝醉一样的状态，或者出现呕吐，就是达到了治疗效果。
桂枝汤方见伤寒门中（《外台秘要》方用水二升半煮桂枝，提取一升与蜜混合煎煮约一升，服用）。
论述说：凡是患大热病的人都必须候察脉象，如果是大热病，不能一概按照固定方剂用药，都要根据病情用药。大热病难以控制的，当加倍或三倍用量。极大的热病，甚至用到十倍剂量，才能控制住它。有人苦于热病不止，都是由服用石药所致。各种服饵方法都不能制止，只有朴硝煎可以平定它。（武德年间有位高贵人师市奴称之为金石凌，其实不对，此方直接用二硝、寒水石、石膏即可，就不需要黄金了）如果有金，是高贵人所添加的。
Treats unilateral pain in the hypochondrium accompanied by fever, with a tight and string-taut pulse; this is due to Cold. The following formula employs warm purgatives.
Da Huang (Rhei Radix et Rhizoma, 3 liang) Fu Zi (Aconiti Lateralis Radix Praeparata, 3 pieces) Xi Xin (Asari Radix et Rhizoma, 2 liang)
The above three herbs are coarsely crushed, boiled in five sheng of water until two sheng remain, and divided into two doses for administration.
Discussion: A chi-kou (radial artery at the wrist) pulse that is string-taut and tight indicates that Wei Qi (Defensive Qi) fails to circulate properly; when Wei Qi does not circulate, aversion to cold occurs. A tight pulse indicates loss of appetite. When string-taut and tight pulses combine, it constitutes Han Shan (Cold Spasm). A fu-yang (dorsalis pedis artery) pulse that is floating and slow indicates Wind deficiency (floating) and Cold Spasm (slow). In thin individuals, periumbilical pain invariably stems from Wind-Cold. If Gu Qi (Grain Qi) is obstructed and purgatives are incorrectly administered, Qi will rebel upward. If it does not rebel, Pi (Glomus/Fullness) will form in the epigastrium.
Formula for Han Shan (Cold Spasm) characterized by severe periumbilical pain, spontaneous sweating upon onset, cold extremities, and a deep, string-taut pulse (named Er Wu Wu Tou Jian by Zhang Zhongjing). Five large Wu Tou (Aconiti Radix), roasted black without cutting, are boiled in three sheng of water until one sheng remains. The dregs are removed, and two jin of Bai Mi (White Honey) are added. The mixture is further decocted until all moisture evaporates, yielding two sheng. Robust individuals take seven he; frail individuals take five he. If ineffective after one dose, administer again the next day. Only one dose per day is permitted; do not repeat.
Formula for Han Shan (Cold Spasm) presenting with abdominal pain, counterflow cold, numbness in the hands and feet, or generalized body pain, which cannot be treated by moxibustion, acupuncture, or various medications.
Qiu Gan Wu Tou (Aconiti Radix, dried in autumn; five pieces of solid texture, with corners removed) Bai Mi (White Honey, 1 jin)
The above two ingredients are decocted together in honey. When reduced by half, remove the dregs. Add five he of Guizhi Tang (Cinnamon Twig Decoction) to dissolve the residue, bringing the total volume to approximately one sheng. Initial dose: two he. If no effect is felt, increase by three he. If still no effect, increase to five he. Sensation resembling intoxication or vomiting indicates that the disease has been addressed (Zhong Bing).
Guizhi Tang (Cinnamon Twig Decoction) is found in the Shang Han Men section. (The Fang Yi Wai Tai formula boils Gui Zhi (Cinnamomi Ramulus) in two and a half sheng of water, extracts one sheng, mixes with honey, and decocts to about one sheng for administration.)
Discussion: Patients suffering from extreme Heat must have their pulses examined. For extreme Heat, one cannot rigidly adhere to fixed formulas but must tailor treatment to the specific pathology. If extreme Heat is resistant, double or triple the dosage. For severe cases, tenfold dosages may be required to subdue it. Some suffer from intractable heat due to the ingestion of Stone Medicines (Shi Yao). Various herbal regimens fail to control it; only Pu Xiao (Natrii Sulfas) decoction can resolve it. (During the Wu De era, a nobleman named Shi Nu referred to this as Jin Shi Ling, which is incorrect. This formula should directly use Er Xiao (Saltpeter), Han Shui Shi (Borax), and Shi Gao (Gypsum); gold is unnecessary. If gold is included, it was an addition by the nobleman.)